Replace Missing Teeth – Why?

At Marylebone Implant Centre we have a wealth of experience when it comes to replacing missing teeth. Many people often struggle knowing what to do when they are missing a tooth, but our implants can offer a great solution to this problem. A common misconception around missing teeth is that replacing them is all about the aesthetic appearance – this is not true, however, as you could suffer from a range of problems even if the tooth is missing from the back of your mouth and you can’t see it.

We have helped patients who have suffered from muscle and joint pain as a result of missing teeth in the back of the mouth. Other problems that can occur from missing teeth in this area include plaque and bacteria built up, teeth leaning into the missing area or even the loss of bone in the jaw.

What Is An Implant?

Implants are one of the leading solutions to missing teeth, becoming increasingly popular over the last 30 years, and having one fitted can help relive the above problems. Implants are incredibly strong and durable compared with other types of tooth replacement which is why they are becoming an increasingly popular option. An implant is a small titanium screw that replaces the root of the missing tooth and is then hidden by a crown which has been custom made.

Our friendly, experienced staff have assisted in countless procedures of this kind which means you can trust us to provide you with an excellent service. If you are missing one or more teeth in your mouth why not give us a call today on 020 34 34 29 34 and see how we can help you get that perfect smile back.

What happens when a tooth is missing?

If you’re missing a tooth or more, you may find that there are other things you miss. You may miss your natural smile. You may miss the ability to chew apples, crackers and other food you desire. Maybe you feel self-conscious about your teeth and mouth, or discomfort as remaining teeth shift. And perhaps you’ve experienced muscle strains, an inability to speak clearly, headaches or unease in familiar situations at work, with friends or at home.

Naturally, the effect of tooth loss varies from person to person and depends on what exactly has been lost. If you’ve lost the crown, you’ve lost the visible part of your tooth. But if you’ve lost the root as well, you’ve lost the unseen part of your tooth. The root anchors the tooth in your jawbone, providing stable support for the crown. Without the root, the bone around the lost tooth may gradually recede, remaining teeth may shift and chewing may become more difficult with time.

You can choose from a number of ways to replace your tooth crowns. But if you’re interested in replacing your entire tooth – crown and root – your only option is dental implants.

What are dental implants? How do they work?

A dental implant is an artificial root replacement that is used to support one or more false teeth. Usually, tooth implants replace missing tooth, which have been removed due to injury, disease or decay. It is usually more comfortable than a dental plate or crown which is why implants are becoming very popular. Implants can be implemented to replace either a single missing tooth, more than one or an entire set.

Because implants fuse to your jawbone, they provide stable support for artificial teeth. Dentures and bridges mounted to implants won’t slip or shift in your mouth — an especially important benefit when eating and speaking. This secure fit helps the dentures and bridges — as well as individual crowns placed over implants — feel more natural than conventional bridges or dentures. For some people, ordinary bridges and dentures are simply not comfortable or even possible, due to sore spots, poor ridges or gagging. In addition, ordinary bridges must be attached to teeth on either side of the space left by the missing tooth. An advantage of implants is that no adjacent teeth need to be prepared or ground down to hold your new replacement tooth/teeth in place. From the medical point of view, implants are superior to other tooth replacement solutions as they look and feel and more importantly, function like your own teeth.

Aim Of Dental Implants

  • Improved facial appreance
  • Able to eat what you want
  • Have retentive, stable and reliable dentures
  • Better dental hygeine

Alternatives To Dental Implants Include

  • Removable dentures (false teeth) – plastic or metal frameworks that carry false teeth
  • A bridge – false teeth that are fixed onto adjacent natural teeth

Advantages Of Dental Implants

  • They can eliminate the discomfort often associated with ill-fitting dentures.
  • Dental implants prevent other neighboring teeth from invading the space left by a missing tooth.
  • Teeth implants can also be used to anchor crowns, bridges and dentures.
  • They help to preserve the natural jaw bone and consequently the facial structures and form.
  • They preserve healthy neighboring teeth from the grinding required in the conventional bridge treatment.
  • They are very convenient and comfortable
  • Theyboost your confidence and self esteem.

Dental Implant Bridge

What Is An Implant Bridge?

A dental implant bridge is a fantastic alternative to a standard dental bridge; the latter is typically supported by natural teeth, whereas a dental implant bridge is supported by implants placed in the jawbone. This is an ideal procedure for patients who don’t have enough remaining natural teeth to support a traditional bridge.

Typically, one implant is fitting for each missing tooth directly into the jawbone with crowns connected to form a single piece.

When Is This Procedure Used?

This procedure is only every used where more than one tooth is missing, as it requires an implant in the jawbone and a series of connected crowns. Your dentist may recommend this procedure if you have a series of unconnected implants which may be having too much pressure on them from things like grinding or clenching – something a dental implant bridge can alleviate.

It’s vital that any natural teeth and surrounding gums are healthy before any implants are placed next to them, so initial cleaning work may be required. Bone augmentation or grafting can be used if there isn’t sufficient bone to support the implants ahead of the procedure to ensure effective support.

How Does The Dental Implant Bridge Work?

There can be instances where your dentist feels that single dental implants aren’t the best option for particular places in your mouth. Reasons for this could include insufficient bone in the jaw to support the implants, the location could be too close to a nerve or there could be issues with the proximity to your sinus cavity, which is typically locate above top teeth. To avoid this, implants can be placed on both sides of the space with a supported bridge placed on top to support the whole structure.

In some cases, your dentist may not want to put a dental implant in a certain place in your mouth. There may not be enough jawbone to support an implant, or the location may be too close to a nerve or sinus cavity (located above your upper teeth). In that case, your dentist can avoid the area by placing implants on both sides of the space. An implant-supported bridge will be placed on top. An implant-supported bridge also can be made similar to a traditional bridge, with a crown suspended between two implant-supported crowns.


Unlike regular dentures, which typically rest on the gums without any support, an implant-supported overdenture is a type of denture that gets better strength and reliability by being attached to dental implants.

This is often the best course of action if a patient has no teeth left in the jaw, which could otherwise be used as support for a standard denture. Instead, an overdenture is used if there is enough bone in the patient’s jaw to support new implants. Special attachments connected to the implants and to the under layer of the overdenture, snap into place in order to hold the overdenture denture firm and in place without rocking or moving.

Frequently patients with lower jaw dentures tend to opt for implant-supported overdenture as normal dentures are very unstable and to move, and opposing to that implant supported overdentures have enough retention, stability and support that gives great comfort to the patients while chewing and talking. That said, implant-supported dentures work equally as effectively with both upper and lower jaw dentures and provide additional stability. Please watch the embedded video on this page for more specific information on how the implanting procedure works.

Overdenture Aftercare

Implant-supported dentures should be removed every day to carry out cleaning not just on the denture itself, but also on the gum area it’s attached to; this is to avoid the risk of any infection. If you would prefer a solution that can’t be removed, and is even more permanent and fixed, then you should speak with your dentist about permanent crown and bridgework.

Sinus Lift

What A Sinus Lift Procedure?

The sinus lift procedure is a form of surgery, also known as a sinus augmentation, which looks to add additional bone to the upper jaw. The surgery involves adding bone between your maxillary sinuses and the upper jaw, near to your molars and premolars. The sinus membrane is ‘lifted’, and the new additional space is filled with bone. See the embedded video for a more detailed explanation of exactly what the procedure entails.

What Is The Procedure Used For?

A sinus lift is typically done when there is not enough bone in a patient’s upper jaw to have dental implants fitted. Sinuses which are too close to the jaw can also cause difficulties with implants, and a sinus lift can remedy this. There are several reasons as to why this might be the case: The upper jaw typically has less bone than the lower jaw and, when people have lost teeth here and particularly in the back, then there is not enough bone for dental implants to be fitted. Periodontal disease (aka gum disease) may have led to bone loss.

Tooth loss, particularly if the teeth were lost some time ago, can also lead to bone loss. This is because, after a tooth has gone, the supporting bone gets absorbed back into the body. Due to the variation in shape and size of the maxillary sinus between patients, it’s possible for it to be too close to the upper jaw or to enlarge with age. This poses difficulty in placing implants which must be corrected if implants are to be fitted.

As dental implants to replace missing teeth have become more and more popular, a sinus lift to provide enough bone for implants to take has also been more common place in the last 20 years.

Sinus Lift with Implant Placement

Sometimes, when a sinus lift is required in order to have some dental implants placed but there is enough residual bone in the area of the maxillary sinus, the sinus lift can be combined with the immediate placement of the dental implants. This will significantly reduce the time of the treatment.

Bone Grafting

For dental implants to be successful, the jawbone must have enough bone to support them. Tooth loss often leads to more loss of bone. The tooth loss may be caused by periodontal (gum) disease, dental caries (cavities) and infection, injury or trauma, or a developmental defect. If the bone under your gum is not tall enough, not wide enough or both, you will need a procedure to add bone to your jaw before implants can be placed. Bone augmentation is a term that describes a variety of procedures used to “build” bone so that dental implants can be placed. These procedures typically involve grafting (adding) bone or bonelike materials to the jaw. After grafting, you have to wait several months for the grafted material to fuse with the existing bone. Sinthetic grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. A graft from your own bone transplants bone cells or a block of bone that fuses to the jaw. Several different procedures can be used for bone augmentation. Your dentist will select one depending on the type, location and number of implants to be used. If you need a bone graft, it is important that you and your dentist discuss all of the options available to you.

Socket Preservation

Socket Preservation is a procedure in which graft material or scaffold is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge. After extraction, jaw bones may need to be preserved to keep sockets in its original shape. Without socket preservation, the bone quickly resorbs. The jaw bone will never revert to its original shape once bone is lost and tissue contour has changed.