Supporting Patients with Agoraphobia and Dental Anxiety: How We Can Help

Dental anxiety, often referred to as fear, anxiety, or stress associated with a dental setting, can pose significant challenges to maintaining oral health. For individuals with conditions like agoraphobia—a fear of being in situations where escape may feel difficult—accessing dental care can feel overwhelming. At the Clinic for Implant & Orthodontic Dentistry, we understand these challenges and are here to help.

Understanding Dental Anxiety and Its Causes Dental anxiety can be triggered by various factors, such as the fear of needles, drills, or the overall dental environment. In its severe form, dental anxiety becomes a phobia, leading to avoidance of dental care. This avoidance can result in a cycle of worsening oral health, which may further heighten anxiety.

Conditions such as generalised anxiety disorder, post-traumatic stress disorder (PTSD), depression, or previous trauma to the head and neck can increase susceptibility to dental anxiety. Additional triggers might include a perceived invasion of personal space, fear of losing control, or trust issues. Agoraphobia, in particular, can exacerbate dental anxiety, as the idea of attending a dental clinic may feel insurmountable.

The Importance of Regular Dental Care Avoiding dental visits due to anxiety or agoraphobia can lead to preventable oral health problems such as gum disease, tooth decay, and even more serious conditions like oral cancer. Routine dental check-ups allow early detection of issues, enabling simpler and less invasive treatments. Good oral hygiene is also essential for overall health, as oral diseases are linked to conditions like diabetes, heart disease, and stroke.

Maintaining oral health starts with regular brushing, flossing, and professional cleanings. For those struggling with dental anxiety, ensuring consistent dental visits is critical to breaking the cycle of avoidance and anxiety.

How We Help Patients with Agoraphobia and Anxiety Our practice specialises in supporting patients with dental anxiety and agoraphobia, offering a compassionate and tailored approach. Dr. Amir Mostofi, our principal dentist, has over 20 years of experience working with anxious and agoraphobic patients. We provide a domiciliary dental service, visiting patients in the comfort of their homes across Sussex, Surrey, London, Bristol, and Suffolk.

Services we offer include:

• Full dental examinations
• X-rays
• Fillings
• Crowns
• Dentures
• Extractions

Our team takes the time to understand each patient's unique needs and anxieties. By creating a calm and stress-free environment, we help patients feel at ease during their appointments. Additionally, we offer options for sedation and relaxation techniques, including happy gas (nitrous oxide), oral anxiety-relieving medications, and conscious sedation, ensuring treatments are as comfortable as possible.

Breaking the Cycle of Dental Anxiety Open communication is key to managing dental anxiety. We encourage patients to share their concerns, enabling us to create a personalised care plan. Techniques such as deep breathing, listening to music, or agreeing on a stop signal during treatment can also make a significant difference.

For those unable to visit a traditional dental clinic, our mobile dental service ensures that essential care is accessible. By addressing dental issues in a familiar environment, we aim to build trust and confidence, empowering patients to take charge of their oral health.

Let Us Support You At the Clinic for Implant & Orthodontic Dentistry, we are committed to helping patients with agoraphobia and dental anxiety maintain their oral health. If you or a loved one struggles with visiting the dentist, contact us today. Together, we can break the cycle of anxiety and ensure a healthier, happier smile.

Your oral health matters, and we’re here to help every step of the way.

The Importance of Routine Dental Check-ups - By Bo Conley

The Importance of Routine Dental Check-ups

Maintaining good oral health is essential for overall well-being, and regular dental check-ups are a crucial part of this process. Whether you are in Worthing, Brighton and Hove, Sussex, Surrey, or London, visiting your dentist routinely can prevent serious dental issues and ensure your teeth and gums remain healthy.

At the Clinic for Implant & Orthodontic Dentistry in Worthing, we strongly recommend that patients attend dental check-ups every six months. These appointments allow your dentist to thoroughly assess your oral health and identify any potential problems early on. By doing so, you can avoid more complex treatments down the line, which may be more costly and invasive.

Prevention is Better Than Cure

The primary benefit of routine dental check-ups is prevention. During these visits, your dentist will examine your teeth and gums for signs of decay, gum disease, and other dental issues. Early detection of problems such as cavities, gingivitis, or worn-down enamel can prevent them from developing into more severe conditions.

For patients in Brighton and Hove or Sussex, who may have busy schedules, our clinic offers flexible appointment times. We also provide advice on how to maintain good oral hygiene between visits, ensuring that you have the knowledge and tools to protect your teeth and gums at home.

Professional Cleaning

A regular dental check-up also includes a professional cleaning session. While daily brushing and flossing are vital for maintaining oral health, a dentist or hygienist can reach areas that are often missed. Plaque and tartar build-up can lead to tooth decay and gum disease if not removed regularly. Professional cleaning during your check-up helps to remove these deposits, keeping your mouth healthy and fresh.

Whether you are in Sussex or Surrey, regular cleanings are a key component of preventing more serious issues such as periodontitis, a severe form of gum disease that can lead to tooth loss.

Detecting Early Signs of Health Conditions

Routine dental check-ups also play an essential role in the early detection of other health conditions. Dentists can identify signs of oral cancer, diabetes, and even heart disease during a thorough examination. Early detection significantly improves treatment outcomes, making regular dental visits critical to your overall health.

Emergency Dental Care and Mobile Dental Services

While routine check-ups are vital for prevention, dental emergencies can still occur. Our practice in Worthing offers emergency dental services, ensuring that if you experience severe tooth pain, a broken tooth, or another urgent dental issue, you can receive prompt and effective treatment.

For those who are unable to visit the clinic in person, we also offer mobile dental services across Sussex, Surrey, and London. Our mobile dentist team brings quality dental care to your doorstep, ensuring that even those with mobility issues can receive the check-ups and treatments they need.

Conclusion

Regular dental check-ups are vital for maintaining oral health and preventing future complications. Whether you're based in Worthing, Brighton and Hove, Sussex, Surrey, or London, attending these routine appointments will help ensure your teeth and gums remain in the best possible condition. At the Clinic for Implant & Orthodontic Dentistry, we provide comprehensive dental care, including emergency services and mobile dental services, to meet the needs of all our patients. Book your next check-up today and take the first step toward a healthier smile.

Lost Dentures During a Patient's Hospital Stay: A Common Problem and How We Can Help

Lost Dentures in NHS Hospitals? Private Mobile Dental Service in Worthing, Sussex, Surrey, and London

Losing dentures during a hospital stay is an increasingly common issue that can cause significant distress for patients. Whether it's due to a short stay for a routine procedure or a longer stay for more serious health concerns, misplaced or lost dentures can severely impact a patient's ability to eat properly, chew, and maintain their overall comfort. Unfortunately, this issue is all too familiar within hospitals across Worthing, Sussex, Surrey, and London.

Hospitals are busy environments where patients are often moved between wards, and their personal belongings, including dentures, can easily become misplaced. This can occur due to a variety of reasons, such as being moved to a different bed, confusion among hospital staff, or simply being misplaced by the patient themselves, particularly if they are unwell or disoriented. The impact of lost dentures can be profound, leading to difficulty in eating, discomfort, and even embarrassment, especially if the patient is in the hospital for an extended period.

For patients, the loss of dentures is more than just an inconvenience; it is a significant healthcare issue. Without dentures, patients may struggle with chewing, leading to nutritional challenges and discomfort. This problem can be particularly acute for elderly patients, who are more likely to be admitted for long-term care. It’s crucial for hospital staff, including nurses and healthcare assistants, to be aware of the importance of dentures and take extra care to prevent them from being lost.

At the Clinic for Implant & Orthodontic Dentistry in Worthing, we understand the distress that lost dentures can cause. That’s why we offer a comprehensive mobile dental service, also known as a domiciliary dental service, to assist patients who have lost their dentures during a hospital stay. Our team of experienced dentists can visit patients directly in the hospital, whether in Worthing, Sussex, Surrey, or London, to provide immediate assistance.

Our mobile dental service is designed to be convenient and efficient, ensuring that patients who have lost their dentures can quickly get a replacement. We offer a range of denture options, including fully acrylic dentures and cobalt chrome dentures for both upper and lower teeth. These high-quality dentures are custom-made to fit each patient’s needs, allowing them to regain their ability to eat, chew, and speak comfortably.

For patients staying in NHS hospitals, we provide detailed information on the costs associated with replacement dentures and offer support in navigating the process to ensure they receive the care they need. As a private practice, our service is particularly beneficial for patients who may not be able to visit a dental practice due to their hospital stay or health condition.

In addition to providing new dentures, we also work closely with hospital staff to raise awareness about the importance of denture care during a patient’s stay. By educating nurses, healthcare assistants, and other hospital staff about the risks of lost dentures and the steps that can be taken to prevent this issue, we aim to reduce the frequency of this common problem.

In summary, lost dentures during a hospital stay are a significant issue that can impact a patient's health and wellbeing. At the Clinic for Implant & Orthodontic Dentistry, we are committed to providing prompt and effective solutions through our mobile dental service, ensuring that patients can quickly regain their comfort and dignity. If you or a loved one has lost dentures during a hospital stay, please contact us for assistance. Our team is here to help, providing the care and support needed to restore your smile.

Ensuring Your Safety with Our Astringent Sterilisation Processes - by Bo Conley

At the Clinic for Implant & Orthodontic Dentistry in Worthing, West Sussex, patient safety is always our top priority. We are dedicated to providing excellent dental care, and this commitment is reflected in our meticulous and astringent sterilisation processes. Whether you are visiting us for a routine check-up, an emergency appointment, or specific treatments like root canals, crowns, bridges, dentures, or teeth whitening, you can rest assured that every precaution has been taken to ensure a safe and hygienic environment.

Sterilisation: The Cornerstone of Dental Safety Sterilisation in dentistry is the most important process of the protocols carried out in a clinic. It is crucial to pay attention to this procedure, as poor practices can lead to the spread of germs. At our clinic, we understand this responsibility and our staff always go above and beyond to ensure that the highest standard of sterilisation is maintained. We use the gold standard of sterilisation with our washer disinfector. By thoroughly cleaning your instruments using washer disinfectors, we subject the utensils to high heat for a prolonged period. This process effectively kills off bacteria, protecting both our patients and our staff.

Our Sterilisation and Disinfectant Procedures We understand that dental visits can sometimes be a source of anxiety, particularly when it comes to concerns about cleanliness and infection control. To address these concerns, we have implemented a rigorous sterilisation protocol that surpasses standard practices. Each of our dental instruments is thoroughly cleaned, disinfected, and sterilised using advanced autoclave technology. This high-pressure steam sterilisation process effectively eliminates all bacteria, viruses, and fungi, ensuring that every instrument is perfectly safe for use. In addition to instrument sterilisation, our dental chairs, surfaces, and workspaces are meticulously disinfected after each patient visit. We use hospital-grade disinfectants known for their efficacy in killing a broad spectrum of pathogens. This comprehensive approach helps to maintain a sterile environment at all times.

Caring and Thorough Dental Nurses Our team of highly trained dental nurses plays a crucial role in maintaining our high standards of cleanliness and patient care. They take the time to ensure that every procedure is performed with the utmost precision and care. From setting up the treatment rooms to assisting during procedures, our nurses are diligent in their efforts to uphold our stringent sterilisation protocols.

Emergency Dental Visits We understand that dental emergencies can occur unexpectedly and require immediate attention. In such cases, our clinic is equipped to provide prompt and effective care. During emergency appointments, our primary concern is to alleviate pain and address the immediate problem. Even in emergency situations, we do not compromise on our sterilisation and safety standards. Every effort is made to ensure that our emergency services are delivered in a safe and controlled environment.

Comprehensive Dental Services Beyond emergency care, we offer a wide range of dental services, including root canals, crowns, bridges, dentures, and teeth whitening. Each of these treatments is carried out with the same level of attention to sterilisation and patient safety. For instance, during a root canal procedure, every instrument and material used is sterilised to prevent any risk of infection. Similarly, for treatments like teeth whitening, we ensure that all tools and products are prepared in a sterile environment to guarantee the best results without compromising safety.

Commitment to Patient Safety Our commitment to patient safety is unwavering. From routine check-ups to complex dental procedures, we adhere to the highest standards of sterilisation and disinfection. This commitment is integral to our practice and is a testament to the trust our patients place in us. At the Clinic for Implant & Orthodontic Dentistry, we believe that every patient deserves the best care in the safest environment. We are proud to serve the Worthing community and are dedicated to maintaining the health and well-being of all our patients through our stringent sterilisation processes and comprehensive dental care services. For more information or to schedule an appointment, please visit our website at dental-worthing.co.uk or call us at 01903-821822. Your safety and satisfaction are our top priorities.

Dental implants in patients affected by systemic diseases - By Dr Amir Mostofi -DDS, Dip. (Ortho.), MSc(Implant.)

Dental implants in patients affected by systemic diseases

The exploration of dental implant success among patients burdened by systemic diseases reveals a realm of nuanced considerations, pivotal for optimising patient care and outcomes. Authored by N. Donos and E. Calciolari and published in the British Dental Journal in 2014, this comprehensive review sheds light on the intersection between systemic health conditions and dental implantology, presenting an invaluable resource for dental professionals worldwide.

Systemic diseases, encompassing a wide array of health conditions, often necessitate medications that could influence or complicate the process of dental implant surgery. Understanding the intricate relationship between these systemic conditions and dental implant success is crucial for clinicians, as it aids in the meticulous planning and execution of implant surgeries, ensuring both the safety and well-being of patients. This narrative delves into the evidence surrounding implant survival and success in patients with systemic diseases, offering practical suggestions for clinicians and highlighting areas necessitating further research.

Dental implants represent a cornerstone in the treatment of edentulism, showcasing high survival rates and offering a semblance of natural dentition. The essence of achieving successful implant outcomes lies in judicious patient selection, entailing a thorough medical history evaluation and a comprehensive assessment of the surgical site's complexity. Certain systemic conditions, underscored by varying levels of evidence, have been identified as potential complicating factors or even contraindications to implant surgery. This increasing prevalence of medically compromised individuals seeking dental implants underscores the importance of understanding the impact of systemic diseases and associated medications on both the surgical procedure and the overall treatment outcome.

Among the systemic conditions deemed as absolute contraindications for implant surgery are recent cardiovascular events, recent major surgeries such as valvular prosthesis placement or organ transplants, heightened risk of bleeding, significant immunosuppression, active cancer treatment, and intravenous bisphosphonate therapy. These conditions pose not only a heightened risk of implant failure but also potential grave risks to the patient's overall health.

The review further explores the effect of various systemic diseases on dental implant outcomes, with a focus on bone diseases such as osteoporosis, medication-related osteonecrosis of the jaws (MRONJ), and other less common bone conditions. Osteoporosis, a prevalent bone disease, poses biological plausibility for impaired bone healing around implants, though evidence remains controversial. Antiresorptive medications, particularly bisphosphonates and denosumab, present a risk for MRONJ, influencing implant success rates and necessitating careful patient management.

Diabetes mellitus, characterised by hyperglycemia, has been shown to negatively impact bone metabolism and may impede osseointegration and implant success. The review emphasises the importance of glycaemic control in diabetic patients undergoing implant therapy, alongside the management of other complications associated with diabetes.

Cardiovascular diseases, bleeding disorders, and specific mucosal diseases such as oral lichen planus and ectodermal dysplasia are also scrutinized for their potential impact on dental implant outcomes. The review suggests tailored approaches and precautionary measures for patients with these conditions, aiming to maximise implant success while minimising risks.

The document culminates in general clinical recommendations, underscoring the limited evidence base concerning the effect of systemic diseases on dental implant success. It calls for larger prospective studies to enhance understanding and provide more definitive guidance. Despite a few conditions being labelled as absolute contraindications, the review advises dental professionals to weigh the benefits and risks of implant therapy carefully, engage in interdisciplinary communication, and adopt stringent follow-up regimens for patients with systemic diseases.

In essence, the review by Donos and Calciolari serves as a testament to the complexity of dental implantology within the context of systemic health. It beckons a holistic approach to patient care, emphasising the need for ongoing research, clinical prudence, and a deep understanding of the interplay between systemic diseases and dental implant outcomes.

The Journey of 'All on 4' Dental Implants - A Poetic Insight

The Journey of 'All on 4' Dental Implants - A Poetic Insight

In the heart of dental innovation's stride,

Lies a journey, profound and wide,

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"All on 4," a beacon of hope,

For those at the end of their tether's rope.

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From dentures that shift, to gaps that dismay,

Patients seek a brighter, steadfast way.

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Gone are the teeth, in both jaws, they part,

Making room for a new, enduring start.

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Four to six pillars, implanted deep,

Promising a smile, once more to keep.

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A bridge, permanent, fixed and true,

A transformative path, for the chosen few.

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Yet, fear shadows the steps to be made,

The unknown, a daunting, lurking shade.

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Discomfort, a guest, in the weeks to ensue,

A price, not just monetary, paid by the few.

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The venture's costly, a truth well known,

Some seek abroad, into the unknown.

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Yet wisdom speaks, in choosing with care,

An established dentist, with skill rare.

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Interest-free solutions, to ease the expense,

A gesture, making the decision less tense.

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Initial consults, x-rays to guide,

A plan unfolds, with the expert by your side.

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For those with nerves, frayed and worn,

Sedation offers, a calm before the morn.

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Patience, a virtue, as time unfolds the tale,

Of transformation, where once confidence did pale.

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Through hurdles and challenges, the journey is long,

But in perseverance, one finds they're strong.

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A smile, once hidden, now brilliantly beams,

Reflecting a journey, of hopes and dreams.

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"All on 4," more than a procedure, a start,

To reclaiming joy, with dental art.

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From hesitant steps to a confident smile,

A testament to courage, mile after mile.

Understanding Dental Bone Grafts: A Comprehensive Guide - By Dr Amir Mostofi DDS , Dip (Ortho.), MSc (Implant.)

Understanding Dental Bone Grafts: A Comprehensive Guide

Dental bone grafting is a crucial procedure for patients experiencing jawbone loss, which can significantly impact oral health and the success of dental implants. It involves adding bone material to the jaw, which can be sourced from various origins such as the patient's own body, human or animal tissue banks, or synthetic materials. This procedure acts as a scaffold, allowing the patient's own bone tissue to grow and regenerate. Dental bone grafts are often essential for individuals who have lost teeth, are planning dental implant surgery, require dentures, or have suffered bone loss due to gum disease.

Types of Dental Bone Grafts

There are several types of dental bone grafts, each serving a unique purpose:

Socket Preservation: Performed immediately after tooth extraction to prevent socket collapse.

Ridge Augmentation: Enhances the jawbone's width and volume, particularly after long-term tooth loss.

Sinus Lift: Elevates the maxillary sinuses to allow for implant placement in the upper jaw.

Periodontal Bone Graft: Targets bone loss caused by gum disease, providing stability to loose teeth.

Procedure Details

Before the Procedure The process begins with a thorough oral examination and dental imaging to assess bone loss. Based on these findings, a personalized treatment plan is developed.

During the Procedure The procedure involves administering local anesthesia, making a small incision in the gums, and placing the bone graft material in the required area. A membrane may cover the graft for added protection. Finally, the incision is closed with stitches.

After the Procedure Post-surgery, patients might experience pain, swelling, and bruising, which are manageable with pain relievers and possibly antibiotics. It's normal to find small bone fragments in the surgical area during initial healing.

Pain and Sedation Dental bone grafts are generally low in pain. Sedation options vary, from local anesthesia to general anesthesia, depending on the case complexity.

Success and Failure The success rate of dental bone grafts is high, but smoking or certain medical conditions can increase the risk of failure. Warning signs include worsening pain, pus, gum recession, and lack of jawbone improvement.

Risks and Benefits

While generally safe, potential risks include infection, bleeding, nerve damage, and anesthesia complications. The benefits include increased eligibility for dental implants and restoration of jaw structure.

Recovery and Outlook

Recovery varies, typically taking three to nine months for complete healing. Most people can resume normal activities the day after surgery.

When to Contact Healthcare Providers

Patients should watch for severe pain, increased swelling, pus around the grafting site, or fever and contact their dentist if these occur.

Summary

Dental bone grafts are vital for restoring oral health and function in individuals with jawbone loss. They play a critical role in preparing for dental implants and combating the effects of tooth loss and gum disease.

Navigating the Misconceptions: Bone Grafting and All on 4 Dental Implants- By Dr Amir Mostofi DDS, Dip. MSc

 Navigating the Misconceptions: Bone Grafting and All on 4 Dental Implants.

By Dr Amir Mostofi DDS, Dip. MSc

The realm of dental implant technology has witnessed significant advancements in recent years, with All on 4 dental implants emerging as a pivotal solution for full jaw rehabilitation. This revolutionary technique has not only enhanced the efficiency of dental restorations but has also challenged common perceptions, particularly regarding the necessity of bone grafting.

Understanding All on 4 Dental Implants:

All on 4 dental implants offer a comprehensive solution for patients with significant tooth loss. This procedure involves the strategic placement of four implants in the upper or lower jaw, providing a stable foundation for a full-arch prosthesis. The technique is celebrated for its minimally invasive nature and its ability to deliver immediate results.

Debunking Bone Grafting Myths in All on 4 Implants:

Contrary to popular belief, All on 4 dental implants often do not require bone grafting. This misconception stems from traditional implant procedures where insufficient bone volume necessitated grafting. However, the innovative design and strategic placement of All on 4 implants typically bypass the need for such additional procedures.

The Science Behind No-Bone-Grafting in All on 4 Implants:

The key lies in the angulation and placement of the implants. By tilting the posterior implants, All on 4 takes advantage of the existing bone structure, even in cases where bone volume is limited, thereby eliminating the need for grafting in many instances.

Expertise Matters: The Role of Skilled Dental Professionals:

The success of All on 4 implants without bone grafting hinges on the expertise of the dental professional. Precision in implant placement is crucial, requiring an in-depth understanding of oral anatomy and advanced surgical skills. This expertise ensures optimal use of available bone and minimizes the need for grafting.

Advantages of Avoiding Bone Grafting:

Avoiding bone grafting in All on 4 procedures offers several benefits:

• Reduced treatment time

• Less invasive surgery

• Lower risk of complications

• Quicker recovery and healing

• Immediate improvement in functionality and aesthetics

Conclusion

All on 4 dental implants represent a significant leap forward in oral rehabilitation. By potentially eliminating the need for bone grafting, they offer a quicker, less invasive, and more efficient solution for full jaw restoration. However, the key to success lies in the hands of skilled dental professionals whose expertise can make a significant difference in the outcome. As with any medical procedure, it's essential for patients to consult with experienced dental practitioners to explore the best options for their specific needs.

Choosing Denplan: Affordable Dental Care for Worthing residences

Are you seeking an affordable way to maintain your oral health without breaking the bank? Look no further! At the Clinic for Implant & Orthodontic Dentistry in Worthing, we understand the importance of good-quality dentistry, and we're dedicated to making it accessible to everyone. That's why we offer Denplan, an excellent dental maintenance plan that provides comprehensive coverage and benefits to our valued patients. In this blog, we'll explore what Denplan is, how it works, and why it's an excellent choice for those in search of budget-friendly dental care.

Denplan: Your Gateway to Quality Dental Care

At our practice, we believe that good-quality dentistry, the expertise of a well-trained dentist, and top-notch dental materials shouldn't come at a hefty price. To ensure our patients are shielded from the rising costs of dental treatments, we've introduced Denplan, a comprehensive dental maintenance plan that offers a range of benefits, including:

Free Routine Dental Check-Ups: Regular check-ups are crucial for maintaining your oral health. With Denplan, you'll have access to free routine dental check-ups, ensuring your dental needs are regularly assessed.

Dental Hygiene: Keeping your teeth clean and healthy is essential. Denplan covers dental hygiene treatments, helping you maintain a bright and healthy smile.

Fillings and Root Canal: Should you require fillings or root canal treatments, Denplan has you covered, reducing the financial burden of these essential procedures.

Extractions and Emergency Treatments: Dental emergencies can happen unexpectedly. Denplan provides coverage for extractions and emergency treatments, giving you peace of mind.

Laboratory Work: For treatments involving laboratory work, such as dentures, crowns, bridges, and post and core procedures, Denplan patients only pay the lab fee, typically around 10%–15% of the treatment cost.

Worldwide Emergency Dental Cover: Whether you're at home or abroad, Denplan offers worldwide emergency dental cover, ensuring you're protected no matter where you are.

It's important to note that while Denplan is comprehensive, it does not cover orthodontic treatments (braces), purely cosmetic treatments, or dental implants. Denplan is designed as a dental maintenance plan and is best suited for those without immediate outstanding treatment needs.

But here's the exciting part: even though Denplan doesn't cover orthodontics, implants, or cosmetics, our practice goes the extra mile. We offer Denplan patients a generous 20% discount on these treatments, making quality dental care even more accessible.

Denplan Care: A Closer Look

Denplan Care, provided by Denplan (Simply Health), is an affordable monthly payment scheme that allows you to budget for your routine dental care and treatment. This comprehensive plan covers a wide range of services, including:

Inspections and X-rays

Dental Hygiene Visits, Preventive Dental Advice

Gum Treatment

Fillings

Root Canal Treatment

Crowns, Bridges, and Dentures (excluding laboratory fees) The only exclusions are prescriptions, referrals to specialists or specialist treatments, orthodontics, implants, and cosmetic treatments. As part of your dental plan, Denplan also arranges supplementary insurance to cover eligible dental treatment resulting from dental injuries and emergencies in the UK or abroad.

With over 6,500 dentists across the UK looking after 1.8 million patients under Denplan Care, you can trust that you're in good hands. The primary focus of Denplan Care is on providing quality, preventive care, helping you maintain your oral health effectively.

Monthly Fees Tailored to You

Denplan monthly fees are determined by your dentist based on your oral health and anticipated future treatments. These fees also take into account the unique operating costs of your dental practice, which can vary from one practice to another. This personalized approach ensures that you pay a fair and reasonable monthly fee that aligns with your specific dental needs.

In conclusion, Denplan is your ticket to quality dental care without the financial strain. While many dental practices don't cover implant, cosmetic, or orthodontic treatments under Denplan, we stand out by offering a generous 20% rebate to Denplan patients for these treatments.

For more detailed information about Denplan or to request a brochure, please feel free to pop into our clinic at 7 Chapel Road, Worthing, West Sussex BN11 1EG, or give us a call at 01903-821822. We're here to provide you with the best dental care Worthing has to offer, all within your budget.

Choose Denplan today and enjoy a lifetime of healthy smiles!

Creating Perfect Dentures at Home with a Dentist Who Comes to You- By Dr Amir Mostofi DDS Dip MSc

Creating Perfect Dentures at Home with a Dentist Who Comes to You

Dentures made in the convenience of one's own home with the assistance of a domiciliary dentist are an excellent option for those who find traditional dental visits difficult. At Clinic for Implant & Orthodontic Dentistry, we specialise in providing denture services that are tailored to the specific requirements of our patients, including those with dementia and other mental disorders. In this exhaustive guide, we will walk you through the various phases of denture creation, from initial consultations to the final fitting, while emphasising the significance of a domiciliary dentist's experience in managing complex cases.

Step 1: Consultations at the outset

The initial consultation is a crucial first stage in the process of acquiring dentures. During this appointment, our domiciliary dentist conducts a comprehensive examination of your oral health and discusses the denture options that best meet your requirements. For a number of our patients, particularly those with dementia, collecting impressions can be difficult. Our experienced domiciliary dentists play a crucial role in the management of such cases. During this phase, we also ensure that all necessary documentation, including consent forms and cost discussions, is completed.

Step 2: Extraction, if Required

When oral health issues are identified during the initial consultation, tooth extraction may be required. To minimise patient distress, tooth extraction is performed with care and frequently in stages. This period, which typically lasts between one and three weeks, allows the mouth to recuperate and reduces swelling, making future dentures fit better.

Step 3: Taking Impressions

Taking accurate impressions of your upper and lower mandible is a crucial step in the fabrication of dentures that fit securely and comfortably. Numerous elderly individuals struggle with thinning jawbones, necessitating the use of specialised impression-taking techniques. Our domiciliary dentists are well-versed in adapting these techniques to individual requirements, thereby ensuring an accurate representation of your mandible and any remaining teeth.

Step 4: Registration of the Bite

At the stage of bite registration, the complex relationship between your upper and lower mandible is established. This procedure enables the dentist to record the precise relationship between your jaws. In addition, during this phase, the colour, shape, size, and quality of the denture teeth are meticulously determined, ensuring that your dentures appear and feel natural.

Step 5: Wax trial dentures

Seeing the wax trial dentures in your mouth is a crucial step in the process of creating dentures. This phase enables both you and the dental technician to evaluate whether the desired aesthetic has been achieved. At this juncture, any necessary modifications can be discussed and implemented. At Clinic for Implant & Orthodontic Dentistry, we prioritise your satisfaction, and alterations are made at no additional cost if necessary.

Step 6: Final Fitting and Adjustments

In the final stage, the completed dentures are adjusted. If significant changes were made during the wax trial denture stage, it may be necessary to repeat appointment 4. We recognise that the process of having dentures fitted can be intimidating, especially for first-timers or those who have had negative experiences in the past. Our dedication to ensuring that you comprehend the procedure and our emphasis on both form and function ensure that you leave with dentures that inspire confidence.

Visits and Problems with Cobalt Chrome Dentures

Generally, between four and seven visits are required to complete a denture, depending on the individual's requirements and complexity. However, cobalt chromium dentures, which contain a metal skeleton, typically require more visits due to the complexity of their fabrication and adjustment. Our skilled team at Clinic for Implant & Orthodontic Dentistry is well-equipped to handle such challenges, assuring the best possible outcome for your cobalt chrome dentures.

Domiciliary dental care for patients confined to their homes or beds

We recognise that not all patients have easy access to dental clinics. For this reason, we offer home visits, also known as domiciliary dental care, to those who are bedridden or confined to their homes. We make the process as convenient and comfortable as possible for patients who can recline in a wheelchair or regular chair with space around the dentist's workspace.

If a patient is completely bedridden and inclining the bed is not an option, we do have a solution. We use intraoral digital scanners as opposed to traditional impression materials, thereby eliminating the danger of material running down the patient's throat and ensuring a safe and efficient procedure.

The conclusion

A personalised and patient-centered approach to dental treatment is the fabrication of dentures in the patient's residence by a domiciliary dentist. At the Clinic for Implant & Orthodontic Dentistry, we strive to make this journey as pleasant and rewarding as possible, particularly for patients confronting unique obstacles. We have the knowledge and skill to create dentures that restore your smile and improve your quality of life. If you would like to schedule an initial consultation, please contact us at 01903-821822. We anticipate serving you and ensuring that your dental requirements are met with the utmost care and expertise.

Top 5 Sources of Dental Implant Pain When "There's Nothing Wrong with the Implant"- By Dr Amir Mostofi, DDs Dip MSc

If you've recently had a dental implant and are experiencing pain even though everything seems normal, you're not alone. This article aims to explain the top 5 reasons behind dental implant pain when there's no apparent issue with the implant itself, in a way that's easy for patients to understand.

1. Violations of the Inferior Alveolar Canal (IAC):

The IAC is a canal that houses the inferior alveolar nerve (IAN), which plays a crucial role in sensation for your lower jaw. Sometimes, the IAN takes a unique path, forming what's called an "anterior loop." Trauma to this area during implant placement can lead to sensory disturbances, bleeding, and pain. Recent research suggests that getting closer to the IAC may not be as risky as previously thought, as long as the nerve isn't directly affected.

2. Violations of Branches in the Mandibular Canal:

Traditionally, we've considered the IAC as a single canal to be avoided during implant surgery. However, it's now known that smaller branches can exist alongside the main canal, creating a network. If these branches are accidentally disturbed during surgery, it can result in pain. These branches are often missed because they aren't widely recognized, but they can show up on X-rays or CT scans.

3. Inadequate Keratinized Tissue:

Keratinized tissue is the protective, tough tissue that surrounds your implant crown. Some studies suggest that not having enough of this tissue (usually at least 2 mm wide) can lead to pain, especially when you touch or use the implant, like when brushing or eating. Fortunately, this issue can often be resolved by adding more tissue through a soft-tissue graft.

4. Poor Bone-to-Implant Contact:

Even if an implant looks fine on X-rays and CT scans, it's possible that the bone around it isn't providing a secure foundation. This can happen when fibrous tissue forms around the implant instead of sturdy bone. This may not be visible in regular exams, but patients can still feel pain when using their implant, especially when it's fitted with a crown. A resonance frequency analysis machine can help diagnose this issue by measuring the strength of the implant-bone connection.

5. Predisposing Risk Factors:

Sometimes, pain after implant surgery can be linked to factors that exist within your medical or genetic makeup. Conditions like fibromyalgia, temporomandibular disorders, and depression/anxiety can make you more prone to experiencing pain. This type of unexplained pain often falls under the category of "peripheral painful traumatic trigeminal neuropathy" (PPTTN).

In summary, if you're feeling pain after a dental implant, even when everything looks fine, it's important to consider these factors before assuming it's psychosomatic. There are various reasons behind implant-related pain, and a thorough evaluation is essential to pinpoint the cause accurately. Your dental professional can help you identify and address the issue, ensuring your dental implant journey is as comfortable as possible.

Dental Care for Elderly Patients with Alzheimer's and Dementia in Nursing Homes: The Importance of Experience and Adaptation- By Dr Amir Mostofi, DDS Dip MSc

Caregiving for geriatric patients with Alzheimer's and dementia in nursing homes presents unique challenges, particularly in the area of dental care. Due to their medical conditions, these individuals frequently experience a variety of dental issues, including tooth decay, periodontal disease, dry mouth, and difficulty chewing and swallowing. This article will explore the significance of dentists who have experience working with this vulnerable patient population and how they navigate the complexities of diagnosis and treatment planning while taking into account their fragility and inability to communicate pain.

Understanding the Dental Concerns of Elderly Alzheimer's and Dementia Patients:

Patients with Alzheimer's disease and dementia are susceptible to a variety of dental issues, including:

Dental Decay: Numerous factors, including poor oral hygiene, consumption of sugary foods, and medication adverse effects, contribute to tooth decay. Additionally, Alzheimer's and dementia patients may have difficulty maintaining appropriate oral hygiene.

Poor oral hygiene can result in gum disease, which can result in discomfort, oozing gums, and even tooth loss. The limited motor skills and cognitive decline of these patients may make it difficult for them to perform adequate oral hygiene.

Reduced saliva production is a prevalent problem among Alzheimer's and dementia patients. As saliva serves to neutralise acids and protect teeth, dry mouth can increase the risk of tooth decay and gum disease.

Cognitive decline and motor skill impairments can impair a patient's ability to correctly chew and swallow. This can lead to malnutrition and pneumonia from aspiration.

Dentists with experience in treating elderly patients with Alzheimer's and dementia play an essential role in providing effective and compassionate dental care. Here's why their experience is significant:

a. Specialised Knowledge: These dentists have an in-depth comprehension of the unique dental issues confronted by Alzheimer's and dementia patients. They are aware of the potential oral health complications associated with cognitive decline and are able to anticipate and proactively address them.

b. Communication and Adaptation: Patients with Alzheimer's and dementia may have difficulty expressing pain or distress; therefore, dentists must be adept at interpreting nonverbal cues and behaviour. Dentists with experience are able to modify their diagnostic methods to guarantee precise evaluations and develop treatment plans accordingly.

c. Fragility and Patient Comfort: The geriatric patients with Alzheimer's and dementia require gentle and compassionate dental care due to their fragility. Dentists with extensive experience are well-versed in handling these patients with care, employing techniques that minimise anxiety and pain throughout the treatment.

d. Collaborative Approach: Dentists with experience in treating elderly patients with cognitive decline frequently collaborate with nursing home personnel and carers. This collaboration assures continuity of care, the exchange of vital information, and the development of individualised treatment plans tailored to the specific needs of the patient.

Importance of Diagnosis and Treatment Planning: Diagnosis and treatment planning for elderly patients with Alzheimer's disease and dementia must take into account their specific circumstances. Dentists must:

a. Conduct a Comprehensive Evaluation: Comprehensive dental examinations and evaluations are essential for identifying existing oral health issues and developing the most effective treatment plans. This evaluation should include a review of the patient's medical history, an assessment of their current dental health, and an evaluation of their oral hygiene practises.

b: Individualised Treatment: Each patient's treatment plan should be tailored to his or her particular requirements and limitations. Dentists must consider cognitive abilities, motor skills, and any medical conditions that could affect the quality of dental care provided.

c. Conservative Approaches: Given the fragility and potential distress of these patients, dentists may, whenever possible, opt for conservative treatment approaches. This may involve prioritising pain management, addressing essential issues first, and implementing preventive measures to ensure long-term oral health.

Dental care for Alzheimer's and dementia patients residing in nursing homes requires specialised knowledge, flexibility, and a patient-centered approach. Dentists with experience treating this population have the knowledge and skills necessary to provide comprehensive care while ensuring their patients' comfort and well-being. By recognising the significance of their role and adopting appropriate diagnostic and treatment planning strategies, dental professionals can substantially contribute to enhancing the oral health and overall quality of life of Alzheimer's and dementia patients.

A comprehensive patient guide for dental implants

All There Is to Know About Dental Implants : A patient guide

In modern dentistry, dental implants have become the treatment of option for missing teeth.

What exactly is an implant?

A dental implant is an artificial tooth root that is typically composed of titanium. When applied with skill, they provide a highly reliable treatment. The primary objective of implant placement is to obtain immediate, intimate contact with the surrounding bone. Over time, additional bone growth on the implant surface improves the implant's stability.

In order to support replacement teeth, dental implants typically feature an internal screw thread or post space that permits the attachment of a variety of components. Once in place, these components provide long-lasting support for crowns, bridges, or removable dentures.

Who can receive dental implants?

Dental implants are appropriate for the majority of healthy adults. They can only be used once the jawbone has ceased growing, so they are typically not used on children. Habits such as excessive drinking or smoking can increase the number of complications associated with initial healing and may be detrimental to the gum and bone surrounding each implant in the long term. Smoking should be reduced or best still given up altogether. However, each case is unique, and if you have any medical issues, you should consult with one of our implant specialists prior to beginning treatment; in only a few instances do health issues completely preclude the use of dental implants.

Dental implants are appropriate for the majority of healthy adults.

How will you determine if you are a candidate for implants?

During your initial consultation, Dr. Mostofi will determine whether implant treatment is feasible. He will discuss your options and conduct an examination of your mouth and remaining teeth to determine the nature and extent of any existing dental issues. Typically, x-rays will be obtained, and dental models will be fabricated so that they can be examined after your appointment. These x-rays and models will be used to determine the optimal position for an implant, the number of implants required to fill the gap, and the available bone grade and volume.

Establishing excellent oral hygiene is a crucial step in any treatment plan. At this initial consultation, you will be informed of which problems are essential and what treatment is necessary to stabilise any gum or tooth issues.

Should you have a full mouth examination?

When you inquire about dental implants for the first time, it is frequently in response to ongoing dental issues or the recent loss of teeth. Before implant treatment, it will often be necessary to understand and treat the underlying cause of these issues.

If you have poor breath, loose teeth, or excessive bleeding, especially when your teeth are professionally cleaned, you may have gum disease.Gum disease (periodontal disease) is a leading cause of bone loss, making dental implant treatment more difficult, but not impossible.

How lengthy is the treatment?

For routine cases, the duration between implant placement and the placement of the first tooth/teeth can range from three to six months. The availability of higher-quality bone can be used to reduce treatment time, whereas inferior bone requires more time and care, which can extend treatment times beyond six months.

What should you understand before beginning treatment?

You will receive a summary of your discussion regarding treatment planning, emphasising your current dental condition and any alternatives to dental implants. This summary also provides an overview of the anticipated treatment stages and provides an estimate of the expected duration, number of implants, and cost. There may be additional issues unique to your case, and they will be addressed accordingly.

How long do implants typically last?

Once the implants and surrounding soft tissues are deemed to be healthy and the new teeth are deemed to be comfortable and properly aligned, the quality of your oral hygiene and willingness to attend regular maintenance reviews will have the greatest impact on their longevity.

Similar to neglected natural teeth, implants will develop a layer of hard and porous deposits (calculus and plaque) if they are not properly cared for. These deposits, if left untreated, can cause gingival infection, bleeding, soreness, and general discomfort. Implants could be said to have the same longevity as natural teeth. Implants that are well-maintained and placed in sufficient bone can potentially last a lifetime if cared for properly. However, just as you would anticipate traditional crowns, bridges, and fillings to require occasional restorations or replacements, implant-supported teeth may also require similar maintenance over time.

How many teeth can dental implants support?

Dental implants can be used to replace a single tooth or an entire arch of teeth. Dental implants can support all prevalent forms of tooth replacement, such as bridges and dentures. If you are missing a single natural tooth, one implant will typically suffice to provide a replacement. However, larger spaces created by two, three, or more missing teeth may not require one implant per tooth; the precise number of implants will depend on the grade and quantity of bone at each potential implant site.

Patients with a propensity of clenching or grinding their teeth (bruxism) may be at risk of implant overload. Bruxism occurs during sleep for most individuals, so they are typically unaware of it. The most common clinical indications of bruxism are excessively worn or flattened teeth, chipped enamel edges, and/or the frequent breakage of filling fragments. During treatment planning, the effects of bruxism must be considered, and they can be compensated for by placing additional implants, selecting appropriate restorative materials, and providing a nighttime bite guard to secure the new teeth. This will be covered in your initial consultation and treatment plan.

Implant retained prostheses

What are implant retained dentures?

Using dental implants to anchor removable prostheses (dentures) is a significantly more effective method than using adhesives, glue, or powders. With only two implants or four mini implants in each jaw, dentures can be clipped into position and held securely, but are simple to remove for cleaning and sleeping. Implants also provide a number of aesthetic advantages, including the preservation of bone in the jaw and the maintenance of facial structure, as well as the restoration of lost lip support to reduce wrinkles around the mouth. Approximately 2 hours procedure are devoted to actual surgery. It is a quick and economical alternative to a complete arch of dental implants.

What alternative treatments are available?

Implant-retained dentures are a significant improvement over traditional removable dentures, which are inconvenient, sometimes uncomfortable, and restrict your diet. Full arch dental implants are an even better alternative to removable dentures; we are one of the few practises in West Sussex with the expertise to conduct this procedure. It's a life-altering, permanent solution.

Is it essential to replace an entire set of lacking teeth?

Multiple tooth loss can have a profound effect on one's quality of life. In addition to having a significant influence on your ability to speak and eat, it can also alter your appearance. Without teeth to support the lips and cheekbones, wrinkles develop more quickly and the cheeks become hollow. Many individuals with this type of tooth loss believe they appear older than they are, which can be detrimental to their self-esteem.

A summary of the implant procedure

Typically, implant treatment consists of several phases that occur over a period of three to nine months. Although there are numerous implant treatment methods, a typical procedure typically involves the following:

Assessment and planning for treatment:

At the initial consultation, after a thorough discussion of all potential alternatives, we will determine whether implant treatment is feasible. If necessary, x-rays will be obtained and models of the teeth will be created. Then, a written treatment plan detailing the treatment sequence and associated costs will be created.

Implant placement:

Implant implantation is a relatively straightforward minor surgical procedure that can be performed in a dental office under sterile conditions. The procedure is performed under local anaesthesia and, if necessary, sedation. If, during evaluation, it is determined that the underlying bone is deficient, there are several options for bone regeneration. Depending on the needs, bone regeneration is typically performed at the same time as implant placement.

Healing or Transition period:

It can take between six weeks and six months for implants to integrate with a patient's bone. During this period of integration, temporary dentures or bridgework may be worn as needed. In certain instances, temporary teeth can be affixed to the implants in a procedure known as "immediate loading" while the implants integrate.

The Recuperative stage:

Once implants are incorporated, they can be restored with a variety of new teeth (definitive restorations) including a single crown, small or large bridge, or removable overdenture. We collaborate closely with a laboratory that creates these permanent restorations.

Maintenance:

Following conclusion of implant treatment, the patient must clean the new teeth (restorations) according to the instructions. A dental hygienist may also provide guidance on the care and upkeep of restorations and natural teeth. Regular visits to the dentist are required so that the health of the soft tissues, bone levels, and restoration can be evaluated.

How can you determine if you have sufficient bone for dental implants? Normal dental x-rays display a great deal of detail, but only in two dimensions. From these views, it is typically possible to determine the height of available bone for implant placement; however, sometimes more advanced imaging techniques are required to determine the equally crucial bone breadth.

Dental CBCT Scans – there are now a number of sophisticated x-ray techniques that enable a three-dimensional examination of the jawbone. CBCT (cone beam computed tomography) scans are the most precise and widely available. Images obtained by CBCT scanning will typically display all of the necessary bone information, including quantity and quality, but most importantly, the presence of structures that must be avoided.

What may result in bone loss?

When a tooth is lost or extracted, a significant portion of the bone that once encompassed the remaining root may be lost. This loss is referred to as "bone resorption" and can be especially rapid during the first few months. Despite the fact that the rate and quantity of bone resorption are highly variable between individuals, it will always occur to some degree unless special precautions are taken to mitigate its effects.

Many patients report that their dentures gradually become looser and no longer fit as well as they once did. Initially, the observed worsening of denture fit was a result of the increased rate of bone loss following tooth extractions. It is the direct effect of gnawing forces that causes the gradual deterioration of supporting bone over time. Therefore, the longer prostheses are worn, the less available bone there is for dental implants.

What anatomical structures must be avoided during dental implant placement?

As long as the implants remain within the bone that once supported your natural teeth, there are no significant risk areas in the upper mandible. If you are missing upper back teeth, you can be shown the contour and location of the area above the roots (maxillary sinuses). Since the maxillary sinuses are visible on the majority of x-rays, they are generally avoided.

The 'inferior dental nerve' is the most vital anatomical structure to avoid in the lower mandible. This nerve begins behind the wisdom teeth, travels under the back teeth (molars), and emerges on the epidermis of the face where the middle teeth (premolars) are or were. This is the reason why a normal dental anaesthetic numbs the lip even when the needle is inserted in the very back of the mouth. If this nerve is irritated or damaged during dental implant implantation, it can result in temporary or permanent numbness or altered sensation. This is an uncommon but significant complication.CBCT scans are typically the most accurate method for pinpointing the location of this nerve, allowing implants to be implanted with confidence. CBCT scans are more expensive than standard dental x-rays, but the information they provide is often invaluable for complex treatment planning and determining the location of vital anatomical structures. If a tooth is inadvertently damaged by the implantation of a nearby implant, any resulting issues can typically be treated with root canal therapy, in which the tooth's nerve is removed.

Can dental implants preserve bone?

This is one of the most essential characteristics of dental implants. Once in place and supporting teeth, daily functional forces (eating, smiling, and speaking) stimulate the adjacent bone, causing it to become denser and stronger. As with all things, there are limitations to the amount of force an implant can exert. We will discuss this in greater depth as it pertains to your specific situation.

Can replacement teeth be worn while undergoing implant treatment?

If the teeth being replaced by dental implants are in a highly visible area of the mouth, it is probable that you will need to have some teeth present during the procedure. This can be accomplished in a variety of ways, ranging from simple plastic dentures to removable bridges. If replacement teeth are used during treatment phases, it is vital that they do not exert uncontrolled pressure on the implants. You should anticipate a number of visits for minor adjustments to any temporary teeth after the implants are inserted and before they are activated. They might not be as visually appealing as your final restoration.

Are dental implants compatible with natural teeth?

Dental implants are routinely inserted adjacent to natural teeth, and this procedure is generally very safe. The only exception to this rule would be if the natural root was extremely curved or inclined in the proposed implant path. This could cause the implant to damage the root, but this is typically avoidable through meticulous pre-operative planning.

Are the replacement molars fused together?

When numerous implants are inserted, they are typically connected in the same manner as a bridge supported by natural teeth. When teeth supported by implants are joined together, they are mechanically sturdier than the sum of their parts.

If sufficient implants are available, it is frequently simpler and just as effective to construct several smaller bridge sections, each supporting a few teeth. The overall effect in the mouth is identical, and if you ever need to repair one of the minor sections, this can be accomplished much more easily. Again, the quality of the bone, as well as the number and placement of the implants, will determine which option is most suitable for you.

Is it unpleasant when implants are inserted?

The majority of patients will be familiar with the anaesthetics used in routine dentistry and will be aware of their efficacy. The same anaesthesia is used to insert implants. Depending on the complexity of your case, the procedure could last anywhere from 2 hours for a single implant to several hours for complex bone augmentation and the implantation of multiple implants. Expect some minor swelling and occasional discoloration after surgery. For the majority of patients, fundamental over-the-counter pain relievers will suffice for several days. If you continue to experience discomfort, contact your healthcare provider, who can prescribe a stronger medication.

Generally, healing is uncomplicated, and sutures are removed within ten to fourteen days. During the initial few days, you should disclose any unanticipated pain or swelling so that it can be evaluated. Always seek advice when in doubt, as early detection of a problem often leads to a simplified solution. You may also be prescribed antibiotics and asked to perform some basic procedures, such as rinsing your mouth with salt water or an antiseptic mouth rinse. It is essential that you follow these directions.

If the implant surgery will take a long time, is sedation an option?

Although it is relatively simple to provide effective pain management during surgery, the majority of patients will be apprehensive. There is no need to suffer in silence, as there are numerous highly effective ways to attain a state of relaxation.

Conscious sedation – For more complex procedures, it may be recommended that you have a more regulated method of relaxation and comfort during the surgical phases. This is known as 'conscious sedation' and is distinct from a anaesthetic because you are awake enough to respond to simple instructions that may be helpful to the surgeon; however, you will recall almost nothing of the treatment phase. It is especially advantageous for procedures lasting more than an hour that do not require hospitalisation; this is likely the case for the majority of dental implant treatments. For routine "conscious sedation," a sedative is administered via an arm or hand vein for the duration of the procedure. An anesthesiologist continuously monitors your pulse rate and oxygen levels during this extremely safe procedure. A standard dental local anaesthetic is injected around the proposed implant sites under conscious anaesthesia. By the time the dental anaesthetic is administered, the anaesthetic has already taken effect, so most patients do not recall this phase. For procedures requiring oral or conscious anaesthetic, you may be asked to refrain from eating or drinking for at least four hours prior to surgery, and you will be required to make arrangements for an adult to drive you home. Additionally, you will be instructed not to operate any apparatus for at least 24 to 36 hours.

What can be done if there are insufficient bones?

Up to this point, we have covered the fundamentals of routine implant placement. This has included the initial examination and diagnosis, special x-rays such as CBCT scans, anaesthesia during surgery, and what to expect following the placement of implants. However, for some individuals, bone loss following tooth extraction or loss prevents the placement of an implant. There are actions that can be taken if this occurs:

It is possible to increase the height of the available bone in the upper jaw above the back molars by creating new bone in the sinus. This process is known as "sinus augmentation." Without the widespread success of this technique, numerous patients would be unable to receive dental implants in a region of the mouth where tooth loss is so prevalent.

There are numerous methods for adding bone, but one of the simplest is to remove a piece of bone from another location and attach it as an "onlay graft" to a deficient area. The new piece of bone will gradually fuse with the underlying bone, and an implant can be implanted in a more favourable position once it has healed and matured.

Where can additional bone be obtained?

Bone can be harvested from a variety of locations, but most commonly from the back of the lower mandible or the chin. Occasionally, it is extracted from the hip or tibia. When using your own bone to create new bone in another area of the mandible, you will experience discomfort at both the donor site and the surgical site. As your own bone is typically regarded as the 'gold standard,' many people feel that the additional discomfort is well worth it.

Alternatives to your own bone for augmentation There are other sources of bone, such as bovine (derived from cows), porcine (derived from pigs), and synthetic materials that have been specially processed to make them acceptable for use in humans, for those who prefer an easier but slightly slower solution. All of these materials, including your own bone, are merely scaffolds into which new bone will grow in a few months in preparation for dental implant placement.

It can take anywhere from three to twelve months for new bone to be suitable for dental implants. Do not rush to advance to the next stage. A larger quantity of bone will take longer to mature than a smaller quantity. Each surgeon will have a preferred technique for producing new bone. Many of them will additionally employ a technique known as "guided tissue regeneration." By placing a barrier material between slow-moving bone cells and the fast-moving cells of the soft tissues lining the mouth, this technique allows slower-moving bone cells time to occupy a space. This is a "resorbable barrier" that will dissolve spontaneously after a few months of performing its function.

Does bone augmentation impact treatment duration?

If you require bone augmentation, it may lengthen the duration of your treatment; however, when performed successfully, it will significantly enhance the outcome of the implant(s) placed. When used in the front of the mouth, it can also enable the construction of much more aesthetically pleasing results.

Regardless of the method selected to increase bone density, the time, effort, and expense are generally worthwhile.

How do you care for your implants?

To increase the longevity of your implants, it is imperative that you maintain excellent oral hygiene. Cleaning your implants is straightforward. For the majority of implant-supported teeth, you will be able to brush and floss around each supporting implant just as you would around natural teeth and tooth-supported bridges. Maintaining excellent oral hygiene may require special floss, interdental toothbrushes, and other cleaning aids in some areas.

If you wish to maintain optimal implant health, it is reasonable to anticipate that some daily maintenance procedures will be more complex than those performed around your natural teeth, and that you will need to devote more time than in the past.

During the first few months following implant placement, your dentist may request that you visit them more frequently; however, once they are satisfied that your treatment is proceeding according to plan, your ongoing dental care will be comparable to that of a patient with natural teeth.

What options exist if an implant fails?

The average success rate for dental implants is approximately 90%; you should discuss how the loss of an implant could affect your treatment plan. A dental implant can fail for a variety of reasons, including smoking, poor oral hygiene, and systemic disease. In these particular high-risk groups, one would anticipate a much higher failure rate. If an implant does not integrate well with the surrounding bone, it will ultimately lose its ability to support replacement teeth and become loose. Commonly, a failing implant does not cause discomfort, and if there are sufficient residual implants, it may not be necessary to replace it.

It is essential to discuss the potential complications that may arise.

Various implant procedures

One-stage implant – The implant is inserted into a fresh, healing, or healed extraction site where the original tooth was extracted, and is immediately visible above the gum. This technique has the advantage of not requiring a second surgical stage to expose the implant. Typically, the implant will not be able to sustain a tooth for several weeks or months.

This is the first stage of a two-stage implant, in which the implant is inserted into a fresh, healing, or healed extraction site and then concealed by a layer of gum tissue. At the second stage, weeks or months later, the implant is uncovered and components are added, bringing it to the surface of the gum so that a new tooth can be attached.

Same-day implants - necessitate meticulous planning prior to the actual day of surgery. A few hours after the placement of multiple implants, a full arch of temporary or permanent teeth can be affixed. If temporary dentures are used, they are typically replaced with a permanent bridge after a sufficient period of healing. Not all patients are appropriate candidates for this method of treatment.

In this procedure, a tooth is extracted and an implant is placed promptly into the extraction site. Depending on the local bone and soft tissue conditions, implant surgery may be performed in one or two stages. Not all patients are candidates for this treatment.

Immediate implant placement and early loading – This is dissimilar to immediate implant placement. It is essentially a one-step procedure in which the implant is inserted into a fresh, healing, or healed extraction site and a replacement tooth is attached at the same appointment. This first tooth will typically be kept out of direct contact with opposing teeth for more than three months, following which it will be restored. This procedure is more prevalent in areas of the mouth where aesthetics play an essential role. Again, this approach is not suitable for all patients.

Frequently asked questions:

Will I be able to consume my favourite foods afterwards?

Patients should be able to consume a normal, nutritious diet with little to no difficulty upon completion.

What are the costs associated with implant treatments?

The price can vary based on the required level and extent of treatment. A written treatment plan, therefore, explains and confirms the total cost.

How much time will it take?

Implant treatment typically requires multiple appointments over the course of several months. In certain instances, implant procedures can be completed much more quickly.

How long will an implant last?

Regular dental hygiene and regular check-ups should ensure that implants last for many years after treatment is complete.

Am I too elderly to receive implants?

There is no upper age limit for patients undergoing implant treatment, so long as they remain in reasonable health.

Is the procedure painful?

Patients are frequently astonished by the lack of pain they experience during and after implant procedures.

Glossary:

-Abutment

The abutment is the component that connects the implant to the permanent tooth restoration.

-Barrier membrane

A membrane that is draped over a bone defect or bone implant to prevent the infiltration of soft tissue, which could compromise the healing process.

-Bone augmentation

This is the insertion of natural or synthetic bone material in a deficient area of natural bone. This procedure may be performed concurrently with implant implantation, or as a separate procedure prior to implant placement.

-Bone resorption

Resorption of bone is the loss of bone height and/or width in the upper or lower mandible. This process continues throughout life, but is accelerated in areas where teeth have been lost.

-Bridge

A bridge is a method for replacing one or more missing teeth with artificial teeth that are bonded to adjacent natural teeth or dental implants. Bridges may be glued in position (adhesive bridges) or supported by crown preparations (conventional bridges) and constructed from a number of different materials.

-Bruxism

The act of clenching or grinding one's teeth when not chewing.

-Calculus

Sometimes referred to as tartar, tartar is a hard deposit that forms on teeth. Calculus is the result of the calcification of debris around the teeth, and it can be avoided by practising meticulous oral hygiene. Once calculus has formed, it is difficult to eradicate, and requires the services of a dental therapist or hygienist in most cases.

-Absolute arch

A complete arch refers to the teeth of the upper or lower mandible in their entirety.

-Consultation

A dental consultation to evaluate potential treatment options. Appointments may include an examination, x-rays, and photographs, as well as a frank discussion and explanation, if necessary.

-Crown

Crowns can be manufactured from a variety of materials, including porcelain, porcelain fused to metal, and gold. The majority of crowns that are not visible in the mouth are white in pigmentation.

-CBCT scan

Cone Beam Computed Tomography is a sophisticated x-ray technique that generates three-dimensional images of the mandible. Due to their three-dimensional nature, these images can only be observed on a computer screen.

-Definitive or final restoration

"Final restoration” refers to the ultimate implant-supported crown, bridge, or denture fabricated during the treatment process. The restoration will require routine maintenance and may require replacement.

-The administration of dental anaesthetics

Anaesthesia (Greek: ) means without sensation, which includes pain. The majority of dental anaesthetics are administered via injection into the affected area. Rarely, procedures may be performed while you are unconscious; this is known as a general anaesthetic.

-Dental implant

An implant is an artificial "tooth root." The majority of implants are composed of metal, with titanium or titanium alloys being the most prevalent. Implants are surgically inserted into the jawbone in order to support crowns and bridges or stabilise dentures.

-Dentures

Dentures are removable, custom-made replacement teeth. Typically, they are composed of acrylic or acrylic and cobalt chromium.

-Extraction

The extraction of teeth is the removal of teeth.

-Extraction position

The space left after tooth extraction.

Effective implantation

A functioning implant is one or more implants that are capable of supporting a dental restoration, such as a crown, bridge, or denture, and biting.

-Therapeutic tissue regeneration

A procedure that promotes the regeneration of soft tissue (gums) and may be used to improve the aesthetics around teeth or crowns.

-Gum disease

Soft tissue disease surrounding teeth. Gingivitis is the common name for gingival inflammation; it is a response to the deposition of plaque and, in most cases, can be treated with rigorous oral hygiene.

-Periodontal disease

Gingivitis can develop into periodontitis, a more severe form of gum disease, if left untreated. Periodontitis causes bone loss and can threaten the survival of a tooth or teeth.

-Immediate loading

Providing a temporary crown or bridge concurrently with implant implantation. Not all patients are appropriate candidates for this treatment.

-Inferior dental nerve

This nerve, sometimes known as the inferior alveolar nerve, travels through a bony canal in the lower jaw and provides sensation to the lower teeth, before emerging from bone as the mental nerve, which provides sensation to the lower lip.

**-Combination toothbrushes**

A small interdental brush with typically a single tuft of filaments. This can be used as an alternative to dental floss for cleansing between teeth and around implants.

**-Maximum sinus**

A hollow, air-filled space located just above the upper premolars. This varies in size from person to person and grows throughout one's lifetime.

**-Molars**

The upper and lower third molars on both sides of the mandible.

**-Onlay anastomosis**

When bone is taken from another area of the body, such as the hip (rarely), jaw, or behind the molars, and grafted to a deficient area.

**-Osseointegration**

Osseointegration is the bonding or fusion of an implant and bone, which typically takes several weeks to months.

**-Plaque**

Plaque is a soft, sticky, colourless film of bacteria that forms continuously on teeth and gums and can harden into calculus if not removed daily by practising good oral hygiene (brushing, flossing, etc.).

**-Premolars**

The two teeth located on both sides of the mandible in front of the molars.

**-Reline procedure**

During a relining procedure, a soft or firm material is used to correct the fitting surface of a denture following an extraction or surgery.

**-Removable overdenture**

A removable denture that is supported by implants but can be removed by the patient for cleansing.

**-Restorations**

The restoration may consist of a filling, a crown, a bridge, or a denture. It restores the tooth or teeth to full functionality.

**-Rejuvenating phase or appointment**

This phase follows the surgical phase of the treatment plan, typically a few weeks to a few months after a sufficient degree of recuperation. In the majority of instances, this will involve obtaining impressions so that the technician(s) can fabricate the definitive restoration.

**-Sinus augmentation**

A surgical procedure in which bone regenerative material is inserted into the sinus to stimulate the formation of new bone in order to enhance the available bone height for implant placement.

**-Sterile conditions**

In this context, sterility refers to the absence of bacterial contamination. We can never achieve absolute sterility, but we must always strive to achieve as near as possible to a sterile working environment. This includes the use of autoclaves to sterilise all nondisposable instruments as well as drapes and robes to isolate working surfaces and personnel.

**-Titanium**

This biocompatible metal is used to manufacture implants. Titanium has been utilised for decades in medical procedures, including hip replacements.

**-Treatment scheme**

A report outlining the patient's dental implant procedure, including the proposed treatment timeline and expenditures. The purpose of this guide is to provide an overview of standard dental implant treatment. Each individual's treatment plan for dental implants will be customised by Clinic for Implant & Orthodontic Dentistry in terms of cost, duration, and method of care delivery.

A Clinic for Root Canal Treatment Near You

The prospect of undergoing a root canal for the first time can be intimidating. In situations where a standard filling cannot save the tooth, a root canal can provide a relatively quick and painless solution.

Regarding Root Canal

Do I require a root canal procedure or endodontic treatment?

If you are experiencing severe tooth pain, extreme sensitivity, tooth discoloration, swollen gums, a recurring abscess on the gum line, or a fissure in a filling, or if you have sustained a traumatic injury to your teeth, you may require a root canal to save your tooth. If your dentist believes you are likely to need a root canal, they will take an X-ray and may test for temperature sensitivity; they may also perform comprehensive imaging. If you have an abscess, your dentist may prescribe antibiotics to treat the infection before commencing treatment, or he or she may recommend a root canal.

If I require a root canal, what is the next step?

It is essential that you comprehend the root canal procedure, the risks and benefits of the treatment, as well as the treatment's complexity. Root canal treatments are now specially registered with the GDC, and in some cases, your dentist may advise you that a referral to a dentist with a special interest in root canals or endodontics is necessary to ensure long-term success and provide the most effective treatment. Local anaesthesia will be administered to ensure that your root canal treatment is painless. A rubber dam will be inserted around the tooth to maintain a dry environment. An access hole will be drilled, and then decayed nerves and detritus will be removed with files. Then, the root canal will be filled with a polymer compound. Then, a temporary filling may be placed, or in some cases, the permanent filling may be completed at the same appointment.

My root canal treatment will be painful?

Root canal treatment has an unjust reputation for being painful, primarily because patients typically discover they need one after experiencing excruciating tooth or gum pain. As local anaesthetic will be used throughout your treatment, you will experience minimal discomfort at most. 24–72 hours of soreness and discomfort are common following endodontic treatment.

How much does the treatment of a root canal cost?

For the price of a root canal, please visit our website's fee page HERE. In many cases, a root canal can prevent the need for an extraction, and if you take good care of your teeth and tissues after the procedure, root canal treatment can last a lifetime with routine maintenance and check-ups. Please note that following a root canal, you will need a restoration such as a filling or crown. In addition to the cost of root canal, the cost of a filling or crown will be added.

What is the rate of success for root canals?

95% approximately. In extremely uncommon instances, we may discover additional infection in the root after performing a root canal and need to administer additional treatment. In extremely rare circumstances, a root canal may not be able to save the tooth. However, as a treatment with a success rate of 95% and durability for the majority of patients, a root canal is typically an excellent method to avoid extraction. Our opinion is that root canals should be performed by a practitioner with postgraduate experience in this discipline. Treatments and technologies have progressed, increasing the success rate of root canals.

What should I do after the treatment of my root canal?

After your treatment, you may desire to take an over-the-counter pain reliever, such as Aspirin or Ibuprofen, for minor pain or sensitivity. Ensure that you finish any antibiotics prescribed by your dentist and that you continue to brush and floss as usual. Long-term vigilance with brushing and flossing is essential for maximising the effectiveness of root canal therapy. If properly maintained, a root canal can last a lifetime. In the past, patients were typically told that a root canal would last between 8 and 10 years, but we'd add that the longer you want your root canal to last, the better you must care for your teeth and gums! Not smoking, flossing and scrubbing your teeth religiously, and visiting your dentist and hygienist on a regular basis will all contribute to the longevity of your root canal. According to research, all post-root canal procedures should include a crown inlay and post.

Is a root canal a very long procedure?

Root canal procedures can take between two and three hours, depending on their complexity. We may be able to complete your root canal in a single appointment, which will take approximately 90 minutes, but root canals are technically challenging, so time must be taken to achieve the best results.

What are the most prevalent root canal treatment myths?

Root canals are an excruciating procedure. Yes, if you require a root canal, you may arrive at the clinic in agony, but this should subside once we begin treatment! Patients frequently report that the relief they experience once root canal therapy begins and we can stop the tooth and gum pain they've been experiencing is immense, and that root canal therapy itself should be painless.

The cost of root canals is high. They are more expensive than standard composite fillings, but significantly less expensive than dental implants, and if you detect your dental issues early, a root canal may prevent you from needing an implant in the future. A naturally saved root canal is always preferable to an implant, and while the prospect of spending up to three hours in the dentist's chair may be daunting, it's worth it to be pain-free and save your tooth!

That root canals are time-consuming. We may be able to complete your root canal treatment in a single visit, but even if it requires multiple visits, it's a surprisingly quick and effective method to save your tooth!

Root canals have a lengthy recovery period. Similar to after having a filling, you may experience some sensitivity, but this should subside within two days. Additionally, we recommend biting a little more gently on the treated tooth for the next day or so, and Ibuprofen can be consumed. Aside from this, there is virtually no recovery period following a root canal. Just be sure to brush and floss thoroughly, and business as usual will resume after your procedure.

That root canals are not durable. We will provide you with the highest conceivable standard of care. Then the floor is yours. If you take good care of your teeth after root canal therapy, root canals can last for many years. Like anything else, root canal treatment may appear to be costly, time-consuming, and intimidating, but if performed by the right practitioner with the right experience, root canal treatment should be pleasurable and successful!

All There to Know About Dental Implants: A Patient Guide

All There Is to Know About Dental Implants : A patient guide

In modern dentistry, dental implants have become the treatment of option for missing teeth.

What exactly is an implant?

A dental implant is an artificial tooth root that is typically composed of titanium. When applied with skill, they provide a highly reliable treatment. The primary objective of implant placement is to obtain immediate, intimate contact with the surrounding bone. Over time, additional bone growth on the implant surface improves the implant's stability.

In order to support replacement teeth, dental implants typically feature an internal screw thread or post space that permits the attachment of a variety of components. Once in place, these components provide long-lasting support for crowns, bridges, or removable dentures.

Who can receive dental implants?

Dental implants are appropriate for the majority of healthy adults. They can only be used once the jawbone has ceased growing, so they are typically not used on children. Habits such as excessive drinking or smoking can increase the number of complications associated with initial healing and may be detrimental to the gum and bone surrounding each implant in the long term. Smoking should be reduced or best still given up altogether. However, each case is unique, and if you have any medical issues, you should consult with one of our implant specialists prior to beginning treatment; in only a few instances do health issues completely preclude the use of dental implants.

Dental implants are appropriate for the majority of healthy adults.

How will you determine if you are a candidate for implants?

During your initial consultation, one of our specialist will determine whether implant treatment is feasible. We discuss your options and conduct an examination of your mouth and remaining teeth to determine the nature and extent of any existing dental issues. Typically, x-rays will be obtained and dental models will be fabricated so that these can be examined after your appointment. These x-rays and models will be used to determine the optimal position for an implant, the number of implants required to fill the gap, and the available bone grade and volume.

Establishing excellent oral hygiene is a crucial step in any treatment plan. At this initial consultation, you will be informed of which problems are essential and what treatment is necessary to stabilise any gum or tooth issues.

Must you maintain a wholesome mouth?

When you inquire about dental implants for the first time, it is frequently in response to ongoing dental issues or the recent loss of teeth. Before implant treatment, it will often be necessary to understand and treat the underlying cause of these issues.

If you have poor breath, loose teeth, or excessive bleeding, especially when your teeth are professionally cleaned, you may have gum disease.

Gum disease (periodontal disease) is a leading cause of bone loss, making dental implant treatment more difficult, but not impossible.

How lengthy is the treatment?

For routine cases, the duration between implant placement and the placement of the first tooth/teeth can range from three to six months. The availability of higher-quality bone can be used to reduce treatment time, whereas inferior bone requires more time and care, which can extend treatment times beyond six months.

What should you understand before beginning treatment?

You will receive a written summary of your discussion regarding treatment planning, emphasising your current dental condition and any alternatives to dental implants. This summary also provides an overview of the anticipated treatment stages and provides an estimate of the expected duration, number of implants, and cost. There may be additional issues unique to your case, and they will be addressed accordingly.

How long do implants typically last?

Once the implants and surrounding soft tissues are deemed to be healthy and the new teeth are deemed to be comfortable and properly aligned, the quality of your oral hygiene and willingness to attend regular maintenance reviews will have the greatest impact on their longevity.

Similar to neglected natural teeth, implants will develop a layer of hard and porous deposits (calculus and plaque) if they are not properly cared for. These deposits, if left untreated, can cause gingival infection, bleeding, soreness, and general discomfort. Implants could be said to have the same longevity as natural teeth. Implants that are well-maintained and placed in sufficient bone can potentially last a lifetime if cared for properly. However, just as you would anticipate traditional crowns, bridges, and fillings to require occasional restorations or replacements, implant-supported teeth may also require similar maintenance over time.

How many teeth can dental implants support?

Dental implants can be used to replace a single tooth or an entire arch of teeth. Dental implants can support all prevalent forms of tooth replacement, such as bridges and dentures.

If you are missing a single natural tooth, one implant will typically suffice to provide a replacement. However, larger spaces created by two, three, or more missing teeth may not require one implant per tooth; the precise number of implants will depend on the grade and quantity of bone at each potential implant site.

Patients with a propensity of clenching or grinding their teeth (bruxism) may be at risk of implant overload. Bruxism occurs during sleep for most individuals, so they are typically unaware of it. The most common clinical indications of bruxism are excessively worn or flattened teeth, chipped enamel edges, and/or the frequent breakage of filling fragments. During treatment planning, the effects of bruxism must be considered, and they can be compensated for by placing additional implants, selecting appropriate restorative materials, and providing a nighttime bite guard to secure the new teeth. This will be covered in your initial consultation and treatment plan.

Implant retained prostheses

What is the therapy?

Using dental implants to anchor removable prostheses is a significantly more effective method than using adhesives, pastes, or powders. With only two implants or four mini implants in each jaw, dentures can be clipped into position and held securely, but are simple to remove for cleaning and sleeping. Implants also provide a number of aesthetic advantages, including the preservation of bone in the jaw and the maintenance of facial structure, as well as the restoration of lost lip support to reduce wrinkles around the mouth. Approximately 15 minutes of the 90-minute procedure are devoted to actual surgery. It is a quick and economical alternative to a complete arch of dental implants.

What alternative treatments are available?

Implant-retained dentures are a significant improvement over traditional removable dentures, which are inconvenient, sometimes uncomfortable, and restrict your diet. Full arch dental implants are an even better alternative to removable dentures; we are one of the few practises in East Anglia with the expertise to conduct this procedure. It's a life-altering, permanent solution.

Is it essential to replace an entire set of lacking teeth?

Multiple tooth loss can have a profound effect on one's quality of life. In addition to having a significant influence on your ability to speak and eat, it can also alter your appearance. Without teeth to support the lips and cheekbones, wrinkles develop more quickly and the cheeks become hollow. Many individuals with this type of tooth loss believe they appear older than they are, which can be detrimental to their self-esteem.

A summary of the implant procedure

Typically, implant treatment consists of several phases that occur over a period of three to nine months. Although there are numerous implant treatment methods, a typical procedure typically involves the following:

Assessment and planning for treatment:

At the initial consultation, after a thorough discussion of all potential alternatives, we will determine whether implant treatment is feasible. If necessary, x-rays will be obtained and models of the teeth will be created. Then, a written treatment plan detailing the treatment sequence and associated costs will be created.

Implant placement:

Implant implantation is a relatively straightforward minor surgical procedure that can be performed in a dental office under sterile conditions.The procedure is performed under local anaesthesia and, if necessary, sedation. If, during evaluation, it is determined that the underlying bone is deficient, there are several options for bone regeneration. Depending on the needs, bone regeneration is typically performed at the same time as implant placement.

Transition period:

It can take between six weeks and six months for implants to integrate with a patient's bone. During this period of integration, temporary dentures or bridgework may be worn as needed. In certain instances, temporary teeth can be affixed to the implants in a procedure known as "immediate loading" while the implants integrate.

The Recuperative stage:

Once implants are incorporated, they can be restored with a variety of new teeth (definitive restorations) including a single crown, small or large bridge, or removable overdenture. We collaborate closely with a laboratory that creates these permanent restorations.

Maintenance:

Following conclusion of implant treatment, the patient must clean the new teeth (restorations) according to the instructions. A dental hygienist may also provide guidance on the care and upkeep of restorations and natural teeth. Regular visits to the dentist are required so that the health of the soft tissues, bone levels, and restoration can be evaluated.

How can you determine if you have sufficient bone for dental implants? Normal dental x-rays display a great deal of detail, but only in two dimensions. From these views, it is typically possible to determine the height of available bone for implant placement; however, sometimes more advanced imaging techniques are required to determine the equally crucial bone breadth.

Dental CBCT Scans – there are now a number of sophisticated x-ray techniques that enable a three-dimensional examination of the jawbone. CBCT (cone beam computed tomography) scans are the most precise and widely available. Images obtained by CBCT scanning will typically display all of the necessary bone information, including quantity and quality, but most importantly the presence of structures that must be avoided.

What may result in bone loss?

When a tooth is lost or extracted, a significant portion of the bone that once encompassed the remaining root may be lost. This loss is referred to as "bone resorption" and can be especially rapid during the first few months. Despite the fact that the rate and quantity of bone resorption is highly variable between individuals, it will always occur to some degree unless special precautions are taken to mitigate its effects.

Many patients report that their dentures gradually become looser and no longer fit as well as they once did. Initially, the observed worsening of denture fit is a result of the increased rate of bone loss following tooth extractions.It is the direct effect of gnawing forces that causes the gradual deterioration of supporting bone over time. Therefore, the longer prostheses are worn, the less available bone there is for dental implants.

What anatomical structures must be avoided during dental implant placement?

As long as the implants remain within the bone that once supported your natural teeth, there are no significant risk areas in the upper mandible. If you are missing upper back teeth, you can be shown the contour and location of the area above the roots (maxillary sinuses). Since the maxillary sinuses are visible on the majority of x-rays, they are generally avoided.

The 'inferior dental nerve' is the most vital anatomical structure to avoid in the lower mandible. This nerve begins behind the wisdom teeth, travels under the back teeth (molars), and emerges on the epidermis of the face where the middle teeth (premolars) are or were. This is the reason why a normal dental anaesthetic numbs the lip even when the needle is inserted in the very back of the mouth. If this nerve is irritated or damaged during dental implant implantation, it can result in temporary or permanent numbness or altered sensation. This is an uncommon but significant complication.CBCT scans are typically the most accurate method for pinpointing the location of this nerve, allowing implants to be implanted with confidence. CBCT scans are more expensive than standard dental x-rays, but the information they provide is often invaluable for complex treatment planning and determining the location of vital anatomical structures. If a tooth is inadvertently damaged by the implantation of a nearby implant, any resulting issues can typically be treated with root canal therapy, in which the tooth's nerve is removed.

Can dental implants preserve bone?

This is one of the most essential characteristics of dental implants. Once in place and supporting teeth, daily functional forces (eating, smiling, speaking) stimulate the adjacent bone, causing it to become denser and stronger. As with all things, there are limitations to the amount of labour an implant can perform. We will discuss this in greater depth as it pertains to your specific situation.

Can replacement teeth be worn while undergoing implant treatment?

If the teeth being replaced by dental implants are in a highly visible area of the mouth, it is probable that you will need to have some teeth present during the procedure. This can be accomplished in a variety of methods, ranging from simple plastic dentures to removable bridges. If replacement teeth are used during treatment phases, it is vital that they do not exert uncontrolled pressure on the implants. You should anticipate a number of visits for minor adjustments to any temporary teeth after the implants are inserted and before they are activated. They might not be as visually appealing as your final restoration.

Are dental implants compatible with natural teeth?

Dental implants are routinely inserted adjacent to natural teeth, and this procedure is generally very safe. The only exception to this rule would be if the natural root was extremely curved or inclined in the proposed implant path. This could cause the implant to damage the root, but this is typically avoidable through meticulous pre-operative planning.

Are the replacement molars fused together?

When numerous implants are inserted, they are typically connected in the same manner as a bridge supported by natural teeth. When teeth supported by implants are joined together, they are mechanically sturdier than the sum of their parts.

If sufficient implants are available, it is frequently simpler and just as effective to construct several smaller bridge sections, each supporting a few teeth. The overall effect in the mouth is identical, and if you ever need to repair one of the minor sections, this can be accomplished much more easily. Again, the quality of the bone, as well as the number and placement of the implants, will determine which option is most suitable for you.

Is it unpleasant when implants are inserted?

The majority of patients will be familiar with the anaesthetics used in routine dentistry and will be aware of their efficacy. The same anaesthesia is used to insert implants. Depending on the complexity of your case, the procedure could last anywhere from 30 minutes for a single implant to several hours for complex bone augmentation and implantation of multiple implants. Expect some minor swelling and occasional discoloration after surgery. For the majority of patients, fundamental over-the-counter pain relievers will suffice for several days. If you continue to experience discomfort, contact your healthcare provider, who can prescribe a stronger medication.

Generally, healing is uncomplicated, and sutures are removed within a week to ten days. During the initial few days, you should disclose any unanticipated pain or swelling so that it can be evaluated. Always seek advice when in doubt, as early detection of a problem often leads to a simplified solution. You may also be prescribed antibiotics and asked to perform some basic procedures, such as rinsing your mouth with salt water or an antiseptic mouth rinse. It is essential that you follow these directions.

If the implant surgery will require a long time, is sedation an option?

Although it is relatively simple to provide effective pain management during surgery, the majority of patients will be apprehensive. There is no need to suffer in silence, as there are numerous highly effective ways to attain a state of relaxation.

Conscious sedation – For more complex procedures, it may be recommended that you have a more regulated method of relaxation and comfort during the surgical phases. This is known as 'conscious sedation' and is distinct from a anaesthetic because you are awake enough to respond to simple instructions that may be helpful to the surgeon; however, you will recall almost nothing of the treatment phase. It is especially advantageous for procedures lasting more than an hour that do not require hospitalisation; this is likely the case for the majority of dental implant treatments.For routine "conscious sedation," a sedative is administered via an arm or hand vein for the duration of the procedure. An anesthesiologist continuously monitors your pulse rate and oxygen levels during this extremely safe procedure. A standard dental local anaesthetic is injected around the proposed implant sites under conscious anaesthesia. By the time the dental anaesthetic is administered, the anaesthesia has already taken effect, so most patients do not recall this phase. For procedures requiring oral or conscious anaesthetic, you may be asked to refrain from eating or drinking for at least four hours prior to surgery, and you will be required to make arrangements for an adult to drive you home. Additionally, you will be instructed not to operate any apparatus for at least 24 to 36 hours.

What can be done if there are insufficient bones?

Up to this point, we have covered the fundamentals of routine implant placement. This has included the initial examination and diagnosis, special x-rays such as CBCT scans, anaesthetic during surgery, and what to expect following the placement of implants. However, for some individuals, bone loss following tooth extraction or loss prevents the placement of an implant. There are actions that can be taken if this occurs:

It is possible to increase the height of available bone in the upper jaw above the back molars by creating new bone in the sinus.This process is known as a "sinus augmentation." Without the widespread success of this technique, numerous patients would be unable to receive dental implants in a region of the mouth where tooth loss is so prevalent.

There are numerous methods for adding bone, but one of the simplest is to remove a piece of bone from another location and attach it as a "onlay graft" to a deficient area. The new piece of bone will gradually fuse with the underlying bone, and an implant can be implanted in a more favourable position once it has healed and matured.

Where can additional bone be obtained?

Bone can be harvested from a variety of locations, but most commonly from the back of the lower mandible or the chin. Occasionally, it is extracted from the hip or tibia. When using your own bone to create new bone in another area of the mandible, you will experience discomfort at both the donor site and the surgical site. As your own bone is typically regarded as the 'gold standard,' many people feel that the additional discomfort is well worth it.

Alternatives to your own bone for augmentation There are other sources of bone, such as bovine (derived from cows), porcine (derived from pigs), and synthetic materials that have been specially processed to make them acceptable for use in humans, for those who prefer an easier but slightly slower solution. All of these materials, including your own bone, are merely scaffolds into which new bone will grow in a few months in preparation for dental implant placement.

It can take anywhere from three to twelve months for new bone to be suitable for dental implants. Do not rush to advance to the next stage. A larger quantity of bone will take longer to mature than a smaller quantity. Each surgeon will have a preferred technique for producing new bone. Many of them will additionally employ a technique known as "guided tissue regeneration." By placing a barrier material between slow-moving bone cells and the fast-moving cells of the soft tissues lining the mouth, this technique allows slower-moving bone cells time to occupy a space. This is a "resorbable barrier" that will dissolve spontaneously after a few months of performing its function.

Does bone augmentation impact treatment duration?

If you require bone augmentation, it may lengthen the duration of your treatment; however, when performed successfully, it will significantly enhance the outcome of the implant(s) placed. When used in the front of the mouth, it can also enable the construction of much more aesthetically pleasing results.

Regardless of the method selected to increase bone density, the time, effort, and expense are generally worthwhile.

How do you care for your implants?

To increase the longevity of your implants, it is imperative that you maintain excellent oral hygiene. Cleaning your implants is straightforward. For the majority of implant-supported teeth, you will be able to brush and floss around each supporting implant just as you would around natural teeth and tooth-supported bridges. Maintaining excellent oral hygiene may require special floss, interdental toothbrushes, and other cleaning aids in some areas.

If you wish to maintain optimal implant health, it is reasonable to anticipate that some daily maintenance procedures will be more complex than those performed around your natural teeth, and that you will need to devote more time than in the past.

During the first few months following implant placement, your dentist may request that you visit them more frequently; however, once they are satisfied that your treatment is proceeding according to plan, your ongoing dental care will be comparable to that of a patient with natural teeth.

What options exist if an implant fails?

The average success rate for dental implants is approximately 96%; you should discuss how the loss of an implant could affect your treatment plan. A dental implant can fail for a variety of reasons, including smoking, poor oral hygiene, and systemic disease. In these particular high-risk groups, one would anticipate a much higher failure rate. If an implant does not integrate well with the surrounding bone, it will ultimately lose its ability to support replacement teeth and become loose. Commonly, a failing implant does not cause discomfort, and if there are sufficient residual implants, it may not be necessary to replace it.

It is essential to discuss the potential complications that may arise.

Various implant procedures

One-stage implant – The implant is inserted into a fresh, healing, or healed extraction site where the original tooth was extracted, and is immediately visible above the gum. This technique has the advantage of not requiring a second surgical stage to expose the implant. Typically, the implant will not be able to sustain a tooth for several weeks or months.

This is the first stage of a two-stage implant, in which the implant is inserted into a fresh, healing, or healed extraction site and then concealed by a layer of gum tissue. At the second stage, weeks or months later, the implant is uncovered and components are added, bringing it to the surface of the gum so that a new tooth can be attached.

Same-day implants necessitate meticulous planning prior to the actual day of surgery. A few hours after the placement of multiple implants, a full arch of temporary or permanent teeth can be affixed. If temporary dentures are used, they are typically replaced with a permanent bridge after a sufficient period of healing. Not all patients are appropriate candidates for this method of treatment.

In this procedure, a tooth is extracted and an implant is placed promptly into the extraction site. Depending on the local bone and soft tissue conditions, implant surgery may be performed in one or two stages. Not all patients are candidates for this treatment.

Immediate implant placement and early loading – This is dissimilar to immediate implant placement. It is essentially a one-step procedure in which the implant is inserted into a fresh, healing, or healed extraction site and a replacement tooth is attached at the same appointment. This first tooth will typically be kept out of direct contact with opposing teeth for more than three months, following which it will be restored. This procedure is more prevalent in areas of the mouth where aesthetics play an essential role. Again, this approach is not suitable for all patients.

Frequently asked questions:

Will I be able to consume my favourite foods afterwards?

Patients should be able to consume a normal, nutritious diet with little to no difficulty upon completion.

What are the costs associated with implant treatments?

The price can vary based on the required level and extent of treatment. A written treatment plan therefore explains and confirms the total cost.

How much time will it take?

Implant treatment typically requires multiple appointments over the course of several months. In certain instances, implant procedure can be completed much more quickly.

How lengthy is its duration?

Regular dental hygiene and regular checkups should ensure that implants last for many years after treatment is complete.

Am I too elderly to receive implants?

There is no upper age limit for patients undergoing implant treatment, so long as they remain in reasonable health.

Is the procedure painful?

Patients are frequently astonished by the lack of pain they experience during and after implant procedures.

Glossary:

-Abutment

Abutment is the component that connects the implant to the permanent tooth restoration.

-Barrier membrane

A membrane that is draped over a bone defect or bone implant to prevent the infiltration of soft tissue, which could compromise the healing process.

-Bone augmentation

This is the insertion of natural or synthetic bone material in a deficient area of natural bone. This procedure may be performed concurrently with implant implantation, or as a separate procedure prior to implant placement.

-Bone resorption

Resorption of bone is the loss of bone height and/or width in the upper or lower mandible. This process continues throughout life, but is accelerated in areas where teeth have been lost.

-Bridge

A bridge is a method for replacing one or more missing teeth with artificial teeth that are bonded to adjacent natural teeth or dental implants. Bridges may be glued in position (adhesive bridges) or supported by crown preparations (conventional bridges) and constructed from a number of different materials.

-Bruxism

The act of clenching or grinding one's teeth when not chewing.

-Calculus

Sometimes referred to as tartar, tartar is a hard deposit that forms on teeth. Calculus is the result of the calcification of debris around the teeth, and it can be avoided by practising meticulous oral hygiene. Once calculus has formed, it is difficult to eradicate, and requires the services of a dental therapist or hygienist in most cases.

-Absolute arch

A complete arch refers to the teeth of the upper or lower mandible in their entirety.

-Consultation

A dental consultation to evaluate potential treatment options. Appointments may include an examination, x-rays, and photographs, as well as a frank discussion and explanation, if necessary.

-Crown

Crowns can be manufactured from a variety of materials, including porcelain, porcelain fused to metal, and gold. The majority of crowns that are not visible in the mouth are white in pigmentation.

-CBCT scan

Cone Beam Computed Tomography is a sophisticated x-ray technique that generates three-dimensional images of the mandible. Due to their three-dimensional nature, these images can only be observed on a computer screen.

-Definitive refurbishments

The definitive restoration refers to the ultimate implant-supported crown, bridge, or denture fabricated during the treatment process. The restoration will require routine maintenance and may require replacement.

-The administration of dental anaesthetics

Anaesthesia (Greek: ) means without sensation, which includes pain. The majority of dental anaesthetics are administered via injection into the affected area. Rarely, procedures may be performed while you are unconscious; this is known as a general anaesthetic.

-Dental implant

An implant is an artificial "tooth root." The majority of implants are composed of metal, with titanium or titanium alloys being the most prevalent. Implants are surgically inserted into the jawbone in order to support crowns and bridges or to stabilise dentures.

-Dentures

Dentures are removable, custom-made replacement teeth. Typically, they are composed of acrylic or acrylic and cobalt chromium.

-Extraction

Extraction of teeth is the removal of teeth.

-Extraction position

The space left after tooth extraction.

Effective implantation

A functioning implant is one or more implants that are capable of supporting a dental restoration, such as a crown, bridge, or denture, and biting.

-Therapeutic tissue regeneration

A procedure that promotes the regeneration of soft tissue (gums) and may be used to improve the aesthetics around teeth or crowns.

-Gum disease

Soft tissue disease surrounding teeth. Gingivitis is the common name for gingival inflammation; it is a response to the deposition of plaque and, in most cases, can be treated with rigorous oral hygiene.

-Periodontal disease

Gingivitis can develop into periodontitis, a more severe form of gum disease, if left untreated. Periodontitis causes bone loss and can threaten the survival of a tooth or teeth.

-Immediate loading

Providing a temporary crown or bridge concurrently with implant implantation. Not all patients are appropriate candidates for this treatment.

-Inferior dental nerve

This nerve, sometimes known as the inferior alveolar nerve, travels through a bony canal in the lower jaw and provides sensation to the lower teeth, before emerging from bone as the mental nerve, which provides sensation to the lower lip.

-Combination toothbrushes

A small interdental brush with typically a single tuft of filaments. This can be used as an alternative to dental floss for cleansing between teeth and around implants.

-Maximum sinus

A hollow, air-filled space located just above the upper premolars. This varies in size from person to person and grows throughout one's lifetime.

-Molars

The upper and lower third molars on both sides of the mandible.

-Onlay anastomosis

When bone is taken from another area of the body, such as the hip (rarely), jaw, or behind the molars, and grafted to a deficient area.

-Osseointegration

Osseointegration is the bonding or fusion of an implant and bone, which typically takes several weeks to months.

-Plaque

Plaque is a soft, sticky, colourless film of bacteria that forms continuously on teeth and gums and can harden into calculus if not removed daily by practising good oral hygiene (brushing, flossing, etc.).

-Premolars

The two teeth located on both sides of the mandible in front of the molars.

-Reline procedure

During a relining procedure, a soft or firm material is used to correct the fitting surface of a denture following an extraction or surgery.

-Removable overdenture

A removable denture that is supported by implants but can be removed by the patient for cleansing.

-Restorations

The restoration may consist of a filling, a crown, a bridge, or a denture. It restores the tooth or teeth to full functionality.

-Rejuvenating phase or appointment

This phase follows the surgical phase of the treatment plan, typically a few weeks to a few months after a sufficient degree of recuperation. In the majority of instances, this will involve obtaining impressions so that the technician(s) can fabricate the definitive restoration.

-Sinus augmentation

A surgical procedure in which bone regenerative material is inserted into the sinus to stimulate the formation of new bone in order to enhance the available bone height for implant placement.

-Sterile conditions

In this context, sterility refers to the absence of bacterial contamination. We can never achieve absolute sterility, but we must always strive to achieve as near as possible to a sterile working environment. This includes the use of autoclaves to sterilise all nondisposable instruments as well as drapes and robes to isolate working surfaces and personnel.

-Titanium

This biocompatible metal is used to manufacture implants. Titanium has been utilised for decades in medical procedures, including hip replacements.

-Treatment scheme

A report outlining the patient's dental implant procedure, including the proposed treatment timeline and expenditures. The purpose of this guide is to provide an overview of standard dental implant treatment. Each individual's treatment plan for dental implants will be customised by Norfolk Dental Specialists in terms of cost, duration, and method of care delivery.