Making the Decision

Why do cheap implants end up costing more?

Not every cheap quote is a bad one: what matters is which item the low price comes from

We did not write this page to tell you 'don't go cheap'; the people who say that are the expensive ones anyway, and saying it suits them. We wrote it for a different reason: a low price sometimes has a legitimate cause and sometimes comes from cutting the scope, and on a quote the two look much the same. There is a way to tell them apart, and this page explains it.

Short answer

A cheap quote can come from two different places. The first is legitimate: a city with low costs, the clinic's own laboratory, a high number of patients. These bring the price down without reducing the scope. The second is cutting the scope: leaving the final teeth out of the quote, cutting the time given to planning and adjusting the bite, excluding check-ups, and using fewer implants than the load requires. You see the difference when you look at the scope, not the figure.

A legitimate low price
An in-house laboratory, volume, a low-cost city
A risky low price
Cutting the scope, the time and the number of implants
Item most often cut
The final teeth and check-ups
How to tell them apart
Ask for the scope of the finished work in writing

Medically reviewed by Bilge Ilgın, Dentist · Implantology

Where a low price comes from

It would be wrong to put the whole price difference down to a difference in quality. There can be a considerable difference in cost between two clinics doing the same work, and there is a legitimate explanation for it: working in a city where rents are low, making the bridgework in the clinic's own laboratory instead of sending it out, and doing the same work many times a year so that materials can be bought on better terms. None of these three items is taken out of what goes into your mouth; they are simply running costs.

The problem is that this legitimate low price looks exactly the same as a low price achieved by cutting the scope. Two quotes may show the same figure; one includes the final teeth and the other only a temporary bridge. In one, half an hour is given to the bite on the day of fitting; in the other, five minutes. These differences do not show on the quote; they show in your mouth, usually two years later.

The first item, and the one cut most often, is the final teeth. In some immediate loading plans, the first bridge fitted is temporary and a permanent bridge is made separately months later; in Implant72's protocol, by contrast, the teeth fitted on day 3 are the final fixed teeth, and there is no second bridge stage afterwards. The problem starts when a quote covers only the temporary bridge and leaves out the permanent one: you find this out months later, and by then you have no options left. Walking away from treatment that has already started costs more than starting from the beginning, and pricing can be built around knowing that.

The second item that gets cut is time, and it never appears on the bill: the time given to planning, who reviews the CBCT scan and how thoroughly, and how carefully the bite is adjusted on the day of fitting. Adjusting the bite is not a formality. A bridge that does not spread the load evenly leads, within months, to screw loosening, broken bridgework and bone loss around a single implant. Repairing these three costs many times more than half an hour set aside properly at the start.

The third is the supporting structure itself. Reducing the number of implants brings the price down straight away, because there is less material and less surgery. In return, the load piles onto the remaining implants. The price of this saving is not paid on the first day; it is paid when the weakest support in the system wears out, and at that point what you pay with is not money but bone.

The fourth is leaving check-ups out of the scope. Implant treatment does not end at the fitting; at least once a year, the torque of the screws, the fit of the bridge and the bone level around the implants should be checked. When an implant goes without check-ups, inflammation around the implant (peri-implantitis) progresses silently, and by the time it is noticed, bone loss that cannot be reversed has already happened. Charging for check-ups is not wrong; not telling you they are not included is.

Which low prices are fine and which are a problem

The distinction below will help you sort most quotes correctly. The rule is simple: a price that falls while the scope stays the same is legitimate; a price that falls because the scope shrinks is a cost put off until later.

The tooth can be saved

  • A clinic with its own laboratoryWhen the bridgework is not sent out, both the middleman's cost and the back-and-forth of corrections disappear. This is one of the most genuine factors that lower the price without cutting the scope, and it shortens the time to fitting as well.
  • Doing the same work in high volumeA clinic that concentrates on a particular type of work buys materials on better terms, and its team gets quicker at that work. What falls here is the unit cost, not the time given to you as a patient.
  • Low city and running costsRent, staff and overheads are all part of the price. The same treatment can be offered at a different cost in different cities, and this makes no medical difference.
  • Offering a payment planSpreading the payments without changing the total does not make the price cheaper, but it makes treatment more affordable. This is often the only real form of discount that does not compromise the scope.

Saving it is unlikely to hold

  • Leaving out the final teethIf the quote covers only a temporary bridge and the permanent bridge will be charged separately later, that is not a discount but a bill put off until later. Get it in writing whether the teeth you will be fitted with are final and whether they are included in the price; a verbal answer is not enough.
  • Using fewer implants than the load requiresThe number of supports in the supporting structure is not something to bargain over. A bridge built on fewer implants is cheap to make and piles the load onto the weakest point.
  • Check-ups not being includedA plan that says nothing about what happens after fitting is only half a plan. Peri-implantitis progresses silently; the only thing that catches it early is regular check-ups.
  • A firm price given without any imagingA figure given before anyone has seen a CBCT scan is a promise made without knowing what is in your mouth. Where that promise gets broken is in the clinic, halfway through treatment.

How to test a cheap quote

Ask the questions below in order. The aim is not to catch the clinic out but to put two quotes on the same footing. A good clinic will not find these questions strange.

  1. 1

    Is this the price of the finished work?

    Is it the price of the result I will walk away with, or the price of one implant? If it is the latter, the quote cannot be compared, and that figure is usually there for advertising.

  2. 2

    Are the teeth I will be fitted with final?

    Is the bridge I will be fitted with temporary or final? If it is temporary, is the permanent bridge included in this figure? If not, when will it come up, and under which item? Written answers to these three questions will rule out half the quotes.

  3. 3

    How many implants, and why?

    What was the number based on, and could it change after the CBCT scan? You need to hear that the number was set by the bone, not by the budget.

  4. 4

    What do the check-ups and guarantee cover?

    How many check-ups are included, which parts the guarantee covers and for how long, and what happens if you miss a check-up. These should be in writing, not verbal.

  5. 5

    Where do I go if a problem comes up?

    If a screw loosens, the bridgework breaks or an implant is lost, how does the process work? With a clinic far away, the answer to this question can matter more than the difference in price.

  6. 6

    Can I have the plan and materials in writing?

    Asking for the implant and bridgework used to be named on the quote is a routine request. If the clinic avoids giving you this information, you already have your answer.

The right places to cut back if your budget is limited

Budget is a real constraint, and ignoring it does not help. If you do need to cut back, some items are the right ones to cut.

01

Bridge material

Bridges in different materials can be made on the same supporting structure. They differ in appearance and durability, but the safety of the system stays the same. If the budget needs discussing, this is the right place to do it.

02

Splitting treatment into stages

Treating the problem jaw first rather than both jaws at once can be a sensible way to spread the cost. Whether this suits your bite should be discussed with your dentist; it is not possible in every mouth.

03

Payment plan

Spreading the payments without changing the total gives you breathing space without reducing the scope. Asking about it is more effective than asking for a discount.

04

Not to be cut: the number of implants

Reducing the number of supports means paying for today's discount by having the work redone in future. A saving made on this item is not a saving but a postponement.

05

Not to be cut: check-ups

The annual check-up is the cheapest part of the treatment and the one with the highest return. Inflammation caught early is resolved in a few appointments; the same inflammation caught late costs you the implant.

What cutting the scope ends up costing

These are not the inevitable result of cheap treatment; they are the known consequences of treatment made cheaper by cutting the scope. It is important to tell the two apart.

The cost of redoing it is the real cost

Putting right a treatment that has failed almost always costs more than doing it properly the first time: removing the old implants, time to heal, bone grafting in many cases, and a new plan. The first figure you pay is low, but the total climbs.

Bone loss cannot be reversed

Bone lost around an implant that has been loaded incorrectly or has become inflamed does not come back, whatever you pay. The second treatment is both harder and carried out with fewer options. This is the one cost of going cheap that can never be undone.

Treatment nobody can follow up

It is hard for another dentist to take over treatment that was done far away and whose records have not been shared. When nobody knows which implant was used, even replacing a loose screw turns into a job in its own right.

Time itself is a cost

Putting right a treatment that has gone wrong takes months, and those months mean more waiting, more surgery and more healing. The difference not paid the first time is paid the second time, in time as well.

If you have already had cheap treatment

This page is not a list of warnings but a way to assess the situation you are in. Treatment that has already been done is not necessarily bad just because it was badly priced.

  1. Gather your records

    The brand, diameter and length of the implants used, the X-rays taken and the treatment plan. This information belongs to you; you have the right to ask for it, and it is the only thing that will make any dentist's job easier in future.

  2. Have a check-up

    Even if you have no symptoms, the condition of the supporting structure can be assessed: how the screws are seated, whether the bite is even and the bone level around the implants. A problem spotted early has a small fix.

  3. If there is a problem, pin down its source

    Is the problem in the implant itself, in the bridgework on top, or in the surrounding tissue? Each of the three has a different solution and a different level of urgency. A problem looked for in the wrong place can turn into unnecessary surgery.

  4. Come in for maintenance more often

    In a plan where the supporting structure is borderline, regular check-ups are the most effective way to extend its life. A check-up every six months instead of once a year makes enough of a difference in most cases.

Message us right away if

  • Your bridge moves or clicks. A fixed bridge does not move. Even the slightest movement can be a sign of a loose screw; dealt with early, it comes down to a simple tightening, but if you wait, the screw breaks and the job gets bigger.
  • There is bleeding or receding gum around an implant. An area that bleeds when you brush and is receding may be a sign that inflammation has started around the implant. In this situation, the difference between acting early and acting late is the difference between keeping the implant and losing it.
  • A single spot touches first when you bite. When you bite down, a single spot making contact first shows that the load is concentrated there. A few minutes of adjustment puts it right; left uncorrected, it leads to breakages and bone loss.
  • You notice bad breath or a bad taste. A persistent odour coming from an area that cannot be cleaned is often caused by the design or by inflammation. Both are signs that need to be assessed.

Working out the real cost

The cost of treatment is not the first figure you pay but how many years that figure lasts. The items below are what determine the overall sum.

What the first figure covers
Are the final teeth, check-ups and any additional procedures included? Every item that is not included is a debt that does not show on the quote but will still have to be paid.
The expected lifespan of the treatment
If the supporting structure has been built with fewer implants than the load requires, its lifespan is shorter. Dividing the price by the number of years is the most honest way to compare two quotes.
The likelihood and cost of redoing the work
Putting right a failed treatment means removing the old implants, time to heal and, in many cases, bone grafting. The cost of this possibility should be factored in from the start.
The cost of maintenance
Annual check-ups and professional cleaning are a small part of the total but the item with the highest return. Cut them, and they later cost many times more than the amount saved.

Frequently asked questions

Are cheap implants always bad?

No. A clinic that has its own laboratory, does the same work in high volume and has low running costs can offer a lower price without reducing the scope. The problem is not the low price but a low price achieved by cutting the scope. The way to tell the two apart is to ask for the scope in writing.

What should I look at first in a quote with a very low price?

Whether the final teeth are included. In some immediate loading plans, the first bridge is temporary and a permanent bridge is made later; if the quote covers only the temporary one, the difference comes to light months later, when you are not prepared for it. In Implant72's protocol, the teeth fitted on day 3 are the final teeth. The second thing to check is whether check-ups are included.

Does it make sense to save money on the implant brand?

The brand is not as big a part of the price difference as people think, and it does not decide the result on its own. What really matters is that the system has been on the market for a long time and that its spare parts can still be obtained years later. With a system nobody has heard of, even replacing a screw can become a problem.

Is it cheaper to have implants done outside Turkey?

When you compare like for like, the difference is often smaller than it looks. Travel, accommodation and the cost of coming back if a problem arises also need to go into the sums. Compare on the finished work, and take the follow-up arrangements into account as well.

Should I be suspicious if a clinic offers a discount?

The discount itself is not the problem; where it comes from is. A discount on the payment plan or the bridge material is reasonable. A discount taken from the number of implants, the check-ups or the scope of the final teeth, on the other hand, brings today's figure down and pushes the total up.

Why is your price low, or high?

We give our price after seeing your CBCT scan, and for the finished work. Production takes place in our own laboratory, and because treatment fits into three clinical days, the travel and accommodation items are smaller too. The scope is in writing; you can see on the quote what is covered for the final teeth fitted on day 3 and for the check-ups.

I have been told the price only applies if I decide today. What should I do?

You should wait. An implant decision rests on a CBCT scan and an examination, not on a promotion deadline. The only situation that medically cannot wait is an active infection, and the answer to that is not an implant either, but treating the infection first.

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