


Highly regarded, experienced, and known for his complex casework at The Smiles Studio, Dr Mahesh Nagpal is an implantologist and the go-to in Hampshire for advanced tooth replacement, having restored thousands of smiles since 1990.
Using pterygoid implants, Dr Nagpal can make full-mouth rehabilitation possible for patients who have previously been told they lack sufficient bone density to support traditional implants.
EXCELLENT Based on 477 reviews Posted on Google Robert AlldisTrustindex verifies that the original source of the review is Google. I’ve had regular hygienist appointments at Smiles Studio over the last 7 years and with Juhi for the past 3. She is extremely good and long may she continue her work at the practice, for as long as I require treatment.Posted on Google Tony MatthewsTrustindex verifies that the original source of the review is Google. Treatment is excellentPosted on Google Corinne TylerTrustindex verifies that the original source of the review is Google. Very happy with my hygienist appointment. Good appointment and useful informationPosted on Google Rhia GillTrustindex verifies that the original source of the review is Google. Always a positive experience, amazing dentists and reception staff are always friendly and helpfulPosted on Google sara chilversTrustindex verifies that the original source of the review is Google. Juhi Arora is just amazing. She ensures you are thoroughly informed as to what she will be doing. Is understanding, caring and makes you feel at ease during the treatment.Posted on Google Sam AshfordTrustindex verifies that the original source of the review is Google. I had a hygienist appointment with Karenn yesterday and was so very impressed. She was very welcoming , calming and professional and gave me lots of helpful advice to improve my oral hygiene. I couldn’t believe how gentle she was at cleaning my teeth and found the whole experience effortless. Many thanks ☺️Posted on Google Nicola BakerTrustindex verifies that the original source of the review is Google. I’ve been having treatment done and today I was in for my Implant operation. I was incredibly nervous but I have to say it was fine it was actually less uncomfortable than some of the other work I have had done. Dr Mahesh Nagpal was great and put me at ease with what was about to happen, and making sure I was ok. Overall so far the treatment and communication I’ve had done, and the results I’ve seen are fantastic. I would highly recommend Smiles Dental surgery all the staff have been great.Posted on Google Olivia MalpiediTrustindex verifies that the original source of the review is Google. On time and very thorough teeth clean. Karen was so friendly and gave me some really good advice. My dentist Harjeet is also fab!Posted on Google Alex BassettTrustindex verifies that the original source of the review is Google. Juhi provided a very good Hygienist service today. The service and advice provided was really good, would reccomend.
Instead of relying only on the thinner upper jawbone or adding bone through grafting, pterygoid implants are positioned into stronger and denser bone around the pterygoid region.
| Treatment | Fee |
|---|---|
| Dental implant consultation | Free |
| All-on-4 dental implants | From £14,999 |
| Implant-retained dentures | From £5,000 |
| Pterygoid implant treatment | Price after consultation |
| Dental implant finance | From £54.21 per month |
| Monthly payment terms | 1 to 5 years |
Exploring other full mouth rehabilitation treatments that can avoid bone grafting? Compare pterygoid implants against zygomatic implants and All-on-4/All-on-6. The most suitable system can be identified following a free consultation with Dr Nagpal in Hampshire.
| Feature | Pterygoid implants | Zygomatic implants | All-on-4 |
|---|---|---|---|
| Best for | Severe bone loss at the back of the upper jaw. | Extreme upper jaw bone loss. | Full-arch tooth loss with sufficient bone in strategic areas. |
| Where the implants anchor | Dense bone around the pterygoid region behind the upper jaw. | The cheekbone, also called the zygoma. | The front and back areas of the jaw, usually with angled rear implants. |
| Can it avoid bone grafting? | Yes. | Yes. | Yes, in suitable cases. |
| Can it avoid a sinus lift? | Yes, in suitable upper jaw cases. | Yes, because it bypasses the sinus area. | Sometimes, depending on sinus position. |
| Can teeth be fixed quickly? | Yes, immediate loading possible. | Yes, immediate loading possible. | Yes, immediate loading possible. |
| Main benefit | Provides excellent back-of-mouth stability without grafting. | Allows fixed implant teeth even with very severe upper jaw bone loss. | A faster full-arch option using fewer implants and strategic placement. |
| Treatment complexity | Advanced implant treatment requiring precise 3D planning. | Highly advanced treatment for the most complex upper jaw cases. | Advanced full-arch treatment, but usually less complex than zygomatic cases. |
| Typical use | Often used to improve support at the back of an upper full-arch bridge. | Often used when there is not enough upper jawbone for standard or pterygoid support alone. | Used for replacing a full arch of missing or failing teeth with fixed implant teeth. |
| Stability | Excellent stability from dense posterior upper jaw bone. | Very high stability from cheekbone anchorage. | Strong stability when enough bone is available for full-arch support. |
| May reduce treatment time? | Yes, by avoiding grafting and supporting immediate loading. | Yes, by avoiding major grafting in severe bone loss cases. | Yes, often faster than grafting-based full-mouth implant plans. |
Pterygoid implants are advanced dental implants placed into dense bone at the back of the upper jaw. They are often used when there is not enough upper jawbone for standard implants.
They may be suitable for patients with severe bone loss in the upper jaw, especially those who have been told they need a sinus lift, bone graft or more complex full-mouth implant treatment.
Yes, in suitable cases at The Smiles Studio. Pterygoid implants use the dense bone at the back of the upper jaw, which can reduce or eliminate the need for bone grafting.
Often, yes, at The Smiles Studio. Because pterygoid implants are placed into the back of the upper jaw and angled away from the sinus area, they can help some of our patients avoid sinus lift surgery.
In suitable cases, yes. Pterygoid implants can allow immediate loading, meaning temporary fixed teeth may be fitted within days of implant surgery.
Not always. Pterygoid and zygomatic implants are used to treat different types of severe upper jawbone loss. A 3D scan and implant consultation with Dr Nagpal are needed to decide which option is safer and more suitable.
Yes. They are designed to anchor into dense bone at the back of the upper jaw, providing excellent support for full-arch implant bridges where suitable.
Treatment is carried out with anaesthetic, and your clinical team will explain comfort and sedation options before surgery. Some soreness, swelling, or bruising may occur afterwards, as with other implant procedures.
Don’t worry, advanced digital dentistry allows us to help patients who have been turned away elsewhere. Dr Nagpal is fully trained in advanced dental implant procedures, meaning we can perform on-site bone grafting and sinus lifts, or utilise angled implants such as Nobel Biocare’s All-on-4 to maximise your existing bone structure.
Pterygoid implant treatment is quoted after consultation because the cost depends on the number of implants, whether full-mouth rehabilitation is needed and whether temporary or final fixed teeth are included.
Yes. The Smiles Studio offers dental implant finance, with implants currently advertised from £54.21 per month and pay-monthly options over 1 to 5 years.
TEL : 023 8025 1133