Am I a Candidate for Dental Implants?

One of the most common questions people ask before exploring implants is whether they'll even qualify. The good news: most healthy adults are candidates. The factors that matter most are bone density, gum health, and a few medical considerations — not age, and not anxiety about the procedure.

The Bone Question

Implants need a solid foundation, just like that fence post in concrete. If a tooth has been missing for a long time, the jawbone in that area can shrink — a process called bone resorption. Think of it like a muscle that hasn't been used: it gradually reduces. If significant resorption has occurred, a bone graft may be recommended before or during implant placement. This is common and very manageable; it simply adds time to the process.

Gum Health Matters

Active gum disease (periodontitis) is the main barrier to implants. Bacteria from untreated gum disease can surround an implant and cause it to fail — the same way a house built on unstable ground won't hold. If you have gum disease, the good news is it's treatable. Once your gums are healthy, implants become an option.

Medical Considerations

Certain medical conditions require discussion with your dentist before proceeding:

• Diabetes: Well-controlled diabetes is generally compatible with implants. Uncontrolled diabetes slows healing and increases infection risk. Good blood sugar management is key.
• Smoking: Smoking reduces blood flow to the gums and roughly doubles the risk of implant failure. Many dentists recommend quitting at least 2 weeks before surgery and avoiding smoking during healing.
• Osteoporosis medications: Some bisphosphonate drugs (used for osteoporosis) can affect jawbone healing. Inform your dentist of all medications.
• Radiation therapy: Prior radiation to the jaw area requires special evaluation.

Age

There's no upper age limit for implants. Patients in their 70s and 80s receive implants successfully every day. The lower limit is that a young patient's jaw must be fully developed — typically around age 17–18 for girls and 18–21 for boys.

The Best Way to Know

A 3D cone-beam CT scan gives your dentist a precise picture of your bone density and anatomy. A consultation takes about an hour and answers all these questions for your specific situation. Use our Find a Dentist feature to book a free implant consultation at a participating practice near you.