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Dental Implants

Dental Practice at 40 Harley Street

Missing teeth can affect your mouth’s function and leave you feeling self-conscious and lacking in confidence. In the past, patients had no alternative other than a removable denture or fixed bridgework for missing teeth. Today, dental implants are considered the most appropriate option for the fixed replacement of missing teeth in many people. They work in the following way:

  • A dental implant is essentially a titanium screw (fixture) which is placed within the jawbone following careful preparation of a socket in the precise position to replace the missing tooth.
  • The size of the implant is designed to suit the natural shape of the jawbone and, due to the nature of titanium, forms a close union (integrates) with the bone over a period of approximately two to three months.
  • A second screw (abutment) is then approximately two to three months later placed within the implant that extends out of the gum, onto which a crown or bridge is fixed.

Advances in implant dentistry means we are able to provide patients with aesthetically-pleasing results with minimal discomfort and inconvenience. When cared for properly, dental implants can last for many years making them a truly long-term solution.

The modern approach to dental implant treatment has significantly improved success rates and reduced treatment time. Implant failure due to lack of integration is now a rarity and patients do not have to visit the dentist for many months for their treatment to be completed. In fact, in the majority of patients’ treatment is completed in a few visits.

In addition, integration of computer technology allows us to plan the placement of the implant as well as the appearance of the restoration well in advance of treatment.

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Frequently asked questions

About dental implant treatment at 40 Harley Street

  1. What does dental implant treatment involve?

    A dental implant is essentially a titanium screw (fixture) which is placed within the jawbone following careful preparation of a socket in the precise position to replace the missing tooth. The size of the implant is designed to suit the natural shape of the jawbone and, due to the nature of titanium, forms a close union (integrates) with the bone. This surgical procedure is carried out under local anaesthetic.

    For the implant to integrate with the surrounding bone, a period of healing is required. This can take up to three months. However, in the vast majority of cases, this can be reduced considerably with immediate placement possible for some patients. The healing time is dependent on the quality of the bone, length of the implant and the number and position of teeth being replaced. The suitability of each patient is assessed during the initial treatment planning stage.

    Once the implant has integrated, impressions are taken. These precisely replicate the position of the implant within the jaws as well as its relation to the adjacent teeth. Restorations are then fabricated in the laboratory for a very accurate fit. The restorations (crowns or bridges) are then placed onto a second screw (abutment) that extends out of the gum as seen below.

  2. Who is suitable for implant treatment?

    Patients who can be considered for this treatment can be broadly divided into three groups:

    1. Those with one or two missing teeth, especially towards the front of the mouth where a gap would be most visible.

    2. Patients with a few missing teeth where the position or status of the remaining teeth would render conventional bridgework impossible.

    3. Patients with complete dentures who would either like their dentures to be more stable or altogether replaced with fixed bridges.

  3. How successful are dental implants?

    Over the past 20 years, a great deal of research has been carried out in the dental implant field. This has led to a better understanding of the biological processes involved as well as improvements in the design of the various implants components. Ultimately, dental implants are now a very predictable and successful method of replacing teeth. The success rates reported in literature are generally over 90%.

    Surgical techniques have also evolved, allowing us to consider individuals for whom implant placement was not possible due to a lack of jawbone. The improvements in surgical techniques, as well as advances in porcelain manufacture, have also made it possible for us to provide aesthetically pleasing, natural-looking restorations. This is particularly important when teeth are missing towards the front of the mouth.

  4. Are there any risks?

    Before considering dental implant treatment, it is important that the mouth is free of all active dental disease. This includes tooth decay and periodontal disease. Uncontrolled periodontal disease increases the risk of implant failure. However, we will carry out a thorough assessment of the condition of your teeth at your initial consultation and devise a treatment plan to stabilise any gum disease. Implants can only be considered following the completion of this phase of treatment.

    One of the most significant risk factors is smoking. This increases the possibility of implant failure as well as bone loss around the implant. In the long term, implants are as prone to loss of bone as teeth are to loss of attachment. It is therefore important to follow a good cleaning regime as well as maintaining regular visits to the dentist for dental health checks and hygienist for hygiene therapy.

  5. Is the surgery painful?

    The implant procedure is carried out under local anaesthetic to keep you comfortable throughout.

*Individual results may vary.

Patient stories

REAL LIFE RESULTS

Read our patients’ success stories to see what dental implant treatment at 40 Harley Street could do for you.

Ten years ago I was told that I would need gum surgery. I went to 40 Harley Street for a second opinion. I was told that, with the correct care and attention, surgery could be avoided. I have been a patient ever since. The care and attention Dr Rezavandi has administered has kept my teeth and gums healthy.
I cannot thank him & his team enough.

D.S