Dental implants are biocompatible titanium screws that are made to replace missing teeth and roots. They are artificial roots that are surgically placed in the upper and/or lower jaw bone. The teeth attached to the implants are usually natural looking and enhance the persons chewing ability and smile.
Prior to commencing implant treatment, you will need at least two appointments with your dentist. The reasons for these appointment is to discuss the best treatment options for you and the potential complications. The cost of the treatment and consent will be discussed in detail within these appointments.
Required radiographs (x-rays) are taken to allow safe and accurate planning. In addition, digital scanning, or impressions, along with intraoral photographs are taken. This will allow the dentist to discuss all the options available to you. It is crucial to ask all of the questions you have and express
all of your concerns.
The procedure involves placing one or more pre-determined titanium screws in the jaw bone. The location and size of the implants are all determined prior to the surgery day. Please refer to our website videos for more information.
During the procedure, local anaesthetics will be used. The implant procedure is a very delicate and accurate procedure, and therefore, patient comfort is crucial to us.
Post-operatively (after surgical placement), we usually prescribe the adequate antibiotics and possible painkillers depending on the procedures. We recommend that you plan to have a minimum of one day off intense physical activity to allow healing and to reduce the risk of infection.
Absolutely, depending on your concerns, we can perform the procedure under either oral sedation, twilight or I.V sedation.
Twilight sedation means you will fall asleep during the procedure, you won’t have any memory of the event. Please ensure you organise a driver and a carer to look after you for the remainder of the day. Please refer to the twilight sedation section of our website.
Dental implants usually have a long term and high success rate, but like any other options, limitations do exist, and failure can occur.
Some of the factors that reduce the success rate are,
While all the above may have an effect of the success rate, they are not contraindications for dental implants. Regular follow ups and hygiene appointments are absolutely crucial to ensure the health of your implants.
Your health and safety are paramount to us and therefore any issues we have related to your medical health are discussed with your medical practitioner.
If you do not have enough bone for the implants placement. Bone grafting procedures are required. Ideally, following the removal of you tooth, a bone graft (synthetic bone granules of bovine origin) are placed in the socket to allow the bone defect to break down the graft and lay fresh bone. Resorption could occur in the area if the bone graft isn’t placed. If the denture less area (area is requiring an implant) has inadequate bone, then grafting as per above is recommended.
The graft needs a minimum of four to six months prior to implant placement. In some cases, a bone graft from the chin, or lower jaw is required to treat the deficient bone area. Grafts can also be placed around implants following placement particularly if one of the bony walls around the implant is thin. A collagen membrane is placed on top of the graft to protect it and then the area is sutured up.
In the back upper jaw areas, the bone loss causes the sinus to be very close vertically to the area requiring an implant. Depending on the deficiency, a vertical or lateral sinus lift might be required. Your dentist will discuss those options in detail during your consulting stages.
The All on 4 concept was created by Nobel Biocare, and it is based on placing 4 or more implants to replace a full arch of teeth.
This allows us to avoid bone grafting and angle the posterior (back) implants in the upper jaw to miss the sinuses, and in the lower Jaw to avoid the nerve.
The advantages of All on X type implants are:
1. Save the patient the bone grafting experience
2. Restore all the missing teeth with 4 or more implants
3. Immediately load the implants with temporary teeth in some cases, so patients don’t have to wear a denture
The number of implants needed will be discussed by the dentist and please note that this number varies depending on the patient.
So to determine if you are eligible for All on X, you will need the following :
1. A consultation appointment, where by a CBCT scan (dental CT) will be taken to assess the bone levels
3. Digital scans and or impressions will be needed as well
After the initial assessment, you’ll be made another appointment for presenting the options, final treatment plan, cost involved and the medico-legal consent.
In some cases, another appointment is needed, particularly if new teeth are getting issued on that day of surgery or soon after.
The surgical appointment can completed under:
1. Local anaesthetics
2. I.V (twilight) sedation
3. General anaesthetics
All these options and their relevant costs will be discuss with you in details.