Planning appointment
CBCT, photographs, bite records and a digital design of the provisional bridge — all before surgery day.
2–3 weeks beforeSame-day implants are real, and for the right patient they are transformative. They are also oversold. Here is who genuinely qualifies, what the day actually looks like, and the ten closest practices that run the protocol properly.
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Immediate loading only works when the implants achieve enough primary stability on the day. That takes a surgeon who will measure it and abandon the same-day plan if the numbers are not there. We rank for exactly that kind of practice.
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The phrase is accurate about the timeline and misleading about the product. On the day, failing teeth are removed, implants are placed, and a fixed provisional bridge is screwed on before you leave. That bridge is deliberately lighter and flatter than your final teeth so it does not overload implants that have not yet fused to bone. The definitive bridge is made four to six months later, once everything has integrated and your gums have finished reshaping.
Everything is compressed into a single appointment, which is why the planning beforehand matters more here than in any other implant treatment.
CBCT, photographs, bite records and a digital design of the provisional bridge — all before surgery day.
2–3 weeks beforeAny remaining teeth in the arch are removed and the sockets are cleaned thoroughly.
Surgery day · 1 hrPosts go in and the surgeon measures torque and stability. This reading decides whether you get fixed teeth today.
Surgery day · 2 hrThe pre-designed bridge is adapted, screwed on and adjusted so your bite is even. You go home with teeth.
Surgery day · 2 hrAfter four to six months of integration and gum settling, the definitive bridge is made and fitted.
4–6 months laterSubmitted by listed practices, with the patient's written release and the fee they actually charged.
Eight failing upper teeth removed, four posts placed, fixed provisional the same afternoon.
Stability readings came in low on two posts, so the surgeon fitted a removable temporary and loaded at week ten instead. Right call.
High primary stability meant immediate loading was straightforward. Final bridge at month four.
Individual results vary with your diagnosis, anatomy and healing. Fees shown are what those specific patients paid at those specific practices and are not a quote. Photography on this page is licensed stock imagery, not photographs of the patients described.
Ranges below are the 25th–75th percentile of fees published by listed practices. Any dentist we match you with has agreed to give you a written quote before treatment.
| Treatment | Typical range | With 0% plan |
|---|---|---|
| Same-day arch, immediate loadSurgery + provisional + final bridge | $19,000 – $29,000 | $409/mo60 months |
| Both arches, same dayA long single session | $36,000 – $54,000 | $759/mo60 months |
| Planning & digital designCBCT and pre-made provisional | $400 – $900 | Usually bundled |
| IV sedationStrongly recommended for this length | $700 – $1,400 | Bundled |
| Fallback removable temporaryIf stability is too low to load | $300 – $800 | Should be free |
| Final zirconia bridgeOver acrylic-titanium | $3,000 – $6,500 | Add-on |
Ask one specific question before you pay a deposit: if the surgeon decides on the day that immediate loading is unsafe, what happens to the price? At a good practice the fallback temporary is included at no extra charge. At a poor one it becomes an unexpected line on your bill.
Every component on a separate line. It is the only way two quotes ever become comparable, and every practice on this list has agreed to give you one before you pay a deposit.
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Estimates only. Actual approval, APR and term depend on the practice, the lender and your credit. Promotional 0% offers are usually deferred-interest products — if the balance is not cleared inside the promotional window, interest may be charged retroactively from the purchase date. Always read the credit agreement.
The choice is really about how much certainty you want versus how quickly you want to be out of a removable appliance.
| Same-day (immediate load) | Staged full-arch | Conventional denture first | |
|---|---|---|---|
| Fixed teeth on day one | Yes | No, removable temporary | No |
| Total time to final teeth | 4 – 6 months | 6 – 9 months | 9 – 14 months |
| Cost per arch | $19,000 – $29,000 | $18,500 – $28,000 | $8,000 – $18,000 |
| Candidate range | Narrower — needs stability | Wider | Widest |
| Risk if bone is soft | Higher — loading too early can lose an implant | Lower | Lowest |
| Number of surgeries | One | One, plus a second uncovering visit | One, later |
| Diet in the first two months | Soft | Soft | Soft, and removable |
| Best when | Bone is dense, you want fixed teeth immediately and stability readings allow it | You want the surgery done but prefer to load conservatively | Budget is the priority, or bone needs building first |
None of this is marketing gloss — each one measurably changes how predictable your result is. Ask the practices you shortlist which of the four they actually have.
A practice that turns the monitor towards you and walks through what it is actually seeing is a practice that expects to be questioned.
Ask to see your own scanEvery fee on its own line, handed over before you pay a deposit. Every practice we list has agreed to provide one.
Non-negotiable on this listSkill compounds with repetition. Each listing shows how many cases of this type the practice has completed in the last two years.
Case counts shown on every cardA named contact for the week after treatment, and a written policy on what a redo costs if something is not right.
Checked at every renewalWe visit or video-audit every practice before it goes on the list — the operatory, the sterilisation room, the imaging suite and the front desk that will handle your insurance claim.
Send this once and up to three matched same-day providers come back with an estimate that states what happens if immediate loading turns out not to be safe on the day.
Ninety seconds. Your ZIP, what you need, and your insurance if you have it.
We pick the three strongest matches on distance, case volume and price transparency — then send them your case.
Three written estimates in your inbox within two business days. Pick one, or none.
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Reviewed by our clinical advisory panel in January 2026. General information, not a diagnosis.
Talk it through with a care coordinator before you book anything. They don't work on commission and they can tell you when this is the wrong call.
Contact usNo, and any practice that implies otherwise is overselling. You leave with a fixed provisional bridge — screwed in, not removable, so it looks and functions like teeth — but it is deliberately lighter and flatter than the definitive bridge so it does not overload implants that have not yet fused to bone. The final bridge is made four to six months later.
Primary stability: how tightly the implant grips the bone the moment it is placed. The surgeon measures this with a torque wrench and often an ISQ reading. If the numbers are high enough, the bridge goes on that day. If not, loading early risks losing the implant, so a good surgeon fits a removable temporary instead and loads at eight to twelve weeks.
That is a good sign, not a bad one. It means they are measuring rather than assuming. Ask before you pay a deposit what happens to your fee in that scenario — at the practices we list, the fallback temporary is included at no extra cost and the timeline simply extends.
Four to six hours for one arch, longer for both. Almost everyone has IV sedation, which means no driving, no working that day, and someone at home with you that evening. Plan the day off, and the day after.
The first 48 to 72 hours are the peak, usually managed with prescribed anti-inflammatories rather than anything stronger. Swelling and bruising around the jaw and sometimes under the eyes is normal for about a week. Most people describe it as heavy soreness rather than sharp pain.
Mostly the pre-planning. A same-day case needs a CBCT-based digital design and a provisional bridge manufactured before you arrive, plus a longer surgical session and usually sedation. The difference is typically $500 to $2,000 per arch over a staged plan.
Often yes, and it is one of the most common reasons people ask about it. The main variable is how much bone has resorbed under the denture over the years. A CBCT will show whether there is enough left to achieve stability, and if not, whether grafting first would change the answer.
Loading an implant before it is ready. That is why the stability measurement on the day matters more than anything in the brochure. Published failure rates for properly selected immediate-load cases are close to conventional loading — but "properly selected" is doing all the work in that sentence.
Compare surgical dates, fallback policies and published per-arch pricing side by side.