Implantology
Dental implants in Varna
The name behind your smile.
An implant replaces the root of a missing tooth. Everything else — the stability, the aesthetics and how long it lasts — is decided by the planning done before the first incision, and by who performs it.
One missing tooth is rarely one problem
When a tooth is gone, the bone beneath it stops being loaded and begins to resorb. Neighbouring teeth drift into the gap, the opposing tooth over-erupts, and chewing shifts to the other side. Within a few years the question is no longer about one tooth but about a changed bite.
An implant is the only option that replaces the root rather than just the crown. That is why it costs more than a bridge — and why it behaves more predictably over time.
What we actually place
We work with two implant systems: Straumann (Switzerland) and Neodent (Brazil, part of the Straumann Group). They share a research base and a surface philosophy, but differ in price and in the volume of independent long-term data behind them.
Choosing between them is a clinical decision, not a sales one. For thin bone, the aesthetic zone, a history of periodontitis or in smokers, we prefer Straumann for its independent ten-year evidence. Where bone is good and the indication is standard, Neodent gives a lower price without changing the protocol.
Who performs the surgery
Every implant in this clinic is placed by Dr Nevena Karadjova, a specialist in Oral Surgery (MU-Varna, 2019), formerly assistant in the Department of Oral and Maxillofacial Surgery and a resident at the Maxillofacial Surgery Clinic of UMHAT “Sv. Marina”. She has placed over 2,000 implants.
The restorative side — the crown on top — is planned together with Dr Damyan Karadjov, so the implant is not placed where it was convenient and then restored where it happens to emerge.
The name behind your smile.
Stages of treatment
How treatment runs
Five stages. Total time depends on your bone, not on how quickly anyone would like to finish.
Examination, 3D scan and plan
Consultation, clinical examination and a cone-beam CT scan in the clinic. We measure real bone volume, nerve position and sinus anatomy. You leave with a written plan: stages, timing and cost.
Preparation, if needed
If there is not enough bone: augmentation or a sinus lift. Sometimes in the same operation, sometimes separately. This is the stage most often left out of a fast quotation.
Placing the implant
Under local anaesthetic. A single implant takes roughly 30–45 minutes. You will feel pressure, not pain. If you would prefer sedation, we discuss it in advance.
Osseointegration
Bone bonds to the implant surface. Typically 2–4 months in the lower jaw and 3–6 months in the upper. You wear a temporary solution if the site is visible.
The crown
Digital impression, fabrication and fitting. From then on the implant is maintained like a natural tooth, with hygiene visits twice a year.
What the evidence shows
94–96%
implant survival at 10 years
Pooled data from systematic reviews and meta-analyses of clinical studies. Adjusted for patients lost to follow-up the estimate falls to approximately 93%, and to approximately 91.5% in patients aged 65 and over.
Sources
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. (opens in a new window) · Moraschini V, et al. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg 2015;44(3):377–388. (opens in a new window)
98.8%
10-year survival of Straumann SLA implants
Independent university-based study of 511 implants in 303 orally healthy partially edentulous patients. In patients with a history of periodontitis maintained on a structured supportive programme, survival was 96.9–100%.
Sources
Buser D, et al. Ten-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res 2012;14(6):839–851. (opens in a new window) · Roccuzzo M, et al. Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Clin Oral Implants Res 2010–2014 series. (opens in a new window)
~22%
peri-implantitis prevalence at patient level
Pooled meta-analytic estimate (95% CI 14–30%); peri-implant mucositis approximately 43%. A later meta-analysis of 57 studies estimated 19.5% at patient level. Reported prevalence ranges from 1% to 47% because case definitions differ, and rises with time in function.
Sources
Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol 2015;42(S16):S158–S171. (opens in a new window) · Derks J, et al. Effectiveness of implant therapy analyzed in a Swedish population: prevalence of peri-implantitis. J Dent Res 2016;95(1):43–49. (opens in a new window)
2.4×
higher implant failure risk in smokers
Meta-analysis of 292 publications covering 35,511 implants in smokers and 114,597 in non-smokers (odds ratio 2.402, p<0.001), with a mean difference in marginal bone loss of 0.58 mm.
Sources
Chrcanovic BR, Albrektsson T, Wennerberg A. Smoking and dental implants: a systematic review and meta-analysis. J Dent 2015;43(5):487–498. (opens in a new window) · Naseri R, et al. Levels of smoking and dental implants failure: a systematic review and meta-analysis. J Clin Periodontol. (opens in a new window)
Who this is for
Who this suits — and who it does not
- One missing tooth, several teeth or a full arch
- Sufficient or reconstructable bone
- Periodontal health brought under control before surgery
- Willingness to attend maintenance appointments afterwards
Good to know
- Active untreated periodontitis — treated first, implanted second
- Uncontrolled diabetes or certain bone-density medications — needs coordination with your physician
- Active smoking — not an absolute barrier, but it changes the risk and we say so
- Patients still growing — we wait until growth is complete
Good to know
Risks and limitations, stated plainly
Implants are not permanent and nobody can guarantee your result. The most common long-term problem is peri-implantitis — inflammation of the tissue around the implant that can cause bone loss. Meta-analyses estimate prevalence at approximately 22% at patient level, with reported figures varying widely depending on the diagnostic criteria used.
Risk rises with smoking, untreated periodontitis, poor hygiene and missed reviews. That is why maintenance is part of the treatment, not an optional extra.
Possible early complications: swelling and discomfort for a few days, less commonly infection or failure to integrate — in which case the implant is removed, the site is allowed to heal, and we try again.
Alternatives
Alternatives we will discuss with you
A bridge on your own teeth
Faster and cheaper. Requires preparing the neighbouring teeth and does not stop bone resorption under the gap.
A partial denture
The most affordable option. Removable, with less chewing comfort.
Doing nothing
Sometimes reasonable in the short term. Rarely reasonable as a long-term answer to a lost molar.
Price
See prices
We will get back to you within one working day to arrange the time that suits you best.
| Treatment | Price |
|---|---|
| Neodent implant | from €650 |
| Straumann implant | from €950 |
| Zirconia crown on a Straumann implant | from €450 |
| Transcrestal sinus lift | from €300 |
Meet the dentist
Dr Nevena Karadjova
Dentist · Specialist in Oral Surgery
All implantology and All-on-X surgery of the clinic: implants, bone grafting and sinus lift, oral surgery, aesthetic medicine.
- DMD, Medical University of Varna
- Specialty in Oral Surgery, MU-Varna, 2019
- Assistant, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, MU-Varna, 2016–2019
- Resident, Maxillofacial Surgery Clinic, UMHAT “Sv. Marina”, Varna, until 2017
- 2,000+ implants placed personally
Frequently asked questions
What patients ask before deciding
Surgery is done under local anaesthetic and you should feel pressure rather than pain. Afterwards, expect normal discomfort for a few days, managed with ordinary painkillers. We work with precise anaesthesia and a gentle touch, adapting to your individual comfort level. Thresholds differ between people, and a sensation is not something anyone can promise.
Systematic reviews and meta-analyses report pooled survival of approximately 94–96% at ten years for modern rough-surface implants. Adjusted for patients lost to follow-up the estimate is about 93%, and about 91.5% in patients aged 65 and over. These are population figures, not a prediction for an individual case.
Neodent belongs to the Straumann Group and shares a similar surface philosophy. The difference is price and the volume of independent long-term data — independent university series report 98.8% ten-year survival for Straumann SLA implants. Which we recommend depends on your bone, the site and your risk profile.
Yes, but the risk is higher. A meta-analysis of 292 publications covering more than 35,000 implants in smokers found failure at approximately 2.4 times the rate seen in non-smokers. We do not refuse to treat smokers — we give you the number in advance and plan stricter maintenance.
A Neodent implant is from €650 and a Straumann implant from €950. That is the fixture and its placement. The crown is separate: €390 on Neodent, €450 on Straumann. Bone grafting or a sinus lift, if needed, is costed separately. The total for your case is set after examination and a scan.
Sometimes — it depends on the bone and on whether infection is present. Immediate placement shortens the overall timeline but is not right for every case. That decision is made on the scan, not on the phone.
Yes. Cone-beam CT is performed in the clinic. We do not send you elsewhere, and we do not plan an implant from a panoramic radiograph alone.
Related treatments
The Karadjovi name stands behind your smile
Discover the smile that suits you.
You leave with a diagnostic assessment, a staged plan and a clear price — with no obligation to continue with us.
We reply within one working day.