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I could not have chosen better.

My initial thoughts on dental implants was with hesitation but, having gone through the experience at the excellent M.I.C. I wish I had had them sooner. My first visit for a consultation with the totally professional Dr Santos was so relaxed and friendly my confidence was established straight away and I decided to go ahead. Every step of my treatment was explained to me and any questions immediately dealt with by Dr Santos and his team who I feel gave me the highest quality service I could have had. I would highly recommend the M.I.C to anyone considering dental implants for this gentleman’s skill and expertise.

Teresa. Wickford.  Essex.

Are you teeth making you self conscious?

We are your first step to the teeth of your dreams/you deserve. You’ve been thinking about this for a while now, you might want to have a gap or gaps filled, you may want to have whiter or straighter teeth or you may not know what you want to best suit your needs; this is where the Marylebone Implant Centre comes in and we are here to assist you through this first stage of making a decision. You can contact the treatment co-ordinators a number of ways with no obligation, you can visit our website where there are a number of pages of information to help you, and you can use our live chat where we will be able to help answer any of your questions while you are visiting our pages. You can email us or simply calls us, we are here for all of your dental implant needs and no question is too big or too small. Take the first step today for a smile you deserve!

Consultation and Treatment

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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.

Fluoridated Water Beneficial to Adults as well as Children

A recent study that was done by researchers at the University of North Carolina and the University of Adelaide, Australia, have come up with evidence proving that drinking water with fluoride reduces the risk of tooth decay in adults. They found that this was true even for adults who did not receive fluoridated drinking water as a child. In fact, this study showed that fluoridated drinking water prevents tooth decay for adults no matter their age and whether they received fluoridated water when they were children. At one time it was believed that fluoridated drinking water was only a benefit to children who had been consuming it since birth. This recent study shows that more people are able to benefit from drinking fluoridated water than was previously thought. This is helpful information to have for cities who are considering getting fluoridated water. The results of this study were published online in the Journal of Dental Research. The research showed that adults that spend more than three quarters of their life living in communities where the water had fluoride had a lot less tooth decay than adults who lived less than one fourth of their life in such a community.  

Mouthwash Helps Reduce Both Plaque and Gingivitis

If you have been skipping out on using mouthwash thinking that it is unnecessary, reconsider. Research that was just recently published in an issue of General Dentistry, a clinical journal of the Academy of General Dentistry, indicates that by using a germ killing mouthwash can help to significantly reduce plaque and gingivitis when it is combined with brushing your teeth. Why does using mouthwash make such a difference? Well, when you consider that using a toothbrush can’t reach all surfaces in the mouth it only makes sense that other tools should be used. Since mouthwash is able to reach every surface in the mouth, it makes sense that it is such an effective help. It is not a replacement for brushing your teeth, but it can help your tooth brushing routine be more effective. Many people brush their teeth the recommended two times a day but they may not be spending enough time when they do. We should all be spending at least two minutes every time we brush our teeth when many of us spend half that much time. Adding a germ killing mouthwash to that routine can really make a difference in a person’s oral health so they may be able to avoid the pain and embarrassment of tooth loss. Even though tooth loss can be remedied with dental implants, it’s best to avoid it if at all possible.

Scientists Learn to Grow Teeth from Gum Cells

If you have a missing tooth or teeth, you would likely enjoy having teeth in your mouth to fill the gap. One way of doing so is to get a tooth implant. This is a method of giving a person back their self esteem and ability to talk and eat like they used to. However, there may be an alternative to getting a dental implant in the future. Scientists have found a way to grow teeth from gum cells. They are calling this discovery a biotooth. Although this is definitely an advancement in dentistry, it isn’t quite ready for use yet. It will likely be years before patients are able to grow new teeth when a tooth is lost. With the bioengineered teeth, natural teeth were formed in the embryo from the interaction between two different types of cells. These cells are able to develop into a variety of different types of tissue including cartilage and bone. Right now research is taking place on generating immature teeth that would be placed into the human jaw to grow into full sized teeth. This will certainly be an amazing treatment once it is perfected. There would be nothing keeping anyone from having a full set of natural teeth.

Understanding Your Dental Implants and Possible Issues

What causes dental implants to fail is simply not known, but patients still are concerned about the possibility of dental implant failure. For this reason we will take a look at some possible causes of dental implant failure and what you can do to help prevent it.  Here at the Marylebone Implant Centre, our success of dental implants are extremely high. We are so successful that we offer a guarantee on our dental implant work. Still, though, there is the possibility that a dental implant rejection can happen. One possible reason for dental implant failure could be due to bacteria being present when the implant was set in place. If bacteria are present on the bone structure or on the gum lines where the implant was placed, the possibility of an infection setting in would be increased. The gums could become inflamed where the implant was placed which would adversely affect the healing process which in turn would lead to rejection. Another possibility could be the fact that the implants could be contaminated from the manufacturer. Sometimes dental clinics and facilities located outside the UK may use inferior, cheap materials to help offset the cost of the implants. The success rate of these clinics abroad may be something to consider when thinking about where you would want to get your dental implants.  Here at Marylebone Implant Centre, we use the highest standard implants with state-of-the-art technology.  Contact us today if you have any questions or concerns about dental implant failure.

The Causes of Gingivitis

You have probably heard about gingivitis since you were a little child. Your parents may have warned you that you would get it if you didn’t take good care of your teeth. They were right. Gingivitis does come from people not taking good care of their teeth. Gingivitis comes from a build-up of bacteria that accumulates on the teeth. This build up is called plaqe. Although gingivitis is a periodontal disease that is non-destructive, it can lead to more serious issues such as periodontitis. This can eventually cause a person to have tooth loss. Patients who have gingivitis may have gums that are red, puffy, and bleed when they brush their teeth. In general, gingivitis goes away when a person improves their oral hygiene. They have to brush their teeth more often and spend more time doing so as well as making sure to floss. An antiseptic mouthwash as well as proper brushing and flossing may help some people. No one wants to deal with tooth loss so it is a good idea to make sure that you brush your teeth regularly and floss. If it is too late and you have lost a tooth or teeth, you can have a dental implant and improve the look of your smile once more.