It is a “step surgery” process. The first stage is to bury the implant (which replaces the tooth root) at bone level below the gums. This protects the implant from the chewing forces while it heals. At the end of the healing process, the implant must be surgically exposed by removing part of the overlying gingiva. In this second stage, the surgeon checks if the implant is successfully integrated and connects the pole or pillar, which come in many forms and may be manufactured as part of the inventory or may be customized by your dentist and a laboratory. Time is allowed for the gum to heal around the pillar and form a crease through which the dentist will have access to the implant, while preparing the final restoration stage that consists of placing the crown or prosthetic teeth.