The Dental Implant Process

Dental implants are a highly reliable way to replace missing teeth, providing stability, function and a natural appearance. The process involves several stages, each designed to ensure long-term success. This guide explains what happens at each step, why it is necessary, and what patients can expect throughout treatment.

Preparatory Procedures (If Required)

Some patients require additional steps to create a stable foundation for the implant. These may include:

Tooth Extraction

If the failing tooth is still present, it must be removed before placement.

Bone Grafting or Sinus Lift

Where bone volume is limited, grafting may be necessary to support the implant. In the upper jaw, a sinus lift may be required if the sinus sits too close to the planned implant site.

Gum Disease Treatment

Healthy gums are essential for long-term implant success. Any inflammation or infection must be treated beforehand.

Temporary Tooth Replacement

When a front tooth is being replaced, a temporary solution may be used for appearance and comfort. In some situations, no temporary tooth is required.

Once the mouth is healthy and the site prepared, the implant can be placed. This is a minor surgical procedure carried out under local anaesthetic, with the option of sedation if needed.

The process typically involves:

• Making a small incision in the gum
• Drilling a precise space in the bone
• Inserting the titanium implant
• Closing the gum over the implant to heal
• The appointment usually lasts 1–2 hours. Modern techniques make the procedure generally comfortable, with most patients reporting only mild soreness afterwards.
• Platelet-rich fibrin (PRF) may also be used to support healing. In some cases, bone grafting or a small sinus lift is performed during the same appointment.

Healing and Osseointegration

Over the next 3 to 9 months, the implant fuses with the jawbone in a process called osseointegration. This biological bonding is essential for long-term stability.

Key points during this period:

• The implant is at its weakest during the first six weeks
• A temporary tooth may be used for appearance
• A soft-food diet may be recommended initially
• Excellent oral hygiene is essential
• Regular check-ups allow progress to be monitored
• X-rays may be taken to evaluate integration

Abutment Placement

Once the implant has securely integrated, a small connector piece called an abutment is fitted. This involves reopening the gum under local anaesthetic:

• The implant is exposed
• The abutment is attached
• The gum is left to heal around it for 1–2 weeks

In some cases, this step is not required because the abutment can be placed at the time of implant insertion.

Dental implants can last many years with the right care. Maintenance is essential because implants, like natural teeth, are vulnerable to gum inflammation and plaque build-up.

Recommended long-term care includes:

• Brushing twice daily and cleaning between the teeth
• Routine dental check-ups
• Regular hygiene appointments — often every 3 months initially
• Avoiding smoking
• Wearing a night guard if you grind your teeth
• Monitoring the implant, crown and gums over time

Some components, such as screws or crowns, may require replacement in the future, even when the implant itself remains stable.

Summary

This guide outlines the general steps involved in implant treatment, although each patient’s situation is different. Planning, healthy tissues, careful surgical technique and ongoing maintenance all contribute to long-term success.

For further information or personalised advice, patients can contact the practice by phone or email.