implantes sin tornillos

Dental Implants Without Screws: What Are They and Are They Better?

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The term dental implants without screws refers to implant restorations where the crown or prosthesis is attached to the abutment using dental cement rather than a retaining screw. Both approaches — cement-retained and screw-retained — use the same titanium implant fixture placed in the jawbone. The difference is only in how the visible crown is fixed to the abutment on top.

This is a common question from patients who have heard conflicting information about implant systems, or who have been told by one clinic that their preferred approach is superior. In practice, both methods have clinical indications and the choice depends on the specific case — implant position, abutment angle, aesthetic requirements and the surgeon’s preference. At Asensio Advanced Dentistry in Valencia, Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, selects the appropriate retention method for each individual case.

Screw-retained vs cement-retained implant crowns

Factor Screw-retained Cement-retained (without screws)
How crown is fixed Small access screw through the crown into the abutment Dental cement — no visible screw hole
Retrievability Crown can be removed by dentist for maintenance or adjustment Fixed permanently — removal risks damage to crown
Aesthetics Small access hole visible on biting surface — covered with composite No visible hole — cleaner appearance on biting surface
Cement excess risk No cement used — no risk of sub-gingival cement residue Cement excess below gum line can cause peri-implant inflammation
Maintenance access Easy — crown can be removed if abutment needs attention Difficult — abutment cannot be accessed without removing crown
Best indicated for Most implant cases — preferred for posterior teeth and full arch restorations Cases where implant angulation makes screw access difficult, or where aesthetics at biting surface are critical

Which is better — screws or cement?

The current clinical consensus favours screw-retained restorations for most implant cases, primarily because of retrievability and the elimination of cement excess risk. Excess cement left below the gum line is one of the contributing factors to peri-implant mucositis and peri-implantitis — the bacterial infection that is the leading cause of implant failure. With screw-retained crowns this risk does not exist.

However, cement-retained crowns remain a valid option in specific situations — particularly when the implant angle makes screw access impossible or when the access hole would compromise aesthetics in a highly visible position. The decision is made case by case based on clinical assessment.

For full arch restorations such as All-on-4, screw-retained prostheses are standard practice — the prosthesis is fixed to the implant abutments with screws and can be removed by the dentist for professional cleaning or adjustment. See our All-on-4 dental implants abroad page for more information.

Does the patient feel or notice the screw?

No. The access hole for the retaining screw is on the biting surface of the crown — not on the visible front face. It is covered with a small composite filling that is invisible in normal use. Patients with screw-retained crowns cannot feel the screw and are not aware of it during eating or speaking.

Frequently asked questions

Are dental implants without screws more comfortable?

There is no difference in comfort between screw-retained and cement-retained implant crowns once fitted. Both feel identical to the patient in everyday use. The choice of retention method is a clinical decision, not a comfort one.

Can a cement-retained crown be converted to screw-retained?

Not directly — the two systems use different abutment designs. If a cement-retained crown needs to be replaced, the replacement can be designed as screw-retained if the implant position allows it. This is sometimes done when a cement-retained crown causes problems such as peri-implant inflammation from cement excess.

What happens if the screw loosens on a screw-retained crown?

Screw loosening is one of the most common minor implant complications. The crown is removed by the dentist, the screw is replaced or retightened and the crown is refitted. It is a straightforward procedure that does not affect the implant. If you notice a crown that feels loose or moves slightly, contact us promptly — a loose screw should not be left untreated as it can cause damage to the implant connection over time. Call us on 0800 048 8058.

Are implants without screws cheaper?

The retention method does not significantly affect the overall cost of an implant restoration. The main cost components are the implant fixture, abutment and crown — not how the crown is attached. At Asensio the complete single implant price of £850 includes all components regardless of retention method. View the full breakdown on our prices page.

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Dental Implants Recovery

Dental Implant Recovery: What to Expect After Your Implant Surgery

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Dental implant recovery follows a predictable pattern for most patients — discomfort peaks in the first 48 hours and reduces significantly within a week, after which the majority of patients return to normal activity. The osseointegration period that follows, lasting 3–6 months, is largely symptom-free. Understanding what to expect at each stage removes uncertainty and helps patients manage their recovery confidently.

At Asensio Advanced Dentistry in Valencia, every patient receives written aftercare instructions before leaving the clinic after surgery. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, leads all implant procedures and reviews at the clinic. This guide covers the key stages of recovery for UK patients travelling home after treatment.

Recovery timeline: day by day

Timeframe What to expect What to do
Day 1 Numbness from anaesthetic wears off in 2–4 hours. Mild to moderate soreness, possible minor bleeding, swelling begins Rest, apply ice pack to cheek (20 min on/off), take prescribed pain relief, soft diet only, do not rinse
Days 2–3 Swelling typically peaks — this is normal. Soreness continues but manageable with medication Continue soft diet and pain relief. Gentle saline rinse from day 2. Avoid strenuous activity
Days 4–7 Swelling reduces significantly, soreness decreases. Most patients feel well enough to return to desk work Over-the-counter pain relief if needed. Begin gentle brushing around implant site. Soft diet continues
Week 2 Minimal discomfort in most cases. Gum tissue continues to heal around implant Normal oral hygiene routine. Gradually return to normal diet avoiding hard or crunchy food
Weeks 3–4 Soft tissue fully healed in most cases. Implant stable — osseointegration well underway Full cleaning routine including interdental brush and water flosser. Normal diet resumes
Months 1–6 Osseointegration period — no symptoms expected. Implant integrating with bone Daily cleaning routine, avoid smoking, attend local dentist for routine hygiene if needed

Returning to the UK after implant surgery

Most patients travelling from the UK to Valencia for implant surgery fly home within 2–3 days of their procedure. Flying does not affect osseointegration or healing. Before leaving the clinic, Asensio provides:

What you receive before departure Purpose
Written aftercare instructions Step-by-step guide for the recovery period in English
Prescription medication Antibiotics and pain relief to cover the recovery period
Clinical records and X-rays For sharing with your UK dentist for routine follow-up
Emergency contact 24-hour line: 0800 048 8058 — contact us directly if you have any concerns during recovery

All-on-4 recovery vs single implant recovery

All-on-4 full arch surgery involves more extensive intervention than a single implant — multiple extractions, four implant placements and immediate prosthesis fitting in a single session. Recovery follows the same pattern but the initial discomfort and swelling are typically more pronounced:

Factor Single implant All-on-4
Surgery duration 45–90 minutes 4–6 hours
Initial swelling Localised, mild to moderate More pronounced, both sides of jaw
Return to normal activity 2–3 days 3–5 days
Soft diet period 1–2 weeks 6–8 weeks
Osseointegration 3–6 months 3–6 months

Signs that require prompt attention

Some discomfort and swelling in the first week is expected and normal. The following signs are not normal and should be assessed promptly — contact us on 0800 048 8058 if you experience any of them:

Sign Possible cause
Persistent or worsening pain after day 5 Possible infection or dry socket
Swelling that increases after day 3 Possible infection
Heavy or persistent bleeding Clot disruption — apply gentle pressure and contact us
Implant feels loose or mobile Early osseointegration complication — requires immediate assessment

Frequently asked questions

How long does it take to recover from dental implant surgery?

The initial recovery — swelling, soreness and dietary restrictions — takes approximately 1–2 weeks for a single implant and 3–6 weeks for All-on-4. The osseointegration period that follows takes 3–6 months but is largely symptom-free. Most patients return to normal daily activity within 3–5 days of surgery.

Can I fly home the day after implant surgery?

Yes. Most Asensio patients fly back to the UK 2–3 days after surgery. The cabin pressure change during flying does not affect healing or osseointegration. Ensure you have your prescription medication, aftercare instructions and emergency contact number before you travel.

What can I eat after dental implant surgery?

A soft diet is essential for the first week — yoghurt, eggs, soup, mashed vegetables, soft fish and fruit juices. Avoid hard, crunchy, chewy or very hot food during this period. For All-on-4 patients, a soft diet is recommended for 6–8 weeks while the implants integrate.

When can I exercise after implant surgery?

Light walking is fine from day 2. Avoid strenuous exercise, heavy lifting and contact sports for at least one week — physical exertion increases blood pressure and can cause bleeding or disrupt the healing clot. Most patients resume normal exercise after 7–10 days.

How do I care for my implants during recovery?

Follow the aftercare instructions provided at the clinic. From day 2, gentle saline rinses help keep the site clean. From week 2, normal brushing around the implant with a soft toothbrush is recommended. See our full dental implant care guide for the long-term routine. Call us on 0800 048 8058 or visit our dental implants abroad page for more information.

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How to Clean All-on-4 Dental Implants

How to Clean All-on-4 Dental Implants – Dental Asensio

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Knowing how to clean All-on-4 dental implants correctly is one of the most important things a patient can do to protect their investment and maintain long-term oral health. Although the implant materials themselves do not decay, the surrounding gum tissue and bone are susceptible to peri-implantitis — a bacterial infection that is the leading cause of implant failure. Proper daily cleaning eliminates the conditions that allow this infection to develop.

The good news is that cleaning All-on-4 implants is straightforward once the right tools and habits are established. The technique is different from cleaning natural teeth because the prosthesis sits slightly above the gum line, creating a gap where food and bacteria can accumulate. This gap — not the visible surface of the teeth — is where cleaning needs to be most thorough.

At Asensio Advanced Dentistry, every All-on-4 patient receives detailed aftercare instructions before leaving the clinic. This guide summarises the key principles. For full information about the treatment itself, see our All-on-4 dental implants abroad page.

Daily cleaning routine for All-on-4 implants

A consistent daily routine is far more effective than occasional thorough cleaning sessions. The goal is to prevent biofilm — the thin layer of bacteria that forms on all oral surfaces — from hardening into calculus that only a professional can remove.

Tool Purpose Frequency
Soft-bristled toothbrush Clean visible surfaces and gum line Twice daily
Interdental brush or proxabrush Clean the gap between prosthesis and gum Once daily
Water flosser (oral irrigator) Flush debris from hard-to-reach areas Once daily
Antimicrobial mouthwash Reduce bacterial load throughout the mouth Once daily

Non-abrasive toothpaste should always be used — abrasive products scratch the surface of the prosthesis, creating micro-grooves where bacteria accumulate more easily. Alcohol-based mouthwashes should be avoided as they can dry the oral mucosa and irritate the gum tissue around the implants.

Professional cleaning and check-ups

Daily home cleaning maintains the health of the soft tissue around the implants but cannot remove hardened calculus — that requires professional instruments. Regular professional reviews are essential even when the patient has no symptoms, because early-stage peri-implant mucositis and peri-implantitis are often asymptomatic until the disease is already established.

At Asensio, All-on-4 patients are advised to attend professional reviews every six months in the first two years after treatment, and annually thereafter if no issues are detected. Patients based in the UK can attend their local dentist for routine hygiene appointments between visits to Valencia. If any of the following signs appear, a professional review should be arranged promptly:

Sign What it may indicate
Persistent bad breath not resolved by brushing Bacterial accumulation, early peri-implant infection
Red, swollen or bleeding gum tissue around implants Peri-implant mucositis — reversible if treated promptly
Discomfort, pain or implant mobility Possible peri-implantitis or osseointegration failure

Asensio maintains a 24-hour emergency line for all implant patients: 0800 048 8058. If you notice any of the above signs, contact us before your next scheduled review.

For a broader guide to caring for all types of dental implants, see our dental implant care guide.

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Frequently asked questions about cleaning All-on-4 implants

Do I need to remove All-on-4 implants to clean them?

No. All-on-4 prostheses are fixed and are not removed by the patient. They are cleaned in place using a toothbrush, interdental brush and water flosser. This is one of the key advantages over removable dentures.

Can I use an electric toothbrush on All-on-4 implants?

Yes, provided it has a soft brush head and you avoid excessive pressure at the gum line. Electric toothbrushes with pressure sensors are particularly suitable. Hard brush heads and abrasive toothpaste should be avoided regardless of brush type.

How soon after surgery can I start the cleaning routine?

Your surgeon will give you specific instructions for the first days after surgery when the gum tissue is healing. Typically a gentle saline rinse is recommended for the first few days before returning to normal brushing around the implant site. The full cleaning routine with interdental brush and water flosser is usually established within two to three weeks.

Is it normal for gums to bleed slightly when cleaning All-on-4 implants?

Some minimal sensitivity in the first weeks after surgery is normal. However, persistent bleeding when cleaning — especially after the healing period — is a sign of inflammation that should be assessed. Bleeding is one of the early indicators of peri-implant mucositis, which is fully reversible when caught early.

What happens if I do not clean my All-on-4 implants properly?

Inadequate cleaning allows bacterial biofilm to accumulate around the implants, leading first to peri-implant mucositis — reversible inflammation of the surrounding tissue — and if untreated, to peri-implantitis, which involves bone loss and can ultimately lead to implant failure. Consistent daily cleaning is the single most important factor in long-term implant success.

Best Countries for Dental Implants Abroad

Best Countries for Dental Implants Abroad: A Guide for UK Patients

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A single dental implant costs between £2,000 and £3,500 at a private UK clinic. The same procedure — same implant brands, same clinical standards — costs between £350 and £750 across Europe. That difference is why hundreds of thousands of UK patients travel abroad for dental implants every year, and why choosing the right destination matters enormously.

This guide compares the most popular European destinations for dental implants from a UK patient’s perspective: flight times, price ranges, regulatory environment and what each country does well. It is written specifically for patients travelling from the UK — not a generic global guide, but a practical comparison of the destinations that make sense from British airports.

Price comparison: dental implants abroad vs the UK

Country Single implant All-on-4 per arch Flight from London EU regulated
UK £2,000–£3,500 £10,000–£20,000 — ✓
Spain £600–£900 £5,500–£8,000 ~2h 30m ✓
Hungary £500–£800 £3,500–£6,500 ~2h 30m ✓
Poland £450–£750 £3,000–£5,500 ~2h 30m ✓
Turkey £350–£600 £2,500–£4,500 ~4h ✗
Bulgaria £300–£500 £2,200–£4,000 ~3h 30m ✓

Prices are indicative ranges based on 2025–2026 market data and include implant fixture, abutment and crown for single implants. All-on-4 prices include four implants and same-day provisional prosthesis. Always request an itemised quote before booking.

Turkey — the most searched destination for UK patients

Turkey is the most popular dental tourism destination for UK patients by search volume, and the reason is straightforward: it offers the lowest prices in Europe, with single implants from around £350 and All-on-4 packages from £2,500. Istanbul and Antalya have developed a highly organised medical tourism infrastructure, with large specialist implant centres, English-speaking staff and package deals that include airport transfers and hotel accommodation.

The considerations for UK patients are worth understanding clearly. Turkey is not an EU member, which means it operates under its own national healthcare regulations rather than EU directives on patient safety and cross-border care. Recourse in the event of complications is more complex than within the EU. Flight time from London is around 4 hours. For straightforward single implant cases where the patient has done thorough research on the specific clinic, Turkey can represent excellent value. For complex cases — full arch restoration, significant bone loss, multiple implants — the regulatory environment and aftercare access are factors worth weighing carefully.

Hungary — Europe’s original dental tourism destination

Budapest has been the centre of European dental tourism for over 30 years and has earned the nickname “Dental Capital of Europe” for good reason. Hungarian dentists train for five to six years and must maintain annual continuing education requirements. The country operates under EU healthcare regulations, which means UK patients have access to the EU cross-border healthcare directive in the event of complications.

Prices have risen significantly over the past decade as demand has increased and the Hungarian economy has grown — single implants now start from around £500, which is competitive but no longer dramatically cheaper than Spain or Poland. Flight time from London is approximately 2 hours 30 minutes, with direct services from multiple UK airports. Budapest itself is an excellent short-break destination, which makes combining treatment with a city break straightforward.

Poland — EU standards, short flights, competitive prices

Poland has become an increasingly popular choice for UK patients, particularly those in the north of England and Scotland for whom direct flights to Warsaw or Krakow are convenient. Polish dentists train to EU standards and many have completed specialist postgraduate study in the UK or Germany. Clinics in Warsaw and Krakow are well-equipped with digital planning tools and 3D scanning technology comparable to any UK practice.

Single implants start from around £450, and the combination of EU regulation, short flight times and modern facilities makes Poland a strong choice for patients who prioritise regulatory security alongside value. The main consideration compared to southern European destinations is the absence of a Mediterranean climate — Poland works well as a treatment destination but offers less as a recovery break.

Spain — the best combination of quality, proximity and lifestyle

Spain sits at a different point in the value equation to Turkey or Bulgaria. It is not the cheapest option, but it offers something none of the lower-cost destinations can match: full EU regulatory environment, direct flights from nine UK airports in under 2 hours 30 minutes, and the combination of dental treatment with a genuinely outstanding short break destination.

For patients considering full arch restoration — All-on-4 or similar — Spain’s advantage is particularly clear. The saving versus UK prices remains substantial (£6,480 per arch at Asensio versus £15,000 or more in the UK), the regulatory framework is fully EU-compliant, aftercare coordination with UK-based dentists is straightforward, and the patient recovers in Valencia rather than Warsaw or Istanbul. For patients who need two trips — the initial surgery and the definitive prosthesis fitting — the appeal of returning to Valencia is obvious.

At Asensio Advanced Dentistry in Valencia, a single dental implant costs from £750 and a complete All-on-4 arch restoration costs £6,480, performed by Dr. Lucía Asensio Romero — a specialist in implantology and oral surgery with over 30 years of experience and more than 5,000 implants placed. The clinic holds ISO 9001 certification from AENOR and uses exclusively Nobel Biocare and Klockner implant systems.

What to check before booking dental implants abroad

Regardless of destination, these are the questions every UK patient should ask before committing to treatment:

  • Which implant brand is used? Nobel Biocare, Straumann and Klockner are globally recognised brands with long-term clinical data. Avoid clinics that are vague about implant systems.
  • Is the price itemised? Make sure the quote separately lists the implant fixture, abutment, crown, consultation and any CT scanning costs. Many clinics quote only the implant post.
  • What guarantee is provided? Reputable clinics provide a written guarantee of at least five years on the implant-crown complex, clearly stating what is covered.
  • Is the country EU-regulated? EU membership means access to the cross-border healthcare directive in the event of complications and consistent professional standards.

  • Related guides

Invisalign abroad in Spain — clear aligners at Asensio Advanced Dentistry Valencia

Types of Dental Braces: Which is Right for You?

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Types of dental braces range from traditional metal brackets to clear aligners like Invisalign — each with different aesthetics, comfort levels and clinical indications. Dr. José Luis Lanuza Guillem, orthodontic specialist at Asensio Advanced Dentistry in Valencia, assesses each patient individually to recommend the most appropriate treatment.

For UK patients considering orthodontics abroad, treatment at Asensio in Valencia costs 50–70% less than equivalent UK private orthodontics — and Invisalign treatment, the most popular option for adults, starts from £1,800 for a full case.

The first consultation is completely free. Call us on 0800 048 8058 or email office@dentalasensio.co.uk to book.

Main types of dental braces

Type Material Visibility Best for
Traditional metal braces Stainless steel Visible Complex cases, all ages — most affordable option
Ceramic braces Tooth-coloured ceramic Discreet Adults who want fixed treatment with less visibility
Invisalign clear aligners Medical-grade plastic Almost invisible Adults and teens — removable, comfortable, no dietary restrictions
Lingual braces Metal — fitted to back of teeth Invisible from front Patients who need fixed treatment but want zero visibility

Fixed braces vs Invisalign — comparison

Factor Fixed braces Invisalign
Removable No Yes — for eating and cleaning
Visibility Visible (metal) or discreet (ceramic) Almost invisible
Oral hygiene More difficult — brackets trap food Easier — aligners removed to brush
Complex cases Suitable for all complexity levels Suitable for mild to moderate cases
Dietary restrictions Yes — avoid hard and sticky foods None
Price at Asensio From £900 From £1,800

Frequently asked questions

Which type of braces is best for adults?

Most adults at Asensio choose Invisalign — the aligners are nearly invisible, removable and do not restrict diet or social activities. For more complex cases, ceramic fixed braces are a discreet alternative.

Can I get braces abroad in one trip?

Orthodontic treatment requires multiple appointments over several months — the initial assessment, fitting and periodic reviews. UK patients typically visit Valencia for the fitting and key review appointments, with remote monitoring between visits. We will design a plan that minimises your trips at the free consultation.

What is the difference between Invisalign and clear braces?

Clear braces (ceramic brackets) are fixed to the teeth like traditional braces but use tooth-coloured materials. Invisalign uses removable transparent plastic aligners. Both are discreet but Invisalign is more comfortable and easier to maintain oral hygiene with.

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What is a Stomatologist? Definition and Difference from a Dentist

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A stomatologist is a medical specialist in the diagnosis, treatment and prevention of diseases affecting the mouth, teeth, gums, jaw and all associated oral structures — including the periodontium, temporomandibular joint, neuromuscular system and oral cavity. Despite the similarity to the word “stomach”, stomatology has nothing to do with digestive medicine — it derives from the Greek stoma, meaning mouth.

Stomatologists are qualified through a Medicine and Surgery degree rather than a dedicated Dentistry programme. In countries such as Spain, both qualifications confer equivalent clinical competencies — a stomatologist and a dentist can diagnose, treat and prevent the same oral conditions. The primary difference lies in the title and academic route, not in clinical scope.

If you are considering dental treatment abroad, understanding who will treat you and what their qualifications mean is an important part of choosing the right clinic. At Asensio Advanced Dentistry in Valencia, our specialists hold both medical and dental qualifications — find out more about dental standards in Spain and how they compare to the UK.

What does a stomatologist do?

A stomatologist covers the full spectrum of oral medicine and dentistry — the same scope as a dentist with a medical degree background. Clinical areas include:

Area What it covers
Teeth and restorations Fillings, crowns, bridges, root canal treatment and tooth extraction
Periodontium Gum disease diagnosis and treatment — gingivitis, periodontitis, curettage
Oral surgery Wisdom tooth extraction, implant placement, periapical surgery
Temporomandibular joint TMJ dysfunction, bruxism, orofacial pain
Oral medicine Diagnosis of oral lesions, ulcers, infections and systemic diseases with oral manifestations
Prosthodontics Dentures, implant prosthetics, full mouth rehabilitation

Stomatologist vs dentist — what is the difference?

Factor Stomatologist Dentist
Qualification Medicine and Surgery degree + stomatology specialisation Dentistry degree (5 years university)
Clinical scope Equivalent — all oral conditions Equivalent — all oral conditions
Can practice general medicine Yes — holds full medical degree No
Regulatory body (Spain) Consejo General de Colegios de Odontólogos Consejo General de Colegios de Odontólogos
GDC registration eligible Yes — recognised by the UK General Dental Council Yes — recognised by the UK General Dental Council

Stomatology in Spain — what it means for UK patients

In Spain, the term stomatologist is used alongside dentist to describe qualified oral health professionals — both are regulated by the same national body, the Consejo General de Colegios Oficiales de Odontólogos y Estomatólogos de España, and both qualifications are recognised by the UK General Dental Council. For UK patients considering dental treatment abroad, this means the clinical standards, regulatory oversight and material specifications are equivalent to those in the UK.

Spain follows EU healthcare regulations covering sterilisation, infection control, patient rights and medical device standards — the same framework that applies across all EU member states. The implant brands, ceramic materials and diagnostic equipment used in accredited Spanish clinics are CE-certified and identical to those available in UK private dental centres. Find out more about how dentistry in Spain compares to the UK and why thousands of UK patients choose Valencia for their dental treatment every year.

Frequently asked questions

Is a stomatologist the same as a dentist?

In terms of clinical scope, yes — both diagnose, treat and prevent all oral conditions. The difference is in the academic route: stomatologists qualify through a Medicine and Surgery degree, while dentists qualify through a dedicated Dentistry programme. In Spain, both titles are regulated by the same professional body and carry equivalent clinical authority.

Can a stomatologist do implants?

Yes. Implantology falls within the clinical scope of both stomatologists and dentists. At Asensio Advanced Dentistry in Valencia, Dr. Lucía Asensio Romero is a specialist in implantology and oral surgery with over 5,000 implants placed — find out more about dental implants abroad at Asensio.

Is stomatology recognised in the UK?

Yes. A stomatologist qualified in Spain can apply to register with the UK General Dental Council (GDC) without sitting any further examination — the same as a Spanish-qualified dentist. EU mutual recognition arrangements cover both qualifications.

What is the difference between stomatology and dentistry as academic fields?

Stomatology is studied as a medical specialisation following a full Medicine and Surgery degree. Dentistry is studied as a standalone five-year university programme dedicated entirely to oral health. Both lead to equivalent clinical competencies and are regulated by the same professional bodies in Spain.

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Dental night guard

Night Guard for Bruxism: What It Is and How It Works

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A night guard — also called an occlusal splint or bite guard — is a custom-made dental device worn over the teeth during sleep to protect against the damage caused by bruxism (teeth grinding and clenching). Dr. Lucía Asensio Romero, specialist in oral medicine and TMJ dysfunction at Asensio Advanced Dentistry in Valencia, prescribes and fits night guards as part of a comprehensive bruxism assessment that includes bite analysis and jaw examination.

Bruxism affects an estimated 10% of adults and up to 15% of children — and the majority are unaware they grind their teeth until a dentist identifies the signs of wear. Left untreated, bruxism causes progressive tooth wear, fractures, jaw pain, headaches and can ultimately require expensive restorative treatment.

The first consultation is completely free. Call us on 0800 048 8058 or email office@dentalasensio.co.uk to book.

What a night guard does

Function How it helps
Protects teeth from wear The guard absorbs grinding forces — the guard wears instead of the teeth
Prevents fractures Distributes bite forces evenly, reducing the risk of cracked teeth and failed restorations
Relieves jaw muscle tension Repositions the jaw in a relaxed position — reduces headaches, neck pain and facial soreness
Protects dental implants and crowns Bruxism is a major risk factor for implant failure and ceramic fractures — a guard is often prescribed alongside restorative treatment
Reduces TMJ dysfunction symptoms Unloads the temporomandibular joint — first-line treatment for TMJ disorders

Types of night guard

Type Material Best for
Hard acrylic splint Rigid acrylic Moderate to severe bruxism — most durable and effective
Soft guard Flexible thermoplastic Mild bruxism — more comfortable initially
Dual-laminate splint Soft inner / hard outer Combination of comfort and protection

Frequently asked questions

How is a night guard made at Asensio?

A digital or physical impression of your teeth is taken at the first appointment. The guard is then custom-fabricated in a dental laboratory to fit your exact bite. Fitting and adjustment is completed at a second appointment. Both visits can be completed in a single trip to Valencia.

Can I get a night guard if I have dental implants?

Yes — and it is strongly recommended. Bruxism significantly increases the risk of peri-implantitis and ceramic crown fracture. Patients with dental implants or zirconia crowns who grind their teeth should always wear a protective splint.

Is a night guard the same as a TMJ splint?

Not exactly — there are different types of occlusal splints for different purposes. A bruxism guard primarily protects the teeth. A TMJ repositioning splint is designed to change the jaw position and unload the joint. See our guide to TMJ dysfunction treatment for more detail.

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All on 4 dental implants cost

All-on-4 Dental Implants Cost Spain

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All-on-4 dental implants cost in Spain is one of the most common questions from UK patients considering full-arch rehabilitation abroad. At Asensio Advanced Dentistry in Valencia, a complete All-on-4 treatment — including extractions, four Nobel Biocare or Klockner implants, abutments and same-day fixed provisional teeth — costs £6,480 per arch, compared to £15,000 or more at most UK clinics.

The price difference is not explained by lower material quality or less experienced clinicians. Spain operates under EU healthcare regulations, uses the same implant brands available in British clinics, and maintains internationally audited quality standards. The difference comes from lower operating costs and a different fee structure — savings that are passed directly to the patient.

All-on-4 dental implants abroad at Asensio are placed under the direction of Dr. Lucía Asensio Romero, a specialist in implantology and oral surgery with over 30 years of experience and more than 5,000 implants performed. The clinic holds ISO 9001 certification from AENOR, independently auditing clinical processes and facilities.

All-on-4 dental implants cost in Spain vs the UK

The cost of All-on-4 treatment varies significantly between countries. The table below compares the typical costs for UK patients choosing treatment at Asensio in Valencia versus staying in the UK, including an estimate of travel and accommodation costs for a two-trip treatment.

Treatment Asensio Spain Typical UK cost Saving
All-on-4 single arch £6,480 £15,000+ £8,500+
Both arches £12,960 £28,000+ £15,000+
Estimated travel + accommodation (2 trips) ~£600–£900 — Net saving still £7,500+

All prices include extractions of remaining teeth, four implants with abutments, and fixed provisional teeth fitted on the same day as surgery. The definitive prosthesis is placed at the second visit after osseointegration. View the complete breakdown on our dental treatment prices page.

What is included in the All-on-4 price at Asensio?

The £6,480 price per arch at Asensio Advanced Dentistry covers the full treatment from surgery to provisional restoration. There are no hidden fees for standard cases

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dental implants bone loss

Dental Implants with Bone Loss: Options When You Have Been Told It Is Not Possible

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Being told you cannot have dental implants because of bone loss is one of the most common reasons patients contact Asensio Advanced Dentistry for a second opinion — and in the majority of cases, it is not the final answer. Bone loss reduces the options available to surgeons who rely on conventional implant techniques, but it does not eliminate them. At Asensio, patients with severe bone atrophy routinely receive fixed implant-supported teeth using techniques specifically developed for this clinical situation.

This guide explains why bone loss occurs, how it affects implant treatment, and which solutions are available depending on the degree of atrophy. If you have been assessed elsewhere and told that implants are not possible, contact us at office@dentalasensio.co.uk with your existing X-rays or CT scans. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, will assess your case before you travel.

Why bone loss happens and why it matters for implants

Bone loss in the jaw — known as alveolar bone resorption — occurs when the bone no longer receives the stimulation it needs to maintain its density and volume. Teeth provide this stimulation through their roots. When teeth are lost and not replaced, the bone begins to resorb. The longer teeth have been missing, the greater the resorption.

Cause of bone loss Effect on implant treatment
Long-term tooth loss without replacement Progressive resorption — insufficient volume for standard implants
Long-term removable denture use Denture pressure accelerates bone resorption beneath the denture
Severe periodontal disease Infection destroys supporting bone around teeth and implant sites
Failed previous implants Bone loss at the failed site reduces available volume for re-implantation
Peri-implantitis Active infection around existing implants causes progressive bone destruction

Standard dental implants require a minimum bone height and width to achieve the primary stability needed for osseointegration. When bone volume falls below these thresholds, conventional implant placement is not possible — which is why patients are often told treatment cannot proceed. However, several techniques exist specifically to address this situation.

Solutions for patients with bone loss

The appropriate solution depends on the degree of bone loss and its location — upper jaw, lower jaw or both. At Asensio, every case involving bone loss is assessed with a 3D CBCT scan before any treatment is recommended. The options available range from minimally invasive to surgical, and the goal in every case is to find the least aggressive approach that achieves a stable, long-term result.

All-on-4 with angled implants

For many patients told they have insufficient bone, All-on-4 is the solution — because the angled posterior implants are specifically designed to maximise the use of available bone and avoid the most atrophic areas. By placing the two rear implants at 45 degrees, the technique accesses denser bone further back in the jaw and avoids the maxillary sinus in the upper arch, allowing fixed teeth without grafting in the majority of cases.

For a real example of this approach applied to a complex case of severe maxillary atrophy, see our complex All-on-4 case study.

Biomaterial augmentation

In cases where the bone volume is reduced but not critically so, biomaterials — synthetic or biological substances that promote bone regeneration — can be used to create the conditions for stable osseointegration without requiring a full bone graft. At Asensio, biomaterials are routinely used in combination with All-on-4 to resolve cases that would otherwise require sinus lift surgery.

Sinus lift (maxillary sinus augmentation)

When bone height below the maxillary sinus is insufficient for implant placement in the upper jaw, a sinus lift procedure increases the available bone by elevating the sinus membrane and placing bone graft material beneath it. This is indicated for cases where the All-on-4 angled approach cannot fully compensate for the atrophy and biomaterials alone are insufficient.

A sinus lift adds 4–6 months to the treatment timeline while the grafted bone consolidates. It is a well-established procedure with predictable outcomes when performed by an experienced surgeon.

Zygomatic implants

For patients with the most severe maxillary bone atrophy — where conventional implants, All-on-4 and biomaterials are all insufficient — zygomatic implants anchor in the cheekbone (zygoma) rather than the jaw. The cheekbone retains its density even after years of tooth loss and provides a stable foundation for a complete fixed upper arch prosthesis, fitted on the same day as surgery.

Zygomatic implants bypass the bone loss problem entirely. For full information see our zygomatic implants page.

How to choose the right approach

Degree of bone loss Typical solution at Asensio
Mild — adequate bone with some reduction Standard All-on-4 or single implants
Moderate — below standard thresholds All-on-4 with biomaterial augmentation
Significant — sinus proximity or major atrophy Sinus lift + implants or All-on-4 with biomaterials
Severe — insufficient bone for any standard approach Zygomatic implants

For a real example of a complex bone atrophy case resolved at Asensio, see our complex All-on-4 clinical case — full arch restoration in a patient previously rejected by other clinics.

Frequently asked questions

Can I definitely get implants if I have bone loss?

In the majority of cases yes. The right technique depends on the degree and location of the bone loss, which is why a 3D CBCT assessment is essential before any conclusion is reached. If you have been told implants are not possible, that assessment may have been based on conventional implant techniques only — without considering All-on-4, biomaterials or zygomatic implants.

Do I always need a bone graft if I have bone loss?

No. Many patients who would previously have required bone grafting can now be treated with All-on-4 angled implants and biomaterial augmentation — avoiding the additional surgery, cost and 6–12 month waiting period that grafting requires. Whether grafting is genuinely necessary depends on the specific anatomy of your case.

How do I get a second opinion at Asensio?

Send your existing X-rays, CT scans and any previous treatment plans to office@dentalasensio.co.uk. Dr. Lucía Asensio Romero will assess your case and advise whether treatment is feasible before you travel. The free first consultation in Valencia includes a new OPG X-ray and 3D CBCT scan if required.

Will bone loss get worse if I delay treatment?

Yes. Bone resorption is progressive — the longer teeth are absent and the bone unstimulated, the greater the atrophy. Early treatment preserves more bone and keeps more options available. Delaying also increases the likelihood of needing more complex and costly intervention.

Does implant treatment stop further bone loss?

Yes. Dental implants transmit chewing forces to the bone in the same way natural tooth roots do, stimulating the bone and preventing further resorption. This is one of the most important long-term advantages of implants over removable dentures, which sit on the gum and allow bone loss to continue. Call us on 0800 048 8058 or visit our dental implants abroad page for more information.

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Snap on smile abroad

What is Snap-on Smile? The Removable Smile Makeover Explained

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Snap-on Smile is a removable, minimally invasive cosmetic dental device that fits over your existing teeth to instantly improve your smile — without anaesthesia, preparation or adhesives. Dr. Lucía Asensio Romero, specialist in cosmetic dentistry at Asensio Advanced Dentistry in Valencia, fits Snap-on Smile as part of a full range of smile makeover options for UK patients.

Snap-on Smile is made from high-strength dental resin — thinner and more resistant than traditional veneers — custom-fabricated in a laboratory from digital impressions of your teeth. The device clips over your natural teeth with a precise fit, changing the colour, shape and appearance of your smile immediately. It can be worn daily and removed for cleaning.

The first consultation is completely free. Call us on 0800 048 8058 or email office@dentalasensio.co.uk to book.

Who is Snap-on Smile suitable for?

Situation How Snap-on Smile helps
Small or worn teeth Restores size and shape without preparation of existing teeth
Gaps between teeth Closes the appearance of gaps instantly
Discoloured teeth Covers stains that whitening cannot remove
Missing tooth — temporary solution Covers the gap while awaiting implant or other definitive treatment
Special occasions Removable — can be worn when needed and removed at other times

Snap-on Smile vs porcelain veneers

Factor Snap-on Smile Porcelain veneers
Tooth preparation None required Minimal enamel reduction
Reversible Yes — fully reversible No — permanent
Removable Yes No — fixed permanently
Longevity 3–5 years with proper care 10–15 years
Best for Temporary or reversible improvement, special occasions, transitional solution Permanent smile transformation

The Snap-on Smile procedure at Asensio

The procedure requires two visits. At the first appointment, digital impressions are taken — no anaesthesia required. These are sent to a specialist laboratory where the device is designed in 3D and fabricated. At the second appointment, the Snap-on Smile is fitted and adjusted for comfort and fit. Both visits can be completed in a single trip to Valencia.

Frequently asked questions

Can I eat with Snap-on Smile?

Yes — Snap-on Smile is designed to allow eating and drinking. However, very hard or sticky foods should be avoided to protect the device.

How long does Snap-on Smile last?

With proper care, a Snap-on Smile typically lasts 3–5 years. It should be cleaned daily with a soft brush and stored in water when not worn.

Is Snap-on Smile a permanent solution?

No — it is a removable, reversible device. Many patients use it as a transitional solution while considering or saving for permanent treatment such as porcelain veneers or Lumineers.

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