Quick Answer
Yes, 65 year olds can have dental implants if they are healthy enough. There is no specific age cutoff for getting dental implants. As long as the person is healthy enough for surgery and has sufficient bone density in their jaw to support the implants, implants can successfully be placed even in older patients. Proper oral hygiene and regular dental visits should continue after getting implants.
Explanation
Dental implants are artificial tooth roots placed into the jawbone to hold a replacement tooth or bridge in place. They are secured in the bone and fuse to the natural bone over time. Implants provide a strong, permanent foundation for fixed tooth replacements.
Age alone does not preclude someone from getting dental implants. More important factors are the patient’s overall health and oral health. Dental implants require minor surgery, so the patient needs to be healthy enough for this. Older patients may need clearance from their primary care doctor first.
Bone density is also a consideration, as there must be sufficient bone density in the jaw to stabilize the dental implants. Older patients are more likely to have experienced some bone loss or osteoporosis. If bone density is too low, a bone graft may be needed to build up the implant site first before the implant can be placed.
As long as proper precautions are taken into account for the age and health of the patient, dental implants can be a good tooth replacement option for 65 year olds. With a skilled dentist, even patients in their 70s, 80s and beyond can have dental implant success.
Ideal implant candidate
The ideal candidate for dental implants is someone who:
- Is in good general and oral health
- Does not smoke
- Has adequate bone density in the jaw
- Has healthy gums and proper occlusion (bite)
- Practices excellent oral hygiene and gets regular dental exams & cleanings
Age alone does not disqualify someone from dental implants, as long as the above criteria are met. People with well controlled chronic illnesses may also make good candidates with their doctor’s approval.
Benefits of dental implants for older adults
Dental implants offer several benefits that make them a good tooth replacement choice as you get older:
- Preserve facial structure – Implants help prevent bone loss after tooth loss, preserving the look of your smile.
- Retain bite force – The ability to bite and chew is maintained with implants unlike removable dentures.
- Protect healthy teeth – Adjacent teeth don’t need grinding down for bridges.
- Permanent solution – Implants are fixed in place and feel like natural teeth.
- Improve nutrition – Better chewing ability supports proper nutrition and weight management.
- Boost self-esteem – Many patients report implants improve their self-confidence and social life.
For older adults looking to restore their smile, dental implants provide a strong, natural looking and feeling tooth replacement option.
Implant success rates by age
Dental implant success rates remain high for older adults. According to research published in the International Journal of Oral and Maxillofacial Implants, the cumulative success rate of dental implants by age group are:
- Under 60 years old: 95.2% success rate
- 60-69 years old: 94.8% success rate
- 70-79 years old: 89.7% success rate
- Over 80 years old: 86.7% success rate
As you can see, success rates are consistently over 85% even for those over 80. Following proper protocols and with an experienced dentist, age does not preclude someone from dental implant success.
Risks & challenges for older adults getting implants
While dental implants are possible for 65+ year olds, there are some risks and challenges to consider:
Lower bone density
Older adults are more likely to have some degree of bone loss, which can reduce the stability and longevity of dental implants. A bone graft may be recommended to build up bone prior to implant placement.
Higher risk of postoperative complications
Older patients have slightly higher rates of post-op complications like infection following implant surgery. Strict antiseptic protocols must be followed to minimize this risk.
Longer healing times
The older you are, the longer it takes your body to heal from oral surgery. For 65+ adults, healing could take several additional weeks versus younger patients.
Higher incidence of chronic diseases
Certain conditions like diabetes or heart disease increase surgical risks. Your dentist will determine if your health status is optimized for implants.
Possibility of needing a sinus lift procedure
Some older individuals will need a sinus lift prior to getting upper back implants, due to more advanced bone loss in that area. This adds time and cost to treatment.
Periodontal disease risk
Gum disease is more prevalent in older populations. Severe gum disease must be treated before getting implants.
Cost and number of implants
Full mouth implant cases can be cost prohibitive for those on fixed incomes. Getting even 2-4 strategic implants for key teeth may make the most financial sense.
Preparation for getting implants after age 65
Anyone considering dental implants after age 65 should:
- Get evaluated ASAP if interested, as bone loss progresses with time
- Have a consultation to assess your unique situation
- Get medical clearance from your doctor if you have any health issues
- Have any gum disease treated before undergoing implant surgery
- Ask your dentist if bone grafting is recommended
- Discuss medications – some must be stopped before surgery
- Plan for a longer healing time for your age group
- Arrange for transportation to and from surgery
Proper planning and preparation is key to reducing risks and achieving successful dental implants after the age of 65.
Costs & financial considerations
Dental implants have an upfront cost that can range from $1,500 – $6,000 per implant. This includes the implant post, abutment and crown. Additional costs may include:
- Bone grafting – $500 – $2,000 per site if needed
- Sinus lift – $500 – $2,000 if needed for upper implants
- Extractions – if teeth need removing before getting implants
- Temporary denture during the healing period
For older adults on a fixed income, here are some tips to manage the costs of implants:
- Get strategic implants just for key anchor teeth instead of a full-arch
- Ask if dental schools offer discounted treatment
- Inquire about financing options from your dentist
- Look into dental tourism in Mexico or Costa Rica if affordable
- Apply for medical credit cards or personal loans if qualified
Dental implants are an investment, but can provide a lifetime of service and benefits if done right. For many older adults, implants are worthwhile for the preservation of their smile, confidence and oral health.
Recovery, healing time & aftercare
The dental implant process takes 4-6 months to fully complete. Healing time is a bit longer for older patients.
Initial healing: 2-3 months
After placement, implants need 2-3 months for osseointegration, where the bone fuses to the implant surface. Limited pressure can be applied during this period. Temporary dentures or a flipper may be used.
Restoration: 2-3 weeks
The abutments and crowns are placed once implants have integrated. You’ll have some post-op sensitivity and swelling during the initial 2 weeks. Avoid hard foods on the implants during this time.
Ongoing care: 6+ months
It takes about 6 months for implants to feel fully stable and comfortable. Excellent oral hygiene must continue for the life of the implants. Regular checkups every 6 months are a must.
Your dentist will provide detailed instructions on properly caring for your implants and any restrictions after your procedure. Following all post-op guidelines is crucial to the long-term success of your dental implants.
Finding the right implant dentist
Choosing the right implant dentist is key for those considering implants after 65. Look for an experienced implantologist that meets the following criteria:
- Advanced training in implant dentistry
- Years of experience placing implants
- Specializes in complex cases like seniors
- AAAOC accredited facility preferred
- Offers 3D imaging and implant planning software
- Knowledgeable about managing periodontal disease
- Uses meticulous infection control
- Caring chairside manner and excellent communication skills
- Accepts your dental insurance if you have any
Carefully vet any dentist before agreeing to implants. Ask to see a portfolio of implant cases completed. Feel free to get second opinions if uncertain. For those over 65, choosing the most qualified implant professional is a smart investment.
Alternatives to dental implants
For those who are not candidates for implants, alternative tooth replacement options include:
Removable partial or full dentures – Acrylic and metal dentures that rest on the gums. Lower cost but less comfortable.
Fixed dental bridges – False teeth fused between two crown-capped abutment teeth. Requires grinding down healthy teeth.
Overdentures – Dentures that clip onto two or more implants for added stability. Less invasive than fixed implants.
Discuss pros and cons of all options with your dentist. For some patients, alternatives like partial dentures or an overdenture supported by 2-4 implants may offer sufficient restoration at a lower cost.
When implants may not be advisable
Dental implants are typically not recommended for:
- People with severe heart issues who cannot undergo minor surgery
- Individuals with chronic conditions that are not well managed medically
- Those with severe bruxism or teeth grinding habits
- Patients with active gum disease or osteonecrosis
- Cases with extremely low bone density requiring substantial grafts
- Heavy smokers unwilling or unable to quit smoking
- Patients unable to commit to excellent lifelong oral hygiene
- Individuals with certain autoimmune disorders
A comprehensive oral exam and assessment of your medical status will determine if implants are right for your situation. Be sure to share your full health history with your dentist.
Conclusion
While dental implants are more challenging for older patients compared to younger individuals, they can still be a very suitable tooth replacement option for most 65+ year olds in good health. With careful planning and an experienced implant dentist, older patients can achieve excellent long term results with dental implants. Considering implants sooner rather than later is advisable, before bone loss progresses further. With proper maintenance and care, implants can restore your smile for decades to come.