A dental implant is made by surgically inserting a small titanium screw beneath the gum into the jawbone. This is allowed to heal for a few months, so that the screw integrates with the surrounding bone. Once fused, a peg is placed between the screw and the gums. On this a porcelain crown is slipped over top, providing the function and appearance of a brand new tooth. The porcelain is selected in shade to match your adjacent teeth.