How It Works, Step by Step
Dental implants replace a missing tooth with a titanium post set into the jaw, topped with a custom crown. For a single implant, treatment usually runs over three to six months where the bone is healthy, and longer if bone grafting is needed.
Here’s what happens at each stage and how long it takes. If you’d rather talk it through, book a consultation and we’ll map out your pathway.
What Are the Steps in the Dental Implant Procedure?
The exact sequence depends on whether there’s enough healthy bone, and whether the implant can be placed straight after an extraction. The Australian Dental Association explains that the jawbone grows around the implant over roughly three months before the new tooth is attached.1
1. Consultation and assessment (30–60 minutes)
Your dentist reviews your medical and dental history, examines your mouth and takes digital X-rays and a CBCT (3D) scan. This shows bone quality, gum health and your bite, so your treatment can be planned precisely.
2. Tooth extraction (if needed)
If the damaged tooth is still present, it’s removed. Sometimes the implant can be placed at the same visit. Otherwise the site heals for 6 to 12 weeks, or longer if a graft is needed.
3. Bone graft (if needed)
If there isn’t enough bone, graft material is placed and often covered with a collagen membrane. The graft heals for 3 to 9 months before the implant goes in.
4. Implant placement (30–90 minutes)
Under local anaesthetic, your dentist makes a small incision, prepares the bone with precision drills and inserts the titanium implant. The gum is then closed over the implant, or a healing cap is attached. Sedation is available if you’re anxious. Expect mild tenderness or swelling for a few days.
5. Osseointegration (healing)
The implant bonds with the jawbone, typically over 2 to 4 months in the lower jaw and 3 to 6 months in the upper jaw. Your dentist checks the implant is stable before moving on. You can usually wear a temporary tooth in the meantime.
6. Healing abutment (if not already placed)
A small incision is made and a healing cap is fitted to shape the gum around the implant. This takes about 2 to 3 weeks to settle.
7. Digital scan or impression
A digital scan or conventional impression is taken to make your custom dental crown. At selected No Gaps Dental clinics, the crown can be designed and made in-house with CEREC technology; otherwise it’s made by a dental laboratory.
8. Abutment and crown
The final abutment is attached, the crown is fitted and adjusted, and your bite is checked carefully. This completes the restoration.
Not sure which of these stages apply to you? Book an appointment and your dentist will confirm your pathway after a 3D scan.
How Long Does the Dental Implant Procedure Take?
Overall timing depends mostly on the condition of your bone. As a guide:
| Situation | Approximate time |
|---|---|
| Immediate implant with good bone | 3–6 months |
| Extraction, then implant | 4–8 months |
| Bone graft, then implant | 6–12 months |
| Complex grafting or sinus lift | 9–15 months |
What If I Need a Bone Graft or Re-Graft?
If a previous graft hasn’t taken, your treatment usually follows one of two pathways:
- If enough bone remains: re-grafting and implant placement may be done in the same surgery.
- If there’s significant bone loss: re-grafting is performed first, followed by several months of healing before the implant is placed.
Your dentist confirms which pathway suits you from your 3D scan, as bone levels differ for every patient.
How Successful Are Dental Implants?
Dental implants have well-documented long-term results. A 2019 systematic review found that around 96% of implants were still in place after 10 years.2 “Success depends on adequate bone, good oral hygiene, controlling conditions such as diabetes, and avoiding smoking, and we always need to consider your general health,” says Dr Hussein Chamas.
As with any surgery, there are risks, such as infection or, rarely, nerve irritation. The ADA also highlights peri-implantitis, inflammation of the gum and bone around the implant, which is why daily cleaning and regular check-ups matter.1 See our guide to the benefits and risks of dental implants for the full picture.
Frequently Asked Questions
Does getting a dental implant hurt?
The procedure is done under local anaesthetic, with sedation available. Most people feel mild tenderness or swelling for a few days, usually managed with an ice pack, pharmacy pain relief and soft foods.
How many appointments will I need?
A straightforward single implant involves several visits: consultation, implant placement, healing checks, the scan and the crown fitting. Extra appointments are needed if you require an extraction or bone graft.
Can I have a temporary tooth while the implant heals?
In most cases, yes. Your dentist will discuss temporary options at your consultation.
How much does a dental implant cost?
A single implant in Sydney typically costs $3,000 to $7,000. Our cost of dental implants guide explains what’s included and what extras may apply.
Considering Dental Implants in Sydney?
Our dentists in Sydney across 18 locations can explain your options and help you decide whether dental implants are right for you. Book a consultation or call (02) 8007 6727 today.
Important Information
All dental treatments have potential risks and limitations. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. Time frames are a general guide; your treatment plan depends on a clinical assessment.
Sources & References
- Australian Dental Association. Dental implants. teeth.org.au/dental-implants
- Howe M-S, Keys W, Richards D. Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis. Journal of Dentistry. 2019;84:9–21. doi.org/10.1016/j.jdent.2019.03.008
