Bone operations

A combined implant and crown treatment completely renews the smile.

It is an ideal solution for patients whose front teeth are preserved but whose back teeth are missing or damaged.

By planning implants and crowns together, the aim is to preserve natural teeth as much as possible and restore chewing function and aesthetics.

Comprehensive implant and crown rehabilitation with diagnostics to evaluate whether bone augmentation is really required.

🦷 If you have questions about insufficient bone tissue or have been told you need bone grafting, this package is for you.

In some cases, bone grafting is genuinely necessary.

However, alternatives without grafting are also possible in many cases.

🔍 As part of this package, we:

• Carry out detailed diagnostics (CT).

• Assess bone volume and condition.

• Clarify whether grafting is really needed.

📋 After diagnosis, you receive:

• A clear, understandable treatment plan.

• Multiple options, with and without grafting.

• Doctor's recommendations based entirely on your clinical situation.

🦴 Depending on the indication, we offer:

• Bone augmentation procedures (sinus lift, bone grafting).

• Or alternative implant protocols that do not require grafting.

If you have concerns about bone deficiency or a doctor has ever told you that bone grafting is required, this package is for you.

In some cases, bone grafting is truly necessary.

But in many situations, alternative methods allow treatment without grafting.

🔍 Within this package we:

• Perform full diagnostics (CT)

• Assess bone volume and quality

• Determine whether augmentation is truly needed

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

• A clear and understandable treatment plan

• Several solution options (with and without grafting)

• Doctor recommendations based on your specific case

🦴 Depending on indications, we offer:

• Bone augmentation (sinus lift, bone grafting)

• Or alternative implant methods without augmentation

1. Online planning

Medtori coordinates communication and the referral of your request to the relevant clinician. The clinician provides the preliminary assessment; the final treatment plan follows an examination and any necessary tests.

2. Visit and treatment

Accommodation, transfers and other coordination services are explained in the individual service plan. Medtori provides 24/7 communication and interpreting support.

3. Checks and follow-up

The treating clinician monitors healing and clinical follow-up. Medtori coordinates communication and interpreting support throughout this process.

What happens during bone atrophy

After tooth loss, bone gradually decreases: height and width drop, density declines, and implant placement becomes more complex.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Changes generally become noticeable within 6–12 months.

Option 1 - classic implantation with bone grafting

Concept: first bone augmentation is performed; after healing, an implant is placed and a crown is fixed.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Duration: bone grafting takes 3–6 months plus 3–6 months for implantation, totaling 6–12 months.

Advantages

• Physiologic approach with anatomical restoration;

• Long-term result;

• Often optimal for 1-2 teeth.

Limitations

• Longer treatment time;

• Multiple surgical stages;

• Higher overall stress for the patient.

Option 2 - All-on-4

Concept: 4 implants are placed for the full jaw, a fixed prosthesis is attached, and implants are angled to bypass bone-deficit zones.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Duration: teeth are provided within 3–5 days.

Advantages

• Fast result;

• Often without bone grafting;

• Fewer surgeries, convenient for medical tourism.

Limitations

• Used when all teeth are missing;

• Requires precise planning;

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Comparison: bone grafting vs All-on-4

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

How to choose the right path

Bone grafting is often better when: 1-2 teeth need restoration, there is enough time, and classic anatomy is important.

All-on-4 is often better when: all teeth are missing, bone deficiency exists, a fast result is needed, or the patient comes from another country.

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Choosing a treatment method for your needs

Share your CT scan or a description of your condition so we can compare options, timing and cost for your case.

Costs depend on the clinical assessment, treatment plan and services included. An individual written quotation should specify what is included, additional expenses, payment terms and cancellation conditions.

What happens during bone atrophy

After tooth loss, bone decreases in height, width and density, making implantation more difficult.

👉 Changes often become noticeable within 6–12 months.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Option 1 — classic implantation + bone grafting

Method: bone augmentation first, followed by the implant and crown after healing.

Duration: 3–6 months + 3–6 months, totaling 6–12 months.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Expectations and individual assessment

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Advantages

• Physiological and anatomical approach

• Long-term result

• Often ideal for 1–2 missing teeth.

Limitations

• Longer treatment time

• Multiple surgical stages

• Higher overall stress for the patient.

Option 2 — All-on-4

Method: 4 implants for the full jaw, placed at angles to bypass areas with insufficient bone.

Duration: 3–5 days.

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

Advantages

• Fast result

• No grafting in most cases

• Fewer operations, suitable for medical tourism.

Limitations

• For cases where all teeth are missing

• Requires very precise planning

• May not always be suitable for extreme atrophy.

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Get an individual choice of method

Send your CT scan or a description of your case so we can clarify the options, duration and costs for your situation.

Costs depend on the clinical assessment, treatment plan and services included. An individual written quotation should specify what is included, additional expenses, payment terms and cancellation conditions.

When sinus lift is prescribed

It is performed when bone volume in the upper jaw is insufficient, most often in molar areas.

• Long-term tooth loss;

• Maxillary sinus floor lowering;

• Individual anatomy.

Can sinus lift be avoided

• Minimum sufficient bone volume is present;

• Implant angulation can be changed;

• Immediate-loading protocols are suitable.

👉 Final decision is made only after CT diagnostics.

Alternatives to sinus lift

• Short implants

• All-on-4 / All-on-6

• Zygoma implants

When sinus lift is unavoidable

• Critically low bone volume;

• Single implants in upper posterior segments;

• Alternative methods are not clinically feasible.

Plan without unnecessary procedures

Send CT or a case description and we will explain whether sinus lift can be avoided and what alternatives exist.

When is implantation without grafting possible?

• When sufficient bone volume is available,

• When angled placement can be used,

• When alternative anchoring sites are suitable.

👉 The final decision is made using CT.

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Main methods

Procedure, recovery, stay and follow-up times vary by person and treatment plan. An individual schedule is prepared after clinical assessment; additional visits or changes may be needed.

• All-on-4: a fast solution with fixed teeth.

• All-on-6: more balanced load distribution.

• Zygoma: a graft-free solution for advanced atrophy.

• In suitable cases, a temporary crown in approximately 1–3 days.

Advantages and limitations

Expectations and individual assessment

• Fewer surgical interventions;

• Fast aesthetic results;

• Practical for patients from abroad.

A clinician assesses whether this approach is suitable and what benefit may be expected. Results vary between individuals; a particular appearance, level of success or duration of effect cannot be promised.

Limitations

• Not suitable for every patient;

• Primary stability is necessary;

• Doctor experience is critical;

• A classic approach is better in some cases.

Let us find the best option for you

Send your CT scan or case information so we can compare duration, costs and long-term results.

Costs depend on the clinical assessment, treatment plan and services included. An individual written quotation should specify what is included, additional expenses, payment terms and cancellation conditions.

Pain and safety

Does implantation hurt?

It is performed under local anesthesia. Mild discomfort may occur for 1–3 days afterward.

Is implantation dangerous?

Suitability, individual risks and alternatives are assessed with the relevant clinician after examination. Possible complications and the follow-up plan should be discussed before the procedure.

Can complications occur?

Swelling, bruising and temporary discomfort can occur after the procedure. Complications such as infection are assessed separately; discuss individual risks and follow-up with the clinician.

Treatment duration

How long does it take?

Typical times can be 3–6 months for classic cases, 6–12 months with bone grafting and 3–5 days for All-on-4/6.

Are teeth fitted immediately?

Immediate loading is possible in suitable cases.

Bone tissue

What if there is insufficient bone?

Bone grafting, sinus lift, All-on-4/6 or Zygoma options are assessed.

Is it possible without grafting?

In many cases yes, but the decision is made using CT.

What is a sinus lift?

A procedure to increase bone volume in the back of the upper jaw.

Cost and lifespan

What affects the price?

Generally, the number of implants, system, additional surgical requirements and protocol.

Are installment payments possible?

Usually yes; the plan can be divided into stages.

How long do implants last?

How long a result may last varies by person and treatment plan. Expectations and follow-up needs are assessed with the relevant clinician; no fixed duration is promised.

Every case is unique

Send your CT scan or an inquiry; we will prepare a personalized treatment and cost plan free of charge.

No general guarantee is given for a treatment outcome or the lifespan of a product. Any follow-up service, maintenance or product warranty must identify the provider, duration, scope, exclusions and additional costs in a written agreement. Medtori’s organisational services and the healthcare provider’s medical obligations are considered separately.