Dental Implants

Feel carefree with friends, family and in public. Dental Implants let you enjoy life with confidence.

Dental Implants

Feel carefree with friends, family and in public. Dental implants let you enjoy life with confidence

1: Consultation and Exam, Clinical Assessment, Planning and Creation of Your Prosthesis

We do a thorough review of your dental and medical history, then talk over your expectations and options. A clinical assessment means that we’ll review x-rays and other details of your current condition to confirm if the process is appropriate. If it is, we’ll plan your procedure, create a digital 3D image or manual impression and create your temporary prosthesis – your new tooth or teeth!

2: Preparation and Placement

Your procedure could possible include multiple steps all in the same appointment. If extracting any teeth is requited, that will be done first, followed by placement of the implant. The implant is anchored to the bone in your jaw. If more bone volume is needed, we will use bone substitute at that time. Finally, the temporary prosthesis is connected to the implant(s), giving you your new smile that looks and feels natural

3: Follow-Up Appointment

A follow-up appointment is typically planned for two weeks after your procedure as a general check-up

4: Impression Taking For Your Final Prosthesis

Once your gums and bone are healed, your new implant and surrounding tissue will be ready for your final prosthesis, which is created to perfectly match the colour of adjacent teeth

5: Fitting Your Final Prosthesis

We’ll remove the temporary prosthesis and fit your permanent solution in place. We’ll also make any final adjustments to help ensure your bite is comfortable, functional, easy to clean and natural looking

My existing dentist would not see me for an emergency appointment and was quite rude and unhelpful, so on recommendation I called here, they booked me in for an emergency appointment, and had root canal surgery carried out.

From beginning to end, they were very helpful and professional. The prices were very reasonable. I have now signed up as a patient and will leave my existing dentist. I highly recommend them.

Patrick Halpin

Frequently Asked Questions About Dental Implants

Who is suitable for dental implants?

Dental implants are suitable for most adults with good general health. They can only be used once the jawbone has stopped growing and so generally are not used with younger patients. Habits such as heavy drinking or smoking can increase the number of problems associated with initial healing and thereafter may be bad for the long-term health of the gum and bone surrounding each implant. Some Dentists will decline to place implants if smoking cannot be reduced or given up altogether. However, each case is different and if you do have any medical problems then speak to the dentist prior to starting any treatment – it is only in some circumstances that health problems prevent the use of dental implants altogether.

Do you need to have a healthy mouth?

When you first enquire about dental implants it is often in response to an awareness of ongoing dental problems or the recent loss of teeth. The cause of these problems will need to be understood and treated before undertaking implant treatment. If you are aware of bad breath, loose teeth, or have noticed excessive bleeding, particularly when your teeth are cleaned professionally, you may have gum problems. Gum disease (periodontal disease) is a major cause of bone loss, and with reduced bone dental implant treatment can be more complicated but not impossible.

What should you know before you start treatment?

It is accepted practice that you should be given a written summary of your treatment planning discussion(s), highlighting your current dental situation and any alternatives there are to dental implants. This summary should also include an overview of the anticipated treatment stages and give you some idea of how long treatment is likely to take, how many implants are required and what the fees are expected to be, There may well be other issues specific to your case and these would be dealt with accordingly.

How many teeth can be supported by implants?

Dental implants can be used to replace one or several missing teeth. All the common forms of tooth replacement, such as bridges or dentures can be supported by dental implants. If you are missing just one natural tooth, then one implant is normally all that will be needed to provide a replacement.

However, larger spaces created by two, three or more missing teeth do not necessarily needed one implant per tooth; the exact number of implants will depend upon the quality and volume of bone at each potential implant site. Patients who have a habit of clenching or grinding (bruxing) their teeth may be at risk of overloading their implants. For most people bruxism occurs during sleep, which is why they are generally not aware of it. Heavily worn or flattened teeth, chipped enamel edges and/or regularly breaking pieces of heavily filled teeth are the most common clinical signs of bruxism.

The effects of bruxism need to be considered during treatment planning and can be compensated for by placing additional implants, selecting appropriate restorative materials and providing a night time bite guard to protect the new teeth. This will be discussed in your initial consultation and detailed in your treatment plan.

Can you wear replacement teeth whilst going through implant treatment?
If the teeth being replaced by dental implants are in a clearly visible part of your mouth you will most likely want to have some teeth present whilst treatment is underway. There are a number of ways that this can be done, ranging from simple plastic dentures to removable bridges. If replacement teeth are used during treatment stages it is important that they do not apply uncontrolled pressure to the underlying implants. You should expect to make a number of visits after the implants are placed and before they are brought into function, for small adjustments to any temporary teeth.

If the implant surgery is going to take a long time can you have sedation or a general anaesthetic?

Although it is quite straightforward to provide good pain control during surgery, most people will be quite anxious. There is no need to suffer in silence, as there are several very effective means by which you can achieve a relaxed state.

Oral sedation – simple way to aid relaxation is to be given a dose of a short acting medication such as Temazepam (normally used to help with sleeping difficulties). This will reduce anxiety for most patients and provides a very good effect for uncomplicated surgical stages taking less than an hour.

Conscious sedation – For treatment of greater complexity it may be suggested that you have a more controlled way of keeping relaxed and comfortable during the surgical stages. This is known as a ‘conscious sedation’ and is distinctly different from a general anaesthetic, because you remain alert enough to respond to simple instructions that may be helpful to the surgeon – however, you will remember almost nothing about the treatment stage. It is particularly beneficial for procedures taking more than an hour where a hospital admission is not required – this is probably true for the majority of treatments related to dental implants. For a routine ‘conscious sedation’ a carefully controlled amount of sedative is delivered through a vein in your arm or hand for as long as the treatments takes. It is a very safe procedure during which your heart rate and oxygen levels are monitored throughout by an anaesthetist. With conscious sedation, a normal dental local anaesthetic is injected around the proposed implant sites. Most people do not remember this stage because the sedation has already taken effect by the time the dental anaesthetic is given. For procedures involving oral or conscious sedation you may be asked not to eat or drink for at least four hours prior to the surgery and you will need to arrange for an adult to take your home. You will also be advised not to operate any machinery for at least 24 to 36 hours afterward.

Where can you get extra bone from?
Bone can be harvested from a number of sources but usually from behind the back teeth in the lower jaw or from the chin. Sometimes it is taken from the hip or shinbone (tibia). When you use your own bone to create new bone in another area of the mouth you will have to contend with the discomfort created by the donor site as well as the surgical site. Many people feel this is well worth any additional discomfort as your own bone is normally considered the ‘gold standard’.

Alternatives to you own bone for grafting. For those who would prefer an easier but slightly slower, solution there are other sources of bone such as bovine (derived from cow), porcine (derived from pig) or synthetic materials that have been specially prepared to make them safe for use in humans. All of these materials, including your own bone, simply provide a scaffold into which new bone will grow in order to be ready to receive dental implants a few month later. New bone can take anywhere between 3-12 months before it is ready to receive dental implants.

Do not be in a hurry to move to the next stage. If you need a large volume of bone it will take longer to mature than a small amount. Each surgeon will have his or her preferred way of creating new bone. Many of them will also use a supplementary technique called ‘guided tissue regeneration’. Using this technique, slow-moving bone cells given time to fill a space by placing a barrier materials between them and the fast moving cells of the soft tissue s lining the mouth. This is a ‘resorb-able barrier’ that will disappear naturally in a few months after it has done its work

Am I too old for implant treatment?
There is no upper age limit for patients to undergo implant treatment, provided they continue to enjoy reasonably good health
How will you know if you are suitable for implants?

At your initial consultation the dentist will assess the feasibility of providing implant treatment. You will be expected to answer detailed questions concerning your medical history and there will be a complete examination of your mouth and remaining teeth to discover the nature and extent of any current dental problems. Usually x-rays will be taken and models of the teeth prepared so that these can be examined after your visit. These x-rays and models will be used to determine the optimal position for an implant, how many implants can be placed in the gap and the quality and volume of bone that is available. Establishing good basic dental health is a key stage in any treatment plan. At this first appointment you should be made aware of which problems are urgent, and what treatment is required to stabilise any gum, or tooth-related problems. It would be reasonable to expect a verbal outline of how your particular implant treatment might be approached.

How long does treatment take?

For routine cases, from the time of implant placement to the time of placing the first tooth/teeth, treatment times can vary between six weeks and six months. The availability of better quality bone can be used to decrease treatment time, whilst more time and care must be taken with poorer bone which can therefore extend treatment times beyond six months.

How long will the implants last?

Once the implants and surrounding soft tissues are seen to be healthy and the new teeth comfortable and correctly adjusted, it is the quality of your personal attention to oral hygiene and willingness to attend regular maintenance reviews that will have most influence on how long they will last. When poorly cared for, implants will develop a covering of hard and soft deposits (calculus and plaque), which is very similar to that found on neglected natural teeth. Untreated, these deposits can lead to gum infection, bleeding, soreness and general discomfort. It could probably be said that implants will last as long as natural teeth.

Well-maintained implants placed into adequate bone can be expected to last for many years and possibly for your lifetime. However, just as you would expect conventional crowns, bridges and fillings need occasional repairs or replacements, your implant-supported teeth may also have similar maintenance requirements over the years.

How do you know if you have enough bone for dental implants?
Routine dental x-rays show large amounts of detail, but in only two dimensions. From these views it is generally possible to judge the height of bone available for implant placements; however, more advanced imaging techniques are sometimes needed to determine the equally important bone width.

Dental CBCT Scans – there are now a number of advanced x-ray techniques that allow your jawbone to be looked at in all three dimensions. The most accurate and widely available is known as the CBCT (cone beam computed tomography) scan. Images obtained by CBCT scanning will normally be able to show all of the information required about your bone, including quantity and quality, but most importantly the presence of anatomical structures that must be avoided.

Is it uncomfortable when implants are being placed?

Most patients will be familiar with the dental anaesthetics used for routine dentistry and will know how effective they are. Implants are placed using the same anaesthesia. Depending upon the complexity of your case, the operation might take anything from 30 minutes for a single implant, to several hours for complex bone grafting and multiple implant placements. Since the surgery normally involves exposing the bone in the area where the implant and/or bone graft is to be placed you can expect some minor swelling and occasionally bruising afterwards. For most patients, any of the over-the-counter/basic painkillers that you might take for a headache will be adequate for a few days. If you experience more discomfort than this, contact your treatment provider who can prescribe a stronger medication.

Healing is generally straightforward and any stitches are removed a week to ten days later. During the first few days you should report any unexpected levels of pain or swelling so that they can be assessed.

If in doubt always ask for advice, as early detection of a problem will often lead to a simpler solution. You may also be asked to take a course of antibiotics and to follow some simple procedures such as rinsing with salt water or an antiseptic mouth rinse. It is importantthat you carry out these instructions.

If you do not have enough bone what can be done?

So far we have covered the building blocks that are part of routine implant placement. This has included the initial examination and diagnosis, special x-rays such as CBCT scans, sedation during surgery and what to expect after the implants have been placed. However, for some people, bone loss after the removal or loss of teeth leaves them without enough to secure an implant. There are procedures that can be done if this is the case:

In the upper jaw above the back teeth, it is possible to increase the height of bone available by creating new bone in the sinus. This procedure is called a ‘sinus augmentation’. A skilled surgeon can deliver highly predictable results in this location and without the general success of this technique many patients would be unable to have implants in part of the mouth where teeth are so commonly missing.

There are many ways in which bone can be added; however, one simple concept is to take a piece of bone from somewhere else and secure it as an ‘onlay graft’ to a deficient area. The new piece of bone will slowly join to the underlying region and when healed and mature, an implant can be placed in. amore favourable position.

How do you look after the implants?
It is important that you maintain good oral hygiene with your implants to improve their life span. Cleaning your implants is not difficult. For most implant -supported teeth you will be able to clean around each supporting implant by brushing and flossing in just the same way you would around natural teeth and tooth-supported bridges. In some areas special floss, interdental toothbrushes and other cleaning aids may be needed to maintain good oral hygiene
Will I be able to eat what I like afterward?
Once Completed, patients should be able to eat a normal, healthy diet with little or no difficulty