Dentists and/or periodontists often perform dental implants. They will discuss the best options for your individual situations. A personal treatment plan is then created.
The following describes the implant procedure for an endosteal implant.
Remove the Damaged Tooth
If needed, the doctor removes the damaged tooth. They will clean the gum tissue as needed.
Bone Graft
When your jawbone is too small or soft, you may need a bone graft. The bone graft gives the implant a solid base. This decreases the chances of implant failure.
The doctor may use a natural bone graft from another part of your body. Another option involves a synthetic bone graft. This bone-substitute gives a support structure in which new bone can grow.
Having a bone graft may mean waiting several months for the dental implant. This allows time for the new bone to grow and become strong. If you only need a small bone graft, the doctor may do this when placing the implant.
Placement of the Implant
For this part of the procedure, you're given anesthesia. Then the doctor makes a small cut into your gum and drills holes into the bone. The implant is then placed deep into the bone.
Some doctors place a temporary crown. You may remove this crown for cleaning or sleeping if you wish. You then wait several months for the jawbone to grow and unite with the implant.
Placement of the Abutment
This step differs based on your situation and your doctor’s practice. If you are having an abutment, it's completed as an outpatient procedure. The abutment provides the base that your permanent crown will sit on.
The doctor reopens the gum and connects the abutment to the implant. The gum is then closed around the abutment. In some instances, the doctor places the abutment when the implant is first inserted.
Placement of the Artificial Tooth
After about 2 weeks, the gum is healed, and you will have impressions made of your mouth and teeth. These are used to create the crown. The final step involves the placement and cementing of the crown to the abutment.