The reason we have given Implant Fees their own page in the Fees structure is because they represent a whole separate branch in dentistry that can incorporate multiple visits and various surgical processes that are not routine among general dentistry.
There are various approaches to how and when and where an implant needs to be placed that can affect the overall cost making it difficult to accurate predict costs without a full assessment. With this in mind please view the following section as a rough guide to Implant Fees and read it as you would a menu, from which certain items will be needed and only rarely would all items be required.
For more information please visit our Implant Page.
This is probably the most important stage in all implant work and, in complex cases usually requires at least two visits to ensure that all questions have been answered and all the relevant planning has been completed.
- Consultation fee for new or referral patients (including photographs and routine radiographs and a full written report and estimate) £98
Possible extra fees required at the diagnostic fee stage (these fees are refundable if treatment goes ahead)
- Mounted study models (these are a set of casts of the teeth mounted onto a machine called an articulator to show the clinician how the teeth meet) £75
- CT Scan- a modified cone beam CT scan of the intended recipient area can give the clinician a 3 dimensional view of the available bone to assist in placement planning. This is commonly used if teeth have been missing for along time or if the procedure is near an important anatomical feature. Cost £295 to include study model.
- Wax up. This is a dummy wax model of the proposed final result and is normally only needed for cases where multiple units are being replaced. £25 per tooth being replaced.
This stage involves the planned removal of any affected teeth and the placement of the implants themselves. The implants are essentially hollow titanium tubes that are placed into the bone, which then knits itself tightly around the implant. This integration process as it is know usually takes 3 months but can take longer in compromised cases.
If a tooth is being removed it is often possible to place the implant into the socket at the time of extraction. This process is called an immediate placement and saves the patient time and cost but can be done only in cases where the recipient site is healthy enough to accept the implant immediately.
If the site where the tooth is removed from is not healthy enough to receive the implant immediately then we need to do a delayed placement which usually takes place 8-12 weeks post extraction.
If the recipient site is healthy and the implant placement is routine then it is usually acceptable to leave the top of the implant exposed above the gum with a healing cap in place to help mould the gum shape, ready for the new implant retained crown.
If the recipient site is compromised and extra healing time is required then the implant is buried beneath the gum to prevent any possible disturbances. Once the healing time is complete (usually 3-6 months) then the implant will need to be exposed to allow the restorative stage to take place. The exposure usually takes a few minutes and is not at all painful.
- Extraction cost –included in surgical costs if done as immediate placement. £125- £250 depending on complexity of removal. (Teeth are always removed using an “atraumatic technique” to protect the health of the recipient site. This technique can take a little longer to remove the tooth but is necessary to give the best chance of long term success for the implant).
- Immediate surgical placement (including cost of implant hardware) £1150
- PRGF/ BioOss £240
- Delayed placement including exposure if needed £1350
Clearly this is the stage that everyone wants to get to as quickly as possible but long term success is only ever achieved if the surgical phase is given an appropriate amount of healing time. For routine immediate placement cases this can be as little as 3 months after the diagnostic phase but for complex delayed placement cases could be over 6 months.
In areas of high aesthetic demand it is necessary to mould the gum shape so that the final restoration looks as natural as possible. Clearly this is most important for upper front teeth but is not usually needed for back teeth. To mould the gums fully it is sometimes necessary to use a temporary abutment and crown. This temporary work may need to be in place for 6-12 weeks depending on gum lines, aesthetic demands and healing times.
Once the recipient site is ready for the definitive restoration then an impression is taken and the laboratory constructs the necessary abutment and restoration. This restoration is then placed at a second visit, usually two – three weeks after the impression depending on number of replacement units.
- Temporary abutments and temporary crowns (if needed) £500 per unit
- Temporary denture/adhesive bridge (if needed on aesthetic grounds) £395
- Definitive restoration (including abutment and crown) from £1150
- Exposure of implants (if buried at the time of surgery) £95
- Restoration of a single implant retained crown £1150
Once the implant retained crown is in place then it is usual for the clinician to want to see the result at 3 months post placement and again at 12 months. There is no charge for any reviews in this first year.
It is essential that the implant retained crown is kept clean and healthy to prevent breakdown in the gum attachment around it. Our hygiene team are all trained in the maintenance of implant retained crowns and bridges and would assist with this as part of your routine hygiene visits.
Example costs for common cases.
Routine immediate replacement with low aesthetic demands
Consultation fees £98
Surgical phase (including removal of tooth) £1150
Restorative phase £1150
Total Cost £2398
Complex case with delayed placement
Consultation fees £98
Extraction costs £250
Surgical placement £1350
Restorative phase £1150
Total costs £2848