Dental Implants – the next best thing to natural teeth.
Dental implants are permanent replacements for failing or missing tooth roots. They are titanium supports for replacement teeth, such as crowns, bridges and dentures. They enable the restoration of a natural smile, improving patient comfort and confidence. For many dental problems, both functional and aesthetic, implant treatment is increasingly the patient’s preferred option.
- Look, feel and function the same as natural teeth
- Confidence of a completely natural smile
- Ability to eat, talk and laugh normally
- Facial profile and gum vitality are maintained
- No loose or uncomfortable dentures
- No need to damage the adjacent teeth, such as with conventional bridgework
- Continued use (loading) of the supporting bone reduces shrinkage caused by biological resorption.
- Restorations secured with implants are as firm as natural teeth
- With appropriate care, dental implants can last a lifetime
- Cost-effective in the long term compared with other types of restoration
- High treatment success rates
Mark Aston and Nick Ross are the implantologists at City Bridge Dental and both have extensive advanced training in prosthetic and implant dentistry. In addition to attending courses and conferences across the world they have completed a 2 year full time Masters Degree in Implantology at Guy’s Hospital with world renown implant experts. They train and mentor dentists wishing to gain experience in implantology and are active members of the European Association of Osseointegration (EAO) and Association of Dental Implantology (ADI). Nick and Mark work with a specialist team of dentists at City Bridge and this enables them to provide outstanding care They can focus on all treatment options which gives patients a fully holistic approach to dental care. We are very proud of this approach to treatment as all options can be considered under one roof.
Using our advanced microsurgical techniques we often help patients that have been told that implant treatment is not possible.
For the most complex cases Mark and Nick work together to provide optimal skill, care and knowledge.
Whilst there are many dentists in the UK that perform implantology, there are few with the level of training and experience that Nick and Mark have achieved.
If you are considering dental implants in the Winchester, Southampton or Hampshire area please use the contact us page to find out more or book online for a consultation.
Who is suitable for a dental implant?
We will be able to determine for certain if you are suitable for dental implants but generally if you have good health you will be suitable. We will assess the general condition of your mouth and look at the quantity and quality of bone to see if dental implants are an appropriate treatment. We very often take radiographs (xrays) of the area which give an indication of the amount of bone available for implant placement.
How is a dental implant placed?
Dental implants are usually placed under local anaesthetic in a very gentle manner. Following this you should expect a degree of discomfort and swelling for several days, but you will be able to continue normally fairly soon afterwards. Full after care advice is given following this procedure and if you are in any doubt we provide a telephone number where we can be contacted to offer you reassurance and advice.
Does it hurt?
The procedure is relatively straight forward and can usually be done under local anaesthetic. You may experience discomfort and you are likely to be given painkillers after the surgery to help with any pain you may experience. However, in general, most patients report that the procedure really wasn"t painful at all — certainly much less than expected.
How long does the surgery take?
This depends on the complexity of the case but usually a single implant can be placed in approximately an hour. This will depend on the amount of additional work required in terms of any bone grafting or work required on your gum.
Why is there a 3-6 month waiting period before the implants can be built upon?
There is the need for the implants to attach to the bone by a process which was originally described as osseointegration. The length of time for this waiting period varies with the quality of bone that is present where the implants were placed.
How long do implants last?
As implants are similar to natural teeth, if they are looked after they should last for many years but there is no lifetime guarantee. There is a small chance that an implant fails to osseo-integrate, that is, it does not become attached to the bone. In the upper jaw the chances of this happening are approximately 1-2%. We would normally become aware of this during the healing phase after implant placement and should it happen, we would remove the implant and may need to place another, several weeks later. Once integrated and functioning, you have in excess of a 90% chance of any implant still performing fine after 25 years. Therefore implants are a long term and predictable treatment option.
What happens if I do not have sufficient bone?
The key to successful implants is the quality and quantity of bone and we sometimes have to provide a replacement for a deficiency of bone and this usually takes the form of a small augmentation around the neck of the implant. Depending on the size of this deficiency, we can usually carry this out at the same time as implant placement.
How much does it cost?
Costs vary between dentists and overall implants are initially more expensive than other treatment options but generally last longer. So over time the cost differential neutralises as the expenses of other options for replacements/adjustments add up. A single implant with a crown restoration will cost approximate £2800
How do you know how many implants you need?
Each case varies regarding how many implants are needed for the demands of replacing the missing teeth. If the implant surgeon is limited regarding the length of implants that can be placed, more implants will be needed. The length of the implants is determined by how much bone you have present. The number of implants is also dependant on the final restoration that is required and the number of teeth that are to be replaced.
What maintenance is required?
As with natural teeth implants need to be looked after and regular check-ups are essential to prolong their life. You should look after implants much the same as natural teeth but you should pay particular attention to the implant sites. Brushing twice a day, flossing and regular hygiene appointments will help keep them healthy. An annual implant review is very important to check the quality of bone and gum health around the implant area.
You may be told by a dentist that all dental implants are made of titanium and are therefore all the same. While it is true that most dental implants are made of titanium manufacturing quality standards can vary greatly. Dentsply products have the backup of many scientific research and clinical studies. They are used world wide by many of the most respected implant providers.
A crown mounted on a dental implant is the best choice if you have a tooth missing in the upper or lower jaw.
The jaw is X-rayed to check the condition of the bone tissue. An impression is made of the jaw and existing teeth, forming an important platform for treatment planning.
The dental implant is placed in the jawbone. No healthy teeth are affected or damaged. With other replacement solutions, adjacent teeth might need to be ground down to support a bridge.
The abutment is attached to the dental implant. A crown is then placed on the abutment, fitting perfectly at the edge of the gum.
The new tooth is now complete and it is virtually impossible to see the difference between the existing teeth and the new tooth.
If you have lost several teeth there are two solutions: separate crowns on dental implants or a bridge attached to several dental implants.
Some people loose teeth in the back of the mouth. This is typically caused by gum infection (periodontitis) or by teeth cracking due to previous fillings.
Between two and four dental implants are installed for a dental implant bridge. This solution does not affect your own teeth. The bridge will function for many years, regardless of the condition of your existing teeth.
Abutments are attached to the dental implants. The next step is to fit a bridge; the new set of teeth is placed on the abutments.
The dental implant bridge is now in place and can withstand the strong chewing forces that occur in the back of the mouth. It feels and functions like natural teeth.
Replacing all teeth with dental implants
If all of your teeth are missing in the upper or lower jaw, dental implants are the best solution. You can choose a full bridge that is attached to several dental implants. Another option is a removable prosthesis that is attached via anchoring devices to two or more dental implants. The prosthesis remains securely in place in your mouth – yet it is easy to remove.
If you have lost all of your teeth in one or both of jaws and require the most natural looking solution, the permanently anchored dental implant bridge on several dental implants is the answer when the prerequisites are met.
For a permanently anchored dental implant bridge, several dental implants are placed to form a good foundation. Because the dental implants are anchored in the jawbone, they stimulate the bone tissue and help to maintain healthy bone levels and facial structures.
The abutments are attached to the dental implants and the bridge is fitted in place. All dental work is performed according to your prerequisites and wishes.
The dental implant bridge is now in place. It looks and functions like normal teeth. You can now eat whatever you like and laugh without having to worry about the prosthesis falling out.
If all of your teeth are missing in the upper or lower jaw, dental implants can be used to secure a removable denture. The prosthesis remains securely in place in your mouth – yet it is easy to remove.
If you have lost all of your teeth in one or both jaws and require a removable prosthesis that remains in place more firmly than a conventional removable prosthesis, the overdenture connected to two or more implants is the answer when the prerequisites are met.
An overdenture involves placing two or more dental implants that will be used as a secure foundation to attach the prosthesis.
For the overdenture, either ball abutments or a small bar between the abutments are used. The prosthesis is fitted with corresponding devices underneath.
The overdenture is now in place. It looks and functions like normal teeth. You can now eat whatever you like and laugh without having to worry about the prosthesis falling out.
Teeth in a day
Normally, in order to replace all missing teeth in the upper or lower jaw a patient is required to have 6 – 8 dental implants. With the All-on-4 system two implants at the back of the jaw are placed at an angle of 45 degrees enabling longer implants to be placed in this area for greater stability. The two implants at the front of the jaw are placed at 90 degrees. These 4 implants are then braced together by a fixed bridge which is screwed into the implants and held permanently in place. Unlike an implant-retained denture the All-on-4 denture can only be removed by a dentist and so is as close to having your natural teeth as you will get.
With All-on-4 you can arrive in the morning and leave in the afternoon with a permanent set of new teeth.
During your consultation we will discuss the pros and cons of your treatment options so that you can make an informed decision of the treatment that is best suited for your individual situation.