Dental Implant Treatment at

Elvetham Dental Care

Dental implants are a reliable and trusted method of restoring single or multiple teeth and securing full dentures. Dental implants are made of titanium which bonds to the jaw bone and once bonded (osseointegrated) can be used to secure a restoration or denture. Implants, if well maintained, can last for many years and although they can be initially a more costly treatment option they offer exceptional value for money over time.

Thinking about dental implants? 🤔..... But wondering what's involved.Here's Angela explaining 🎙the stages of a simple implant treatment 😃🎥

Posted by Elvetham Dental Sarah on Friday, 6 July 2018

Single and multiple implants

The most straightforward dental implant procedure will be carried out in two or three stages. After assessment and treatment planning, your implant placement surgery will be scheduled. The treatment is carried out under a local anaesthetic, with sedation if required. It takes approximately 3 months for the implant to integrate with your bone and when osseointegration is complete, we are able to fit your final restoration on top of the implant.

Implant – Single

A single implant may fitted to replace a missing tooth. The adjacent teeth do not have to be prepared as with a bridge. The implant is gently fitted after preparation of the site and bone grows tightly onto the roughened titanium surface within 8-12 weeks. A crown may then be fitted onto the implant to fill the gap.

Implant – Retained Bridge

If you have more than one missing teeth two or more implants may be placed. A bridge is then made to be cemented or screwed onto the implants.

Implant – Fixed

If you have lost all your teeth in the upper or lower jaw a denture or bridge may be fixed with screws onto a number of implants. Your denture will be fixed and only your dentist can remove it for inspection and cleaning. After extraction of your teeth the denture may be fitted in certain cases within a couple of days.

Implant – Removeable

Dentures may be stabilised by two or more implants. Locator attachments or clips are used to clip the dentures onto your implants. You will be able to remove your denture and clean it yourself.

Implant – Removeable

Dentures may be stabilised by two or more implants. Locator attachments or clips are used to clip the dentures onto your implants. You will be able to remove your denture and clean it yourself.

Teeth in a day

If you’ve opted for the All-On-4 (Same Day Teeth) dental implant procedure which replaces all your teeth, you have any remaining natural teeth removed and implants placed and restored on the same day. This treatment enables you to leave the surgery with a beautiful new set of teeth so that you can eat and smile with confidence.

Firstly, your dentist will prepare your mouth to receive dental implants. Carried out under a local anaesthetic and optional sedation, this involves removing your hopeless teeth and any diseased or infected tissue from your jaw and gums. Your four dental implants will then be placed: two near the front of the jaw and two near the back, strategically angled to provide the greatest possible support and strength. You’ll be given some time to recover at the surgery during the day, before returning to have your denture attached to the implants. This is a temporary prosthesis that will allow you to recover from your implant surgery without compromising on your smile. Once osseointegration has completed, you’ll receive your final prosthesis and can enjoy your new smile with confidence.

Dental implant maintenance

Dental implants really do deliver on their promise of giving you a long, hassle-free smile – but don’t underestimate the responsibility required of you to keep them in good condition. If dental implants are not kept free of plaque and tartar, serious problems can arise. The first obvious sign of a problem is bleeding, which indicates mucositis. If left unchecked, this can quickly develop into peri-implantitis, which causes bone and gum loss and ultimately the failure of your implants. Your dentist will talk you through the risks of not maintaining your dental implants before you undergo treatment and your hygienist, will be on hand to help you look after them for years to come. Remember smoking is not only bad for your general health but also increases the risk of implant failure.

Dental implant maintenance

Dental implants really do deliver on their promise of giving you a long, hassle-free smile – but don’t underestimate the responsibility required of you to keep them in good condition. If dental implants are not kept free of plaque and tartar, serious problems can arise. The first obvious sign of a problem is bleeding, which indicates mucositis. If left unchecked, this can quickly develop into peri-implantitis, which causes bone and gum loss and ultimately the failure of your implants. Your dentist will talk you through the risks of not maintaining your dental implants before you undergo treatment and your hygienist, will be on hand to help you look after them for years to come. Remember smoking is not only bad for your general health but also increases the risk of implant failure.

Frequently asked questions

What exactly is a dental implant?

Dental implants are the new standard of care for tooth replacement. They are made of titanium and bond with healthy bone to provide fixed support for dental crowns and dentures. Dental implants look and feel like natural teeth and can last a lifetime.

Am I suitable for dental implants?

Dental implants may be placed in most adults. However, there are certain medical conditions which increase the risk of failure, as well as poor bone quality, gum disease and heavy smoking. Please ask your dentist if implants are right for you.

Can I consider implants if my dental health is not good?

Yes, if your dentist agrees that your problems can be rectified and you commit to the treatments required to get your teeth and gums in the right condition for dental implants. This could involve orthodontics, extractions, bone regeneration or periodontal treatment, as well as changing lifestyle habits, such as giving up smoking, reducing your alcohol intake and eating a healthier diet. You’ll also need to commit to a robust oral hygiene routine, working in partnership with your dentist and hygienist.

How long does dental implant treatment take?

Total treatment times can vary depending on the extent of treatment needed. We aim to complete a simple case within 4 months.

The actual implant procedure can also vary in time, it may take 30-90 minutes, depending on the number and location of implants to be placed.

Does it hurt to get dental implants?

Dental implants are typically placed under local anaesthetic and should be painless. Most procedures can be done in the dental surgery. If you are nervous about the procedure we may offer you an oral sedative or conscious sedation given by a sedation expert. Please ask your dentist for advice.

How long does it take to recover from implant surgery?

Healing is usually fast following implant surgery, with stitches removable after around 10 days. In certain cases, patients can experience minor swelling and possible bruising after the procedure. You will be advised before and after the surgery regarding post-operative care. (Further information available in Downloads)

You will receive a follow up aftercare phone call from the practice to monitor your progress.

Will I need to take time off work for dental implants?

Generally, patients recover very quickly after surgery and in most cases patients do not require time off work. Your dentist will inform you if they think the treatment may be more extensive and may require time off work.

Are dental implants reliable?

Most well-researched implant systems have a success rate of 95% and more over at least 15 years. Results may be influenced by smoking, diet and oral hygiene maintenance. Your dentist will discuss the risks fully with you during the consultation phase.

Troubleshooting dental implants

Post-operative discomfort

Pain following implant surgery can be experienced within the first 24 hours after the procedure. Remember to start taking your medication before the anaesthetic wears off. Swelling and bruising could develop within 48 hours after the procedure and subsides within the next 48 hours. Regular icing immediately after the procedure may reduce swelling. Please contact us if you experience prolonged or severe pain so that we can help you feel more comfortable.

 

Please report the following immediately to your dentist:

Severe and uncontrolled bleeding
Severe pain lasting more than 2-3 days
Swelling underneath the tongue or down the throat
Numbness or “pins and needles” of your lip or face lasting more than 12 hours
Any pus discharge from the implant site

Loose or displaced healing abutment

If your healing abutment (the silver screw) becomes loose or falls out, please do not worry as this is not classed as an emergency. Please keep it safe, contact the surgery and bring it to your next appointment.

We would leave the abutment out and re-seat it after the implant has integrated, unless stated otherwise by your dentist.

Problem with implant crowns

A small minority of implant crowns may experience screw loosening over time, usually due to clenching, grinding of teeth or screw fatigue. The screw can simply be tightened to fix the crown back into place.

Gum disease around implants

Oral hygiene is very important for maintaining dental implants. Bleeding, redness, swelling or pus discharge are signs that the gum around an implant is inflamed. This may be solved by regular brushing and flossing around the implant.

If inflammation around an implant is not taken care of, it may develop into peri-implantitis. This condition causes bone to be lost around the implant, leading to tooth mobility and eventually loss of the implant.

Oral hygiene, smoking, excessive drinking of alcohol, history of gum disease and diabetes have been identified as the main risk factors in developing gum disease around dental implants. Please visit your dentist regularly for assessment of your implant maintenance.

Implant failure

Dental implants have been studied over many years and a good success rate of 97% has been reported over at least 15 years.

The factors mostly associated with dental implant failure are poor oral hygiene, gum disease around teeth and implants, smoking, excessive use of alcohol, diabetes and clenching or grinding of teeth.

Soft tissues and bone levels around your implants should be regularly checked and recorded during your dental examinations to identify unwanted changes.

Print a referral form, or complete it online

At Elvetham Dental Practice, we are happy to accept patients who wish to self-refer for complex treatments including dental implants and we also accept referrals from our profession colleagues.