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Who Is Not Suitable for Dental Implants?

Published on: April 14, 2025

Dental implants have revolutionized the way we restore missing teeth. They offer a permanent, natural-looking solution that supports both oral function and aesthetics. However, dental implants aren’t always the right fit for every patient. So, who is not suitable for dental implants?

At Smoke Rise Dental in Stone Mountain, GA, we understand that every patient’s situation is unique. Our experienced implant dentist, Dr. Hassan Moeti, carefully evaluates each individual to ensure the safest and most effective treatment path.

Welcome to Smoke Rise Dental

At Smoke Rise Dental, we pride ourselves on combining compassionate care with advanced technology. Led by Dr. Hassan Moeti, our skilled team is equipped with cutting-edge tools like the WaterLase system, CEREC same-day crowns, and trusted implant brands such as TeethXpress and BioHorizons.

Now, let’s take a closer look at the conditions and health factors that may make someone unsuitable for dental implants—and what your options are if implants aren’t ideal for you.

1. Patients with Inadequate Jawbone Density

Why it matters:

Dental implants need a strong foundation. The titanium post is anchored directly into your jawbone, which means that a certain level of bone mass and density is required to support the implant properly.

Common causes of bone loss include:

  • Long-term tooth loss
  • Gum disease (periodontitis)
  • Age-related bone thinning
  • Injury or trauma

What can be done:

In many cases, bone grafting can rebuild lost bone and make implants possible in the future. At Smoke Rise Dental, we’ll evaluate your jaw using advanced imaging to determine if grafting is needed.

2. Individuals with Uncontrolled Chronic Conditions

Why it matters:

Chronic health conditions such as diabetes, heart disease, or autoimmune disorders can impair healing and increase the risk of implant failure.

Who’s most at risk:

  • Patients with uncontrolled diabetes
  • Individuals with compromised immune systems
  • Patients with a history of radiation therapy in the jaw area

What can be done:

If these conditions are well-managed with medication and lifestyle adjustments, you may still be a candidate. Dr. Moeti will coordinate with your physician to evaluate your overall health and healing potential.

3. Heavy Smokers and Tobacco Users

Why it matters:

Smoking interferes with healing and reduces blood flow to the gums and bone—both critical to successful implant integration. Nicotine also increases the risk of infections and complications post-surgery.

Potential consequences:

  • Delayed healing
  • Increased implant failure rate
  • Higher risk of peri-implantitis (infection around the implant)

What can be done:

We strongly recommend quitting smoking before and after implant placement. For some patients, we may explore alternative tooth replacement options if smoking cessation isn’t possible.

4. Children and Teenagers with Developing Jaws

Why it matters:

Dental implants are not recommended for individuals whose jaws haven’t fully developed. Placing an implant too early can lead to alignment issues as the bone continues to grow around it.

Ideal candidates are:

  • Adults aged 18 and older (jaw maturity varies by person)
  • Teens may need to wait until facial growth is complete

What can be done:

In the meantime, we may suggest temporary restorations like dental bridges or partial dentures until they’re ready for implants.

5. Patients with Poor Oral Hygiene Habits

Why it matters:

Dental implants require the same level of care as natural teeth—or more. Without proper brushing, flossing, and professional cleanings, implants can fail due to gum infection or bone loss.

At-risk behaviors:

  • Infrequent dental visits
  • Not brushing or flossing regularly
  • History of gum disease without treatment

What can be done:

Before recommending implants, Dr. Moeti will help you develop a solid at-home oral hygiene routine and may recommend deep cleaning or periodontal therapy as preparation.

6. Those with Bruxism (Teeth Grinding)

Why it matters:

Chronic teeth grinding, known as bruxism, places excessive pressure on implants, which can lead to fractures, implant loosening, or failure.

Signs of bruxism include:

  • Jaw pain or stiffness
  • Worn-down teeth
  • Headaches upon waking

What can be done:

If you have bruxism, we may recommend a custom nightguard to protect your teeth and implants from damage.

What Are My Alternatives If I’m Not a Candidate?

If implants aren’t the right fit for you, don’t worry—there are other excellent ways to replace missing teeth:

  • Fixed Dental Bridges: Secure, natural-looking, and great for replacing one or more teeth in a row.
  • Full or Partial Dentures: Modern dentures are far more comfortable and functional than in the past.
  • Mini Dental Implants: Require less bone and are less invasive.
  • Bone Grafting and Sinus Lifts: May make implants possible down the road.

Dr. Moeti will guide you through these options based on your specific dental and medical needs.

FAQs

Who is not suitable for dental implants?

Individuals with severe bone loss, uncontrolled medical conditions, heavy smoking habits, or poor oral hygiene may not be suitable candidates without additional treatments.

Can I still get dental implants if I have gum disease?

Not right away. Active gum disease must be treated first to create a healthy foundation for implants.

What if I don’t have enough bone for implants?

Bone grafting or alternative implant methods (like subperiosteal implants) may be recommended.

Can smokers get dental implants?

Smokers can get implants but have a higher risk of failure. Quitting smoking greatly improves success rates.

How do I know if I grind my teeth?

Look for signs like jaw pain, flat teeth surfaces, or headaches. A dentist can confirm and recommend treatment.

Are dental implants safe for seniors?

Yes—age alone isn’t a barrier. As long as you’re in good health, implants can work well for older adults.

Will dental insurance cover implants?

Coverage varies. Our office will help you understand your benefits and offer flexible financing if needed.

Conclusion: Personalized Care for Every Smile

While dental implants are a fantastic solution for many, they’re not right for everyone. The good news? With expert evaluation, supportive care, and a wide range of advanced alternatives, you can still achieve a healthy, confident smile.

At Smoke Rise Dental, we take time to understand your health, goals, and lifestyle to recommend the safest and most effective tooth replacement options.

Call Smoke Rise Dental at 770-923-5500 or visit us at 5500 Lilburn Stone Mountain Rd #A, Stone Mountain, GA 30087 to schedule your consultation with Dr. Hassan Moeti. We’re here to help you find the right path to a stronger, healthier smile—because everyone deserves personalized dental care that truly fits their needs.

Dr. Moeti has more than 20 years of experience in dentistry. And he has completed advanced training in the field of prosthodontics, pedodontics, periodontics, sedation, dental implants, sleep dentistry and cosmetic dentistry.

Our practice is open five days a week and we offer a range of modern and advanced dentistry services to address all your dental health needs.

Dr Hassan Moeti

Medically Reviewed by Dr. Hassan Moeti
Best Dentist in Stone Mountain, Georgia

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