A Periodontist's Perspective

Dental Implant Candidate? You May Be a Perfect Fit Even If Told No

There was a time when the path to a full, confident smile was blocked for many. A visit to a dentist in Beverly Hills, a frank discussion about missing teeth, and then the crushing news, “I’m sorry, you’re not a good dental implant candidate.” For years, this was a common, and often final, verdict. Patients would leave with the belief that their only options were bridges or dentures, which, while effective, don’t offer the same stability, function, or longevity as modern dental implants.

But what if that old rule book has been rewritten? What if the reasons you were once disqualified for dental implants are no longer the barriers they once were? The landscape of modern dentistry, especially in places like Beverly Hills, has undergone a revolutionary transformation, driven by advanced technology and innovative techniques. The very things that used to make a person a “poor candidate” are now often temporary hurdles that can be overcome. This is especially true when working with a periodontist, a specialist in the diagnosis, prevention, and treatment of periodontal disease, and in the placement of dental implants.

This blog post will explore how the “no” you received in the past might now be a “yes,” and how understanding the advancements in modern dentistry could unlock your path to a permanent, beautiful smile.


The Traditional Candidate, What Was Required?

For a long time, the criteria for being a good dental implant candidate were quite strict and straightforward. The ideal candidate was typically someone who:

  • Was in good overall health, free from systemic diseases that could affect healing.
  • Had healthy gums, periodontal disease could compromise the success of the implant.
  • Had adequate bone density, this was, and still is, the single most critical factor. The jawbone must be strong enough and dense enough to support the titanium implant post, which acts as the new tooth root.
  • Did not smoke, smoking significantly reduces blood flow to the gums and jawbone, impairing the body’s ability to heal and increasing the risk of implant failure.

The most common reason for disqualification was a lack of sufficient jawbone. Without a tooth root to stimulate it, the jawbone naturally begins to atrophy or shrink over time, a process known as bone resorption. For patients who had been missing a tooth for a long time, the jawbone might have become too thin or too soft to securely hold dental implants. This lack of a solid foundation was a deal-breaker. A dentist would often have to tell the patient that there simply wasn’t enough bone to anchor the implant, leaving them with no recourse but to consider other tooth replacement options.

This is where the surprise comes in. The dental field has made incredible strides in overcoming this specific challenge.

Dental Implant Candidate in Beverly Hills

The Modern Candidate, The Game-Changing Power of Bone Grafting

The primary reason for being told “no” for dental implants, inadequate bone, is now more often than not a solvable problem. Modern dentistry has perfected the art and science of bone grafting and augmentation.

Bone grafting is a surgical procedure that rebuilds or restores the jawbone. A surgeon places bone material, which can be taken from another part of your body, a donor, or a synthetic source, into the area of the jaw where bone loss has occurred. This transplanted bone material then acts as a scaffold, stimulating the body to grow new, natural bone cells. Over a period of several months, this new bone integrates with the existing bone, creating a solid, stable foundation robust enough to support a dental implant.

This breakthrough has fundamentally changed the conversation around dental implant candidacy. A patient who would have been immediately disqualified in the past can now undergo a preliminary procedure to prepare their jaw for the implant. While this does add time to the overall treatment plan and may increase the total cost, it opens the door to a permanent solution that was previously off-limits. The temporary setback of bone loss is no longer a permanent barrier.

A specialist, such as a periodontist like Dr. Justin Raanan in Beverly Hills, is particularly adept at performing these complex procedures. They have the advanced training, experience, and technology to not only place the implant but also to expertly reconstruct the jawbone beforehand, ensuring the highest chance of success for the entire process.


The Transformative Benefits of a Dental Implant

So, why go through the extra steps of bone grafting and a longer treatment timeline? The benefits of dental implants are simply unmatched by other tooth replacement methods.

  • Longevity, with proper care, a dental implant can last a lifetime. Unlike dentures or bridges, which may need to be replaced every 5 to 15 years, an implant is a long-term investment in your oral health.
  • Functionality, dental implants are the only tooth replacement option that functions just like a natural tooth. Because they are fused to the jawbone, they allow you to chew and speak with complete confidence.
  • Aesthetics, the custom-made crowns placed on top of the implant post are designed to match the color, shape, and size of your natural teeth. The result is a seamless, beautiful smile that is virtually indistinguishable from a natural one.
  • Bone Preservation, dental implants are the only tooth replacement method that prevents jawbone loss. The implant post acts like a natural tooth root, providing the necessary stimulation to keep the bone healthy and intact. This helps maintain the structure of your face and prevents the sunken, aged look often associated with missing teeth.
  • No Impact on Adjacent Teeth, unlike a dental bridge, which requires the filing down of healthy, adjacent teeth to serve as anchors, a dental implant is a standalone solution that does not affect any other teeth.

The Dental Implant Procedure, A Patient’s Journey

The journey to a new smile with dental implants is a carefully orchestrated process, made comfortable through modern techniques and a focus on patient care. The steps typically include:

  1. Comprehensive Evaluation: The first step is a thorough examination of your mouth, including a review of your medical and dental history. Advanced imaging, such as a CBCT scan, is used to get a detailed 3D view of your jawbone and determine if you are a good dental implant candidate.
  2. Bone Grafting (If Necessary): If the scan reveals a lack of bone density, a bone grafting procedure is performed. This is a crucial step for many patients who were previously told “no.” Following the graft, a healing period of several months is required to allow the new bone to fuse with your existing jawbone.
  3. Implant Placement: Once the jawbone is ready, a small, titanium implant post is surgically placed into the bone. This is the foundation of your new tooth.
  4. Osseointegration: This is the most important healing phase, during which the implant post fuses with the jawbone. This process can take several months, but it is what gives the implant its incredible stability and strength.
  5. Abutment and Crown Placement: After osseointegration is complete, a small connector piece called an abutment is attached to the implant post. Finally, a custom-made crown is placed on top of the abutment, completing your new, permanent tooth.

For patients who may be anxious about the procedure, modern dentistry offers a range of sedation options. From nitrous oxide to oral conscious sedation and even IV sedation with a board-certified anesthesiologist, a good dental professional ensures that the patient’s comfort is a top priority throughout the entire process.


A Holistic Approach to Wellness

Your journey to a healthier smile is part of a larger picture of overall well-being. The connection between oral health and systemic health is well-documented. What you do for your mouth can have a profound impact on your body. Conversely, your overall health, including your mental state, can influence your oral health. For example, conditions like stress and anxiety can contribute to jaw clenching, teeth grinding, and even a weakened immune response that can affect healing.

Image of stress

This is where the concept of wellness becomes truly holistic. While a dental implant procedure can restore a beautiful and functional smile, it’s also important to consider all aspects of your health. Services like those offered by Neuro Wellness Spa, which provide psychiatric care, therapy, and non-invasive treatments like TMS for mental wellness, highlight the importance of treating the whole person. Your confidence and ability to smile freely are intrinsically linked to your peace of mind and overall health. A healthy body and a healthy mind are the cornerstones of a truly happy life.


Comparison of Tooth Replacement Options

FeatureDental ImplantsDental BridgesDentures
DurabilityCan last a lifetime with proper careTypically last 5-15 yearsTypically last 5-10 years
Effect on Adjacent TeethDoes not affect adjacent teethRequires filing down of healthy teethMay cause wear on natural teeth
Jawbone HealthPrevents bone lossDoes not prevent bone lossCan accelerate bone loss
StabilityFixed, very stableFixed, but less stable than implantsRemovable, may slip or click
AestheticsLooks, feels, and functions like a natural toothGood, but not as seamless as an implantCan appear less natural
CostHighest initial costModerate costLowest initial cost


Dental Implant Candidacy, Then vs. Now

FactorPast “No”Today’s “Yes”
Bone DensityInadequate bone was a disqualifier.Bone grafting can rebuild the jawbone, making you a candidate.
Time Since Tooth LossLong-term tooth loss often meant too much bone atrophy.Bone grafting and advanced surgical techniques can restore the jawbone.
Smoker StatusOften a hard disqualifier due to poor healing.While still a risk, some providers may consider it on a case-by-case basis after cessation.
General HealthStrict health requirements could disqualify patients.With proper management of systemic conditions, many are now dental implant candidates.


Q&A About Dental Implants

Is the dental implant procedure painful?

With modern sedation dentistry options, the procedure is typically not painful. Post-operative discomfort can be managed with over-the-counter or prescribed pain medication.

How long does the entire process take?

The total time can range from a few months to over a year, depending on whether bone grafting is needed and the time required for osseointegration.

Are dental implants covered by insurance?

Coverage varies widely. Some insurance plans may cover a portion of the cost, while others do not. It’s essential to check with your provider.

How do I care for my dental implants?

Treat them just like natural teeth! Regular brushing, flossing, and routine dental checkups are crucial for long-term success.

Can a dental implant fail?

Yes, though the success rate is very high (over 95%). Failure is often linked to poor oral hygiene, smoking, or underlying health issues.

What is osseointegration?

It’s the biological process where the titanium implant post fuses directly with the jawbone. This is what makes the implant so strong and permanent.

Can anyone with missing teeth get an implant?

While candidacy has expanded, it’s not for everyone. A thorough evaluation by a qualified professional is necessary to determine if you are a good dental implant candidate.

What is a periodontist, and why is it important to see one for dental implants?

A periodontist is a dentist who specializes in the structures supporting the teeth, including the gums and jawbone. Their expertise is crucial for complex cases, especially those requiring bone grafting.

Are there different types of dental implants?

Yes, there are different types, including endosteal (in the bone) and subperiosteal (on the bone), but endosteal dental implants are the most common today.

How much do dental implants cost?

The cost varies significantly based on the number of dental implants, the need for additional procedures like bone grafting, and geographic location such us Beverly Hills. It’s a significant investment, but one that provides lasting value.


The Next Chapter of Your Smile

If you’ve been told in the past that you aren’t a dental implant candidate, we hope this information has given you a renewed sense of hope. The most common reasons for disqualification, especially insufficient bone density, are no longer the permanent barriers they once were. Modern advancements like bone grafting have made the life-changing benefits of dental implants accessible to a much wider range of patients. Taking the first step is easy, and it could be the start of a journey to a healthy, confident, and beautiful smile.

To learn more about the advanced dental implant solutions we offer, explore our Services page. For more information about the specialist who can guide you through this process, visit our Meet the Doctor section. And if you’re ready to find out if you’re a great dental implant candidate today, don’t hesitate to Contact Us to schedule a consultation in Beverly Hills. We look forward to helping you smile again.

Dr. Justin Raanan, DDS.. MMSc. Periodontist

Beverly Hills Clinic:
414 N Camden Dr Suite 1240, Beverly Hills, CA 90210
Brentwood Clinic:
11980 San Vincente Blvd. suite 811, Los Angeles, CA 90049
(310) 205-5315