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September 19, 2022Getting Dental Implants Wilmington means restoring your smile, biting power, and confidence. If you’re considering this journey, especially with a Periodontist Wilmington DE, it’s helpful to know each step: what happens before, during, and after. Below is a friendly walkthrough of what to expect, inspired by leading practices such as those by Dr. Sam Khoury & Associates.
Initial Consultation and Planning
periodontist inWhen you first meet with a Periodontist Wilmington DE, the process starts with a thorough evaluation:
- Medical history & oral health review: You’ll discuss any conditions (e.g. diabetes, high blood pressure), current medications, and habits like smoking.
- Examination of your mouth: Checking gums, teeth, bone health. If there has been bone loss or gum disease, that must be addressed first.
- Imaging: Advanced 3D imaging (such as CBCT scans) helps the specialist see bone structure, sinus position, nerve locations. This is critical for safe implant positioning.
- Treatment planning: Based on what the imaging shows, the periodontist will decide whether you need additional procedures (bone grafting, sinus lift), and will map out the implant placement.
Preparing for the Procedure
If everything looks good, certain preparatory steps are needed:
- Bone Grafting (if required): If there’s insufficient bone, a graft may be performed to build a strong foundation. This can add extra time to the process.
- Sinus lift (for upper jaw, if needed): To ensure enough vertical bone height under the sinuses.
- Tooth extraction (if a tooth is still present and unsalvageable): This may be done earlier so healing can occur before implant placement or sometimes at the same time depending on the case.
Implant Surgery Day
On the day of placement, here’s what you’ll experience:
- Sedation or local anesthesia: To ensure comfort. Many periodontists, especially experienced ones like at Dr. Sam Khoury clinics, use sedation options to make the experience less stressful.
- Implant placement: The implant (a titanium post) is placed into the jawbone at the planned site. Precise tools and guided surgery often help with accuracy.
- Covering and closure: After placing the implant, the gum tissue is closed over or around it. Sometimes, a healing cap or abutment is placed.

Healing and Osseointegration
After surgery, the key stage is healing. It’s when the implant fuses with the bone a process called osseointegration.
- Healing period: This can take several months (often 3‑6 months), during which the implant integrates with your jawbone.
- Temporary tooth/restoration: If needed, a temporary crown or denture may be provided so you’re not left without a tooth in visible areas.
Abutment & Final Restoration
When healing is adequate:
- Abutment placement: The periodontist will attach an abutment to the implant this is what connects the implant post with your final crown.
- Taking impressions: Dental impressions or digital scans are made to craft a permanent crown (or other prosthesis).
- Fitting and adjustment: The final crown is fitted, making sure your bite is comfortable, the shade matches, and everything feels natural.
Aftercare: What You’ll Need to Do
Once the implant is in place, maintenance is very important:
- Oral hygiene: Brushing, flossing, and maybe special tools (interdental brushes) to clean around the implant.
- Regular check‑ups: Your Periodontist Wilmington DE will schedule follow‑ups to monitor healing, check for gum health, ensure no infection, and confirm the implant’s success.
- Lifestyle considerations: Avoid heavy smoking, maintain good nutrition, and follow any diet restrictions shortly after surgery (soft foods initially).
Risks, Recovery Timeline, and What’s Normal
It’s normal to have some swelling, mild pain, bruising, and discomfort in the days after surgery. Your periodontist will usually prescribe pain control, possibly antibiotics, and recommend cold compresses.
Risks are relatively low with a skilled professional. But possible issues could include infection, implant failure (if bone doesn’t fuse), or nerve irritation hence importance of selecting a competent Periodontist Wilmington DE with experience.
Why Choosing a Skilled Periodontist Matters
When you go with someone experienced in dental implants and periodontal surgery:
- They will use cutting‑edge technology (guided implant surgery, CBCT, biomaterials, etc.) to minimize trauma.
- They can handle related procedures like bone grafting, sinus lifts, gum grafts, if required, in house.
- They prioritize patient comfort sedation options, minimally invasive techniques, clear communication.
- They understand not just placing implants, but preserving gum health and bone long‑term.
Final Thoughts
When you are thinking about Dental Implants Wilmington, then you should anticipate a multi-step process that is dedicated to your personal health, anatomy and objectives. Collaborating with an appointed Periodontist Wilmington DE simply implies you receive individualized planning, cautious surgery and focused aftercare. It is a time-consuming pocess but the outcome is a natural-looking tooth replacement which is strong and can be used in many years.