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How long do dental implants last, and how to make them last

Many implants last for decades. But implants aren't maintenance-free. The gum and bone around them can become inflamed, a condition called peri-implantitis, and that is the most common reason implants run into trouble years later.

Updated 27 Sept 2026 · Written by the DentalImplantBrands team · clinical review pending

Hygienist cleaning an older patient's teeth at a check-up
In short
  • Daily cleaning and regular professional check-ups are the most important factors.
  • Smoking and a history of gum disease increase the risk of problems.
  • The crown on top may need repair or replacement over the years. That is normal.
  • The brand is only one factor, and usually not the biggest one.

What affects how long implants last

  • Oral hygiene: plaque around implants causes inflammation, just as around teeth.
  • Smoking: it increases the risk of implant complications.
  • Gum disease history: people who have had periodontitis need especially careful follow-up.
  • General health, for example poorly controlled diabetes.
  • Bite forces and grinding: a night guard may be advised.
  • The quality of planning, surgery and the restoration.

The European Federation of Periodontology's clinical guideline on peri-implant disease focuses on these factors: prevention through hygiene, regular maintenance and managing risk factors such as smoking.

Everyday care

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  • Brush twice a day around the implant crown and gumline.
  • Clean between teeth and under bridges with interdental brushes or a water flosser.
  • Go for professional cleaning and check-ups as your dentist advises, often every 3–6 months at first.
  • See your dentist promptly if the gum around an implant bleeds, swells or feels sore.
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Frequently asked questions

Can an implant fail years later?
Yes, most often because of inflammation around it (peri-implantitis). Caught early it can often be treated, which is why regular check-ups matter.
Do implants get cavities?
No. The implant and crown cannot decay, but the gum and bone around them can become diseased.

Research referred to

  • Herrera D et al. Prevention and treatment of peri-implant diseases—The EFP S3 level clinical practice guideline. J Clin Periodontol 2023. PubMed 37271498

Educational information only. Choosing an implant requires an examination by a qualified dentist.

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