Dental Implants in Moorgate


Dental implants are one of the most effective, long-lasting solutions for replacing missing teeth — and at City Dental Clinic we have extensive experience placing them for patients across the City of London. This guide answers the most common questions so you can decide whether implant treatment is right for you.

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What Are Dental Implants?


Dental implants are small metal screws — usually made of titanium or a titanium alloy — that are placed into the jawbone to act as artificial tooth roots. Over time the implant fuses to the surrounding bone, and a custom-made crown (false tooth) is attached on top via a connector piece called an abutment. The result looks, feels and functions just like a natural tooth.

Implants can be used to replace a single missing tooth, several teeth, or — in combination with a fixed bridge — an entire arch of teeth.

A dental implant consists of the implant screw (root), abutment (connector) and crown (visible tooth).

Who Is Suitable for Dental Implants?


Most adults who are in good general and oral health are suitable candidates for dental implants. The key requirements are

Having healthy gums, free from active gum disease, having sufficient jawbone density to support the implant (a CBCT scan at our practice will confirm this). And good general health — most medical conditions do not prevent treatment, but your dentist will assess your full medical history.

Who May Not Be Suitable?

Young people whose jaws are still growing are generally advised to wait until growth is complete. Heavy smokers and those who drink alcohol excessively have a higher risk of implant complications; some clinicians will ask patients to address these habits before proceeding. Active gum disease must also be treated before implants can be placed.

How Do We Assess Your Suitability?

At your consultation we carry out a thorough examination of your teeth and gums and we may take a 3D CBCT scan of your jaw. This allows us to plan the precise position, length and width of each implant. We will then produce a personalised treatment plan, including a full cost breakdown, for you to take away and consider.

As every patient is different, we always recommend speaking to one of our dentists before making any decision about treatment.

The Dental Implant Process


    1. Assessment & Treatment Planning – full oral examination, CBCT scan, and personalised treatment plan with costs and timescale.
    2. Implant Placement — the implant screw is placed into the jawbone under local anaesthetic (sedation is available for nervous patients). A single implant typically takes around 30–60 minutes.
    3. Healing — the implant fuses to the bone over 6 weeks to 6 months. A temporary tooth can be provided so you are never left with a visible gap.
    4. Restoration — once healing is confirmed, your custom-made crown is attached. It is crafted by a dental technician specifically for your smile.
    5. Maintenance — regular check-ups and hygienist visits keep your implant healthy for the long term. We will give you specific home-care instructions and the right tools for the job.

Standard Implant Treatment

The majority of cases are completed over around 3-4 months, allowing around 3 months of healing between plaving the implants(s) and going to the next ‘restoration’ stage, or fitting of the false tooth.

Same-Day Implants (“Teeth in a Day”)

For patients who have lost most or all of their teeth, it is sometimes possible to place multiple implants and fit a temporary full-arch bridge on the same day. A final, permanent bridge is then constructed once full integration has taken place. This option is not suitable for everyone — your dentist will advise whether it is appropriate for you.

How Long Do Dental Implants Last?


With good oral hygiene and regular professional maintenance, dental implants can last many years — clinical data shows around 94 out of 100 implants surviving 10–15 years. Think of them in a similar way to a hip replacement: they are highly durable, but they are not guaranteed for life and will require ongoing care and periodic review.

 

Taking Care of your Dental Implants

Clean around your dental implants twice everyday (when brushing your teeth)

Use products including inter-dental brushes to clean effectively between the teeth

Pay particular attention to the gum line when brushing your dental implants

Attend all review appointments (we advice at least one a year)

Visit the hygienist regularly to get a professional clean around your teeth and implants

How Much Do Dental Implants Cost?


The cost varies depending on the number of implants required, the complexity of the case, the type of restoration chosen, and overall treatment time. Because every patient is different, we provide a full written cost breakdown at the planning stage so there are no surprises. A guide to our fees can be found here.

Dental implants are generally more expensive than bridges or dentures in the short term, but they are also the most durable and biologically sound solution. We offer flexible payment plans to help spread the cost — please ask at reception for details.

Dental implants are not available on the NHS except in very limited circumstances (for example, following facial trauma or tumour surgery). Treatment at City Dental Clinic is provided on a private basis.

Alternatives to Dental Implants


Implants are not the only way to replace missing teeth. Depending on your situation, the following alternatives may be suitable:

    • Dental bridge — the teeth either side of the gap are prepared and a fixed false tooth is bonded between them. A Maryland bridge uses small bonded wings rather than full crown preparation.
    • Removable partial or full denture — a removable acrylic or cobalt-chrome appliance that replaces one or more teeth. The most cost-effective option for multiple missing teeth.
    • Leaving the gap — always an option, but it is worth knowing that over time the jawbone in the area can thin, and adjacent teeth may drift. This can make any future treatment more complex.

We will discuss all available options with you at your consultation so you can make a fully informed choice.

Common Myths About Dental Implants


Myth 1
Dental implants last forever

Implants are long-lasting but may not permanent. With good care, the majority survive over 10–15 years, but they are not a “fit and forget” solution — regular maintenance is essential. The crown on top of the fixture is the component most likely to require changing over time.

Myth 2
You don’t need to clean them

You absolutely do. Good oral hygiene is the single biggest factor in the long-term success of an implant. Twice-daily cleaning and interdental brushing are non-negotiable.

Myth 3
It’s a very painful procedure

Most patients are surprised by how comfortable the experience is. Any post-operative discomfort is usually mild and manageable with standard over-the-counter painkillers.

Myth 4
Dental implants don’t work

Success rates in the UK are very high — often cited at up to 95%. The evidence base for implants is extensive and well-established.

Myth 5
Only older people need implants

Adults of any age can lose a tooth — through accident, sport, infection or disease. Any adult with a healthy jawbone can be considered for treatment.

Myth 6
It’s better to wait until things get worse

The opposite is true. A healthy mouth produces the best implant outcomes. The longer you wait, the more bone loss can occur, making treatment more complex.

Frequently Asked Questions


Will the procedure hurt?
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The implant is placed under local anaesthetic, so you should feel no pain during the procedure. Afterwards, any discomfort is usually mild and can be managed with standard painkillers. Some minor swelling in the first few days is normal and settles quickly.

How long will I be in the chair?
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A single implant placement typically takes around 30–60 minutes. If multiple implants are being placed, or if additional procedures such as bone grafting are needed, the appointment will be longer. Your treatment plan will give you a clear idea of what to expect.

How long before I get my new tooth?
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In straightforward cases the crown can sometimes be fitted on the same day as the implant. More commonly, a healing period of 6 weeks to 6 months is needed first. A temporary tooth can be provided in the meantime so there is no visible gap.

Do I need a healthy mouth before starting?
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Yes. Any existing gum disease, decay or infection must be addressed before implants are placed. If you have bleeding gums, bad breath or loose teeth, we will treat the underlying cause first to give your implant the best chance of success.

What are the risks of Dental Implants?
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As with any surgical procedure, there are risks. In the first week following the placement of the implant there may be some mild swelling and soreness from the site. However, over-the-counter pain killers should be sufficient.

In the long term, once a dental implant is fully restored, there can be issues with the crown or the implant fixture.
The crown, most commonly, may get loose every few years, as the small screw holding it to the fixture may loosen. We can tighten this usually quite quickly. In rare circumstances the screw may break, and we can replace it. There may also be small cracks or chips to the crown itself over time, and in 10-15 years, we may expect to need to replace the crown  (tooth above the gum).

In regard to the fixture (screw in the bone), the most common complication is peri-implantitis — an infection of the tissue around the implant that can cause bone loss. It is usually caused by poor oral hygiene and is largely preventable with diligent home care and regular professional maintenance. There is also a small risk that the implant does not fuse fully with the bone, in which case it may need to be removed and replaced.

What is peri-implantitis?
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Peri-implantitis is an infection of the gum and bone surrounding a dental implant. If left untreated it can lead to bone loss and ultimately implant failure. It is most often caused by a build-up of plaque, which is why thorough daily cleaning and regular hygienist visits are so important. We have in-house gum disease specialists who can address and treat peri-implantitis if it should occur.

What is bone grafting and will I need it?
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If the jawbone at the implant site is too thin or narrow to support an implant, a bone graft may be necessary first. This procedure builds up the bone using either your own bone, donor bone, or a synthetic material. Your CBCT scan at consultation will determine whether this is needed.

Should I consider treatment abroad?
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While overseas treatment may appear cheaper, the quality of products and regulatory standards vary significantly between countries. If complications arise or ongoing maintenance is required, having your implants managed locally is far more straightforward. We are always happy to discuss the full picture with you at a consultation.

Can I get a second opinion?
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Absolutely. You are always entitled to seek a second opinion, and we encourage patients to feel completely confident before committing to any treatment.


Ready to Find Out If Implants Are Right for You?

Book a consultation at City Dental Clinic and we will assess your suitability, answer all your questions, and provide a full written treatment plan with no obligation.

Book a Consultation

City Dental Clinic · 35 Chiswell Street, London EC1Y 4SE ·
020 7638 0870 ·
reception@citydental.co.uk

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35 Chiswell St, London EC1Y 4SE
020 7638 0870
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