Why this guide has no prices

A dental implant quote depends on your mouth, the plan your dentist proposes, the materials used and the practice's fees. Two people replacing the same tooth can receive very different quotes for good clinical reasons. Any price we published would be wrong for most readers, and it would be a price we have no right to set.

Some practices publish starting prices or ranges on their own websites, and independent cost-guide websites publish national ranges. If you use those, treat them as rough context, check what they include, and remember that your own quote can only come from a practice that has examined you.

The items on a typical implant plan

An implant quote is a bundle of separate items. When you receive one, look for each of these, and ask about any that are missing:

  • Consultation and examination. Sometimes charged separately from the treatment.
  • Imaging. Standard X-rays and often a 3D cone-beam CT scan, which may be billed by the practice or by a separate radiology provider.
  • Planning. Digital planning and a surgical guide, where used.
  • Extractions. If a tooth must be removed first.
  • Grafting. Bone grafting, socket preservation or a sinus lift, with any membrane.
  • The implant. The post placed in the bone.
  • The abutment. The connector between implant and tooth, which may be stock or custom-made.
  • Temporary teeth. Worn while the implant heals.
  • The final crown, bridge or denture. Including its material and laboratory work.
  • Anaesthesia. Sedation, or a general anaesthetic with an anaesthetist's account.
  • Theatre or hospital fees. For cases done outside the dental rooms.
  • Reviews and maintenance. Follow-up visits after treatment.

The factors that move the total most

Some items change the total far more than others. The number of implants is the obvious one: a single crown on one implant is a different treatment from a full-arch bridge on four or six. Grafting can add a procedure, material costs and a separate healing stage. The type of final tooth, and the material it is made from, changes laboratory costs. Anaesthesia and theatre fees can add whole accounts from other providers.

Less obvious factors include the implant system and components the practice uses, whether the abutment is custom-made, and how many visits the plan involves. None of these is a sign of better or worse treatment on its own. They are choices the practitioner should be able to explain.

How to compare two quotes fairly

Compare plans stage by stage, not by the total. If one plan includes a graft and another does not, ask each practitioner why. If one includes the final crown and another quotes only the implant, the totals are not comparable. If one involves a theatre and another does not, the second may still produce separate accounts you have not seen.

Ask each practice for the procedure codes it will submit to your medical aid, and check with your scheme what it will fund. Our guide to medical aid and dental implants explains what to ask.

Questions that clarify a quote

  • Which items are fixed, and which might change once treatment starts?
  • What happens to the cost if a graft turns out to be needed during surgery?
  • Are there accounts from anyone else, such as a radiologist, anaesthetist, hospital or laboratory?
  • What does maintenance cost after treatment is finished?
  • What happens, and who pays, if a stage needs to be repeated?
  • How is payment spread across the stages?

Beware of price as the attraction

Advertising that leads with a low price, or a consultation offered at no charge as the main draw, tells you little about the treatment. In South Africa, the HPCSA's rules on how practitioners make their services known restrict advertising that draws attention to prices in a way that is misleading or that suggests superiority over other practitioners. A quote is only meaningful once you know exactly what it covers.

Frequently asked questions

How much does a dental implant cost in Johannesburg?

We do not publish prices, because the cost depends on your case and the practice. This guide explains the items that make up a quote so you can understand the one you are given.

Why are two implant quotes so different?

They may include different items, such as grafting, temporary teeth or the final crown, or use different materials and settings. Compare them stage by stage.

Does the quote include the crown?

Not always. Some quotes cover only the implant placement. Ask for the abutment and final crown, bridge or denture to be listed.

Will my medical aid pay?

It depends on your scheme and plan, and schemes often treat implant stages differently. Ask the practice for procedure codes and check with your scheme.

Related

Sources

  • Health Professions Council of South Africa, ethics guidance: https://www.hpcsa.co.za/ethics

The next step is an assessment by a dentist

Only a dentist who examines you, with X-rays or a scan, can say whether an implant is suitable and what it would involve. Start with your own dentist. If you do not have one, read what an implant assessment covers and what to take with you.

What an implant assessment involves