Dental implants are one of the most effective and long-lasting solutions for replacing missing teeth. Whether you are missing a single tooth or need a more comprehensive restoration, dental implants provide a stable, natural-looking result that supports your oral health and improves your smile.
While the idea of oral surgery can feel intimidating, understanding what to expect during the dental implant process can help ease concerns and prepare you for a smooth experience. At Medical Arts Dentistry, we believe in patient-centered care and are here to walk you through every step of the journey.
Here’s a step-by-step guide to what you can expect during dental implant surgery.
Step 1: Initial Consultation and Evaluation
The first step in the dental implant process is a comprehensive consultation with your dentist. During this appointment, your provider will:
- Review your medical and dental history
- Conduct a thorough oral exam
- Take digital X-rays or 3D scans to assess bone density and structure
- Discuss your goals and expectations
Your dentist will determine whether you are a good candidate for implants. Ideal candidates are in good overall health, have healthy gums, and have sufficient jawbone to support the implant. If you lack enough bone, a bone graft may be recommended before surgery.
This is also the time to ask questions, understand the timeline, and receive a customized treatment plan.
Step 2: Treatment Planning
Once you’re cleared for surgery, your dentist will map out the procedure. Using imaging and digital tools, they will determine the exact position and depth of the implant to ensure long-term success and alignment with your bite.
In some cases, patients may need additional preparatory procedures such as:
- Tooth extractions (if the implant will replace a damaged or failing tooth)
- Bone grafting (to strengthen areas with insufficient bone)
- Sinus lift (if implants are placed in the upper back jaw)
If these are necessary, they will be scheduled and completed before the implant is placed.
Step 3: The Day of Surgery
Dental implant surgery is typically performed in the dental office under local anesthesia. Sedation options may also be available if you are anxious or undergoing multiple implants.
Here’s what happens during the procedure:
- Numbing the Area. Your dentist will numb the gum and bone where the implant will be placed. You should feel no pain during the procedure, though you may feel slight pressure or vibrations.
- Making an Incision. A small incision is made in the gum to expose the bone underneath.
- Drilling the Implant Site. Using a series of specialized tools, your dentist will create a precise opening in the bone for the implant.
- Placing the Implant. The titanium implant post is inserted into the bone. This post acts as the new tooth root.
- Closing the Site. The gum tissue is stitched closed over or around the implant. A healing cap may be placed on top, depending on your case.
The entire process usually takes 1 to 2 hours per implant.
Step 4: Healing and Osseointegration
After surgery, your body begins a process called osseointegration, where the jawbone grows around the implant and secures it in place. This phase is crucial for the stability and longevity of the implant.
Healing typically takes between 3 to 6 months, during which time you may be fitted with a temporary crown or bridge. During this phase:
- Mild swelling, soreness, or bruising is normal for a few days
- Your dentist may recommend over-the-counter or prescription pain relief
- A soft food diet is often advised for the first few days
- You’ll need to keep the area clean and follow any post-op instructions carefully
Your dentist will schedule follow-up visits to monitor healing and ensure the implant is integrating properly.
Step 5: Placing the Abutment
Once healing is complete, the next step is placing the abutment, a small connector piece that attaches to the implant and supports the final crown.
This step may require reopening the gum briefly to expose the implant, although in some cases the abutment is placed during the initial surgery. Once placed, the gum is allowed to heal around it for another one to two weeks.
Step 6: Final Crown Placement
After the gum has healed around the abutment, your dentist will take impressions to custom-fabricate the final crown. The crown is designed to match the color, shape, and size of your natural teeth for a seamless look.
When your crown is ready, it will be securely attached to the abutment. Once placed, your implant will look, feel, and function like a natural tooth.
Step 7: Long-Term Care
Dental implants are low-maintenance, but they still require regular care to stay healthy. Good oral hygiene, regular dental cleanings, and routine checkups are essential for long-term success.
Here are a few tips:
- Brush and floss daily, including around the implant
- Avoid smoking, as it can interfere with healing and implant stability
- Let your dentist know if you grind your teeth or clench your jaw
With proper care, dental implants can last 20 years or more, making them one of the most reliable options in restorative dentistry.
Gentle Restorative Care with Medical Arts Dentistry
Dental implant surgery is a multi-step process that offers lasting benefits for your smile, oral function, and confidence. Understanding what to expect before, during, and after surgery can help you feel more prepared and at ease throughout your treatment journey.
At Medical Arts Dentistry, we’re committed to providing expert, compassionate care every step of the way. If you’re considering dental implants, we’re here to answer your questions and help you explore your best options for restoring your smile. For appointments, call 912-355-0605 for our Savannah location, or 912-921-0401 for our Georgetown location.