What Happens at a Dental Implant Consultation? A Step-by-Step Guide

If you are considering dental implants to replace missing teeth, the first step is a dental implant consultation. This appointment is an assessment — not surgery. Its purpose is to evaluate your oral health, assess whether implant treatment may be suitable, and discuss the options available to you. Understanding what happens at a dental implant consultation can help you feel more prepared and confident before attending. There is no obligation to proceed with treatment, and the consultation is your opportunity to ask questions, understand the process, and make an informed decision at your own pace.

Quick Answer: What Is a Dental Implant Consultation?

A dental implant consultation is an initial appointment where your dentist assesses your suitability for implant treatment. It typically includes a review of your medical and dental history, a clinical examination, imaging where appropriate, and a discussion of your treatment options. No implant is placed at this stage.

• Review of your medical and dental history
• Examination of your teeth and gums
• Assessment of bone levels using imaging
• Discussion of treatment options and alternatives
• Opportunity to ask questions and raise concerns

The consultation is designed to give both you and your dentist a clear picture of your current oral health and whether implants may be a suitable option. It is a collaborative process focused on providing the information you need to make a well-informed decision.

Step 1 — Medical History Review

The consultation typically begins with a thorough review of your medical history. This is an essential part of the implant consultation process, as certain health conditions and medications can influence healing and treatment planning.

• General health conditions such as diabetes or heart disease
• Current medications, including blood thinners or bisphosphonates
• Smoking status and habits
• Previous dental treatments and surgical history
• Known allergies or sensitivities

Your medical history helps your dentist understand any factors that may affect the safety or predictability of implant treatment. For example, uncontrolled diabetes or certain medications may influence bone healing, and your dentist will take these into account when advising on suitability. It is important to provide accurate and complete information so that your treatment plan reflects your individual circumstances.

Step 2 — Clinical Examination of Teeth and Gums

Your dentist will carry out a clinical examination of your mouth, focusing on the area where teeth are missing as well as the overall health of your remaining teeth and gums. This is a key part of the dental implant assessment.

• Assessment of the site where teeth are missing
• Evaluation of gum health, including signs of periodontal disease
• Analysis of your bite and how your teeth come together
• Review of any existing restorations such as crowns or bridges

Healthy gums are important for successful implant treatment. If active gum disease is present, your dentist may recommend that this is treated and stabilised before implant placement. The clinical examination also helps determine how many implants may be needed and the most appropriate positioning for a functional and natural-looking result.

Step 3 — Imaging and Bone Assessment

Imaging plays a central role in the implant treatment planning process. It allows your dentist to assess the quantity and quality of bone available to support an implant, and to identify important anatomical structures that must be avoided during placement.

• Standard dental X-rays to provide an initial overview of bone and tooth structures
• CBCT (cone beam computed tomography) scan if more detailed three-dimensional imaging is clinically indicated
• Measurement of bone volume, height, and width at the proposed implant site
• Identification of anatomical structures such as nerves and sinuses

Adequate bone support is essential for implant stability and long-term success. If bone volume is insufficient, your dentist may discuss options such as bone grafting to build up the area before or during implant placement. Imaging also helps plan the precise angle and depth for implant positioning, which is important for both function and aesthetics. If you would like to learn more about the treatment itself, you can read about dental implants in London.

Step 4 — Discussion of Treatment Options

Based on the clinical findings, your dentist will discuss the treatment options that may be appropriate for your situation. This includes different types of implant-supported restorations as well as alternative approaches to replacing missing teeth.

• Single implant — to replace one missing tooth with a crown
• Implant-supported bridge — to replace several adjacent missing teeth
• Implant-retained denture — a removable denture secured by implants for improved stability
• Full-arch solutions — to restore an entire arch of teeth using multiple implants
• Alternative non-implant options — such as conventional bridges or dentures

Each option has its own advantages, limitations, and suitability criteria. Your dentist will explain how different approaches compare and help you understand which may be most appropriate based on your clinical needs, preferences, and budget. You can also explore broader restorative dentistry options to understand the full range of treatments available.

Step 5 — Explanation of Risks, Benefits and Timeline

An important part of any dental implant consultation is a transparent discussion of the benefits, potential risks, and expected timeline for treatment. This supports informed consent and ensures you have realistic expectations before proceeding.

• The healing stages, including osseointegration, are explained clearly
• Possible complications such as infection, delayed healing, or implant failure are discussed
• An estimated timeframe from placement to final restoration is outlined
• Aftercare requirements and maintenance expectations are reviewed

Timelines vary between individuals depending on factors such as bone quality, gum health, and whether additional procedures like bone grafting are needed. Your dentist will provide an estimated schedule but will emphasise that healing progress will be monitored at review appointments, and the final restoration will be placed only once integration has been confirmed.

Step 6 — Cost Breakdown and Written Treatment Plan

Before any treatment begins, you should receive a clear breakdown of costs and a written treatment plan. This ensures full transparency and gives you the information you need to make a financially informed decision.

• A clear fee structure covering all stages of treatment
• Explanation of what is included — such as the implant, abutment, and restoration
• Discussion of finance options where applicable
• A written treatment plan for you to review at home before committing

There is no obligation to make a decision at the consultation. Many patients prefer to take their written plan away, consider their options, and return with any further questions. For more details on pricing, you can view dental implant costs in London. Transparent communication about fees helps ensure there are no unexpected costs during your treatment journey.

Can You Start Treatment on the Same Day?

In some cases, it may be possible to begin certain aspects of treatment on the same day as the consultation. However, this depends entirely on the complexity of your case and whether all necessary assessments have been completed.

• Same-day treatment depends on the complexity of the individual case
• Additional planning, such as CBCT imaging or laboratory work, may be required first
• Medical clearance may be needed for patients with certain health conditions
• Full informed consent must be obtained before any surgical procedure

Immediate implant placement is not suitable for every patient and is assessed on a case-by-case basis. Your dentist will advise whether this is an option for you based on your clinical findings. In many cases, a period of planning between the consultation and surgery leads to a more predictable outcome.

How Long Does a Dental Implant Consultation Take?

A dental implant appointment for an initial consultation typically lasts between 30 and 60 minutes. The exact duration depends on the assessments required and the time needed to discuss your individual situation.

• Most consultations take approximately 30 to 60 minutes
• Longer appointments may be needed if detailed imaging is carried out
• Adequate time is allocated for questions and discussion
• There is no rush to make a decision at the appointment

The consultation is designed to be thorough but unhurried. Your dentist will ensure there is enough time to complete the necessary assessments, explain the findings, and answer any questions you may have. If further time or information is needed, a follow-up appointment can be arranged.

Preparing for Your Implant Consultation in London

A little preparation before your implant suitability assessment can help you get the most from the appointment. Being organised means your dentist can work more efficiently, and you will feel more confident about the process.

• Bring a list of any medications you currently take, including supplements
• Be prepared to share your full medical history, including any ongoing conditions
• Write down any questions you would like to ask in advance
• Consider bringing a family member or friend for support if you wish

Having this information to hand helps your dentist carry out a more complete assessment and develop a treatment plan that accurately reflects your needs. It also means that the appointment time can be used as productively as possible, leaving more time for discussion and answering your questions.

Frequently Asked Questions