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An implant is one of the larger investments most people make in their own body, and the fair question before driving fifteen minutes down the A5 to discuss one is: how long will it last, and what could go wrong? Very few pages answer that honestly. This one tries. Every case is planned, placed and restored personally by Dr Ali El-Kabengi (GDC 270807).

Well-placed implants in a healthy, well-maintained mouth have very high long-term success rates — the large majority are still functioning well over ten years, and many last decades. The titanium post itself does not decay; it cannot get a cavity.

The crown on top is a different matter. It’s a manufactured object under enormous repeated load, and it may need replacing at some point in a long life. That’s maintenance, not failure, and it’s worth budgeting for mentally.

Four things, in rough order of importance:

• ✓  Peri-implantitis. The big one. It’s gum disease around an implant: bacteria, inflammation, and progressive loss of the bone holding the implant in. It is largely painless until it’s advanced, and it is the leading cause of late implant failure. It is also largely preventable with cleaning and regular hygiene appointments — which is precisely why we won’t place implants into a mouth with untreated gum disease.
• ✓  Smoking. Materially raises failure rates, both early and late. We will tell you this plainly rather than take your money and hope. If you’re going to stop, before implant surgery is the moment.
• ✓  Uncontrolled diabetes, which impairs healing and the bone’s ability to fuse to the implant.
• ✓  Grinding and clenching. An implant has no ligament, so unlike a natural tooth it can’t feel excessive force and doesn’t have that shock absorption. Heavy bruxism can overload the restoration. A night guard is often part of a properly planned case — and is often quietly omitted from cheaper plans.

It means the assessment matters as much as the surgery. Before anything is placed we look at the gums, the bone in 3D, the bite, your medical history and your habits. If something needs treating first, it gets treated first — that’s not delay, it’s the reason the implant will still be there in fifteen years.

And it means aftercare isn’t optional. Implants need cleaning and reviewing like teeth. Build that in. Toothi holds a 4.9-star rating across 130+ Google reviews and opens seven days a week, including Sundays.

• ✓  Free implant consultation — including a 3D scan worth £250.
• ✓  A written plan and a fixed quote — before you commit to anything.
• ✓  Placed, restored and reviewed by the same clinician — Dr Ali El-Kabengi.
• ✓  0% APR finance over up to 10 months — with longer low-interest terms up to 5 years.
• ✓  Weekend appointments — so a Borehamwood or Elstree patient isn’t making the drive more often than necessary.

You receive a written plan and a fixed quote before committing to anything. 0% APR finance is available over up to 10 months, with longer low-interest terms up to 5 years. Implants are placed, restored and reviewed by the same clinician — Dr Ali El-Kabengi.

Multiple-implant and full-arch fees depend on the case — see the full fee guide, or get a fixed quote at your free consultation.

Finance is arranged by Cherry Dental Ltd (FRN 957242) as a credit broker; credit is provided by Tabeo, subject to status. Full payment options are on our finance page.

Fifteen minutes straight down the A5 or A41 — or the 292 bus through to Edgware.

Toothi · 1 Handel Parade, Whitchurch Lane, Edgware, London HA8 6LD — two minutes from Edgware Station. Directions →

Monday, Tuesday, Wednesday & Friday: 9am–6pm
Thursday: 9am–12pm
Saturday: 9am–5pm
Sunday: 10am–5pm

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