IMP · 03

Same-Day Implants — A Tooth the Day You Lose One

In select cases, we can remove a failing tooth, place an implant, and attach a fixed, natural-looking temporary — all in a single appointment. No denture, no gap, no months of hiding your smile. It's not always possible, but when it is, it's the closest modern dentistry gets to a miracle.

Visits
Single appointment
Time in chair
2–3 hours
Final crown
~4 months
IMP · 03
Implants
Chevy Chase, MD
Radiant Dental

Extraction, implant, and fixed tooth — one visit

Traditional implant treatment means extracting the failing tooth, waiting 3–4 months for the socket to heal, then coming back for implant surgery, then waiting another 3–4 months for the implant to fuse, then finally a crown. Six months, four or five appointments, and a gap in your smile the whole time.

Same-day implants — sometimes called "immediate implants" or "teeth in a day" — compress the first two steps. The tooth is removed, the implant is placed into the fresh socket, and a fixed provisional crown is attached. You walk out with a full smile the same afternoon you walked in.

Not every tooth qualifies. Infection, inadequate bone, or poor positioning can rule it out. But for the cases that do qualify, it's the most patient-friendly path in modern implantology.

Who qualifies for same-day

The difference between a candidate and a non-candidate comes down to bone, position, and infection. Here's what we look for at consultation.

CRIT 01

Sufficient bone

We need enough bone around the socket to achieve primary stability — the implant has to lock in place at the moment of placement. Assessed on CBCT.

CRIT 02

No active infection

Active infection at the root can compromise implant integration. Some infections we can clean and proceed; others require extraction first and waiting 2–3 months.

CRIT 03

Favorable position

Front teeth and premolars are most commonly candidates. Back molars with wide roots are harder — we often plan these as traditional staged cases instead.

What a same-day implant visit looks like

From the time you walk in to the time you walk out with a new tooth, expect 2 to 3 hours. Here's the sequence.

01

Pre-op scan & anesthesia

Fresh CBCT if needed, local anesthesia, and a final confirmation of the surgical plan.

~20 minutes
02

Atraumatic extraction

The failing tooth is removed using techniques that preserve the bone socket — critical for implant success.

~15 minutes
03

Guided implant placement

The implant is placed into the fresh socket with XNav navigation or a surgical guide. Bone graft material fills any gaps.

~45 minutes
04

Same-day provisional crown

A temporary crown is milled or printed in-house and attached to the implant. Not in function (no chewing), but visible and aesthetic.

~45 minutes
05

Final crown at 4 months

After the implant has fused, we replace the provisional with a permanent, full-function crown designed and milled in our lab.

Visit 2, ~2 hours

Same-day implant pricing

Same-day implant treatment is priced as a complete package — extraction, implant, bone graft if needed, provisional crown, and final crown are all included. No surprise line items.

Typical Investment

What it costs

Same-day single implant Extraction + implant + bone graft + provisional + final crown
$5,400 – $6,400
Standard staged implant For comparison — same components, spread over 6 months
$4,200 – $5,400
CBCT scan & digital workup Included
Included
The premium over staged treatment covers the in-house provisional crown, extended surgical time, and premium implant fixtures required for immediate loading. If you have PPO insurance, we'll file the claim for you; coverage varies by plan. Cherry financing available for flexible monthly payment plans.

Frequently asked

How do I know if I'm a same-day candidate?
We can only confirm at consultation with a CBCT. About 60% of single-tooth cases qualify — most often front teeth and premolars. If same-day isn't safe, we'll recommend staged treatment and explain exactly why.
Does the same-day crown function like a regular tooth?
The provisional crown is aesthetic — it looks natural and fills the gap — but we deliberately keep it out of bite pressure for 3–4 months while the implant fuses. You'll eat on the other side of your mouth during that time.
Is same-day more painful than staged?
No — if anything, less, because you avoid a second surgical appointment months later. Post-op recovery is similar to an extraction: 2–3 days of mild soreness, managed with OTC pain relievers.
What's the success rate?
Properly selected same-day implants have a 95–98% success rate at 5 years — comparable to staged implants. The key word is "properly selected." Case selection is everything.
Why don't all dentists offer this?
Same-day treatment requires CBCT, guided surgery, and the ability to fabricate a provisional crown in-house within an hour of placement. Most general practices aren't equipped for it. We are.
What if the implant doesn't take?
In the rare case of failure (2–5%), we remove the implant, let the site heal for 3 months, and place a new one at no additional surgical fee. Our surgical fee is covered by a case warranty.

Related services

Ready When You Are

Your next smile starts with a consultation

Dr. Jay Siddiqui personally evaluates every case. No associates, no rotating doctors. Book online or call to schedule — evenings and Saturdays available.