How Many Dental Implants do I need

Fewer dental implants is the way to go when it comes to replacing all the teeth in the upper/lower jaw

Less is more.

Historically (which for implant dentistry means over 5 years ago) it was assumed that one needed as many implants as possible to support a full set of teeth in the upper or lower jaw.

Glib terms like ‘belt and braces’ approach were bandied about – with no evidence other than a vague feeling that ‘more is better’.

How many dental implants is enough?

image of lots of dental implants

As per the image above (not from one of our studies), of both jaws full of dental implants, it was ‘felt’ that the more implants that were used, the ‘stronger’ the teeth would be, the longer they would last.

Furthermore it was ‘felt’ that if an implant failed after insertion – then this would not be a problem because of all the ‘redundancy’ built into the case….  Redundancy is the correct word in this context because in a case where 10 implants have been placed (see above) 40% of them are redundant!

Why don’t we need 10 dental implants?

There are two answers to this question

1)     the physical strength of titanium implants is high enough that – in most cases – 4 implants will be perfectly strong enough to support a bridge with a full set of teeth on it for years. This has been proven by the All on 4 concept developed by Nobel Biocare in conjunction with  the Malo Clinic in Portugal – a treatment now used worldwide.

2)     The chance of implant failure immediately after surgery should be so low that it would be over-treatment to put extra implants into every patient ‘in case of post operative failure’

The dental implant failure-rate of each clinic is a factor here…

There is a caveat. At Winning Smiles we have a record of post operative failure of 1 in 250 implants over the last 10 years- so it is quite safe for us to say that we don’t need ‘spares’ in every case. In those cases where there has been an initial failure, because we only use 4 or 6 implants, there is always bone available in between the replace the very occasional early failure.

However if the implants were failing more often….then might I be inclined to place more of them to act as spares??

We don’t want 10 dental implants in each jaw because we KNOW they don’t last forever

Here’s the controversial bit: we know that:

1)     Implants will last 15 years + in a healthy mouth, with perfect cleaning (oral hygiene), in a non smoker with no diabetes and no previous history of gum (periodontal) disease.

2)     Implants will last less than 10 years in patients who smoke, are diabetic, find their oral hygiene challenging, and in some patients who have lost their teeth through gum/periodontal disease.

And long term implant failure tends to occur in crops – ie if 10 implants are placed together then they will all fail within a couple of years of each other in the long term.

 So What?

  • When implants fail, they badly damage the bone around them
  • If the implant dentist has put 8, 10 or 12 implants in each jaw then they are all close together
  • WHEN they fail (not IF) there will be no bone left between them to allow more implants to be placed…or extensive bone grafting will be required to allow more implants to be fitted to remedy the situation and allow the patient to continue living ‘denture free’.
  • The chance of implant failure is lower because fewer implants are easier to keep spotless – and the evidence shows that spotless implants last longer than less than spotless ones…

The advantages of placing fewer implants – in short

  • Simpler treatment, less traumatic
  • Lower cost to the patient
  • Often allows the case to be re-done more simply when the implants fail 7-15 years later
  • Reduces the need for bone grafting in the first place
  • Reduced the chances of needing a bone graft to place more implants in the future
  • Easier to clean around fewer implants – which means they will last longer

The consultation

Why not come and talk through your options? We don’t charge.

At your consultation we will spend about half an hour talking to you about your dental problems and what solutions are available to you. We will also look at your mouth to help us to see what the issues are with our own eyes.

Don’t worry. We will not be poking and prodding you, or taking moulds, or bombarding you with xrays and salesy-talk.

The best thing about the consultation is that you get to meet us face to face and have a real conversation about what you wish to achieve – and where relevant – what has stopped you from coming before now.

By the end of the consultation you will

  • Have a reasonable idea of whether you are suitable for the treatment that interests you  – over 90% of patients are
  • Have a very good idea of what your financial investment would be
  • Know that we are very easy to talk to, won’t patronise, and that we appreciate that people can be nervous
  • Know whether we can work within your time-frame ie many patients come because they have a specific event which they want to smile at like a family wedding, holiday etc

If you are happy to proceed with the next step (there is never any pressure to do this) then we will book your next appointment

We set out to be a friendly practice and try to provide everybody with what’s right for them, at an affordable cost. We hope our dentist reviews give that impression.

To book a free consultation , please complete the form below to email us, and we will mail or call you back. Alternatively, call us first for a quick chat.

The Free Consultation

Without seeing things for ourselves, we can’t tell people what their options are.

And so with that in mind, we are happy to offer free consultations, as this is a big decision for most people. We are careful to take budget, comfort and appearance into account when explaining all the available choices and there is never any pressure to proceed, and certainly not on the day.

We set out to be a friendly practice and try to provide everybody with what’s right for them, at an affordable cost. We hope our dentist reviews give that impression.

This field is for validation purposes and should be left unchanged.

Dental Implants Price List

The following costs for Dental Implants are correct when written, but they can change. We will provide written pricing for each ‘cosmetic treatment’ as part of our free consultation.You don’t have to be a member to have treatment at Winning Smiles.

Dental Plan Membership

It is free to join
Cost per Month£18.90


Member Prices
Case Assessement£158
CT Scan£165

Denture Pricing

Member Prices From:
Partial Acrylic Dentures£331-£646
Full Dentures (per jaw)£1,200
Temporary Denture£415
Chrome Denture£1500

Dental Implant Treatment

Member Prices From:
Single Tooth Implant Surgery£1,175
Crown Single Tooth£1,075
Lower Implant Denture - on two simple implants£5,000
Lower Implant Denture - on four simple implants£8,000
Upper Implant Denture - on four simple implants£8,000
Titanium acrylic full upper bridge£12,500
Titanium acrylic full lower bridge£12,500
Metal Ceramic full upper bridge£18,500
Metal Ceramic full lower bridge£18,500

What they say about us

No Regrets, Dental Implants

My only regret is not visiting Andrew 10 years ago.

My quality of life was becoming compromised by constantly having front bridges dislodging and falling out (mainly at important meetings, functions or holidays), to excuse the pun I was fed up to the back teeth.

For me the scheduling of appointments, explained cost at every stage and the sheer progress during my dental implant surgery was astounding. I’m not joking I looked forward to every visit.

Having the x-rays scans on site was great too; Andrew leads a great dedicated team who deliver a very slick 360 service during every stage of your treatment, including the best & gentlest hygienist I’ve ever been too.

In a nutshell (a dark and confined space) Andrew is without doubt a master of his trade, very kind and has a great sense of humour too.

Please DO NOT HESITATE to make the leap of faith, the best thing I ever did in 2015.

Judy – Denture Phobia

Thank goodness for Google! I searched “dental / denture phobia” and came up with the Winning Smiles website. I am 62 years old and work in a position where I am constantly dealing with people face to face. Having had dental problems for many years and having been unable to cope with regular dentures or even sitting in the dentist’s chair I was at the point of considering giving up work as my dental appearance was so poor I felt constantly embarrassed and yet could not overcome my phobia to visit a dentist.

From my first contact with Winning Smiles I have nothing but praise for Andrew Fennell and indeed his whole team. I now have denture implants and can smile again for the first time in years and although I still have some work to be done I have no fear! Thank you so so much.

Treatments: Implant Retained Dentures

Dental Review Response

By Andrew

Judy thanks so much for your honesty here. So many patients are in a similar situation and they want to know that something can be done to help them overcome their nerves and sort out their dental problems.

Many patients suffer so much with their dentures that they either give up and go ‘toothless’ or only wear them for show – being careful never to eat in front of anyone. Dentures can be very difficult to wear – even the good ones move around quite a bit (especially in the lower jaw) – eating hard food? Forget it.

Soft foods only – and nipping to the bathroom after every meal to remove trapped food. Hardly glamorous.

About 10% of denture patients can’t wear them because they cause gagging.

And why have these patients lost so many teeth in the first place? It’s as Judy says – a fear of visiting the dentist (often started as a child) which keeps them away unless they are in total agony by which time it is often too late to save the tooth and the extractions start. Our first task with a patient like Judy (and there are many) is to reassure them that

  • 1) We care
  • 2) We understand
  • 3)We are not going to make you feel like its all your fault (its usually a childhood dentist at fault in truth)
  • 4) We will take all the time we need (no rushing)
  • 5) It’s never too late – we can provide a fully functioning solution.