The dental implant process can seem daunting if you don't know what to expect. The good news: it's a well-established, predictable procedure that millions of people have undergone successfully. Understanding the steps can ease anxiety and help you plan. Here's a straightforward walkthrough from start to finish.
Step 1: Consultation and Planning
Your dentist will examine your mouth, review your medical history, and take X-rays or a 3D scan to assess your bone. They'll determine whether you're a candidate for implants and whether you need a bone graft first. You'll discuss the timeline, cost, and what to expect. This is also the time to ask questions.
Step 2: Tooth Extraction (If Needed)
If the tooth to be replaced is still present, it may need to be extracted first. Sometimes an implant can be placed immediately after extraction (immediate placement); other times, the site needs to heal for a few months before implant placement. Your dentist will explain the approach for your situation.
Step 3: Bone Graft (If Needed)
If bone loss has occurred, a bone graft may be necessary to build up the jawbone before placing the implant. This adds healing time—typically 3–6 months—but it creates the foundation for a successful implant. Not everyone needs a graft.
Step 4: Implant Placement
During surgery, the dentist places the titanium implant post into the jawbone. You'll have local anesthesia (and possibly sedation). The procedure is typically quick—often under an hour for a single implant. The implant is left to heal and fuse with the bone (osseointegration), which usually takes 3–6 months.
Step 5: Abutment Placement
Once the implant has integrated, a small connector piece (abutment) is attached to the implant. This may require a minor procedure to expose the implant and place the abutment. In some cases, the abutment is placed at the same time as the implant. The gums are allowed to heal around it—usually 2–4 weeks.
Step 6: Crown Placement
Impressions or a digital scan are taken to fabricate your custom crown. Once it's ready, the crown is attached to the abutment. You'll leave with a complete, functional tooth that looks and feels natural.
Total Timeline
From start to finish, the process typically takes 4–9 months—longer if a bone graft is needed. The result is a permanent replacement that can last a lifetime.
The Bottom Line
The implant process is staged and deliberate—each step builds toward a successful outcome. Your dentist will guide you through each phase and ensure you're comfortable every step of the way.