One of the main determinants for us to be able to place dental implants is to have sufficient bone in height and width to accept them. Your jaws are made up of 2 types of bone – basal and alveolar. The alveolar bone gradually dissolves away when you lose your teeth. As you lost your teeth 23 years ago their may not be enough bone to place the implants. A graft of bone can be placed to replace the missing bone but this is an advanced surgical procedure and has its own draw backs. The only way you can definitely know whether there is enough bone is with a dental x-ray assessment of bone height by a dentist – this sometimes requires a CT scan for accuracy.

The other options to replace the missing teeth is a new denture ( they can be far more refined nowhere days using special precision attachments for a more secure attachment ) or a fixed bridge – this is dependant on how far the span is that we are trying to bridge and your bite ).

A full assessment by an experienced dentist would be the first step that you need to take.

Kindest regards