Losing a tooth is hard enough. Waiting months for an implant makes it harder. Getting dental implants the same day as extraction is a real option for many adults — and more common than most people realise. If you are weighing your choices and wondering whether this fits your situation, Apple Tree Dental in London, Ontario can assess you and give you an honest answer.
Dental Implants Same Day as Extraction: What London, Ontario Patients Need to Know
Most people assume getting a dental implant means multiple surgeries across six to twelve months. The tooth comes out. The socket heals. The implant goes in weeks later. More healing follows. Finally, the crown gets attached.
For many patients, that drawn-out process is entirely avoidable. Placing dental implants the same day as extraction — also called immediate implant placement — is now a well-established technique in Canadian dental care. It is not the right choice for every case. But when the conditions are right, it saves significant time and delivers excellent long-term results.
How Dental Implants Same Day as Extraction Actually Work
A dental implant is a titanium post that replaces the root of a missing tooth. Once it fuses to your jawbone — a process called osseointegration — a crown attaches on top. The finished result looks, feels, and functions like a natural tooth.
In a traditional approach, the dentist removes the tooth, closes the site, and waits two to four months before placing the implant. Same-day placement skips that gap entirely. Your provider inserts the implant post directly into the fresh extraction socket during the same appointment.
The Canadian Dental Association recognises dental implants as a standard of care for replacing missing teeth. Same-day placement is a proven technique variation — not an experimental one. Canadian providers have performed it successfully for well over a decade.
A temporary crown usually goes over the implant that same day, so you leave the office with a tooth in place. Your permanent crown follows once osseointegration is confirmed — typically three to six months after surgery.
Why Patients Choose Same-Day Implants Over the Traditional Route
Bone preservation is one of the strongest reasons to choose same-day placement. Your jawbone starts to shrink almost immediately after a tooth disappears. That bone supports your facial structure — and once it is gone, rebuilding it takes a graft, which adds time, complexity, and cost to your treatment.
Placing the implant right away gives the bone something to hold on to. It slows resorption and helps maintain the natural shape of your gum tissue. Most patients also prefer leaving the office with a temporary tooth rather than a gap — the emotional and social difference matters more than people expect.
What Happens During Your Same-Day Extraction and Implant Appointment
Step 1: Assessment and imaging
Before anything else, your dentist needs a clear picture of what is beneath the surface. A full clinical exam, dental X-rays, and in most cases a cone beam CT scan — a 3D image showing bone density, bone height, and socket dimensions — all happen first. This step confirms whether placing dental implants the same day as extraction is safe for your specific anatomy.
Step 2: Tooth extraction
Your provider removes the tooth carefully, with the goal of keeping socket walls intact — those walls anchor the implant. Local anaesthetic keeps you comfortable throughout. Sedation options exist if you feel anxious about the procedure. Ask your provider about this at your consultation.
Step 3: Socket preparation and implant placement
Right after extraction, the socket gets cleaned and prepared. Your provider inserts the implant post — a small titanium screw — precisely into the bone at the base of the socket. Any gap between the implant and socket wall gets filled with bone graft material to support healing and encourage new bone growth around the post.
Step 4: Temporary crown
A temporary crown goes on top of the implant during the same visit. This crown stays slightly out of contact with your bite — it protects the implant during healing without taking on full chewing load. You walk out with a natural-looking tooth covering the gap. Clear aftercare instructions come with it.
Step 5: Osseointegration and permanent crown
Over three to six months, the implant fuses to your jawbone. Your dentist monitors this at scheduled follow-ups. Once osseointegration is solid, your provider removes the temporary crown and fits the permanent one. At that point, the implant functions exactly like a natural tooth.
Who Qualifies for Dental Implants Same Day as Extraction?
Active infection rules out same-day placement immediately. The infection clears first — usually over several weeks with antibiotics and time. A delayed implant approach then becomes the right path forward. Your provider chooses timing based on what gives the implant the best chance of success, not what is fastest.
The Royal College of Dental Surgeons of Ontario (RCDSO) requires all implant procedures in Ontario to follow evidence-based clinical protocols. Your provider will always recommend the timing that protects your long-term outcome.
Implant Costs in Ontario — And How to Manage Them
Cost stops a lot of people from acting. That hesitation makes sense — dental implant treatment is a significant investment. But waiting often makes things worse. More bone disappears over time, which means grafting becomes necessary, which adds more cost and complexity than if you had acted earlier.
Contact Apple Tree Dental directly for a personalised estimate. Your imaging and treatment needs come first — you get real numbers before any commitment.
Frequently Asked Questions: Same-Day Dental Implants in London, Ontario
Is it safe to place dental implants the same day as extraction?
Yes — when a qualified provider selects the right patient, same-day implant placement carries a strong success record. Clinical evidence consistently supports it as a safe, effective technique. The key requirement is a clean, infection-free socket with enough bone to anchor the post. Your provider will not proceed unless those conditions exist.
Does placing the implant right after extraction hurt more?
Not typically. Anaesthetic already covers the area from the extraction, so the implant placement adds no meaningful discomfort during the procedure. Expect normal post-operative soreness for a few days — swelling, tenderness, and mild aching. Over-the-counter pain relief handles most of it. Most patients return to normal activity within a few days.
How long does the full same-day implant process take from start to finish?
The surgical appointment runs one to two hours. The complete treatment — from extraction and same-day implant placement to permanent crown — still takes three to six months. Osseointegration sets the pace and cannot be rushed. What same-day placement eliminates is the waiting period between the extraction and the implant surgery itself.
What can I eat after same-day dental implant placement?
Soft foods only for the first few weeks. Hard, crunchy, or sticky foods create pressure on the implant site and risk disrupting osseointegration. Your temporary crown handles no heavy chewing load — treat it gently. Your provider gives you a detailed food list at your appointment. Follow it closely to protect the implant.
What is the success rate for dental implants placed same day as extraction?
Studies report success rates above 95 percent for immediate implants in well-selected candidates — on par with delayed placement when providers choose patients carefully and use proper technique. Smoking, uncontrolled diabetes, and poor oral hygiene raise failure risk across all implant approaches, not just same-day ones.
Can I get a same-day implant if I have gum disease?
No — not until the gum disease is treated and resolved. Active gum disease significantly raises the risk of implant failure. Your provider assesses gum health as part of the initial evaluation and addresses any issues before scheduling the implant procedure. Apple Tree Dental offers gum health treatment as part of its general care services in London, Ontario.
Find Out If You Qualify for Same-Day Dental Implants in London, Ontario
Dental implants placed the same day as extraction are not right for every patient. For those who do qualify, the approach means fewer surgeries, a shorter timeline, and a tooth in place from day one. A proper assessment is the only way to know where you stand. Book with Apple Tree Dental in London, Ontario and get a clear, honest answer about your options.

