At any stage of life, a person can experience tooth loss. Trauma or periodontal disease, advanced tooth decay, or abnormal growth that interferes with adjacent teeth may be an indication for extraction. Therefore, many involuntarily think, what to do next?
Today there is a completely rational answer to this question - implantation. This procedure is extensive and does not end with the installation of the implant itself. For the convenience of the patient, all prices for implantation are indicated on a turnkey basis without hidden surcharges.
Turnkey dental implantation – what is included in the price and how to recognize dishonest clinic tricks
The best way to restore teeth is to completely replace their root system with implants, followed by the installation of artificial crowns or prostheses.
But treatment involves a whole range of procedures: from diagnosis and planning to implantation of artificial roots and prosthetics. Thus, the final cost consists of many different aspects, so it is often quite difficult to immediately say how much a new tooth, or even more so an entire smile, will cost the patient. But many modern dental clinics offer dental implantation on a “turnkey” basis, that is, the doctor immediately names the full cost, taking into account all the accompanying procedures that will need to be performed. Read more about what it is and how it works further in this article. On a note!
Competition among private dental clinics is constantly growing, and with it the number of institutions that, in pursuit of clients and profits, use all sorts of tricks. You can really save money on implantation, but you need to approach the choice of a clinic, promotions and discounts carefully and carefully.
Planning the operation
The most advanced clinics today use advanced technologies and 3D modeling of the treatment process, which makes it possible to eliminate any risks and errors at the preparation stage. Using three-dimensional computer programs, doctors assess the condition of the patient’s bone tissue, select suitable implants, determine the location of their installation in the jawbone, and create surgical guides.
3D modeling of future dental implantation
The operation of smart technologies costs additional costs, so if you are treated not according to a turnkey system, then you will have to pay for it separately - on average, from 10 thousand rubles and more. Everything will depend on the number of teeth that need to be restored.
Turnkey implant installation - what does it mean?
If one tooth is missing or an entire row needs to be restored, implantation is the best solution. The fact is that with the loss of even one element in the area of the defect, bone tissue atrophy begins to develop - it literally dissolves because it does not receive the chewing load. At the same time, the remaining elements involuntarily take on additional pressure, which is why they quickly collapse. The atrophic process can be stopped only by restoring the entire root system through implantation - neither a bridge nor a removable structure can affect the resorption of the jawbone.
Implantation can restore any number of teeth
Modern dentistry has ample opportunities to work in conditions of varying degrees of atrophy and with different clinical cases. Each individual situation may require its own set of additional procedures, which makes it difficult to calculate the total amount for treatment at the planning stage. But today, many dental centers offer turnkey implantation, which means a preliminary calculation of the full cost for typical cases.
“Everywhere I applied before you, they only mentioned vague amounts and terms, they said that I needed to do bone grafting, that I could get results only after months of treatment. This clinic immediately told me the cost. The upper prosthesis for the entire row was installed on only 4 implants. I thought it might be uncomfortable, but no! Now I feel very comfortable both chewing and talking; I don’t have this constant fear that the dentures will pop out during a conversation. The operation was easy and quick, no problems or complications, the prosthesis was installed on the 4th day. I was very pleased with the attitude of the staff! Thank you for my beautiful new smile!”
Maria Pavlovna K., 56 years old, Moscow, review on the website of the dental clinic
The price, announced in advance during the consultation, usually includes diagnostics, x-ray examination, local anesthesia, implants, their installation, prosthetics and observation by a doctor. That is, everything you need to get new teeth. However, some clinics may resort to tricks in this matter, so it is better for the patient to carefully read the contract and discuss the range of services in advance.
Anesthesia
Local can be considered typical or basic. For high-quality pain relief at the time of implant installation, in most cases, local conduction and infiltration anesthesia is sufficient. If 1 tooth is being restored, then less pain medication will be needed. If all the teeth are on the jaw, then turnkey implantation is a profitable solution, otherwise you will have to undergo up to 8-12 injections, the total price of which will be at least 4,000 rubles.
But if you require anesthesia or sedation, then even the best clinic will not be able to include these procedures in the price. You will have to pay for them separately, which will affect the final price. Remember that to carry out such serious manipulations you need to involve highly specialized specialists, anesthesiologists. To carry out procedures under anesthesia, it is necessary to have specialized equipment that monitors the patient’s parameters, a ventilator, and an intensive care unit - all this costs additional expenses.
General anesthesia is available at an additional cost
What affects the cost of turnkey implantation?
Implantation is not only a procedure for implanting a titanium root. This is a comprehensive solution to the problem of the absence of one, several or all teeth in the oral cavity. This includes a thorough study of the clinical picture, treatment planning, bone grafting if necessary, installation of rods, monitoring their healing and subsequent prosthetics. Individual characteristics of the clinical picture may require additional measures, for example, removal of teeth in unsatisfactory condition or treatment of acute inflammatory processes. All this also inevitably affects the final figure. If we are talking about, most often the price includes a number of independent procedures - let’s take a closer look at what is included (more precisely, what should be included) in the cost of restoration.
Examination, consultation and diagnostic examination
In many modern dental centers, the first consultation with a specialist is free. The doctor examines the oral cavity, assesses the extent of the problem, and offers to undergo an X-ray examination - a targeted X-ray or computed tomography (CT), depending on the number of missing or problematic teeth. A cone beam CT scan in a professional diagnostic center will cost about 3,000 rubles. But it will be needed if there is multiple restoration or complete restoration of the jaw. If you plan to implant zygomatic implants, you will also have to undergo multi-slice tomography for maximum detail of the final image.
Before the procedure, the patient should undergo a computed tomography scan
In dentistry, where a fee is provided for the initial consultation, this service costs on average from 500 to 1,500 rubles. An examination by other specialized doctors and permission from a therapist may also be required if the patient has a history of chronic pathologies.
Important! As a rule, the first consultation is not included in turnkey implantation, because it is not yet clear whether you will stay for treatment. But you may be given a discount in the future on the amount spent on these manipulations if you stay in the clinic for treatment. In addition, some centers offer diagnostics and consultation completely free of charge - it is quite possible to use this service, at least to get an alternative opinion about the situation.
Preparatory activities, treatment planning
After this, the preparatory stage begins, and first, the patient heals all carious cavities and open foci of infection, eliminates acute inflammation, and, if necessary, removes damaged or rotten teeth. Some one-step treatment protocols are used in conditions of inflamed periodontal tissue. So, for example, complete restoration according to the basal system is carried out, including for periodontitis and periodontal disease, but only if all the teeth in a row need to be restored. If, in the presence of an inflammatory process, it is planned to save part of the teeth, it is recommended to first undergo comprehensive periodontal treatment. This process is not quick, it can take up to a year, and involves systematic treatment procedures, gum curettage, injections, and patch surgeries if necessary. Only after stable remission can implantation be started without fear. All this is also not included in the cost of turnkey implantation, because is an additional procedure.
Another important stage is bone grafting or sinus lift, if we are talking about the upper jaw. Long-term absence of teeth leads to inevitable atrophy of the jawbone, which significantly complicates the implantation and stabilization of artificial roots. Thus, with the classical method, when treatment involves two stages and a long wait between them, in 80% of cases a preliminary increase in bone tissue volume is required1. The operation is quite complex, expensive and requires 3-4 months for recovery. Its cost is not included in the turnkey price.
The photo shows a sinus lift on the upper jaw
But with the advent of one-step protocols, it became possible to avoid this step. Inclined installation of implants on the sides, the use of models for basal technology and zygomatic structures - all this allows you to avoid bone grafting in most cases (even if it is carried out simultaneously with the installation of implants, then all this is already included in the price of treatment). The classical technique today is more often used for single restorations, since it allows the formation of a smooth and aesthetic gingival margin in the smile area. In some cases, after implantation of artificial roots, you also have to undergo gum grafting, which entails additional costs.
Zygoma implants – zygomatic implantation
So, preparation for implantation may include the following procedures, which are almost always paid separately (less often they are included in implantation if you are undergoing a comprehensive restoration of one or both jaws at once, since here we are immediately talking about large expenses):
- professional hygiene using ultrasound or an Air Flow device – from RUB 3,000,
- caries treatment - about 3000 rubles. for one tooth
- therapy for sore gums – from 10 thousand rubles,
- tooth extraction – from 1000 rubles,
- sinus lifting, open and closed – 30 and 25 thousand rubles. respectively,
- bone block grafting – 40 thousand rubles.
As mentioned above, after treatment, gum plastic surgery may be required, and the cost of this procedure per 1 tooth will be about 2,000 rubles. But these are only approximate prices, which may vary depending on the region of treatment and the pricing policy of the dental center. The turnkey offer usually only includes anesthesia, sometimes professional hygiene and removal of rotten teeth. For everything else you will have to pay extra.
Gum grafting may be available for a fee
Choosing a technique for implanting artificial roots
The cost will largely depend on how the implants will be implanted - classic two-stage or one-stage technology. The first option today is used mainly for single or separate restorations, but it is also allowed in the absence of all teeth (however, the patient will have to be content with a removable denture while the implants are healing, which is not very convenient). The second method is relevant for cases of complete or almost complete absence of teeth. There is also the possibility of one-stage implantation, when an artificial root is implanted into the hole immediately after tooth extraction. But this technique has many contraindications, and therefore is not used often, only if the clinical picture allows. In general, all methods can be divided into 2 large groups:
- classical – two-part classical implants are used, for the installation of which it is most often necessary to first build up bone tissue or perform a sinus lift. After implantation of the rod, it takes time for it to fully take root - about 3-6 months. Next, a permanent artificial crown is fixed. Typically, this technique is used for the restoration of anterior teeth, since it allows one to achieve good aesthetics in the area where the gums adhere to the crown. As a rule, the turnkey price includes the implant itself, its installation, the work of all doctors and the first prosthesis (removable or single lightweight crown). All other manipulations, as well as permanent orthopedic construction, are already paid for separately,
Classic two-stage dental implantation method - immediate loading – combines a set of modern implantation protocols, each of which eliminates the need for bone grafting and provides for the installation of a crown or prosthesis within a week from the moment of implantation of titanium roots. This includes Trefoil techniques for lower teeth, all-on-4, all-on-6, Pro Arch on 4 or 6 implants, as well as basal implantation for cases of acute atrophy complicated by inflammatory processes in soft tissues. Rapid loading of the prosthesis helps bone tissue quickly return to tone, activate metabolic processes and stimulate osseointegration of implants with living bone. Here, a fixed prosthesis is placed immediately after implantation, it is already included in the price, the second prosthesis (permanent, installed at least a year later) is paid for separately.
With immediate loading, implantation takes place without building up bone tissue and involves the installation of a crown within a couple of days
For cases of severe resorption in the distal parts of the upper jaw, special zygomatic implants (up to 6 cm in length) can be used - they are embedded deeper into the layers of the cranial bone, which are not afraid of atrophic processes. But their use significantly increases the total cost - however, if the clinic operates on a turnkey basis, then the price of treatment simply increases, the volume of necessary manipulations remains the same. Single-stage protocols require careful development of each stage using 3D modeling programs - their use should also be included in the final price. This allows you to improve the quality and safety of the procedures performed and eliminate the risks of complications.
3D modeling helps to choose the optimal models of implants and places for their implantation
Implant materials
Artificial roots are usually created from pure titanium or its alloys with a small addition of impurities. The material is durable, wear-resistant and absolutely biocompatible, that is, it does not provoke allergic reactions. The absence of foreign impurities improves the process of osseointegration, and their presence increases the strength of the material. The latter option is more budget-friendly, but the choice of one model or another depends more on individual clinical picture indicators.
There are many types of implants
Number of implanted rods, selected models
The final price of treatment is directly affected by the number of implanted rods, their models and brands. The category of premium products includes products from Nobel Biocare, Astra Tech and Straumann - these are world leaders in the production of systems and components for implant treatment. Their products have stood the test of time and numerous clinical studies with excellent long-term survival rates.
The products of Osstem and Alpha BIO will be slightly cheaper, but these are also well-known manufacturers. They are losing leadership positions only because of their youth, and not because of the quality of the implants produced.
Other consumables
When calculating the total amount, you should also take into account associated costs. For example, the procedure for taking impressions of a patient’s jaws costs about 1,000 rubles, but if silicone is used, the price will increase by 300-500 rubles. The following components are considered separately: cover screws, gum formers, abutments. All these costs are usually included in the turnkey offer, as is local anesthesia. At the request of the patient, sedation or general anesthesia can be used - you will have to pay for these methods of pain relief yourself.
Material of crowns on prosthetic structures
Since the price usually includes adaptive and sometimes permanent prosthetics, you should consider separately the pricing of materials used for these purposes. Thus, a permanent metal-ceramic crown will cost from 10 to 20 thousand rubles. All-ceramic will cost a little more, but the material in its pure form is used only in the smile area, since it cannot cope with intense chewing load. A more preferable option would be a product made of zirconium - this is a durable and aesthetic material, a crown from which will cost about 30 thousand rubles.
A zirconium dioxide crown on an implant will be more expensive than metal ceramics
Usually the work of an implant surgeon and dental technicians is also included. Prices may vary depending on the level of prestige of the clinic and the region of its location, technical equipment, the degree of professionalism of practitioners and their experience. It should be remembered that after the procedure, a rehabilitation period begins - you will additionally have to purchase antibiotics, antiseptics and all medications prescribed by the doctor.
Manufacturing of prostheses
Conscientious innovative dentistry at this point necessarily includes: taking impressions of the jaws and bite parameters, photometry, the work of an orthopedist and technician, developing the concept of a prosthesis using modern computer programs (for example, Digital Smile Design), creating a prosthesis and its correction. All these services will actually be included in the price if the dentistry has its own equipped laboratory for creating prosthetics. If not, then you will have to pay separately for almost every item: for impressions from 1500 rubles, for the use of an articulator from 10 to 20 thousand rubles, for modeling a future prosthesis from 5000 rubles, for correction - from 3000 rubles.
The photo shows dentures on implants
As a rule, the turnkey price includes the production of a temporary adaptive prosthesis from certain materials, for example, metal-plastic. But for permanent dentures made of ceramic composite, metal ceramics or zirconium dioxide you will have to pay separately. But again, this should not affect the number of standard manipulations, much less an increase in their cost.
How not to fall for the tricks of dental clinics
Dental clinics are not always completely open and transparent in their promotional offers. There are often cases when patients, seduced by the turnkey price, are then very disappointed when they end up receiving a completely different bill. Some centers include only a minimum set of services in this concept, and then at the end of the day the patient is again faced with a strong discrepancy in numbers. Below are expert recommendations on how to properly use promotions and special offers in dentistry:
- if this is a promotion, then it usually applies to a specific, limited list of services. So, for example, in the case of implantation, the turnkey cost may imply the use of implants of a certain brand - that is, you will not have a choice,
- The success of the survival of artificial roots largely depends on the quality of the products used. If something goes wrong, the money paid for the promotion will not be returned,
- Sometimes experts offer a standard agreement for signature listing a minimum set of procedures. Be careful when signing papers - if it is not clearly stated anywhere which party undertakes the obligation to pay for services and which ones, the patient will most likely have to pay for them himself,
- no doctor will be able to tell you the exact amount without a preliminary diagnostic examination, without carefully assessing the situation. The turnkey cost is only a set of necessary procedures, but the patient may also have related problems that will require additional measures. For example, you need to treat caries or gingivitis, undergo bone grafting - all this increases the cost of treatment, but is often not included in the preliminary price.
Carefully study all the terms of the promotion.
Before agreeing to a turnkey offer, be sure to discuss in detail with a specialist all the stages and nuances of the upcoming treatment. Carefully read the contract you sign and take into account the risks if you are going to undergo treatment under the promotion. Pay special attention to the items that list the services that are included in the price. If some of the treatment measures that you discussed verbally with the doctor are not written down on paper, you will probably have to pay for them separately under another document - for example, according to an appendix to this agreement.
Blood tests
Even if you do not have health problems and factors complicating edentia (osteoporosis, old age, diabetes, heart problems), then still, when preparing for implantation, you must undergo a general blood test to exclude possible contraindications and assess your current health status and blood clotting indicators.
When preparing for implantation, you must undergo a general blood test.
It’s good if the dentistry has an agreement with a research laboratory - this means that you will undergo the examination quickly, and it will already be included in the price. If the clinic does not have such an agreement, then you will have to pay separately for the tests, at least 3,500 rubles. Or you will have to go to a public clinic, take tests on a first-come, first-served basis (and this despite the fact that you will first have to make an appointment with a therapist to get a referral), and wait a long time for the results. But such certificates have a certain expiration date - this must be taken into account.
What is the timeframe for turnkey implantation?
Implantation and prosthetics are carried out within the same time frame as usual - the duration of treatment directly depends on the chosen technique and the number of missing teeth, and not on whether the entire amount for treatment will be announced at once or will have to be paid in stages. Tooth restoration using the classical method involves a lengthy process. Bone grafting may require about 3-4 months of recovery. Next, implants are implanted, which will also require about six months for complete osseointegration. Only after this can final prosthetics be carried out.
With a two-stage method, the installation process of implants can last several months
In the case of one-stage methods, things are different: the entire treatment, excluding preparation, takes about 7 days. In this case, a fully functional prosthesis with lightweight plastic crowns can be installed on the same day or within a week after implantation of artificial roots. The service life of such a design can reach 3 years, but it will be possible to replace it with a more aesthetic and durable model with metal-ceramic or zirconium crowns within a year after the rods have completely healed. In some cases, it is possible to immediately install a permanent structure, for example, with crowns made of ceramic composite - a strong and durable material with excellent aesthetic characteristics.
Fixation of the prosthesis with one-stage protocols is carried out already on days 3-5 after surgery
Comments
Everything that is written is very good. But I would like more specifics regarding which clinics to go to so that the implantation is done efficiently...
Ivan S. (01/24/2020 at 04:31 pm) Reply to comment
- Dear Ivan! We invite you to read the article - TOP 20 best clinics where you can undergo dental implantation. We hope this material will help you make the right choice.
Editorial staff of the portal UltraSmile.ru (01/29/2020 at 09:12) Reply to comment
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Approximate prices for treatment
To understand how much a turnkey tooth restoration costs on average, you need to know at least the model and brand of the implant. Experts recommend giving preference to products from well-known brands, because the success of the final result will largely depend on their quality. Below in the table are average prices for the installation of turnkey implants of various brands (with subsequent fixation of a metal-ceramic crown).
| Implant model | Turnkey installation price, rub. / 1 tooth |
| M.I.S. | from 35 thousand |
| Osstem | from 40 thousand |
| Alpha BIO | from 35 thousand |
| Nobel Biocare | from 80 thousand |
| Straumann | from 65 thousand |
| Astra Tech | from 70 thousand |
If we are talking about complex restoration of the jaw, then it is worth considering the cost of using immediate loading technologies. Approximate prices in this segment are presented in the table below.
| Protocol name | Turnkey cost, rub. |
| all-on-3 (Trefoil) | from 380 thousand |
| all-on-4 | from 180 thousand for non-original implants and from 300 thousand for Nobel |
| all-on-6 | from 280 thousand |
| basal technique | from 250 thousand |
These amounts usually include the implantation of the required number of implants with the subsequent installation of the very first, temporary or adaptive prosthesis, as well as diagnostics, CT scanning, planning using 3D imaging technologies, as well as constant monitoring by a doctor. That is, in general, everything that is necessary to restore teeth.
Removal of irreparable teeth
This point is especially relevant for those patients who undergo single-stage or simultaneous implantation, because These methods allow you to simultaneously remove decayed teeth and replace them with implants. The cost of extracting just one tooth in different clinics can range from 1,000 to 3,000 rubles. Agree, it is much more pleasant to save on this procedure than to pay for both the removal and installation of implants. However, this is more likely to be possible only if the clinic operates on a turnkey basis.
Non-restorable teeth should be removed
How to save money on implantation
Getting implantation inexpensively is not an easy task, but it is quite doable. The main thing is to know where exactly you can save money, and where it is better not to cheapen. Experts do not recommend looking for the most inexpensive specialist. Restoring teeth or even an entire smile requires appropriate experience and knowledge. And if we are talking about the use of complex techniques, then the specialist is also required to undergo additional training and advanced training courses in order to obtain all the necessary certificates and permits to carry out this type of operation.
Pay attention to the level of professionalism of doctors
You should not skimp on the quality of the implant system - it is better to give preference to well-known and well-established brands. And you certainly cannot be negligent in preparing for treatment. It is important that the specialist thoroughly examines your condition, takes into account all the pathological phenomena present, and makes sure that there are no contraindications. An X-ray examination will definitely be required, and it is better to undergo it in specialized diagnostic centers, especially if one-stage techniques are to be used and zygomatic implants are to be implanted.
If you are offered to have an implant installed on the day of your visit, it is better to refrain from treatment in such an institution. It is prohibited to implant artificial tooth roots without taking photographs and without undergoing any tests. However, modern dental centers regularly hold all kinds of promotions, discounts and special offers for certain categories of patients. This is a great opportunity to save a little, but you need to study the terms of auction offers very carefully. Many clinics also offer payment for treatment in installments, which is very convenient for those who cannot immediately pay such an impressive amount. This is a great opportunity to regain your beautiful smile and self-confidence, without a big hit to your wallet.
Diagnostic examination
Implantation involves at least one surgical stage if a one-stage technology with immediate loading of the prosthesis is used. Or two or more surgical interventions using the classic two-stage method with delayed loading of the prosthesis. Accordingly, careful preparation for treatment is required, as well as careful monitoring of the condition of the oral tissues and the survival rate of the implants after their installation.
A computed tomography scan will be required for diagnosis.
To carry out such control at all stages of treatment, doctors use modern research methods, namely, computed tomography of the jaw. The price usually includes as many images as needed at all stages of treatment. If you pay for them separately, then the price for 1 CT image starts from 2,500 rubles.
Today, the highest level clinics offer patients free consultation and diagnostics upon initial treatment. You should definitely take advantage of this offer to get a second opinion about your clinical situation. Especially if you plan to visit not one, but several clinics at once. True, the CT scans themselves will not give you away, but at least you will have an idea of what treatment options are possible.
