Who Is a Poor Candidate for Dental Implants?
By Dr. Eastwood – Summerbrook Dental & Implants, Fort Worth, TX
Many patients ask me, “Who is a poor candidate for dental implants?” Dental implants are one of the most reliable ways to replace missing teeth, but not everyone is the perfect candidate right away. Understanding the factors that can affect implant success helps us decide if implants are right for you—or if we need to do some extra steps first.
One challenge is poor bone quality. Implants need enough strong bone to anchor securely. If the jawbone has shrunk too much from years of missing teeth or gum disease, implants may not be possible without a bone graft or sinus lift. The good news is that with modern techniques, we can often rebuild bone and make implants possible even for patients who were once told “no.”
Another factor is uncontrolled medical conditions. Patients with uncontrolled diabetes, certain immune system problems, or those undergoing cancer treatments may have slower healing or higher risk of infection. Once these conditions are managed, many patients can safely move forward with implants.
Smoking is another risk. Smoking reduces blood flow, slows healing, and increases the chance of implant failure. While smoking does not automatically disqualify you, quitting or cutting back greatly improves your chances of long-term success.
Poor oral hygiene can also make someone a poor candidate. Just like natural teeth, implants need healthy gums and regular care to last. Patients who struggle with gum disease or do not brush and floss consistently may face complications.
At Summerbrook Dental & Implants, I use advanced 3D imaging, zero bone loss principles, and custom healing abutments to improve success rates even in challenging cases. I also want every patient to know that my office is a no judgment zone. Many people come in feeling embarrassed about their dental health, but my role is not to lecture—it’s to guide you toward solutions.
So, who is a poor candidate for dental implants? People with severe bone loss, uncontrolled medical issues, heavy smoking habits, or poor oral hygiene may need extra steps before implants are possible. If you’re unsure, schedule a consultation at Summerbrook Dental & Implants in Fort Worth. Together, we’ll evaluate your health and design a plan that helps you restore your smile, comfort, and confidence.