Week by week: what happens after implant surgery.
Implant healing follows clear stages from placement to the final crown.

Days 1–7 initial healing; 3–4 months osseointegration; then the permanent crown. See implants.
Full integration ensures a lasting result.
| Stage | When | What is happening |
|---|---|---|
| Soft-tissue healing | 2–6 weeks | Gum closes over the site |
| Early bone bonding | 6 weeks – 3 months | Bone begins growing onto the implant surface |
| Osseointegration complete | 3–6 months | Implant can bear chewing load |
| Abutment + final crown | After integration | Impression, laboratory, fitting |
| With graft or sinus lift | Up to ~9 months | Graft must mineralise first |
Osseointegration is not glue setting. Living bone must grow into the microscopic surface of the titanium. Load the implant before that lattice is dense enough and the interface fails — this is the mechanism behind most early implant failures.
Immediate loading exists, but it means a temporary crown kept out of heavy bite, in carefully selected cases with excellent primary stability. It does not shorten biology. See same-day teeth.
Smoking is the dominant factor — nicotine constricts the vessels that carry bone-forming cells. Uncontrolled diabetes, certain medications (bisphosphonates, some immunosuppressants), radiotherapy to the jaw, and untreated gum infection all extend or jeopardise integration.
Poor primary stability at surgery, overheating of bone during drilling and premature loading are the surgical contributors.
Week 1: swelling peaks days 2–3, then falls; discomfort controlled by prescribed analgesia.
Weeks 2–6: gum closes; the site feels unremarkable. No pain should be present.
Months 2–6: nothing at all. An integrating implant is silent.
Pain returning after a pain-free period, a mobile implant, or pus are not part of healing. See the signs of a failing implant.
Because integration takes 3–6 months, implant treatment abroad requires two trips: surgery, then the final crown. Book the second trip only once your surgeon confirms integration, typically with a radiograph and a stability check.
See how long to stay and implant aftercare.
This page provides general information and does not replace professional dental advice. Follow the specific instructions given by your treating dentist.
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