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Implants and Dentures5 min readClinical Protocol

Immediate Dental Implants: Can You Get Teeth on the Same Day as Extraction?

Wondering if you can replace a bad tooth with an implant on the same day? Learn how same-day dental implants work, who qualifies, costs in Hyderabad, and how we protect your smile.

Author:Dr. Swetha UChief Dental Surgeon & Clinical Director
Reviewed by:Dr. David LeninsonBDS, MDS, ICOI, ISOI
Updated: October 2026
Dealing with a cracked root or facing an extraction?

The traditional path to replacing a non-restorable tooth once required having an extraction, waiting 3 to 4 months for socket bone consolidation, undergoing a second surgery to seat the post, and waiting another 3 months for a crown. By placing the implant post into the fresh extraction socket immediately, we protect the surrounding alveolar architecture and avoid the socket shrinkage that routinely follows unassisted extractions. Check out our complete clinical guide for Dental Implants in Hyderabad.

Fast Answers for Patients
  • Yes, you can have a damaged tooth removed and a permanent titanium implant post placed in the same single surgical visit.
  • A custom temporary tooth is attached immediately for front teeth so you never have to deal with a visible gap.
  • Best suited for clean fractures, failing root canals, or non-restorable crowns where surrounding basal bone is healthy.
  • Reduces overall restorative treatment time from 8–10 months down to approximately 8–10 weeks.
  • Planned and placed at our KPHB and Kondapur clinics using 3D CBCT computer guidance to ensure precise primary stability.

The Big Question: Can You Walk Out with Teeth the Same Day?

Yes, particularly for front teeth and visible premolars.

If the implant achieves firm primary mechanical stability in your basal bone (35+ Ncm insertion torque), we immediately secure a custom, non-functional provisional crown.


Biomechanical Benefits of Immediate Placement

Traditional delayed protocols allow the surrounding alveolar bone ridge to resorb naturally once the tooth root is absent. Immediate placement prevents this collapse:

  • One Surgical Session Instead of Three: Extraction, osteotomy, implant fixture insertion, and provisional tooth placement happen in a single sitting under local anesthesia.
  • Saves Your Natural Gum Scalloping: Seating the implant and provisional abutment immediately preserves natural interdental papillae, preventing empty “black triangles” at the gumline.
  • Halts Ridge Resorption: Preserving native socket walls avoids the need for invasive block bone grafts or extensive ridge augmentation later.
  • No Removable Temporary Plates: You bypass uncomfortable acrylic partial dentures (“flippers”) while waiting for your permanent restoration.

Who Qualifies for Same-Day Implants?

Not every extracted tooth is eligible for immediate placement. Candidacy depends on socket anatomy, bone density, and the absence of spreading pathology.

Ideal Candidates

  • Trauma & Root Fractures: Sudden sports injuries, horizontal cracks, or vertical root fractures where the apical bone remains intact.
  • Severe Decay Below Gumline: Teeth structurally compromised beneath the gingival margin that cannot retain a post and crown, but maintain sound surrounding bone.
  • Failing Root Canal Teeth: Teeth with recurrent internal failures or persistent non-vitality without an acute apical abscess.
  • Adequate Apical Bone Height: At least 3–5 mm of native bone beyond the root apex to firmly anchor the fixture.

Contraindications (When Delayed Placement Is Safer)

  • Active Acute Infections: Teeth presenting with fluctuant abscesses, purulent drainage, or spreading cellulitis require complete site debridement and 4 to 6 weeks of tissue healing.
  • Extensive Buccal Plate Loss: If severe periodontal disease has destroyed the front bone wall of the socket, bone reconstruction must take place prior to implant fixture placement.
  • Uncontrolled Metabolic Conditions: Unmanaged diabetes (HbA1c > 8.0%) or heavy nicotine use inhibits microvascular healing and increases early integration failure rates.

The 4-Step Surgical Protocol

  1. Atraumatic Extraction: Using micro-surgical periotomes and piezosurgery instruments, we luxate the tooth root without expanding or fracturing the delicate outer buccal bone plate.
  2. Precision 3D Guided Placement: Guided by your preoperative 3D CBCT scan, the implant fixture is positioned 3–5 mm past the extraction socket apex into solid bone to lock in high primary torque.
  3. Grafting the Gap (“Jumping Distance”): The microscopic space between the cylindrical titanium implant and the natural root socket walls is filled with mineralized particulate bone graft (Bio-Oss) to maintain permanent ridge contour.
  4. Provisional Crown Delivery: For anterior teeth, a custom screw-retained provisional crown is torqued into place. For posterior molars, a contoured healing abutment is placed to support optimal soft tissue emergence.

Immediate vs. Conventional Implants: Direct Comparison

Clinical Feature Immediate Same-Day Implant Traditional Delayed Implant
Total Treatment Duration 8 to 12 Weeks 6 to 9 Months
Number of Surgical Visits 1 Procedure 2 to 3 Separate Procedures
Alveolar Bone Loss Risk Minimal (Socket walls maintained) High (Requires secondary grafting)
Provisional Tooth on Day 1 Yes (Anterior teeth) No (Removable acrylic plate)
Post-Operative Recovery 2–3 days mild soreness Cumulative recovery across surgeries

Cost of Immediate Dental Implants in Hyderabad (2026 Overview)

Immediate implants require specialized high-stability fixture designs, precision socket grafting, and dedicated chairside provisional fabrication:

  • Single Immediate Implant Package: Typically ranges between ₹38,000 and ₹48,000 at Platina Dental, covering atraumatic extraction, implant fixture, socket gap grafting, and the immediate provisional crown.
  • Verified Global Systems: We exclusively utilize documented implant platforms including Osstem (South Korea), BioHorizons (USA), and Straumann SLActive (Switzerland).
  • Flexible 0% EMI Payment Plans: Available via Bajaj Finserv and major credit cards to divide fees across 3, 6, 9, or 12 months with no interest markup.

For an itemized breakdown of brand tiers, bone preservation options, and financing terms, consult our comprehensive dental implant cost and financing guide.


Why Choose Platina Dental for Immediate Cases?

Immediate implant placement is highly technique-sensitive; placing a fixture without adequate primary stability or at an incorrect 3D trajectory can lead to early failure or aesthetic compromise:

  • Dual Specialist Team: Every case is directed by Dr. Swetha U (Clinical Director) alongside senior surgical implantologists with 18+ years of experience in immediate load protocols.
  • In-House Low-Dose 3D CBCT: High-resolution volumetric scans assess your socket wall thickness and bone density right in our clinic during your first visit.
  • Hospital-Grade Sterilization: European Class-B vacuum autoclaves with weekly biological spore monitoring safeguard your surgical site from contamination.
  • Central Hyderabad Locations: Dedicated surgical operatories at KPHB Colony (Kukatpally) and Kondapur (near HITEC City).

Summary: Are You a Candidate for Same-Day Placement?

If you have a cracked tooth, a deep fracture, or have been told a tooth needs extraction, seeking an immediate evaluation preserves the native bone and gumline before the socket collapses.

To review restorative solutions for multiple teeth, explore our full mouth dental implants and All-on-4 guide, or book an in-person 3D CBCT diagnostic assessment with Dr. Swetha U at Platina Dental.

Patient Clarifications

Frequently Asked Questions

Can I bite or chew normally with an immediate same-day crown?

No. The immediate crown attached on the day of surgery is strictly non-functional and designed for smile aesthetics and soft tissue preservation. It is deliberately calibrated slightly out of occlusion so opposing teeth do not strike it during chewing. You must avoid chewing firm foods on that side for 8 to 12 weeks while the titanium post fuses permanently with your socket bone.

Can back molars receive immediate dental implants with same-day crowns?

Back molars can frequently receive immediate implants placed directly into the extraction socket, but attaching an immediate crown is generally avoided. Because posterior molars bear up to 200+ pounds of chewing pressure, placing an immediate crown risks micro-movement and implant failure. Instead, a flush healing abutment is placed to let the socket heal safely beneath the gumline.

What happens if my socket bone is too soft during the extraction?

If the implant does not achieve minimum primary stability (at least 35 Ncm of insertion torque) due to soft apical bone or acute bone loss, our surgeons will not force immediate loading. Instead, we perform socket preservation bone grafting and place a protective healing cap or close the site for an early secondary placement 6 to 8 weeks later.

Schedule Your Immediate & Permanent Dental Implants Assessment

Consult directly with Dr. Swetha U at Platina Dental KPHB or Kondapur studios.

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