best dental implants in europe

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.
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

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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Dental Implant Abutments: Types, Materials and How They Work

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A dental implant abutment is the connector piece that joins the titanium implant post — which is fixed in the jawbone — to the visible crown, bridge or prosthesis on top. Without the abutment, the implant and the restoration cannot be joined. Understanding what abutments are and how they work helps patients make sense of their treatment plan and the components involved in their restoration.

At Asensio Advanced Dentistry in Valencia, abutment selection is part of the treatment planning process for every implant case. The choice of abutment type and material affects the fit, aesthetics and long-term stability of the final restoration. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, selects the appropriate abutment for each case based on the implant system, bone level, gum tissue and prosthetic design.

The three components of a dental implant

A complete dental implant restoration consists of three distinct components, each with a specific function:

Component Location Function
Implant fixture Inside the jawbone Replaces the tooth root — titanium post that fuses with bone through osseointegration
Abutment At gum level Connects the implant fixture to the crown — provides the shape the crown sits on
Crown / prosthesis Above the gum The visible restoration — designed to match surrounding teeth in colour, shape and function

Types of dental implant abutments

Different stages of treatment require different abutment types. The three main categories are:

Type When used Purpose
Healing abutment Immediately after implant placement Shapes the gum tissue around the implant while osseointegration occurs — removed before final restoration
Temporary abutment During osseointegration period Supports the provisional crown while the implant integrates — replaced at second visit
Final abutment At second visit after osseointegration Permanent connector for the definitive crown — precision-fit to the specific implant and crown design

Abutment materials

The choice of abutment material affects both the aesthetics and the mechanical performance of the restoration. The most commonly used materials are:

Material Advantages Best used for
Titanium Maximum strength, biocompatible, lightweight, long clinical track record Most cases — the default choice for strength and reliability
Zirconia Tooth-coloured — eliminates grey gum line, excellent biocompatibility Front teeth where aesthetics are critical and gum tissue is thin
Gold alloy Excellent precision fit, biocompatible Complex prosthetic cases requiring precision casting
PEEK (polyether ether ketone) Lightweight, tooth-coloured, used for temporaries Provisional restorations during osseointegration

At Asensio, abutments are sourced exclusively from Nobel Biocare and Klockner — the same implant brands used for the fixtures. Using manufacturer-matched components ensures precise fit, consistent performance and compatibility with the lifetime guarantee on materials.

Frequently asked questions

Is the abutment included in the implant price?

Yes. At Asensio, the quoted price for a single implant (£850) includes the implant fixture, abutment and porcelain crown — all three components. There are no hidden additions for standard cases. View the full breakdown on our prices page.

Can an abutment fail or need replacing?

Abutment loosening is one of the most common minor implant complications. It is usually resolved by retightening or replacing the abutment — a straightforward procedure that does not affect the implant fixture itself. If you experience a loose or uncomfortable crown, contact us promptly rather than leaving it, as a loose abutment can cause damage to the implant connection over time.

What is the difference between a cement-retained and a screw-retained crown?

Crowns can be attached to abutments either by dental cement or by a small retaining screw. Screw-retained crowns are removable by the dentist for maintenance or adjustment — they are generally preferred for implant restorations because they allow easier access if the abutment needs attention. Cement-retained crowns are fixed permanently and cannot be removed without risk of damage.

Do I need to do anything special to care for my abutment?

The abutment itself requires no special care beyond the standard implant cleaning routine — soft toothbrush, interdental brush and water flosser daily. The critical area to clean is the junction between the abutment and the gum, where bacterial biofilm accumulates and can cause peri-implant infection if not removed regularly. See our dental implant care guide for full instructions.

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Dental Hybrid Prosthesis: What It Is and How It Works

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A dental hybrid prosthesis is a fixed implant-supported restoration that combines a rigid metal or zirconia framework with resin or acrylic teeth. It is one of the most common definitive restorations used in full arch rehabilitation — including All-on-4 — because it combines the stability of a fixed prosthesis with the aesthetic flexibility of composite teeth and the cost-effectiveness of acrylic over all-ceramic options.

Unlike a removable denture, a hybrid prosthesis is fixed to the implants and cannot be removed by the patient. Unlike an all-ceramic bridge, it uses a hybrid construction that allows the restoration to be lighter, easier to repair and more adaptable to complex anatomical situations. At Asensio Advanced Dentistry in Valencia, hybrid prostheses are the standard definitive restoration for All-on-4 full arch cases, planned and fitted by Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience.

How is a dental hybrid prosthesis constructed?

A hybrid prosthesis has two main structural elements that work together to provide a stable, aesthetic and functional result:

Component Material Function
Framework Titanium, cobalt-chrome or zirconia Rigid structural base that connects to the implant abutments — provides strength and precise fit
Teeth Acrylic resin or composite Aesthetic element — individually shaped and colour-matched to simulate natural teeth

The framework is manufactured in a dental laboratory using digital scanning of the patient’s mouth and implant positions. The fit to the implant abutments must be precise — any inaccuracy creates mechanical stress that can affect the implants over time. At Asensio, all prosthetic components are manufactured to Nobel Biocare or Klockner specifications using digital workflow and in-house laboratory oversight.

Hybrid prosthesis vs all-ceramic bridge

Factor Hybrid prosthesis All-ceramic bridge
Weight Lighter — less load on implants Heavier
Repairability Individual teeth can be repaired or replaced without replacing the whole prosthesis Damage typically requires full replacement
Aesthetics Very good — resin teeth closely mimic natural teeth Excellent — ceramic is closest to natural tooth appearance
Cost Lower — resin teeth are less expensive than full ceramic Higher
Longevity 10–15 years for the prosthetic teeth — framework lasts much longer 15–20 years with good care

Hybrid prosthesis in All-on-4 treatment

In All-on-4 full arch rehabilitation, the treatment involves two prostheses: a provisional and a definitive. The provisional — fitted on the same day as surgery — is a temporary hybrid prosthesis that allows patients to eat and speak normally during the osseointegration period. The definitive hybrid prosthesis is fitted at the second visit, 3–6 months later, once osseointegration is confirmed.

The definitive prosthesis is custom-made for each patient based on digital scans taken during the second visit. It is designed to optimise function, aesthetics and bite — and is fitted with precision to the implant abutments. For full information about the All-on-4 procedure see our All-on-4 dental implants abroad page.

Frequently asked questions

How long does a hybrid prosthesis last?

The metal or zirconia framework is designed to last many years — typically the lifetime of the implants. The acrylic or resin teeth are subject to wear and may need renewal after 10–15 years depending on use and care. One advantage of the hybrid construction is that individual teeth can be repaired or replaced without replacing the entire prosthesis.

Can a hybrid prosthesis be repaired if a tooth chips or breaks?

Yes. This is one of the key advantages of hybrid construction over all-ceramic bridges. Individual acrylic or resin teeth can be repaired or replaced at the clinic without affecting the framework or the implants. Contact us if you experience any damage to your restoration — prompt repair prevents further wear on adjacent teeth.

How do I clean a hybrid prosthesis?

A hybrid prosthesis is cleaned in place using a soft toothbrush, interdental brush and water flosser. The gap between the prosthesis and the gum — where food and bacteria can accumulate — requires particular attention. See our All-on-4 cleaning guide and dental implant care guide for full instructions.

What is the cost of a hybrid prosthesis at Asensio?

The cost of a hybrid prosthesis depends on the number of implants, the materials used and the complexity of the case. For All-on-4 patients, the provisional hybrid prosthesis is included in the £6,480 per arch price. The definitive prosthesis is quoted separately after the second visit assessment. View the full breakdown on our prices page or contact us for a personalised quote.

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Osseointegration

Osseointegration: How Dental Implants Bond with Bone

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Osseointegration is the biological process by which a dental implant fuses with the surrounding jawbone, creating a stable, permanent foundation for the crown or prosthesis placed on top. It is the fundamental mechanism that makes dental implants the gold standard for tooth replacement — and understanding it helps patients set realistic expectations for their treatment timeline and recovery.

The term was coined by Swedish orthopaedic surgeon Professor Per-Ingvar Brånemark, who first observed the process in the 1950s and later pioneered the use of titanium implants in dentistry. At Asensio Advanced Dentistry in Valencia, osseointegration is the foundation of every implant procedure performed by Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of clinical experience.

What happens during osseointegration?

When a titanium implant is placed into the jawbone, the body does not recognise it as a foreign object — it recognises it as a surface suitable for bone attachment. Titanium is biocompatible: its surface properties allow bone cells (osteoblasts) to adhere, proliferate and eventually form new bone tissue directly on the implant surface. Over time, the implant becomes structurally integrated with the surrounding bone, indistinguishable in terms of mechanical function from a natural tooth root.

Stage Timeframe What happens
Initial healing Days 1–7 Blood clot forms around implant, inflammatory response begins, soft tissue starts to close
Early osseointegration Weeks 2–4 Osteoblasts begin depositing new bone tissue on implant surface, early mechanical stability develops
Progressive integration Months 1–3 Bone density around implant increases, implant stability improves significantly
Full osseointegration Months 3–6 Mature bone has formed around the full implant surface — definitive restoration can be fitted

How long does osseointegration take?

The osseointegration period typically takes between 3 and 6 months, depending on the patient’s bone density, general health, implant location and loading protocol. Lower jaw implants tend to integrate faster than upper jaw implants because the bone is denser. Patients with good bone volume and no systemic conditions affecting healing are at the shorter end of this range.

During the osseointegration period, patients wear a provisional prosthesis — a functional restoration that allows normal eating and speaking while the implant integrates. For All-on-4 patients this is a fixed provisional arch fitted on the same day as surgery. For single implant patients it is typically a temporary crown.

What affects osseointegration success?

Factor Effect on osseointegration
Implant material and surface Titanium with a roughened surface promotes faster and stronger bone attachment than smooth surfaces
Bone quality and volume Denser, well-vascularised bone integrates more reliably and quickly
Smoking Significantly impairs blood supply to bone tissue, slowing integration and increasing failure risk
Uncontrolled diabetes Impairs immune function and wound healing, increasing complication risk
Surgical precision Overheating bone during drilling or poor implant positioning compromises initial stability
Oral hygiene Bacterial infection around the implant site is the leading cause of osseointegration failure

Aftercare during osseointegration

The osseointegration period requires specific aftercare to protect the implant while the bone forms. At Asensio, every patient receives written aftercare instructions before leaving the clinic. The key principles are:

Period What to do What to avoid
First 24 hours Apply ice packs, rest, take prescribed medication Rinsing, spitting, hot food and drink
First week Soft diet, gentle oral hygiene, antibiotics as prescribed Strenuous exercise, smoking, alcohol, hard food
Osseointegration period Daily cleaning routine, regular professional reviews Smoking, excessive force on the provisional prosthesis

For full guidance on caring for your implants during and after osseointegration, see our dental implant care guide and our peri-implantitis guide — the main infection risk during this period.

Frequently asked questions

Can I feel osseointegration happening?

No. The process is entirely biological and occurs without any sensation the patient can perceive. Some mild sensitivity around the implant site in the first few weeks is normal as the soft tissue heals, but osseointegration itself is painless. If you experience persistent pain or swelling after the first week, contact us promptly.

What happens if osseointegration fails?

Osseointegration failure — where the implant does not bond with the bone — is uncommon but does occur. Signs include implant mobility, persistent pain or infection. In most cases the implant can be removed, the site treated and a new implant placed after a healing period. At Asensio, all implant materials carry a lifetime guarantee — if an implant fails due to material defect, replacement is covered.

Does osseointegration happen faster with better implant brands?

Implant surface technology significantly affects osseointegration speed and reliability. Nobel Biocare and Klockner implants — the systems used exclusively at Asensio — use clinically validated surface treatments that promote faster and more predictable bone attachment than generic implant systems. This is one of the key reasons we do not compromise on implant brand.

Can I fly back to the UK after implant surgery?

Yes. Most patients fly home within 2–3 days of surgery. Flying does not affect osseointegration. The key is ensuring the initial healing period is managed correctly before travel and that you have the aftercare instructions and emergency contact details before you leave Valencia.

How do I know when osseointegration is complete?

Osseointegration is confirmed at the second visit to Asensio using clinical assessment and radiographic imaging. The implant is tested for stability and bone levels are evaluated on the X-ray before the definitive restoration is fitted. Call us on 0800 048 8058 or visit our dental implants abroad page for more information.

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immediate dental implants

Immediate Dental Implants: Placed the Same Day as Extraction

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Immediate dental implants are placed into the socket on the same day as the tooth extraction — eliminating the waiting period that conventional implant protocols require between extraction and implant placement. In suitable cases, this reduces the total number of surgical appointments, shortens the overall treatment timeline and allows patients to leave the clinic with a provisional crown or prosthesis on the same day.

Not every case is suitable for immediate placement. The decision depends on the condition of the bone at the extraction site, the absence of active infection, and the overall clinical situation. At Asensio Advanced Dentistry in Valencia, every immediate implant case is assessed with a 3D CBCT scan before surgery to confirm that the conditions for immediate placement are met. Dr. Lucía Asensio Romero, specialist in implantology and oral surgery with over 30 years of experience, leads all implant assessments at the clinic.

How immediate dental implants work

In a conventional implant protocol, the tooth is extracted and the socket is left to heal for 8–12 weeks before the implant is placed. Immediate implants bypass this waiting period by placing the titanium post directly into the fresh extraction socket, using the existing bone walls for primary stability. A provisional crown or bridge is often fitted the same day.

Stage Conventional protocol Immediate implant protocol
Extraction Appointment 1 Appointment 1
Healing period 8–12 weeks Not required
Implant placement Appointment 2 Same day as extraction
Provisional crown Separate appointment Same day in suitable cases
Osseointegration + final crown 3–6 months after implant 3–6 months after implant

The osseointegration period — when the implant integrates with the surrounding bone — is the same regardless of protocol. The key advantage of immediate placement is that it eliminates one surgical procedure and reduces the total treatment time by 8–12 weeks.

Who is suitable for immediate dental implants?

Immediate placement requires specific clinical conditions that are confirmed by 3D CBCT imaging before any treatment is planned. Cases where immediate implants are typically suitable include:

Suitable for immediate implants Not suitable — delayed protocol indicated
Adequate bone volume at extraction site Active infection or abscess at the site
No active infection present Significant bone loss around the tooth
Intact bone walls at extraction socket Fractured or compromised socket walls
Good general health, non-smoker preferred Uncontrolled systemic conditions affecting healing

If immediate placement is not indicated, the conventional protocol — extraction followed by healing before implant placement — remains an excellent option. The important thing is that the decision is based on a proper 3D assessment, not assumed before imaging is reviewed.

Immediate implants for dental tourism patients

For patients travelling from the UK for dental treatment, immediate implants offer a particular advantage: when a tooth needs extracting and the conditions are right, the extraction and implant placement can be completed in the same visit — reducing the number of trips to Valencia required. At Asensio, the free first consultation includes a panoramic OPG X-ray that allows Dr. Asensio to assess whether immediate placement is likely to be feasible before the patient travels for surgery.

The osseointegration period of 3–6 months is spent at home in the UK, with the provisional crown in place. The second trip for the definitive crown is typically a short visit of one to two days. See our how dental tourism works page for a full overview of the treatment journey.

Frequently asked questions

Are immediate dental implants as successful as conventional implants?

Yes. Clinical evidence shows that immediate implants placed in suitable cases have success rates equivalent to those of conventional implants — above 95% at 10 years. The critical factor is correct patient selection, which is why 3D imaging before surgery is essential.

Will I have a tooth on the day of extraction?

In many immediate implant cases a provisional crown can be fitted the same day. Whether this is possible depends on the implant stability achieved during surgery — specifically the insertion torque, which indicates how firmly the implant is anchored. Your surgeon will confirm at the time of surgery whether same-day provisionalization is appropriate for your case.

Is the procedure more painful than a standard extraction?

Immediate implant placement is performed under local anaesthesia. Most patients report that the combined extraction and implant procedure is not significantly more uncomfortable than a standard extraction alone. Post-operative discomfort is managed with standard pain relief and typically resolves within a few days.

How long does the procedure take?

A single immediate implant procedure typically takes 45–90 minutes depending on the complexity of the extraction and the implant system used. Combined procedures involving multiple extractions and implants take longer and are planned individually.

How do I find out if I am suitable for an immediate implant?

The first step is a free consultation at Asensio, which includes a panoramic OPG X-ray and clinical assessment. A 3D CBCT scan provides the definitive assessment of bone volume and socket anatomy. Call us on 0800 048 8058, email office@dentalasensio.co.uk, or visit our dental implants abroad page.

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