Same-Day Implants: Extraction, Temporary Teeth and Suitability

What Does a Same-Day Implant Mean?

A same-day implant means placing the implant in the same appointment in which a tooth that has to come out is removed. Whether the natural tooth can be kept with treatment is assessed first. The availability of an implant option is not on its own a reason to extract a tooth.

Placing an implant on the day of extraction does not mean a tooth will be fitted on it that day. Immediate placement describes the timing of the implant; immediate loading describes the prosthesis carrying load through the implant at an early stage. The chewing contacts of a temporary tooth made on the day can also be adjusted separately. Neither term is the same as completing the final prosthesis on the day.

Who Can Be Considered?

The bone around the tooth to be removed, the gum, the neighbouring structures and the position of the planned prosthesis are examined together. In the front of the mouth in particular, it is not only implant stability that matters but also preserving the gum level and the appearance. General health, gum disease, smoking, clenching and cleaning habits are all part of the assessment.

• There must be bone that allows the implant to achieve initial mechanical stability in a suitable position.

• Bone or soft tissue loss found during the extraction can change the plan.

• The type and spread of any infection is assessed; a definitive decision on suitability cannot be made remotely on the basis of infection alone.

• If a temporary tooth is planned, the implant's stability and the forces the prosthesis will take are assessed separately.

A plan prepared from an examination and appropriate imaging is checked again against the findings after the extraction. Three-dimensional imaging before an implant helps assess the anatomy; an image alone does not provide a guarantee of treatment.

What If the Plan Changes on the Day?

If suitable conditions for an implant cannot be achieved, the site may be allowed to heal, or bone support may be planned. Even where an implant can be placed, fitting a temporary tooth on it straight away may not be appropriate. These possibilities, and the alternative provisional solutions available, should be discussed before the procedure. Changing the plan for safety does not on its own mean the treatment has failed.

Same-day placement does not entirely prevent the natural change in bone shape after an extraction. Additional procedures may be needed for a gap or a tissue shortfall around the implant. No patient can be promised completion in a single surgical procedure, or that a bone graft will be avoided.

Healing and Permanent Teeth

Having a temporary tooth does not show that integration of the implant with the bone is complete. Advice on chewing and cleaning is set according to the surgery performed and the prosthesis. The timing of the permanent tooth becomes clear from healing and review; the same timetable is not given to everyone.

Our healing after an implant guide covers the care and review process. How pain progresses and warning signs in swelling should also be known before the procedure.

What Should We Discuss at the Appointment?

Bringing your existing images, the medicines you take and your previous dental treatment to the consultation makes assessment easier. Do not change your medicines on your own initiative. In the treatment quote we can discuss the scope of the extraction, the implant, the temporary and permanent teeth and any bone support separately.

Frequently Asked Questions

Can everyone have a same-day implant?

No. Suitability depends on the examination, the imaging and the findings during the procedure. Even a plan prepared in advance can change.

Can I eat normally the same day?

There can be restrictions on use even with a temporary tooth. Dietary advice is set according to the surgical and prosthetic instructions you are given.

Does guided or flapless surgery mean teeth on the same day?

No. Guided surgery is a method of carrying out the plan; a flapless approach is a way of accessing the soft tissue. The timing of the prosthesis is assessed separately.

I am travelling from abroad. Can this be planned around one trip?

That cannot be assumed before the examination. Clarify in advance what would happen if the plan changes on the day and how follow-up would be arranged after you return home.

Questions and Appointments

Write to us on WhatsApp to discuss an appointment and the treatment process directly with Dr. Aykut Gürel. A first discussion can be held by message; a definitive treatment plan is formed from clinical assessment. International patient appointments are planned at Dentopol Ümraniye on Mondays, Wednesdays and Saturdays, 09:00–18:00 Istanbul time.

Dr. Gürel speaks English. Written messages in other languages can be supported by translation; please confirm the availability of a spoken-language interpreter before your appointment. Treatment, follow-up and any transfer or accommodation arrangements are confirmed individually before you book travel.

References

• ITI — Selection criteria for immediate implant placement and immediate loading in the maxillary esthetic zone

• ITI — Implants in post-extraction sites