Best solution for replacement of missing teeth
Eat, Talk and Smile with confidence
Why should I replace a missing tooth or teeth?
We eat, talk and smile using and showing our teeth. Missing teeth affect these functions and are not aesthetic. Missing permanent teeth not only result in Drift & over eruption of neighbouring and opposite teeth ( which in long term may result in loosing those teeth too) but can also be embarrassing.
It no longer has to deter you from enjoying your food and showing off your smile while walking the streets of London or having your picture taken!
Dental implants are small fixtures placed under the gum to work as the roots of a missing tooth. A crown or artificial tooth is then fitted to match rest of your teeth and improve your smile/bite. An implant can replace one tooth or multiple teeth for a healthy smile that looks and feels natural. Implants are a well-established, tried-and-tested treatment. Over 95 per cent of modern implants should last for many years under the right care.
Implants can be placed using a simple local anaesthetic. You will not feel any pain at the time, but you may feel some discomfort during the day or days after surgery. The implants need to integrate with the bone after they have been inserted. This takes at least 3-6 months, however sometimes the Implants are stable enough & artificial teeth can be attached immediately after placement (Immediate Implant) or much sooner.
In most cases a healing cap will be placed to protect the area during healing phase & contour the gum.
An Implant temporary may be prepared to improve the aesthetics in form of a bridge or a denture.
Once the implant is integrated, an abutment is fitted to hold the Crown. The abutment and the base of crown may be made of metal however to achieve a more natural look in light particularly in front teeth we recommend abutment & Crowns made of solid porcelain (Implant Crown Options).
Like any other restoration implants need the right care and cleaning to last for many years. We recommend twice yearly checkups and hygienist sessions in addition to your daily routine care.(Implant Maintenance)
If you wear full dentures, then you can keep wearing these throughout the healing period once it has been modified after surgery.
Single Crowns and Bridges retained by implants will be fixed and only be placed and removed by the dentist. However if you have a complete denture which is fixed to the implants( balls, locators or bars) then you’ll be able to take them out for cleaning.
In certain circumstances directly after extraction, an implant can be placed in the hole left by the root which is called an Immediate Implant. An Immediate Implant can be placed in one appointment.
Usually implants need to be integrated with the bone after they have been placed. This takes at least 3-6 months and a second small surgery is necessary to fit the abutment and final crown.
Unless there are systemic contraindications and subject to bone availability, there is the chance to replace teeth with implants.
Implants can be placed only if the state of the bone (Quality & Quantity) in the jaw is reasonable. Your dentist will arrange for a number of tests and If they find out there is not enough bone, or if it is not healthy enough, it may not be possible to place implants without Guided Tissue Regeneration, Bone Grafting , Sinus Lift,Connective Tissue Graft, Ridge Expansion etc, first. These could be prevented in many cases by Ridge preservation & the right technique at the time of extraction, which saves the bone from shrinkage & changes after an Extraction.
Bone Changes After Extraction.
As you see in the video the bone shrinks after an extraction. This shrinkage can be prevented or minimized in many cases by Ridge preservation and the right technique at the time of extraction as stated earlier, which saves the bone from shrinkage and makes placing an implant easier without grafting techniques.
What is socket (ridge) preservation? Why is it needed?
Once a tooth is lost, the bone and gum will begin to recede. If you later decide to have an Implant fitted then it may mean that the Implant would sit too high or the Crown would sit too low without a bone graft. This can be prevented in many cases by Ridge preservation, see also changes after an Extraction.
Once a tooth is lost, the bone and gum will begin to recede. If you later decide to have an Implant fitted it may mean that the Implant would sit too high or the Crown would sit too low without a bone graft. This can be prevented in many cases by Ridge preservation & right techniques at the time of extraction which minimize the bone shrinkage & changes after an Extraction.
Even if all teeth are missing, there are still a number of solutions available( subject to bone availability.)
- A Bridge can be attached to 4/6 or 8 Implants placed in the jaw.
- A Denture made & fixed by Implants to your jaw.
- A conventional denture without any fixation element to the jaw.
All on 4 Implants ( Replacing all teeth supported by 4 implants)
The bone surrounding the tooth recedes in the weeks and months after removal.
The problems described above can be often avoided or limited given the right regenerative measures. Your dentist will advise you on treatment individually adapted for you.