
Dr Anupam Sinha
BDS, MDS - Orthodontics
- Delhi State Dental Council registration number A-6723 (2015).
Tell us what is bothering you and we will point you to the right treatment.
Ask on WhatsAppView all treatments →Browse dental concerns →Restorative Dentistry
Root Canal TreatmentDental FillingsDental CrownsDental BridgesDenturesFull Mouth RehabilitationBasement, E 75, Greater Kailash-1, New Delhi 110048
Monday to Saturday, 9:30 am to 8:00 pm
Immediate implants · Greater Kailash 1, Delhi
Orion Dental Clinic is a dentist in Greater Kailash 1 (GK 1), South Delhi. An immediate implant is placed on the day a tooth is taken out, and in some cases a temporary tooth is fitted the same day, which is why people call it same day teeth. This page explains what that means, who it may suit, how long treatment really takes, how recovery goes and what can go wrong, in plain language, so that you can decide with confidence.
Treatment is planned by Dr Anupam Sinha (BDS, MDS) and Dr Natalia DeSilva (BDS, MDS). Ask as many questions as you need before you decide.
These figures come from systematic reviews and an NHS hospital leaflet, listed at the end of the page. The first review's authors say longer studies are needed. Your dentist will give the timeline for your own mouth.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, .
Quick answer
Immediate implants at Orion Dental Clinic in Greater Kailash 1, Delhi are placed on the day a tooth is removed, and a temporary tooth is sometimes fitted the same day. Dr Anupam Sinha and Dr Natalia DeSilva decide after an examination and imaging whether your mouth suits it. The final tooth still follows after months of healing.
01 Overview
An immediate implant is a titanium post placed into the socket of a tooth at the same visit that the tooth is taken out. Waiting for the gum to heal and then placing the post is the usual route, and it means two separate procedures. Placing the implant immediately may reduce the treatment time and the number of operations.1
Same day teeth is a different idea that often goes with it. It means a temporary tooth, or several, is attached to the implant within about a week, sometimes on the day itself, and it is called immediate loading. A Cochrane review of 26 trials found no convincing evidence of a clinically important difference in failure or bone loss between loading times.2 The final tooth or teeth are still made after the bone has bonded, and that usually takes three to six months.3
Immediate placement does not stop the bone around the socket from shrinking, because bone loss after extraction is a natural process.1 It suits some teeth and some mouths and not others. You can read about the wider treatment on our page for dental implants, and about a single missing tooth on single tooth implant.
Immediate means the implant goes in at the extraction visit, and not that the whole treatment is finished in a day.
02 Candidacy
Immediate implants suit some adults who need a tooth taken out, but only when the bone and gum around the socket allow it. Your dentist decides after an examination and imaging, and may suggest waiting.3
Whether an implant can go in on the day depends on how much firm bone and healthy gum the socket leaves.
03 Options
There are three common ways to plan timing, and your dentist will explain which fits your mouth.
The post is placed as the tooth comes out. The gum heals around it, and the final crown is fitted after the bone has bonded.
Healing about 3 to 6 months 3
A temporary tooth is attached to the implant on the day, if the implant is held firmly enough. It is not used for hard biting while the bone heals.
Same-day temporary tooth, final tooth later
The tooth is removed first. The dentist waits for the gum to heal and places the implant at a second visit, which means two procedures.
Two procedures
If a tooth is still in place, read about tooth extraction first. If several teeth in a row or a whole jaw are involved, see full mouth dental implants.

| Immediate implant | With a same-day temporary tooth | Delayed implant | |
|---|---|---|---|
| Extraction and implant | Same visit | Same visit | Separate visits |
| Temporary tooth | Often a removable one or none | Fixed to the implant on the day | Available while the gum heals |
| Number of procedures | May be fewer 1 | May be fewer 1 | Two |
| What the research shows | 98.4% in place at 2 years in 46 studies 1 | No convincing difference from later loading in 26 trials 2 | Used as the comparison in the loading trials 2 |
Timing is a decision for your dentist, based on your bone, your gum and the position of the tooth.
04 Procedure
Every case is planned individually, so your steps may differ. This is the usual order.13
The implant goes in at the extraction visit, and the final tooth still needs months of healing.
The dentist asks about your health and medicines, examines the tooth, the gum and your bite, and takes X-rays or a 3D scan. These show the bone around the root and whether the tooth can be saved.
If the socket cannot hold an implant firmly, or there is infection or too little gum, the dentist may advise waiting. You are told why, and what the alternatives are.
The area is numbed with a local anaesthetic. The tooth is removed, the socket is cleaned and the titanium post is placed. Ask about sedation dentistry if you are anxious. Some patients are given antibiotics, and in the review, groups given a course after surgery had fewer failures.1
If the implant is held firmly, a temporary tooth can be attached the same day for appearance. It is kept out of hard biting while the bone heals.
The bone bonds to the post over about three to six months, and longer if a graft was needed.3 You are given written care instructions. Soft tissue changes mostly settle in the first three months.1
When the post is firm, the dentist attaches a connector called an abutment and takes impressions. The final crown or teeth are made to match your bite and your neighbouring teeth, then fitted.
NHS guidance advises monitoring every three to six months over the long term.3 Your dentist checks the gum around the implant, the bite and the crown, and shows you how to clean them.
05 Aftercare
Recovery has four phases. Your dentist will give you written instructions that fit your treatment, and those come first.
Bleeding, swelling and discomfort are common because a tooth has been removed as well as an implant placed.3 Keep the area clean, eat soft, cool food, rest, and take your medicines as prescribed. Do not smoke.
Swelling and bruising settle. Avoid biting on the site, even if a temporary tooth was fitted, rinse gently if you are told to, and attend your follow-up for stitches or a check.
The implant is bonding to the bone. Brush as normal, keep a temporary tooth clean as shown, keep every review visit and avoid tobacco.
Brush twice a day and clean around the crown where it meets the gum, using the interdental brushes or aids your dentist shows you. Attend check-ups, which NHS guidance puts at every three to six months.3
Call the clinic on 098115 01995 the same day if the temporary tooth or the implant feels loose, if the socket bleeds after 20 minutes of firm pressure, if swelling is still growing after the third day, or if you have a fever, pus, a bad taste or pain that medicines do not control. Numbness or tingling in the lip, chin or tongue that does not go away needs a call too. If you have trouble breathing or swallowing, or swelling that spreads towards your eye or neck, go to a hospital emergency department.
Follow your written instructions, protect the site while it heals and call early if something feels wrong.
06 Limits and risks
Placing an implant on the day of an extraction is not always possible or wise. A good dentist is willing to say no, or to wait. These are situations where your dentist may advise a delay, a different option, or advice from your other doctors:
In these cases the tooth may be removed first and the implant placed after the gum has healed, or another way of replacing the tooth may be better.
The evidence is encouraging but not long. A review of 46 prospective studies, with an average follow-up of about two years, found a yearly failure rate of 0.82 percent for immediate implants, which is 98.4 percent surviving at two years. Its authors say more long-term studies are needed, especially for how the result looks.1
The bone and gum still change. Bone loss after an extraction is a natural process, and immediate placement does not prevent it. Most bone loss around the implant happens in the first year and is generally less than 1 mm.1 Front teeth need extra care because the shape of the gum shows.
Loading studies are small and mixed. In 26 trials with 1,217 participants, the average implant failure rate was 2.5 percent, with no convincing difference between loading times. Only three of the trials were at low risk of bias.2
Surgery has its own risks. Swelling, bruising and discomfort are common for a few days, and infection can occur. An implant may not bond to the bone and may have to be removed, and altered feeling or numbness in the lip or chin is very rare.34
A good plan names these risks before treatment starts, and says openly when waiting is the better choice.
07 Your visit
At your first visit, a dentist at Orion Dental Clinic asks about the tooth that is causing trouble, any pain or infection, and your health, medicines and smoking. Bring recent X-rays if you have them.
The dentist examines the tooth, the gum and your bite, and takes X-rays or a 3D scan to see whether the tooth can be saved and whether an implant could go in on the day it comes out. You hear when a temporary tooth is possible, and what could go wrong.
The first visit decides whether an implant on the day of extraction is possible.
08 Why this clinic
You meet the doctors who decide whether an implant can go in at the extraction visit, and you can ask them why.

Dr Anupam Sinha
BDS, MDS - Orthodontics

Dr Natalia DeSilva
BDS, MDS - Oral Medicine and Radiology
Dr Anupam Sinha and Dr Natalia DeSilva both treat implant patients at the clinic, and patients mention each of them in their reviews.
Imaging is available at the clinic, and Dr Natalia DeSilva has studied 3D imaging with CBCT, which shows the bone around a tooth root.
People come from other cities and countries for treatment, and Dr Natalia DeSilva also treats Russian-speaking patients.
Ask what would make you a poor candidate for same-day placement, and what the plan would be then.
09 Reviews
4.9 out of 5 overall Google rating from 804 reviews, as of . Read more patient reviews You can also see consented before-and-after cases on our patient results page.
“I went for a consultation with Dr Natalia. I was very happy with her services. She was kind and very professional. I had multiple implants in the past and I could easily see she could handle complicated dental situations. Thank you Dr. Natalia for your help! I highly recommend Dr. Natalia as well as her dental clinic.”
graciela magnoniGoogle review
“Very professional and a great job done with my implant. I can barely feel it!”
Sejal WorahGoogle review
“On my first visit to the clinic I got undivided attention and a thorough examination by Dr Natalia who seemed very proficient in her area of dentistry. It has given me a lot of confidence to approach her for my further consultation and treatment. I feel my search for a good dentist has ended here - thank you Dr Natalia !”
Banmala SinghGoogle review
10 Visit us
Mon to Sat, 9:30 am to 8:00 pm
Orion Dental Clinic Basement, E 75, Greater Kailash-1,| Monday to Saturday | 9:30 am to 8:00 pm |
|---|---|
| Sunday | Closed |
If you are looking for immediate implants in Greater Kailash or nearby, Orion Dental Clinic is in the basement of E 75, Greater Kailash Enclave 1 (GK 1), opposite Anubhav Play School, with the entrance at Gate 1, so call or message us on WhatsApp to book an appointment and use the map for directions. More about the clinic: dentist in Greater Kailash.
11 Travelling patients
An implant placed at the extraction visit can save one trip, but it does not shorten the healing. The bone still needs about three to six months, so patients from outside Delhi usually plan an evaluation, the extraction and implant visit, healing at home, and a return trip for the final tooth.34
Tell us where you live and how long you can stay, and we will explain what fits into a short visit. You can read how dental tourism in Delhi works, or go to our page for international patients having dental implants.
An immediate implant may save a visit, but the treatment still takes months.
12 Questions
They are titanium implants placed into the socket at the same visit that a tooth is removed, instead of waiting for the gum to heal first. This may reduce the treatment time and the number of operations.1
Sometimes. If the implant is held firmly, a temporary tooth can be attached the same day for appearance. It is kept out of hard biting, and the final tooth is fitted after the bone has bonded, which takes about three to six months.3
A review of 46 studies found 98.4 percent of immediate implants still in place after two years, but it did not compare them directly with delayed implants and its authors say longer studies are needed.1 Ask your dentist how your own tooth and bone affect the choice.
It can mean one fewer operation, because the extraction and the implant happen together.1 The healing period and the final tooth still take months, and you still need review visits.
The area is numbed with a local anaesthetic, and the aim is that you feel no pain during the procedure. Afterwards, swelling, bruising and discomfort are normal for a few days.3 If you are anxious, read about dental anxiety.
Sometimes, but front teeth need extra planning because the shape and level of the gum show when you smile. The authors of the review say special attention has to be given to how the result looks.1
Often yes, but the final tooth is made after months of healing, so there will be at least two visits. Your dentist will say which steps need you in the clinic and which can wait. Message us to plan the visits.
Orion Dental Clinic is an immediate implant clinic in Greater Kailash 1 (GK 1), in the basement of E 75, Greater Kailash Enclave 1, opposite Anubhav Play School, with the entrance at Gate 1. Patients come for immediate implants in Greater Kailash from Kailash Colony, CR Park, Nehru Place, Lajpat Nagar, Defence Colony and South Extension. Call or message us on WhatsApp to book an appointment.
13 Second opinion
If you have been advised to have a tooth removed and an implant placed, or advised against it, a second opinion can help you compare plans before anything is removed. Bring your X-rays or reports if you have them. Our doctors will examine you, explain what they find and describe the options, including saving the tooth where that is possible. There is nothing to fill in: message us on WhatsApp or call, and we will find a time that suits you.
14 Related
Read this if one tooth is missing and you want to know how one post and one crown are planned.
Read this for what happens when a tooth has to be taken out.
Read this to find out how a fixed set of teeth can be attached soon after surgery.
Patient guides
What "teeth in a day" really means, what immediate loading can and cannot do, and what the evidence says about placing implants and teeth together.
How dentists decide between saving a tooth with root canal treatment, removing it or replacing it with an implant, and the questions to ask yourself.
What warm salt-water rinses can and cannot do for your mouth, when dentists suggest them, how to make one and why salt is not a substitute for brushing.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, on . Dr Anupam Sinha is also a doctor at Orion Dental Clinic. Next review April 2027.
General information for patients, first published on , from the sources listed below. It draws on the sources listed below and on the clinic's own description of its doctors. Updated at least every six months and not advice for any one person. Orion Dental Clinic provides this treatment, so read the risks as well as the benefits. To report an error, contact us.
This page is general information, not a diagnosis or a substitute for an examination, and results vary between patients.