In our specialist oral surgery practice in Pinneberg, we offer high-quality dental implants made of titanium. They reliably replace missing teeth and serve as a secure foundation for prosthetic restorations, whether single crowns, bridges, or dentures. With modern diagnostics, precise planning, and minimally invasive techniques, we ensure a long-lasting, stable, and aesthetic solution. As specialised oral and dental surgeons, we coordinate each procedure individually with your referring dentist. In our practice, we exclusively use implants made of high-purity titanium. Titanium is considered especially biocompatible and bonds reliably with the jawbone — a process known as osseointegration. The excellent compatibility and high load-bearing capacity of titanium implants are supported by numerous scientific studies (e.g., Donos et al., Clin Oral Implants Res 2021; Lang et al., J Clin Periodontol 2022).
We generally use two-part implant systems. First, the actual implant body is anchored in the bone. In a second step, the so-called abutment is attached, which later holds the dental restoration. This separation offers maximum flexibility in treatment and has proven itself over decades. While ceramic implants offer certain advantages in specific aesthetic situations, they currently play only a minor role in routine clinical practice. According to current reviews, titanium remains the preferred material for reliable and long-lasting implant solutions. Different lengths and diameters are available, enabling us to find the right solution for almost any anatomical situation — from a narrow jaw ridge to complex cases with reduced bone volume. Titanium has been the trusted material in implantology for decades — and for good reason. Over 90% of all dental implants used worldwide are made from high-purity titanium. The reason lies in the unique properties of this metal:
Although alternative materials such as ceramic (e.g., zirconium oxide) have gained importance in recent years, titanium remains the gold standard due to its strength, flexibility in clinical use, and decades of proven results. That’s why in our practice, we use only titanium implants.
Dental implants are used when natural teeth are missing and a stable, functional replacement is needed. They replace the natural tooth root and serve as an anchor for a prosthetic restoration. Whether it’s a single tooth, larger gaps, or a completely toothless jaw — modern implant concepts offer a suitable solution for almost any starting situation.
Even with complete tooth loss, it is not necessary to replace every single tooth. For fixed dental restorations, six to eight implants per jaw are usually sufficient. Minimal restoration concepts such as the “All-on-4” principle can provide secure support with as few as four implants. For removable restorations, two to four implants are often enough. The number and positioning of implants are planned individually. In doing so, we take into account the available bone volume as well as the desired prosthetic concept of the referring dentist. In close coordination, we create a precise surgical protocol on which the further treatment can be optimally built.
The number of implants you need depends on several factors: How many teeth need to be replaced? Where should the implants be positioned? Is implantation possible without bone augmentation? As you can see, in dental surgery your individual situation plays a decisive role. To give dentists and patients clear guidance, several dental professional associations (BDO, DGMKG, DGI, DGZI) have jointly developed so-called indication classes. These have been recognised as a standard for implant planning for many years.
The general principle is to replace every missing tooth wherever possible — except wisdom teeth, which are usually not replaced. Whether to replace the seventh molar depends on the specific situation. In planning, not only medical but also economic and anatomical factors play a role. Some patients consciously choose to avoid extensive treatment. In certain cases, more extensive surgical procedures can be avoided by using modern implant concepts such as short, narrow, or angled implants. Therefore, indication classes are best understood as sensible recommendations, and deviations from them are not uncommon and are often individually appropriate.
Before an implant is placed, thorough preparation is essential. This ensures that the treatment is successful and safe in the long term.
We begin with a detailed discussion to determine whether an implant is suitable for your situation. At the same time, we talk about possible alternatives and take your individual wishes into account. Implant treatment is only advisable if existing conditions such as periodontitis or tooth decay have been completely treated beforehand.
To ensure the implant can be planned precisely and safely, we take digital X-rays. In more complex cases, we use what is known as digital volume tomography. This provides a three-dimensional view of the jaw and all important structures such as nerve pathways or sinus cavities. Based on this, the procedure can be planned with precision.
Using special planning software, we simulate the position of the implant on the screen. In many cases, a drilling template is created from this data. This serves as a precise guide during surgery so the implant can be placed with millimetre accuracy. This approach improves the predictability of the result and protects the surrounding tissue.
For successful treatment, several conditions must be met:
All these points are carefully checked in advance and discussed with you. This ensures a solid foundation for your implant treatment.
For particularly demanding implant treatments, the so-called backward planning approach is recommended. In this method, the implant is not adapted to the dental restoration — instead, the desired restoration is designed first. Based on this, the number and position of the implants are then planned. Oral surgeons, dental technicians, and prosthodontists work closely together. First, a provisional dental restoration is created. This serves both as a functional and aesthetic trial and as a planning basis for the exact position of the implants. With modern three-dimensional imaging — such as digital volume tomography (DVT) — the jaw can be displayed in precise detail. The collected data makes it possible to virtually position the implants. Then, using a custom-made drilling template, the implants can be placed in the mouth with exceptional safety and precision. This method is considerably more complex than conventional planning but offers great advantages in cases with complex anatomy or high aesthetic requirements. The goal is a perfectly coordinated, functionally stable, and visually pleasing treatment outcome. Backward planning is a modern standard in high-quality implant planning.
Before an implant is placed, detailed planning is carried out. Based on this, we prepare a cost estimate listing the expected expenses for the entire implant therapy. It’s important to note that changes may occur during the procedure, which can affect the final cost. Material and dental laboratory services can only be roughly estimated in advance. However, an experienced implantologist can usually provide a reliable assessment, giving you good planning security. We will also discuss possible complications and insurance coverage with you. The cost of a dental implant depends on various factors, such as the number of implants, the complexity of the procedure, and your individual bone conditions. For this reason, there is no blanket answer to the question “How much does a dental implant cost?” After thorough planning, we will create an individual cost plan for you, giving you a good idea of the expected expenses. We are also happy to advise you on possible cost coverage by your private or statutory health insurance. Speak to us — together we will clarify which services can be reimbursed. Before any surgical procedure, written consent is required. This should only be given once you have been fully informed about all risks, processes, and possible alternatives, and all your questions have been answered. A trusting and transparent approach is the foundation for successful treatment. Want to know if a dental implant is right for you? Book a consultation appointment at our oral surgery practice in Pinneberg.