The Smiles Studio in Hampshire, led by implant dentist Dr Mahesh Nagpal, provides advanced implant dentistry for complex cases, with free second opinions, 3D planning, and treatment options designed to restore and replace teeth when conventional implants aren’t enough.
We make dental implants possible for patients who have been told “no”
Need expert help because your dental implant case is not straightforward? With 36 years of experience and having placed thousands of dental implants, our implantologist at The Smiles Studio, Dr Nagpal, can often make what is often perceived as impossible possible and improve predictability in full-mouth cases using the TUPEL 3D scanner.
- Free complex case implant consultation
- Advanced options for severe bone loss
- Fixed teeth for denture wearers with gag reflexes
- All-on-4, pterygoid implants, bone grafts and sinus lifts
- £500 off dental implants, now from £2,500 inclusive
- Pay monthly over 1 to 5 years
Start with a free second opinion
If you’ve been told you don’t have enough bone for dental implants, have a low sinus, need a pre-implant procedure or have common issues like a sensitive gag reflex or gum disease, then you’ve landed in the right place.
We offer advanced dental implant treatments and systems to make fixed teeth possible in a wide range of previously unsuitable cases.
Take advantage of our free consultation offer, which offers a second opinion to give you clear answers about what’s really possible.
We’ll assess your case and recommend the most suitable dental implant procedure designed to address your specific issue.
Why choose The Smiles Studio for pterygoid implants?
- Free complex dental implant consultation
- Free second opinions for patients told they lack bone
- 36+ years of implant experience and clinical results
- Dr Mahesh Nagpal has placed 5,000+ dental implants
- Advanced implant options for severe upper jawbone loss
- All-on-4, pterygoid implants, bone grafting and sinus lifts available
- Same-day fixed teeth options for suitable full-mouth cases
- £500 off dental implants, now from £2,500 inclusive
Complex implant problems we have helped other patients with
There’s very little Dr Nagpal has been able to help with:
Old failing restorations
Teeth with old restorations, such as dental crowns, large posts and cores, or weakened roots, will require a full assessment so we can learn what’s worth saving and identify what might compromise the result. Here, Dr Nagpal can determine which heavily restored teeth should be repaired, monitored, removed, or replaced, and the best option for doing so.
Failing teeth
When several teeth are failing, treating each tooth individually might not be the most cost-effective approach or yield the best long-term results. A full-mouth reconstruction may be more suitable if your bite, smile, and chewing function all need rebuilding, and the long-term prognosis should be considered before deciding whether to save, restore, or remove.
Severe bone loss
Conventional implants require bone to thrive and survive decades to ensure stability. At The Smiles Studio, we’ll assess whether bone grafting can make implants possible again, or consider graftless procedures like All-on-4 or pterygoid implants to avoid pre-implant procedures.
Lack of bone density
Some patients have enough bone volume but poor bone density, which can affect implant stability and healing. A 3D CBCT scan helps assess bone quality and quantity so implants can be planned in the strongest positions. All-on-4, for example, can be angled to maximise bone in the upper jaw.
Upper jaw sinus problems
The upper back jaw is often more complex because in some cases, the sinus can limit the amount of bone available for implants. If the sinus is close to the jawbone, we can advise on whether a sinus lift, bone graft, angled implants or pterygoid implants will make fixed teeth possible.
Gum disease
Active gum disease can prevent patients from undergoing many cosmetic procedures. In the case of implants, it can increase the risk of future implant failure and complications and must be addressed and treated regularly to ensure healthy foundations that support long-term durability and stability.
Peri-implantitis
Peri-implantitis is inflammation and infection around dental implants that affects the surrounding gums due to plaque buildup, which can lead to bone loss and, in advanced stages, cause your implants to come loose. Dr Nagpal can treat the condition and halt its progression.
Complications from “Turkey teeth”
Poorly planned implant treatment abroad can lead to bite problems, gum inflammation, infection, pain, loose restorations or failing teeth. The Smiles Studio offers second opinions for patients with complications from overseas dental work, helping you to repair, replace and rebuild the work.
Sensitive gag response
A strong gag reflex can make implant treatment more difficult, especially during scans, impressions, surgery, placement, or longer appointments. We can tailor our techniques, adjust your position in the chair, use smaller instruments and, where suitable, dental sedation.
Excessive saliva
Hyper salivation can make dental surgery, impressions and particular implant stages more challenging. Our team can plan appointments carefully, using suction, isolation and controlled techniques to keep treatment as comfortable as possible.
Small mouth
A small mouth, jaw stiffness or limited opening can make access for implant surgery more difficult. We can carefully plan implant positions, appointment length, surgical access, and treatment stages so your care is more manageable.
Dental anxiety
Anxiety can stop patients from starting implant treatment, especially if they have been told their case is complex. At The Smiles Studio, we take time to explain your options clearly, plan treatment in manageable stages, and provide dental sedation for phobic patients.
Medical problems
Some medical conditions/medications can affect implant healing or suitability, including diabetes, osteoporosis medication, immune conditions or a history of radiotherapy. We take a full medical history and tailor treatment plans to your individual risks, healing ability, and long-term needs.
Previous failed implants
Dental implants can fail because of infection, bone loss, bite overload, poor planning, smoking, medical factors or maintenance issues. Dr Nagpal can assess why previous implants failed and whether retreatment, grafting, pterygoid implants or an alternative plan may still be possible.
Advanced implant treatments available for complex cases
- All-on-4 dental implants: Best for replacing a full arch of teeth using 4-6 implants with same-day fixed temporary teeth.
- Pterygoid implants: Best for severe bone loss at the back of the upper jaw and helps avoid bone grafting and sinus lifts.
- Implant-retained dentures: Helps reduce denture movement and improve function, such as speech and chewing.
- Bone grafting: Rebuilds lost bone to create a stronger foundation for conventional implant placement.
- Sinus lift: Increases bone height so implants can be placed safely in the upper jaw.
Complex implant planning at The Smiles Studio
Learn what’s involved:
| Stage | What happens |
|---|---|
| Free consultation | Assess your concerns, previous advice, denture problems, goals and budget. |
| Second opinion | Review your existing treatment plan and explain possible alternatives. |
| 3D CBCT scan | Detailed scans assess bone volume, sinus position, anatomy and suitability. |
| Treatment options | Dr Nagpal explains your available dental implant treatment options. |
| Cost planning | Fees and monthly payment options are explained before treatment begins. |
| Implant treatment | Your treatment is carried out using a carefully planned surgical approach. |
| Temporary teeth | Suitable patients can receive same-day temporary teeth after placement. |
| Final restoration | Final implant teeth are fitted once the implants have healed and stabilised. |
| Maintenance | Regular reviews and hygiene visits help protect your implants long term. |
Meet Dr Mahesh Nagpal
At The Smiles Studio, complex implant dentistry is led by Dr Mahesh Nagpal. With over 30 years of experience placing dental implants, he is a highly experienced implantologist who has placed over 5,000 implants for simple and complex cases in Hampshire, becoming the go-to for patients who may have been told “no” elsewhere because implants are too difficult, risky or not possible to place.
- Advanced implant training at the University of Toronto
- Trained 1:1 with Dr Gordon Christensen in implant dentistry
- Fellow of the International Congress of Oral Implantologists since 2007
- ADI UK accredited implant mentor since 2008
For patients with bone loss, failing teeth, denture problems or previous implant concerns, Dr Nagpal’s experience can be the difference between being told “you are not suitable” and understanding options that make fixed teeth possible.
Complex dental implant costs
| Treatment | Fee |
|---|---|
| Complex dental implant consultation | Free |
| Single dental implant | Now from £2,500 inclusive (£500 discount included) |
| All-on-4/All-on-6 implants | From £14,999 |
| Implant-retained dentures | From £5,000 |
| Bone grafting | From £500 |
| Sinus lift | From £500 |
| Pterygoid implants | Price on consultation |
| Dental implant finance | Pay monthly over 1 to 5 years |
Booking a second opinion with Dr Mahesh
At The Smiles Studio, Dr Mahesh Nagpal can review your case with fresh eyes thanks to his advanced expertise and experience in complex implant dentistry. He can assess what can be saved, what should be removed, what will last, what will look natural, what will fit your budget and what will give the most predictable long-term outcome.
A free second opinion is especially useful if you have been told:
- “You do not have enough bone.”
- “You need a sinus lift.”
- “You need a bone graft.”
- “You cannot have fixed teeth.”
- “Your case is too complex.”
- “Dentures are your only option.”
Our implant clinics in Hampshire
If you have been told you do not have enough bone for implants, or you want to avoid sinus lift or bone grafting where possible, book a free consultation with Dr Nagpal at The Smiles Studio. Bring any previous X-rays, CT scans, or treatment plans if you have them, especially if you have already been told you need bone grafting, sinus lift treatment, or alternative or advanced implants.
The Smiles Studio, Chandler's Ford
The Smiles Studio, Lymington
Complex dental implant FAQs
Can I have dental implants if I have severe bone loss?
In many cases, yes. Severe bone loss can complicate implant treatment, but options such as bone grafting, sinus lifts, pterygoid implants, and All-on-4 may still make treatment possible.
What if I have been told I do not have enough bone for implants?
Book a free second opinion with Dr Mahesh Nagpal. He can assess whether advanced implant techniques, grafting, sinus lift treatment or full-mouth implant options may be suitable.
Can I avoid a bone graft?
Sometimes. Pterygoid implants or angled full-arch implants may help suitable patients avoid grafting, but this depends on your bone levels, sinus position and implant plan.
Can I avoid a sinus lift?
In suitable cases, yes. Pterygoid implants or alternative implant positioning may help avoid sinus lift treatment, but a 3D CBCT scan is needed to confirm this.
Are complex dental implant cases painful?
Implant treatment is carried out with anaesthetic, and your comfort will be planned carefully. Some soreness, swelling, or bruising may occur afterwards, depending on the complexity of the treatment.
Can I get fixed teeth quickly?
Suitable full-mouth implant patients may have fixed temporary teeth fitted shortly after implant placement. Your suitability depends on bone stability, bite and treatment plan.
Does The Smiles Studio offer free second opinions on implants?
Yes. The Smiles Studio offers free consultations and second opinions for dental implant patients, including complex cases involving bone loss, dentures, sinus lift advice or previous implant concerns. Book now.