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Oral Surgery

Dental Implants Provider Waterloo

Patients looking to replace missing teeth or a solution for removable dentures (both partial and complete) often turn to dental implants, which also provide superior support for these dental appliance (known as implant supported or implant retained dentures).

Replacing Missing Teeth

So what are dental implants? They are artificial teeth and roots, often made from titanium, your dentist or periodontist will place into your upper or lower jaw bone in surgery. A crown or bridge are used to cover the implants to look natural, and to greatly enhance your smile. The implants will last quite a long time, as they are strong and durable, though your dentist may have to tighten or replace them as a result of normal wear.

You May Want to Get Dental Implants To:

  • Replace missing teeth without affecting adjacent teeth
  • Resolve joint pain or bite problems your teeth caused by shifting into spaces where other teeth were missing
  • Restore your confident smile
  • Restore chewing, speech, and digestion
  • Enhance or restore facial tissues
  • Support and secure a bridge or denture, making them more comfortable
A dentist explaining a dental implant plan to a patient using a panoramic x-ray
The Procedure

What Does Getting Dental Implants Involve?

The complete process of receiving dental implants takes place during multiple dental appointments over several months. During these appointments, your dentist will take x-rays and impressions of your jaw and teeth. This will help them determine the bone, gum tissue, and spacing they have available for the dental implant.

During the surgical procedure itself, your dentist or periodontist will numb the area and insert the dental implant into the bone. Afterwards, the implant will need up to six months to heal and integrate itself into the jaw bone. You may also require a second surgery, depending on the type of implant. This second surgery is to place a “post” to hold the dental implant in place. Some implants already have the anchor and post attached, which is why they only require one surgery.

Your dentist will fit the crown to the post portion of the anchor after the area has healed (this generally takes a few weeks). Since you may need more than one fitting, this part of the process can take one to two months to complete. The artificial teeth, once attached to the implant, will provide superior stability and enhance the patient’s comfort.

Once your dentist completes the treatment, they will provide you with detailed after-care instructions. To help maintain the quality and life of your new dental implant, be sure to engage in good oral hygiene, healthy eating habits, and regular appointments with your dentist.

The Basics

What Exactly Is a Dental Implant?

A dental implant has three parts. The implant itself is a small titanium post that's placed into the jaw bone, where it acts like the root of a natural tooth. The abutment is the connector piece that screws onto the top of the implant once the area has healed. The crown is the visible tooth that's attached to the abutment and shaped to match your natural smile.

What makes an implant different from a bridge or a denture is that it stands on its own. It doesn't lean on the neighbouring teeth, and it doesn't sit on the gum. Because the titanium post is integrated into the jaw bone, an implant also helps preserve the bone around it. When a tooth is missing for a long time, the underlying bone gradually shrinks, and an implant is the only option that prevents that change.

Implants can replace a single tooth, several teeth in a row (with an implant-supported bridge), or a full arch (with an implant-supported denture). The plan we build depends on your bone, your bite, your overall health, and what you want from the outcome.

Is This the Right Treatment?

Who Is a Good Candidate for Dental Implants?

Most adults in reasonable general health are candidates for at least one type of implant treatment. The two things we look at first are the volume and quality of jaw bone in the area, and the overall health of your gum tissue. We take a 3D scan or a panoramic x-ray at the consultation to measure both.

You're likely a good candidate if you:

  • Have one or more missing teeth and would prefer something fixed rather than removable.
  • Have adequate jaw bone volume, or are willing to consider a bone graft to build it up.
  • Have healthy gum tissue (any active gum disease needs to be treated first).
  • Are in reasonable general health and don't smoke heavily.
  • Have well-controlled blood sugar if you have diabetes.
  • Are committed to a thorough home-care routine and regular check-ups.

Heavy smoking, uncontrolled diabetes, untreated gum disease, and certain medications (notably bisphosphonates for osteoporosis) can complicate implant healing. We'll go through your medical history at the consultation and tell you straight if implants aren't the right call for your situation, or what we'd need to do first to make them a safer option.

Long-Term Care

Caring for Your Dental Implant

Once an implant is restored with its crown, you treat it much like a natural tooth. Brush twice a day with a soft-bristled toothbrush, floss around the implant daily (we'll show you the technique), and come in for your regular cleanings. An implant doesn't get cavities, but the gum and bone around it can still develop a form of gum disease called peri-implantitis, which is what we monitor for at your recare visits.

Two habits matter most: floss or use a small interdental brush around the implant every day, and don't skip your six-month cleanings. Plaque buildup under the gum around an implant is the single biggest reason implants fail long-term, and your hygienist can usually catch and reverse early peri-implantitis at a routine visit.

Avoid biting directly into very hard foods (ice, hard candies, unpopped popcorn kernels) with the implant crown. If you grind or clench at night, ask us about a custom night guard. Implants can withstand normal chewing forces well, but grinding loads can damage the crown or, in rare cases, fracture the implant body itself over time.

With consistent home care and regular maintenance, dental implants are designed to be long-lasting. Many implants placed in healthy patients with good home care are still functioning well decades later. The crown on top sometimes needs replacing before the implant body does, simply because of normal wear over the years.

Fees & Coverage

Cost and Insurance Coverage

Implant fees come down to a few factors: how many teeth need replacing, whether any prep work is needed first (a bone graft, a sinus lift, or treating gum inflammation), the crown material, and where the implant sits in the mouth. We follow the current Ontario Dental Association (ODA) Suggested Fee Guide and give you a written treatment estimate at the consultation so you can see what's involved at each stage.

Implant coverage varies more between insurance plans than coverage for almost any other treatment. Some plans include implants under major restorative, others exclude them entirely, and many cap the annual benefit well below the full fee. We do a pre-determination with your insurer before treatment so you know what's covered before you commit. The federal Canadian Dental Care Plan (CDCP) covers some implant-related procedures for eligible Canadians, and we can review your specific coverage at the consultation. If you'd like to spread the cost, ask us about payment options.

Common Questions

Dental Implants — Frequently Asked Questions

How long does the whole implant process take?

Start to finish, a typical single implant case takes four to nine months. The implant itself is placed in one appointment, and then the bone needs three to six months to integrate with the titanium post before the crown can be attached. If a bone graft is needed first, add another three to four months for healing before implant placement. We give you a clear timeline at the consultation based on your specific case.

Is implant placement painful?

The area is numbed with local anesthetic during the procedure, so you should not feel discomfort while we're working. Most patients are surprised by how comfortable the appointment is. Some swelling and tenderness for two or three days afterward is normal, and over-the-counter pain medication usually covers it. We give you written post-op instructions and a follow-up appointment at one week to check healing.

How long will the implant last?

An implant that integrates well and is cared for properly is designed to be long-lasting. Many implants placed decades ago are still functioning today, though the crown on top usually gets replaced once or twice over that timeframe as a normal part of wear. The main thing that shortens an implant's lifespan is gum disease around the implant, which is preventable with consistent home care and regular cleanings.

Can I get an implant if I have bone loss?

Often, yes. If we don't have enough bone volume to place an implant safely, a bone graft can build up the area first. The graft material is placed where bone is missing, and it takes three to four months to integrate with your existing bone before the implant goes in. In the upper jaw, a sinus augmentation procedure does something similar by raising the floor of the sinus to create more vertical bone for an upper-back implant.

Do implants get cavities?

The titanium implant body and the porcelain or ceramic crown can't decay the way a natural tooth can. What can happen is gum disease around the implant — peri-implantitis — where bacteria under the gum cause inflammation and gradual bone loss. The home care is similar to caring for natural teeth, but skipping daily flossing around an implant is one of the most common reasons for late-stage problems.

Implant or bridge: how do I decide?

An implant stands on its own and preserves the surrounding bone, but it requires surgery and a longer total treatment time. A bridge avoids surgery and is usually done in two visits, but it requires shaping the neighbouring teeth as anchors and doesn't preserve bone underneath the gap. We talk through both options at the consultation, along with the relevant clinical findings, so you can make an informed choice for your situation.