The implant is very close to the nerve or nerve up sometimes. Dentists will drill a hole and put titanium rod in the jaw bone. Stitch up the incision and allow the patient a healing period of 3-6 months. During which the jawbone fuse around the rod and secure it in place. The jaw bone and the rod has successfully denied the patient an extension gumline down rod attached to the top of the range, and a cast made of mouth then back to a natural looking ceramic artificial teeth can be made , bonded to the titanium rod to serve as a permanent tooth.