Same-day implants. What the literature actually says.

A same-day implant is a single procedure that compresses three steps usually spaced weeks apart: extraction (when needed), implant placement, and provisional crown fitted in occlusion or near-occlusion. The implant is loaded the same day rather than after three to six months of submerged healing.

The technique exists because — under specific bone, torque, and occlusion conditions — the immediate fixture preserves soft-tissue architecture and removes the patient's months in a temporary partial. The evidence base for delayed-load implants is enormous, decades old, and approaches 99% survival at five years in clean cohorts. The evidence base for the immediate-load variation is narrower but consistent: equivalence to delayed loading when patient selection is correct.

An EFP-credentialed prosthodontist plans the case on a CBCT scan, bone density mapped per region, with the prosthetic crown position set first and the implant position reverse-engineered to support it. This 'prosthetically-driven' sequencing is what the ITI 2018 consensus identifies as the dominant variable in long-term outcome — not implant brand.

The implant is placed with an insertion torque of 35 Ncm or higher. Below that threshold, immediate loading carries a meaningfully higher failure rate and the protocol switches to submerged healing. Implant systems used at Hektor — Straumann BLX and Nobel Active — are tapered, self-cutting designs engineered for primary stability in fresh extraction sockets and softer bone.

A screw-retained provisional crown is fabricated chairside or in the in-house lab, fitted out-of-occlusion (or in light occlusion for posterior cases) the same afternoon. The definitive crown is delivered three to four months later when osseointegration is complete and the soft-tissue emergence profile has stabilised.

French et al. (2015, Clinical Oral Implants Research) reported a retrospective cohort of 4,591 Straumann implants in private practice with cumulative survival of 99.3% at 3 years, 99.0% at 5 years, and 98.4% at 7 years — the largest single-system long-term dataset in the published literature.

On the immediate-load specifically, the Esposito et al. Cochrane review of randomised loading-protocol trials found no statistically significant difference in implant failure between immediate, early, and conventional loading — provided primary stability above 35 Ncm was achieved. Maintenance bias matters: immediate-load failures cluster in the first three months when torque was marginal.

Marginal bone loss at 12 months sits at 0.5–1.2 mm across the cited cohorts, with no significant difference attributable to loading protocol. Peri-implantitis prevalence — the slow inflammatory complication that matters long-term — was 14.5% (moderate/severe) in Derks et al.'s nine-year Swedish population study, with smoking, periodontitis history, and prosthetic margin position the dominant risk factors.

There is no large randomised controlled trial isolating BLX or Nobel Active against the broader population of tapered implant systems at the 10-year endpoint with peri-implantitis as a primary outcome. The 10-year claim made for any single brand draws on multi-system pooled cohorts.

Peri-implantitis remains the genuine long-term unknown. Heitz-Mayfield's 2018 consensus case definition lets us measure it consistently, but the question of why some patients lose bone around a properly placed implant at year 8 — and others do not — is still unresolved. Smoking, periodontitis history, and crown margin position explain most of the variance. The remaining variance is what the next decade of literature will close.

CBCT planning is mandatory; torque below 35 Ncm switches the case to a submerged protocol on the day, with the patient informed at the chair. The provisional is fabricated in-house — no laboratory delay.

• ·Single implant fixture (Straumann BLX or Nobel Active) + abutment + crown
• ·CBCT 3D imaging + surgical planning
• ·Provisional crown placed same-day (when primary stability allows)
• ·Permanent crown at month 3–4 (zirconia or e.max ceramic)
• ·Post-op medication kit (antibiotics, chlorhexidine rinse, analgesia)
• ·Suture removal (if needed) + scheduled video reviews at week 2, month 3, month 4
• ·Translator (8 languages) + airport transfers + optional hotel night
• ·10-year implant warranty (subject to maintenance compliance)

Prices are per single-tooth implant; multi-unit cases are quoted per fixture with a multi-implant package discount. UK/US/EU figures are 2024–2025 publicly published private-clinic benchmarks for equivalent premium implant systems (Straumann, Nobel Biocare), not Hektor quotes.

Our Istanbul figure includes the permanent crown — many advertised low prices include only the fixture and the abutment, with the crown invoiced separately. We disclose this comparison transparently.

Book this procedure.

A specialist-signed plan in 24 hours, with the bibliography for your specific candidacy attached. The deposit holds the day; the package is one number.