Get my quote
Home / Blog / Implants

Implants · 9 min read

How long do dental implants take?

The honest answer is three to six months for most people — and almost all of that time is spent waiting rather than being treated. Understanding why the wait exists is the difference between a patient who follows the protocol and one who ends up losing an implant.

Published 2026-03-04 · Reviewed with clinic surgeons

How long do dental implants take?

The short answer

From the day an implant is placed to the day the permanent crown goes on, expect three to four months in the lower jaw and four to six months in the upper jaw. Add three to nine months if you need a bone graft or sinus lift first.

Only about four hours of that is actual treatment. The rest is biology.

Why the wait exists: osseointegration

An implant is not screwed into the jaw the way a screw goes into a wall. It is placed into prepared bone, and over the following weeks the bone grows directly onto the titanium surface, locking it in place. That fusion is called osseointegration, and it is what separates an implant from every other tooth replacement.

The process follows a predictable curve. In the first two weeks, a blood clot forms and immature woven bone begins to appear at the implant surface. Between weeks two and six, that woven bone is progressively replaced with stronger lamellar bone. From six weeks to about twelve, the bone remodels and reaches something close to full load-bearing strength.

There is a dip in the middle of that curve. Around weeks two to four, the initial mechanical grip from the surgery has faded but the new bone has not yet matured — stability is at its lowest point of the whole process. This is precisely when patients feel fine, forget they had surgery, and start chewing normally. It is the most common moment for an implant to be lost.

Stage by stage

  • Consultation and CBCT scan. A 3D scan measures bone height, width and density, and locates the inferior alveolar nerve in the lower jaw. Without this scan nobody can tell you whether an implant is possible, let alone quote for it accurately.
  • Extraction, if the tooth is still there. Some sites allow immediate placement into the fresh socket. Others need two to three months of soft-tissue healing first.
  • Bone grafting, if needed. Adds four to nine months before the implant can be placed.
  • Implant placement. Around 45 to 90 minutes per implant under local anaesthetic.
  • Osseointegration. Three to four months in the lower jaw, four to six in the upper. This happens at home.
  • Abutment and impression. The implant is uncovered and scanned. Some systems place the abutment at the same time as the implant, removing this step.
  • Crown fitting. One to two weeks after the scan, or three to four days at clinics with an on-site lab.

Why the upper jaw takes longer

Upper jaw bone is less dense than lower jaw bone. Bone density is graded D1 through D4, with D1 being dense cortical bone found at the front of the lower jaw and D4 being the soft, sparse bone often found at the back of the upper jaw.

Softer bone gives less initial grip at placement and takes longer to integrate. The upper back region also sits beneath the maxillary sinus, which frequently means less available height and a sinus lift before anything else can happen.

Can it be faster? Same-day implants

Immediate loading — placing the implant and fitting a fixed provisional restoration on the same day — is possible when the implant achieves high primary stability at placement. Surgeons measure this rather than estimate it, using insertion torque (typically above 35 Ncm) or resonance frequency analysis, which produces an implant stability quotient.

This does not shorten osseointegration. The bone still takes three to four months to fuse. What changes is that you have fixed teeth during that period instead of a gap or a removable denture. The permanent restoration still follows at the three-month mark.

What makes it take longer

  • Smoking. Reduces blood supply to healing bone and measurably increases failure rates. Most protocols ask for cessation two weeks before and eight weeks after surgery.
  • Uncontrolled diabetes. Delays healing at every stage. Well-controlled diabetes is generally not a barrier.
  • Active gum disease. Must be treated before implant surgery, since the bacteria involved also cause peri-implantitis.
  • Bruxism. Grinding applies lateral forces that integrating bone is not ready to resist.

Common questions

Around 45 to 90 minutes for a single implant under local anaesthetic. A full arch with four to six implants typically takes two to three hours.

Only if immediate loading is possible in your case, and even then the permanent restoration requires a second trip about three months later. Any provider promising permanent implant teeth in a single week is describing provisional teeth, not final ones.

Soft diet for the first two weeks after placement, and for six to eight weeks after full-arch surgery. Normal chewing resumes once the final restoration is fitted.

Studies consistently report survival rates above 95% at ten years for implants placed in healthy, non-smoking patients with good oral hygiene. The crown on top typically needs replacing sooner than the implant itself.