There are a few ways you can potentially tell if someone has dental implants as opposed to natural teeth. While it’s not always obvious, some signs to look for include:
Appearance of the Teeth
Implants often look very natural and similar to the surrounding teeth. However, you may notice:
- The color, shape, or size of the crown (visible part) differs from the natural teeth
- No gaps or spaces between implant crowns compared to natural teeth which are usually more unevenly spaced
- Implant teeth may appear whiter or more perfect than natural teeth
- You may see a slight color difference at the gumline of the implant tooth compared to the adjacent teeth
Feel of the Implant Tooth
Dental implants are made from titanium posts fused to the jawbone, with porcelain crowns attached to the posts. As a result:
- The implant tooth feels harder and less flexible than a natural tooth
- It does not give or wiggle at all when touched or tapped
Examining the Gum Tissue
Looking closely at the gums around the tooth, you may notice:
- The gum tissue around the implant crown is more compact and tight compared to around a natural tooth
- You may see a small scar in the gum from the implant procedure
- No apparent gap between the crown and the gum tissue, whereas natural teeth have a visible gap above the gumline
Using Dental X-Rays or CT Scans
Dental x-rays or CT scans can clearly show the presence of a titanium implant screw fused to the jawbone. With natural teeth, only the tooth roots and surrounding bone are visible on x-rays.
Asking the Person Directly
Simply asking someone if they have dental implants is usually the easiest way to find out. Many people are open about having had implant procedures. The American Dental Association reported that over 5 million implants are placed per year in the US.
Why People Get Dental Implants
There are several reasons people may get dental implants:
- To replace one or more missing teeth
- To support a dental bridge
- To stabilize a loose or ill-fitting denture
- To restore chewing ability and correct bite alignment
- For cosmetic reasons to improve smile appearance
Implants are an alternative to options like removable partial dentures and bridges anchored on adjacent teeth. They provide more natural tooth function and feel than those options.
Overcoming Challenges with Dental Implants
Some conditions can make getting a successful dental implant more challenging. However, skilled dentists can often still place implants by using advanced techniques:
- Reduced bone density – Smaller diameter or angled implants can avoid bone grafting
- Gum disease – Treating periodontal disease first controls infection
- Limited space – Compact implant sizes allow placement in tight areas
- Sinus cavity proximity – Angled implants avoid encroaching on sinus spaces
- Smoking – Patients may be advised to quit smoking before and after implant procedures
Types of Dental Implants
There are a few main types of implants:
| Implant Type | Description |
|---|---|
| Endosteal | Most common type. Screw or cylinder shaped and surgically placed in the jawbone. |
| Subperiosteal | Placed on top of the jaw with the metal framework protruding through the gums. |
| Single Tooth | Designed to replace one missing tooth and are the smallest implants. |
The type selected depends on the specific needs of each case, like how much bone is available and whether multiple or single teeth need replacement.
The Dental Implant Procedure
Getting an implant requires minor oral surgery and may involve several steps over weeks or months:
- An anchor screw is placed into the jawbone during an initial surgery.
- The bone grows around the implant over 3-6 months in a process called osseointegration.
- A follow up surgery attaches an abutment post to the implant.
- After healing, the custom-made crown is created and attached to the abutment.
Proper osseointegration is vital for implant stability and the procedure’s success. That’s why people with certain health conditions like uncontrolled diabetes may not be good candidates.
Caring for Dental Implants
Caring for implants involves:
- Oral hygiene – Brushing, flossing, and regular cleanings to prevent infection and complications.
- Avoiding risk factors – Smoking and chewing hard foods can damage implants.
- Regular dental checkups – To monitor the implant, surrounding bone and tissue, and replace worn implant crowns.
With proper maintenance, implants can last for decades. However, poor hygiene and health conditions increase failure risks.
Signs of Dental Implant Problems
See a dentist promptly if you notice any issues like:
- Visible damage to the crown or abutment
- Chipping, loosening, or breaking of the implant parts
- Pain, swelling, or sensitivity from the implant site
- Inflammation, soreness, or infection of the gums around the implant
- Slowly developing gaps, pockets, or abscesses around the implant
- Numbness or changes in sensation in the area
Catching implant problems early makes them easier to treat. Left untreated, an infection can damage supporting bone and make the implant fail.
Cost of Dental Implants
The typical cost per implant can range between:
- $800 – $2,000 for a simple single tooth implant
- $3,000 – $4,500+ for more complex cases with multiple implants
Factors affecting overall costs include:
- Number of implants needed
- Amount of preparatory procedures required, like bone grafts or gum disease treatment
- The type of implant chosen and required customization
- If tooth extraction is also needed
- The skill and training of the implant dentist
- Geographic location and cost of living
Many dentists offer payment plans to cover the multi-step implant process over months. Dental insurance may cover part of the cost, depending on the plan.
Benefits of Dental Implants
Advantages of implants include:
- Improved appearance – They look and feel similar to natural teeth
- Protection for healthy teeth – Unlike bridges, nearby teeth don’t need alteration
- Better oral function – Chewing ability is restored without slipping or rocking
- Improved speech – Missing teeth can cause slurring or whistling sounds
- Increased bone stimulation and density
- Convenience – Anchored directly in the jaw so no need to remove daily
- Increased self-esteem and confidence
Alternatives to Implants
Some alternatives include:
- Fixed bridges – Adjacent teeth are shaved down to support a non-removable replacement tooth
- Removable partial or full dentures – Replaces missing teeth but must be taken out daily
- No replacement – Gaps are left where teeth are missing
For many people, implants provide the most comfortable, convenient, and life-like solution for missing teeth.
Conclusion
Dental implants can closely replicate natural teeth while avoiding the need to reduce adjacent healthy teeth required for bridges. Implants fuse securely to the jawbone for stability and improved function compared to removable dentures. They involve oral surgery and usually require multiple steps over weeks or months to place properly. While expensive compared to other options, implants are an excellent permanent solution for missing teeth that can last decades with proper care and maintenance. Being aware of the signs of implant failure allows early intervention to prevent complications.