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Patient Guide · Dental Implants

How Long Do Dental Implants Last? An Honest Answer from Dr. Hina.

It is the question we hear at almost every implant consultation in Wilmington: how long will this actually last? Modern implants are designed to last a lifetime, with documented cases of 30, 40 and even 50 years. How long yours lasts depends on a few factors you can control.

95–98% survival at 10 yearsImplant-safe cleanings3D-guided planningLong-term maintenance plans
★★★★★ 5.0 on GoogleCleanings within 2 weeks, guaranteedSame-day emergenciesFormerly Herbert T. Casalena, DDS
Dr. Hina Ejaz

Medically reviewed by Dr. Hina Ejaz, DMD · Penn Dental Medicine
Updated October 31, 2026 · 5 min read

Illustration of a full-arch implant bridge supported by four implants

Key takeaways

  • Implants show roughly 95–98% survival at 10 years and over 90% at 20 years in long-term studies.
  • The titanium post is designed to last for life; the crown on top usually lasts 15–25 years.
  • Peri-implantitis is the main late risk, and regular implant-safe cleanings largely prevent it.

A proven track record

The first modern titanium implant was placed in 1965, and that patient kept it for over 40 years. Long-term studies document roughly 95–98% implant survival at 10 years and over 90% at 20 years. When implants fail, it is almost always for a controllable reason, not because the implant wore out.

Six factors that decide how long they last

  • Implant quality: established systems backed by decades of research.
  • Surgical precision: correct angle and bone support, planned with 3D CBCT imaging.
  • Bone and gum health: enough bone and no active gum disease.
  • Daily hygiene: implants can’t decay, but the gum around them can get infected.
  • Lifestyle: smoking, uncontrolled diabetes and untreated grinding shorten implant life.
  • Regular maintenance: patients who keep their checkups keep their implants.

What is inside your implant

The titanium post fuses permanently with your bone and is designed to last for life. The abutment rarely needs replacing. The crown on top typically lasts 15–25 years and can be replaced without disturbing the implant, so a worn crown usually means a routine crown visit, not new surgery.

Peri-implantitis: the real threat

Late implant problems are usually caused by peri-implantitis, gum disease around an implant. It is almost completely preventable with professional cleanings, daily flossing around the implant and good home care. Our hygienists use implant-safe instruments at every visit to protect the implant surface and surrounding gum.

Dr. Hina Ejaz

About the reviewer: Dr. Hina Ejaz, DMD
Penn-trained dentist with fifteen years of clinical experience, advanced training at King’s College London and Tokyo Medical and Dental University, and a Major in the U.S. Army Reserve.

5.0★ on Google

What Our Patients Say

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“I was a patient of Dr. Herb Casalena for over 25 years. I recently visited his office and met his replacement and could not have been happier or more impressed. She got me out of pain and took care of my issues promptly. I am certain that Herb would be very proud of her and happy that she is here to treat his patients.”
John R. · Casalena Patient · 25 Years · Google Review
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“I’ve been a patient of Dr. Casalena’s for over 20 years, so I’m grateful he left us in the hands of another excellent dentist. The transition went smoothly, and the office still feels like the same familiar place with the same welcoming team. My procedure went very well (was very scared) and healed nicely. The painless injections helped reduce my anxiety.”
Amy S. · Casalena Patient · 20 Years · Google Review
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“The staff are nice and professional and so are the dentist and hygienist. I thank them for being patient also, getting your mouth worked on is an experience, but everything was great.”
Renata W. · Gentle Care · Google Review

Frequently Asked Questions

Common Questions

Can a dental implant last a lifetime?+

Yes. The titanium post is designed to last for life. The crown may need replacing after 15 to 25 years.

What is the most common reason implants fail?+

Peri-implantitis, an infection of the gum and bone around the implant, which regular cleanings and good home care largely prevent.

How often should I have my implants checked?+

Most patients do well with cleanings every 3 to 6 months, based on their risk.

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Wilmington Dental & Implants
2300 Pennsylvania Ave, Suite 6AB (6th floor)
Wilmington, DE 19806

Formerly Herbert T. Casalena, DDS, P.A. Near Trolley Square. Patient records remain on site.

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