How to Prove Dental Implants Are Medically Necessary
By Dr. Eastwood – Summerbrook Dental & Implants, Fort Worth, TX
A question I often hear from patients is, “How do I prove dental implants are medically necessary?” This usually comes up when insurance is involved, since most dental insurance companies view implants as elective or cosmetic. The truth is, for many people, implants are not just about looks—they are about health, function, and long-term quality of life.
To prove implants are medically necessary, we need to show that missing teeth are creating real problems. For example, if you are unable to chew properly, have pain from shifting teeth, or are experiencing bone loss in the jaw, implants may be the best solution. Unlike dentures or bridges, implants replace the tooth root, which keeps the jawbone strong and prevents further bone loss.
The first step is a comprehensive exam. At Summerbrook Dental & Implants, I take detailed records, including 3D scans, X-rays, and photos. These help document bone loss, missing teeth, or other oral health issues. If your natural teeth cannot support a bridge, or if dentures are not working, we can show that implants are needed for proper function.
We also prepare a treatment plan and narrative that explains why implants are the best option for your health. This may be sent to your insurance company for pre-authorization. While many dental plans still limit coverage for implants, some medical insurance policies may consider them if tooth loss affects speech, nutrition, or jaw stability.
At my office, we handle this process for you. My team works with your insurance provider to gather the necessary documents and submit appeals if needed. Even when coverage is limited, we offer financing options so patients can move forward without unnecessary stress.
I want you to know that there is no judgment here. Whether teeth were lost due to decay, injury, or it has been years since your last dental visit, my goal is to help you move forward. With my advanced training in implant dentistry, I can provide both the clinical expertise and the supporting records needed to show why implants are not just cosmetic—they are a medical necessity for your health and well-being.
If you are wondering about coverage for implants, schedule a consultation at Summerbrook Dental & Implants. We will review your needs, create a clear plan, and help you navigate the insurance process with confidence.