A dental implant is a small post, usually titanium, placed in the jawbone where a tooth has been lost, so that it works as a new root. When the bone has settled around it, a crown, bridge or denture is attached on top. It suits people missing one tooth, several teeth or most of them, provided their bone and gums are healthy enough.
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Picture a tooth lost two years ago. The gap looks like the only change, but underneath, the bone that once gripped the root has been thinning because nothing presses on it any more, and the teeth beside the gap have started to lean in. An implant is built to deal with that hidden part. The post stands in for the root, so the jaw gets some of the chewing load it was used to, and the neighbouring teeth are left alone instead of being filed down for a conventional bridge.
Dr. Mahesh Patel is a certified implantologist, and most of the real work in implant treatment happens before the post goes in. He studies your X-ray to judge how much bone there is, where the nerve runs in the lower jaw and, for upper back teeth, how near the sinus sits. He asks about diabetes, tobacco, blood pressure tablets and night-time grinding, since each one changes the plan. If the tooth is still in your mouth, he'll tell you whether a root canal could save it, and if a bridge or dentures would suit you better, he'll say that too.
People always want dates, so here is a rough calendar. Assessment and X-ray come in week one. If a damaged tooth has to come out first, expect a gap of some weeks before placement. After the post goes in, the bone usually needs three to six months, longer where a graft was done. Then the crown. If you have a wedding in three weeks, we can talk about how your smile looks on the day, and sometimes a temporary tooth is possible, but the implant itself will still need its months.
Dr. Mahesh looks at the gap, the gums and the teeth around it, then reads your X-ray for bone height and width. Bring any older X-rays and a list of your medicines. You'll talk through health conditions, tobacco and what you want from the tooth. Surgery isn't booked on day one unless you're ready and the picture is clear. That first visit is mostly looking and listening.
If a damaged tooth is still present, it has to be removed and the socket given time to heal. Sometimes an implant can go in soon after removal, but that depends on infection and bone. Where bone is thin, a graft or sinus lift may be advised first, and gum disease is treated before any implant is placed. This stage can add weeks.
With the area numbed, a small opening is made in the gum and the post is set into the bone, followed by stitches. You'll feel pressure and vibration rather than sharpness. Say so if anything pinches and the anaesthetic can be topped up. Most people go home the same day, with soreness and swelling worst in the first couple of days.
This is the long part, and it asks little of you except patience. Over a few months the bone grows against the surface of the post. You'll come back for reviews so the gum and the post can be checked, and a temporary tooth or denture may be possible if the gap shows. Smoking during this stretch is the habit most likely to cause trouble.
Once the post is stable, a connector is fitted and impressions are taken so the crown or bridge can be made to match your bite and the shade of your other teeth. At the fitting the bite is checked and adjusted so nothing feels high or awkward. After that you're into a routine of cleaning and check-ups, which keeps the gum around it healthy.
A single post carries a single crown, and the teeth on either side stay as they are. This is the simplest case, though the timeline still depends on your bone and gum health, and the crown is made once the post is stable.
Two or more posts can carry a bridge across a longer space, so you don't need one implant for every missing tooth. Dr. Mahesh works out from the X-ray how many posts your bone can reasonably support and where they should sit.
A full set of fixed teeth held by roughly four to six implants is an option for people who have lost most of their teeth, if the bone allows it. It's a bigger decision, and it's discussed carefully before anything starts.
A bone graft, or a sinus lift for the upper back teeth, rebuilds the site before the post goes in. It lengthens the schedule, and not everyone needs it. Your X-ray shows whether you do, and Dr. Mahesh will point out why.
The body rejects implants, like a transplanted organ.
FactFact: Not in that sense. When an implant fails, it's usually because the bone didn't bond to it, because of infection, or because of gum trouble around it. Smoking, poorly controlled diabetes and poor cleaning raise the risk, and most of these can be assessed before treatment.
Implants are only for older people.
FactFact: Age isn't the deciding factor; healthy bone and gums are. Younger people may be asked to wait until the jaw has finished growing, while older people in good general health are often suitable. Dr. Mahesh decides after an examination and X-ray.
Once it's in, an implant needs no care.
FactFact: The post can't decay, but the gum and bone around it can still become infected. Cleaning around it every day and keeping your check-ups is what protects it, and skipping both is the usual route to trouble later.
The Goregaon West clinic is on Navjyoti Society Road, off Mahatma Gandhi Road in Unnat Nagar 2, open Monday to Saturday from 10 AM to 4 PM. A first implant visit is mostly conversation and X-rays, so a daytime slot suits anyone with a free morning or afternoon. Implant treatment runs over several visits, so it helps to pick the clinic you can return to most easily. It's easy to reach from Goregaon East and Oshiwara.
The Malad East clinic is in Sunshine Co-op Housing Society on Subhash Lane, off B. L. Murarka Marg in Shivaji Nagar, open Monday to Saturday from 6 to 9 PM. Evenings suit people who work through the day, including those coming from Malad West or Kandivali. Walk-ins are welcome at both clinics, but a call or WhatsApp message first means no waiting. Bring old X-rays, your medicine list and any recent blood sugar reports, and say which clinic is easier for you.
8/60, Navjyoti Society Rd, off Mahatma Gandhi Road, Unnat Nagar 2, Goregaon West, Mumbai 400104
Mon–Sat · 10:00 AM – 4:00 PM
Get directions →Shop No. A/4, Sunshine Co-operative Housing Society, Subhash Lane, Shri. B. L. Murarka Marg, Shivaji Nagar, Malad East, Mumbai 400097
Mon–Sat · 6:00 PM – 9:00 PM
Get directions →Caps for cracked or root-treated teeth, and bridges to close a gap.
Read more →Replacing missing teeth, treating bleeding gums and keeping loose teeth in place.
Read more →When a tooth can't be saved or a wisdom tooth keeps flaring up, here is how removal and recovery go.
Read more →Book a first assessment at Goregaon West or Malad East. Bring any old X-rays and your medicine list, and Dr. Mahesh will explain your options without pressure.