What I Tell My Patients About Making Dental Implants Last

May 30, 2026
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Posted By: Dr. Holly Baller

Dental implants are designed to last a long time, even a lifetime in many cases. But as I tell my patients at Baller Dental & Ortho at Southlands, how long an implant lasts depends on a combination of factors, some within your control and some we evaluate together before I even begin treatment.

What a Dentist Looks for Before Placing an Implant

Before recommending implants, I review more than just the gap in your smile. Bone density, gum health, and overall health history all factor into whether an implant is likely to succeed long-term.

Precise treatment planning and proper placement also play a significant role, which is why I take time with the evaluation process. Patients who aren't good candidates upfront face a higher risk of failure in the future.

What Can Cause a Dental Implant to Fail?

The most common factors I see affecting implant longevity:

  • Peri-implantitis — This is essentially gum disease around the implant. According to a study published by the National Institutes of Health (NIH), infection is the leading cause of implant failure. The condition is largely preventable with consistent home care and regular cleanings.
  • Teeth grinding — Chronic grinding puts excessive force on implants and can loosen or damage them over time. If you grind or clench, we'll talk about a nightguard.
  • Poor oral hygiene — Implants can't decay, but the tissue and bone supporting them can deteriorate without proper care.
  • Smoking and uncontrolled systemic conditions — Both affect healing and long-term bone health around the implant. Diabetes is one of the more common conditions I see in this context. When it's well managed, patients can still be good candidates, but control matters.

Steps for Protecting Your Dental Implant

The good news is that most of the risk factors above are manageable. Here's what I recommend to my implant patients:

  • Brush twice daily and floss around the implant. Technique matters, and I'm happy to show you how to do it correctly.
  • Come in for regular checkups so we can monitor the implant and the surrounding tissue.
  • Address teeth grinding early if you know it's an issue.
  • Don't skip teeth cleanings. Ideally, we want to see you every six months.

One thing patients are often surprised to learn: the implant post itself can last a lifetime, but the crown on top may need replacement after 15 to 20 years. That's normal wear, not failure.

We Welcome Your Questions

If you're considering dental implants or have questions about one you already have, I'd love to help. Call (720) 653-3223 to schedule a consultation with me at Baller Dental & Ortho at Southlands in Aurora.