Periodontics covers the gum and bone side of dental care: treating gum disease, rebuilding bone that's been lost, and placing dental implants, which are titanium (or zirconia) posts set into the jaw to anchor a crown, bridge, or denture. In West Columbia, 11 practices offer some combination of implant surgery, bone and gum grafting, sinus lifts, and periodontal maintenance. Some are general dentists who've added implant work to their practice, and some are periodontists or oral surgeons who specialize in it full time. That distinction matters more than most patients realize going in.
What to look for before you book
Start with training: is the person placing the implant a specialist (periodontist or oral surgeon) or a general dentist doing implants as part of a broader practice? Ask what imaging they use for planning (3D cone-beam CT scans give a much clearer picture than a flat x-ray), whether they place and restore the implant themselves or hand off the crown portion to another dentist, and what their approach is if a bone graft is needed first. Get a written treatment plan with the total cost broken out by phase, since implant cases often involve extraction, grafting, healing time, the implant itself, and then the crown as separate steps.
Our rankings weigh how practices handle these details: credentials, technology used for diagnosis and placement, transparency around staged pricing, and how they communicate the treatment timeline. See the full ranked guide to implant and periodontics providers in West Columbia for how each practice compares, and read our methodology for exactly how we score and weight each factor.