Yolanda holding a framed photograph of her smile before treatment
HomeImplantsSame-Day Implants

Same-Day Dental Implants in McLean & Alexandria, VA

Implants and teeth, one visit.

With All-on-4, most patients leave the surgery wearing a fixed provisional arch: four implants and a full set of teeth in a single visit. The final zirconia arch follows three to four months later. Planned and placed by board-certified prosthodontist Dr. Esam Nahlah.

Book a consultationSee same-day cases
1 visitImplants and provisional teeth
0Nights without teeth
3–4 moUntil the zirconia final
FreeSecond opinion, with your scan
What It Means

Same-day teeth are real teeth, for now.

On implant day you receive a fully functional provisional arch in PMMA, fitted the day the implants go in and screwed down, not a removable denture. It carries you through the months while the implants fuse, and then it is replaced by the final arch in zirconia.

An intraoral scanner beside the digital model of a patient’s arch
Scanned and planned first
A clinician showing a patient their X-ray beside an implant model
Placed through a guide
A treatment room at the practice, screened by a frosted-glass partition
Provisional arch the same day
The bench and stereo microscope in the practice's in-house laboratory
Zirconia final, months later
The Day and After

What happens on implant day, and in the months after.

The bench and stereo microscope in the practice's in-house laboratory01

Scan and plan

An examination and a cone-beam scan show whether there is enough bone to load straight away. You leave knowing whether you qualify, what it costs and how long it takes.

A patient resting with her eyes closed in the chair under sedation02

Implant day

Four implants placed through a printed guide, under local anesthetic with nitrous oxide or oral sedation, and the provisional arch fitted before you go home. After oral sedation, someone needs to drive you.

A patient reviewing her CBCT scan and an implant model with a clinician03

Healing

Three to four months while bone grows onto the implants: soft foods for those months, and reviews along the way to check integration and adjust the provisional.

A restored full arch04

Final arch

The zirconia arch replaces the provisional, and two to four more months finish the healing around it. From then on it is brushed and flossed like natural teeth.

4Implants carry the arch
1 visitImplants plus teeth
0Days without teeth
6 moCleanings that keep the warranty
A patient holding a framed photograph of his mouth before implant treatment
Who Qualifies

Who can have teeth the same day.

Same-day teeth need implants steady enough to carry a provisional arch on the day they go in. The cone-beam scan decides that at the consultation, and in most All-on-4 cases the answer is yes.

  • Patients whose remaining teeth are failing or already gone
  • Denture wearers tired of a plate that rubs and slips
  • People with bone loss: the rear implants tilt toward denser bone
  • Some cases need grafting first, which the scan shows at the consultation
  • Anxious patients: nitrous oxide or oral sedation for the day itself
Real Arches

Arches restored on implants at this practice.

Double arch means both jaws were restored on implants.

Case 23, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 23, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Double arch · case 23
Case 24, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 24, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Double arch · case 24
Case 25, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaCase 25, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Nahlah, Northern VirginiaBeforeAfter
Double arch · case 25

Every case in the gallery

Questions

Same-day implants, answered.

Can I really get teeth the same day as my implants?
With All-on-4, in most cases yes. You leave the same visit wearing a fixed provisional arch, and the final zirconia arch is fitted three to four months later.All-on-4 in full →
Are same-day teeth my final teeth?
No. The same-day arch is a provisional in PMMA, fully functional and screwed in place, and it is adjusted at reviews while the implants fuse. The final arch is zirconia.
What can I eat with same-day teeth?
Soft foods for the next several months, while the implants integrate with the jawbone. That part is not optional, and it is the one people underestimate.
Does same-day implant surgery hurt?
It is done under local anesthetic with nitrous oxide or oral sedation, so you stay relaxed throughout. Afterwards, patients generally report minor discomfort that over-the-counter medication handles.Sedation options →
What if I have bone loss?
Bone loss often makes you a candidate for All-on-4 rather than ruling you out, because the rear implants are angled toward denser bone. Some cases still need grafting first, and then the teeth wait for the bone to heal.
Can a single tooth be replaced the same day?
Sometimes. Where the case allows, the implant goes in at the time of the extraction, and qualifying patients leave with a temporary the same day. The scan shows whether yours qualifies.Dental implants →

Where to go next.

Find out if you can leave with teeth.

The cone-beam scan answers it at the consultation, along with the cost and the timeline.