Dental Implants

Procedure for implant placement

Dr. Shruti Chouragade

9/11/20253 min read

Step-by-step procedure for dental implants and there complications

The dental implant procedure involves several detailed steps, which are generally divided over multiple appointments and they may require a few months to complete. Now let's see each stage of the process in detail:

1. Consultation and Planning:

- The initial visit includes a comprehensive dental examination, medical history review, and imaging tests (such as X-rays or 3D scans) to evaluate the jawbone structure and determine the precise placement of the implants.

- The dentist may also discuss treatment options, explain the process, and address any concerns the patient may have.

2. Implant Placement:

- The procedure is performed under local anesthesia to ensure the patient is comfortable.

- The dentist makes a small incision in the gum to expose the underlying bone and then sequential drilling is done into the bone where the titanium implant will be placed.

- The implant is then inserted into the prepared bone site. Once securely placed, the incision is sutured, and a healing cap may be placed on top of the implant.

3. Healing and Osseointegration:

- The initial healing phase typically lasts several weeks to a few months(minimum 3 months). During this time, a process called osseointegration occurs, where the jawbone grows around the implant and firmly secures it in place.

- Regular follow-up visits are scheduled to monitor healing and assess the integration of the implant.

4. Abutment Placement:

- After osseointegration is complete and the implant is stable, a second minor surgery may be performed to place the abutment, which is a small connector piece that holds the prosthesis.

- The gum tissue is reopened to expose the implant, and the abutment is attached to it. The gums are then sutured around the abutment, and a two week healing time is taken for the gums to take the shape around the abutment.

5. Crown Attachment:

- Once the gums have healed, impressions of the mouth are taken to design a custom crown that matches the surrounding teeth in terms of shape, size, and color.

- The crown is fabricated in a dental lab and is typically made from materials like porcelain or ceramic, which mimic the appearance of natural teeth.

- On the final visit, the custom crown is attached to the abutment, completing the procedure.

6. Post-Procedure Care:

- Patients are given instructions on how to care for their new implants and crowns, including oral hygiene practices and follow-up appointments for monitoring.

- It's important to maintain regular dental check-ups to ensure the health and longevity of the implant.

The overall time frame for the entire procedure can vary based on individual healing rates and treatment plans.

While dental implants are generally considered safe and effective, there are potential risks and complications, including:

1. Infection: There is a risk of infection at the implant site, which can occur during or after the surgical procedure.

2. Nerve Damage: Improper placement of the implant may cause nerve damage, leading to pain, numbness, or tingling in the surrounding areas.

3. Sinus Issues: Implants placed in the upper jaw can extend into the sinus cavities, potentially causing sinus infections or other complications.

4. Implant Failure: Sometimes, the implant may not properly integrate with the bone, leading to instability or failure of the implant.

5. Bone Loss: If the implant is not properly supported, there may be a risk of bone loss around the implant over time.

6. Allergic Reaction: Some individuals may have allergic reactions to the materials used in the implant.

7. Gum Recession: In some cases, the gum height may reduce around the implant, which can affect aesthetics and oral health.

It is important for individuals considering dental implants to discuss these risks with their healthcare provider to make an informed decision. Regular follow-up care can help manage many of these potential complications.