Dental Implant Treatments

Dental Implants

A Dental Implant is an artificial tooth replacement that generally serves two purposes. They are either prosthetics used to counteract your tooth loss, or they are cosmetic. Dental implants are becoming more popular day by day because they are a more comfortable, stable, and long lasting method for the replacement of missing teeth.

Dental Implants can be done for the following reasons:

  • Tooth decay
  • Trauma or an accident
  • Failed root canals
  • Birth defects
  • Gum disease
  • Poor nutrition and oral care
  • Excessive wear and tear
At the Marylebone Implant Centre on Harley Street we are considered to be a centre of excellence for dental implants in London, thanks to a combination of the excellence of our fully trained and certified implantologists as well as the quality of the dental implant components we use.

London’s Dedicated Dental Implant Team

Unlike some clinics who rely on imitation brands to lure patients with low prices, we only work with two of the most renowned implant companies in the world – Astra Tech Implant System and Implant Direct Sybron Solutions. The design, surface and mechanical connection of these implants ensure exceptional bone and gum levels with at least 25 years of successful functional outcome – unlike cheaper alternatives which have been known to fail after just two or three years.

Confused by the different brands?

Dental products are no different than in any other industry; there are many products available on the market, some are researched well and have good reputations and strong brand recognition, some are acknowledged as mid range average products that do the job well enough and some are minimally effective carbon copies of another companies hard work only without the good result.Dental implants to most patients are a minefield, they vary in price, claim to do different things and to the untrained eye look pretty much the same. It is therefore really difficult to understand what implant is the one for you.

What makes a good implant?

There are many factors that contribute to a good dental implant and influence us with what companies to work with:
  • Material composition
  • History of research and development
  • Long standing reputation and history of good results
  • Design attributes
  • Resistance to peri-implantitis
  • Level of retention provided by surface finish
  • Implant – Abutment connection stability
Although the terms above mean very little to a patient it easily identifies that choosing an implant is not a simple decision. There are a lot of things we need to consider; the type of implant that will be perfect for one patient will disadvantage another.The implants that we use are not generic and one size does not fit all. They come in different shapes, sizes and variables as mentioned above. We are realistically only able to decide on what implant is best for you upon a consultation and the study of your CT scan and x-rays. If you’d like to find out more about the key features of our implants and what makes them the best on the market, give us a call on 020 3434 2934 and one of our team will be happy to answer any of your enquiries.
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Consultation

What happens at the implant consultation?

At the consultation, you will be seen by our implantologist. At this stage the implantologist 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. The implantologist 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 the implantologist to 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 implantologist 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 by our fully trained and certified implantologists. 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 implantologist might present more than one implant option if it is clinically suitable to do so. These alternatives will vary depending on the patients 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 a 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, jaw bones, 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 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 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 are 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 to 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 minimalize 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.

Guarantee

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 the 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 your 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.
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Our After Care Program

The days following the surgery: a good aftercare program is key to our relationship with our patients, we want you to feel confident and well informed about the procedures and their after effects before you start and well cared for and relaxed after your treatment. We will always be available by phone or email to answer questions and give you advice on anything that you aren’t sure about.

It is very important to understand that after your implant surgery you will have to adapt your lifestyle for the first week in order to achieve the best results in healing and to ensure your implant is allowed to settle into the bone without disruption.

You will need to consider some of the points below:

  • Avoid food or drink that is hot.
  • You will need to avoid heavy exercise for at least a week after the surgery. You will be given a full list of post operative instructions after your surgery and these will be explained to you in detail. You will also be given any medication that you need in order to avoid infection and ease pain or discomfort in the first few days.
Day to day care of your implants: Good general maintenance of your implant throughout the years is essential to its overall success and longevity. Please take a look at the following tips for taking care of your implant. Keep your teeth and implants clean: As simple as it sounds a good oral hygiene regime will really help to avoid problems. If your implants are covered by a crown or a bridge then brush them as you would your natural teeth; using floss or interdental brushes will really help you reach the areas your toothbrush can’t. If your implants are uncovered and you are using an over denture you need to remove your denture daily and clean the gums and implants gently as well as giving your denture a good scrub to remove food particles. Are you a grinder: We know that movement of implants is one of the biggest contributors to them failing and to crowns or bridges needing to be prematurely replaced, If you are a known grinder you can protect both your natural teeth and implants by getting a bite guard to wear at night which can provide a buffering surface for you to grind on. Alternatively some types can actually help to train your jaw not to clench. We are able to arrange this for you here or your normal dentist should be happy to assist. A mouth guard can also be made and worn if you regularly do sports or activities that could risk a trauma to the mouth. A mouth guard can protect your teeth and implants by reducing breaks, fractures, chips or movement caused by an impact. Cessation of smoking: Smoking has been proven to considerably shorten not only the life of your natural teeth but also that of your implants. When you smoke tar and toxic particles are able to secrete themselves under the gum line and around the head of the implant where your toothbrush can’t possibly reach. These toxins will slowly destroy the supporting tissues meaning both teeth and implants will eventually lose vital support and become loose. Giving up smoking will definitely improve your chances of having a healthy mouth that is functional and problem free. Regular dental checks: Having implants are not a cheap option for replacing teeth and most people consider them as an investment that will provide them with a better standard of life and increased confidence. As with anything you invest in like a new car or piece of machinery you need to treat them correctly and have them checked regularly to make sure they are working well and don’t need any attention. Having a yearly check-up along with x-rays can detect any problems at an early stage not only with the implants but with your natural teeth. Regular hygiene visits: As well as carrying out your normal dental routine at home it is also essential to have a professional clean by a qualified hygienist at least every year if not 6 monthly. A hygienist uses special tools to clean closely and gently under the gum without causing damage to the tooth or implant structure, this cleaning will remove any plaque or tartar deposits which can irritate the gum and eventually contribute to gum disease and possible implant failure.
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Single tooth implant

What Happens When A Tooth Is Missing?

A missing tooth can have an enormous impact on your life – both medical and psychologically. Whether you start feeling self-conscious about your teeth and start to miss your favourite foods which become uncomfortable to eat, or you begin experiencing physical effects like muscle strains and headaches, it can be surprising how big a different missing one small tooth can make.

How much tooth loss impacts on your dental health really depends on your existing oral health, and how much of a tooth has actually been lost. If you have just lost a crown, which is the most visible part of your tooth, then it may be possible to repair or replace this easily.

However, if you have lost your entire tooth, including its root, then the effect is more severe. since the 90’s the dental literature and researchers (Mish C. et all) have shown that the ideal option to replace a single, missing or failing tooth, is a dental implant restored with an implant crown if the patient has a clear medical history. This treatment option is even more valid if the surrounding teeth of the missing or failing tooth are healthy and have no restorations – as it would not affect the health of the neighbouring teeth. In several studies it was shown that the long term success and satisfaction of the patient when restored with a single dental implant was far superior than patients restored with 3 unit bridges or even dentures.

We offer numerous treatments here at Marylebone Implant Centre to help deal with crown or full tooth loss. These can vary from full dental implants to replace the entire tooth, to other more minor procedures to replace crowns. Please get in touch with us today to discuss your options.

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Multiple Teeth Implant Bridge Available In London

When several teeth next to each other are missing, the strategic option in order to restore them may be a bridge supported by implants. In this case, 2 or more implants would give support to a 3 unit, or longer bridge. The number of implants supporting the bridge is dependant to the location of the bridge inside the mouth and to the engineering needs of that bridge (patients with a heavier bite may require more implants supporting a bridge).
In several studies published in the late 90’s early 2000 (Salama et all), it was shown that if several teeth in a row are missing in the anterior part of the mouth, a bridge supported by implants would allow a more favourable outcome rather than several implants next to each other. Here at the Marylebone Implant Centre, we provide an effective multiple teeth implant bridge for our patients in the London area, who have multiple missing teeth.
Our team of implantologists can assess your teeth and make an informed decision as to whether you may require the multiple teeth implant bridge procedure. We are proud to provide expert dental solutions to our patients which are both realistic and affordable.We understand how important it is for your teeth to appear natural and remain functional, which is why we work closely with our laboratory technicians to ensure that our products are of the highest quality.
For more information about our teeth implants or our multiple teeth implant bridge, give us a call today on 020 3434 2934 and speak to our advisors.
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All teeth missing / falling

We always hope that our teeth will last our entire life. However, that doesn’t always happen. When all of a person’s teeth are missing or fall out, they may feel like they have no solution other than having dentures. That is simply not the case. Dental implants can provide a permanent solution to all teeth missing or falling.

There are a variety of things which could lead to loss of all teeth. It could be caused by poor nutritional choices or poor oral hygiene. When adults don’t brush their teeth twice a day as is recommended, they may have plaque build-up on or between their teeth. As plaque builds up, cavities start to form because of bacteria eating away at the enamel of teeth.

Another thing that could cause tooth loss is if a person doesn’t go to the dentist regularly. He or she may be afraid that they will have expensive treatments that they cannot afford if they go to the dentist and unfortunately, that can be detrimental to their oral health.

Dental implants provide a solution for those who are missing all of their teeth. With dental implants placed in a person’s mouth, they can again have a full set of teeth similar to what they had in the past.

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Full mouth fixed bridge

A full mouth fixed bridge would be fitted over dental implants, usually 6 or 8, and it is not removable. It can be done on a patient’s full mouth, so there are no worries about having to remove the bridge or about having the bridge come out at an inconvenient time. This can be used to replace a tooth or teeth when there are one or more of them lost. It will look similar to a person’s natural teeth. A fixed bridge is a permanent solution to teeth loss. It will help a person’s face to keep their natural shape. At the Marylebone Implant Centre, unlike other practices, our full mouth fixed bridges over dental implants are made of porcelain (in other practices these are made of acrylic). A full mouth fixed bridge is not an option for every dental patient. This option is considered by dentists only if there is enough tissue and gum in a patient’s mouth to support the arch. It is a great option for patients who want their implants to really look natural. If you are interested in getting a full mouth fixed bridge, you should talk with the staff at Marylebone Implant Centre to see if you are a candidate. If you have suffered bone loss, you will need to have bone grafting done in order to build up your bone in your jaw. If the bone loss is not too severe, you can get grafting done on a visit when you have the implant post installed. If the bone loss is severe, bone grafting will have to be done on a separate visit as it will need to heal before the 1 st stage post implant can take place.
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Root canal VS. Dental implant

As a patient, if you have missing teeth or just problems with your teeth you may face a dilemma when it comes to your dental health. You may have the option of trying to save your tooth using a root canal or by removing the problem tooth or teeth and having a dental implant replace them. A dentist will have to consider a couple of different factors before they recommend a course of action. A dentist will look at the condition of any decayed teeth as well as a patient’s medical health and overall dental health. At Marylebone Implant Centre, our dentists will consider all of these factors. Getting a root canal has to be one of the most dreaded dental treatments. A root canal may be done when there is tooth decay deep inside the tooth in what is called the pulp. A tooth’s pulp includes the blood vessels and nerves. The root canal is the part of the tooth that is hollow and contains the pulp. When a dentist does a root canal, he or she will remove the pulp from the tooth by drilling a hold in the top of the tooth. The dentist will then fill the hollowed out tooth with a rubbery material. Root canals vary in their levels of success. Sometimes a root canal is not able to remove all of the damaged pulp and if a dentist feels that this may be the case for a patient, they may opt for another treatment – this is why it has been showed that the success rate of a root canal treatment is lower than the success rate of a dental implant.
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Implants Vs Conventional bridge

Dental Implants

If you have a missing tooth then you may be a candidate for a dental implant. Implants are used to recreate a missing tooth for an individual who wants to regain their ability to eat the foods they love, regain their smile, and get their self-confidence back. The titanium implant is the key part of the dental implant and it sits where the original tooth’s was located. Over time the titanium will bond with the bone and in some ways act as the original tooth would. This, and the mechanical stimulation of the bone, is what prevents more bone loss from occurring and why a dental implant is such a popular choice for both dentists and patients when it comes to tooth replacement for a lost tooth or teeth. The implant itself is eventually capped with a crown, which will look and feel as the rest of the teeth in your mouth. In many cases, this is the preferred treatment for a missing tooth because it will not only act as the original tooth, but if cared for properly should last for the rest of a patient’s life.

Fixed Dental Bridge

A fixed dental bridge is placed in order to replace a missing tooth or teeth. It is non-removable once it’s fitted in place. In order to replace a missing tooth with a fixed dental bridge we would need to file down the adjacent neighbouring teeth in order to create room for the actual fixed dental (porcelain) bridge. For a long period of time, before dental implants became so popular, it was the best cosmetic procedure available for patients who suffered from a missing tooth. The procedure was extremely successful, looked aesthetically natural, and was very affordable. The drawback, as mentioned before, was that there were some issues presented as the remaining natural teeth that were positioned on either side of the bridge had to be filed in order for the bridge to be properly set in place. This could leave the teeth surrounding the bridge susceptible to bacteria and plaque build up, tooth decay, and even periodontal disease.

Cost vs. Investment

From the mid nineties up to nowadays several scientific studies were done in order to compare both treatments: dental Implant vs. bridge over natural teeth in order to replace a missing single tooth. The conclusion of most of these studies was more favorable to the dental implant option as it would have a better long term prognosis (it should last longer) with less drawbacks, being the main one the fact that it doesn’t put in danger the adjacent teeth – sometimes completely healthy. The only disadvantage that was showed was the cost. A dental implant used to be much more expensive than a bridge. Nowadays, and with the fair prices that we offer at the Marylebone Implant Centre, that is not true anymore. With our competitive prices you can benefit from all the advantages of having a dental implant in order to replace a bridge with a similar, if not, less expensive cost. There is something else to have in mind: adding to the cost of the fixed bridge, there may be the need of doing a root canal treatment to the teeth that will support the bridge, such as the need of a post and a core. These additional procedures will increase even more the cost of a fixed dental bridge.
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Overdentures

What is the difference?

A denture is a removable prosthetic appliance that people can use to replace their missing teeth. They are custom made and can replace anything from 1 tooth to a whole jaw of missing teeth. They are normally made from Acrylic and can be taken in and out to clean. They are generally inexpensive but their main negative point is their movement; they rarely fit well for long periods as your gum and jaw changes so they do take a lot of getting used to and tweaking.

An implant supported overdenture is a treatment available for patients with all teeth missing from one or both jaws. In some cases due to the amount of bone loss, even with bone grafting it would not be possible to compensate for the amount of bone missing. In other cases, it may also not be favourable to compensate the missing bone and gums with prosthetic pink ceramic as this may make it difficult to maintain the correct hygiene for the implants. For patients, the over denture frequently presents as a very good option allowing the best of both worlds: an aesthetic and secure treatment, allowing the patient to feel confident and to function normally, but at the same time, it does allow the patient to do correct maintenance of the implants as it is possible to remove it and clean directly in the area of the implants. The over denture is typically supported by 4 implants and can be retained by locator abutments or by a titanium milled bar. The teeth itself are made of an aesthetic acrylic, custom made, and with an invisible metal; reinforcement for strength purposes. Patients that have an implant supported over denture can sleep with it in at night and can eat virtually everything they want (including biting apples).

If you want any more information about the different treatments we have on offer please do contact a member of our team on 020 3434 2934 or request a call back.

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