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What Happens During Dental Implant Surgery? A Step-by-Step Guide for Norwich Patients

Clinically reviewed by: Dr Hamed Karimi, Specialist in Periodontics and Implant Surgeon.

GDC Reg No: 70400.

Last reviewed: 09/07/2026.

What Happens During Dental Implant Surgery? A Step-by-Step Guide for Norwich Patients

Dental implant surgery is usually much simpler than most patients expect. The procedure is carried out under local anaesthetic, which means you should not feel pain during treatment. Most people are surprised by how straightforward the process is. For a single implant, the surgical appointment often takes less than an hour. Understanding what happens at each stage can help you feel more confident before treatment begins.

Step 1: Your Consultation and Assessment

Before any implant surgery takes place, you will attend a detailed consultation.

At Norfolk Dental Specialists, this involves a clinical examination, appropriate investigations, a discussion about your medical history, and an assessment of your treatment goals. We will also examine the condition of your gums, teeth, and jawbone to determine whether dental implants are the right option for you.

Every implant case is different. Some patients are replacing a single missing tooth. Others may be looking to replace several teeth or secure a denture. The consultation allows us to understand your needs and create a personalised individual plan.

Step 2: Advanced 3D Treatment Planning

Successful implant treatment begins prior to surgery.

At our Norwich practice, every implant is planned using in-house CBCT-3D imaging. This technology provides a detailed view of your jawbone, surrounding teeth, nerves, and anatomical structures.

The scan allows us to assess exactly where the implant should be placed. Precise planning improves safety and predictability. It also helps us determine the correct implant size and position before treatment begins.

This planning stage is one of the most important parts of the entire process.

Step 3: Preparing for Implant Surgery

On the day of surgery, the area is numbed using local anaesthetic.

This is the same type of anaesthetic commonly used for filling and other dental procedures. Once the area is fully numb, you should not feel pain during treatment. You may notice some pressure or vibration, but the procedure itself is generally very comfortable.

Patients who feel nervous about treatment can discuss their concerns with the team beforehand. We always take time to explain each stage and ensure you feel relaxed before treatment begins.

For patients who may feel anxious about implant surgery, oral sedation and conscious sedation options are available to help ensure a calm and comfortable treatment experience.

Step 4: Placing the Dental Implant

The dental implant itself is a small titanium post that replaces the root of a missing tooth.

Once the area is numb, a small opening is delicately placed in the gum. The implant site is then carefully prepared within the jawbone using specialised instruments.

The implant is gently placed into position according to the personalised individual plan created from your 3D scans. The gum is then closed around the implant where appropriate.

Most patients are surprised by how little discomfort they experience during this stage. In many cases, implant placement is less uncomfortable than a tooth extraction.

The implant systems we use at Norfolk Dental Specialists are Swedish implants selected and approved by our clinicians because of their long-term clinical evidence, reliability, and predictable outcomes.

Step 5: Healing and Osseointegration

After placement, the implant requires time to integrate with the surrounding bone.

This process is called osseointegration. It simply means that the implant and bone gradually fuse together to create a stable foundation for the replacement tooth.

Healing times vary between patients, but most implants require several months to integrate fully. During this period, review appointments allow us to monitor healing and ensure everything is progressing as expected.

Patients can usually return to normal daily activities quickly following treatment. Any mild soreness is generally manageable with standard pain relief.

Step 6: Creating Your New Tooth

Once healing is complete, we move to the restorative phase of treatment.

Digital impressions are taken to create your new tooth. The replacement crown is custom-made to match the colour, shape, and appearance of your surrounding teeth.

The crown is then attached to the implant using a custom abutment. The result is a secure and natural-looking tooth replacement designed to blend seamlessly with your smile.

Many patients tell us they quickly forget which tooth is the implant because it feels so natural.

Step 7: Long-Term Maintenance

Dental implants are designed to be a long-term solution for missing teeth.

Like natural teeth, they require good oral hygiene and regular professional care. Brushing, cleaning between teeth, and attending routine examinations all play an important role in maintaining implant health.

At Norfolk Dental Specialists, we provide ongoing support and maintenance advice following treatment. Regular health checks help ensure your implant remains healthy and functional for many years.

According to the Association of Dental Implantology, dental implants have success rates about 95% when placed in suitable patients and maintained appropriately.

Why Patients Across Norfolk Choose NDS

Norfolk Dental Specialists is located at 1 Victoria Street, Norwich, NR1 3QX and serves patients throughout Norfolk, Suffolk and East Anglia.

Implant treatment is led by Dr Hamed Karimi, BDS (Edin), MSc (Lond) MClinDent (Lond), FDS, MRD, RCS (Eng), Lead Clinician and Clinical Director. With advanced postgraduate training and extensive experience in implant dentistry, periodontology and restorative care, he oversees every stage of treatment planning to help ensure the highest standards of patient care and long-term treatment success.

We have placed more than 7,000 dental implants at our Norwich practice over more than 20 years. Every case is planned carefully, using advanced imaging and evidence-based techniques to help achieve predictable outcomes.

Frequently Asked Questions

Will I be awake during dental implant surgery?

Yes. Most dental implant procedures are carried out under local anaesthetic, which means you remain awake but should not feel pain. You may feel some pressure or movement during treatment, but the area being treated will be numb.

How long does dental implant surgery take?

A single dental implant can often be placed in less than an hour. More complex treatments involving multiple implants may take longer. Your clinician will explain the expected treatment time during your consultation.

Is dental implant surgery painful?

No. The procedure itself should not be painful because local anaesthetic is used throughout the treatment. Most patients report mild discomfort afterwards that is manageable with standard pain relief.

How long does it take for a dental implant to heal?

Most implants require several months to fully integrate with the jawbone. This healing process, known as osseointegration, creates the stable foundation needed to support the final crown.

Can I return to work after dental implant surgery?

Many patients return to work within a day or two, depending on the complexity of treatment. Your clinician will provide personalised aftercare advice based on your individual case.

If you are considering dental implants and would like expert advice, we offer a free initial consultation at Norfolk Dental Specialists. Call 01603 632525 or WhatsApp 07918 487472 to arrange an appointment and discuss your options with our experienced team.

Clinical review

This article was clinically reviewed by Dr Hamed Karimi, Specialist in Periodontics and Implant Surgeon.

Dr Hamed Karimi is registered with the General Dental Council. GDC Reg No: 70400.