A dental implant is a replacement tooth that works like a natural tooth in your mouth. It has three main parts: the implant itself (a small screw made of titanium), the abutment (a connector piece), and the crown (the visible part that looks like a tooth). The implant is placed into your jawbone where a tooth is missing. Over several months, your bone grows around the implant, holding it firmly in place. This process is called osseointegration.
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Dental implants have been used since the 1980s and have become one of the most common tooth replacement options. According to the American Academy of Implant Dentistry, over 3 million Americans have dental implants, with about 500,000 more placed each year. The success rate for dental implants is between 90 and 95 percent, making them a reliable option for many people.
The main benefit of implants compared to other tooth replacement methods like bridges or dentures is that they function more like natural teeth. They don't slip or move when you eat or speak. They also help preserve your jawbone, which shrinks when teeth are missing. Unlike a bridge, which requires grinding down healthy teeth, an implant stands alone and doesn't damage neighboring teeth.
The implant process typically takes several months from start to finish. First, your dentist or oral surgeon removes the missing tooth if it hasn't already fallen out. Then, after your bone has healed, they place the implant into your jaw. You'll wait about three to six months while your bone integrates with the implant. Finally, your dentist places the crown on top of the implant, giving you a complete replacement tooth.
Practical Takeaway: Before considering an implant, understand that it's a multi-step process requiring several months of healing. The implant itself is only the foundation—the visible crown is what completes your new tooth. Ask your dentist to explain each stage so you know what to expect.
New Boston dental practices offer several types of implants to meet different patient needs and preferences. The most common type is the endosteal implant, which is placed directly into the jawbone. This type typically looks like a small screw and is the most widely used because it has high success rates and works well for most patients.
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Another option is the subperiosteal implant, which is placed under the gum but on top of the jawbone, rather than into it. This type may be recommended for patients who don't have enough bone height or density to support an endosteal implant. Subperiosteal implants are less common today because bone grafting has improved, but some patients in New Boston may find them useful.
Zygomatic implants are a specialized option for patients with severe bone loss in the upper jaw. Instead of being placed in the upper jaw, these longer implants anchor into the cheekbone (zygomatic bone). While not every New Boston dentist performs this procedure, it may be worth exploring if you've been told you're not a candidate for traditional implants.
Single implants replace one missing tooth and are the most straightforward implant treatment. Multiple implants can replace several teeth in a row. For patients missing all or most of their teeth, implant-supported dentures or bridges use multiple implants to hold a replacement arch of teeth securely in place. These options are more stable than traditional dentures because they don't rely on suction or adhesive alone.
The materials used in implants also vary slightly between practices. Titanium is the standard material because it's strong, durable, and compatible with bone. Some newer implants use zirconia, a ceramic material that some patients prefer for cosmetic reasons since it's tooth-colored rather than metallic. Ask your New Boston dentist which materials they work with and whether your choice of material affects the overall cost or timeline.
Practical Takeaway: The type of implant recommended for you depends on how many teeth are missing and how much bone you have available. Schedule a consultation with a New Boston dentist to discuss which type suits your situation. Bring a list of questions about materials and how long each type typically lasts.
The dental implant process begins with a thorough evaluation by your New Boston dentist or oral surgeon. During this initial visit, they examine your mouth, take X-rays, and may order a CT scan to see the exact shape and density of your jawbone. This helps them determine whether your bone is strong enough to hold an implant or whether bone grafting is needed first. They'll also review your medical history because certain conditions and medications can affect how well implants work.
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If bone grafting is necessary, that happens first and adds several months to the timeline. The grafting material (which may come from your own bone, animal bone, synthetic material, or a combination) is placed in your jaw to build up the bone. You'll need to wait three to nine months for the graft to integrate with your natural bone before the implant can be placed.
Once your bone is ready, your dentist or surgeon places the implant in a surgical procedure. This is done under local anesthesia, twilight sedation, or general anesthesia depending on your preference and the complexity of the case. The procedure typically takes 30 minutes to two hours. Your dentist makes an incision in your gum, creates a small hole in the bone, and carefully places the titanium implant into that hole. The gum is then stitched closed over the implant.
After the implant is placed, you enter the osseointegration phase, which lasts three to six months. During this time, your jawbone grows around the implant and fuses with it, creating a strong foundation for your new tooth. You'll visit your New Boston dentist for follow-up appointments to monitor healing. Most people can return to normal activities within a week or two, though you should avoid hard, sticky, or hot foods near the implant site while it heals.
Once osseointegration is complete, your dentist places the abutment (connector piece) on top of the implant and takes impressions of your mouth to create the crown. The crown is custom-made to match your natural teeth in color, shape, and size. Two to three weeks later, the crown is attached to the abutment, completing your new tooth. From start to finish, the entire process usually takes four to nine months depending on whether bone grafting was needed.
Practical Takeaway: Ask your New Boston dentist for a detailed timeline specific to your situation. If you need bone grafting, plan for extra months. Keep all follow-up appointments during osseointegration—this phase is critical for the implant's long-term success. Ask what signs of problems to watch for during healing.
Dental implants are a significant investment, and cost is often a major factor in deciding whether to pursue them. In New Boston and surrounding areas, a single dental implant typically costs between $1,500 and $6,000, though this range can vary based on the complexity of your case, the dentist's experience, and the specific materials used. This price usually covers only the implant and abutment—the crown typically costs an additional $500 to $3,000.
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If you need bone grafting before the implant can be placed, add $500 to $3,000 more to the total cost. For patients who need multiple implants or implant-supported dentures, costs multiply accordingly. A full mouth of implant-supported teeth can cost $20,000 to $100,000 or more, depending on how many implants are needed and the complexity of the case.
Dental insurance coverage for implants varies widely. Many insurance plans don't cover implants at all because they're considered cosmetic or elective. Some plans cover part of the cost, such as the crown portion, but not the surgical implant placement. Others may cover implants only in specific situations, such as after an accident or injury. Review your insurance policy or call your insurance company to find out what coverage you may have. Your New Boston dentist's office can also help you understand your benefits by submitting a pre-treatment estimate to your insurance company.
If your insurance doesn't cover implants, several payment options may be available. Many dental offices offer payment plans that let you
This guide is for general information only and is not medical, financial, legal, or other professional advice. For decisions specific to your situation, consult a qualified professional. See our Editorial Policy.