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Why Is It So Hard To Get A Fee Quote For Dental Implants?

The placement of a dental implant is a specialized surgical procedure that requires the same care in planning and attention to detail as is required for any other type of surgery.

If you are considering dental implant treatment it is important to understand that no two patients are the same. Location in the mouth, bone structure, condition, medical status — and a whole host of other considerations can cause one implant surgery to be vastly different (more complicated) from another.

That having been said it is also fair and reasonable that prospective patients know in advance approximately what their treatment might cost. To help you understand the process and allow us to determine whether an implant procedure is right for you, we invite you to reserve time for a complimentary consultation and x-ray with no obligation at our Mountlake Terrace dentist office. You can count on us to be completely up-front about fees and you will always know in advance what your procedure will cost.

Implants and Porcelain Crowns
Actual Patient of Dr. Hrankowski



Replacing a missing tooth with an implant-retained prosthesis requires three components – Implant, abutment and crown:

Implant – This is the titanium root replacement that is inserted in the jaw bone.

Abutment – This is a customized post that connects the implant in the bone with the oral cavity. It emerges from the gum tissue and the new tooth (crown) is cemented over it.

Crown – Just like a crown (cap) on a natural tooth, this is a porcelain replacement tooth.

Here are some other terms to help you understand your treatment:

Single Stage Implant – Single-stage implants can be done when circumstances allow. The implant is placed and a “healing abutment” is inserted. The healing abutment sticks out above the gum tissue. and the gum heals around it. No additional surgical procedures are required. After healing, the healing abutment is replaced with a restorative abutment and crown (which looks like the tooth it is meant to replace). It is not always possible to know in advance whether the implant will require a single stage or a two stage protocol. Approximately 95% of situations allow for a single stage.

Two Stage Implant – If it is not possible to get a tight fit of the implant in the bone, then the implant must be covered with the gum during the healing phase. A “Second-stage” surgery is required about 4 months later to uncover the implant and to place the healing abutment. There is an additional fee if a second stage surgery is required. It is not always known in advance whether the implant will require a single stage or a two stage protocol.

Bone Graft – A procedure used to grow bone when there is not enough bone present (width, height or both) to place an implant. The bone may be donated human bone or bone from an animal source – usually bovine.

Sinus Augmentation or Sinus Lift – When upper back teeth are lost, the sinus may grow downward filling the space once occupied by the tooth roots. When this happens, the sinus membrane may need to be lifted and a bone graft inserted. The “sinus lift” procedure is usually done at the same time of implant placement. When the expansion of the sinus is extreme, a more extensive “sinus augmentation” may be required. This is usually done as a separate surgical procedure and the implants are placed at a later date (usually 6-8 months).

Gum Graft – A gum graft is done when there is inadequate gum tissue at the implant site. Gum tissue from the roof of the mouth is transplanted to the implant site to improve gum shape and texture.

Surgical Guide – A surgical guide is a clear plastic stent that fits over adjacent teeth or on the gums to aid the implant surgeon to accurately place the implant(s). It is fabricated from a diagnostic work-up. Surgical guides are generally not needed for single-tooth implants in the back of the mouth. Implants to replace front teeth, or multiple teeth, almost always require a guide.

CT Scan – A Dental CBCT Scan (cone beam CT scan) produces a three-dimensional image that allows the implant surgeon unprecedented accuracy in diagnosis and treatment planning for implants, bone grafts and related procedures. It adds an important measure of safety when implants must be placed next to vital structures such as nerves or the sinus. Dr. Hrankowski follows the current Standard of Care and requires a CT scan for all implant-related procedures.

Socket Preservation – When a tooth is extracted and not replaced with an implant, up to 40% of the bone can melt away within the first year. When circumstances dictate a delay between an extraction and implant placement, Dr. Hrankowski recommends a socket preservation procedure. The socket is thoroughly cleaned out and a bone graft is placed. This helps maintain the bone until an implant can be placed.


To determine which implant procedure is right for you and exactly what it will cost, we invite you to reserve time for a complimentary consultation and x-ray with no obligation. We work with everyone in the Mountlake Terrace area, from Edmonds to Shoreline.