Dental implants explained: is oral surgery required?

Dental implants are one of the most requested treatments in modern dentistry, offering a long-term, natural-looking replacement for missing teeth. But because implant placement involves a surgical procedure, many patients want to understand exactly what's involved before committing to treatment.

      What is a dental implant?

      A dental implant is a small titanium post, surgically placed into the jawbone, which acts as an artificial tooth root. Once it has fused with the surrounding bone, a process called osseointegration, a crown, bridge, or denture can be attached to it, restoring both function and appearance.

          Why does placing an implant require surgery?

          Because the implant needs to be positioned securely within the jawbone itself, placement is a minor surgical procedure. It's typically carried out under local anaesthetic, with sedation available for anxious patients, and involves:

          1. Careful planning using imaging (often a CBCT scan) to map the exact bone structure and position
          2. Making a small opening in the gum to access the bone
          3. Precisely placing the implant into the jawbone
          4. Closing the gum tissue over or around the implant, depending on the technique used
          5. A healing period, typically several months, before the final restoration is attached

            Why might a specialist be involved?

            Many implants are planned and placed within general practice. However, cases are often referred to a specialist when:

            • Bone volume is limited and grafting is required to support the implant
            • The implant site is close to important anatomical structures, such as the nerve in the lower jaw or the maxillary sinus in the upper jaw
            • Multiple implants are needed, or the case involves complex planning
            • The patient has medical factors that add complexity to treatment
            • A previous implant has failed and needs specialist assessment

            Specialist involvement at the planning stage, rather than only when something goes wrong, tends to produce the most predictable, long-lasting results, particularly for anything beyond a straightforward single-tooth case.

              Do I need bone grafting?

              Not always. Bone grafting is only needed when there isn't enough bone volume or density to support an implant securely, often the result of bone loss following tooth extraction, gum disease, or long-term denture wear. We'll be covering bone grafting in detail in an upcoming post, as it's one of the most common questions we're asked about implant treatment.

                  What does recovery look like?

                  Immediately after placement, mild swelling, tenderness, and bruising are common for a few days, similar to a surgical extraction. Most patients return to normal activities within a day or two. The implant then needs a period of several months to fuse fully with the bone before the final crown or restoration is fitted; this healing time is essential to the long-term success of the implant.

                    Are dental implants right for me?

                    Implants are suitable for many, but not all, patients. Suitability depends on factors such as bone volume, gum health, certain medical conditions, and smoking status, all of which we assess thoroughly before recommending treatment. A detailed consultation, including imaging, is the only reliable way to know whether implants are the right option for your specific situation.

                      Getting started

                      If you're considering dental implants, or have been referred for specialist assessment, the first step is always a thorough consultation to understand your bone structure, oral health, and treatment goals.

                      Interested in dental implants? Book a consultation with our specialist team to find out if you're a suitable candidate.


                        This article is written for general information and does not replace individual clinical advice. Please consult our specialist team or your own dentist about your specific circumstances.

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