Everything To Know About How A Tooth Implant Works (2024 Guide)

How does a tooth implant work? This guide explains the basic steps, who benefits, the tech that improves outcomes, and when to see a specialist for a safe, lasting tooth replacement.

How a tooth implant works — step-by-step

1. Initial exam and digital planning

Your dentist will review your health history and take 3D images with a Cone Beam CT (CBCT) and digital intraoral scans. These scans map bone, nerves, and sinus anatomy so the team can plan the best implant position and size.

2. Implant placement

During surgery, a small pilot hole is made and carefully widened to fit the implant. The implant — usually titanium or ceramic — is placed into the jawbone. Many providers use guided surgery or real-time navigation to match the plan exactly and reduce risk.

3. Healing and osseointegration

Over weeks to months, bone grows onto the implant surface in a process called osseointegration. This locks the implant in place. Typical healing time for most sites is about 3–6 months, though front or grafted sites can take longer.

4. Abutment and final crown

After healing, an abutment connects the implant to the final crown or prosthesis. The crown is custom-made to match your bite and look. At the final visit, the dentist checks fit, bite, and appearance before cementing or screwing on the restoration.

Who is a good candidate and what to expect

Common signs you might need an implant include a missing tooth, a loose denture, or trouble chewing. Good candidates are in generally good health and have enough jawbone to support an implant.

If you have bone loss, your dentist may recommend a bone graft or sinus lift to build up the site. Smoking, uncontrolled diabetes, or certain medications can affect success and may need medical clearance.

Quick comparison:

Implant: Most durable, preserves bone, requires routine cleaning, higher upfront cost but long-term value.
Bridge: Faster, replaces nearby teeth but may require altering healthy teeth and does not stop jawbone loss.
Denture: Lower cost, removable, less stable, may need relines and replacement over time.

Safety, comfort, and tech that improves results

Modern tools make implants safer and more comfortable. Key technologies include:

Cone Beam CT & photogrammetry for precise 3D planning.
Guided systems (chrome-guided, InstaRisa, X-Nav) and robotic/Yomi assistance for accurate placement.
TRIOS intraoral scanners, 3D printing, and in-house milling for fast, precise restorations.
Diode lasers for less invasive soft-tissue work and quicker healing.
Smile simulation and facial scanning to plan esthetics before surgery.

Sedation options range from local anesthesia to IV sedation for anxious patients. Practices follow safety protocols, monitoring, and emergency training to keep care safe and comfortable.

About the practice and next steps

Dr. Brian Ferber, DMD, earned his DMD from the University of Pennsylvania (National Board Achievement Award), completed a Fellowship in Advanced Implant Dentistry, advanced oral surgery and bone grafting training, and IV sedation training. He maintains evidence-based care, ongoing education, and professional certifications focused on implant safety and outcomes.

Ferber Dental Group in Greenacres, FL has placed 20,000+ implants and uses in-house CBCT, photogrammetry, 3D printing, and diode lasers to deliver precise, minimally invasive treatment.

If you have a missing tooth, loose denture, or ongoing bite problems, schedule a consult. Bring recent x-rays and a list of medications or medical history. Book an implant evaluation to review options, timing, and a personalized plan.