Implantation system in Barcelona

Dental Implants in Barcelona: Systems, Prices, Stages and Guarantees

Dental implantation makes it possible to restore a tooth in full, together with its root, without grinding down the neighbouring teeth. A biocompatible titanium screw is placed in the jawbone: it takes on the chewing load and halts bone loss, and a crown, bridge or fixed prosthesis is secured on top. At Corona Clinica Dental we have been carrying out dental implantation in Barcelona since 2009. We work with Straumann, Nobel Biocare, Sweden & Martina and Odontit systems, perform bone grafting and sinus lifts, and fit fixed prostheses in cases of complete tooth loss. We see patients in Russian, Spanish, English and Ukrainian in the Esquerra de l'Eixample district, two minutes from Rocafort metro station.

What dental implantation is

A dental implant is an artificial titanium root that is inserted into the jawbone and serves as a support for the future crown, bridge or prosthesis. The restored tooth consists of three parts, each replacing an element of the natural tooth: the titanium screw replaces the root and fuses with the bone, the abutment and gum former replace the neck of the tooth and connect the screw to the crown, and the crown or prosthesis itself replaces the visible part — the enamel and dentine. Between fitting the screw and securing the permanent structure there is a period of osseointegration — the titanium fuses with the bone. During this time a gum former is fitted, and in the smile zone a temporary crown.

Advantages of implantation at our clinic: our own X-ray room with CT and imaging within 5 minutes during the same appointment, four implant systems to choose from, a written estimate with the cost of each stage before treatment begins, a surgeon-implantologist with 17 years of clinical experience, surgical planning on a 3D scan before entering the surgery, zirconia crowns (we do not work with metal-ceramic), payment for completed stages rather than the full amount upfront, and bone grafting with sinus lift carried out at the clinic.

When implantation is needed

Implantation is indicated both for the loss of a single tooth and for complete tooth loss. The most common situations: one tooth has been lost — an implant does not require grinding down the neighbouring healthy teeth, unlike a bridge; several consecutive teeth are missing — chewing function is restored without support from living teeth; complete tooth loss — a fixed prosthesis on implants; a removable prosthesis is unsatisfactory — it slips, rubs, has to be taken out and rinsed; tooth mobility due to periodontitis — after stabilising the condition, restoration is planned; difficulty chewing or speaking — missing teeth affect pronunciation and digestion.

The loss of even a single tooth over time leads to three consequences: neighbouring teeth shift and tilt towards the empty space, and the bite changes; the chewing load is redistributed onto the remaining teeth and wears them down faster; the bone in that area stops receiving load and begins to shrink. The longer restoration is postponed, the greater the likelihood that bone grafting will be needed before implantation, which is an additional stage and several months.

Contraindications

Some limitations are temporary: after treatment, implantation can be carried out. Others rule it out entirely. What applies to your case is determined by the doctor from the CT scan and medical history. Relative, temporary contraindications: untreated caries, periodontitis, cysts and granulomas near the surgical area; acute infectious diseases; pregnancy and breastfeeding; insufficient bone volume (resolved by bone grafting or a sinus lift); bite pathology requiring orthodontic preparation; recovery period after a heart attack or stroke; untreated bruxism without a protective splint.

Absolute contraindications: uncontrolled diabetes mellitus; malignant neoplasms in the active phase; severe blood clotting disorders; taking bisphosphonates (you must tell the doctor about this); autoimmune diseases and immunodeficiency states; a growing organism — implantation is not carried out until the jaw has finished forming.

Smoking is not on the list of contraindications, but it noticeably reduces the integration rate. We warn about this before treatment begins, not after.

Types of dental implantation

There are several implantation techniques, and the choice depends on the clinical case: how many teeth are missing, how much time has passed since extraction, and what volume of bone is available. Immediate implantation with immediate loading — the patient leaves the surgery with a temporary crown already secured on the implant. This is possible only if the bone in that area is dense enough to hold the implant from the first day and there is no inflammation in the area of the tooth being removed.

Two-stage implantation — the classic protocol: first the screw is fitted and closed over with gum during the integration period, then in a second stage the gum former and permanent crown are secured. It takes longer but remains the most predictable method and is used in most cases, especially if time has passed since the tooth was removed.

Basal implantation — the implant is anchored in the deeper, denser layers of bone, which makes it possible to work with pronounced atrophy without prior grafting. It is considered when there is little bone volume and bone grafting is undesirable. All-on-4 and All-on-6 — a fixed prosthesis for the whole jaw supported by four or six implants, some of which are placed at an angle to make use of areas of bone that would otherwise go unloaded. All-on-6 adds two additional support points for a margin of mechanical strength. This is the main solution for complete tooth loss in a jaw.

Which method will suit your case

Which implants are used at the clinic

We work with four implant brands and choose between them according to the clinical case, not the budget. All crowns are made of zirconia — we do not work with metal-ceramic. We explain the differences at the consultation and do not recommend premium where the clinical situation does not require it.

How the system is chosen

The final sum is influenced not so much by the brand as by the volume of available bone and the material of the future crown. A premium system is justified in the smile zone, with bone deficiency and with plans for complex prosthetics. In a simple case in the chewing section, the basic line performs predictably.

Bone grafting and gum surgery

After a tooth is removed, the bone in that area begins to shrink. If the CT scan shows that the volume is insufficient for reliable fixation of the implant, a preliminary restoration stage is planned. Bone grafting restores the volume needed to place the implant in the correct position. The material used may be the patient's own, donor or synthetic — depending on where and how much bone is missing. In the lateral section of the upper jaw, when the maxillary sinus has descended, a sinus lift is performed. Both operations are a separate stage with their own healing time before the implant is fitted.

The gum also atrophies after tooth loss. If it does not fit tightly against the crown, a micro-gap remains where plaque collects — over time this leads to peri-implantitis: inflammation that destroys the bone around the implant. When there is not enough gum in the visible zone, we take a small fragment of tissue from the palate; in the chewing sections a simpler reinforcing graft is sufficient.

Implant prices in Barcelona

How our prices compare with Barcelona

The right-hand column gives indicative ranges at Barcelona clinics. Note the difference in the preparatory stages: bone grafting and sinus lift cost two to three times less at our clinic than the market level, and it is precisely these stages that most often turn an "affordable" implant into an unexpectedly large sum. Advertising of "implant from €700" usually means only the screw — without the abutment and crown, that is, without a finished tooth. It makes sense to compare the turnkey price and separately look at how much bone grafting will cost if it is needed.

What the implant price includes: the titanium screw and the zirconia crown — that is, a finished tooth, not just the implant. This is worth clarifying when comparing clinics: advertising often quotes the price of the bare screw, and the abutment and crown are added later and almost double the final sum. The figures are indicative, not a final estimate: the final sum is influenced by the volume of available bone and the material of the crown.

Stages of implantation

1. Consultation and examination (30–60 minutes). The case is assessed by three specialists at once — a therapist, a surgeon and an orthodontist. The doctor takes the medical history: chronic conditions, allergies, medications being taken.
2. Instrumental diagnostics (result in 5 minutes). Computed tomography and a panoramic X-ray on our equipment. Bone volume and density, the position of the maxillary sinuses and the mandibular nerve, and the condition of the gums and bite are assessed.
3. Planning on a 3D scan (before surgery). From the three-dimensional image the type and size of implant are selected, and the angle and insertion point are determined — for example, avoiding the maxillary sinus. The operation is planned on a computer before entering the surgery.
4. Estimate and treatment plan (before work begins). You receive a written plan listing the stages, timescales and cost of each. Treatment does not begin until the plan has been agreed.
5. Sanation of the oral cavity (separate visit). Professional hygiene, treatment of caries and periodontitis. This is not an additional sale: foci of bacteria near the surgical area increase the risk of rejection.
6. Bone grafting (if necessary). A separate stage with its own healing time before the implant is fitted.
7. Fitting the implant (local anaesthetic). The titanium screw is inserted into the prepared bed, and sutures are applied. In cases of pronounced fear of treatment, sedation is possible.
8. Integration (2–6 months). A gum former is fitted, and in the smile zone a temporary crown.
9. Gum surgery (where indicated). The gum contour is shaped so that it fits tightly against the crown and does not allow plaque underneath.
10. Prosthetics (2–3 visits). A digital impression with a 3Shape TRIOS scanner without silicone mass. From it a zirconia crown is made; fit, colour and occlusion are checked at the try-in.
11. Scheduled check-ups (every six months). Examination with X-ray monitoring. Regular check-ups are part of the conditions of the guarantee.

How long treatment takes

From the first diagnosis to the permanent crown, three to six months usually pass — depending on how much preparatory work the bone requires. Integration takes two to three months in the lower jaw and three to six in the upper; if bone grafting is needed, a separate healing period is added before the implant is fitted. We say this openly at the first consultation, because the question of timescales often turns out to be more important than the price — especially if you have come to Spain for a limited time or are planning to move. In that case the doctor draws up a plan taking your dates into account: some stages can be grouped, others cannot, because healing cannot be accelerated.

Implantation or alternatives

This does not mean that implantation suits everyone. With certain contraindications or a limited budget, a bridge or removable prosthesis remains a reasonable solution — the doctor discusses the options at the consultation rather than proposing only one.

Guarantees: what they cover and what they don't

The implant itself as a product carries the manufacturer's lifetime guarantee — this applies to all four systems we work with. For the crown made by us: two years against chipping, fracture and de-cementation under normal load. There is no guarantee on integration at any clinic: osseointegration depends on the individual patient's body — bone density, immune status, healing rate, the presence of systemic diseases. It is the only part of the work that depends neither on the clinic nor on the implant brand. A clinic that promises a guarantee on integration either does not understand what it is talking about, or factors the risk into the price.

Situations in which the guarantee does not apply

What we do if the implant fails to integrate

We re-fit the implant and replace the crown or abutment, if they were made by us, at our own expense. Only biological materials are charged separately: bone material and membranes, if they are needed during the repeat operation. The procedure is simple: call or send a WhatsApp message without waiting for the scheduled check-up. The doctor examines the structure and takes a control X-ray. If the case is covered by the guarantee, the work is redone at our expense; if not, we explain the reason and offer options with their cost.

Frequently asked questions about the guarantee

Do I need to sign a separate guarantee document? No. The guarantee conditions form part of the estimate you sign before treatment begins.

I am leaving Spain — does the guarantee remain valid? It remains valid, but it can only be used at our clinic: we do not pay for treatment under our guarantee at other clinics and in other countries.

Guarantee on work started by another doctor? On our part — yes. On what was done before us, a guarantee cannot be given, but if we see a problem with the previous treatment at the check-up, we will certainly say so.

Risks worth knowing in advance

Implantation is a surgical operation, and it is never completely risk-free at any clinic. Naming the risks honestly is more useful than promising their absence. Implant rejection occurs rarely, most often in the first months after fitting. The main factors are smoking, uncontrolled diabetes, insufficient hygiene and loading the implant too early. Peri-implantitis is inflammation of the tissues around an integrated implant, which over time destroys the bone. It develops because of plaque in the gap between the crown and the gum — which is why we shape the gum contour and insist on check-ups every six months.

Swelling and discomfort in the first days after the operation are normal, not a complication. The doctor says in advance what to expect and what to take. The need for an additional stage: sometimes the bone volume turns out to be less than assumed from the X-ray. In that case we stop, review the plan with you and continue only after agreement.

For patients who have recently moved to Spain

You can be treated without a NIE. A private clinic does not require a residence permit, a Spanish identification number or a public health card — a passport is sufficient. If implantation was started in another country, we continue and finish another doctor's work. Bring the implant passport with the system article number — from it a compatible abutment and crown are selected. If the documents have not been preserved, the system can in most cases be identified by computed tomography, which we will do on the spot.

We do not work with insurance companies and do not offer bank instalments. After treatment we issue official invoices: if you have a policy with reimbursement of expenses, you can submit the documents to the insurer yourself.

When to choose another clinic

If you need surgery under general anaesthesia — we work with local anaesthesia and sedation. If you are expecting treatment under an insurance policy — we do not work with insurance companies. If you need bank instalments — we do not offer them.

Frequently asked questions

Does fitting an implant hurt? The operation is carried out under local anaesthesia — there is no pain during it. In the first 2–3 days discomfort is possible, relieved with painkillers. In cases of pronounced fear of treatment, sedation is available.

How long does an implant last? With proper hygiene and scheduled check-ups every six months — for decades.

Will I be left without a tooth during integration? No. A gum former is fitted, and in the smile zone a temporary crown. You leave with an aesthetic solution for the whole period of osseointegration.

Can an implant be fitted immediately after tooth extraction? Yes, in the absence of inflammation in the area of the tooth being removed and with sufficient bone density. This is immediate implantation with immediate loading.

Do you carry out implantation under sedation? We work with local anaesthesia and sedation. Surgery under general anaesthesia is not carried out.

Can I find out the price by phone? Indicative ranges — yes, they are given above. The exact estimate is drawn up after the examination and CT scan and fixed in writing before work begins.

Book a consultation

Send an X-ray or describe your situation — we will tell you what options are possible and what will be needed at the first appointment.

Corona Clinica Dental
c/Entença, 69, Barcelona · metro Rocafort (L1)