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Do dental implants hurt?

14-10-2025

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When you are weighing up dental implants, it is reasonable to ask how much it will hurt. Clear, kind dentistry means being honest about what you are likely to feel and how we keep you comfortable. Most people describe the experience as manageable. With modern local anaesthetics, gentle technique and sensible aftercare, discomfort is usually mild and short-lived.

Below, you will find a straightforward explanation of what to expect during treatment and in the days that follow, plus practical steps to keep recovery smooth.

What you feel during the implant procedure

Local anaesthetic keeps you comfortable

Implants are placed under local anaesthesia. This numbs the area, so you should not feel pain while the implant is inserted. You may notice pressure, vibration from the handpieces and a sense of gentle tugging as the implant is positioned. If you are particularly anxious, conscious sedation can be considered for suitable cases, in line with NHS England’s standards for safe anxiety management in dentistry. See the clinical guidance on dental anxiety management.

How long does placement take

A straightforward single implant is often placed in under an hour once you are numb. More complex cases can take longer, especially if bone grafting is planned. Your clinician will outline timings at the consultation so you can plan the rest of the day.

What to expect after the anaesthetic wears off

Some soreness once the numbness fades is normal. Most people manage very well with standard over-the-counter pain relief and simple home care. The NHS guide to recovering after a dental implant explains that swelling and bruising typically peak within the first couple of days and then settle, with discomfort usually easing over the first week.

The typical recovery timeline

  1. Day 0 (day of surgery): Numb at first. As sensation returns, expect tenderness, mild swelling and a feeling of fullness. Take the recommended pain relief before the anaesthetic has completely worn off.

  2. Days 1 to 3: Peak for swelling and bruising. Discomfort is commonly described as an ache rather than a sharp pain. Keep your head elevated when resting and apply a cold compress intermittently.

  3. Days 4 to 7: Swelling begins to resolve. Many people need little or no pain relief by this stage. Eating becomes easier as you get used to the area.

  4. Week 2 and beyond: Tissues continue to settle. It is normal to feel slight tenderness to firm touch while deeper healing continues beneath the gum.

If grafting or a sinus lift has been carried out, expect a longer period of awareness in the area. This should still be manageable with routine measures.

If you are replacing a single missing tooth, our guide to single tooth implants explains the step-by-step process, comfort measures and aftercare, and you can book your consultation when you are ready.

Is an implant more painful than other dental treatments

Pain is personal, but many patients say an implant feels no worse than an extraction and is often easier than expected. Here is a simple comparison to give you a sense of scale.

Treatment

During the appointment

First 72 hours

Typical patient comment

Dental implant (single, straightforward)

Numb, pressure and vibration only

Mild to moderate ache, possible swelling or bruising, responds to standard pain relief

More uncomfortable than painful, better than expected

Tooth extraction

Numb, a feeling of pressure, is common

Similar ache and swelling to an implant, socket tenderness

Achey but manageable

Root canal treatment

Numb, minimal sensation

Usually mild tenderness when biting

Hardly any pain afterwards

This table is a general guide. Your clinician will tailor expectations to your case.

What influences how an implant feels

Site and complexity

Front teeth often sit in thinner bone and may need delicate grafting, yet the procedure is still designed to be comfortable. Molars can require a little more pressure during placement because the bone is thicker. Additional procedures, such as grafting or sinus lift, can increase short-term swelling, but this is anticipated and planned for in your aftercare.

Your healing response

Healthy gums, good plaque control and a smoke-free recovery tend to support predictable healing. If you clench or grind, a protective guard may be recommended.

Pain threshold and anxiety

Worry can amplify how sensations feel. A calm environment, clear explanations and a simple plan for home care help a great deal. If you are nervous, tell your dentist so we can adapt the appointment to you.

Sensible pain relief and home care

Your dental team will give instructions tailored to your treatment. Common advice includes:

  • Take pain relief on a schedule for the first 24 to 48 hours, even if you feel comfortable, to stay ahead of any soreness. A Cochrane review comparing ibuprofen with paracetamol supports standard analgesics for dental postoperative pain control. Read the summary here: ibuprofen versus paracetamol for dental pain.

  • Use a cold compress wrapped in a cloth for short intervals on day one to help reduce swelling.

  • Keep your head elevated when resting to minimise throbbing.

  • Choose soft, cool foods at first. Yoghurt, mashed potato, scrambled eggs and smoothies with a spoon are practical options.

  • Avoid very hot drinks initially, as heat can increase bleeding.

  • Do not disturb the area by poking with your tongue or fingers.

  • Continue brushing the rest of your mouth as normal. Clean near the implant site as advised, often with a soft brush and a simple mouth rinse recommended by your dentist.

For an overview of how we safeguard standards across the practice, you can read our Healthy & Safety Charter.

Do I need antibiotics?

Antibiotics are not automatically required for every implant. Your dentist will prescribe them only when clinically indicated.

Red flags that deserve a call

Problems are uncommon, but you should contact the practice promptly if you notice any of the following:

  • Pain that worsens rather than improves after 48 to 72 hours

  • Increasing swelling, heat or discharge from the site

  • Persistent bleeding that does not ease with gentle pressure

  • Fever or feeling unwell

  • A crown or healing component that suddenly feels high, loose or uncomfortable on biting

If anything worries you at any point, our team is here to help. You can reach us through the contact page, and we will advise you.

Managing anxiety about implant pain

Feeling apprehensive is very common. Practical steps make a real difference.

  • Plan a quiet day after the procedure so you can rest.

  • Stock the fridge with soft, nourishing foods so you are not tempted to chew on the sore side.

  • Arrange a lift if sedation is planned.

  • Bring questions to your consultation. Understanding the steps helps to reduce worry.

  • Try slow, steady breathing or calming music in headphones during treatment.

NHS England’s standards for anxiety management support the use of behaviour techniques and, where appropriate, conscious sedation in primary care settings. This underpins our approach to caring for more anxious patients.

What about pain when the crown is fitted

Once the implant has integrated with the bone, a small connector called an abutment and then the final crown are attached. This appointment is typically comfortable and may need little or no anaesthetic. You might feel slight gum tenderness for a day or two while the tissues settle around the new components.

Frequently asked questions

Will I need time off work

Many people return to desk-based work the next day after a straightforward single implant. If your role is physical, consider taking an extra day or two and avoid strenuous activity during the early healing phase.

Can I drive after the appointment

You can usually drive after a local anaesthetic alone. If you have had sedation, you will need someone to take you home and stay with you, and you must not drive for at least 24 hours.

How long does the soreness last

Most tenderness settles within a few days. A slight awareness to firm touch can persist while deeper healing continues, which is normal and not a sign of trouble.

Quick checklist for a comfortable recovery

  • Take pain relief as advised

  • Use a cold compress intermittently on day one

  • Keep meals soft and cool for 24 to 48 hours

  • Sleep is slightly elevated for the first night or two

  • Avoid smoking and alcohol during early healing

  • Clean carefully around the site as instructed

  • Call the practice if anything concerns you

The bottom line

With today’s techniques, most patients experience far less discomfort than they expect. You should feel well numbed during placement, and any after effects are commonly mild, short-lived lived and easy to manage at home. Clear planning, gentle placement and thoughtful aftercare are the keys to a smooth experience and a long-lasting result. If you would like tailored advice or a step-by-step plan, read our overview of implant treatment and then get in touch.

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