Medically reviewed by Dr. Aditi Jain, BDS, MDS · Periodontist & Oral Implantologist · with 15 years of experience·Last reviewed 11 June 2026
Immediate tooth replacement is a procedure that removes a failing tooth and places a dental implant into the same socket on the same day, so you do not leave with an empty gap. At Surekha Dental Clinic in Mulund West, Mumbai, immediate tooth replacement (also called immediate implant placement, or same-day implants) is carried out under local anaesthetic, so you should feel little to no pain during the procedure. It suits people with a broken-down, cracked or badly infected tooth that cannot be saved, where the surrounding bone is healthy enough to hold an implant straight away. In suitable cases a tooth-coloured temporary crown is fitted the same day, so you walk out with a tooth in the gap. If a tooth of yours is failing, our friendly team is here to plan the most comfortable way to replace it.
What are the signs a failing tooth may need immediate replacement?
See a dentist promptly if a tooth is breaking down, as acting before the bone around it shrinks often makes a same-day implant possible. Look out for any of the following.
A tooth that is badly broken, split or cracked down to the gum and cannot be repaired with a filling or crown
A tooth that keeps getting infected or has an abscess that returns even after treatment
A loose adult tooth caused by advanced decay or gum disease around its root
Ongoing pain, swelling or a bad taste coming from a single failing tooth
A large gap left, or about to be left, that you do not want to be without a tooth in
A failing front tooth where you would rather not go without a visible tooth even for a short time
Step by step
Here is exactly what happens during your immediate tooth replacement, step by step.
1Step 1 of 3
How is the failing tooth numbed and gently removed?
Immediate tooth replacement at Surekha Dental Clinic starts with making the area completely comfortable. A small injection of local anaesthetic is given near the tooth, which blocks the nerve signals from that area, so within a few minutes the tooth and gum feel fully numb. You should feel little to no pain during the rest of the sitting, just mild pressure. The dentist then eases the failing tooth out rather than pulling hard, working thin instruments gently around it to loosen and lift it from its socket. This careful, atraumatic technique protects the thin walls of bone around the socket, because that bone is what will hold the new implant. With the tooth out and the bone preserved, the socket is ready for the implant in the next step.
2Step 2 of 3
How is the implant placed on the same day?
Once the socket is clean and the bone preserved, the dentist places the implant straight away, on the same sitting. The fresh socket is first refined into a precise implant site with a fine drill, so the implant sits snugly against solid bone. A small titanium screw, called the implant, is then threaded gently into it to act as a new root for the replacement tooth. Titanium is used because bone bonds naturally to it over the months that follow, anchoring the implant firmly. Placing it the same day the tooth comes out means one surgical sitting instead of two, and it helps support the bone and gum. As the area is numb, you should feel only pressure, nothing sharp. Next, you are given a tooth to leave with.
3Step 3 of 3
How do you leave with a tooth on the same day?
In suitable cases the dentist fits a temporary tooth on the same day, so you do not walk out with a visible gap. A small connector called an abutment is fitted onto the implant, and a tooth-coloured temporary crown, often simply called a cap, is placed on top of it. This temporary is colour-matched to blend with your other teeth, which matters most for a front tooth you would not want to be without. It is kept light on biting so the implant can settle and the bone can bond to it over the next few months. Once healing is complete, the temporary is replaced with a strong, long-lasting crown at a later sitting. A well-cared-for implant and crown typically last many years. Before you leave, the team gives clear aftercare advice.
Frequently asked questions about immediate tooth replacement
Is immediate tooth replacement painful?
No, immediate tooth replacement is not the painful experience many people fear. The removal and the implant placement are carried out under local anaesthetic, so you should feel little to no pain, just mild pressure. Most people are comfortable afterwards with simple pain relief and the aftercare advice we provide.
How long do dental implants last?
A well-cared-for dental implant and crown typically last many years. The titanium implant fuses with the bone to form a stable base, while the crown on top may eventually need attention. Good brushing, cleaning between the teeth and regular check-ups at Surekha Dental Clinic all help the result last.
Am I suitable for a same-day implant?
Not every failing tooth suits a same-day implant. It works best when enough healthy bone surrounds the socket and any infection is controlled. If the bone is thin or the area is very infected, a staged plan may be safer. Dr. Aditi Jain, BDS, MDS will examine the tooth and advise what is right for you.
How much does immediate tooth replacement cost in Mulund West?
The cost depends on the failing tooth, the implant and abutment chosen, whether a same-day temporary crown is fitted, and the final crown later. There is no single fixed price. Please call Surekha Dental Clinic on +91 98334 88847 or use the booking form, and a written cost is provided after a short examination, with no obligation to proceed.
How long does the whole treatment take?
The removal, implant placement and temporary crown are usually completed in one sitting on the same day. The implant then needs a few months to fuse with the bone before the final crown is fitted at a later sitting. After examining your tooth, the team will explain the likely timeline for your case.
What is the difference between an implant and a bridge?
A dental implant replaces the root of a single tooth on its own, without involving the teeth beside it. A bridge instead rests on the neighbouring teeth, which must be shaped to support it. Both replace a missing tooth well, and the team at Surekha Dental Clinic can advise which suits your jaw and bite.
