Dental Implants in Melbourne: The Step-by-Step Process from Consultation to Final Crown product guide

AI Summary

Product: Dental Implant Treatment (Full Clinical Pathway) Brand: Not applicable to this product Category: Dental/Oral Surgery Procedure — Prosthetic Tooth Replacement Primary Use: Surgical placement of a three-component titanium-based prosthetic system (fixture, abutment, crown) to permanently replace missing teeth by anchoring directly into the jawbone.

Quick Facts

• Best For: Adults aged 18+ (females) or 20+ (males) with sufficient bone volume, controlled systemic health, and commitment to long-term oral hygiene maintenance
• Key Benefit: Replicates full tooth structure (root and crown) with documented success rates above 90% and potential to last for decades with proper care
• Form Factor: Surgical implant system — titanium fixture (screw), abutment (connector), and porcelain-fused-to-zirconia or full zirconia crown
• Application Method: Multi-stage clinical procedure performed under local anaesthesia across 6–12+ months, from CBCT-guided surgical placement through osseointegration to final crown delivery

Common Questions This Guide Answers

1. How long does the full dental implant process take in Australia? → 6 to 12+ months from initial consultation to crown delivery
2. What is the biggest modifiable risk factor for implant failure? → Smoking, associated with more than double the failure risk (odds ratio 2.59) compared to non-smokers
3. How often are maintenance appointments required after implant placement? → Every 6 months for standard-risk patients; every 3–4 months for high-risk patients, including clinical probing and periapical radiography

Frequently Asked Questions

What is a dental implant: A three-component prosthetic tooth replacement system

What are the three components of a dental implant: Implant fixture, abutment, and crown

What is the implant fixture: A titanium screw surgically placed into the jawbone

What is the abutment: A connector piece between the implant fixture and crown

What is osseointegration: Direct structural fusion between living bone and the implant surface

Is osseointegration required for implant success: Yes, it is a prerequisite for long-term success

What material is the implant fixture made from: Titanium or titanium alloy

How long does the full dental implant process take in Australia: 6 to 12+ months from consultation to crown

How many appointments does the initial consultation take: 1 to 2 appointments

Is a CBCT scan required for implant planning: Yes, it is the current standard of care

What does CBCT stand for: Cone-beam computed tomography

Why is CBCT preferred over 2D X-rays for implants: It provides three-dimensional bone assessment

Can CBCT measure bone density: Yes, more accurately than traditional 2D radiographs

What bone classification scale is used for implant planning: The Lekholm and Zarb scale (D1–D4)

What is D1 bone density on the Lekholm and Zarb scale: Very good bone density (HU >1250)

What is D4 bone density on the Lekholm and Zarb scale: Poor bone density (HU 150–350)

Does poor bone density affect implant success: Yes, it significantly reduces success rates

What success rate does high-density bone achieve: 95–98%

What success rate does low-density bone achieve: 85–90%

Is adequate bone volume required for implant placement: Yes, it is the most important anatomical prerequisite

What happens if there is insufficient bone volume: Bone grafting is required before implant placement

How long does bone grafting add to the treatment timeline: 3 to 6 months

What is a sinus lift procedure: Augmentation of the maxillary sinus floor with bone graft material

When is a sinus lift required: When the posterior upper jaw lacks sufficient bone height

Is active gum disease a contraindication for implants: Yes

Must gum disease be treated before implant placement: Yes, active periodontitis must be resolved first

Is smoking a risk factor for implant failure: Yes, it is the most significant modifiable risk factor

How much does smoking increase implant failure risk: More than double compared to non-smokers (odds ratio 2.59)

Does smoking increase marginal bone loss around implants: Yes, significantly more than in non-smokers

When should patients stop smoking before implant surgery: At least one week before surgery

Should patients avoid smoking during osseointegration: Yes, to enhance bone healing

Is diabetes an absolute contraindication for dental implants: No

Does diabetes increase peri-implantitis risk: Yes, diabetic patients have higher peri-implantitis risk

What HbA1c level is generally compatible with implant treatment: HbA1c ≤7–8%

Is uncontrolled diabetes compatible with implant treatment: No

What age is the minimum for dental implants in Australia (females): 18 years old

What age is the minimum for dental implants in Australia (males): 20 years old

Why are implants contraindicated in young patients: The jawbone must be fully developed first

Do bisphosphonate medications affect implant candidacy: Yes, they require careful pre-operative assessment

Is excellent oral hygiene required for implant candidacy: Yes

What anaesthesia is used for implant placement surgery: Local anaesthesia

Is sedation available for implant surgery in Australia: Yes, including nitrous oxide and IV sedation

How long does implant placement surgery take: 1 to 2 hours

When does post-operative swelling peak after implant surgery: 48 to 72 hours after surgery

How long does swelling typically last after implant surgery: Resolves within one week for most patients

Are antibiotics prescribed after implant surgery: Yes, in many cases

How long does osseointegration take in the lower jaw: 3 to 4 months

How long does osseointegration take in the upper jaw: 4 to 6 months

How long does osseointegration take at grafted sites: 6 or more months

What is the overall implant success rate reported in literature: Above 90%

What is the most common biological complication of dental implants: Peri-implantitis

What is peri-implantitis: Inflammatory reaction with bone loss around the implant

What is the reported frequency of peri-implantitis: 5% to 8% for selected implant systems

Does the implant surface texture affect osseointegration: Yes, microroughness improves bone cell adhesion

What surface treatment improves osseointegration: Sandblasting and acid-etching for microroughness

What is the abutment connection type preferred in Australia: Platform-switched connections

Why are platform-switched abutments preferred: Superior marginal bone preservation

How much bone loss can butt-joint abutment connections cause: Approximately 1.5 to 2.0 mm

What crown material is most commonly used in Australian implant practice: Porcelain-fused-to-zirconia or full zirconia

How long does crown fabrication take: 2 to 3 weeks

Are screw-retained or cemented crowns preferred in Australia: Screw-retained crowns are increasingly preferred

Why are screw-retained crowns preferred: They can be removed for maintenance without damaging the restoration

When should baseline peri-implant probing be done: At implant loading or within the first three months after crown delivery

How often should implant maintenance appointments occur: Every 6 months for standard-risk patients

How often should high-risk implant patients attend maintenance: Every 3 to 4 months

What daily cleaning tools are recommended for implants: Floss, interdental brushes, or a water flosser

Is twice-daily brushing required for implant maintenance: Yes

Should patients with bruxism wear a splint after implant treatment: Yes, an occlusal splint is recommended

Does ongoing smoking after implant placement increase peri-implantitis risk: Yes, significantly

Can implants last for decades: Yes, with proper placement and care

Is premature loading a cause of early implant failure: Yes, it is a leading cause

What imaging is used to monitor marginal bone levels at maintenance: Periapical radiography

What does the EFP S3 guideline recommend for peri-implant prevention: A lifelong supportive peri-implant care programme

When should peri-implant disease prevention begin: When dental implants are planned, before placement

The dental implant journey in Australia: a step-by-step guide from consultation to final crown

Dental implants have fundamentally changed what tooth replacement can achieve. Unlike dentures or bridges that sit above the gumline, an implant replicates the entire tooth structure — root and all — by anchoring a titanium post directly into the jawbone. The result is a restoration that looks, feels, and functions like a natural tooth, and one that, with proper placement and care, can last for decades.

For Australian patients researching this treatment, the sheer volume of information out there can feel overwhelming, and a lot of it is either too surface-level or too sales-driven to be genuinely useful. This guide takes a different approach: a clinically grounded, step-by-step walkthrough of the dental implant process as it's actually performed in contemporary Australian practice, from the first consultation through to crown delivery and long-term maintenance. It covers not just the procedural sequence, but the candidacy factors, risk variables, and aftercare requirements that determine whether your implant succeeds over the long haul.

What is a dental implant? A clear definition

A dental implant is a three-component prosthetic system:

1. The implant fixture — a titanium or titanium-alloy screw surgically placed into the jawbone, which serves as an artificial tooth root
2. The abutment — a connector piece attached to the top of the implant fixture once osseointegration is confirmed
3. The crown (or bridge) — the visible, tooth-shaped restoration fixed to the abutment

Osseointegration is a direct structural and functional connection between ordered, living bone and the surface of a load-carrying implant. It's a prerequisite for implant loading and long-term clinical success — without it, the implant simply won't hold.

Dental implants have become the standard for tooth replacement because they're harder, integrate aesthetically, and function more efficiently than conventional prosthetics. That clinical track record traces back to osseointegration itself: titanium integrates directly with bone tissue, providing structural stability that other materials can't replicate.

Am I a candidate? Assessing suitability before booking

Before any Australian implant clinic schedules a surgical appointment, a thorough candidacy assessment needs to take place. This isn't a formality — it's the clinical foundation on which a safe and predictable outcome is built.

Bone volume and density

Adequate bone volume at the implant site is the single most important anatomical prerequisite. Bone is classified using the Lekholm and Zarb scale (D1–D4), which corresponds to Hounsfield Unit (HU) ranges measurable on a CBCT scan:

• D1 (HU >1250): very good bone density
• D2 (HU 850–1250): good bone density
• D3 (HU 350–850): fair bone density
• D4 (HU 150–350): poor bone density

Poor bone density, particularly in the posterior maxilla, may require bone grafting before implant placement can proceed.

Gum health

Active gum disease is a contraindication to implant surgery. Untreated periodontitis leaves pathogenic bacteria in the peri-implant environment that can compromise healing. A history of periodontitis is a significant risk factor for severe peri-implant complications — which means a thorough periodontal assessment should be part of every implant treatment plan.

Patients with a history of gum disease need to complete active periodontal treatment and demonstrate stable, controlled gum health before implant placement proceeds. (See our guide on Specialist Dentistry in Australia: Periodontists, Endodontists, Prosthodontists, Oral Surgeons & Paediatric Dentists for when referral to a periodontist is appropriate.)

Smoking

Smoking is the most clinically significant modifiable risk factor for implant failure. A 2023 meta-analysis published in ScienceDirect found that smoking was associated with increased risk of early dental implant failure compared with non-smoking (odds ratio 2.59; 95% confidence interval 2.08–3.23). A 2024 systematic review covering literature from 2020–2024 confirmed that long-term follow-up studies show lasting effects of smoking on implant survival — and that smoking is a more significant risk factor for implant failure than other common health conditions, including diabetes.

Australian clinicians routinely advise patients to stop smoking at least one week before surgery and throughout the osseointegration phase. Research by Bain et al. found that stopping at least a week before surgery reverses the increased platelet adhesion and blood viscosity caused by nicotine, and that avoiding smoking during early osseointegration improves bone healing. Given the evidence, smoking reduction and cessation should be a core part of any long-term care plan for implant patients.

Systemic conditions: diabetes

Chronic diseases like diabetes, osteoporosis, and cardiovascular conditions can compromise healing and bone metabolism, which directly affects osseointegration. A comprehensive medical history is essential before proceeding.

Diabetes is not an absolute contraindication, but glycaemic control matters. A meta-analysis found that patients with diabetes mellitus have a higher risk of peri-implantitis overall compared to non-diabetic patients. Well-controlled diabetes (HbA1c ≤7–8%) is generally compatible with implant treatment; uncontrolled diabetes is not.

Other candidacy factors

Age: Implants are contraindicated in patients whose jawbones haven't fully developed — in Australia, that typically means under 18 for girls and under 20 for boys.

Medications: Bisphosphonates (used for osteoporosis), anticoagulants, and immunosuppressants all require careful pre-operative assessment.

Oral hygiene: Patients need to demonstrate both the motivation and ability to maintain excellent oral hygiene before and after treatment.

Step 1: The initial consultation and CBCT scan

The first clinical appointment at an Australian implant practice typically covers a comprehensive oral health examination including periodontal charting, a panoramic (OPG) radiograph and in most cases a CBCT scan, a full medical and dental history review, and a discussion of treatment options, timeline, and cost.

Why CBCT is the standard of care

CBCT has become the professional standard for diagnosis and preoperative treatment planning in implant dentistry. By producing high-resolution three-dimensional images, it allows precise assessment of bone height, width, length, and angulation at the proposed implant site — information that simply can't be obtained from a flat 2D X-ray.

Critically, CBCT lets clinicians identify proximity to vital structures (the inferior alveolar nerve in the mandible; the maxillary sinus in the upper jaw) and measure bone density in three dimensions. It can also identify patients who may need additional bone grafting before placement, improving the quality of care and reducing surgical surprises.

What the consultation determines

By the end of the consultation, the treating clinician — whether a general dentist with implant training, an oral and maxillofacial surgeon, or a prosthodontist — will advise on whether the patient is an immediate candidate or needs preparatory treatment first (bone grafting, periodontal therapy, tooth extraction), how many implants are required, whether a surgical guide will be used to improve placement accuracy, and the total treatment timeline and staged costs.

(For a breakdown of cost ranges across single implants, implant-supported bridges, and All-on-4 full arch restorations, see our companion guide: Dental Implant Costs in Australia: Single Implants, All-on-4 & Full Arch Pricing Explained.)

Step 2: Preparatory treatment (if required)

Not every patient can move straight to implant placement. Common preparatory steps include:

Bone grafting: When bone volume is insufficient, a graft using autogenous bone (from the patient), allograft material, or synthetic substitutes is placed to rebuild the ridge. This adds 3–6 months to the overall timeline before implant placement can proceed.

Sinus lift: In the posterior upper jaw, the maxillary sinus often encroaches on available bone height. A sinus augmentation procedure lifts the sinus floor and packs bone graft material beneath it. In borderline cases, CBCT measurements sometimes show that implants can be placed without sinus surgery at all.

Tooth extraction and socket preservation: If the implant site contains a failing tooth, extraction followed by socket preservation grafting minimises bone loss and optimises the future implant site.

Periodontal therapy: Active gum disease needs to be brought under control — typically through scaling, root planing, and in some cases periodontal surgery — before implant placement proceeds.

Step 3: Implant placement surgery

Implant placement is performed under local anaesthesia in a dental chair. In Australia, sedation options including nitrous oxide (happy gas) and IV sedation are available at practices that cater to anxious patients. (See our guide on Dental Anxiety in Australia: Sedation Options, Gentle Techniques & How to Manage Fear of the Dentist for more on this.)

The surgical procedure

Local anaesthetic is administered first — patients feel pressure but not pain. The gum tissue is then carefully opened to expose the underlying bone. A series of progressively larger drills create the implant socket to the precise depth and angulation planned from the CBCT data. The titanium fixture is placed into the prepared socket and tightened to the appropriate insertion torque, which provides primary stability. Finally, the gum tissue is sutured closed over or around the implant.

Surface characteristics of implants — topography and chemistry — along with the surgical technique used, have a significant influence on osseointegration and subsequent implant stability.

In Australian practices using a digital workflow, a surgical guide fabricated from CBCT and intraoral scan data directs the drill to the exact planned position, reducing the risk of deviation and protecting adjacent anatomical structures.

Post-operatively, patients are typically prescribed analgesics and in many cases a short course of antibiotics. Swelling peaks at 48–72 hours and resolves within a week for most patients. A soft diet and avoiding the surgical site during brushing are standard instructions for the first two weeks.

Step 4: Osseointegration — the healing phase (3–6 months)

Osseointegration is the biological process that determines implant success. It begins with an initial interlocking between alveolar bone and the implant body, then progresses to biological fixation through continuous bone apposition and remodelling toward the implant surface.

The healing timeline varies by site:

• Mandible (lower jaw): 3–4 months is typically sufficient, as the denser bone supports faster integration
• Maxilla (upper jaw): 4–6 months is more common, given the lower bone density characteristic of the posterior upper jaw
• Grafted sites: May require 6+ months before sufficient bone quality supports loading

During this period, patients wear a temporary restoration if the implant is in the aesthetic zone, or leave the site without a prosthesis. The critical instruction is to avoid placing occlusal load on the implant site — premature loading before osseointegration is complete is a leading cause of early implant failure.

What determines osseointegration success?

Bone density matters significantly: high-density bone achieves 95–98% success rates versus 85–90% in low-density bone. Smoking and systemic conditions substantially increase failure rates and peri-implantitis risk. The literature reports overall implant success rates above 90%, though some failures do occur.

The implant surface also plays a role. Microroughness — smaller-scale surface irregularities at the micrometer level, achieved through sandblasting and acid-etching — improves bone cell adhesion and is directly linked to better osseointegration outcomes and long-term implant stability.

Step 5: Abutment connection

Once osseointegration is confirmed through clinical assessment and radiographic evaluation showing no peri-implant radiolucency, the restorative phase begins.

The abutment connects the implant fixture to the final crown. In a two-stage surgical protocol (the most common approach), a minor second procedure exposes the top of the implant and attaches a healing abutment, which shapes the surrounding gum tissue into the correct contour for the final restoration. After 2–4 weeks of soft tissue maturation, an impression or intraoral digital scan is taken.

Abutment selection has real clinical consequences. Butt-joint connections can cause approximately 1.5–2.0 mm of marginal bone loss due to a micro-gap wide enough for bacterial penetration and colonisation. Platform-switched connections avoid this problem and are now the preferred choice in Australian implant practice for their superior marginal bone preservation.

Step 6: Crown or bridge fabrication and delivery

The final restoration — porcelain-fused-to-zirconia or full zirconia in most contemporary Australian cases — is fabricated by a dental laboratory from the impression or digital scan data. This typically takes 2–3 weeks.

At the delivery appointment, the crown is trialled on the abutment and checked for fit, occlusion, and aesthetics. Adjustments are made as needed, then the crown is either cemented or screw-retained to the abutment.

Screw-retained crowns are increasingly preferred by Australian clinicians because they can be removed for maintenance or repair without damaging the restoration. To reduce the risk of peri-implant disease associated with excess cement, the crown margin should sit at the level of the mucosal margin, with early follow-up evaluation after restoration placement.

Step 7: Long-term aftercare and maintenance

Implant placement isn't the end of the clinical relationship — it's the beginning of a long-term maintenance commitment. The most common biological complication of dental implants is peri-implantitis, an inflammatory condition affecting the tissues surrounding the implant, with a reported frequency of 5–8% for selected implant systems.

The European Federation of Periodontology (EFP) S3-level Clinical Practice Guideline (Herrera et al., Journal of Clinical Periodontology, 2023) is the most authoritative current framework for peri-implant disease prevention. Its core position: prevention should begin when implants are planned — not after they're placed. Once implants are loaded and in function, a structured supportive peri-implant care programme should include periodic assessment of peri-implant tissue health throughout the patient's lifetime.

Aftercare requirements for Australian implant patients

Practical aftercare includes:

• Twice-daily brushing with a soft-bristled or electric toothbrush, paying close attention to the gumline around the implant
• Daily interdental cleaning with floss, interdental brushes, or a water flosser
• Professional maintenance appointments every 6 months for standard-risk patients, or every 3–4 months for higher-risk patients, including clinical probing and periapical radiography to monitor marginal bone levels
• No smoking — ongoing tobacco use after implant placement significantly raises the risk of peri-implantitis
• Occlusal splint if bruxism is present, to protect the implant and crown from excessive force

Clinical and radiographic evaluation should include visual inspection of the peri-implant mucosa for signs of inflammation, assessment of bleeding on probing and suppuration, and monitoring of probing depth, mucosal margin level, and marginal bone level. Baseline peri-implant probing should be done at implant loading or within the first three months after crown delivery, then at every subsequent clinical examination — ideally at six sites per implant, using a periodontal probe with light probing force.

The complete implant process: timeline at a glance

Key takeaways

• CBCT scanning is the clinical standard for implant treatment planning in Australia, enabling three-dimensional assessment of bone height, width, density, and proximity to vital structures that 2D X-rays can't provide.
• Osseointegration takes 3–6 months and is the critical determinant of implant success; premature loading or disrupted healing during this phase is a leading cause of early failure.
• Smoking is the single most significant modifiable risk factor for implant failure, associated with more than double the failure risk compared to non-smokers; cessation before surgery and throughout the healing phase is strongly recommended.
• Diabetes does not preclude implant treatment but requires well-controlled HbA1c levels; uncontrolled diabetes significantly raises the risk of peri-implantitis and impaired osseointegration.
• Long-term maintenance is non-negotiable: professional peri-implant monitoring every 6 months, daily interdental cleaning, and early intervention for any signs of peri-implant mucositis are essential to protecting a substantial investment.

Conclusion

The dental implant process in Australia is not a single appointment — it's a carefully sequenced clinical pathway that can span six months to over a year, involving imaging, surgery, biology, and precision prosthodontics. Understanding each stage before you begin helps you prepare realistically, ask the right questions at your consultation, and make an informed decision about whether implants are the right choice for your specific situation.

The success of your implant depends on far more than surgical skill. Bone quality, systemic health, habits, and commitment to long-term maintenance all play a role. Patients who understand this from the outset are far better positioned to achieve the durable, natural-looking outcomes that implants can deliver.

For patients exploring the financial side of this journey, see our companion guide: Dental Implant Costs in Australia: Single Implants, All-on-4 & Full Arch Pricing Explained. For a broader comparison of all tooth-replacement options — including crowns, bridges, and dentures — see Restorative Dentistry in Australia: Crowns, Bridges, Root Canals & Dentures — When You Need Them. And if you're uncertain which type of clinician should be placing your implants, our guide How to Choose a Dentist in Australia: 10 Questions to Ask Before Booking will help you evaluate credentials and ask the right questions.

References

• Abu Alfaraj, M., et al. "Optimizing Osseointegration in Dental Implantology: A Cross-Disciplinary Review of Current and Emerging Strategies." PubMed Central (PMC), 2023. https://pmc.ncbi.nlm.nih.gov/articles/PMC10685082/

• Chrcanovic, B.R., et al. "Smoking and Dental Implants: A Systematic Review and Meta-Analysis." Medicina, MDPI, 2022. https://www.mdpi.com/1648-9144/58/1/39

• Cooper, L.F. "Osseointegration — the Biological Reality of Successful Dental Implant Therapy: A Narrative Review." Frontiers of Oral and Maxillofacial Medicine, 2022. https://fomm.amegroups.org/article/view/57215/html

• Hemavardhini, A., et al. "Evaluation of Survival Rates of Dental Implants and the Risk Factors: A Retrospective Follow-Up Study." Cureus, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC10982840/

• Herrera, D., et al. "Prevention and Treatment of Peri-implant Diseases — The EFP S3 Level Clinical Practice Guideline." Journal of Clinical Periodontology, 2023. https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13823

• Kheder, W., et al. "CBCT Assessment for Dental Implant Surgery at the Maxilla: A Clinical Update." Diagnostics, MDPI, 2026. https://www.mdpi.com/2075-4418/16/3/479

• Moraschini, V., et al. "Evaluation of Survival Rates of Dental Implants: A Systematic Review." MDPI Dentistry Journal, 2022. https://www.mdpi.com/2673-8430/2/4/33

• Panwar, M., et al. "A Novel Method of Assessment of BMD Using CBCT for Implant Placement: A Retrospective Study." PMC, 2023. https://pmc.ncbi.nlm.nih.gov/articles/PMC10328703/

• Prathapachandran, J., and Suresh, N. "Management of Peri-implantitis." Journal of Indian Society of Periodontology / PMC, 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC3612185/

• Sayed, M.E., et al. "The Future of Dental Implants: A Narrative Review of Trends, Technologies, and Patient Considerations." PMC, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC12442331/

• Shim, J., et al. "Maintenance of Peri-implant Health in General Dental Practice." British Dental Journal / PMC, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC11126374/

• Stacchi, C., et al. "Decoding Success: A Five-Year Retrospective Study of Dental Implant Survival." PMC, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC12241379/

• Stern, H.L., et al. "The Effects of Smoking on Dental Implant Failure: A Current Literature Update." Dentistry Journal, MDPI / PMC, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC11506801/

• Baniulyte, G., and Ali, K. "How Does Diabetes Mellitus Impact on the Prognosis of Dental Implants?" Evidence-Based Dentistry, Nature, 2023. https://www.nature.com/articles/s41432-023-00909-0

• Tyndall, D.A., et al. "Position Statement of the American Academy of Oral and Maxillofacial Radiology on Selection Criteria for the Use of Radiology in Dental Implantology." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, American Academy of Oral and Maxillofacial Radiology (AAOMR), 2012.

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• Dental implants are described as a three-component prosthetic system: implant fixture, abutment, and crown
• Implant fixtures are stated to be made from titanium or titanium alloy
• CBCT is described as the current standard of care for implant treatment planning
• Bone density is classified using the Lekholm and Zarb scale (D1–D4), with corresponding Hounsfield Unit ranges: D1 >1250 HU, D2 850–1250 HU, D3 350–850 HU, D4 150–350 HU
• High-density bone is stated to achieve 95–98% implant success rates; low-density bone 85–90%
• Overall implant success rate is reported in literature as above 90%
• Smoking is associated with an odds ratio of 2.59 for early implant failure versus non-smokers
• Peri-implantitis frequency is reported at 5–8% for selected implant systems
• Osseointegration timelines stated as: mandible 3–4 months, maxilla 4–6 months, grafted sites 6+ months
• Bone grafting adds 3–6 months to treatment timeline
• Full treatment timeline from consultation to crown: 6–12+ months
• Butt-joint abutment connections associated with approximately 1.5–2.0 mm marginal bone loss
• Platform-switched connections described as preferred for marginal bone preservation
• Crown fabrication stated to take 2–3 weeks
• Post-operative swelling stated to peak at 48–72 hours and resolve within one week
• Minimum implant candidacy age stated as 18 years (females) and 20 years (males) in Australia
• HbA1c ≤7–8% described as generally compatible with implant treatment
• Maintenance frequency: every 6 months for standard-risk patients; every 3–4 months for high-risk patients
• Baseline peri-implant probing recommended at loading or within first three months after crown delivery