Dental implants cost UK – what you need to know

Many people are in the unenviable situation of wanting to replace missing teeth, this can often be through tooth loss caused by dental decay or by trauma. Whatever the cause, the problem still remains, how do you replace those missing teeth and what is the cost?

In this article we will take a look at a few other questions relating to dental implants and then take a detailed analysis of the cost.

How Successful Are Dental Implants?

The first dental implant was based into a human in 1965 by Professor Branemark, since then a huge body of knowledge has built up around this growing market. Success rates are usually around 98% for dental implants, sometimes as high as 99.2%.

Factors which can affect the success rate of dental implants

There are a variety of factors which affect the success rate of dental implants, however we found the following to be good guide:

  • Smoking. Smoking has a dramatic effect on the oral pathology. It kills off good bacteria as well as bad and can also dry out the mouth significantly. This altering of the bacteria in conjunction with a dry environment can mean that healing doesn’t happen as fast as it should. It also leaves any implant placement site more open to infection and further problems. Very often smokers will not be considered for dental implants for this reason.
  • Dental hygiene. After the implant is placed they can be susceptible to many of the same problems that natural teeth are susceptible to. Gum disease can still happen around implants and if not kept under control can turn into the more severe peri-implantitis. It is a difficult to treat infection of the bone around the implant, it can lead to further bone loss, tooth loss around the implant site and also loss of the implant itself. A good dentist will always ensure that your dental hygiene is at a good place prior to placing the dental implants.
  • Food & Drink. Eating a balanced diet is important for maintaining overall body health and ensuring the healing process stays optimal. Also, eating a diet high in sugar can increase the chances of tooth decay in surrounding teeth and subsequent gum disease which can then affect the implant itself. After surgery it will also be important to stick to a relatively soft food diet for a few months to give the implant time to integrate into the bone.
  • Bone quality and quantity. If there is not enough bone or the bone is not good enough quality to place the dental implant then implants can become compromised. Very often a dentist would use bone augmentation procedures to build up this bone and therefore support the implants better. Bone grafting or sinus lift are examples of this.
  • Dental implant protocols. Lastly but by no means least are the protocols that are used. It may be tempting to cut corners to have cheap dental implants such as cutting out some stages. It has however been shown that if an implant is placed and then an adequate amount of time is left to the implant heal before it is restored gives a higher percentage chance of success, the protocol that your dentist uses for the dental implant surgery is of prime importance when looking at longevity. If these stages are missed out, which may be tempting if the patient is travelling overseas for cheaper dental implants, then problems may be more likely to develop.

What are the benefits of having dental implants?

If you have missing teeth you have a few options to replace them, each of them have a different cost upfront and in the long-term and each have a different set of features, benefits and disadvantages.

bone loss around the tooth extraction site
The teeth either side of a dental extraction site can begin to collapse if they are not supported

The benefits of a dental implant treatment are that they can support the bone around where the tooth was lost, after a tooth has been extracted the bone where the root was begins to collapse, as this collapsing happens bone quantity is lost.

Over time this can also mean that gum levels are reduced in that area, not only does this have a cosmetic affect but it can also mean that implants become more difficult to place as years go on due to the volume of bone, so it is advisable to have implants placed as soon as possible after a tooth has been extracted to prevent this bone resorption.

Bone resorption around the tooth extraction site

Can I have cheap dental implants?

As with anything in life it’s always possible to look for lower cost options, however is important to understand the difference between lower cost and cheap.

Many people may be tempted to seek cheaper alternatives to UK prices by travelling overseas. This comes with a wide array of problems such as:

  • Is the person placing the implant a suitably qualified professional? In the United Kingdom dentists are required to register with the General Dental Council, this council regulates the dental profession to ensure that patients remain protected. Is this same protection in place overseas?
  • What happens about all of the appointments? Dental implants are often a more complex treatment and require a few visits to the dentist, are all of the costs of these visits included in your dental implant price? Be prepared for additional trips abroad if not.
  • What happens about follow-up and post operative care? Whilst dental implants have a high success rate there may be complications post implant placement or post-restoration. Are you prepared to travel overseas to have these complications resolved? One would want to know that all travel, including flights and hotels are included in any costing.
  • What are cross infection control policies like in other countries? In the UK there are strict policies governing cross infection control and how this is the. Government legislation lays this out to ensure you remain safe. What are the cross infection control policies and requirements in other countries?
  • Will language be a barrier? Whilst some of the team may speak English it would be good to have the entire team being fluent in English, this then allows the patient to communicate effectively and adequately with the dental team throughout the dental implant procedure. The last thing anyone wants is to be unable to communicate any problem.

The cost of dental implants in the UK

Let’s take some time to look at more detail at the dental implants cost UK, what makes up that cost and how you may be able to have a cheaper alternative.

The cost of the dental implant is made up of a series of different factors, including but not limited to:

  1. The titanium dental implant itself – This will be a precision made implant component manufactured to tolerances down to 1000th of a millimetre. Of course the number of implants fitted with also affect the cost.
  2. A trans-mucosal element – This is an element of the restoration which connects the final bridge or denture through to the dental implants itself. This element is also often made from titanium although can be custom-made by a dental laboratory.
  3. The final restoration – This is usually either a crown, bridge or denture. This will often be made by a high-quality dental laboratory taking a few weeks to manufacture.
  4. The connecting screw – There is then often a screw which connects the final restoration via the trans-mucosal element into the implant. A screw may seem insignificant however in order to prevent them loostening they are also manufactured to extremely high tolerances and often made of gold. This gives a small amount of flexibility into the screw so that it can be tightened without breaking.
  5. The planning stages – After you have decided that you want to go ahead with dental implants and have received your full treatment plan (this is usually after a few hours with your implant dentist discussing the options) the planning stages will begin, this can often involve a CT scan, dental impressions or multiple x-rays. This all follows a dental implant initial consultation, very often dentists do this for free.
  6. Treatment planning – This stage involves detailed communication between the dentist (who will be restoring the final implant with the crown, bridge or dentures), the implant surgeon (the person placing the dental implant) and the dental laboratory (the person making the crown, bridge or denture). The liaising and planning between these 3 people can either be done via analogue techniques using conventional models and mockups of how you will look, or can be done digitally using CADCAM design software.
  7. The dental team – There is then also the cost of the dental team, not only is there the implant surgeon and the dentist but they will also have a team of nurses and hygienists as well as reception staff, all there to look after the patient and ensure they are well cared for.
  8. The facilities – The facilities in which dental implants are placed will be upmost important, they should be convenient as well as well maintained.
  9. Training and development – No one wants someone dealing surgically in their mouth without adequate training and skills, these take time to develop and perfect over the years which often makes the cost of dental implants in the UK more expensive than travelling overseas.
  10. Additional implant procedures – Sometimes there isn’t enough bone and additional procedures such as bone grafting or sinus lift may be required, these all add additional costs although you should be made aware of them at the initial treatment planning stages

The cost of a dental implant is therefore:

  • Implant components, including the implant, transmucosal element and screw. £200-300
  • CT scans are approximately £150.
  • placement of the dental implants itself £1200.
  • The dental implant transmucosal element and screw including final crown £750.

Total – £2300/ replacement tooth

However, if more than a single tooth needed to be replaced the price may come down, here’s an example.

Let’s say there were 4 missing teeth in a row and these were going to be replaced with implants:

  • Implant components, including the implant, transmucosal element and screw. £200-300 X 2 (only 2 implants would probably be used) – total £600
  • CT scans are approximately £150.
  • Placement of the dental implants itself £1200 X 2. Total £2400
  • The dental implant transmucosal element and screw including final implant bridge £750 X 2 (for the teeth over the implants.) + £598 X 2 (for the teeth in between the implants). Total £2696

Grand total – £5846 = £1461/ replacement tooth

It’s worth bearing in mind that very often interest-free finance can be arranged.

To replace a single missing tooth could therefore be as low as £46.20 per month, that’s less than a cup of coffee per day!*

Dental implant alternatives

There are few alternatives to dental implants worth looking at

Alternatives to dental implants include:

  • Dental bridges. These are attached to the teeth either side of the gap and can only be used if there are existing teeth on which to support the bridge.
  • Dentures. Very often dentures are the very reason that people go with dental implants in the first place, they simply want a fixed a more stable full set of false teeth. However, modern dentures can often be made extremely lifelike, fitting well and therefore stable.

If you would like to book a free consultation to discuss dental implants and to find out how our dental practice in Croydon can help, please visit our dental implants page and click the free consultation button.

* Subject to status. Conditions apply. Representative example. Treatment cost £2700 with a £500 deposit. Cash price of goods/amount of credit £2200; 60 monthly payments of £46.20; Total amount repayable £2772.25; Representative 9.9% APR variable.

Periodontal disease and dental implant failure

Periodontal disease and dental implant failurePeriodontal disease and dental implant failure

One of the concerns with anyone that has dental implants is, how successful will they be? This is clearly a question which needs answering, working on the assumption that a dental implant has been placed into a sufficient amount of bone then the biggest reason that an implant files is lack of post-placement care.

A dental implant integrates entirely with the body and needs to be looked after much the same as a natural tooth.

How do dental implants fail

Typical reasons for failure of dental implants include:

  • Poor surgical decisions. This can involve placement of implants in insufficient quality or quantity of bone & poor design of the final restoration.
  • Abusing your oral environment. Studies show that smoking can inhibit healing, smoking restricts blood vessels which can mean that the implant placement doesn’t heal as well. Alcohol has also been shown to increase risk of post operative complications, including general infections and wound complications.
  • Dental decay. If you already have tooth decay on other teeth when you may be more susceptible to developing gingivitis and/or periodontitis around the implant area.
  • Overloading the dental implant. If you have a poor/heavy bite and/or grind heavily you may overload the dental implant and support structures. Extreme contact sports can also affect the success rate.
  • Overall poor oral hygiene. Implant failure is also exacerbated by bad oral health, implants succeed much better in a healthy environment.

Risk factors of periodontal disease and peri-implantitis

Risk factors for periodontal disease include:

  • Age – Indicators are that 70% of people over the age of 65 have periodontitis.
  • Smoking – Smoking affects your body’s ability to heal and alter is the bacteria levels in your mouth.
  • Genetics – Some people are just more prone to developing periodontal disease and peri-implantitis
  • Stress – Stress can lead to a general reduction in overall body health meaning your ability to heal is reduced. Stress can also mean you grind your teeth more.
  • Bruxism – Teeth grinding
  • Poor diet – A poor diet can also affect your body’s ability to heal itself leaving you more inclined to gum disease which then leads onto periodontal disease

The early warning signs

One of the earliest warning signs of periodontal or periimplant disease is gum disease or gingivitis. Periodontal and periimplant disease are the progression of gum disease which hasn’t been treated. Gum disease is an infection of the gum whereas periodontal or periimplant disease are an infection of the surrounding support structures around either the tooth or the implant.

Therefore the early warning signs include:

  • Puffy or red gums around the tooth or implant
  • Bleeding upon mild brushing around the gum or implant
  • Persistent bad breath.
  • Gums that are receding making the teeth look along.

Whether the signs appear around a natural tooth dental implant it’s important that the early warning signs are treated. If you end up with periodontal disease you can end up with tooth loss… Tooth replacement can then be quite expensive! The same can be said if you have gum disease around a dental implant, ultimately this could lead to failure of the implant and bone loss.

If the dental implants fails is it worth getting another?

Complete failure and loss of the dental implant happens in less than 3% of cases so it is fortunately quite rare. You should always have a discussion with your dentist about the reason the implant failed, if the reason can be clearly identified and resolved i.e. smoking, poor oral hygiene, teeth grinding etc then yes, it is probably worth having another dental implant.

If the reason for the implant failure persists then it may be wise to look for alternative ways to replace the missing tooth/teeth.

Is it possible to completely cure peri-implantitis?

Research published in 1994 using techniques modified from the periodontal arena have shown that the best way to treat peri-implant problems is to

“…arrest the progression of disease and to achieve a maintainable site for the patient’s implant”

The study goes on to say that

“Bone regeneration is possible in selected peri-implant bony defects when appropriate surgical techniques are used, implant surface preparation is achieved, and the cause is eradicated.”

It therefore is possible to treat periodontal disease and dental implant failure with skilful dental and surgical techniques.

What is cosmetic dentistry and what treatments does it include?

What is cosmetic dentistry and what treatments does it include?

Cosmetic dentistry is often considered a standalone aspects of dentistry however, it possible for all dentistry to be cosmetic and for everything to look good as well as keep your teeth healthy and in great condition.

What follows is an overview of treatment is normally assigned to the category of cosmetic dentistry, we’ve listed them by dental problem rather than by specific treatment, this allows you to find the best cosmetic solution for you.

How can I straighten crooked teeth?

Straightening crooked teeth can be done with a variety of different treatments depending upon the level of correction required, timeframe and cost.

  1. Dental bonding
    1. Timeframe: immediate, dental bonding can be applied in the dental chair whilst you wait.
    2. Level of correction: usually only suitable for a couple of teeth at a time, mild correctional changes only can be made.
    3. Cost: Low – from £99/tooth
  2. Dental veneers
    1. Timeframe: usually 2 or 3 weeks from start to finish.
    2. Level of correction: dental veneers can treat fairly extensive crooked teeth, but because the teeth are not moved bodily this is still limited.
    3. Cost: medium/high Depending on the number of teeth to be corrected – from £598/tooth
  3. Orthodontics
    1. Timeframe: anywhere from six months to one year
    2. Level of correction: Orthodontics give the highest level of correction and can be achieved with orthodontics as the teeth are moved bodily from their crooked or misaligned position to their new position.
    3. Cost: medium/high. Treatments typically start from £1650

How can I whiten dark teeth?

Whitening dark teeth can also be achieved with a variety of treatments, depending upon the amount of whitening required.

  1. Air abrasion and/or polishing
    1. Regular dental hygiene appointment can remove surface stains of teeth quite quickly, particularly good for smokers stains.
    2. Cost: from £50 per appointment
  2. Teeth whitening
    1. Teeth whitening can whiten teeth to your desired colour, usually in a couple of weeks.
    2. Cost: from £259 per arch (top or bottom)
  3. Dental bonding
    1. Bonding can lighten a single tooth if that tooth has become dark, perhaps due to an underlying problem with the tooth, decay or root canal treatment. This is often only possible if the tooth is set back from the other teeth as the bonding will form a liar over the surface of the tooth.
    2. Cost: Low – from £99/tooth
  4. Dental veneers
    1. Dental veneers can lighten extremely dark teeth which cannot be lightened adequately with teeth whitening.
    2. Cost: from £598/tooth

How can I replace missing teeth?

Missing teeth are unsightly and can affect confidence, they can also be a trap for food which can lead to dental decay. Adjacent teeth can also drift into the gap meaning that, over time, your bite can be affected.

The options to replace missing teeth will depend upon the convenience, cost and number of teeth to be replaced.

  1. Dentures
    1. Convenience: usually the least convenient option as the teeth are not fixed permanently and the dentures can become loose overtime requiring continuous maintenance. Dentures can have a tendency to fracture if not maintained although repair is usually quite simple.
    2. Cost: usually the cheapest option with acrylic dentures starting from £400
    3. Number of teeth: Dentures can be used to replace a single missing tooth right way through to replacing all missing teeth.
  2. Dental implants
    1. Convenience: the treatment can take up to one year to complete but once done, so long as the dental implants are looked after they can be an exceptionally good way to replace missing teeth as they support the teeth either side and can help to prevent further bone loss.
    2. Cost: From £949 per implant to have a dental implant placed and then from £629 per tooth to have the implant restored with a crown. Pricing can be a little complex due to the number of variables.
    3. Number of teeth: It is not always required to have one implant her tooth which need replacing, for example often six teeth could be replaced with two dental implants. Implants can replace anything from a single missing tooth up to a full mouth.
  3. Dental bridges
    1. Convenience: treatment usually takes approximately 2 weeks and once done, so long as the bridge is maintained can last many years.
    2. Cost: from £498 per tooth
    3. Number of teeth: bridges require standing teeth as this is where the new. It will be attached. Therefore in order to have a classic dental bridge (without implants) you need to have existing teeth either side of the gap. To replace a single missing tooth is easy with a dental bridge. In order to replace multiple missing teeth it’s usually only possible to replace three standing teeth in a row, a healthy tooth needs to be at each end of these three teeth. If this is not the case then either a denture or dental implant may be required.