Dental implants

Dental Implants in Pomona, Newport Beach and Brea

Reviewed by Dr. Nabeel Cajee, DDS, MICOILast reviewed

Dental implants can replace one tooth, several teeth, or support a full arch, but candidacy depends on oral health, available bone, medical history, and healing. An implant is a surgically placed medical device; an examination and appropriate imaging come before any recommendation, timeline, or estimate. At Advanced Dentistry & Orthodontics, Dr. Nabeel Cajee leads implant surgery, three-dimensional imaging is used to plan implant placement, and implant care is offered at all three offices.

Key takeaways

  • Options include single implants, multiple implants, implant-supported dentures, and full-arch implants (often called All-on-4 or All-on-X).
  • An implant system usually has three parts: the implant body in the jaw, an abutment, and the crown, bridge, or denture it supports.
  • Healing often takes months; the exact timeline depends on the site, health, grafting, and the restoration plan.
  • The FDA lists risks including infection, delayed healing, nerve or sinus complications, loosening, and implant failure. Smoking and uncontrolled medical conditions affect healing.
  • A bridge or a removable denture remains a valid alternative for some patients. No option is best for everyone.

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What is a dental implant?

A dental implant system generally includes an implant body placed in the jaw, an abutment that connects to it, and a crown, bridge, or denture supported by the implant. The U.S. Food and Drug Administration explains that implants may restore chewing and appearance and may help preserve surrounding bone and gum health, while also emphasizing that complications can occur and that benefits, risks, and candidacy should be discussed with the dental provider.

Implant services at Advanced Dentistry & Orthodontics include:

  • Single implants to replace one missing tooth without preparing the neighboring teeth.
  • Multiple implants to support a bridge or several crowns when more than one tooth is missing.
  • Implant-supported dentures that use implants to stabilize a removable denture.
  • Full-arch implants (often called All-on-4 or All-on-X) that support a fixed prosthesis for a complete arch; see the full-arch implant page.

Who may be a candidate for dental implants?

Candidacy is individual. An evaluation usually considers the location and number of missing teeth, gum health, available bone, bite forces, oral hygiene, medications, smoking, diabetes control, prior radiation to the head and neck, and the patient's ability to complete follow-up care. Age alone does not determine candidacy, but general health and healing capacity matter.

Some patients need treatment for active gum disease or a bone-building procedure before implant placement. The American Academy of Periodontology describes the procedures that may precede or accompany implant placement. Others may be better served by a bridge, a removable prosthesis, or a different implant plan. A consultation is an assessment, not a guarantee that implants are appropriate.

How is implant treatment planned and staged?

  1. Diagnosis and planning

    The dental team reviews dental and medical history, examines the mouth and bite, and takes records. Three-dimensional imaging is used to plan implant placement so that bone volume, nerve pathways, and sinus anatomy are understood before surgery.

  2. Site preparation when indicated

    Treatment may include extraction, treatment of gum disease, or bone grafting when clinically indicated. Grafting adds healing time and is not needed in every case.

  3. Implant placement

    The implant body is placed surgically. Anesthesia and comfort options depend on the procedure and the patient's needs and are agreed in advance.

  4. Healing

    Bone heals around the implant over a period that often takes months and varies by site, health, and plan. A temporary restoration may be used during healing when appropriate.

  5. Restoration

    After appropriate healing, the abutment and the planned crown, bridge, or denture are connected and the fit and bite are checked.

  6. Maintenance

    Daily cleaning and professional follow-up matter because implants and the surrounding tissues can develop complications over time.

What risks, limitations and alternatives should be discussed?

The FDA lists possible complications including infection, delayed healing, injury to nearby teeth or tissues, sinus or nerve problems, difficulty cleaning around the implant, loosening of components, and implant failure. The crown or prosthesis can chip, loosen, wear, or need replacement. Smoking, uncontrolled medical conditions, active gum disease, some medications, and hygiene limitations may affect healing or long-term risk. Published group outcomes do not predict an individual result, and no implant can be guaranteed to last a lifetime.

Alternatives include preserving and restoring the natural tooth when possible, a conventional bridge, a removable partial or complete denture, or no treatment. Each differs in surgery, cleaning, repairability, stability, cost, and future maintenance.

Dental implant, fixed bridge, and removable denture compared
ConsiderationDental implantFixed bridgeRemovable denture
SurgeryRequires implant surgery and healingNo surgery; neighboring teeth are preparedNo surgery
Effect on neighboring teethUsually noneNeighboring teeth are reduced to hold the bridgeClasps may rest on neighboring teeth
StabilityFixed once restoredFixedRemovable; stability varies and may need adhesive
BoneMay help preserve surrounding boneDoes not stimulate bone under the missing toothBone under the denture can change over time
CleaningBrushing, flossing or interdental cleaning around the implantCleaning under the bridge needs special floss or brushesRemoved for cleaning
Repair and maintenanceComponents or crown may need repair or replacementThe whole bridge may need replacement if part failsRelines, repairs, or replacement over time
CandidacyDepends on bone, health, and healingDepends on the health of neighboring teethBroadest candidacy

What affects cost and what should an estimate include?

Cost depends on the number and type of implants, imaging, extractions, grafting, anesthesia or sedation, temporary teeth, laboratory work, the final restoration, and follow-up. Insurance coverage and financing terms vary by plan and applicant. Request a written treatment plan that lists what is included and what is excluded, and verify benefits directly with the insurer before relying on an estimate. The full-arch estimate guide shows the line items to ask about.

Offices, clinicians and financing

This treatment is offered at all three Advanced Dentistry & Orthodontics offices.

Clinicians who provide this care

Financing options include Cherry, CareCredit, and in-house financing. Review the interest rate, promotional-period rules, fees, and total repayment in writing before choosing one. See the financing and insurance page. Dental benefits vary by plan; ask the office for a written estimate and verify benefits directly with your insurer.

Dentist-reviewed guides

Read before your consultation. Each guide names its reviewing dentist and lists its sources.

Frequently Asked Questions

Are dental implants right for everyone?

No. Suitability depends on oral health, available bone, medical history, healing factors, maintenance, and the proposed restoration. An examination and appropriate imaging are required.

How long does dental implant treatment take?

Treatment often occurs in stages over several months, but timing varies with the implant site, healing, grafting needs, and restoration plan. A dentist can estimate timing only after evaluation.

Can dental implants fail?

Yes. Infection, delayed healing, smoking, uncontrolled medical conditions, overload, and maintenance problems can contribute to complications or failure. Individual risks should be discussed before treatment.

Is a dentist who places implants a specialist?

Implant dentistry is not a separately recognized ADA specialty. Ask about the clinician's education, experience, and role at each stage, and when referral to a recognized specialist would be appropriate.

Does dental insurance cover implants?

Coverage varies by plan, exclusions, annual maximums, and the procedures involved. Ask the office for a written estimate and verify benefits with the insurer before treatment.

Sources

These sources support general patient education. Individual diagnosis, treatment options, timing, and risks require an examination by a qualified dental professional.

  1. Dental Implants: What You Should KnowU.S. Food and Drug Administration. Accessed 2026-08-24.
  2. Dental Implant ProceduresAmerican Academy of Periodontology. Accessed 2026-08-24.
  3. Recognized Dental SpecialtiesAmerican Dental Association, National Commission on Recognition of Dental Specialties and Certifying Boards. Accessed 2026-08-24.

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An evaluation establishes a diagnosis and the options that apply to you. It is not a promise that a particular treatment is indicated.

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