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Appointments From Start to Finish (if no tooth extraction needed)

First Appointment (step A)
The first visit consists of a consultation. During the visit radiographs, "dental x-rays", are obtained and the area where implants will be placed is evaluated to make sure that the quality of the bone is good and quantity of the alveolar bone is sufficient to support a dental implant and any forces that will be exerted on it.  A diagnostic impression is also obtained.

Second Appointment (step B)
The implant is placed and in the jaw and allowed to heal and integrate with the surrounding bone. The time it takes for a dental implant to integrate with the surrounding jaw bone (alveolar bone) varies from patient to patient.  Some of the main factors that can affect healing include the location of placement, health of the individual, quality of bone (good blood supply, soft malleable bone vs. poor blood supply, rigid bone), health of the surrounding area where implant is placed, type of dental implant used, and oral hygiene of the implant recipient. All these factors can determine how fast and how well the dental implants will integrate.  After a dental implant is placed it can take anywhere from 3 to 6 months before the final restoration is completed. Healing time will vary from 3-4 months in the lower jaw to 4-6 months in the upper jaw.  Implant placement surgery is completed with just local anesthesia and the whole procedure is performed under sterile conditions.  Learn about immediate loading dental implants.

Third Appointment (step C)
Impression for a crown is obtained. The dentist will attach an impression piece to the implant and obtain a dental impression for the crown or a bridge.  In case an overdenture or an implant supported denture, as it is commonly known, will be the final prosthesis the denture fabrication process begins with the final impression of the surrounding tissues and dental implants.

Fourth Appointment (step D)
Crown or dental bridge is tried in to confirm a perfect fit, good color match with surrounding teeth, and is cemented permanently.

An implant-supported denture with the teeth set in wax would be evaluated for esthetics, function, proper speech and stability.  Adjustments are made in needed.  Any changes to the position of teeth to improve esthetics, functionally, and speech should be made during this visit. Denture is sent to a dental laboratory for processing.

Fifth Appointment (step E)
Implant-supported denture is delivered. Movement of denture teeth cannot be completed because they are permanently set in hard acrylic.  Special overdenture fixtures are attached to the dental implants and the denture is tried in.  The implant-supported denture should have excellent stability.  The dentist can modify the retention of the denture if necessary. Slight bite adjustment will be made to ensure an even bite.


Appointments From Start to Finish (with tooth extraction)

First Appointment
The first visit consists of a consultation. During the visit radiographs, "dental x-rays", are obtained and the area where implants will be placed is evaluated to make sure that the quality of the bone is good and quantity of the alveolar bone is sufficient to support a dental implant and any forces that will be exerted on it. A diagnostic impression is also obtained.

Second Appointment
The tooth or teeth are extracted. During the initial evaluation, if it was found that the conditions are favorable for same day implant placement, the procedure can be completed. The implant is placed and in the jaw and allowed to heal and integrate with the surrounding bone. The time it takes for a dental implant to integrate with the surrounding jaw bone (alveolar bone) varies from patient to patient.  Some of the main factors include the location of placement, health of the individual, quality of bone (good blood supply, soft malleable bone vs. poor blood supply, rigid bone), health of the surrounding area where implant is placed, and oral hygiene of the implant recipient. All these factors can determine how fast and how well the dental implants will integrate.   After a dental implant is placed it can take anywhere from 3 to 6 months before the final restoration is completed.

(Go to step C above for next step)

If however, conditions do not favor immediate placement of dental implants after extraction of teeth, bone graft is placed and the area is sutured and allowed to heal.  Healing time will vary upon health of the patient as well as oral hygiene. The average time for an extraction site to heal and be ready for implant placement is about 6 weeks.  After the healing is complete, the site is ready for placement of dental implants.

(see step B above for next step)


Sometimes additional steps and costs are needed to prepare an area of the jaw for placement of dental implants.

  1. Extraction of a tooth which will be replaced by the implant.
  2. Bone grafting of an extraction site to allow for  a more favorable area for placement of an implant.
  3. Alveolar ridge augmentation.  Grafting bone from other regions of the body  to allow more surface area and increased amount of bone for superior implant stability and future success of the implant.
  4. Sinus augmentation with a bone graft.  Specifically done on the upper back teeth.  This procedure increases the amount of bone  where the implant can be safely placed and provide proper support.

These procedures constitute additional cost to the patient.  Speak to your clinician to determine if you will need any of these procedures and inquire about possible additional costs.

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