Why Would a Dentist Not Recommend an Implant?
By Dr. Eastwood – Summerbrook Dental & Implants, Fort Worth, TX
Many patients ask me, “Why would a dentist not recommend an implant?” Dental implants are one of the best ways to replace missing teeth, but they are not always the right choice for every patient. There are a few reasons why a dentist may suggest an alternative or recommend waiting before moving forward.
One common reason is bone loss. Implants need a strong foundation in the jawbone to stay secure. If the bone has shrunk too much from years without teeth or from gum disease, an implant may not be possible without extra steps like a bone graft or sinus lift. In cases like this, some dentists may suggest a bridge or denture instead.
Another reason is overall health. Certain medical conditions, like uncontrolled diabetes, cancer treatments, or immune system problems, can slow healing and raise the risk of implant failure. Smoking can also affect blood flow and make it harder for the bone to fuse to the implant. In these situations, a dentist may not recommend implants until health is improved or risks are managed.
A dentist may also consider oral hygiene habits. Implants need healthy gums and good home care to last. If a patient struggles with gum disease or does not brush and floss regularly, there’s a higher chance of complications. In that case, a dentist might recommend improving gum health first before moving ahead with implants.
At Summerbrook Dental & Implants, I use 3D imaging, zero bone loss principles, and custom healing abutments to improve long-term success with implants. With my advanced training in implant dentistry, I can often help patients who were told elsewhere that they are not candidates by rebuilding bone or using advanced techniques.
I also want you to know that my office is a no judgment zone. Many people feel nervous or embarrassed about the state of their teeth, but my role is not to lecture—it’s to give you safe, predictable options.
So, why would a dentist not recommend an implant? It usually comes down to bone loss, health conditions, smoking, or gum disease. The good news is that many of these issues can be managed. If you’ve been told you’re not a candidate, schedule a consultation at Summerbrook Dental & Implants in Fort Worth. Together, we may find a way to restore your smile, comfort, and confidence.