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Consultation and Treatment

What happens at the implant consultation?

At the consultation, you will be seen by our implantologist. At this stage, the dentist will ask a number of questions relating to your medical and dental history and will discuss with you what your expectations are regarding the treatment.

Your dentist will also do a full clinical examination of your mouth; take x-rays and also analyse your CT scan.

The CT scan is critical at this stage allowing we will have a clear and visible picture of the condition of your teeth or surrounding areas where a tooth once was. The CT scan will help the implantologist to produce an accurate treatment plan avoiding damage to vital structures like nerves, arteries or vessels and also to obtain important information about pathologic factors. The CT scan will give the dentist precious information about the bone volume and density in areas where a dental implant is planned to be placed. This will also avoid surprises regarding hidden costs about possible additional treatments that could be necessary in the future in order to successfully complete an implant.

Our mission here at the Marylebone Implant Centre is to make things as easy and hassle-free as possible. At your consultation, your questions, queries and any fears you may have about the procedure will be answered fully.

We believe in strong communication and a straight forward approach with everything starting from the initial appointment through to the complete after care package.

Once the consultation is finished, our Implantologist will create a full treatment plan that will be extensively explained to you, and our implant coordinator will cover every aspect related to the cost of the proposed treatment and explain our terms, conditions and payment methods. You implant coordinator will always be on hand to answer any questions you have, however big or small.

It is possible our dentist might present more than one implant option if it is clinically suitable to do so. These alternatives will vary depending on the patient’s limitations regarding the cost, length of treatment, complexity and treatment sequence (number of visits and intervals) thus offering more options and greater peace of mind. These alternatives will also be discussed at your consultation.

Our commitment is to send you a full treatment plan covering all options and associated costs either by mail or to your email address within 48 hours of your consultation.

Why have a consultation?

However eager you are to go ahead with an implant consultation is needed primarily to ascertain whether or not it is clinically possible to place one.

There are a number of factors that we need to take into consideration when planning an implant;

  • If there is enough bone/soft tissue to support an implant
  • If there are any infections around the tooth or in the bone or socket
  • The patient’s medical history
  • What medication the patient is taking
  • Making a plan to balance what the patient expects from the treatment and the reality of what is clinically possible.

All of the above need to be investigated in detail as it may mean that we need to account for a change of plan or alteration to our normal procedure.

A consultation also allows us to talk thoroughly about the costs related to your treatment and the durations and timings involved. At the end of your consultation you will be posted or emailed a full summary of your visit in the form of a treatment plan so you can consider your options.

The treatment plan we send you details the costs of your treatment and will normally include a few options to cover from the lowest cost or basic plan to the highest cost or worst case scenario this ensures that you know what you will be paying from the beginning and can relax in the knowledge that costs will not change, grow or spiral out of control.

How much is a consultation?

A consultation with us is completely free of charge and no obligation. The consultation lasts for about 1 hour and it gives you the opportunity to learn about the process, ask questions and get a clinical examination of your mouth so you know what options are available.

CT Scans and X-Rays

CT scans and x-rays are the tools we use to diagnose problems with teeth, jawbones, the sinus, some of the soft tissues and some facial nerves. They are also used to assess areas of the mouth structurally for dental work, make essential measurements when planning certain treatment and show us any imperfections, infections or anatomical anomalies which will alter the way we perform your treatment.

Can I have an implant without a CT scan?

Although some practices will fit implants without having a CT scan we consider that it is quite unsafe and taking an unnecessary risk to undergo implant surgery without one. By giving us the ability to view a CT scan of your mouth we are able to take many things into account:

  • The overall condition of the bone and supporting structure in the jaw.
  • Any imperfections or damage to the bone which may lead to an implant failing at some point.
  • The exact measurements of the bone that you have available in which we place the implant. We need the implant to be fully engulfed in bone to ensure the best outcome.
  • If you need to have a bone graft or a sinus lift; these procedures if advised will give you the extra support your body needs to hold the implant in place and function effectively.
  • If there are any small nerves, areas of infection or even extra un-erupted or impacted teeth that would be considered anomalies and which may mean that implants need to be planned more carefully or avoided in that area altogether.

By planning things carefully first and taking advantage of all of the fantastic diagnostic tools we have at our disposal we are making sure that we are doing the very best we can and giving you the best opportunity to have a long-lasting, functional and problem-free implant.

Treatment Plan

Once you have had your consultation you will be sent a comprehensive treatment by email. This is yours to keep and discuss with anyone you feel will be able to help you make an informed decision.

Once you are ready to start your treatment you will be given asked to read and sign an identical copy here at the practice to say you are in agreement before you start your first appointment, this will then be kept on file.

The treatment plan includes:

  • Your treatment options, with information on a time scale, the cost of each appointment.
  • Information on the Guarantee.
  • Clinical information on Implants before treatment and aftercare.
  • Patient consent.

If you have any further questions regarding the treatment plan you can always discuss these with the Dentist before signing.

The treatment plan is provided to ensure that the patient fully understands exactly what is being proposed, we find that this helps reduce anxiety as the patient knows exactly what will happen at each appointment and takes away the element of the unknown.

The Implant Process

The process of having dental implants has changed dramatically over the past few years, technology has progressed and improved, techniques have been developed and materials are of a fantastic standard. These changes mean that embarking on dental implants is now a very low risk and remarkably simple process. For the average implant, there is a maximum of just 3 stages which can involve as few as 4 or 5 visits. Please take a look below at the stages in more detail.

Stage 1 – Consultation

This is the most important stage; it allows us to examine the patient and check that an implant is safe to perform, clinically viable and the best course of action for the patient to replace their lost teeth. At this stage, we are able to educate the patient on their treatment and ensure the patient is making the correct decision according to their circumstances. You can use this appointment to ask all of the questions you need to help you make your choice. This appointment usually lasts for about 1 hour and is completely free.

Stage 2 – Implant placement

The implant can be fitted as soon as you decide to go ahead with the treatment. It involves a short surgical procedure under a local anaesthetic. The implant is fitted and will be left to fuse into the bone for a recommended period based on the type of treatment you are having. After the surgery, you may experience some pain, discomfort or slight swelling this varies from person to person and you will be provided with all of the medication you need to minimalise any of the above. The appointment duration and cost will vary on the number of implants you have done.

Stage 3 – Uncover and fitting

At the third stage, the implant is uncovered and precise measurements are made to prepare your final crown or prosthesis. You will have impressions, measurements and x-rays taken to make sure that everything fits and functions properly. At this stage, you can discuss the aesthetics with your dentist so you can have the exact look you want. These appointments again will vary in length and cost as to the type of treatment you have done.


Guarantees on dental work have recently become popular as a selling tool amongst dentists in the light of heavy competition and the economic climate. Everybody wants to feel as though they have confidence and maybe even protection in the product they have bought however it is worth knowing what your guarantee actually covers.

Implants have been around for approximately 40 years but after many years of research and trials these were only introduced into mainstream dentistry about 30 years ago, their popularity peaked 10-20 years ago and they have slowly become more and more obtainable and lower in price. Some practices offer a lifetime guarantee however no living being would have been able to appreciate a lifetime with implants, as they simply haven’t been around long enough. Implant suppliers or producers may guarantee the implant for a lifetime but will the dentist re-do work after a certain period of time where the implant is intact but has failed due to a biological problem within the patient’s body or due to natural wear? Extended guarantees with long periods can seem enticing but is the guarantee supported by the practice or the dentist?

What if the practice closes or the dentist moves on? What will your guarantee be worth?

Here at the Marylebone Implant Centre we offer a 3 or 8 year guarantee on our implants (both structurally and biologically) subject to a small selection of very practical and logical terms and conditions which mainly involve maintaining good oral health, regular dental check-ups and most importantly cessation of smoking which is proven to have a massive impact on the stability of dental implants.

When would we offer either 3 or 8 years guarantee? The base of a guarantee should be the clinical and laboratory research that each implant put’s on each of their implants. The amount of VALID research will determine the predictability and long term success of a dental implant.

Astra Tech is in between all the implant companies in the market (average of 600 implant companies around the world), the ONE that has been around for a longer period of time.  Astra Tech is also the implant company that has more and more relevant studies published on their dental implants (for over 25 years). For this reason, we offer a longer guarantee on this specific implant – 8 years guarantee on the Astra Tech implant.

Our Implant Direct Sybron Solutions implant, is also an implant with several studies already published for the last 10 years – this implant was created Dr. Niznick, a pioneer in implant dentistry with previous data collected from the implant companies previously founded by him. Implant direct gathers previous data involving 25 years of research done by Dr. Niznick. This data results from studies run on his previously created implants: Core-Vent Bio-Engineering, Paragon Dental Implant Company and Zimmer Dental. At the Marylebone Implant Centre we offer a 3 year guarantee on our Implant Direct Sybron Solutions implant.

If your implants fails due to material failure or rejection over the 3 or 8 year period we will replace it free of charge. Past a 3 to 8 year period, the implant has been settled for a long time and the chances of it suddenly being rejected or failing would be minimal but rest assured we will always be happy to see you for advice and a free consultation if anything does happen. Our crowns, dentures and bridges are all guaranteed for one year which is the industry standard, you will be pleased to know after nearly 6000 implants and an almost equal number of prosthesis we have had to replace just 0.4%.

Our guarantee is realistic, based on scientific criteria (amount of research published) and serves a practical length of time where you will be given real care and attention should the worst happen. Above all we want to perform work that will last for years, make you feel positive and confident about your smile and not cause you any problems. We work extremely hard to make sure the materials, equipment and surgical techniques are all to the highest standard, your smile is our greatest advertisement and it’s in our hands to get it right.

Sedation & Anaesthetics

Sedation is available for people with a real fear or anxiety; it is a procedure that helps patients to relax and may be appropriate for
people who are:

  • Unable to relax
  • Have a gag reflex
  • Phobia of the dentist

There is always a risk in anesthesia. It is usually safe, though, when given by an experienced dentist anesthesiologist, who is specially trained to give all levels of sedation .

People most at risk are those who are obese or who have obstructive sleep apnea, should talk to their doctor before having sedation. That’s because they are more likely to develop complications from the anesthesia.

The anesthesiologist would call to speak to you a few days before you treatment was due to take place, they would them meet you at the clinic an hour before your procedure and stay with you during and after the procedure and during the recovery period. You would also need someone to meet you after the procedure to take you home.