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Is the gum around your implant bleeding? Is it red or slightly swollen? Have you noticed a purulent discharge or a strange taste in your mouth? You may have attributed it to your toothbrush or temporary sensitivity. But what if it is the first sign of inflammation that could irreversibly damage your implant?

Peri-implantitis is an inflammatory disease of the tissues surrounding a dental implant. It affects approximately one in five implants — and yet remains one of the most underestimated complications in implantology. Its insidious nature lies in the fact that it initially presents as a minor nuisance: slight bleeding, redder gums. Without treatment, however, it leads to progressive bone loss around the implant — and if the inflammation goes deep enough, the implant is lost.

The good news is that peri-implantitis is treatable when caught early. In this article, we explain how to recognise it, what the treatment involves, and — most importantly — how to prevent it altogether.

What is peri-implantitis and how does it differ from mucositis?

Before we discuss the symptoms, it is important to distinguish between the two sequential stages of the disease. This distinction is not academic — it has a direct impact on how complex and costly the treatment will be.

Mucositis is inflammation of the soft tissues only — the gums — around the implant. The bone still firmly supports the implant. Mucositis is fully reversible: with proper treatment and hygiene, the gums return to normal without lasting consequences.

Peri-implantitis is a progressive inflammation that spreads from the gums into the bone. The bone begins to resorb — it gradually diminishes and the implant loses its support. The bone damage is permanent. The condition is not irreversible in the sense that the implant necessarily has to be removed, but it requires more complex treatment and the bone loss does not regenerate on its own.

  Mucositis Peri-implantitis
Affected tissues Gums only Gums + bone
Bone loss None Progressive
Reversibility Fully reversible Partially/difficult to reverse
Treatment Non-surgical Non-surgical or surgical

Mucositis is a warning sign. If you detect and treat it, peri-implantitis can be prevented in most cases.

How does peri-implantitis develop? Bacterial biofilm — a layer of bacteria — accumulates around the neck of the implant. If it is not regularly removed, it causes chronic inflammation. The gums first react with swelling and bleeding (mucositis), and the inflammation gradually spreads into the bone. A systematic review of 57 studies published in BMC Oral Health (2022) found that peri-implantitis affects approximately 20% of patients with implants — making it a significant epidemiological problem, not a rare complication.

Symptoms of peri-implantitis — How to recognise the inflammation

Peri-implantitis can progress for many months with almost no pain. This is precisely what makes it dangerous. Relying on pain as a warning signal is not enough — bone loss occurs silently.

Warning signs listed from earliest to latest:

1. Bleeding during brushing or probing — the most common and most important early sign

2. Redness and swelling of the gum around the implant

3. Sensitivity or pain when touching or chewing

4. Unpleasant breath odour or metallic taste

5. Pus discharge from the area around the implant

6. Receding gums — the implant visually appears longer

7. A feeling that the implant is loose — a late, serious stage

Bleeding during brushing is a signal you must never ignore. A healthy implant does not bleed at the gum line. Any repeated bleeding around an implant is a reason to see your dentist — ideally within two weeks.

When to see a dentist immediately:

Who is most at risk — Risk factors

Peri-implantitis can develop in any patient with an implant. However, there are factors that significantly increase the risk.

Poor oral hygiene is the primary factor — accumulation of bacterial biofilm is the direct cause of inflammation. Without regular and thorough cleaning, even the most sophisticated implant is at risk.

Smoking is the second highest risk factor. A meta-analysis published in the Journal of Oral and Maxillofacial Research (2016) found that smokers have more than triple the risk of implant loss compared to non-smokers. Nicotine restricts blood supply to the gums and disrupts the immune response, suppressing the natural defence of the tissues.

History of periodontitis (gum disease affecting natural teeth) is another strong risk factor. The same predisposition to inflammation that caused periodontitis also threatens implants. Patients with a history of periodontitis require more intensive follow-up care.

Uncontrolled diabetes impairs tissue healing and immune response — the risk of peri-implantitis is significantly higher in patients with poorly managed diabetes.

Skipping regular check-ups is a factor entirely within your control — and yet it is often underestimated. The inflammation develops unnoticed; regular probing and X-ray monitoring are the only reliable tools for early detection.

Other less common factors include immunosuppressive therapy, residual dental cement beneath the gum line, or insufficient width of keratinised gingiva around the implant.

Treatment of peri-implantitis — From hygiene to surgery

The treatment approach depends on the stage of the disease. The sooner you begin treatment, the less invasive it will be.

Treatment of mucositis

Mucositis is treated without surgical intervention. The foundation is professional implant cleaning, removal of plaque and tartar around the neck of the implant, and thorough instructions for home hygiene. A chlorhexidine rinse or gel may be used as a supplement. With diligent patient cooperation, the gums typically heal within 4 to 6 weeks.

Non-surgical treatment of peri-implantitis

In less advanced cases with mild bone loss, a non-surgical approach is attempted first: deep cleaning beneath the gum line, decontamination of the implant surface, and local application of antibiotics. Results vary — they depend on the depth of the periodontal pocket and the extent of the damage.

Surgical treatment

If non-surgical treatment is insufficient or the peri-implantitis is advanced, a surgical solution is pursued. This includes open debridement and decontamination of the implant surface (cleaning is both mechanical and chemical — we use the advanced GalvoSurge device), removal of inflamed tissue, and, where necessary, bone augmentation — replenishing the missing bone with biological materials.

For patients who are anxious about surgical procedures: at our clinic we offer analgesic sedation, which allows you to undergo even more complex procedures in a relaxed, almost drowsy state. Nothing hurts, nothing needs to be endured.

According to the S3 guideline of the European Federation of Periodontology (EFP) from 2023, the success of peri-implantitis treatment depends on a combination of early diagnosis, selection of the appropriate treatment method, and — critically — the patient’s long-term commitment to home hygiene and regular maintenance appointments.

When must the implant be removed?

There are situations in which the implant can no longer be saved: advanced bone loss (typically more than 50% of the implant length), a loose implant, or repeated failure of conservative treatment. Even in such cases, all is not lost — after the tissues have healed, a new implant can be considered.

Prevention — How to avoid peri-implantitis

Prevention is considerably simpler — and cheaper — than treatment. Proper hygiene and regular check-ups save the majority of implants.

Home care

Regular professional check-ups

One of the key advantages of care at Esthesion: the entire implantology process — from implant placement to long-term monitoring — is managed by one doctor at one location. They know your implant from day one, notice any deviation from the norm, and never lose context. Peri-implantitis is best treated where the implant was placed.

Eliminating risk factors

Frequently Asked Questions (FAQ)

Can peri-implantitis be cured?

Yes — especially when caught early. Mucositis is fully reversible. Peri-implantitis is treatable but requires more intensive therapy. Bone that has been resorbed does not regenerate on its own, but surgical augmentation can at least partially repair the defect. The prognosis depends on the extent of the damage and the patient’s cooperation.

Is peri-implantitis treatment painful?

Non-surgical treatment is painless or causes minimal discomfort. Surgical treatment is performed under local anaesthesia — you feel nothing during the procedure. Analgesic sedation is available at our clinic for patients who prefer a calm, anxiety-free state. After the procedure, there may be mild soreness that is easily managed with standard painkillers.

How long does the treatment take?

Treatment of mucositis typically takes a few weeks. Peri-implantitis may require treatment over 3 to 6 months with repeated visits. The key is ongoing maintenance care — regular check-ups are a lifelong commitment.

Can peri-implantitis return after successful treatment?

Yes, if you return to poor habits. After successful treatment, strict hygiene and more frequent check-ups — typically every 3 to 4 months — are essential. Recurrence is a particular threat for smokers and patients with poor hygiene.

How can I tell whether I have mucositis or peri-implantitis?

Based on a clinical examination and X-ray — this cannot be reliably determined at home. The dentist will perform probing (measuring the pocket depth around the implant) and assess the X-ray. If you are bleeding during brushing, visit the clinic — do not assume either diagnosis on your own.

Conclusion

Peri-implantitis is a serious but treatable disease — under one condition: you must catch it early. Bleeding of the gum around an implant is not normal. Redness or sensitivity that does not go away is a signal to act.

Come for a check-up before it is too late. At the Esthesion clinic in Prague, your implant is cared for by one doctor from placement to lifelong maintenance — they know your case in detail and catch every deviation from the norm. Book your implant check-up today.

References

A dental implant is an investment in the range of tens of thousands of Czech crowns. Whether it lasts 10 or 25 years does not primarily depend on the material or who placed the implant — it depends on how you care for it every day. Proper care of dental implants differs from the care of natural teeth, and it is precisely in this difference that the key to long-term success lies. In this guide, you will find specific instructions, figures, and procedures — without unnecessary generalities.

Why implant care differs from natural tooth care

A natural tooth is anchored in the jaw through the periodontal ligament — a resilient tissue that cushions mechanical load, regulates microbial pressure, and has the ability to biologically regenerate. An implant works differently: the titanium screw is directly fused with the bone (osseointegration) without any intermediary tissue. It is a stronger and more stable connection, but the tissues around the implant have substantially less inherent defence. Simply put — a tooth is tissue that belongs to the body. An implant is a material that the body tolerates.

The mucosa surrounding the implant has less blood supply than the gum around a natural tooth. Bacteria find easier conditions for colonisation. The result can be peri-implantitis — inflammation of the tissues around the implant that progressively destroys bone until the implant loosens. Without active prevention, peri-implantitis develops in 20–22% of implants.

At the same time, there is positive news: with proper daily care and regular professional check-ups, the risk of peri-implantitis is minimal. A meta-analysis of 18 studies published in the Journal of Dentistry (Howe et al., 2019) demonstrated a 10-year implant survival rate of 96.4%. And that is just the beginning — it is up to you how long your implants will last.

Daily implant hygiene: step by step

A daily implant care routine takes no more than 5–7 minutes. The key, however, is consistency — mechanical cleaning cannot be replaced by mouthwash or a water flosser alone.

1. Toothbrush

Choose a toothbrush with bristles labelled “soft” or “ultra-soft”. Medium and hard bristles unnecessarily irritate the gum around the implant.

Technique: circular movements at a 45-degree angle to the gum line, covering the area around the implant neck beneath the gum margin. Twice a day — morning and evening — is the minimum. Ideally, brush after the main meal as well.

An electric toothbrush is a fully adequate alternative. Prefer the sonic type (vibration, not rotation). Do not set it to maximum pressure.

2. Interdental brush

The interdental brush is the most important tool for implant care — more important than for natural teeth, because the shape of the gap around an implant differs from that around a natural tooth.

For implants, choose a diameter of 0.9–1.1 mm with a conical or cylindrical shape. The wire must be coated with plastic or silicone — a bare metal wire damages the titanium surface of the implant.

Technique: a gentle in-and-out motion without pressure, through the interdental space, once a day in the evening. If the brush does not pass through, do not force it — choose a smaller diameter or consult your dentist about the correct size.

3. Superfloss or dental floss for implants

Regular dental floss works, but Superfloss or a specialised implant floss is more convenient — it has a stiffened end for threading under the crown and a spongy middle section for cleaning around the implant.

Technique: thread it under the crown, wrap it around the entire circumference of the implant (in a C shape), and move gently up and down. Once a day, in the evening.

4. Oral irrigator (Water Flosser)

An oral irrigator is a valuable supplement — but not a replacement for mechanical cleaning. The water jet can flush out food debris from places a brush cannot reach, especially under hybrid dentures and around bridges.

Set it to medium pressure — the sensitive tissue around the implant can become more easily irritated at maximum pressure. A systematic review published in BDJ Open (Gandhi et al., 2025) showed that an oral irrigator combined with a toothbrush reduces bleeding around implants significantly more effectively than dental floss (81.8% vs. 33.4% reduction in inflammation).

5. Mouthwash

Use mouthwash at the end of your hygiene routine, not as a substitute for mechanical cleaning. Important: choose alcohol-free products — alcohol dries out the mucosa and increases local irritation.

Chlorhexidine mouthwashes are effective antibacterial agents but should be used only as a short-term solution (after a procedure or for incipient inflammation). Long-term daily use causes tooth staining and disrupts the natural oral microflora.

What you should never do

Not recommended Why What to do instead
Smoking Increases the risk of failure, though not a contraindication Quit smoking or reduce it
Abrasive whitening toothpastes Damage the titanium surface of the implant Use a gentle fluoride toothpaste without whitening abrasives
Chewing hard objects (ice, hard candy, bones) Mechanical damage to the crown or implant Avoid these habits
Opening packages with teeth Extreme lateral forces on the implant Use scissors
Skipping preventive check-ups Inflammation develops silently, without pain Follow the recall programme — see below

Smoking: the biggest saboteur of your implant

Smoking deserves special attention because the level of risk it introduces is exceptional. Nicotine and combustion byproducts reduce blood supply to the tissues around the implant, impair healing, and weaken the local immune response.

A systematic review of 32 studies involving 59,246 implants, published in the Journal of Dentistry (Fan et al., 2024), demonstrated that smokers have a 2.6 times higher probability of early implant failure compared to non-smokers. For implants placed in the upper jaw, the risk is even more pronounced — smokers exhibit up to a 5.9 times higher failure rate.

If you smoke and are planning implants, or if you smoke and already have implants, quitting smoking is one of the most effective measures you can take for their longevity. It is a decision that pays off.

Regular dental check-ups: what is examined and how often

Home hygiene is the foundation, but without regular professional check-ups it is not enough. Tartar around the implant cannot be removed at home — and inflammation develops imperceptibly, without pain, until the damage is significant.

Recommended schedule:

What the dentist evaluates during a check-up:

1. X-ray — monitors bone height around the implant; a decrease of 2 mm or more is a warning sign

2. Probing — measuring pocket depth around the implant; a healthy value is up to 3–4 mm

3. Visual assessment — redness, bleeding, swelling of the gum around the crown

4. Occlusal loading — checking bite symmetry, even distribution of forces on the implant

At the Esthesion clinic, an implant patient has a distinct advantage: one doctor who knows the entire history of your teeth — from the first consultation through implant placement — also performs all regular check-ups. Nothing is overlooked, nothing slips between specialists. For patients with anxiety about dental visits, analgesic sedation is available — even during a preventive check-up.

Warning signs of peri-implantitis: when to call immediately

Peri-implantitis develops silently — the first symptoms are subtle and painless. The sooner you catch it, the easier and less invasive the treatment will be.

Contact your dentist immediately if you notice:

How long will an implant last: realistic numbers

With proper care, an implant lasts 20 years or more. There are documented cases of implants functioning for over 30 years. The titanium screw fused with the bone is extremely durable — it is the crowns that tend to wear out and may need replacement after 10–15 years. It should be noted that this data is from implants placed 30 years ago. The materials used today are of much higher quality, and it can be expected that they will last even longer.

According to a meta-analysis from 2024 published in Clinical Oral Investigations (Kupka et al., 2024), approximately 4 out of 5 implants survive 20 years of follow-up — but only with ongoing professional care and monitoring. Without proper care, this number drops significantly.

Factors that shorten lifespan:

Factors that extend lifespan:

All-on-4 hybrid denture

A hybrid denture supported by 4 implants combines the advantages of a fixed restoration with cost effectiveness. However, care is specific — particularly cleaning under the arch of the denture.

How to do it:

Frequently Asked Questions

Can I use an electric toothbrush on my implant?

Yes — the sonic type without maximum pressure is a fully adequate alternative to a manual toothbrush. Oscillating toothbrushes also work, but be careful with the pressure setting.

How long after implant placement do I have to wait before eating normal food?

Immediately after the procedure: soft food, avoid hot liquids. After osseointegration is complete (usually 3–6 months): no restrictions. The implant can withstand the same load as a natural tooth.

Does implant care hurt?

No, if everything is in order. Pain or sensitivity during cleaning are warning signs — not a normal condition — and are a reason for a check-up.

Do I need a special toothpaste?

Not necessarily. A fluoride toothpaste with a gentle texture is sufficient. Avoid pastes with whitening abrasives (with peroxide or silica abrasives) that damage the titanium surface.

When do I need my first check-up after implant placement?

Usually 7–10 days after the procedure (healing check-up), and then as recommended — every 6 months in the first year, and at least once a year from the second year onwards. Your doctor will set the exact schedule for you.

Conclusion

A dental implant is a technologically advanced and long-term reliable tooth replacement. Whether it lasts 10 or 25 years depends on three pillars: consistent daily hygiene, regular professional check-ups, and not smoking.

Implant care is not more complicated than natural tooth care — just different. Choosing the right tools (soft toothbrush, plastic-coated interdental brush, Superfloss) and consistency in your daily routine are an investment that pays off in decades of trouble-free function.

Planning an implant, or want to check the condition of your existing ones? At the Esthesion clinic in Prague, you will be examined by one doctor who knows the entire history of your teeth. Book a consultation — and find out exactly how to care for your specific case.

References

Every fourth patient who comes to us asking about full mouth reconstruction says the same thing: “I don’t want to end up like my dad with a denture in a glass on the nightstand.” This sentence says more than any statistic. Behind it lies a real experience with conventional removable dentures — and a justified fear that it has to be that way.

It doesn’t. Dentistry has advanced fundamentally over the past twenty years, and today’s options for full mouth reconstruction are incomparable with what our parents experienced. If you are dealing with the loss of multiple teeth or an entire arch, you have options before you that your grandparents could not have even dreamed of.

In this guide, we will explain step by step what full mouth reconstruction involves, why conventional dentures cause more problems than they solve, what implant-supported hybrid dentures are, and how the entire process works in one place with one doctor.

What is full mouth reconstruction and when do you need it?

Full mouth reconstruction is a comprehensive dental treatment plan for restoring the dentition. It involves replacing multiple missing teeth or an entire arch using implants, prosthetics, or a combination of both. It is not a one-off procedure but an individually designed process resulting in a functional and aesthetically natural set of teeth.

Full mouth reconstruction is indicated when:

Reconstruction is not a one-size-fits-all solution. The right approach depends on the overall bone condition, the number of missing teeth, the patient’s health status, and their preferences. That is why the first step is always a thorough examination and individual treatment planning.

Conventional dentures: Why they are not enough and what really bothers patients

When people say the word “denture”, most of them picture the same thing: a plastic plate with artificial teeth that clicks, slides, and sits overnight in a glass. They are colloquially called “clackers” — and for good reason.

A conventional removable complete denture — the precise professional term — has a whole range of characteristics you will not hear about in advertisements.

The plate covers the entire palate. A conventional upper denture contains a plastic plate that covers the entire hard palate. But the palate is where a dense network of taste buds is located. The result? Patients with upper complete dentures lose the ability to fully perceive tastes. Food loses its flavour, temperature is harder to distinguish, and the entire eating experience changes.

The denture slides, falls, and clicks. Without secure anchorage, the denture moves in the mouth with every bite, every word, every laugh. Many patients then avoid tougher foods, speak cautiously, and stop laughing in public. These are not minor inconveniences — they represent a fundamental impact on quality of life.

Pressure on the gums causes pain. The denture rests directly on the gums. During chewing, it creates localised overloading of the tissue, which over time leads to painful pressure sores, gum inflammation, and oral hygiene issues.

The jaw gradually shrinks. This is probably the most serious problem that patients are not aware of. The alveolar bone — the bone that previously housed the tooth roots — requires mechanical stimulation to be preserved. Tooth roots naturally provide this stimulation. Without them, the bone resorbs: it shrinks and diminishes. A study published in Clinical Oral Investigations (Sirin Saribal et al., 2022) confirmed that patients with conventional dentures exhibit significantly greater alveolar bone loss compared to patients with implant-supported restorations. This means that the longer you wear a conventional denture, the worse it fits — and the more difficult subsequent implant treatment becomes.

Dietary restrictions are real. Meat, hard vegetables, nuts, wholegrain bread — all of these are difficult or impossible to eat with a conventional denture. A systematic review published in the Journal of Oral Rehabilitation (Boven et al., 2015) summarised that patients with conventional dentures have demonstrably lower chewing performance and bite force than patients with implant-supported restorations. This can lead to digestive problems, obesity, and fatigue.

At Esthesion, we do not offer conventional complete dentures. Not because we cannot make them — but because we believe our patients deserve a better solution.

Implant-supported hybrid denture — the golden middle ground

The implant-supported hybrid denture is the answer to everything that a conventional denture cannot do. It is a removable dental restoration — but unlike a conventional denture, it is not loosely placed on the gums. It is securely anchored to dental implants using a matrix-patrix system.

How does it work?

Titanium dental implants are placed into the jaw, where they fuse with the bone in a process called osseointegration. On the top of each implant, a patrix — a small metal stud — is fitted. Built into the body of the denture are matrices — precisely corresponding “sockets”. The patient simply places the denture and it snaps firmly into the matrices. It holds. It does not move. It does not click.

Removability is maintained — the patient can take the denture out themselves for cleaning, and the dentist can remove it at any time. This is an advantage over fixed solutions.

Why is this different from a conventional denture?

Feature Conventional denture Hybrid denture
Anchorage Suction + gums Implants (matrix/patrix)
Palate plate YES (covers taste buds) NO (palate is free)
Stability Low (sliding, clicking) High (holds firmly)
Gum pain Frequent pressure sores Minimal — pressure goes through implants to bone
Chewing tough foods Difficult No restrictions
Bone atrophy Continues Implants stimulate the bone

How many implants does a hybrid denture need?

According to the Foundation for Oral Rehabilitation (FOR, 2014), the minimum number of implants for a hybrid denture in the lower jaw is 2 implants. For a stable restoration, however, 4 or more implants are ideal. In the upper jaw — where the bone is less dense — the standard is 4 or more implants, with a minimum again of 2 implants. These numbers match our everyday practice at Esthesion.

From our practice

From our practice, we know that patients who switched from a conventional denture to an implant-supported hybrid denture report a fundamental change in quality of life. They return to foods they had not eaten for years. They stop being afraid to speak or laugh. And they stop feeling that the denture “sits like a foreign object” in their mouth. Digestive problems, excess weight, and fatigue often disappear as well.

All-on-4 and All-on-6 — full arch reconstruction on implants

For patients seeking a maximally fixed solution without a removable restoration, there is an alternative: All-on-4 and All-on-6.

What is All-on-4?

All-on-4 is a method in which an entire arch (typically 10–14 teeth) is anchored on just 4 titanium implants. Two anterior implants are placed vertically, and two posterior implants at an angle of 30–45 degrees, maximising the use of available bone without the need for augmentation. A fixed prosthetic construction is securely attached to these four implants — the patient cannot remove it themselves.

What is All-on-6?

All-on-6 is a variant with 6 implants. Adding two additional implants increases the stability of the entire construction, better distributes chewing forces, and reduces the risk of failure if one implant is lost. All-on-6 is the preferred choice for the lower jaw or patients with more challenging bone conditions. If one implant fails in an All-on-4 setup, it is a problem. With All-on-6, this risk is mitigated.

All-on-4/6 vs. hybrid denture: how to decide?

Both options have their place. Key differences:

The choice depends on the individual situation — bone condition, overall health, financial considerations, and preferences.

Full reconstruction at Esthesion: one doctor, one team, one location

One of the greatest concerns patients have about full mouth reconstruction is coordination. “I’ll go to one doctor, then they’ll send me to another, then to a prosthodontist…” In many clinics, this is indeed how it works — one doctor performs the implant placement, another handles the prosthetics. Communication is relayed through paper reports.

At Esthesion, it works differently. The entire process — from the initial examination through implant placement to the final prosthetics — is managed by one doctor. You do not need to travel anywhere, no one passes you along. Your doctor knows your history, monitors every step of the treatment, and takes responsibility for the entire outcome.

How does a full reconstruction at Esthesion work?

1. Initial consultation and 3D CT scan — We precisely map the condition of your bone, gums, and jaw anatomy.

2. Individual treatment plan — We propose the optimal solution: hybrid denture, All-on-4, or All-on-6. We discuss the timeline, costs, and financing.

3. Bone preparation if needed — If the bone is insufficient for direct implant placement, we perform augmentation (bone grafting). This is a procedure during which you feel no pain and can be performed under local anaesthesia. There is no need to fear post-operative pain either — we prescribe analgesics.

4. Implant placement — Insertion of titanium implants. The procedure is performed under local anaesthesia or analgesic sedation. Again, there is no need to fear pain during or after the procedure.

5. Osseointegration — Healing typically takes 3–6 months. During this time, you wear a provisional restoration.

6. Final prosthetics — After the implants have fully fused with the bone, we fit the definitive hybrid denture or fixed All-on-4/6 construction.

Comparison of reconstruction options

Before making your decision, here is a clear comparison of the three main approaches:

Criterion Conventional denture Implant-supported hybrid denture All-on-4 / All-on-6
Eating stability Low (sliding) High Maximum (fixed)
Palate plate YES NO NO
Taste buds Covered Preserved Preserved
Bone atrophy Continues Slowed by implants Slowed by implants
Removability Yes (daily) Yes (by patient) No (dentist only)
Care Special cleaning Easy daily care Like natural teeth
Treatment duration Weeks 3–6 months 3–6 months
Investment Lowest Medium–high High
Esthesion offers this NO YES YES

Cost of full mouth reconstruction in Prague — what affects the final price?

The cost of full mouth reconstruction depends on many variables and cannot be determined without an examination. Main factors:

Health insurance covers basic care, not implant procedures.

Individual prices for implant-supported hybrid dentures and All-on-4/6 in Prague in 2026 will be gladly provided during a consultation. Each case is different, and transparent pricing is a given for us.

If you are interested in approximate prices, please see the table below:

Type of solution Price range (2026)
Complete removable denture 8,000 – 25,000 CZK
Partial removable denture 6,000 – 18,000 CZK
Hybrid denture (lower jaw) 79,000 – 140,000 CZK
Hybrid denture (upper jaw) 95,000 – 140,000 CZK
Bridge (3-unit, ceramic) 24,000 – 60,000 CZK
Single implant + crown 25,000 – 55,000 CZK
All-on-4 (single jaw) 180,000 – 280,000 CZK
All-on-6 (single jaw) 220,000 – 350,000 CZK
Full reconstruction (both jaws) 400,000 – 800,000 CZK

How does bone augmentation before implant placement work?

With extensive tooth loss, the jawbone gradually atrophies. If the bone does not have sufficient volume for safe implant placement, we proceed with augmentation — bone grafting. The most commonly used methods are bone grafts (autologous bone or synthetic material) or guided bone regeneration (GBR). After healing — usually 4–6 months (for extensive procedures, sometimes up to 9 months) — the jaw is ready for implant placement.

Implant and hybrid denture care

Implants are not susceptible to dental caries, but they still require regular care. Neglecting hygiene can lead to peri-implantitis — inflammation of the tissues around the implant that threatens its long-term survival. A study following patients for 7 years after implant placement (D’haese et al., 2022, Dentistry Journal) demonstrated a 98.7% implant survival rate with regular check-ups and maintenance.

The hybrid denture is removed by the patient themselves (typically once a day) and cleaned with a regular toothbrush and specialised products. The implants in the mouth are cleaned with an interdental brush or water flosser.

Frequently Asked Questions

Is full mouth reconstruction painful?

The entire process takes place under local anaesthesia. Modern anaesthesia is precise and effective — in the vast majority of cases, you do not feel the implant placement at all. If you have significant fear of treatment, at Esthesion we offer analgesic sedation — treatment in a semi-sleep state during which you are only marginally aware of your surroundings and do not experience stress. Post-operative pain is manageable with standard analgesics and typically lasts 2–4 days.

How long does a full mouth reconstruction take?

It depends on the chosen solution and bone condition. If bone augmentation is not required, the entire process from initial implant placement to the final restoration usually takes 3–6 months (the time for osseointegration — fusion of the implant with the bone). During the healing period, you wear a provisional restoration that looks natural.

How many implants do I need for a hybrid denture?

The international consensus of the Foundation for Oral Rehabilitation recommends a minimum of 2 implants for the lower jaw and 4 implants for the upper jaw. These numbers are based on clinical data and represent the standard of care for hybrid dentures; however, every case is highly individual. The exact number for your case will be determined after a CT examination.

Can I eat anything with a hybrid denture?

In the vast majority of cases, yes. A securely anchored hybrid denture transfers chewing forces through the implants into the bone — similar to natural teeth. Patients return to tougher foods, meat, and hard bread. Food tastes natural again because the taste buds on the palate are free.

Does Esthesion make conventional dentures (“clackers”)?

No. At Esthesion, we specialise exclusively in modern implant-supported hybrid dentures and fixed reconstructions (All-on-4, All-on-6). We do not provide conventional complete removable dentures with a palate plate — because we believe there is a substantially better solution for our patients.

What is osseointegration and how long does it take?

Osseointegration is a biological process in which the titanium implant fuses with the bone tissue. Titanium is a biocompatible material, and the human bone accepts it as part of itself. The process typically takes 8–16 weeks in the lower jaw and 12–20 weeks in the upper jaw. Without successful osseointegration, the implant would not have a stable anchorage.

Conclusion: Full mouth reconstruction is an investment in quality of life

Tooth loss is not the end. It is the beginning of a journey at the end of which stands a functional, natural set of teeth — and with it, a return to a full life without dietary restrictions, without hiding your smile, without the fear of a clicking denture.

The key is choosing the right solution for your specific situation. Conventional dentures are a thing of the past — they cause more problems than they solve. Implant-supported hybrid dentures or fixed All-on-4/6 reconstructions are solutions that truly change lives.

At Esthesion, one doctor and one team will guide you from the first consultation to the final prosthetics. No referrals, no information lost in paperwork.

The first step is a consultation. Come in for a discussion — calmly, without obligation, with space for all your questions. Book online or contact us directly.

References

Maybe nothing hurts, maybe you feel everything is fine. But that is exactly why it is important to come for a regular dental check-up. Because pain is often the last warning sign.

A regular preventive check-up is one of the most effective ways to maintain healthy teeth for life. It is quick, painless — and can save you not only pain but also money.

What to expect during a preventive check-up?

  • Overall dental assessment — the dentist will check your teeth, fillings, crowns, implants, and the condition of your gums.
  • X-rays or 3D scans — help reveal what is not visible to the naked eye (e.g. an incipient cavity between teeth or inflammation under a crown).
  • Soft tissue examination — the check-up also includes an examination of the tongue, cheeks, and other structures of the oral cavity for any changes.
  • Recommendations for further care — if needed, the dentist will suggest the next steps: dental hygiene, tooth repair, or simply a reminder of proper brushing techniques.

How often should you have a check-up?

We recommend adults attend once every six months.
For children and pregnant women, insurance may cover check-ups twice a year.
Patients at higher risk (e.g. periodontitis, implants, orthodontic treatment) may need more frequent monitoring.

Why is prevention so important?

  • It catches problems early. A small cavity can be treated painlessly before it turns into a big problem.
  • It protects your gums and bone. Gum inflammation or periodontitis often goes unnoticed for a long time.
  • It helps you save money. Prevention is always cheaper than treatment.
  • It increases the chance of saving a tooth. The earlier a problem is detected, the greater the chance of keeping the tooth.

There is nothing to be afraid of

If you are anxious about the dentist or have not visited in a long time, do not worry. It is never too late for a preventive check-up — and at our clinic, you can expect a calm environment, an empathetic approach, and modern technology that makes the examination quick and gentle.

Book your appointment today

Prevention is the greatest investment in the health of your smile. Do not underestimate it. Call us or book online — your teeth will thank you.

Most people associate a visit to the dentist with pain or with fixing problems that have already occurred — cavities, inflammation, toothache. But what if we told you that most of these issues can be easily prevented? Two words: dental hygiene.

What exactly is dental hygiene?

Dental hygiene is not just “professional teeth cleaning”. It is comprehensive care for your oral cavity that includes the removal of tartar, pigmentation, and plaque, as well as education — advice on how to properly brush your teeth at home. A dental hygienist will individually advise you on which tools are right for you, demonstrate the correct brushing technique, and ensure that your teeth and gums are in excellent condition.

Why is daily brushing at home not enough?

Even the most thorough home care often cannot remove tartar or biofilm in hard-to-reach areas. And that is precisely where most problems arise — cavities, gum inflammation, or periodontitis. Tartar is a hard deposit that can only be removed professionally, and if it remains in place, it can cause inflammation, bleeding gums, and gradual bone loss around the tooth.

How often should you have a dental hygiene appointment?

The general recommendation is twice a year, but it all depends on your specific condition — for example, patients with braces, implants, or periodontitis are recommended shorter intervals, as often as every 3–4 months.

A professional dental hygienist will help you set up a tailored care plan — and believe us, regular prevention is always cheaper, faster, and more comfortable than dealing with consequences.

What does a hygiene appointment include?

  • Tartar removal using ultrasound and hand instruments
  • Air polishing (airflow) for removing pigmentation and fine plaque
  • Tooth polishing for a smoother surface and less build-up of deposits
  • Home care instruction and tool recommendations (interdental brushes, floss, toothpastes)
  • Gum health assessment and checking problem areas

Bonus: fresh breath and a brighter smile

Beyond the health benefits, dental hygiene also has a great aesthetic effect — by removing pigmentation (for example from coffee, tea, or smoking), your teeth regain their natural colour and a smooth surface. And clean mouth equals fresh breath. What more could you wish for?

Conclusion

If you want to keep your teeth healthy for as long as possible and avoid unpleasant procedures, dental hygiene is the simplest step you can take. At our clinic, we perform it gently, thoroughly, and with an individual approach — with the goal that our patients return with a smile.

Fear of the dentist is a common reason why many people postpone necessary treatment. At our clinic, we offer a solution so you don’t have to be afraid — analgesic sedation using laughing gas (nitrous oxide).

What is laughing gas?

Laughing gas (nitrous oxide — N₂O) is a gentle sedative that is mixed with oxygen and inhaled through a mask. It induces a feeling of well-being, relaxation, and euphoria, reduces the perception of pain, and suppresses fear and anxiety. The effect sets in within a few minutes and wears off quickly after inhalation is stopped.

Who is it suitable for?

We recommend laughing gas for:

How does the procedure work?

Is laughing gas safe?

Yes, laughing gas is one of the safest forms of sedation in dentistry. It is non-invasive, well tolerated, and does not cause loss of consciousness.

Advantages of laughing gas

Do you dream of a smile that truly makes you shine? Veneers are a modern and effective solution that can correct aesthetic imperfections of your teeth without requiring invasive procedures. This article will guide you through everything you need to know about veneers — from the basics to benefits and answers to all your questions.

What are veneers?

If you are curious about what a veneer is, think of it as a “new face” for your tooth that fits perfectly into your smile. It is a ceramic shell that is bonded to the surface of the front teeth. At Esthesion, we use only zirconia ceramic veneers, which are considered the highest-quality solution available on the market. These veneers are made from a material that is durable, long-lasting, and natural-looking.

Who are veneers suitable for?

Veneers are ideal for anyone who wants to improve the aesthetics of their smile. Whether you are troubled by stains that cannot be removed by whitening, minor irregularities or poor tooth shape, gaps between teeth, or visible wear — veneers can address it all. Veneers are designed to match the colour and shape of your teeth. Thanks to their precise colour and shape matching, the result looks very natural.

Results visible immediately after application

The veneer application process begins with a professional consultation during which the dentist evaluates the condition of your teeth, discusses your expectations in detail, and answers all your questions. Based on this analysis, a digital design of the shape, colour, and size of the veneers is created, which serves as the basis for their fabrication. The veneers are then precisely custom-made, ensuring a perfect aesthetic and functional result.

The price of a single veneer starts at 15,500 CZK.

A premium solution for everyone

Veneers are an ideal choice for those seeking a fast, effective, and long-lasting path to a perfect smile. They are an elegant and gentle way to a more confident smile that you deserve. If you would like to learn more, contact us and schedule a consultation including a price estimate.

Do you dream of a beautifully white smile? Teeth whitening is one of the most sought-after aesthetic procedures in dental care — whether you choose at-home whitening or in-office whitening, the result may pleasantly surprise you.

At Esthesion, we offer both whitening options, each with its own advantages. We will be happy to help you choose the most suitable one for you.

Why do teeth darken?

Tooth discolouration can be caused by a wide range of factors — from consuming coffee, tea, red wine, or smoking, to ageing, genetics, or the use of certain medications. Teeth whitening helps remove pigmentation and restores your teeth to their naturally fresh appearance.

How does whitening work?

The active whitening agent is hydrogen peroxide, carbamide peroxide, or sodium perborate. For each patient, there is an individual threshold beyond which these substances can damage the teeth.

If the dentist reaches this threshold, the whitening process is stopped immediately, even if the desired result has not yet been achieved. The whitening process is also stopped in cases of allergic reaction, tooth pain, or enamel erosion.

When whitening non-vital (root-canal treated) teeth, the whitening material is not applied to the enamel but from inside the tooth, which may lead to damage to the root system, or fracture or cracking of the dental crown. When the gel is applied to the tooth, the carbamide peroxide breaks down and releases oxygen, which penetrates the dentin and enamel and bleaches pigment deposits. The tooth structure remains unchanged.

Clinical tests have demonstrated that the whitening system is completely safe.

In-office teeth whitening

How does it work?

In-office whitening is performed directly at our clinic under the supervision of an experienced dentist or dental hygienist. First, the teeth are thoroughly cleaned and their condition is checked. The gums are protected with a special gel or rubber dam. Then, a whitening gel (usually hydrogen peroxide-based) is applied and activated using a special LED or UV lamp. The whitening process takes place in 2–3 cycles of approximately 15–20 minutes, so the entire procedure lasts about 60–90 minutes.

Technologies used

At Esthesion, we work with the modern and gentle Opalescence whitening systems, which combine high effectiveness with maximum safety.

Results

The result is visible immediately after the procedure — teeth can be 4–5 shades lighter. The effect lasts 1–3 years depending on lifestyle.

At-home teeth whitening

How does it work?

At-home whitening uses custom-made trays (splints) that you fill with a special whitening gel and wear according to your dentist’s recommendations, usually for 1–2 weeks, approximately 1–2 hours per day or overnight.

Advantages and usage

This method is gentler and allows for gradual lightening of teeth in the comfort of your home. It is also ideal as a maintenance method after in-office whitening.

Products used

We most commonly use professional whitening gels with carbamide peroxide from trusted brands such as Opalescence.

Price

The price of at-home whitening and in-office whitening is according to our current price list.

Is whitening safe?

Yes — if performed professionally. At Esthesion, everything takes place under the supervision of experienced staff. Short-term tooth sensitivity is common but subsides quickly. Whitening does not damage tooth enamel and does not affect fillings or crowns.

Will whitening hurt?

Whitening itself is not painful, but it may cause temporary tooth or gum sensitivity — this usually subsides within a few hours to days. We will recommend sensitivity-reducing gels or toothpastes.

How long does the whitening result last?

The result of in-office whitening usually lasts 1–3 years, depending on how you care for your teeth and your lifestyle. For at-home whitening, it depends on the length and regularity of the treatment.

Can I whiten my teeth if I have fillings, crowns, or veneers?

Whitening only works on natural teeth — fillings, crowns, and veneers do not change their shade. If they are in the visible part of your smile, they may need to be replaced after whitening.

How often can I repeat whitening?

We recommend in-office whitening no more than once a year. At-home whitening (e.g. as a maintenance treatment) can be done more frequently as recommended by your dentist.

What should I not eat or drink after whitening?

After whitening, we recommend avoiding foods and drinks with intense colour (coffee, red wine, blueberries, curry, etc.) and smoking for 24–48 hours. In short: follow the so-called white diet.

Who should not have whitening?

Whitening is not recommended for children, pregnant or nursing women, and people with untreated dental problems. It is also good to know that crowns, veneers, and fillings will not change their shade.

What is peri-implantitis?

Peri-implantitis is a chronic inflammation of the soft and hard tissues surrounding a dental implant. It affects both the gums and the jawbone in which the implant is anchored. This inflammation causes gradual bone loss around the implant — similar to periodontitis around natural teeth.

The most common causes include:

How do you know something is wrong?

Peri-implantitis progresses painlessly for a long time, which makes it insidious. Warning signs include:

How is it treated?

Treatment depends on the stage of the disease. The earlier it is detected, the greater the chance of saving the implant.

  1. Professional cleaning and decontamination of the implant — Using ultrasound, specialised instruments, and antibacterial gels, inflammatory deposits are removed.
  2. Antibiotic therapy — Locally or systemically, depending on the extent of the inflammation.
  3. Surgical treatment — In advanced cases, surgical debridement of the inflammatory site, bone grafting, or gum surgery may be necessary.
  4. Adjustment of the prosthetic work — If the inflammation is caused by a poorly fitted crown, it needs to be adjusted or replaced.

Prevention is key

Conclusion

An implant can serve for decades — if it is given proper care. Peri-implantitis is not a reason for panic, but for swift action. At our clinic, we have experience with modern treatment and prevention of this condition.

Come for a check-up or dental hygiene appointment — early diagnosis is the key to maintaining your healthy and strong smile.