Periodontics
Same-Day Dental Implants
Placing a dental implant on the same day a tooth is removed is possible for many patients, though not for everyone. It depends on the bone and gum tissue at the site. Dr. Baradaran evaluates each case before recommending it.
Schedule a ConsultationThe Approach
What Same-Day Actually Means
Same-day implants, also called immediate placement, means the implant is set into the jaw on the same day the tooth is removed, or on a site that has already healed. In many cases a temporary tooth is attached the same day, so you are not left with a visible gap while everything heals.
This is different from staged placement, where the socket is allowed to heal first for a period of weeks or months, and the implant is placed at a later visit. Both approaches are routine. The right one depends on the condition of the bone and gums.
One point matters for planning. Even when a temporary tooth goes in the same day, the final permanent crown or bridge is usually made and fitted after the implant fuses with the bone. That fusing, called osseointegration, takes a few months. Same-day refers to placing the implant and a temporary, not finishing the permanent restoration in a single visit.
Same-day placement is one option within implant care. For the full picture of single and multiple tooth replacement, see dental implants. To replace an entire arch in one procedure, see All-on-4.
Same-Day Placement
- Implant placed the day the tooth is removed
- Temporary tooth often attached the same day
- Requires enough healthy bone at the site
- Fewer separate appointments
Staged Placement
- Socket heals first, over weeks or months
- Implant placed at a later visit
- Common after grafting or when bone is thin
- Often the safer path for the long term result
Candidacy
Who Qualifies for Same-Day Implants
Same-day placement works best when the site is ready to hold an implant firmly on the day it is placed. Dr. Baradaran looks at a few things before recommending it. Being a candidate at one tooth does not always mean every site qualifies, and that is normal.
Enough Healthy Bone
The site needs adequate bone volume and density to hold the implant steady the moment it is placed. Thin or soft bone usually calls for grafting first.
Healthy Gums
The gum tissue around the site should be free of active periodontal disease. Treating gum disease first protects the implant and the bone that supports it.
No Active Infection
The area around the tooth being removed should be clear of active infection. Infection at the site usually means treating it and waiting before placement.
Able to Heal Well
General health affects how the implant fuses with bone. Uncontrolled diabetes and smoking can slow healing, so they are weighed carefully in the plan.
The Right Tooth Position
Front teeth and single sites often suit same-day placement. Some back molar sites carry more force and may hold up better when treated in stages.
Confirmed at Consultation
A clinical exam and imaging by Dr. Baradaran, a UCLA-trained periodontist, is how candidacy is actually confirmed. It is not something to judge from a photo.
No referral is needed to be seen, and new patients are usually scheduled within one week. See new patients for what to expect at a first visit.
When Grafting Comes First
When Staged Treatment Is the Right Call
When a tooth has been missing for a while, or has been lost to advanced gum disease, the bone that once held it often shrinks. If there is not enough bone to hold an implant firmly on the day of extraction, placing it the same day would put the result at risk. In that situation staged treatment is the better plan.
Dr. Baradaran rebuilds the site first. Bone grafting adds volume back to a ridge that has thinned. In the upper back jaw, where the sinus sits close to the roots, a sinus lift adds bone height so an implant has something solid to anchor into. These steps heal over several months before the implant is placed.
Needing a graft first is common, and it is not a setback. It is how a lasting implant is built when the foundation needs work. Many patients who cannot have same-day placement still reach a solid implant result, just on a longer timeline.
The Staged Path
- Graft rebuilds the bone at the site
- Several months of healing
- Implant placed once the bone is strong enough
- Permanent tooth after the implant fuses
Beverly Hills
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