Losing a tooth changes more than just your look. The way you eat, speak, and even how you feel about yourself can all be affected. Thankfully, modern dentistry has made it possible to restore what’s been lost, right down to the root. Dental implants look, feel, and function like natural teeth, and for many people, they’re the closest thing to having their own teeth back.
But before diving in, it’s important to know that not everyone is immediately ready for implants. Some may need additional treatments first, while others may not be suitable at all. That’s where this go/no-go guide comes in. It’s designed to help you understand what makes someone a good candidate for dental implants, what factors might hold you back, and what steps can prepare you for a successful treatment journey.
What are dental implants and what are they for?
Dental implants are small titanium or zirconia posts that act as artificial tooth roots. They’re carefully placed into your jawbone, where they naturally fuse with the bone through a process called osseointegration. Once healed, a custom-made crown is attached on top to complete your new tooth — one that looks, feels, and functions just like the real thing.
Dental implants can be used to:
- Replace a single missing tooth
- Support bridges for several missing teeth
- Anchor full-arch restorations (like All-on-4 implants)
- Stabilise dentures for better comfort and function
What makes implants truly special is their strength and ability to preserve your jawbone. Unlike dentures or bridges that rest on the gums or rely on neighbouring teeth, implants bond directly with the bone. This helps keep your jaw strong and maintains your natural facial shape — preventing that “sunken” appearance that can happen over time after tooth loss.
The “go” list
Who’s a good candidate for dental implants?
Not everyone is immediately ready for dental implants, but many people are surprised to find they actually do qualify. You may be a great candidate if most of the following apply to you:
A strong, healthy jawbone is essential because it acts as the foundation for your implant. During your consultation, your dentist will take digital X-rays or 3D scans to check your bone density and ensure it can securely hold the implant in place.
If you’re in generally good health, your body is more likely to heal well after the procedure. Conditions like diabetes or high blood pressure don’t automatically rule you out — they just need to be under good control. Your dentist will discuss your medical history to make sure everything’s in balance before proceeding.
Smoking can slow down healing and affect how well the implant fuses with your bone. If you smoke, your dentist may recommend cutting back or quitting temporarily before and after your surgery to give your implant the best chance of success.
Dental implants are built to last — but only if you care for them properly. Brushing, flossing, and attending regular dental check-ups are key to keeping your gums and bone healthy, ensuring your new smile stays strong for years to come.
The “no-go” list
Who might not be suitable (at least, not yet)
While most people can have dental implants, there are a few situations where it might not be the right time just yet. Some conditions can make implant placement risky or less effective — but in many cases, these can be addressed with the right care and preparation.
If your jawbone has weakened or shrunk over time due to tooth loss or gum disease, there might not be enough support to hold an implant securely. The good news is, this isn’t necessarily permanent. Bone grafting can often rebuild the area and create a solid foundation for future implants.
Gum disease (periodontitis) can damage the bone and tissue that support your teeth. If left untreated, it can also affect the success of your implant. Your dentist will need to treat and stabilise your gums first to make sure the area is healthy and ready for surgery.
Certain medical issues, like uncontrolled diabetes, autoimmune diseases, or recent radiation therapy in the jaw area, can affect how well your body heals. Your dentist may work with your GP or specialist to ensure everything is managed before going ahead with treatment.
Smoking and heavy alcohol use can slow healing and increase the risk of infection or implant failure. If this applies to you, your dentist may recommend cutting back or quitting before and after treatment to help your implants succeed.
Extra treatments that may be needed before implants
If you’re not quite ready for dental implants right now, don’t lose heart. Modern dentistry offers many ways to prepare your mouth so your implants have the best possible foundation for long-term success. These preparatory treatments help strengthen your gums and jawbone, ensuring your smile will be strong, healthy, and built to last.
1. Tooth extractions
If a tooth is severely damaged, decayed, or infected, it may need to be removed before your implant can be placed. In some cases, your dentist can perform an immediate implant placement — meaning the implant is placed on the same day as the extraction, as long as your bone is healthy enough to support it.
2. Bone grafting
If your jawbone has thinned or lost density, a bone graft can help rebuild and strengthen the area by adding bone material (either natural or synthetic). This procedure provides a solid, secure base for your future implant. Healing time varies from a few weeks to several months, depending on your individual case.
3. Sinus lift
For implants in the upper back teeth, the sinuses sometimes sit too close to the jawbone, leaving little room for proper implant placement. A sinus lift gently raises the sinus membrane and adds bone material underneath to create enough height and support for the implant.
4. Gum grafting
In some cases, your dentist may recommend a gum graft to restore or strengthen the soft tissue around the implant site. This procedure adds healthy gum tissue (either from another area of your mouth or a biocompatible material) to areas where the gums have receded or become too thin. Gum grafting not only improves the look of your smile but also helps protect the implant and maintain a natural gumline.
5. Gum treatment
If gum disease or infection is present, it must be treated first through professional cleaning, scaling, or root planing. Healthy gums are essential for the long-term success of your implants, helping to keep them stable and supported for years to come.
Comprehensive assessment is your first step
Every patient is unique, and so is every smile. Before starting any implant treatment, your dentist will carry out a comprehensive assessment to understand your oral health and create a plan that’s tailored just for you.
This usually includes:
- A detailed review of your medical and dental history
- Digital scans or 3D imaging to check your bone quality and volume
- A relaxed discussion about your goals, lifestyle, and expectations
This process helps your dentist determine whether you’re ready to go ahead with implants now or if you may need a few preparatory steps first. It’s all about setting you up for a smooth procedure and a successful, long-lasting result.
Your smile is worth the work
If you find out you need extra steps like bone or gum grafting before your implant, don’t be discouraged. These procedures are all part of creating the right foundation for lasting success. Once everything is complete, your new smile can serve you beautifully for decades.
Dental implants are more than just a cosmetic upgrade. They’re an investment in your health, your confidence, and the everyday moments that make you smile. Taking the time to do it right means you’ll enjoy a result that looks natural, feels comfortable, and stands the test of time.
Go see your dentist for a stronger smile
Thinking about dental implants? The best way to know if they’re right for you is to visit your dentist for a friendly chat and a thorough assessment. They’ll take the time to understand your needs, answer all your questions about the process, and help you feel completely at ease.
While you’re on that journey, don’t forget the basics. Daily brushing, flossing, and regular dental visits help protect the foundation of your smile.
Because at the end of the day, a healthy smile is always a go.