Overview of Implant Placement
The Surgical Procedure
The process of placing a dental implant is precise and efficient, typically taking 30 to 60 minutes for a single implant and 2 to 3 hours for multiple implants. The exact duration and number of appointments required vary based on individual needs. Your surgeon will carefully plan and execute the procedure with precision and attention to detail.
Before surgery, you may be given antibiotics, and sedation options such as intravenous sedation or nitrous oxide (laughing gas) for increased comfort. These options will be discussed with you during your consultation. A local anesthetic is used to numb the area where the implant will be placed. Once you are comfortable, the surgeon makes a small incision in the gum tissue to expose the bone, then creates space using specialized instruments before carefully inserting the titanium implant. The top of the implant may remain visible through the gum or be covered by the gum tissue, depending on what is best for early healing.
Healing After Dental Implant Surgery
Following surgery, the healing process begins. The duration of healing varies for each person and depends on the quality and quantity of the bone. In some cases, implants can be restored immediately after placement. Your surgeon will provide guidance on follow-up care and the appropriate healing timeline. Once the initial healing phase is complete, a small component called an abutment (support post) or a healing cap is attached to the implant during a brief follow-up visit. This step allows the gum tissue to mature and prepares the implant for the final restoration. In certain cases, impressions of your teeth may be taken at the time of implant placement, allowing for the crown to be ready when the healing phase is complete. The overall healing timeline is determined by several factors, and follow-up appointments (typically one to four) will be scheduled to monitor your progress and determine when you are ready for the final restoration.
A soft tissue graft may sometimes be recommended to enhance the strength, cleanliness, and natural appearance of the gum tissue around the implant. This procedure involves transplanting a small portion of gum tissue from another area of your mouth to improve the implant site. The process is generally quick and comfortable. Whether replacing a single tooth or multiple teeth, your dentist will finalize the treatment by placing a custom-made crown onto the dental implant, restoring both function and aesthetics.
When Are Dental Implants Placed?
Implants are often placed several months after a tooth extraction. However, in some cases, they can be placed immediately following an extraction, reducing the number of appointments needed. Immediate placement carries some risks but can simplify the overall process. If infection or bone loss is present, delaying implant placement is usually recommended.
If a tooth has been missing for an extended period, the surrounding bone may begin to shrink due to lack of stimulation from a tooth root. Up to one-third of the jaw’s thickness can be lost within a year after extraction. If significant bone loss has occurred, a bone graft may be necessary before implant placement to ensure adequate support.
How Many Implants Do I Need?
Typically, one implant is placed for each missing tooth. However, for larger molars that naturally have two or three roots, a wider or more robust implant may be required for proper support.
Dental implants provide a strong, lasting foundation for replacement teeth, helping to preserve your oral health, functionality, and confidence.