A dental implant replaces a missing tooth with a titanium root and a porcelain crown. The outcome depends almost entirely on the planning that happens before any instrument is picked up — not on the implant brand, and rarely on the surgery itself.
Diagnosis comes first
Every implant at Madeel begins with a CBCT 3D scan, an intraoral scan, and a consultation. The CBCT shows the bone, the nerve, and the sinus floor at sub-millimetre resolution. The intraoral scan models the bite. From these two data sets, the implant is virtually placed inside a digital model of the jaw — and the crown is digitally drawn before surgery is scheduled.
- Bone density and volume assessed on CBCT
- Nerve and sinus mapped to plan a safe surgical path
- Digital wax-up of the future crown, so the implant is positioned for the smile, not just the bone
Guided surgery
A custom milled surgical guide fits over the teeth and directs the implant to the exact position planned on the scan. The incision is smaller, swelling is reduced, and stitches are often unnecessary. Computer-guided local anesthesia keeps the procedure comfortable throughout. Laughing gas (nitrous oxide) is available for patients who prefer additional relaxation — it is the only inhaled relaxation method offered at the clinic.
Same-day or staged placement
Some patients leave with a fixed temporary tooth on the day of surgery. Suitability depends on bone quality, the position of the tooth in the arch, and how the bite loads the area. The decision is made on the CBCT before the surgical date is set — not in the chair.
Healing and osseointegration
The implant fuses to the bone over three to four months in a process called osseointegration. Normal eating, work, and travel continue throughout. A short check at six weeks confirms healing is on track, and a second review around three months confirms readiness for the final crown.
The permanent crown
Once integration is confirmed, the permanent crown is designed and either milled in-clinic (CEREC, same-day) or hand-layered by a partner laboratory for front-tooth cases. The shade is matched to neighbouring teeth, and the bite is refined so the implant chews like the tooth it replaced.
Long-term care
Implants are maintained the same way as natural teeth: brushing, flossing or interdental brushes, and a hygiene visit twice a year. A follow-up scan at the one-year mark confirms the bone level around the implant is stable.