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Immediate & Same-Day Dental Implants in Hyderabad

Medically reviewed by Dr. Ram Mohan S, MDS (Oral & Maxillofacial Surgery) — 21 July 2026

An immediate dental implant is placed in the same appointment as the tooth extraction, instead of waiting months for the socket to heal. At V R Dental in Kukatpally, immediate placement is offered in carefully selected cases — after CBCT-based planning by an MDS Oral & Maxillofacial Surgeon — because the deciding factor is not speed, but whether your bone, gums and bite can support a stable implant on day one. Learn more about dental implants in Hyderabad.

What “immediate implant” actually means

Two different things are often mixed up, and it helps to separate them before your consultation:

  • Immediate placement — the implant is inserted into the extraction socket during the same visit as the tooth removal.
  • Immediate loading (“teeth in a day”) — a temporary tooth is fixed onto the implant shortly after placement.

One does not automatically include the other. Many patients receive immediate placement with a delayed crown, so the implant can integrate with the bone undisturbed. Whether a same-day temporary tooth is safe depends on how firmly the implant seats in your bone and where the tooth sits in your bite.

When immediate placement is considered

The most common situations where we assess a tooth for extraction-plus-immediate-implant in one visit:

  • A tooth broken or fractured beyond repair
  • Severe decay that has destroyed too much tooth structure
  • A failed root canal-treated tooth that cannot be predictably retreated
  • A loose tooth from localized bone loss, where the site is otherwise healthy

The section below covers the most frequent of these — the failed root canal tooth — in detail.

Failed Root Canal to Immediate Dental Implant

A root canal-treated tooth can sometimes fail because of recurrent infection, root fracture, inadequate remaining tooth structure, persistent inflammation or progressive bone loss. When retreatment, apicoectomy or restorative treatment cannot predictably save the tooth, extraction may become the safest long-term option.

In carefully selected cases, the failed tooth can be removed and a dental implant placed during the same appointment. This is known as immediate dental implant placement.

Immediate placement does not mean that every infected or fractured tooth can receive an implant immediately. The decision depends on the condition of the surrounding bone, the extent of infection, gum health, implant stability and the position of neighbouring anatomical structures.

Before and After X-rays: Failed Root Canal Teeth Replaced with Implants

The radiographs below show failed root canal-treated teeth that were assessed as non-restorable. After careful extraction and cleaning of the affected sites, dental implants were placed in the fresh extraction sockets where adequate bone support and primary stability could be achieved.

[IMAGE PLACEHOLDER — before-and-after dental X-rays. Files to upload: failed-root-canal-tooth-xray-before-implant-kukatpally.webp (alt: “X-ray of a failed root canal-treated tooth assessed as non-restorable before extraction”) and immediate-dental-implant-after-extraction-xray-hyderabad.webp (alt: “X-ray showing a dental implant placed in the extraction socket of a failed root canal tooth”). CONFIRM DOCUMENTED PATIENT CONSENT BEFORE PUBLISHING.]

Image caption: Before-and-after dental X-rays showing non-restorable root canal-treated teeth followed by extraction and immediate dental implant placement.

Treatment results vary between patients. These X-rays are intended to explain the clinical process and do not guarantee that immediate implant placement will be suitable in every case.

Why Can a Root Canal-Treated Tooth Fail?

A previously treated tooth may require further assessment when there is:

  • Persistent pain while biting or chewing
  • Recurrent swelling or a gum boil
  • Infection around the root tip
  • Vertical or horizontal root fracture
  • Severe decay beneath an existing crown
  • Loosened post, core or crown
  • Significant bone loss around the roots
  • Insufficient healthy tooth structure for another restoration

Not every failed root canal tooth needs extraction. Depending on the diagnosis, possible alternatives may include root canal retreatment, apicoectomy, crown replacement or periodontal treatment. Extraction is considered when the tooth cannot be restored with a predictable long-term outcome.

How Immediate Implant Treatment Is Planned

  1. Clinical and radiographic examination. The tooth, gums, bite and neighbouring teeth are examined. A dental X-ray or CBCT scan may be advised to assess infection, available bone and nearby structures such as the maxillary sinus or nerve canal.
  2. Restorability assessment. Our specialists first determine whether the natural tooth can be predictably saved. Implant placement is considered only when retreatment or reconstruction is unlikely to provide a stable result.
  3. Atraumatic tooth extraction. The failed tooth is removed carefully to preserve as much surrounding bone and gum tissue as possible.
  4. Infection removal and socket cleaning. Inflamed or infected tissue is thoroughly removed. The extraction socket is inspected before deciding whether immediate placement remains clinically appropriate.
  5. Implant placement. The implant is positioned in available healthy bone beyond or around the extraction socket. Good primary stability is essential.
  6. Bone grafting when required. A small gap may remain between the implant and the socket wall. Bone-grafting material may be recommended to support healing and preserve the contour of the site.
  7. Temporary tooth and final crown. Depending on implant stability and the location of the tooth, a temporary tooth may be provided. The final crown is generally placed after the implant has integrated with the bone.

Immediate Implant Versus Delayed Implant

See current single-tooth and immediate-implant pricing in our cost guide.

The fastest option is not automatically the safest option. The treatment timeline should be selected according to biological conditions rather than convenience alone.

Who May Be Suitable for an Immediate Implant?

Immediate implant placement may be considered when:

  • The failed tooth cannot be predictably restored
  • Adequate healthy bone is available
  • The implant can achieve good primary stability
  • Infection can be thoroughly removed
  • The gum condition is favourable
  • The patient can maintain good oral hygiene
  • Smoking and uncontrolled medical risks are absent or appropriately managed

When Might Immediate Placement Not Be Recommended?

A delayed approach may provide a more predictable result when there is:

  • Extensive infection or pus
  • Severe loss of the socket walls
  • Insufficient bone for stable implant placement
  • Active uncontrolled gum disease
  • Poor oral hygiene
  • Uncontrolled diabetes or other relevant medical concerns
  • Heavy smoking
  • Inability to avoid pressure on the implant during healing

In these situations, extraction, infection management and bone grafting may be completed first, followed by implant placement after healing.

Cost of an Immediate Implant After Failed Root Canal Treatment

The complete cost of an implant depends on more than the implant fixture alone. At V R Dental, a complete single-tooth implant typically ranges from ₹15,000 to ₹40,000, depending on the case. For current, itemised ranges, see our dental implant cost guide.

For a failed root canal case, the written estimate should clarify whether it includes:

  • Extraction of the failed tooth
  • CBCT or additional dental imaging
  • Implant fixture
  • Surgical placement
  • Bone graft or membrane
  • Healing abutment
  • Temporary tooth, where required
  • Final abutment
  • PFM, zirconia or other final crown
  • Follow-up visits

A lower advertised implant price may cover only the implant fixture and exclude the extraction, abutment, crown, scan or grafting. Always compare the complete treatment package, not only the starting price. For current ranges, see our dental implant cost guide.

Specialist-Led Implant Planning at V R Dental

At V R Dental Maxillofacial Surgery & Implant Clinic, Kukatpally, implant surgery is planned by Dr. Ram Mohan S, Oral and Maxillofacial Surgeon and Implant Specialist, while the final tooth design and restoration are coordinated with Dr. CH Vyshnavi, Prosthodontist and Implantologist.

This combined surgical and restorative approach helps evaluate:

  • Whether the tooth should be saved or extracted
  • The safest implant position
  • Bone and gum requirements
  • Bite forces and crown design
  • Long-term cleaning and maintenance

Same-day temporary teeth: when immediate loading is possible

If the implant achieves strong primary stability and the site is protected from heavy bite forces, a temporary tooth or bridge can sometimes be fitted within the same visit or within a few days. Front teeth are more often suitable than molars, because chewing forces at the back of the mouth are far higher. Where a full arch is failing rather than a single tooth, a fixed same-day option may be planned differently — see All-on-4 dental implants and our comparison of All-on-4 vs same-day single implants.

Book an Implant Assessment

Have you been told that a root canal-treated tooth needs extraction?

Bring your previous X-rays, prescriptions and treatment records to your consultation. We will assess whether the tooth can still be saved and, when extraction is necessary, whether an immediate implant or a staged implant approach is more appropriate.

Call V R Dental Clinic: 7780475090
Location: Kukatpally, Hyderabad

Get a Written Implant Plan

Frequently Asked Questions

Can an implant be placed immediately after removing a failed root canal tooth?

Yes, in selected cases. Immediate placement depends on infection control, available bone, socket integrity and whether the implant can achieve adequate primary stability.

Can an implant be placed when there is infection around the root?

A limited infection does not automatically rule out immediate placement, but the infected tissue must be thoroughly removed and sufficient healthy bone must remain. Extensive infection or bone destruction may require delayed placement.

Is root canal retreatment better than an implant?

Saving the natural tooth is generally considered first when retreatment can provide a predictable result. An implant may be considered when the tooth is fractured, severely decayed, structurally non-restorable or associated with persistent disease.

Will I receive a tooth immediately after implant placement?

A temporary tooth may be possible, but immediate loading is different from immediate implant placement. The temporary restoration must not place damaging pressure on the healing implant.

Does the implant cost include extraction and bone grafting?

Not always. The quotation should state separately whether extraction, CBCT, grafting, temporary restoration, abutment and final crown are included.

How soon after extraction can I get an implant if immediate placement isn’t suitable?

Typically after 6–12 weeks of gum healing (early placement) or 3–6 months where grafting or infection control is needed first. Your surgeon will confirm the timeline after reviewing your CBCT.