Yolanda holding a framed photograph of her smile before treatment
HomeImplantsSame-Day Implants

Same-Day Dental Implants in McLean & Alexandria, VA

Implants and teeth, one visit.

With All-on-4, most patients leave the surgery wearing a fixed provisional arch: four implants and a full set of teeth in a single visit. The final zirconia arch follows three to four months later. Planned and placed by board-certified prosthodontist Dr. Esam Abou Nahlah.

Book a consultationSee same-day cases

Are Same-Day Teeth Right for Me?

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Where are you starting from?

My remaining teeth are failingI wear a denture that slipsI have been told I lack boneI need just one tooth replaced
Why Same-Day Teeth

What Same-Day Teeth Give You

With All-on-4, implants and a fixed set of teeth go in at one visit. These are the advantages of leaving the office with teeth, planned and placed by Dr. Nahlah.

1 visitImplants and provisional teeth
0Nights without teeth, in most cases
3–4 moUntil the zirconia final
FreeSecond opinion, with your scan
“
My smile held me back. That’s behind me now.
Melanie · Full-Arch Implant Patient

No Nights Without Teeth

In most cases you go home with a fixed provisional arch, so there is no stretch without teeth while the implants fuse.

Implants and Teeth Together

Four implants and a full arch of provisional teeth are placed in a single visit, guided by your scan.

Fixed, Not Removable

The same-day arch is screwed down onto the implants. It is not a removable denture that rubs or slips.

Works Like Teeth

The PMMA provisional is fully functional, and it is adjusted at your reviews as the gum settles.

Failing Teeth Out, Same Day

Where the case allows, teeth that cannot be saved come out the day the implants go in.

A Zirconia Final Ahead

Three to four months later the provisional is replaced by the final zirconia arch, brushed and flossed like natural teeth.

What It Means

What Are Same-Day Teeth?

On implant day you receive a fully functional provisional arch in PMMA, fitted the day the implants go in and screwed down, not a removable denture. It carries you through the months while the implants fuse, and then it is replaced by the final arch in zirconia.

An intraoral scanner beside the digital model of a patient’s arch
Scanned and planned first
A clinician showing a patient their X-ray beside an implant model
Placed through a guide
A treatment room at the practice, screened by a frosted-glass partition
Provisional arch the same day
The bench and stereo microscope in the practice's in-house laboratory
Zirconia final, months later
A patient holding a framed photograph of his mouth before implant treatment
Who Qualifies

Who can have teeth the same day.

Same-day teeth need implants steady enough to carry a provisional arch on the day they go in. The cone-beam scan decides that at the consultation, and in most All-on-4 cases the answer is yes.

  • Patients whose remaining teeth are failing or already gone
  • Denture wearers tired of a plate that rubs and slips
  • People with bone loss: the rear implants tilt toward denser bone
  • Some cases need grafting first, which the scan shows at the consultation
  • Anxious patients: nitrous oxide or oral sedation for the day itself
Why Choose Us

Why Choose Dr. Nahlah for Same-Day Teeth

Teeth on implant day depend on a scan read correctly and implants placed exactly where they were planned. These are the questions to ask, and how our practice answers them.

What to askOur practiceOther offices
Who decides you qualifyDr. Nahlah reads your cone-beam scan and tells you at the consultationSome promise same-day teeth before a scan is read
Hands on your caseOne board-certified prosthodontist places the implants and fits the archA surgeon, a dentist and an outside lab each handle a part
SurgeryEvery implant goes through a computer-generated surgical guideSome place implants freehand and judge by eye
LabA digital lab in both offices, so shade and fit are corrected while you waitSome send the work out and wait weeks for it
SedationNitrous oxide or oral sedation, given by the practice's own teamAsk which options are offered, and who gives them
Final archWherever the bone allows, a thin-arch (FP1) zirconia final with no thick pink acrylic baseSome use one thick FP3 prosthesis for every case
Hard casesComplex and failed cases accepted, including work other practices declineSome accept straightforward cases only
WarrantyFive years on the full arch, kept with a cleaning every six monthsAsk what yours covers, in writing
Dr. Esam Abou Nahlah in black scrubs with his arm around a smiling patient in the office hallway
Dr. Esam Abou NahlahD.D.S., M.S.
Meet the Doctor

Meet Dr. Esam Abou Nahlah

As an award-winning board-certified specialist in prosthodontic dentistry, Dr. Nahlah provides patients with a premier level of dental care using the industry’s most advanced technology. He has been practicing since 2003, in Northern Virginia since 2013, entirely on prosthodontics. Diplomate of the American Board of Prosthodontics and Fellow of the American College of Prosthodontists. In 2013, the American Board of Prosthodontics awarded Dr. Nahlah the most prestigious award in prosthodontics: “Diplomate of American Board of Prosthodontics.”

Adjunct faculty at Virginia Commonwealth University, teaching the residents in its Prosthodontics Postgraduate Program, and lecturing on smile design and implants.

Across that career, over 18,000 implants placed and over 15,000 arches restored.

Credentials & Certifications

  • Diplomate, American Board of Prosthodontics
  • Fellow, American College of Prosthodontists
  • Adjunct Faculty, VCU Prosthodontics Postgraduate Program
  • Certificate in Prosthodontics
  • M.S., Master of Science in Oral Biology
  • Fellow, International Congress of Oral Implantologists
  • Associate Fellow, American Academy of Implant Dentistry
Meet Dr. Nahlah
The Day and After

What happens on implant day, and in the months after.

The bench and stereo microscope in the practice's in-house laboratory01

Scan and plan

An examination and a cone-beam scan show whether there is enough bone to load straight away. You leave knowing whether you qualify, what it costs and how long it takes.

A patient resting with her eyes closed in the chair under sedation02

Implant day

Four implants placed through a printed guide, under local anesthetic with nitrous oxide or oral sedation, and the provisional arch fitted before you go home. After oral sedation, someone needs to drive you.

A patient reviewing her CBCT scan and an implant model with a clinician03

Healing

Three to four months while bone grows onto the implants: soft foods for those months, and reviews along the way to check integration and adjust the provisional.

A restored full arch04

Final arch

The zirconia arch replaces the provisional, and two to four more months finish the healing around it. From then on it is brushed and flossed like natural teeth.

4Implants carry the arch
1 visitImplants plus teeth
0Days without teeth, in most cases
6 moCleanings that keep the warranty
Before & After

Before & After Photos

Double arch means both jaws were restored on implants.

Case 23, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaCase 23, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaBeforeAfter
Double arch · case 23
Case 24, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaCase 24, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaBeforeAfter
Double arch · case 24
Case 25, double-arch All-on-4: smile before treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaCase 25, double-arch All-on-4: smile after treatment by prosthodontist Dr. Esam Abou Nahlah, Northern VirginiaBeforeAfter
Double arch · case 25

Every case in the gallery

Cost & Financing

Your Price in Writing, Before Anything Starts.

Your scan shows whether same-day provisional teeth are possible and whether grafting must come first. The consultation sets out the plan and its price in writing.

Up to $60,000Through Proceed Finance, over terms of up to 96 months, subject to lender approval.
Three LendersCareCredit, Proceed Finance and LendingClub.
Most PPO PlansWe file claims with your dental insurance on your behalf.
Free Second OpinionOn implant surgery. Bring the plan and any imaging.
What Decides the CostFinancing Options

What Our Patients Say

Related Care

Explore Your Implant Treatment Options

Also hereSedation DentistryFailed Dental ImplantsOral SurgeryDenturesFinancingFive-Year Warranty
Questions

Same-Day Implant Questions

Can I really get teeth the same day as my implants?
With All-on-4, in most cases yes. You leave the same visit wearing a fixed provisional arch, and the final zirconia arch is fitted three to four months later.All-on-4 in full →
Are same-day teeth my final teeth?
No. The same-day arch is a provisional in PMMA, fully functional and screwed in place, and it is adjusted at reviews while the implants fuse. The final arch is zirconia.
What can I eat with same-day teeth?
Soft foods for the next several months, while the implants integrate with the jawbone. That part is not optional, and it is the one people underestimate.
Does same-day implant surgery hurt?
It is done under local anesthetic with nitrous oxide or oral sedation, so you stay relaxed throughout. Afterwards, patients generally report minor discomfort that over-the-counter medication handles.Sedation options →
What if I have bone loss?
Bone loss often makes you a candidate for All-on-4 rather than ruling you out, because the rear implants are angled toward denser bone. Some cases still need grafting first, and then the teeth wait for the bone to heal.
Can a single tooth be replaced the same day?
Sometimes. Where the case allows, the implant goes in at the time of the extraction, and qualifying patients leave with a temporary the same day. The scan shows whether yours qualifies.Dental implants →
Who is not a candidate for same-day teeth?
Same-day teeth depend on the implants being stable enough to carry an arch on the day. Where bone is too thin, grafting may be needed first, and that adds healing time. Gum disease is treated before any implant. Your cone-beam scan at the consultation shows which situation applies to you.
Book a Consultation

Book Online, or Ask Us First

A consultation includes the 3D scan and a straight answer about what your case needs, before you commit to anything.