There's a lot of buzz right now about "teeth in a day," same-day implants, All-on-4, and All-on-6 procedures. As the director of Fusion Dental Implants here in Roseville, California, I want to give you a straightforward explanation of what these procedures actually involve and who can benefit from them.
Can You Really Get Teeth in a Day?
The first question everyone asks is: Is it actually possible to give a patient teeth on the same day as implant surgery?
The answer is yes—but with important qualifications.
For teeth-in-a-day to work, several conditions must be met:
- Sufficient bone density for implant stability
- Proper surgical planning with 3D imaging
- Adequate primary stability of the implants (35+ Ncm torque)
- Healthy gum tissue for proper healing
When these conditions are met, we can place dental implants and attach a temporary prosthesis the same day, allowing patients to leave our Roseville clinic with functional teeth.
Understanding the Bone Requirements
The foundation of any successful dental implant is bone. Without adequate bone, implants cannot achieve the stability needed for immediate loading.
What We Evaluate
During your initial consultation, we use 3D CBCT imaging to assess:
- Bone height and width in all areas
- Bone density (quality matters as much as quantity)
- Anatomical structures to avoid (nerves, sinuses)
- Existing infection or pathology
The Minimum Requirements
For immediate teeth, each implant typically needs to achieve 35 Newton-centimeters or higher torque during placement. This measurement tells us the implant is stable enough to support chewing forces immediately.
If bone quality is compromised, we may still be able to proceed with bone grafting or alternative implant placement strategies.
Temporary Teeth vs. Final Teeth
Here's something many patients don't realize: The teeth you receive on surgery day are temporary.
The Temporary Phase
Your same-day teeth are a provisional prosthesis designed to:
- Allow you to smile and function immediately
- Protect the implants during healing
- Let the surgical team evaluate your bite and aesthetics
- Give your bone time to fuse with the implants (osseointegration)
These temporary teeth are typically made from high-quality acrylic or PMMA material. They look natural and function well, but they're not your final restoration.
The Final Restoration
After 3-4 months of healing, we create your permanent prosthesis:
- Zirconia bridges: Our most popular option—incredibly durable and natural-looking
- Titanium-reinforced frameworks: Maximum strength for demanding cases
- Custom-designed based on your healed tissue and bite
The final teeth are stronger, more aesthetic, and designed for decades of use.
Who Is a Good Candidate?
Ideal Candidates
- Patients with failing teeth who need full-arch replacement
- Those currently wearing dentures who want permanent teeth
- Patients with adequate bone for immediate implant stability
- Non-smokers or those willing to quit
- Patients without uncontrolled diabetes or other healing issues
Who May Need Additional Treatment
Some patients require preparatory procedures before same-day teeth:
- Severe bone loss: May need zygomatic implants or bone grafting
- Active infection: Must be treated before implant placement
- Certain medical conditions: May require clearance from your physician
During your consultation at our Sacramento-area clinic, we'll honestly assess your situation and create a personalized treatment plan.
The All-on-4 and All-on-6 Difference
You've probably heard these terms. Here's what they mean:
All-on-4
- Four strategically placed implants support a full arch
- Posterior implants are angled to maximize bone contact
- Excellent option for patients with moderate bone loss
- Typically lower cost than All-on-6
All-on-6
- Six implants for additional support and stability
- Better distribution of chewing forces
- Ideal for patients with stronger bone
- May offer longer-term durability
Learn more about All-on-4 vs. All-on-6 differences to understand which might be right for you.
What to Expect on Surgery Day
At Fusion Dental Implants, we've refined our same-day process:
- Morning arrival: Check-in and final preparations
- Sedation: IV sedation for complete comfort
- Surgery: Implant placement (typically 2-3 hours per arch)
- Temporary teeth: Attachment of your provisional prosthesis
- Recovery: Wake up with teeth and go home the same day
Most patients are surprised at how manageable the experience is. With proper sedation and our experienced surgical team, the procedure is far less painful than many expect.
Recovery and Aftercare
The First Week
- Soft food diet
- Prescribed medications for comfort and healing
- Gentle oral hygiene
- Follow-up appointment to check healing
Weeks 2-12
- Gradual return to normal foods
- Regular check-ups to monitor healing
- Osseointegration occurs (bone fusing with implants)
Long-Term Success
With proper maintenance and care, your dental implants can last a lifetime. The key is:
- Regular professional cleanings
- Good home hygiene
- Avoiding smoking
- Annual check-ups
Schedule Your Consultation
If you're considering teeth in a day in the Sacramento, Roseville, or Northern California area, I invite you to schedule a consultation at Fusion Dental Implants. We'll evaluate your specific situation, answer all your questions, and create a treatment plan tailored to your needs.
Call us at (916) 292-9998 or schedule online to take the first step toward your new smile.
Dr. Alexander Antipov is the director of Fusion Dental Implants and a full-arch dental implant specialist serving Sacramento, Roseville, El Dorado Hills, and Northern California communities.