Same-Day Front-Tooth Implant: Extraction and Final Crown in One Day

I first check whether the tooth can be saved. Even with deep decay or a fractured root, I assess the remaining tooth structure, supporting bone and possibilities for root canal treatment or retreatment before deciding on extraction. Extraction is irreversible, so I will explain why preservation may be difficult and the limitations of the alternatives.

The table below describes ten situations in which extraction may be considered. The same diagnosis can have different treatment options; the table alone cannot determine whether a tooth needs removal.

Yes. I personally take responsibility for diagnosis and planning, implant placement, esthetic design, and fabrication and fitting of the final restoration. I continue your care from the initial assessment to the final restoration rather than passing each stage to a different dentist.

When I discuss a same-day fixed temporary tooth, this includes extraction of one upper front tooth. In my clinical experience, connecting a fixed temporary tooth on the day of extraction is possible in many cases. This is not a promise of the same outcome for everyone or a statement of implant success rates.

I need to assess the bone, gums, inflammation, initial implant stability and bite. I decide how to connect the temporary tooth based on both the preoperative examination and the actual condition after extraction.

If bone and gum conditions are favourable, and implant stability, position and the bite allow it, the final restoration may be completed that day. In this 2008 case, I bonded the final ceramic crown on the day of extraction and implant placement.

Choosing an esthetic implant program does not mean that a final crown is possible immediately in every case. If conditions are unsuitable, I fit a temporary tooth first and make the final tooth after healing. Bone and gum healing continues even after the final crown is fitted, so reviews and dietary precautions remain necessary.

Not necessarily. Depending on the adjacent teeth, I may consider a fixed temporary tooth supported by those teeth. I need to check that it does not overload neighbouring teeth or press on the surgical site. If a fixed option is unsuitable, I will explain alternatives such as a removable temporary tooth.

For the esthetic approach described here, I use an Ankylos implant from Germany with a Cercon esthetic abutment, considering the shape of both the tooth and gums. I also use screw-retained restorations on Korean implant systems, designed so that metal is not externally visible.

I previously also used restorations cemented to custom abutments. Cemented and screw-retained designs differ in shape, maintenance and repair. I do not describe one as better in every respect. I will explain the proposed components after checking implant position, gums and the bite.

The clinic’s current shared fee schedule lists the Ankylos esthetic program at KRW 5,000,000 per implant, including bone grafting, and the Ankylos basic program at KRW 1,500,000 per implant. Korean implant systems have separate entries. The KRW 1,500,000 entry should not be understood as the total fee for a Korean-system front-tooth implant.

The esthetic program described here uses a Cercon abutment. I will explain the abutment and crown components for each plan, including whether temporary teeth and additional procedures are included. Crowns or veneers on adjacent teeth must be considered separately.

These are current reference fees checked on 28 October 2026, not the amount paid by this patient in 2008. Please use the fee links below for the shared schedule. I will confirm your plan and total fee after diagnosis.

Bone grafting is included in the Ankylos esthetic program in the shared fee schedule. Where charged separately, the schedule lists simple grafting at KRW 300,000 per tooth and complex grafting at KRW 500,000 per tooth. I will explain the applicable item and what is included before surgery.

Whether grafting can be done with implant placement or must be followed by a separate healing period depends on the location and extent of the bone deficiency and whether initial stability is achievable. Healing time cannot be the same for every patient.

I do not use a guide for every front-tooth implant. I use two guide-planning programs and apply a guide when I judge it useful after reviewing the CT and clinical condition. A guide does not replace assessment of the bone and gums, implant position or decisions during surgery.

The current shared fee schedule applies. Navigation-guided surgery is listed at KRW 100,000 per tooth. I will explain whether it is indicated and the expected total fee before treatment.

If the implant can be placed through the extraction socket and bone and gum conditions are suitable, I may consider an approach without a separate gum incision, as in this case. An incision may be needed to assess a bone defect, place a graft or treat the gums.

I plan surgery to assess the necessary areas and limit tissue damage rather than to fit the label “flapless.” No separate incision does not mean there is no possibility of pain, swelling or infection.

Yes. If we coordinate your travel and clinic appointments in advance, you can return during your stay for a check of the bite, gums, swelling and early healing. I will plan the review with your departure date in mind.

A three- or four-day review cannot establish complete healing or long-term results. We also need to discuss suture removal if required, subsequent reviews and care after you return home. Necessary postoperative checks apply whether you live in Korea or overseas.

If the bone, gums and other conditions are suitable, extraction, implant placement and the final restoration may be done in one day. If an immediate final crown is unsuitable, I may plan surgery and a temporary tooth that day. For staged treatment, I connect the final restoration after assessing healing.

If sutures are used, I will separately explain when to have them removed. This is sometimes checked at around one week, but varies with surgery and wound condition. Same-day restoration or suture removal does not mean that all healing is complete.

This depends on the extent and difficulty of surgery, grafting and your individual condition. Some people have little discomfort; others experience pain or swelling. Swelling generally subsides over time, but I cannot say that everyone has completely recovered after two weeks.

I will discuss your work and schedule and explain when to avoid strenuous exercise or activity. If swelling worsens, or you develop severe pain, fever or persistent bleeding, please contact the clinic rather than waiting for your scheduled review.

I consider colour, translucency, length and width together with the lip line and bite. Even for a single implant, its relationship to adjacent teeth and gums matters. If the gum line is not badly damaged and the bone defect is not severe, I may plan to preserve the existing form. Bone or gum treatment may be considered where necessary.

No material can guarantee a result indistinguishable from a natural tooth or a gum line that never changes. In this case, the visible changes also reflect replacement crowns and veneers on adjacent teeth.

I have used Ankylos and Cercon for esthetic implant treatment since 2002, including cases followed for approximately 20 years. However, observations of individual patients are not statistics guaranteeing how long every implant will last or that one program is superior.

I have used the current screw-retained front-tooth restoration approach on Korean implant systems for about two years, so I do not yet have comparable long-term observations of gum-line changes with that method. I continue to check for screw loosening and gum changes. The photographs in this article extend only to the two-week review in 2008; they are not long-term follow-up photographs.

Even with a fixed tooth, you should not start biting with the front teeth as usual on the day of surgery. Bone and gum healing continues. I will advise which foods are suitable and when you can use the front tooth, according to stability and the bite. Speech and chewing sensations may also feel different while you adapt to the restoration.

Debonding, fracture or screw loosening can occur. Please contact the clinic if the tooth moves or comes off, and do not try to stick it back with household glue. I will assess fixation, the bite and surrounding tissues before deciding what is needed.

I check healing and the restoration after surgery. Later review intervals depend on gum condition, hygiene, smoking, medical conditions, tooth grinding and the bite. Regular examinations, brushing and interdental cleaning are needed. Even if the implant remains in place, inflammation or restoration problems may require additional treatment, repair or replacement.

Front-tooth photographs and CT cross-sections help me assess bone shape and surrounding structures and discuss a possible plan. A section along the length of the affected tooth is particularly useful. However, photographs and a CT alone cannot confirm the final schedule. I need to examine you, assess the gums and bite, and check stability after extraction.

I want to understand what concerns you most, as well as the examination findings. Please feel free to raise worries such as those below. These are general examples for discussion, not quotations from this patient.