Dental Implants in London (Harley Street)

How to Choose an Implant Dentist in London

London has hundreds of clinics offering dental implants, and headline prices range from under £1,000 to over £5,000 per tooth. These are the questions worth asking at any consultation:

• Who will place the implant and fit the crown? Ask whether one dentist carries out the whole treatment, and to see their previous implant cases.
• Is a 3D CBCT scan included? Planning from a 3D scan shows the exact bone height, width and position of nerves and sinuses.
• What does the price include? Check whether the abutment, crown and scan are included or charged separately.
• Which implant system is used? Established systems have long-term research and replacement parts that any dentist can source in future. See our guide to dental implant brands.
• What does the guarantee cover? Ask how long it lasts and what you need to do to keep it valid.

At Marylebone Smile Clinic, Sahil carries out every stage, every implant is planned from a 3D scan, and your price includes the scan, abutment and crown.

Low Cost and Affordable Dental Implants in London

Dental implants in London are advertised from under £1,000 per tooth. A low headline price is not always a lower final bill, because many quotes only cover part of the treatment. Before you compare prices, it is worth checking what has been left out.

Hidden Costs to Check For

• The abutment and crown. Some prices cover the implant post only. The abutment and crown, the parts you see and chew with, can add well over £1,000.
• The consultation and 3D scan. CBCT scans are often charged separately, yet they are essential for planning the implant safely.
• Bone and gum grafting. Grafting is often only quoted once treatment is underway, after the scan.
• Temporary teeth to fill the gap while the implant heals.
• Review and follow-up appointments after the crown is fitted.
• Stock rather than custom parts. A stock abutment costs less but may not support the gum as well, especially for front teeth.
• Little-known implant brands. If a screw or crown needs replacing in years to come, parts for less established systems can be hard to source.
• Short or limited guarantees, or guarantees that only cover the implant post.
• Corrective treatment. If an implant is placed at the wrong angle or fails, removing it, grafting bone and starting again usually costs more than the original treatment.

Why Paying for It Once Can Cost Less

An implant is designed to last for many years, so the real cost is spread over that time. A well-planned implant from an established system, with a custom abutment and a crown shaped to your gum, is easier to keep clean and less likely to need replacing. Our all-inclusive price of £3,495 covers the consultation, 3D scan, implant, custom abutment, ceramic crown and a 5-year guarantee, so the figure you see is the figure you pay for a straightforward single tooth.

Ways to Make Implants More Affordable

If cost is a concern, there are ways to spread or reduce it without cutting corners:

• Finance: spread the cost with 0% finance over up to 24 months, or over up to 60 months with interest, subject to status.
• Fewer implants: two implants can support a bridge of three or four teeth, so you may not need an implant for every gap.
• Immediate implants: where an implant is placed on the same day a tooth is removed, the extraction is included in the implant fee.
• Discounts: 5% off for NHS staff, the Armed Forces, students and the emergency services. Discounts cannot be combined with other offers or with finance.

The Dental Implant Process, Step by Step

1. Consultation and 3D Scan

We examine your teeth, gums and bite and talk through what you want to achieve. A CBCT scan shows the volume and quality of your bone so the implant can be planned around your nerves and sinuses. You leave with a written treatment plan and full costs.

2. Bone or Gum Grafting, If Needed

If there is not enough bone or the gum is thin, we strengthen it first, or at the same time as the implant. Small grafts placed at extraction are the simplest. Larger grafts use a membrane that stays in place for nine months or more.

3. Implant Placement

The implant is placed under local anaesthetic, so you are awake but the area is numb. Most people go home the same day and take one day off work. Sedation is also available, which also keeps you awake but in a state of deep relaxation. We work with various sedationists, including Dr Damien Reilly, who is a Consultant in Special Care Dentistry.

4. Healing

The implant bonds with the jawbone over around 12 weeks. If you need a temporary tooth in the meantime, we will discuss the options with you.

5. Your New Tooth

Once the implant has healed, we take a scan or impressions and make a custom abutment and crown, colour matched to your neighbouring teeth. It may take a few appointments to perfect the fit and shade.

How Long Does Dental Implant Treatment Take?

Every case is different, and complex cases take longer because each stage cannot be rushed. Please let us know about any travel or important events so we can plan around them.

Recovery and Aftercare

Most people feel some swelling and mild discomfort for a few days, sometimes with light bruising that fades within a week or two. Over-the-counter painkillers such as ibuprofen usually control this. Swelling is more noticeable after grafting or when several implants are placed.

• Do not rinse for the first 6 hours, so the blood clot can settle
• Avoid exercise for 48 hours
• Eat soft foods such as soup, pasta, eggs, fish and yoghurt for the first few days
• Avoid smoking for at least 3 months, as it slows healing and raises the risk of the implant failing
• Musicians and performers should avoid singing or playing wind instruments for 14 days
• Stitches are removed after 6 to 10 days, unless dissolvable ones are used

Dental Implant Success Rates and Risks

Dental implants have a high success rate. Research shows over 95% of implants are still in place after 15 years. When an implant does not integrate, this usually happens in the first few weeks while it heals. The implant is removed, the area left to heal and a new implant placed at no further cost to you, subject to our guarantee conditions.

Things that raise the risk of complications include:

• Smoking and heavy drinking, which slow healing and bone integration
• Gum disease and poor oral hygiene, which can lead to infection around the implant
• Teeth grinding or bite problems, which put extra force on the implant (a night guard helps protect it)
• Medical conditions such as diabetes or osteoporosis, and radiotherapy to the jaw
• Poor implant positioning, which makes the implant hard to clean

We regularly see patients who need corrective treatment after implants abroad or at very low cost, often because of implants placed at the wrong angle or crowns that do not fit the gum. Careful planning and good home care give your implant the best chance of lasting for many years.