Cryptic crossword clue
Implant essential: need good root alternative for tooth, initially 7

The most common and most likely answer to this crossword clue is the 7 letter word ENGRAFT

I've seen this crossword clue in The Guardian
E
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Buddy explains!

The straight part
We know that "Implant" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case implant = engraft.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does ENGRAFT mean?

ENGRAFT verb
  1. To insert, as a scion of one tree or plant into another, for the purpose of propagation; graft onto a plant
  2. To fix firmly into place
ENGRAFT adjective
  1. Engrafted.

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