Dental implants: assessment, stages, risks and care

A dental implant is a structure placed in the bone to support a crown, bridge or denture. It can replace one or more teeth, but the decision requires an assessment of general health, the gums, available bone, oral hygiene and the alternatives.

What is a dental implant?

It is a device, usually made of titanium, placed in the upper or lower jaw to support a dental restoration. The visible part may be a single crown, a bridge or a denture replacing several teeth.

The implant, abutment and crown are different components. This distinction is important for understanding the plan, treatment timescales and quotation.

When might it be suitable?

An implant may be considered when one or more teeth are missing or when a denture needs greater support. Suitability depends on bone quantity and quality, gum health, available space, hygiene habits, smoking, medicines and conditions that may affect surgery or healing.

Alternatives may include bridges supported by natural teeth, removable dentures or, in some cases, not replacing the tooth immediately. The benefits and limitations of each option should be compared during the consultation.

What does treatment involve?

1. Assessment and diagnosis: medical history, examination of the mouth and imaging appropriate to the case.
2. Planning: the number and position of implants, the type of prosthesis and any need for additional procedures are determined.
3. Surgery: the implant is placed under local anaesthesia; the technique varies according to the case.
4. Healing: a period during which the bone and tissues recover. A temporary solution is used in some cases.
5. Restoration: the abutment and planned crown, bridge or denture are fitted.
6. Maintenance: review appointments and professional cleaning at individually tailored intervals.

How long does it take?

There is no single timescale. It depends on healing, initial stability, whether grafting is needed, the number of implants and the type of restoration. Some cases allow earlier loading; others require several months between stages. An estimate is provided after diagnosis.

What are the risks?

As with any surgical procedure, risks can include pain, swelling, bleeding, infection and failure to integrate with the bone. Depending on the site, there are risks involving nearby anatomical structures. Over the longer term, inflammation of the tissues around the implant, bone loss, and wear or fracture of components may occur.

Individual risk should be discussed before consent is given. Smoking, inadequate hygiene, uncontrolled periodontal disease and some health conditions can compromise the outcome.

Care after placement

For the first few days, follow the instructions on hygiene, diet, medicines and physical activity. Contact the clinic if bleeding does not stop, pain or swelling worsens, or you develop a fever, a persistent change in sensation or a loose prosthesis.

Maintenance does not end when the crown is fitted. Brushing, cleaning between teeth and implants, and regular appointments are essential to monitor the tissues and prosthetic components.

How long does an implant last?

It is not possible to promise that an implant will last a lifetime. Many implants remain functional for long periods, but survival depends on clinical factors, maintenance and habits. The prosthesis fitted onto the implant may also need repair or replacement.

Frequently asked questions

Is the surgery carried out under anaesthesia?

It is usually carried out under local anaesthesia. Suitable options and anxiety management are discussed during the assessment.

Can I have temporary teeth?

In many cases, a temporary solution can be planned, but its type and timing depend on stability, the area being treated and clinical risk.

Is a bone graft always needed?

No. It is only considered when the volume or shape of the bone does not allow the intended plan without an additional procedure.

Can implants develop gum problems?

Yes. Inflammation can develop around the implant and, in more advanced cases, bone loss can occur. Oral hygiene and professional maintenance help reduce the risk and detect changes early.

Find out more about dental implant treatment at Clínica Prisma.