Dental Implants

Most adult patients can be candidates, but the correct indication is defined with a clinical evaluation and studies. In that appointment we review the state of the gums, the quantity and quality of the bone, the bite (occlusion) and habits that influence the success of the implant.

For example, if you are not a candidate today, we can often prepare you with a previous plan:

• Gum control: if there is inflammation or periodontal disease, it is treated first to reduce risks.
• Bone regeneration or bone grafting: if bone is missing, bone augmentation can be planned on a case-by-case basis.
• Habit management: bruxism, smoking or poor hygiene are addressed with specific measures.

The final decision is always made with a complete diagnosis and clear objectives (function, esthetics and long-term stability).

Studies depend on the case, but usually include clinical evaluation and radiographs. In many patients CBCT is indicated because it provides a 3D view of the bone and sensitive anatomical areas (nerves, maxillary sinuses), which allows for more accurate planning.

In practice, the protocol usually considers:

• Clinical history and examination (gums, mobility, tissues, bite).
• X-rays and/or CBCT according to complexity.
• In some cases, photographs and records for prosthetic-aesthetic plan.

These data are used to define the ideal implant position and the type of restoration (crown, bridge or full arch).

The treatment is organized in stages so that you have clarity of time, objectives and deliverables. Although each case is different, the most common flow is:

• 1) Assessment and diagnosis: clinical examination, gums, bite, and definition of the objective (functional/aesthetic).
• 2) Studies: X-rays and, frequently, CBCT for 3D planning.
• 3) Planning: number of implants, need for grafting, type of crown/prosthesis and sequence are defined.
• 4) Surgery: implant placement (and complementary procedures if applicable).
• 5) Integration: period of healing and integration of the implant to the bone.
• 6) Final rehabilitation: placement of crown, bridge or final prosthesis.
• 7) Maintenance: check-ups and specialized cleaning to preserve gums and prosthesis.

The number of appointments varies according to your diagnosis (bone, gums, number of teeth to be replaced, type of prosthesis and habits such as bruxism).

There is no one-size-fits-all time. The duration depends on the complexity of the case and whether prior preparation is required (e.g. periodontal treatment or grafting). It also influences whether it is:

• Single implant: replacement of a tooth with an implant-supported crown.
• Multiple implants: replacement of several teeth with bridges or prostheses.
• Full-arch rehabilitation: All-on-4/All-on-X solutions.

In your assessment, a timetable is drawn up in stages with estimated times, number of visits and alternatives according to your priorities (function, aesthetics and logistics).

CBCT (3D tomography) improves planning because it allows the bone volume and anatomy to be seen in more detail than a 2D radiograph. This helps to make safer and more predictable decisions, especially in posterior areas or extensive treatments.

With CBCT we can:

• Measure the available bone and its shape (height and width).
• Locate anatomical structures to be protected.
• Plan implant position and angulation for stable rehabilitation.
• Detect bone regeneration needs or complementary procedures.

In short: it reduces uncertainty, improves planning and makes it easier to decide the best clinical path.

Guided surgery is a technique that, supported by digital planning (often with CBCT), seeks to place the implant with high precision, aligning the surgical part with the prosthetic result (crown/prosthesis).

It is usually considered especially useful when:

• There is little bone or complex anatomy.
• Multiple implants will be placed and maximum coordination is required.
• The case is aesthetic and the exact position matters a lot.
• A complete rehabilitation (full arch) is planned.

The indication depends on your case: it is not always necessary, but it can provide predictability in specific treatments.

The ideal option depends on how many teeth are missing, how your bite is and what result you are looking for (functional and esthetic). In general, these alternatives are considered:

• Single implant + crown: to replace a single tooth, looking for a fixed and independent solution.
• Bridges on implants: to replace several teeth, relying on strategic implants.
• Full arch rehabilitation: for when there are many missing teeth or unstable prostheses.

In the assessment, the state of the gums, bone and habits are reviewed, and a plan with stages and alternatives is presented.

All-on-4/All-on-X is a full-arch rehabilitation approach (upper, lower or both) with an implant-supported prosthesis. It is intended for patients with extensive tooth loss or removable prostheses that are no longer comfortable or stable.

The indication depends on:

• Available bone volume and bone quality.
• Gum condition and periodontal control.
• Functional (mastication, stability) and esthetic objectives.
• Habits such as bruxism and maintenance level.

In consultation we define if this approach is the most convenient or if there are more suitable alternatives for your case.

The cost does not depend only on the implant itself, but on the complete plan: diagnosis, surgery, final prosthesis and maintenance. Therefore, the best thing to do is to quote after evaluating your case.

Most frequently influencing variables:

• Number of implants and area to be rehabilitated.
• Type of prosthesis: crown, bridge or full arch.
• Need for grafting/regeneration or previous gingival treatment.
• Studies and planning (e.g., CBCT, records).
• Clinical complexity and required follow-up.

The ideal is a staged budget with options for you to choose the best value for money according to your priorities.

We accept different forms of payment so you can choose the most convenient option according to your case and your treatment plan. The available forms may vary, but usually include:

• Cash (according to current policies).
• Bank transfer.
• Debit and credit cards.

In your assessment we will confirm the current options and help you organize the payment in stages (diagnosis, surgery and final rehabilitation).

In many cases it is possible to access card promotions (for example, interest-free months) or financing options, depending on the treatment, the amount and the conditions in force.

To give you an exact answer, we first define the clinical plan (number of implants, type of prosthesis, need for grafting, etc.). Then we present you:

• Budget in stages (to distribute the payment as you go along).
• Rehabilitation alternatives (if any) with different investment ranges.
• Payment options available at that time (MSI/financing, if applicable).

This way you choose the option with the best balance between cost, value and clinical predictability.

Yes, in fact, it is the most common way to organize an implant treatment because you work in clinical phases. This allows you to better plan your investment and move forward with clarity.

A typical staging scheme might include:

• Stage 1: assessment, diagnosis and studies (X-rays/CBCT).
• Stage 2: implant surgery (and bone regeneration if applicable).
• Stage 3: final rehabilitation (crown, bridge or prosthesis).
• Stage 4: periodic checks and maintenance.

In your consultation we will provide you with a plan with costs per phase so that you can decide with transparency.

The differences usually lie in the level of diagnosis/planning, team experience, prosthetic materials and components, and follow-up. A well-planned plan reduces retreatments and improves stability.

When comparing, it is advisable to ask about:

• What is included in the plan (diagnosis, surgery, prosthesis, controls).
• If they consider CBCT and digital planning when the case requires it.
• How they manage gums and maintenance (to protect the result).
• What alternatives do they offer for your case (and why).

Rather than “price”, the focus should be on overall value and predictability of outcome.

Implant placement is performed under local anesthesia. After the procedure it is normal to have discomfort that is usually controlled with postoperative indications, medication if required and follow-up.

If you are anxious, please comment on your assessment. We can tailor the experience to make you feel more comfortable, for example:

• Clear step-by-step explanation of the procedure.
• Scheduled breaks and communication during the appointment.
• Written postoperative instructions and contact for questions.

The objective is for you to have a safe, controlled and accompanied process.

Postoperative care has a great influence on good healing. Although the exact indications depend on the case, it is usually recommended:

• Follow the medication/indications given by your dentist.
• Avoid intense effort and do not manipulate the area during the first days.
• Careful hygiene and cleaning according to clinical recommendation.
• Attend check-ups to control inflammation and healing.

It is also important to let us know if you notice severe pain, worsening swelling or any other symptoms that concern you, so that we can check you promptly.

Not all patients require grafting. If bone is missing, there are different strategies that are evaluated according to the tomography (CBCT), the area and the type of rehabilitation.

Options that may be considered (depending on the diagnosis):

• Bone regeneration/grafting to gain volume and improve support.
• Modification of the prosthetic plan (e.g., different distribution of implants).
• Specific techniques for upper posterior areas (when applicable).

The decision is made with 3D planning and clear functional/aesthetic objectives.

With good hygiene, regular check-ups and professional maintenance, implants can last for many years. Long-term success depends on taking care of gums and the prosthesis (crown/bridge) as well or even better than a natural tooth.

Usual recommendations:

• Daily hygiene: brushing and interdental cleaning (as indicated).
• Periodic check-ups to evaluate gums, bite and prosthetic stability.
• Specialized cleaning when indicated.
• Management of bruxism if present (e.g., night guarding).

Maintenance is part of the treatment: it protects your investment and reduces complications.

If you already have implants, a revision allows you to evaluate gums, bone, condition of screws/components and wear of the crown or prosthesis. Many discomfort or “movements” are due to prosthetic adjustments or pending maintenance.

In a review it is normally evaluated:

• Gum health around the implant and plaque control.
• Adjustment of the prosthesis/crown and contact points.
• Occlusion (bite) and signs of bruxism or overload.
• Need for specialized cleaning or replacement of prosthetic components (if applicable).

Ideally, do not wait for pain or loosening: preventive maintenance is the best strategy.