Implant treatment requires precise planning to ensure that the implant is in the correct position and the crown, bridge or denture is of the correct design to produce a stable replacement for the missing teeth.  Xrays and measurements must be taken to ensure that there is sufficient strong bone to support the implant.  The procedure involves drilling a hole in the jawbone into which the implant is placed.  As the jawbone heals it fuses with the implant.  Some months later the implant is exposed and an attachment is placed onto the implant which carries the crown or bridge or denture.  The crown or bridge is usually permanently attached to the implant by screwing or cementing it on, whilst a denture is clipped onto the implants and can be removed for cleaning.

An implant should last a lifetime if it becomes fused to the surrounding bone. The crown, bridge or denture which the implant carries, will require replacement in the usual way after 10 or more years.

As with any area of dentistry implant treatment can be unsuccessful. Sometimes the implant loosens because it has not fused with the bone. This may be because of an infection surrounding the implant or because there was insufficient good quality bone to secure it.  A major risk factor in implant failure is smoking, and every effort should be made to stop smoking before implants are provided.  The crown, bridge or denture must be carefully designed to minimize the stresses placed on the implants. If they are poorly designed will cause the implants to become overloaded.  Implants may be placed in an incorrect position and become overloaded which may also lead to failure.  The site at which the implant protrudes through the gum into the mouth, is susceptible to infection and must be kept thoroughly clean to prevent this. The crown, bridge or denture may loosen if not properly connected to the supporting implants.  Implants should be successful if properly planned and executed and are an effective and aesthetic method of replacing missing teeth, without involving or damaging the adjacent teeth.