Socket grafting was not mentioned. There was an infection and bone loss
before the extraction. Maybe that is why it wasn't mentioned.

All the other teeth are present,including wisdom teeth. I think they
are healthy as I have never had any fillings or crowns.  I asked the
surgeon about the "do nothing" option.
He said that he would not recommend that. He said there was a risk of
movement of neighboring teeth, but that the risk was not predictable.

He said that an implant  would be good option for me.

I didn't know thst the risk was only 19%. Even so, that percentage
could still be considered high enough to warrant implant,right?

Well, not necessarily since that poster got implants through
inexperienced students at dental school.

What is your opinion of implants performed at U.S. dental schools?

A question, did you have socket grafting done after the extraction of #18?
If not, was it mentioned as an option? The reason I ask, is that socket
grafting done just after extraction, can minimize the loss of bone that
occurs after extraction.

However, I am curious why you would want an implant for #18 at all.  I
rarely place implants in this area unless there is a specific reason.  If
all your other teeth are present, then the only major consideration is to
watch for extrusion of tooth #2 into the space for #18.  Last study I read
mentioned it only happens in about 19% of the general population.

Can you provide more details?

And, as JimSoCal says, EXPERIENCE is the best indicator of competency.  Just
look the Doc straight in the eye and ask him how many of these he has done,
and what your chances of success are with this procedure.  And yes, NO
surgery is routine......

Dr Abu

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I had tooth #18 extracted and am scheduled for evaluation in a month
with the  oral surgeon to see how the bone has healed. If there is bone
loss, bone graft will be required (I am not sure if the oral surgeon
does bone grafts -- I will need to go to periodontist -- but I will
have to check on that).

But I do know that both the oral surgeon and the periodontist that
previously treated my infection, perform implants.

In the case that I go for implant, does it make much difference which
one of them I select?

Is experience very important or are implants a routine procedure that
any experienced dentist could do?