1. What bothers you
  2. Missing tooth

A missing tooth
and how it can be replaced

Bokserska 54/U1, 02-690 Warszawa · Mokotów

A missing tooth can be replaced with a bridge or with an implant and a crown. If the teeth next to the gap are healthy, an implant lets us leave them unprepared. If, however, they are already badly damaged and need crowns themselves, a bridge can be a very good solution.

A dental model with a missing upper tooth

Mokotów, 54 Bokserska Street, unit U1. Consultation with a 3D scan PLN 550. Implant with a crown from PLN 7,000, a bridge replacing one tooth PLN 10,500.

Daniel Domański, DDS, MSc, planning implant treatment
Mikołaj Kisiel, DDS
WHO LEADS THE TREATMENT

DDS, MSc Daniel Domański

An expert in orthodontics and implantology.

More about Daniel

DDS Mikołaj Kisiel

A Smile Makeover Expert.

More about Mikołaj

What patients write (in Polish)

Przyszłam, ponieważ od dawna czułam się źle ze swoim uśmiechem - szczególnie ze stłuczonym górnym łukiem. Pan Doktor Daniel dokładnie przedstawił mi wszystkie możliwości. Odpowiedział na moje pytania i omówił nie tylko ogólne kwestie estetyczne, ale przede wszystkim aspekty dopasowane do mnie. Ogromna wiedza i doświadczenie. Serdecznie polecam!

Kamila T. · 5 October 2026 · ZnanyLekarz · about Daniel Domański

Doktor przyjął mnie w gabinecie Allsmiles, który już od samego wejścia robi wrażenie nie tylko wyglądem, ale również wesołą atmosferą wśród pracowników. Wizyta rozpoczęła się punktualnie. Doktor bardzo profesjonalnie i jednocześnie zrozumiale wytłumaczył moją sytuację. Bardzo serdecznie polecam!

Cezary W. · 16 September 2026 · ZnanyLekarz · about Daniel Domański

What patients write (in Polish)

Do dr. Mikołaja trafiłam z ogromnym bagażem — wieloletnią, bardzo silną traumą i dużym zakresem leczenia. Sam fakt, że w ogóle zdecydowałam się rozpocząć leczenie, był dla mnie ogromnym krokiem. Dziś, po kilku miesiącach, mogę powiedzieć coś, w co jeszcze rok temu naprawdę nie uwierzyłabym — chodziłam do dentysty bez strachu. Bez stresu, bez paniki, bez odkładania kolejnej wizyty w nieskończoność. To dla mnie coś znacznie większego niż samo zakończenie leczenia. Dr Mikołaj od początku wykazał się ogromną empatią, cierpliwością i zrozumieniem. Nigdy nie czułam się oceniana ani zawstydzana. Ogromnie ważne było dla mnie również podejście pani Ilony i pani Kasi — ich spokój, ciepło i życzliwość sprawiały, że czułam się bezpiecznie na każdej wizycie. Całe leczenie zostało bardzo dobrze zaplanowane i przeprowadzone w ciągu kilku miesięcy. A ja, zamiast bać się każdej kolejnej wizyty, zaczęłam przychodzić z poczuciem, że jestem w dobrych rękach. Jestem ogromnie wdzięczna całemu zespołowi.

Natalia J. · 13 September 2026 · ZnanyLekarz · about Mikołaj Kisiel

Serdecznie polecam Pana Doktora! Jestem bardzo zadowolony z efektu plastyki dziąseł. Mój uśmiech wygląda jednolicie, a zęby teraz są dużo większe. Z całego serca polecam!

P.Jablonski · 3 September 2026 · ZnanyLekarz · about Mikołaj Kisiel
OPTIONS

How we can replace a missing tooth

An implant is not the best solution in every situation. If the neighbouring teeth need crowns anyway, or conditions in the mouth do not allow implant placement to be done safely, a bridge may be a simpler, more cost-effective and more sensible solution. At the consultation we compare the options available and tell you plainly which solution will be best in your case — before we begin treatment.

An implant with a crown

An implant is a small titanium screw placed in the bone of the upper or lower jaw. It replaces the root of the lost tooth and, like that root, stays hidden under the gum. On top of it we fit the visible part, the crown.

Dental implants

An implant lets us replace a missing tooth without preparing the healthy teeth next to the gap.

A bridge

A bridge makes particular sense when the teeth next to the gap need rebuilding anyway – for example they are badly damaged, have large fillings or have had root canal treatment.

Prosthodontics

To make a bridge, these teeth have to be prepared, that is reduced so that there is room for the future work.

Several missing teeth in a row

Several missing teeth next to each other we can restore with a bridge on implants. Unlike a conventional bridge, it does not require grinding down the healthy teeth beside the gap. Nor does every missing tooth need its own implant. Where the bone is in good condition, two implants can carry a bridge restoring three teeth, which can make the treatment simpler and cheaper.

Dental implants

No teeth left in an arch

A whole arch — upper or lower — we can restore on a few implants, for example on four.

Dental implants

We do not choose a solution only by the number of missing teeth. The condition of the remaining teeth and of the mouth matters too.

THE GAP

Does every gap need filling?

Not always

Not always. It all depends on which tooth was removed, what your bite is like and what the remaining teeth are like.

If replacement is advisable, it is best planned before the tooth is removed.

When the teeth next to the gap have tipped

When the teeth next to a gap are tilted or shifted, aligning them first can make an implant, a crown or a bridge easier to do. We decide the order of the stages after the examination.

Orthodontics

An implant straight after an extraction

The implant replaces the tooth's root, and we make a crown on it. Often the implant can be placed straight away, during the extraction.

This is not always possible, though. It depends among other things on the condition of the bone, the conditions where the tooth was, and whether there is inflammation.

IMPLANT

When an implant and what we look at first

When we propose an implant

  • when one tooth is missing, the neighbouring teeth are healthy and we do not want to grind them down for a bridge,
  • when several teeth in a row are missing and a conventional bridge is not a good solution,
  • when a denture is unstable and a more stable, fixed solution is needed,
  • when there are no teeth left in the arch and we are planning to restore the whole arch.

What we look at before the procedure

  • unstable diabetes — blood sugar first needs to be brought under control together with your doctor,
  • active cancer treatment and some drugs that affect bone metabolism, among them bisphosphonates, used among other things to treat osteoporosis — these require individual assessment and treatment planning,
  • untreated gum disease — the condition of the gums and the tissues supporting the teeth has to be stabilised first,
  • smoking — it does not rule out implant placement, but it is worth cutting down before the procedure and during healing,
  • bone growth not yet finished in younger patients.

This is a list of typical situations we take into account before implant placement. It does not automatically mean that an implant cannot be placed. We make the final decision individually, on the basis of the examination, the scan and your general health.

PRICES

What it costs to replace a tooth

Restoring a single tooth from start to finish – the implant together with the crown – costs from 7 000 zł here. The amount does not include a bone graft, should one be needed. We quote the whole thing rather than the screw alone, because a screw on its own is not a tooth and that number misleads.

Implant consultation with a 3D scan550 złconsultation 200 zł + the required 3D scan (CBCT) 350 zł
Restoring one tooth – implant and crownfrom 7 000 złprice for a finished tooth
Bridge replacing one tooth – 3 units10 500 zł
Full price list
HOW IT GOES

Step by step from the first visit to the crown

The whole process usually takes 4 to 8 months, but most of that time is healing rather than further appointments. Placing the implant itself usually takes 45–90 minutes.

If there is still a damaged tooth, or one that cannot be saved, where the implant is planned, it has to be removed first. Whenever conditions allow, we place the implant at the same appointment, straight after the extraction – and most often that is what happens. In other cases the extraction site first has to heal, or the bone has to be rebuilt — then treatment takes longer.

The overall length of the process also depends on whether a bone graft is needed and which jaw the implant goes into. In the lower jaw the bone usually heals faster than in the upper jaw.

All appointments are led by Daniel Domański, DDS, MSc, and Mikołaj Kisiel, DDS — from the consultation and treatment planning to seating the crown.

01

Consultation and 3D scan

one appointment, about 30 minutes

We talk about what you expect, examine your mouth and take a 3D scan. On the screen, together with Daniel or Mikołaj, you look at the site of the missing tooth and we check how much bone there is and what the conditions are for placing an implant. Nothing hurts — at this appointment we do not drill, place anything or remove anything.

Nothing hurts – we are not drilling and not placing anything.

02

Treatment plan with a quote

within three working days

You receive an individual treatment plan that in our view best fits your situation — setting out the successive stages, dates and costs. If in your case there is also an alternative that achieves a good result at a lower cost, we present it as a second option and explain how it differs from the recommended plan. At this stage we do not do anything yet — you make the decision to start treatment calmly at home.

Nothing happens in the surgery at this stage – you make the decision at home.

03

Bone graft or extraction

one appointment, healing 4–6 monthsconditional step

This is a conditional stage — we carry it out only when it is needed. If the scan shows that there is too little bone where the implant is planned, we can rebuild it to create the right conditions for placing the implant. If there is still a tooth at the planned site that cannot be saved, it will have to be removed. Depending on the conditions, we can sometimes place the implant at the same appointment, and sometimes the extraction site first has to be allowed to heal. The procedure is done under local anaesthetic. Swelling may last for a few days — you receive detailed aftercare instructions and a number to call with any questions or concerns.

Surgery under local anaesthetic. There may be swelling for a few days – you get aftercare instructions and a number to call with any questions.

04

Placing the implant

one appointment, 45–90 minutes

We place the implant under local anaesthetic, then protect the site and leave it to heal. During the procedure you feel mainly pressure, not pain. If dental procedures make you anxious, tell us before we start — we will adjust the pace of work and take breaks if you need them. If the implant is in a visible place, before the procedure we agree with you how the missing tooth will be temporarily replaced while it heals. That way you do not have to go without a tooth in everyday life. If the gap is in a part of the mouth not visible when you smile, a temporary restoration may not be needed.

You feel pressure during it, not pain. If you are anxious about procedures, tell us beforehand – we will adjust the pace and the breaks.

05

Healing and integration with the bone

lower jaw 3–4 months, upper jaw 5–6 months

During this time the implant fuses with the bone and gradually stabilises where it was placed. During healing you carry on as normal — you can work and return to everyday activities in line with the aftercare instructions. Usually by the next day you feel nothing in particular and can go about your day normally. For the first few days you may only notice slight tenderness at the site. About a week after the procedure we see you for a short check-up. We check the implant site and, if stitches were placed, remove them. In selected cases the recommendations may differ, but you will be told before the procedure.

After a few days you feel nothing in particular.

06

Uncovering and scanning

one appointment, about 30 minutes

We uncover the implant and fit a healing abutment, which shapes the gum around the future crown over about 2 weeks.

A short procedure under local anaesthetic.

07

Scans for the crown

one appointment, about 30 minutes

We take digital scans, and from those the technician prepares an individually fitted crown — taking into account the shape of the teeth, the bite and the gum shaped beforehand.

08

Seating the crown and the check-up

one appointment, then a check-up a month later

We try the crown in, check its fit and the bite, and then seat it permanently. We also show you how to look after the implant and the crown properly day to day. From that day you can bite normally and use your new tooth.

Under local anaesthetic. From that day you bite normally.

Will I be without a tooth in the meantime?

Will I be without a tooth in the meantime? If the gap is in a visible place, you do not have to go without a tooth. For front teeth, before the procedure we agree with you on a suitable temporary restoration for the healing period — usually a temporary crown or a small denture. This solution is intended mainly for the healing period and is not for biting hard things, but it fills the gap and lets you speak, work and smile normally. If the gap is in a part of the mouth that is not visible, a temporary restoration may not be needed.

THE RISK

Will the implant take and what if it does not

After ten years about 95% of implants remain in the bone – that is the finding of a review of eighteen studies¹. Our observations are similar.

Implant treatment is predictable, but as with any medical procedure there is a risk of complications.

What can go wrong

  • the implant does not integrate with the bone – this happens most often in the first months
  • inflammation around the implant, peri-implantitis – usually the result of neglected hygiene and missed check-ups
  • complications after a bone graft, if that procedure was needed
  • changes in sensation in the lip or chin with implants in the lower jaw

How we prevent it

  • we assess whether you qualify for treatment – where needed, we first refer you for gum treatment or a consultation with your doctor,
  • we take a scan before the procedure – it lets us plan the position of the implant before the procedure begins,
  • we work in properly prepared, sterile conditions,
  • we check the implant regularly – the first check-up is after the procedure, when the stitches come out, the second when the implant is uncovered after 3–6 months, and after that we recommend a check-up once a year.

What if the implant does not take?

  • If the implant does not integrate with the bone during healing — which happens very rarely and usually results from local conditions at the implant site — we remove it and let the tissues heal.
  • After a few months, if conditions are suitable again, we place an implant in the same spot once more – with no extra charge for placing it again. In such cases the second placement usually goes well.
  • Later problems can look different – which is why hygiene and check-ups matter so much. Inflammation around the implant can develop without noticeable pain, and regular check-ups let us detect it at an earlier stage.
  • ¹ Source: Howe MS, Keys W, Richards D, “Long-term (10-year) dental implant survival: a systematic review and sensitivity meta-analysis”, Journal of Dentistry 2019;84:9–21. This refers to implant survival – that is, the implant still being in the bone – not to it being entirely free of complications.
FINANCING

Spreading the cost over instalments

We know that the cost of comprehensive treatment can be a significant expense, which is why we make it possible to pay for treatment in instalments through MediRaty.

You can submit the application directly at our practice – we help you through the whole process, and the credit decision usually arrives the same day.

This lets you begin your planned treatment without paying the whole cost at once. The financing terms are set individually, and you learn the details before making a decision.

REVIEWS

What patients say

The ratings of the practice and the doctors’ profiles come straight from Google and ZnanyLekarz and update automatically. We do not copy or choose reviews – you will find them where our patients left them.

FAQ

Frequently asked questions

Implant or bridge – which to choose?

There is no single solution for everyone. If the teeth next to the gap are healthy, an implant may be the better solution, because they do not have to be prepared. If, however, the neighbouring teeth are already damaged and need crowns, a bridge can be a very good solution.

How much does a dental implant cost?

Restoring one tooth, i.e. the implant together with the crown, costs from 7 000 zł: from 3 500 zł for placing the implant and from 3 500 zł for the crown. If a bone graft is needed, the cost of that procedure is added. You learn the exact cost before treatment begins.

How much does a bridge cost?

One bridge unit costs 3 500 zł. If one tooth is missing, the bridge usually has 3 units – the two teeth it rests on and one tooth filling the gap. Such a bridge costs 10 500 zł.

Will I need a bone graft?

Not always – the scan decides. If there is too little bone, we can rebuild it to create the right conditions for placing the implant. It is a conditional stage – we carry it out only when it is really needed. At the first appointment the dentist explains whether it will be necessary in your case and how it will affect the length and cost of treatment.

Do the teeth have to be drilled for a bridge?

Yes. We prepare the teeth on both sides of the gap so that they can hold the bridge. That is why, before making a bridge, we check whether the abutment teeth are suitable for this kind of work.

Are implants covered by the NFZ?

No. Neither dental implants nor crowns on implants are reimbursed by the NFZ for adult patients.

How long does the whole treatment take?

Usually 4 to 8 months. Most of that time is the healing period, not further appointments. Treatment can be shorter when the bone is in good condition and the implant goes into the lower jaw. It takes longer when a bone graft is needed or the treatment is in the upper jaw.

Does placing an implant hurt?

The procedure is done under local anaesthetic – during it you feel pressure, not pain. For the first few days afterwards there may be slight swelling or tenderness, but usually by the next day you feel nothing in particular and can return to your everyday activities and training. You receive detailed instructions and a number to call if anything worries you. If you are anxious about procedures, tell us before we start – we will adjust the pace of work and take breaks if you need them.

How long does an implant last?

If the implant integrates properly with the bone, usually nothing in particular happens to it for many years. The same applies to a properly made crown – there is no set point at which it has to be replaced as a matter of course.

Over time, however, the tissues around the implant change. Like the whole body, the bone and gums are subject to natural ageing. The bone may gradually shrink, and the tissues holding the implant may change over time under the influence of age, hygiene, the bite or other individual factors.

That is why it is impossible to predict what an implant will look like in 10 or 20 years in a particular person. With proper hygiene and regular check-ups, however, it most often works for many years without the implant itself or the crown needing to be replaced.

Do smoking or diabetes rule out an implant?

Smoking does not rule out implant placement, but it is worth cutting down before the procedure and during healing. Well-controlled diabetes need not be a contraindication either. With unstable diabetes, the condition first has to be brought under control together with your doctor. Whether implant placement is safe in your case we decide on the basis of the examination and your overall health.

How long does a bridge last?

There is no single number of years that fits every patient. Hygiene, the way you bite, the condition of the teeth and gums and regular check-ups all matter a great deal. Well-made and properly cared-for work can last for many years.

CONTACT

Book an appointment

While planning treatment you can always reach us by phone – it is often easier to answer your questions and explain the options straight away. If you cannot talk now, leave your number and a convenient time, and we will call you back. You will find the practice at ul. Bokserska 54 in Mokotów. From Wilanów and Ursynów it takes about 15 minutes to reach us. You can leave your car along the street or in the paid car park opposite the building. Buses 138 and 174 also stop nearby.

Book a consultation

Consultation 200 zł

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