Dental Implant Surgery

Because dental implants require several surgical procedures, your dentist or oral surgeon will conduct a full and thorough evaluation, including X-rays and teeth models, to ensure the dental implants will closely match your natural teeth.

Next, your dentist will review the condition of your jawbone concerning how many teeth you plan on having replaced with implants. This planning process could involve several types of dental specialists, including a maxillofacial surgeon or a periodontist.

Your dentist will also want to know about any medical conditions you have, as well as any medications you are taking, including over-the-counter medicines. Do you have any heart conditions or orthopedic implants? If so, your dental specialist might prescribe antibiotics before the surgery to help prevent infection.

Your doctor should know and discuss your surgical anesthesia options and which might be best for you during the procedure. Your surgical team also might provide a list of dos and don'ts that you should adhere to leading up to the surgery.

If you haven't already, arrange for a friend or family member to drive you to and from the surgery because you'll be in no condition to drive yourself after the procedure. Expect to be in "full rest" mode for the rest of the day following the surgery.

Dental implant surgery is often done in several stages, requiring the jawbone to heal entirely around the implant before proceeding. Here is the typical order of procedures:

1. Remove the damaged tooth if it hasn't already come out in some other way.
2. Prep the jawbone for surgery, which might include some measure of bone grafting.
3. Once the jawbone heals, insert the implant into the gumline.
4. Give the jaw time to heal again. Then, the surgeon will place the abutment (the piece that screws into the implant) and attach the artificial tooth on top, completing the full implant.

This process could take up to several months to allow your jaw time to heal and to prepare for the final installation of the implant. Without a strong jawbone in place, the implant won't take, so it's essential to be patient during the healing process. Let's next take a more in-depth look at some of the steps in this process.

The current jawbone site for your implant might not be thick enough, or it could be too soft. Because your jaw creates so much pressure while chewing, the bone needs to be extra strong to handle chewing and protect the dental implant.

Depending on the structure of your jawbone, you might need to add a little extra bone to give the implant site a more solid foundation. An oral surgeon adds this bone through a process called bone grafting, where a small bit of bone or other material is transplanted to help solidify the implant base within the jawbone. If bone grafting is needed, the healing process can take at least four to six months before installing an implant.

While the implant heals, you'll wear a temporary denture to keep the appearance of an entire tooth. The denture will be removable and should be kept clean at all times.

During this time, osseointegration will be occurring. Osseointegration is when the bone begins growing into and uniting with the surface of the implant, making it a part of the natural gumline. The process can take anywhere from three to nine months and will operate the way the roots of a natural tooth normally would.

When the healing and osseointegration processes are complete, your dentist will install the abutment. The installation is a minor outpatient procedure using local anesthesia.

The oral surgeon will reopen your gums so that the dental implant is exposed. They will then screw the abutment into the dental implant. The gum tissue is then closed back around the abutment and left to heal for one to two weeks. Later, the artificial tooth will be attached to the abutment.

Once your gums have healed, your dentist will make more impressions of your mouth and the remaining teeth. These impressions are used to make the artificial tooth or crown for your dental implant. There are two main types of artificial teeth you'll be able to choose from — a removable implant prosthesis or a fixed implant prosthesis.

Going the removable route is similar to a removable denture. It's mounted on a metal frame that snaps securely onto the implant abutment. This artificial tooth is an excellent choice because it can be removed for cleaning or replacement, especially when several teeth have been removed and required dental implant replacements. It's also a more secure and affordable option.

If you choose to get a fixed implant, the artificial tooth is very challenging to remove. It's either permanently screwed onto the abutment or cemented down. If you have several teeth that require implants and money isn't a concern, you can have all of them replaced in this manner – with each crown attached to its separate dental implant.

Discomfort is natural and expected after dental implant surgery. Here's what you can expect:

• Swelling of the face and gums
• Bruising of the gums or skin
• Pain at the site of your implant surgery
• Minor bleeding

If any of these symptoms worsen several days after the surgery, contact your dentist or oral surgeon immediately. It might indicate implant issues that need to be addressed by a professional.

To help you heal post-surgery, your dentist or oral surgeon might advise eating soft foods, applying ice packs to relieve the swelling, and patience while the surgical site heals.

While most dental implants are routine procedures and most dental implant surgeries are successful, there may be complications, including bone fusing to the implant. You can prevent this fusing by doing the following things:

• Practice proper oral hygiene by brushing twice a day and cleaning between your teeth with interdental brushes or water flossers at least once a day
• Attend regular dental office visits and examinations to stay on top of your oral health
• Avoid using tobacco products
• Avoid bad oral habits, such as chewing on ice or hard candies

If you think you might be a candidate for dental implants, talk to your dentist or oral surgeon about dental implant surgery. Take care of your teeth, and you can take on anything.

Oral Care Center articles are reviewed by an oral health medical professional. This information is for educational purposes only. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your dentist, physician or other qualified healthcare provider.