Dental implants: the process step by step

What happens during dental implant treatment, from the first exam to the final crown, how long it usually takes and questions to ask.

A dental implant replaces the root of a missing tooth with a small post, usually titanium or zirconia, that is placed in the jawbone. Once the bone has bonded to the post, a crown, bridge or denture is attached to it. Treatment is spread over several visits and often several months.

1. Exam and planning

The dentist or specialist reviews your medical history, examines your mouth and takes X-rays, often including a 3D cone-beam scan, to measure the bone and locate nerves and sinuses. This is when you should hear about alternatives such as a bridge or partial denture, the expected number of visits and a written cost estimate.

2. Preparing the site

If a damaged tooth is still present it is removed. When there is not enough bone, a bone graft or sinus lift may be recommended first; grafts usually need time to heal before the implant goes in.

3. Placing the implant

Under local anesthetic (sometimes with sedation), the post is placed into the bone. In some cases a temporary tooth is attached the same day; more often the site is left to heal.

4. Healing (osseointegration)

Over the following weeks to months the bone grows around the implant. Healing time varies with the location, bone quality and your general health. Smoking and poorly controlled diabetes are known to raise the risk of problems.

5. Abutment and crown

A connector called an abutment is attached and impressions or digital scans are taken. The final crown, bridge or implant-supported denture is then made and fitted.

Looking after an implant

Implants cannot decay, but the gum and bone around them can become inflamed (peri-implantitis). Brushing, cleaning between teeth and regular check-ups matter as much as with natural teeth.

Who places implants?

General dentists, oral surgeons, periodontists and prosthodontists may all be involved. Ask who will do each step and how many implants they place.

Frequently asked questions

How long does the implant process take?

From extraction or placement to the final crown it commonly takes several months, mainly because the bone needs time to heal around the implant. Same-day temporary teeth are possible in some cases.

Does getting an implant hurt?

Placement is done under local anesthetic and sometimes sedation. Soreness and swelling for a few days afterwards are common; your dentist will explain what pain relief to use.

Can anyone get an implant?

Not always. Bone volume, gum health, smoking and some medical conditions affect suitability. A bone graft can sometimes make an implant possible.

Does insurance cover implants?

It depends on the plan. Some dental plans pay part of the cost, others exclude implants or apply waiting periods and an annual maximum. Ask the office for a pre-treatment estimate.

General information only, not reviewed by a dentist and not medical advice. Last updated October 2026. Editorial policy