Dental Implants at Dove Holistic Dental Centre

From the time you make your appointment to the completion of your treatment, the entire focus will be on individual care and attention.
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    Before Implant
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    After Implant
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Consultation.

You will be welcomed to the practice by Kirsty, our dedicated Patient Care Coordinator. Over a complimentary drink, you will need to complete a Medical History questionnaire and a Smile Evaluation, this will inform us on how you would like your teeth to look or function and will form the basis of initial discussions with the dentist.

It is very important to us to achieve the smile you have always wanted.

In order for us to determine whether implant treatment is a suitable treatment option for you, we will carry out a full assessment of your teeth, gums and soft tissues and any necessary radiographs will be taken. During the examination, we will be evaluating the area(s) of your mouth where teeth are missing, including the amount of bone available to support the placement of implants. We will also be evaluating the type of replacement teeth that will best meet your needs.

If there has already been a significant amount of bone loss we may need to take impressions for models of your teeth and arrange for a CT scan.

Photographs of your existing smile will be taken for our clinical records. Normally, the dentist will give you an estimate figure for the cost of your treatment at this stage.

After the consultation with your dentist, Kirsty, will go through the treatment which has been discussed and explain the format of a written quotation. Should you wish to go ahead with the suggested course of treatment and require a full written quote, the cost of the written quote is £100.00 as this is very detailed and takes some time to prepare. If you accept the terms of the quote, the £100.00 is then refunded from the total cost of your treatment.

You will receive a written quotation within a week of your consultation (post permitting) and once we receive the signed quote, appointments will then be made for your treatment to commence.

We will give you the treatment options we feel are appropriate for the smile you wish to achieve and we will never compromise any clinical restraints. At all times, we will keep you fully informed and work with you to give the highest standards of care and attention.

Are Dental Implants the Right Solution for you?

If you wonder whether dental implants may be the right solution for you, read the following statements and see if any apply to you, dental implants may be a solution.

  • I am missing at least one tooth.
  • I feel self-conscious about the spaces left by my missing teeth.
  • I do not like to smile fully and lack confidence as a result of the spaces left by my missing teeth.
  • I dislike wearing dentures.
  • The dentures I wear are uncomfortable and cause me soreness and pain.
  • I cannot taste my food properly due to my dentures.
  • I cannot speak properly due to my dentures.
  • My dentures are a poor fit and this affects my confidence.
  • My crowns are repeatedly falling off.
  • My teeth are becoming loose.
  • The teeth holding my bridge in are becoming loose.

What is a Dental Implant?

A Dental implant is an artificial tooth root placed where the missing tooth used to be. They are made of solid, sterile titanium, which is inserted into the jaw to replace the roots of natural teeth. On the top of these implants can be placed fixed crown or bridgework or even a removable denture.

The Dental Implant Procedure

The first step is an examination and consultation with Dove Holistic Dental Centre, to determine whether or not you are a suitable candidate for implant treatment.

This usually involves x-rays (we may need to take impressions of your teeth to create a model and possibly a CT Scan. Your dental health and oral hygiene will be assessed; we will be evaluating the area(s) of your mouth where teeth are missing, including the amount of bone available to support the placement of implants.

We will also be evaluating the type of replacement teeth that will best meet your needs. A review of your health history will indicate whether there are any medical conditions that could prevent you from being a candidate for implant treatment.

Should implants be considered suitable for you, the implant procedure is as follows...

Stage 1 Implant Placement Procedure:

The implants are placed in the bone using a gentle surgical technique. Following the implant placement procedure, the implants are left undisturbed for a period of 3 to 9 months so that the bone can grow around the implants to form a strong biological bond to them. During this bone “remodeling” phase, you will have some type of temporary replacement teeth, so that you never have to be without teeth during treatment.

This part of the procedure takes approximately 30-45 minutes per implant.

Stage 2 Abutment Attachment Procedure:

Following the appropriate healing period, a small post called an abutment is attached to each extending it through the gum. The permanent replacement teeth will eventually be attached to these abutments.

This part of the procedure takes approximately 20 minutes.

Stage 3 Fabrication of Replacement Teeth:

Together with the dental technician the final tooth, bridge or denture is created. The artificial crown or tooth is attached with either cement or a screw.

Stage 4

Proper brushing, flossing and regular check ups will help you maintain your dental implants in perfect condition.

Following dental implant treatment, it will be necessary for you to return to us for regular check-ups for long-term evaluation of implant stability, routine x-rays and professional cleaning of the implant prosthesis.

Bone graft procedures before implant dental placement.

It is a natural phenomenon that after teeth have been removed the bone that once supported them slowly resorbs away. This occurs faster when prolonged gum problems have been present or poorly fitting dentures are being worn. The result is that there is sometimes not enough bone to support implants.

When there is not enough bone present, it may be necessary to create new bone to fill in missing areas allowing dental implants to be fitted. A variety of techniques are available to do this and these are referred to as bone grafting.

The bone used in these situations may be specially treated donor material from a ‘Bone Bank’, a synthetic substitute, or grafted from areas in the mouth where there is some spare. In special cases where larger amounts of bone are needed it is possible to graft bone from other places such as the hip or shin to the deficient area of the mouth. The area from which the bone is taken will regrow naturally.

Bone grafting and duration of implant treatment.

Where the clinical conditions indicate that bone grafting is required to increase the amount of bone into which implants are placed it will generally increase the time taken to complete the treatment. Under routine circumstances where no bone grafting is required the implants are commonly ready to begin function between 3 and 6 months later. If the bone grafting can be undertaken at the same time that implants are placed, treatment is more likely to take 6 to 12 months. Where implant placement must be delayed until after maturation on the bone graft, overall treatment may take 12 to 18 months.

Guided tissue regeneration

A technique called ‘guided tissue regeneration’ has also shown considerable success where the amount of bone at the intended implant site is less than ideal.

When a tooth is removed the hole in the gum remains for the first few weeks. Anyone who has lost a tooth of had an extraction knows that this generally heals uneventfully, and eventually you cannot tell where the tooth was.

The basic principle behind ‘guided tissue regeneration’ is that placing a special membrane over the extraction socket creates a layer above which the fast growing soft tissue cells are prevented from entering the bony socket. This allows the slower bone cells present beneath the membrane the extra time they need to fill the socket without competition for the soft tissues to occupy the same space.

The purpose of sinus augmentation

It is very common to find that the softer bone in the area above the upper back teeth (molars and sometimes premolars) is very shallow and not suitable for normal implant procedures. To solve this problem a procedure known as a ‘sinus augmentation’ or ‘sinus lift’ was developed.

Bone may be successfully grown in the sinus spaces above your upper back teeth allowing implants to be placed. Specially treated donor bone from a ‘Bone Bank’, synthetic bone substitutes, or bone grafted from other areas of the mouth or body is placed into these empty areas.

Over a period of time this is replaced by new bone thus providing a bed into which implants can be fixed.

Implant Placement and bone grafting

If the amount of bone overlying the sinus is adequate, some surgeons prefer to place the implants at the same time as the grafting procedures. Whatever type of bone is added to the sinus it must be left to mature before implants are placed or brought into function. If the implants are placed as a secondary procedure, (depending on the amount of bone being grown and the nature of the graft material used), they can be inserted after four to nine months, although occasionally it may be necessary to wait longer.

As with other bone grafting procedures the implants are left to become firmly attached to the bone.

Commonly a slightly extended healing period is chosen with an average six to nine months before a denture or crown and bridgework are fitted.

However, all bone grafting is unique to each individual and this information is for guidance only.

The dental implant and bone relationship

Whether you have had a bone graft procedure prior to your dental implant surgery or not there are some factors that influence the implant-bone relationship. This can be due to the bone quantity and quality. Bone has different characteristics depending on its location within the body.

The diameter of the drilled implant site and depth of the drilled dental implant contribute to how much bone is lost surrounding the implant site. In most cases this should not concern the patient, however cheap, unrecognised dental implant systems or poor planning of the implant therapy can lead to more bone being lost and resulting problems with dental implant.

Frequently Asked Questions

Are implants for me?

The oldest patient in whom Dr Ubhi has placed implants is 93 and the youngest is 17! Dr Boota Ubhi has placed over 2500 dental implants over the last 15 years with a success rate over 98 %.

Am I a candidate for implants?

The best candidates for dental implants are free from periodontal diseases and have an adequate amount of bone in the jaw to support the implant. We will be happy to discuss your options and requirements.

Am I too old for dental implants?

Overall health and a desire to improve the quality of life are much more important considerations than age. Back in the 1950’s implant supported replacement teeth were originally designed as a solution for older patients, many patients well into their 90’s have had dental implant treatment without any problems.

In fact our oldest patient for whom we have placed implants is 93 and the youngest is 17!

If I lost teeth due to periodontal disease, can I still have dental implants?

Definitely, most patients present with adequate amounts of bone for dental implants, in some instances, however, more bone is needed before implants can be placed. There are procedures to graft and regenerate the amount of bone needed for dental implants. Once sufficient amounts of new bone have been regenerated, enough dental implants can be placed to support a new dental prosthesis. (see Bone Grafting, Bone Augmentation and Sinus Grafting).

How successful is this procedure?

Over thirty years of clinical documentation has proven the success of implants, with nearly two million patients treated. In our practice there is a 98% success rate in both the upper and lower jaw.

Are implants always successful?

There is a small possibility that the implant and bone will not attach correctly or that an implant will fail after some period of time. If this happens, the implant can be removed and often replaced by another implant.

Will my new tooth or teeth look natural?

Depending upon your condition, your new tooth or teeth will ideally look, feel and function like your own. Dental implants currently provide some of the finest restorative results in dentistry.

How long will my implant(s) last?

The first implants were put in place 30 years ago and are still functioning. To date, there is no time limit on the life expectancy of successful implants.

Will I be able to chew on the implant teeth with the same amount of force as I do with my natural teeth?

Yes. Studies have shown that chewing efficiency improves significantly after treatment with implants.

What is the follow up care needed?

Dental implants require the same daily homecare and professional cleaning that your teeth do. We may place you on an alternating cleaning and evaluation schedule. That way we can continually monitor the health of your teeth and implant and can make certain that your crowns and bridges are functioning as designed.

How long does the implant procedure take?

The first procedure, placement of the implants, takes approximately 30-45 minutes for each implant. The second procedure to uncover the implants and attach the abutments usually takes about 20 minutes or less.

Is the procedure painful?

If you are like most patients, you will experience minimal discomfort during or after the operation. We will discuss options for anesthesia and plan your procedure accordingly.

How much will implant treatment cost?

The actual cost of the procedure will depend on the number of implants necessary, the position of implant placement and the type of replacement teeth that will best meet your needs.

All in all, dental implants represent a wise investment in overall health and well-being and provide you with substantial long-term benefits.

Will there be any swelling after the procedure?

Infections are very rare although they do occur. Most people experience only minimal swelling. Any that does occur usually ends within one or two days after the procedure.

Will I be able to chew on the implant teeth with the same amount of force as I do with my natural teeth?

Yes. Studies have shown that chewing efficiency improves significantly after treatment with implants, and following a brief adaptation period, is comparable to the chewing efficiency of natural teeth.

Can an implant be rejected?

Yes. Implants can be rejected, but not in the way we know “rejection” can occur in organ transplants, like with kidneys and hearts. We know dental implants are biocompatible. There are no known allergic reactions to commercially pure, titanium implants, which is the most widely used today but failures do occur. Dr Ubhi success rate is 98%.

Can I have implants in the upper back jaw?

Yes, However, in most cases the maxillary sinus becomes enlarged and hollow after an extraction of the upper molar teeth. However, we can grow more bone in the sinus by placing a bone graft in this area.

The procedure is not difficult and Dr Ubhi has had excellent results. Once the bone has grown and matured we can place implants in that area, which years ago seemed impossible.

What if the bone is too narrow to hold an implant?

In these cases, there are a variety of ways we can increase the width of the bone. This technique is called a ridge augmentation. Depending on the need, ridge augmentations are performed months before placing implants or at the same time the implants are placed.

The bottom line is that regardless of the amount of available bone, techniques exist to place implants in nearly all difficult.