Dental implants are artificial tooth roots made from titanium metal that dentists surgically place into your jawbone. Unlike dentures or bridges that sit on top of your gums, implants become part of your bone structure over time. The implant itself is typically a small screw about the size of a natural tooth root. Once placed, your jawbone bonds with the titanium through a biological process called osseointegration, which usually takes three to six months.
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After osseointegration is complete, your dentist attaches an abutment—a connector piece—to the implant. The final step involves placing a crown, which is the visible part that looks and functions like a natural tooth. This three-part system (implant, abutment, and crown) works together to replace missing teeth. The crown is custom-made to match the color, shape, and size of your surrounding teeth.
The reason implants are popular is because they function very similarly to natural teeth. You can eat most foods normally, speak clearly, and maintain your appearance. Unlike removable dentures, implants don't need to be taken out at night. They also don't require the removal of tooth structure from adjacent teeth, which is necessary for traditional bridges.
Dental implants can replace one tooth, multiple teeth, or even support a full set of artificial teeth. A single implant might cost between $1,500 and $3,000 per tooth, though prices vary significantly based on location and complexity. According to the American Academy of Implant Dentistry, approximately 3 million people in the United States have implants, and this number grows by 500,000 each year.
Practical Takeaway: Understanding the basic structure and timeline of implants helps you know what to expect during treatment. Implants require a commitment of several months from placement to final restoration, but they offer a long-term solution that resembles natural teeth.
The dental implant process happens in distinct phases, and understanding each one helps you prepare mentally and physically. The initial phase involves a comprehensive consultation and evaluation. Your dentist will take X-rays and possibly a 3D scan of your jaw to understand the bone structure, density, and height. This information determines whether you have sufficient bone to support an implant or if bone grafting is needed first. The consultation also includes a discussion of your medical history, current medications, and any conditions that might affect healing.
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The surgical phase comes next. Your dentist will numb the area with local anesthesia, making the procedure painless, though you may feel pressure or vibration. Using specialized drills, the dentist creates a small hole in your jawbone and carefully places the titanium implant into the bone. Once positioned correctly, the surgical site is closed with stitches. Many patients report that the procedure itself is less uncomfortable than having a tooth extracted. You'll receive detailed aftercare instructions, including information about diet, oral hygiene, and activity restrictions.
The waiting period is crucial but often the longest part of the process. Over three to six months, your bone naturally grows around the implant in a process called osseointegration. During this time, the implant becomes integrated with your jawbone, creating a stable foundation. Your dentist may have you return for brief follow-up visits to monitor healing. You cannot have a crown placed until this process is complete.
The restoration phase begins once osseointegration is confirmed. Your dentist removes the temporary cover on the implant and places an abutment. After a brief healing period, impressions of your mouth are taken to create a custom crown. The crown is fabricated in a laboratory over one to two weeks, then permanently or semi-permanently attached to the abutment. Your bite and crown appearance are checked and adjusted as needed.
Practical Takeaway: Planning for the full timeline—usually six to nine months from start to finish—helps you schedule appropriately and manage expectations. Ask your dentist about each phase during your initial consultation so you understand what happens and when.
Most adults in good general health can receive dental implants, but certain conditions require careful evaluation. Your dentist will assess whether your jawbone has sufficient density and volume to support an implant. A healthy jawbone typically needs a minimum thickness and height, usually at least 10-12 millimeters of bone height and 5-6 millimeters of width. If your bone has deteriorated due to missing teeth, gum disease, or injury, bone grafting may be necessary before implant placement.
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Certain medical conditions require special consideration. Uncontrolled diabetes can interfere with bone healing and implant integration, but well-controlled diabetes does not prevent implant placement. Autoimmune conditions like rheumatoid arthritis may slow healing but aren't absolute contraindications. Smoking significantly increases the risk of implant failure because it reduces blood flow and interferes with bone healing. Many dentists strongly recommend quitting or significantly reducing smoking before and after implant placement. Medications like bisphosphonates (used for osteoporosis) require discussion with your dentist because they can affect bone remodeling.
Age is generally not a barrier. Healthy older adults in their 70s, 80s, and beyond can receive implants successfully. However, implants do require that your jawbones are fully developed, so they're not typically recommended for patients under 18 years old. Pregnancy is a consideration—elective implant surgery is usually postponed until after pregnancy and nursing are complete. Gum disease must be treated and controlled before implant placement because infection can cause implant failure.
Bone grafting is an option that expands who can receive implants. If your bone is insufficient, your dentist can add bone material (taken from your own jaw, other sources, or synthetic material) to build up the area. This typically requires a healing period of several months before implant placement can occur. Some patients require sinus lift procedures if implants are being placed in the upper jaw near the sinuses.
Practical Takeaway: Schedule a thorough evaluation with a dentist experienced in implants to understand your specific bone structure and medical situation. This assessment determines whether you need preliminary procedures like bone grafting or can proceed directly to implant placement.
Riverside residents have several options when choosing how to replace missing teeth, and each has distinct advantages and disadvantages. Dental implants, as discussed, offer the most natural feel and function. They preserve jawbone structure because they integrate with bone rather than sitting on top of it. Unlike other options, implants don't require modification of healthy adjacent teeth. However, implants require adequate bone, are more expensive initially, and take longer to complete.
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Dental bridges are another common option. A bridge uses crowns on adjacent teeth as anchors to support a replacement tooth or teeth spanning the gap. Bridges cost less than implants (typically $500-$1,500 per tooth) and are completed more quickly (usually two to three weeks). However, bridges require shaving down healthy adjacent teeth, reducing their lifespan. The bridge itself typically lasts 5-15 years. If the supporting teeth fail, the entire bridge fails. Bridges also don't prevent bone loss under the missing tooth area.
Dentures are the most affordable option but require the most adjustment. Full dentures cost $1,000-$3,000 and partial dentures cost $500-$1,500. They're completed quickly and don't require surgery. However, dentures need daily removal and cleaning, can affect taste and speech, and may feel loose or uncomfortable. They require ongoing adjustments as your jawbone changes shape over time. Many people find dentures inconvenient and socially uncomfortable.
For Riverside patients weighing options, consider these factors: cost (implants highest, dentures lowest), durability (implants longest-lasting at 25+ years with proper care), surgery required (only implants), bone preservation (only implants), and daily maintenance (dentures require most care). If you have good bone density and overall health, implants offer superior long-term value despite higher upfront costs. If you need an immediate solution or cannot afford implants, bridges or dentures may be appropriate temporary solutions.
Practical Takeaway: Discuss the pros and cons of all three options with your dentist based on your specific situation, budget, and timeline. Some patients
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.