A dental implant is a replacement tooth that works like a natural tooth. It has three main parts: the implant itself (a small titanium screw placed in your jawbone), the abutment (a connector piece), and the crown (the visible tooth part that looks like your natural teeth).
Get Your Free EarthLink Pricing Information Guide →
Dental implants have been used for decades and have a long track record of success. According to the American Academy of Implant Dentistry, over 3 million Americans currently have dental implants, and about 500,000 new implants are placed each year in the United States. The success rate for dental implants ranges from 90% to 95%, depending on the patient's overall health and bone quality.
The process works because titanium has a special quality: it bonds directly with bone through a process called osseointegration. This means the implant becomes a permanent part of your jaw, providing a stable foundation for a replacement tooth. Unlike removable dentures or bridges that rest on other teeth, implants stand independently in your jawbone.
When comparing implants to other tooth replacement options, there are several differences to understand. A bridge typically lasts 5 to 15 years and requires grinding down neighboring teeth for support. Dentures usually need replacement every 5 to 8 years and can shift while eating or speaking. Implants, when properly cared for, can last 20 years or longer—often a lifetime.
Practical Takeaway: Understanding how implants work mechanically helps you see why they feel and function like natural teeth. The titanium material and bone integration process create a durable foundation that bridges and dentures cannot match.
The dental implant process typically unfolds over several months rather than a single appointment. Your dentist or oral surgeon will guide you through distinct phases, each serving a specific purpose in creating your new tooth.
Free Guide to Canceling Your T-Mobile Plan →
The first phase is the consultation and planning stage. Your dental professional will take X-rays and possibly a CT scan to examine your jawbone structure and determine if you have enough bone to support an implant. They'll also review your medical history, ask about medications you take, and discuss your expectations. This is when they'll explain whether a single implant, multiple implants, or implant-supported bridges might work best for your situation.
The second phase is implant placement surgery. Under local anesthesia (and sometimes sedation), your surgeon makes a small incision in your gum and carefully places the titanium implant into your jawbone. This procedure typically takes 30 minutes to two hours, depending on how many implants are being placed. You'll go home the same day, though you'll need a trusted adult to drive you if sedation was used. Most patients experience only minor discomfort afterward, manageable with over-the-counter pain relievers.
The third phase is the waiting and healing period, called osseointegration. This typically lasts 3 to 6 months. During this time, your jawbone gradually bonds with the titanium implant. Your dentist may place a temporary tooth so you don't have a visible gap. During this phase, you'll need to be careful with the implant site—avoiding hard or sticky foods and practicing gentle oral hygiene as instructed.
The fourth phase happens once osseointegration is complete. Your dentist attaches an abutment to the implant and takes impressions for your permanent crown. The crown is custom-made in a dental lab to match the color, size, and shape of your natural teeth. When it's ready (usually 1 to 2 weeks later), your dentist bonds it permanently to the abutment.
Practical Takeaway: Plan for a timeline of 4 to 9 months from initial consultation to having your final tooth in place. Understanding each phase helps you prepare mentally and financially for the process ahead.
Lakewood dentists offer different implant types and configurations to match different patient needs and situations. Understanding these options gives you a clearer picture of what your dentist might recommend.
Learn About HIV Prevention Options →
Endosteal implants (also called root-form implants) are the most common type, used in about 90% of implant cases. These screw-shaped implants are placed directly into the jawbone. They work best when you have adequate jawbone height and width. Most endosteal implants are made of titanium, though some newer versions use zirconia, which is white and may be preferred if your gum line shows significantly when you smile.
Subperiosteal implants are placed on top of the jawbone, under the gum tissue. This option is used less frequently but may be considered if you have limited jawbone height and bone grafting isn't an option. These are custom-made to fit your specific jawbone shape.
Single tooth implants replace just one missing tooth. This is the most straightforward implant option and doesn't require affecting neighboring teeth. Many Lakewood patients choose this when they've lost one tooth to decay, damage, or extraction.
Implant-supported bridges replace multiple adjacent teeth using two or more implants. For example, if you're missing three teeth in a row, your dentist might place two implants and connect them with a three-tooth bridge. This option is more cost-effective than placing individual implants for each tooth and still provides excellent stability.
All-on-4 implants are a specialized approach for people missing all or most of their teeth in one jaw. This technique uses four strategically placed implants to support a full arch of replacement teeth. It requires less bone than traditional implants and offers a fixed solution that many patients prefer over full dentures.
Implant-supported dentures are removable prosthetics anchored to two or more implants. This provides better stability than traditional dentures while being less costly and invasive than individual implants for each tooth.
Practical Takeaway: The type of implant recommended for you depends on how many teeth are missing, the amount of bone you have, and your budget. Discussing these options with a Lakewood dental professional helps you understand what's available for your specific situation.
Your jawbone quality and quantity directly affect whether you're a candidate for dental implants. Understanding this aspect of your dental health helps you know what to expect during your consultation.
Learn How Netflix Payments and Billing Work →
When a tooth is missing, the jawbone beneath it begins to shrink. This happens because the tooth root normally stimulates the bone to maintain its density and height. Once that stimulation is gone, the body reabsorbs the bone. Studies show that people can lose 25% of their jawbone width in the first year after tooth loss, and bone loss continues over time. This is why people who've been missing teeth for many years may have significantly less jaw structure than those with recent tooth loss.
During your Lakewood dental consultation, your dentist will measure your available bone using X-rays or a CT scan. They're looking at both the height and width of your jawbone. Most implants need at least 10 millimeters of bone height and 5 to 6 millimeters of bone width to be placed successfully. If your measurements fall short, you may have options before proceeding.
Bone grafting is one solution when you don't have enough bone. In this procedure, bone material (from your own jaw, a donor source, or synthetic material) is added to build up your jaw where it's deficient. Grafting adds time and cost to the overall implant process—typically 4 to 12 months of healing before implant placement—but it makes implants possible for many patients who would otherwise not be candidates.
Sinus lift surgery is another bone-building option used for upper back teeth. The sinus floor is gently lifted, and bone material is placed underneath. This creates the vertical bone height needed for implants in that area. Like grafting, it requires healing time before implant placement.
Your overall health also affects bone quality. Uncontrolled diabetes, smoking, and certain medications can slow bone healing. However, most people with controlled health conditions are still candidates for implants. Your Lakewood dentist will discuss your medical history to address any factors that might affect success.
Practical Takeaway: Getting bone measurements
This guide is for general information only and is not medical, financial, legal, or other professional advice. For decisions specific to your situation, consult a qualified professional. See our Editorial Policy.