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Treatment / Single & multiple tooth

Single and Multiple Tooth Dental Implants

One missing tooth or several, placed by an implant-focused surgical team, planned digitally, restored from our in-house lab. Same thoroughness as a full-arch case, scaled to the work.

Single tooth implants

One missing tooth. The best answer for most patients.

A single dental implant replaces one missing tooth with a fixture seated in bone and a crown attached to it. The fixture acts as the new tooth root; the crown looks and functions like the natural tooth that was there. Once integrated, the implant is the most durable, predictable, and biologically appropriate replacement available.

The alternatives have meaningful trade-offs. Leaving a gap allows adjacent teeth to drift and bone underneath to resorb. A fixed bridge requires cutting down the two adjacent teeth to support the bridge, healthy teeth sacrificed for a single replacement. A removable partial denture is rarely worn long-term and doesn’t address the bone-loss problem at all. For most patients, an implant is the long-term right answer.

We’ve placed thousands of implants over the last 15 years across the full spectrum of cases. A single-tooth replacement gets the same digital planning, the same in-house lab workflow, and the same surgical judgment as a full-arch case, just scaled to the work involved.

Implant outcomesFull case gallery
Dental implant restoration outcome
Implant-supported fixed restoration
Completed implant case outcome
Multiple tooth implants and bridges

Two or three missing teeth: implants or implant bridge?

For two or three missing teeth, two options:

An implant at each position

Each missing tooth gets its own implant and crown. Preserves the bone under each tooth, looks and functions like individual natural teeth, and is the most flexible long-term. If one site needs revision years later, it doesn’t affect the others. The investment is higher, since each site is its own implant and crown.

An implant-supported bridge

Two implants placed at the outer positions, with a multi-tooth bridge attached. More cost-effective for multi-tooth gaps than placing implants at every position, and avoids cutting down adjacent natural teeth (which a traditional tooth-supported bridge would). Common for three- or four-tooth gaps.

The choice depends on the gap size, the adjacent dentition, the bone available at each potential implant site, and what you want from the result. We walk through both at the consultation with the CBCT in front of us.

For full-arch replacement (most or all teeth in an arch), see full-arch rehabilitation.

Why surgeon experience matters

Even for “simple” cases.

A single implant looks straightforward. The crown that goes on top looks like any other crown. The judgment calls that determine whether the implant is still healthy and stable at year 10 or year 20 happen during planning and placement, and those calls benefit meaningfully from volume.

Position relative to adjacent teeth. An implant that’s too close to an adjacent root compromises the blood supply. An implant that’s too far creates aesthetic problems at the gum line.

Depth and angulation. An implant that’s too shallow doesn’t integrate reliably. One that’s too deep creates a long abutment and a less stable crown. Angulation has to balance bone availability, prosthetic emergence, and adjacent tooth geometry.

Distance from nerves and sinus. Lower-jaw implants live near the inferior alveolar nerve. Upper-jaw implants live near the maxillary sinus. The CBCT-driven planning and intraoperative judgment that keep implants safely away from both structures are not a generalist skill set.

Soft-tissue management. The aesthetic outcome of an anterior implant depends as much on how the soft tissue heals as on the implant itself. The difference between a 10-out-of-10 anterior implant and a 7-out-of-10 is almost entirely soft-tissue technique.

An implant-focused practice does these calls every day. That’s the difference you’re paying for, and the reason a single implant at Revive isn’t a shortcut version of our full-arch work, it’s the same workflow applied to a smaller case.

Process and timeline

From consultation to crown.

Consultation. CBCT scan, intraoral scan, clinical exam, discussion of options and cost. 45–60 minutes.

Planning. Digital implant planning, written quote, surgical day scheduled. Usually within one to two weeks of the consultation.

Implant placement. 30–60 minute appointment under local anesthesia (or IV sedation if preferred). The implant is placed in the prepared site, with a healing cover or temporary abutment depending on the case. Most patients return to normal activity within a day or two.

Integration. 3–4 months for most cases. The implant fuses with the bone. For anterior teeth where aesthetic gap-coverage matters, a provisional crown can be fitted during this window.

Final restoration. Impression taken (or digital scan), final crown designed and milled in our in-house lab, and seated at a separate appointment.

Long-term. Routine hygiene visits and annual implant maintenance. See implant aftercare for the maintenance picture.

Single implant
from $4,800
Placement plus final crown
Procedure time
30–60 minutes
Local anesthesia or IV sedation
Total timeline
3–5 months
Placement · integration · final crown
Made in-house
Final crown
Designed and milled in our lab

What’s included.

The implant fixture itself, surgical placement, local anesthesia (IV sedation available where preferred), the integration period follow-ups, the impression for the crown, and the final crown from our in-house lab. Cases that require additional bone work, grafting at placement, sinus lift, etc., are quoted as part of the written treatment plan; no surprise charges. See cost & financing for the full pricing picture.

For full-arch and complex cases, see full-arch rehabilitation and complex implant surgery. For everything else, book a consultation.

Single & multiple tooth implants: common questions

Are dental implants worth it for a single missing tooth?

Almost always. The alternatives are leaving the gap (which leads to drift of adjacent teeth, bite changes, and bone loss over time), a fixed bridge (which requires preparing the adjacent teeth: healthy teeth get cut down to support the bridge), or a removable partial denture (which most patients abandon within a year or two). A single implant preserves the adjacent teeth, stops bone loss at the site, and functions like the natural tooth it replaces. Long-term, it's almost always the right call.

How long does a single implant take from start to finish?

Typically 3–5 months for most cases. The implant itself is placed in a 30–60 minute appointment under local anesthesia (or IV sedation if you prefer). After 3–4 months of integration, an impression is taken, the crown is designed and milled in our in-house lab, and seated at a separate appointment. Some cases, particularly anterior teeth, can be restored sooner with a provisional crown that bridges the integration period.

Is implant placement painful?

Much less than most patients expect. The procedure is done under local anesthesia at minimum (you don't feel anything during placement); IV sedation is available for anxious patients or for cases involving multiple implants. Post-operative discomfort is typically mild: most patients describe it as similar to or less than an extraction. Over-the-counter pain management is sufficient for the majority of single-implant cases.

Why does the surgeon's experience matter for a 'simple' single implant?

Because the long-term outcome of an implant is set by the planning and placement, not by the prosthetic on top. Implant position relative to adjacent teeth, depth, angulation, distance from nerve canals and sinus, soft-tissue management: these are judgment calls that benefit from volume. A surgeon who places implants every day makes those calls differently than a generalist who places a handful per year. The crown looks the same in both cases; the implant five years later doesn't. We've been doing implant work for 15+ years. Even single-tooth cases get the same digital planning and in-house lab workflow as full-arch cases. The thoroughness scales down; it doesn't disappear.

Can I get multiple implants instead of a bridge?

Often yes, and often it's the better answer. For two or three missing teeth in a row, implant placement at each site avoids cutting down the adjacent teeth (which a traditional bridge requires) and preserves the bone underneath each missing tooth. For larger gaps, an implant-supported bridge, two implants supporting a multi-tooth bridge, is often more cost-effective than implants at every position while still providing the long-term benefits of implant anchorage. The right choice depends on the gap size, the condition of adjacent teeth, the bone available, and what you want from the result. We walk through it at the consultation.

What does a single implant cost?

From $4,800, including placement and crown. That's a published baseline that includes the implant fixture itself, surgical placement, and the final crown from our in-house lab. Cases that require additional bone work (grafting at the time of placement), unusual anatomy, or specific material choices may quote higher; we provide written quotes after the planning appointment. For the full pricing picture, see cost & financing.

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Bring us the case
everyone else said no to.

Most of our consultations come from patients who have been told they can't have implants. We see those cases every week. Book a private consultation with Dr. Metwally. We'll review your imaging and give you a real plan.

Address2804 Victoria Park Ave #14
North York, ON M2J 4A8
HoursMon – Fri · 8:00 AM – 6:00 PM
Phone(416) 499-7878