Process of Dental Implants


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What is the process Of Dental Implants?

3 Visits

Generally a scan of the area where the dental implant needs to be placed is done to see if there is enough bone in the area.
  • In the first visit of implant placement, you gum is gently raised and a screw made of titanium placed inside you jaw under either under local anaesthetic or IV sedation (sleep dentistry).
  • The implant is either
    buried inside the jaw for three months (requiring a second surgery to expose the implant) or
  • A special connector (healing abutment) is placed on top so that the gum heals around the connector (therefore not requiring a second surgery to expose the implant)
You have to then wait three months for the bone to grow around the tooth implant and grab hold of it (osseointegration).

The next stage generally is either placing the healing abutment (second stage surgery) or taking a mould (impression) for the crown to be placed on top of the implant.

The third visit is when the crown is cemented or screwed onto the dental implant.

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How long is the dental implant process?

Complete implant treatment ranges from 3 to 9 months based on the type of bone, the position of where we are doing the implant, the age of a person and the cosmetic result required.

The first phase of treatment

The first phase of treatment, after a detailed evaluation and treatment plan, usually is the actual placement of the implants.
This procedure is generally done in the doctor’s office during one visit.

Most implants will remain covered, underneath the gums, for 3 to 6 months.

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During this time, osseointegration –the biological bonding of the jawbone to the implant–occurs.

Through this healing period, you will probably wear your modified denture or a temporary denture or bridge and maintain normal activities without restriction.

There are occasions, for example the one stage implant placements or when extensive bone grafting is to be performed, when patients may be asked not to wear their removable dentures for a period of time.

When this is necessary we’ll do all we can to help our patient through this transition.

The second phase of treatment

The second phase of the procedure is usually 3-6 months after implant placement.

At this time, the top of the implants will be uncovered from under the gums and a small metal post or extension will be attached to the implant(s).

We will make any necessary modifications to your temporary teeth to allow you to continue wearing them after post attachment.

The third phase of treatment

In the third phase, which usually starts 2-6 weeks after the second phase, your new replacement teeth are created and fitted.

This phase involves a series of appointments to make impressions of your mouth and to “try-in” your replacement teeth at key steps in their fabrication.

The try-in sessions are necessary to ensure that the size, shape, colour and fit of your new teeth will completely blend with and match your individual facial characteristics and remaining natural teeth (if any).

The third phase is usually completed within 4 to 8 weeks.
Total treatment time for most implant cases will usually be 5-8 months. 

It could be longer if bone or gum procedures are needed.

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How many visits are required for the dental implants process?

The number of visits required for the placement of dental implants varies from cases to case and depends on the patient’s individual circumstance.

These can range form as little as 2 to 4 visits (for simple cases) to as long as 8 visits (for complex full mouth cases.

As mentioned it is based on the complexity of case and the type of treatment needed.

We will provide you with a personalised guide on how long your treatment will take and the number of visits required in your consultation appointment.

Can the process of
dental implants be
done faster?

Can the process of dental implants be done faster?

There are a lot of factors that control the speed of you getting your new teeth.

However remember if you want long lasting results then it is better to do slowly and surely.

The factors that control the speed of the dental implant treatment include:

  • Factor 1: Has there been additional surgery such as bone surgery
  • Factor 2: Are you going to place pressure on the teeth after the implants have been placed. Imagine having wet cement that has not set.
  • If you were to place any pressure on it, it will distort.
  • Placing teeth on implants that have not set in the bone can trigger the loss of the teeth implants.
  • Factor 3: The number of dental Implants – If you are connecting multiple dental implants with a bridge then you can place teeth immediately on them.
  • This is routinely done on patients who have had all their teeth removed and 4 or 6 implants placed in their jaws.
  • These implants are immediately loaded with the teeth so you can have teeth straight after surgery.
  • Sometimes we have to wait a few days for the surgery swelling to reduce before we place the teeth bridge on them. 
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Implant placement usually does not result in much post-operative discomfort.

Pain medication may or may not be required and the usual medications used are ibuprofen (Nurofen, Advil) or paracetemol (Panadol, Panamax). 

Is the placement of implants painful?  How long does it take?

If more extensive treatment is needed, for example bone grafts or many implants, then the post-operative course may require more time and medication.

Anaesthesia during the surgery should make the placement procedure pain-free.

Depending on the complexity and number of implants being placed, the procedure can take between 30 minutes to 3-4 hours.

We are experienced in managing patients with dental phobias and are committed to making all our patients as comfortable as possible while undergoing treatment.

We have compassionate and qualified staff and a fully equipped IV sedation clinic where patients can undergo procedures while relaxing in a ‘twilight’ sleep.

IV sedation or sleep dentistry helps reduce pain and alleviates fear and anxiety. 

When you wake up you will usually have no memory of the procedure, whether dental implants, wisdom teeth removal, complicated surgical or lengthy dental procedures, and feel as if very little time has passed.

You may feel as if you’ve had a deep and satisfying sleep.

Sleep or sedation dentistry is a popular choice for procedures such as dental implants or wisdom teeth removal and other cosmetic and surgical dental treatments. 

Question regarding Implant Placement

Can a dental implant be placed at the same visit as the teeth are extracted?

Whether or not the dental implant can be placed immediately after extraction depends on the amount of available bone in the area and presence or absence of active infection.

Placing the implant at the same visit helps preserve both width and height of bone and may prevent the need for placing bone grafts when bone naturally shrinks back after teeth are extracted.

During the first year after teeth have been removed, as much as 40% of jawbone width can be lost. 

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Sometimes, infection from a tooth or periodontal disease has destroyed the bone to such an extent that it becomes necessary to do a bone grafting procedure prior to implant placement.

If it is possible to place the implant at the same visit as the teeth are extracted, this can save at least three months in healing time compared to waiting for an extraction site to heal before the implants can be placed.

Wear & Care

How soon may I return to work after treatment?

You may return to work the next day unless otherwise instructed by us.
Wondering if dental implant is the right option for you? Contact us today to start your smile journey.

Can the body reject dental implants?

The body completely accepts placement of dental implant material within bone; therefore, today’s dental implants meet with great success.

Success has more to do with proper patient selection, proficiency of the practitioner, and the patient’s commitment to proper hygiene and preventive maintenance.

Another factor in success involves regular follow-up care, just like other dental treatment.

Both soft tissue health and the way the replacement teeth function and bite together must be evaluated periodically to ensure long-term success of the dental implant.

What happens if an implant fails?

This means the implant has not attached or integrated to the bone. It usually fails at the second stage surgery.

The failed implant is unscrewed, the bone left to heal for a while and a new implant placed.

Other options such dentures or bridges are also available


Dr Kinnar Shah

BDS (Gla)

Dr. Kinnar Shah is a cosmetic dentist with a special interest in cometic dentistry, porcelain veneers and dental implants practising at Smile Concepts.


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