Cost of an implant, does this look right?

EmmetF

I just got quoted for replacement of a dodgy crown with an implant. They are a reputable firm so I would ideally go with them as long as I'm not being ripped off. Does this sound right;

Remove existing crown - €150
Intermediate crown - €350
Graft material - €400-€800
Grafting fee - €500-€1500
Anasthetic (if required) €0-€600
Implant placement - €1250
Implant crown - €1800

Minimum €4450, Maximum €6540.

This seems a little excessive for one implant no? If anyone has any recommendations for somewhere in Leinster, could you PM me please?

Thanks

davo10

EmmetF wrote: »

I just got quoted for replacement of a dodgy crown with an implant. They are a reputable firm so I would ideally go with them as long as I'm not being ripped off. Does this sound right;

Remove existing crown - €150
Intermediate crown - €350
Graft material - €400-€800
Grafting fee - €500-€1500
Anasthetic (if required) €0-€600
Implant placement - €1250
Implant crown - €1800

Minimum €4450, Maximum €6540.

This seems a little excessive for one implant no? If anyone has any recommendations for somewhere in Leinster, could you PM me please?

Thanks

The first 2 fees are not for the implant, they are for extracting the tooth and then having a temporary denture/essix appliance made to replace it. The anaesthetic ranges from the usual local anaesthetic (€0) to a general anaesthetic (€600). For GA there needs to be a practitioner present to administer the GA and monitor you for quite a long period afterward. The graft price ranges from a standard bone augmentation to presumably a sinus lift procedure. There are a lot of variables in this quote depending on what additional treatments you need/may choose to have but the implant fee is approx €3k

EmmetF

davo10 wrote: »

The first 2 fees are not for the implant, they are for extracting the tooth and then having a temporary denture/essix appliance made to replace it. The anaesthetic ranges from the usual local anaesthetic (€0) to a general anaesthetic (€600). For GA there needs to be a practitioner present to administer the GA and monitor you for quite a long period afterward. The graft price ranges from a standard bone augmentation to presumably a sinus lift procedure. There are a lot of variables in this quote depending on what additional treatments you need/may choose to have but the implant fee is approx €3k

Yes the implant fee is €3000 but is it possible to get an implant without grafting? If not, then the process is min. €3,950 or max. €5,350 (disregarding the temporaty denture and anasthetic cost).

Is €3,950 - €5,350 the norm for the procedure?

Oral Surgeon

EmmetF wrote: »

I just got quoted for replacement of a dodgy crown with an implant. They are a reputable firm so I would ideally go with them as long as I'm not being ripped off. Does this sound right;

Remove existing crown - €150
Intermediate crown - €350
Graft material - €400-€800
Grafting fee - €500-€1500
Anasthetic (if required) €0-€600
Implant placement - €1250
Implant crown - €1800

Minimum €4450, Maximum €6540.

This seems a little excessive for one implant no? If anyone has any recommendations for somewhere in Leinster, could you PM me please?

Thanks

The implant placement fee and the implant crown are at the upper end of the pricing scale but not completely out there...
What tooth are we talking about here, quoting that you need anywhere between 900-2300 in graft fees is a bit vague and would concern me that they don't really know what is needed for this case at this point. Sure following extraction, the site can change and a more extensive graft may be required but an experienced clinician should have a good idea if it will be the 900 or 2300... Did they mention the possible need for a gum/ soft tissue graft if the aesthetics require it? that could be the reason for the range of prices too.
You won't get a general anaesthetic for €600 anywhere, it must be a fee for iv sedation but is again high. Could this be the fee for multiple treatments under iv sedation if necessary??

It is possible to have an implant without grafting in some situations by using angled / narrow/ short implants but often you may NEED it and can't just decide to have the implant without it....

Again what tooth are we talking about, you may not need a temporary...

EmmetF

Oral Surgeon wrote: »

The implant placement fee and the implant crown are at the upper end of the pricing scale but not completely out there...
What tooth are we talking about here, quoting that you need anywhere between 900-2300 in graft fees is a bit vague and would concern me that they don't really know what is needed for this case at this point. Sure following extraction, the site can change and a more extensive graft may be required but an experienced clinician should have a good idea if it will be the 900 or 2300... Did they mention the possible need for a gum/ soft tissue graft if the aesthetics require it? that could be the reason for the range of prices too.
You won't get a general anaesthetic for €600 anywhere, it must be a fee for iv sedation but is again high. Could this be the fee for multiple treatments under iv sedation if necessary??

It is possible to have an implant without grafting in some situations by using angled / narrow/ short implants but often you may NEED it and can't just decide to have the implant without it....

Again what tooth are we talking about, you may not need a temporary...

It's the upper front left tooth. The crown doesn't hold anymore so I am now toothless until I get an implant. There was no mention of grafting in my initial consultation so to be honest I'm not sure what it actually means. You are correct that the 600 is for IV sedation. I would probably go without that if given the choice (do I get a choice?)

Also in terms of tax relief on the procedure - what would one be entitled to? From reading the Med 2 form online, it says tax relief is allowable on "Implants following treatments of periodontal (gum) disease which included bone grafting and bone augmentation"

Also do you know if health insurance covers any aspect of the process.

I will be calling the clinic tomorrow to discuss what is involved and hopefully get a better idea of what will be required and costings.

Thanks for the advice so far, I'm a bit lost here.

Oral Surgeon

EmmetF wrote: »

It's the upper front left tooth. The crown doesn't hold anymore so I am now toothless until I get an implant. There was no mention of grafting in my initial consultation so to be honest I'm not sure what it actually means. You are correct that the 600 is for IV sedation. I would probably go without that if given the choice (do I get a choice?)

Also in terms of tax relief on the procedure - what would one be entitled to? From reading the Med 2 form online, it says tax relief is allowable on "Implants following treatments of periodontal (gum) disease which included bone grafting and bone augmentation"

Also do you know if health insurance covers any aspect of the process.

I will be calling the clinic tomorrow to discuss what is involved and hopefully get a better idea of what will be required and costings.

Thanks for the advice so far, I'm a bit lost here.

I personally think that those fees are high based on what you are saying...
Up to 2300 for grafting such a site seems very high to me, this is not a sinus lift... Maybe they could justify high fees on a block graft taken from another site in your mouth and placed in the upper incisor site... I rarly see the need for such a graft in a single incisor case so again the fee seems high.
A reasonable fee for a session of Iv sedation would be about €300. You only need it if you think you need it. An implant surgeon should be happy enough to work away under local anaesthetic if the patient is co-operative....

It is true what you say about the med2 and implants being covered following gum treatments... Most people have some degree of gum inflammation and have a scale and polish every year!!! Is that periodontal treatment? Joking aside, most clinics would issue a med 2 for these treatments.

Health insurance may cover the surgical removal of the root of a tooth. It probably could be classed as a root if the crown has debonded and fractured off. It's only covered if the guy doing it is registered as a provider with your medical insurance company though... The code for the surgical removal of a root is 2930.

Might I suggest a second opinion here??!!

Dianthus

OP, in receiving this price quotation, have you attended the practice surgery in person? Is it based on an actual clinical examination of your tooth & your mouth specifically? Or is it a generic price range quotation given by phone/email only? If you were seen in person, I'd expect your quote to maybe have a max €200 range(or ideally none- an exact fee would be nice), not a €2k one! That's a big leap.
As a by the by, you should not be held to ransom meantime- there has to be temporary &/ removable options to restore your front tooth, besides an implant?

Pappacharlie

Just had my implant inserted today. The total cost will be €2500 to €3000. This cost includes a temp denture. My implant will take about 6 months to complete. May I say that the implant process was less noisy and invasive than a standard filling. I have 4 stitches and it is early days I suppose. Having gone through the process of having the old crown extracted, waiting two months for that to heal and a further 4 months before the new crown can be attached to the implant, I can't see how one could have a successful outcome having the work done abroad in 1 week.

EmmetF

Thanks for the advice. The price was based on an initial consultation.

I spoke to the firm this morning and they explained the huge variation in price. The grafting may or may not be required. If it is, they only charge for the materials (as it's done in tandem with the implant placement) which are usually €475 max. In extremely rare cases, the graft has to be done on a different day hence an additonal surgical fee of €500-€1,500. They included this on my fee proposal/report as a warning, not neccessarily this is what it will cost.

Bottom line, the procedure will more than likely cost €500 (crown extraction and denture) + €3,050 for the implant and placement. This may be still slightly higher than usual but I have had a lot of references for this particular surgeon and I would pay 20% over the odds to know it will be a good job.

btkm8unsl0w5r4

Op I am sure you have had PM's and the discussion above. The price is variable but you seem to want to have the implant in this clinic, I think personally that if you have the confidence in them that is worth a lot of value

My recommendation would be to go to the place you are happy with. If you end up paying a little more then all you loose is some money. If you (like so many people) go around trying to find the lowest bidder you will end up with a bad job.

My only advice it that the quote you were given is really a price list, they need to be more specific, after having had a consultation there is no need for the wild price variation.