Restorative dentistry

Dental implants in Plano, planned on a 3D scan before anything is placed

Dr. Chiem points to a panoramic X-ray while a patient looks on from the chair

If a missing tooth has you chewing on one side, you do not have to decide anything today. Your first visit is a conversation and a quick, low-radiation 3D scan. You see your own jaw on the screen, hear every option in plain words and leave with a written, itemized quote. Nothing is done until you say yes.

If you have been putting it off

Been putting off a missing tooth? You are not the only one

Most people wait a long time to replace a tooth. The gap does not hurt, and a dental office can feel like the last place you want to be. That is understandable, and nobody here will lecture you about it.

It does help to know what a gap does over time. The teeth beside it can slowly drift into the space, and the bone that held the root thins because nothing is using it. Less bone can mean fewer options later.

None of this is an emergency. A first visit simply shows you where you stand, and then you can go home and think about it.

  • “I only chew on one side”The teeth that are left take the extra load, and they can wear faster.
  • “My partial clicks when I talk”Clasps loosen, food slips underneath and you notice it every time you speak.
  • “Honestly, I am nervous about dentists”Tell us when you call. We explain each step first and go at your pace.
The short answer

What is a dental implant? Three parts that work like one tooth

A dental implant is a small titanium post that sits in the jawbone where a tooth root used to be, with a custom crown on top. Most single implants take about four to nine months from start to finish, because the bone needs time to grow around the post. You get on with normal life for most of that time.

  1. 1

    The crown

    The part you see and chew with, shaded to match the teeth beside it.

  2. 2

    The abutment

    A short connector that holds the crown just above the gum.

  3. 3

    The post

    A small titanium screw in the jaw. Over a few months the bone grows around it and holds it firm.

Dr. Tam talks a patient through her scan at the desk before any treatment

Your first visitWe show you your scan and explain it in plain words before anything is decided.

Are you a good candidate for dental implants in Plano?

Most adults who are missing a tooth can have an implant. The honest answer comes from a scan, not a web page.

You may be a good fit if

  • You are missing one tooth, a few teeth or a full arch.
  • Your gums are healthy, or you are happy to treat them first.
  • You were told you do not have enough bone. A 3D scan is worth a second look.

What happens at your first visit

  • A quick, low-radiation 3D scan of your jaw
  • Every option explained, including ones that are not implants
  • A written, itemized quote to take home
  • Your PPO benefits checked for you
Book a Visit
A patient positioned in the cone-beam CT scanner
Life with an implant

What changes day to day once an implant has healed?

An implant sits in the bone the way a root does, so most people notice a few quiet, practical differences. Results vary from person to person, and your scan sets realistic expectations.

  • 01

    Chew on both sides again

    Once it has healed, most people can bite into an apple without planning around it.

  • 02

    Nothing to take out at night

    No clasps and no adhesive. You brush and floss it like your other teeth.

  • 03

    Your other teeth stay as they are

    A bridge needs the teeth on each side shaped for crowns. An implant stands on its own.

  • 04

    Helps keep the bone you have

    The post gives the jaw something to hold again, which helps slow bone loss.

  • 05

    Talk and laugh without thinking

    Nothing shifts when you speak, so you stop choosing words around a loose partial.

  • 06

    Made to last, with good care

    Many implants last for decades. The crown on top may need replacing after 10 to 15 years.

Compare your options

Dental implant, bridge or partial: which one is right for you?

There is no wrong answer here. Each option suits somebody, and we go through all three with you, including the choice to wait.

At a glanceMost asked aboutDental implantOption 2BridgeOption 3Removable partial
How it worksA post in the bone carries its own crownCrowns on the teeth beside the gap hold a false tooth between themA frame clips to nearby teeth and carries the replacement teeth
Effect on neighboring teethNone; they are left untouchedThe teeth on each side are reshaped to hold crownsClasps put some stress on the teeth they grip
The jawbone under the gapHelps preserve bone where the root used to beBone under the gap can slowly shrinkBone under the gap can slowly shrink
Comes outNoNoYes, nightly for cleaning
CleaningBrush and floss it like a natural toothFloss threaders or a water flosser under the false toothTake it out and brush it every day
Typical lifespanOften decades with good care; the crown may need replacing in timeOften 10 to 15 yearsOften 5 to 10 years
Time to finishUsually 4 to 9 months, longer with graftingUsually a few weeksUsually a few weeks
Up-front costUsually the highest of the threeUsually in the middleUsually the lowest
Often best forHealthy neighboring teeth, enough bone or a willingness to graft, long-term valueNeighbors that already need crowns, or when surgery is not an optionSeveral missing teeth on a tighter budget, or a step toward implants later

Every option is on the table at your consult, including waiting. The alternatives are covered in detail on our crowns and bridges and dentures pages.

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Reviewed by our own patients

Custerpoint Family Dental averages 4.8 stars across 234 public Google reviews, as of September 8, 2026, so you can read them yourself before you call. Results vary from person to person, so your consult covers what is realistic for your mouth.

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Step by step

What happens at each stage of getting an implant?

Most single implants take four to nine months, and most of that is quiet healing while you get on with your life. We explain each stage before it starts, and you decide when to go ahead.

  1. 01

    A conversation and a 3D scan

    We talk through your health history, check your gums and take a quick cone-beam scan and an iTero scan. You see your own bone on the screen and hear every option. You leave with a written plan and quote. If you would rather talk it through in Chinese, see our Chinese-speaking dentist page.

  2. 02

    Removing a tooth or grafting, only if needed

    If a failing tooth is still there, it comes out first (see tooth extractions). Some sites need a bone graft and two to four months to heal. The scan tells us which path you are on well before the day.

  3. 03

    Placing the implant

    The area is numbed first, so most people feel pressure rather than pain. If you are nervous, tell us when you book and we will talk through your comfort options. Placement is done here or by a surgical specialist we work with. Many people are back to normal within a day or two.

  4. 04

    Healing, about 3 to 6 months

    The bone slowly grows around the post. If the gap shows when you smile, you wear a temporary tooth, printed in our office to your scan. Check-ins are short and fit around a Plano workday.

  5. 05

    Your final crown

    Once the implant is stable, we scan it, design the crown and fit it on a small connector. Dr. Tam or Dr. Chiem checks the shade and your bite with you before you leave. Results vary, but the goal is a tooth you stop thinking about.

  6. Dr. Tam talks with a patient in the treatment chair
Healing and aftercare

What is recovery like after a dental implant?

Most people are surprised by how ordinary it feels. Here is what to expect, and we go over all of it with you before you leave.

Dr. Chiem goes over a panoramic X-ray on the wall screen in a treatment room
  1. The first few days

    Take it easy and eat soft food

    Some soreness and swelling is normal, and it usually peaks around day two or three. Stick to soft, cool foods, take any medicine as directed and rinse gently with warm salt water after the first day. Many people are back at a desk job the next day.

  2. The first few months

    Let the bone do its work

    Chew on the other side until we tell you the implant is ready, and try not to smoke, since smoking is linked to slower healing. Short check-ins let us see how it is going, even when everything feels fine.

  3. For life

    Care for it like your own teeth

    Brush twice a day and clean around it with floss or a water flosser. Keep your regular cleanings, where we check the gum and bone around the post, and wear a night guard if you grind.

If anything feels wrong at any point, call 972-265-9033. You will reach the front desk during office hours.

A patient looks at a 3D scan of her teeth on the chairside screen

No surprisesNothing is booked until you have a written quote and you feel ready.

Cost

How much do dental implants cost in Plano?

It depends on your bone, your bite and how many teeth you are replacing, so nobody can give you a firm number before a 3D scan. Some quotes that sound low cover only the post, with the crown, imaging or grafting billed later. It is always fair to ask what a quote includes.

What moves the number

  • How many teeth you are replacing
  • Whether a tooth needs removing or the bone needs grafting first
  • The implant and crown materials chosen for your bite
  • Comfort options, if you ask for them when you book

Good to knowYour 3D scan and planning are part of the quote, and some insurance plans pay toward the extraction or the crown even when they limit the implant itself.

The waiting room looking toward the reception desk

After your scan you get a written, itemized quote that lists every stage, from any extraction to the final crown. If anything needs to change along the way, we explain why and update the quote before it happens.

Want the detail first? Our guide walks through what goes into an implant quote, piece by piece.

Insurance, financing and monthly payments

Insurance and financing
  • PPO claims filed for youWe check your benefits before treatment, show your share in the quote and file the claim.
  • CareCredit monthly paymentsSpread the cost over monthly payments, with approved credit, instead of paying all at once.
  • Phased when it helpsLarger cases can be staged, so each step fits a budget and a benefit year.
Your dentists and the technology

Who plans your implant, and how do they do it?

Dr. Tam and Dr. Chiem plan every implant on a 3D scan first. They show you the plan on a screen beside the chair and answer your questions before anything is placed.

Dr. Larry TamDr. Larry TamGeneral dentist and ownerA Plano native and Texas A&M Baylor College of Dentistry graduate, caring for Dallas-area patients for more than ten years.Dr. Johnny ChiemDr. Johnny ChiemGeneral dentistYears of clinical experience and a gentle, compassionate approach; he walks you through your X‑rays on the screen before anything is decided.
Nervous? Please tell us

You will be numb the whole time the implant is placed, so most people feel pressure rather than pain. We explain each step before we start. Tell us when you book and we will talk through your comfort options.

The cone-beam CT machine in the imaging roomAn iTero digital scan in progress, the 3D model building on screenThe in-office 3D printer with a freshly printed modelDr. Tam points to a panoramic X-ray on the chairside screen
Low-radiation cone-beam CT01 / 04
  1. 01

    Low-radiation cone-beam CT

    A 3D scan of your jaw shows the height, width and density of the bone, and where the nerves and sinuses sit. It typically uses a lower dose than a medical CT, so the implant is planned on a model rather than estimated from a flat X‑ray.

  2. 02

    iTero digital scanner

    Your teeth and gums are scanned in a few minutes, with no goopy impression trays. The crown you will see and the post you will not are planned together, from the bite down.

  3. 03

    In-office 3D printing

    We print models, provisionals and appliances here, which speeds things up and lets us be precise. That includes the temporary tooth you may wear while the implant heals.

  4. 04

    Chairside screens

    You see what the dentist sees: your own bone, where the post will go and the shape of the final crown, on a screen beside the chair, before you agree to anything.

Questions

Dental implant questions Plano patients ask us

Have one we have not covered? Call 972-265-9033 during office hours and you will reach the front desk.

Dr. Chiem explains a panoramic X-ray on the wall screen to a patient in the chair
Most patients describe pressure during placement rather than pain, because the area is fully numbed with local anesthetic first. Afterward, soreness and some swelling for a few days is typical, and over-the-counter pain relief usually handles it. Swelling tends to peak around the second or third day, then fades. If the visit itself worries you, tell us when you book and we will talk through your comfort options.
Often decades, and many last for life with good care. The post itself cannot decay, but the gum and bone around it still need looking after, just like natural teeth. The crown on top takes the daily wear and may need replacing after 10 to 15 years. Smoking, heavy grinding and skipped cleanings are the usual reasons an implant runs into trouble, so a night guard and regular checkups are part of protecting it.
Usually, yes. Many people return to desk work the next day, with some soreness that over-the-counter pain relief handles. If your job is physical, plan a day or two of lighter duty while the site settles. Swelling, when it happens, tends to peak around the second or third day, so a late-week appointment gives many patients the weekend to rest.
No. Age alone rarely rules anyone out; bone quality, gum health and general health matter far more. Many implant patients are in their seventies and beyond, and they often gain the most from a tooth that no longer moves. Well-controlled conditions such as diabetes do not automatically rule you out either, though they shape the plan, and we coordinate with your physician when your health history calls for it. A cone-beam scan shows what your jaw can support.
It is often still possible. Bone shrinks after a tooth is lost, and a flat X‑ray cannot show the full picture. A cone-beam scan measures the actual height, width and density of the ridge in 3D. If the bone is short, a graft can rebuild it over a few months, and in some cases a shorter or angled implant avoids a graft altogether. If you were told no somewhere else, a second look on a 3D scan is worth the visit.
It depends on your plan. Many PPO plans pay toward part of the treatment, such as the extraction, the imaging or the crown, even when they limit the implant itself. Annual maximums apply, so a larger case can sometimes be timed across two benefit years. We check your benefits before treatment, put your share in the written quote and file the claim for you. CareCredit covers the rest in monthly payments, with approved credit. See insurance and financing.
When most or all of the teeth in an arch are missing or failing, a full set of teeth can be held by a few implants, often four to six, instead of one implant per tooth. This approach is widely known as All-on-4. Whether it fits depends on your bone, your bite and your health, which is exactly what the cone-beam scan and consult answer. See full mouth restoration and implant-supported options on our dentures page.
Often, but not always. An implant leaves the neighboring teeth untouched and helps preserve the bone under the gap. A bridge is faster, needs no surgery and can make good sense when the teeth beside the gap already need crowns. An implant usually costs more up front, while a bridge may need replacing sooner. Your scan, your budget and your priorities decide, and we walk through both at the consult. See crowns and bridges.
Book a Visit 972-265-9033