What happens after you lose a tooth?
Dr Prinja explains tooth loss and the importance of preserving bone and assessing replacement options. An implant is one option, not an automatic first choice.

Replace
A dental implant is a titanium or ceramic fixture placed into the jawbone to support a crown, bridge or denture, replacing the root of a missing tooth.
At a glance
Dental implants start from £2,900. Bone grafting, where required, starts from £500, and a CBCT scan is £110 for a single arch or £198 for both. Sedation is £300 where preferred.
Book a consultationAssessment and diagnosis before any cosmetic treatment
The short answer: Dental implants
A dental implant is a titanium or ceramic fixture placed into the jawbone to support a crown, bridge or denture, replacing the root of a missing tooth.
Dental implants is planned and provided by Dr Vikas Prinja at Apple Dental Studios, 106 Marsh Road, Pinner, with patients travelling from across North West London. If you are looking for a dentist in Pinner, that page sets out how consultations, written plans and fees work here.An implant is considered only after the tooth itself has been assessed for whether it can be kept. Implant planning at Apple Dental Studios uses radiographs and, where indicated, 3D imaging to check bone and the surrounding teeth, and bridges or dentures are discussed as genuine alternatives.

Compare your options
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Dental implants
The option described on this page.
Bridge alternative
Crowns & bridges
A bridge replaces the tooth by joining to the teeth either side, which requires those teeth to be prepared.
May be required
Bone grafting
Where bone volume at the site is inadequate, grafting may be needed before or at the time of implant placement.
Restore instead
Restorative dentistry
Where the natural tooth is restorable, restoring it is usually preferable to removing and replacing it.
Vikas explains
A concise video explanation, supported by the written guidance on this page.
Dr Prinja explains tooth loss and the importance of preserving bone and assessing replacement options. An implant is one option, not an automatic first choice.
Scans and digital planning determine implant position before surgery.
The implant is placed under local anaesthetic, with sedation if preferred.
Integration with bone typically takes several months.
An implant crown or bridge is made and fitted.
Regular reviews and professional cleaning around the implant.
Implant survival rates reported in the literature are commonly above 90% at ten years, with maintenance a major determinant.
From £2,900Guide fee
Dental implants start from £2,900. Bone grafting, where required, starts from £500, and a CBCT scan is £110 for a single arch or £198 for both. Sedation is £300 where preferred.
A written plan with itemised fees is provided after assessment, before any treatment is agreed. See the full fee guide.
Compare options
Explore the dental glossary for plain-language definitions of the clinical terms used here.
Clinical transparency
General Dental Council
National Institute for Health and Care Excellence
Read next
Written by Dr Vikas Prinja for patients considering or already having this treatment.
Common questions
Dental implants start from £2,900 at this practice. The final fee depends on whether grafting is needed, the number of implants and the restoration. A written quotation is provided after examination and a CBCT scan.
Dental implants start from £2,900 at this practice. The final fee depends on the number of implants, the restoration, bone grafting and the diagnostic planning required.
Dental implant treatment usually takes several months because the implant needs time to integrate with the jawbone before the final restoration is fitted. Some cases can be planned differently after assessment.
Implant placement is carried out under local anaesthetic and is not usually painful at the time. Some swelling and soreness for a few days afterwards is normal and is managed with simple pain relief and written aftercare.
Well-planned implants can last many years, and long-term survival rates reported in the literature are high. Longevity depends on gum health, cleaning, smoking, bite forces, diabetes control and attending maintenance appointments.
Implants may be delayed or ruled out where there is untreated gum disease, insufficient bone without grafting, heavy smoking, poorly controlled diabetes or certain medications and medical conditions. Suitability is confirmed after examination and a CBCT scan.

Clinical authorship
The London Dentist. Cosmetic, restorative and implant dentistry in London.
Clinically reviewed Updated
About Dr Vikas PrinjaHow this fits together
How this treatment relates to the others, and why each relationship exists.
Alternative tooth replacement
Crowns & bridges
A bridge replaces the tooth by joining to the teeth either side, which requires those teeth to be prepared.
May be required before
Bone grafting
Where bone volume at the site is inadequate, grafting may be needed before or at the time of implant placement.
Frequently combined
Restorative dentistry
Where the natural tooth is restorable, restoring it is usually preferable to removing and replacing it.
Replace
Dental bone grafting adds graft material to the jaw to rebuild bone volume, so that an implant can be placed in the correct position with adequate support.
Restore
A crown is a laboratory-made restoration that covers a damaged tooth to restore its shape and strength; a bridge uses one or more crowns to replace an adjacent missing tooth.
Restore
Restorative dentistry repairs and rebuilds damaged, worn or missing teeth — using fillings, onlays, crowns, bridges or implants — with the aim of restoring function while preserving as much natural tooth as possible.
Enhance
A smile makeover is a planned combination of treatments — which may include alignment, whitening, bonding, ceramics or gum treatment — sequenced to change the appearance of the smile while protecting long-term dental health.

Consultation
Start with a comprehensive assessment and understand your options before deciding on treatment.