Generally, it is not.
We use general anesthesia techniques or intravenous sedation. It's usually a minimally invasive treatment, so the intraoperative and postoperative pain is insignificant.

It can be considered costly when the materials used for the procedures are of good quality.

However, in the medium and long term, they are an excellent investment, because it's a treatment planned for the long run, and above all, it will prevent you from having continuous prosthetic treatments.

Of course, you can. The implants are designed to withstand chewing forces and perform the functions you would typically do with a natural tooth. That's why they are an excellent treatment option.