Yes, you can often get a tooth pulled and a dental implant placed in the same visit. It works when the bone around the tooth is healthy and there is no active infection, and a 3D scan shows whether you qualify. You may leave with a temporary tooth, and the final crown goes on after 3 to 6 months of healing. Results vary.
Dr. Chris Cappetta at Fountain of Youth Dental has practiced dentistry for 35 plus years and has placed over 1,000 implants. He can remove the damaged tooth and place the implant in the same visit, when your bone and gums allow it. He’s trained in advanced techniques like laser therapy and 3D imaging, which helps make same-day implants possible. People from neighborhoods like Balcones Heights, Dellview, and Alamo Heights come to him because they know they’re getting expert care that’s also efficient. If you’re looking for a faster, smarter way to restore your smile, Dr. Cappetta might be the right fit.
Why Would Someone Want a Same-Day Implant?
Let’s say your tooth is cracked, decayed, or needs to come out for any reason. In the past, you’d have it removed and then wait three to six months before getting an implant. That means more dental appointments, more healing time, and walking around with a gap, or worse, wearing a temporary denture. Not exactly ideal, right? With same-day implants, you can skip that wait and start healing around the implant immediately.
Dr. Cappetta handles the tooth extraction and places a dental implant in the same visit. This approach helps maintain the shape of your jawbone and gums, which are at risk of shrinking after a tooth is lost. And you won’t have to deal with the awkwardness of missing a front tooth or relying on a removable partial denture. For people who are busy, want to avoid a long process, or want a better path forward, same-day implants are often the way to go.
Not everyone will be eligible, and that’s okay. Dr. Cappetta uses 3D scans to assess the bone around the tooth, look for signs of infection, and make sure your body is ready to heal properly. If the conditions are right, you could walk out of the office that day with a new implant in place and a temporary crown to match your smile. It’s a fast-track approach, but it’s also carefully planned.
Can You Get a Tooth Pulled and an Implant Put In the Same Day?
Yes, when your bone and gums are healthy. Dr. Cappetta removes the tooth gently to protect the bone around it, then places a titanium implant post in the same socket. If the implant is stable, a temporary crown can go on that day so you do not leave with a gap. Sedation is available if you feel nervous.
After the tooth is out, the next step is placing the implant itself. This titanium post goes directly into the socket where the tooth used to be. Over time, it fuses with the bone through a process called osseointegration. If your gums and bone look good during surgery, Dr. Cappetta may place a same-day crown right then and there. That way, you won’t leave the office with a visible gap.
What makes this easier is the use of modern dental tools and sedation options. Patients from French Creek Village and Maverick Creek often share how the whole experience was quicker and more comfortable than they expected. Whether you’ve had dental anxiety in the past or want to avoid a drawn-out process, same-day treatment is designed to put your mind at ease while getting you the results you need.
Who’s a Good Fit for This Option?
This procedure isn’t just for a select few. A lot of people actually qualify and don’t even realize it. If you have a single damaged tooth that needs to come out and the surrounding bone is healthy, chances are you’re a good candidate. The key is that your jaw needs to be strong enough to hold the implant in place while it heals.
You also want to be free of any gum disease or infection. Good oral hygiene helps, but even if you’ve had issues in the past, that doesn’t mean you’re out of the running. Dr. Cappetta looks at your entire dental history, your overall health, and even your healing ability to decide if this route makes sense for you.
Folks in Shavano Park, University Park, and Oak Hills have had great outcomes with this option because it’s convenient and doesn’t leave them waiting. If you’re not sure whether this is something that could work for you, the first step is a consultation. With 3D imaging and a full exam, you’ll know exactly where you stand and what your choices are.

Why Same-Day Implants Are a Big Deal
Most people think of same-day implants as a time-saving option, but the benefits go much deeper. There are long-term advantages to placing an implant right after the tooth comes out, especially when it comes to maintaining your bone structure. The jawbone starts to deteriorate as soon as a tooth is lost, and the longer you wait, the more you lose.
- Preserves Bone Density: Placing the implant immediately reduces bone loss, helping you keep your natural face shape.
- Protects Gum Tissue: The faster you act, the more natural your gumline will look when the final crown is placed.
- Restores Function Faster: You won’t have to wait weeks or months to chew normally again.
- Boosts Confidence: You won’t leave the office with a noticeable gap or worry about a temporary fix failing.
People from Castle Hills and Inspiration Hills often say the biggest relief was not having to wear a partial or spend months waiting to feel normal again. Same-day implants give you back your smile and help protect the structure of your mouth, which is often overlooked when people delay treatment.
Top Questions to Ask at Your Consultation
Before jumping into any treatment plan, it helps to ask the right questions. A clear conversation with your dentist sets expectations and helps you feel confident moving forward. Here are some things we recommend you bring up during your visit:
- How much bone support do I have for an implant right now?
- Will I be able to leave the office with a temporary tooth?
- What are the risks of combining the extraction and implant in one visit?
- How long does it usually take to heal from this type of procedure?
- What happens if I’m not a candidate for same-day placement?
Having this conversation helps you prepare for your next steps and ensures your treatment plan fits your goals. Dr. Cappetta will take the time to answer each question thoroughly and give you clear, realistic answers you can trust.
Same-Day vs. Traditional Implants: What’s Different?
So how does same-day treatment compare to the more traditional approach? Here’s an easy way to understand the difference:
| Feature | Same-Day Implant | Traditional Implant |
| Treatment Time | 1 appointment | Multiple appointments over months |
| Healing Time | 3 to 6 months with temp tooth | 4 to 12 months total |
| Bone Loss Risk | Low | Higher due to wait time |
| Temporary Tooth | Often placed same day | Usually after healing begins |
| Cost | Slightly higher upfront | Spread out over time |
Traditional implants are still a great choice in many cases, especially when a patient’s bone needs time to grow or heal before the implant can be placed. For patients who need full-arch replacement, All-on-4 dental implants may be worth exploring as an alternative to single-tooth same-day placement. Dr. Cappetta always helps patients weigh the pros and cons based on their specific needs.
Let’s Talk About Your Next Step
Losing a tooth is stressful, no doubt. But replacing it doesn’t have to be a long, frustrating ordeal. If you want to fix the problem and move forward quickly, same-day tooth extraction and implant treatment is worth considering. It’s safe, efficient, and helps protect your overall dental health in the process.
Dr. Chris Cappetta and the team at Fountain of Youth Dental are here to guide you every step of the way. From your first consultation to the moment you smile in the mirror with confidence, you’ll be supported and fully informed. Dr. Cappetta brings 35+ years of experience in restorative dentistry to every case, and his AGD membership means he stays current on the techniques that get the best outcomes. Give us a call at (210) 614-5481 or visit fountainofyouthdental.com to schedule your consultation today.
Frequently Asked Questions
Is a same-day implant really safe?
For the right patient, yes. The implant itself is the same as a regular implant, and what changes is the timing. Safety depends on healthy bone, a stable implant when it is placed, and a careful bite. When an experienced dentist places implants, the risk of complications is minimal. Results vary from person to person.
How do I know if I’m a candidate?
Good candidates have a fully grown jaw, enough healthy bone, healthy gums, and no active infection. Smoking and health conditions that slow bone healing can rule you out or add steps. If your jawbone is too thin or soft, you may need bone grafting first, and then the implant cannot go in the same day. A 3D scan and exam with Dr. Cappetta give you a clear answer.
Does it hurt more than regular implants?
No. A same-day implant uses the same numbing as a regular implant. The area is numbed with local anesthesia, and IV sedation is an option if you feel nervous. Afterward, expect some soreness and swelling for a few days, which over-the-counter pain relievers often ease. Since the tooth comes out and the implant goes in during one visit, you heal from one surgery instead of two.
Will I leave with a tooth that same day?
Often, yes. Some patients can have the implant and replacement tooth placed in one visit, while others need to wait for the bone to heal first. If your implant is firmly anchored, a temporary crown goes on the same day so you do not leave with a gap. The final, stronger crown goes on after healing, and you stick to soft foods until then.




