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Dental implants in Miami

Replacing one tooth, several, or a whole arch. We explain what an implant is, how long it takes, what it costs and what happens if you are short of bone.

Single implant: how it is placedPress to watch the video right here.Watch on YouTube

What an implant actually is

A dental implant is a titanium screw that acts as a root. It is placed in the bone of the lower or upper jaw and, over time, the bone grows onto it. On top goes an abutment, which is the connecting piece, and on the abutment the crown, which is the tooth you see and chew with.

Osseointegration is the word you will hear in the office. It simply means the bone has taken hold of the implant. It is what lets it withstand the force of chewing, and it is also the reason for the several-month wait.

Who it makes sense for

  • You are missing a tooth and do not want the neighbouring ones filed down for a bridge.
  • You wear a removable denture and are tired of it moving, rubbing or coming loose when you eat.
  • You have lost several teeth and want to chew normally again.
  • You have had a tooth taken out and want to avoid the bone in that area shrinking away.

How it will go, visit by visit

1Assessment and 3D scanExamination, scan and a review of your medical history and medication. We finish knowing whether you are a candidate and what it would take.45 minutes · no cost
2Written planWe hand you the plan with a closed price, the number of visits and the dates. You take it home. Nothing to sign that day.Within 48 hours
3Extraction or graft, if neededNot every patient needs this. When it is needed, this stage adds waiting time before the implant can be placed.Only in some cases
4Placing the implantUnder local anaesthetic. You leave with a temporary tooth and written instructions.1 to 2 hours
5Integration waitThe bone bonds to the implant. During this time you live normally with your temporary and come in for a couple of checks.3 to 6 months
6Final crownWe take impressions, make the crown to match your teeth and fit it. A check at one month and once a year after that.2 visits

And if I am short of bone

It is one of the questions we get most, usually after somewhere else has said it “can’t be done”. In most cases it can, along a slightly longer road: a bone graft adds bone to the area, and in the upper jaw a sinus lift is sometimes done to gain height.

The 3D scan at the first visit is exactly what answers this question in your particular case. And if operating genuinely is not advisable, we will say so just as clearly.

What to expect afterwards

During the procedure the area is numb. You will feel pressure and you will hear the instruments — that surprises almost everyone — but it is not pain. Afterwards, most people describe it as soreness rather than sharp pain. It is usually worst about six hours later, swelling peaks at two days, and by the third day most people manage on over-the-counter painkillers.

  • Swelling and soreness for the first few days, manageable with the medication we prescribe.
  • A soft diet for a while. We give you a specific list of what to eat, not a vague “eat soft things”.
  • A direct number in case something does not go as expected, including the weekend after.
  • Follow-ups included in the price: we are not going to charge you to check our own work.

The numbers, not rounded up

The industry tends to advertise “98% success”. That figure mixes two different things: survival means the implant is still in the mouth, while success means it is also healthy and functioning. Survival always comes out higher. These are the published figures, without picking the most flattering one:

  • At ten years, survival is around 93% – 96% depending on the analysis; the honest spread across studies runs from 91.5% to 99.4%.
  • In patients aged 65 and over the figure drops to about 91.5%. If you are in that group, that is the number that applies to you.
  • About one in four implant patients develops peri-implantitis at some point. That is why maintenance visits are not optional.
  • The crown on top is a wearing part. The titanium may outlast the teeth it carries, and that has to be budgeted for.
What we are not going to tell you. That an implant lasts “forever”, that success is guaranteed, or that it will not hurt. Smoking, uncontrolled diabetes and poor hygiene measurably raise the risk of failure. We would rather say so beforehand than afterwards.

What the result looks like

What changes with a full arch on implants, in three steps: the mouth before, the X-ray with the implants in place, and the result.

Above, worn teeth with gaps; below, the same mouth with a complete upper arch.
Before and after a complete upper arch
Three images: the mouth without teeth, the panoramic X-ray with four implants in each jaw, and the smile with both fixed arches.
The gum without teeth, the X-ray with the implants, and the result
Three images: the implant abutments in the gum, the fixed prosthesis already in place, and the patient's smile.
The abutments, the fixed prosthesis in place, and the smile

Illustrative stock images. They are not Estelar Dental patients or results from this practice, and every case is different: yours is assessed at the first visit.

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