Information about Implants
Information about Implants International Dental Learning UK, USA, India & Canada
This features information for people who are planning to have dental implants. Information includes general implant definition, frequently asked questions about the implant treatment, and the procedures associated with implant placement. Implant presentations are given by Stuart Orton-Jones as part of his dental education lectures in international locations, including USA, UK, Canada, India, France, Germany, Kuwait, Malaysia, Sri Lanka, Nepal, Pakistan, UAE (United Arab Emirates), Australia, Dubai, and Oman.
General Information for Patients having Implants
Please read this and make a note of anything you would like to ask us about.
Please sign below when you have read this and return this copy to us. We will give you a copy to keep.
I have read this information sheet and have understood it.
Name (Block Capitals)____________________________________________________________
I have been given the opportunity to ask about all aspects of implantology.
I have been given a copy to take home.
Stuart Orton Jones
33 High Street, Harpole, Northampton, NN7 4 DH, UK.
What are Implants?
Missing teeth can often be replaced by implants. Implants are made of Titanium and act like roots of teeth. After they have been fitted and have healed in place, dentures or crowns may be attached to hem. When dentures are held in place by implants they do not slip around. If crowns are fitted on implants, they act like normal teeth.
Implants can only be placed if there is enough bone present in the jaw. When teeth are lost the bone around the teeth gradually dissolves away. If too much bone has been lost, it is sometimes possible to grow bone in its place
What are the Alternatives ?
For people who have no remaining teeth,
1. Wearing complete dentures
2. Having Implants which secure their dentures in place
3. Having Implants which support Crowns and Bridges.
4. Having no replacements for their missing teeth.
For people who have some of their own teeth,
1. Crowns and Bridges supported by Implants
2 Partial Dentures secured by Implants
3. Partial Dentures
5. No replacements for missing teeth
How many Implants?
As a principle, as many implants as possible should be used. This allows the stresses of biting to be spread over the maximum amount of implants.
It is often possible to have two or three implants placed, to use them for a while and then sometime later, to add more implants. An example of this is a patient with no teeth. They can have two or more implants placed. By attaching their denture to the implants, the dentures can be held firmly in place. Later more implants can be added and eventually crowns placed on the implants eliminating the denture altogether. Sometimes people find it more convenient to proceed in stages.
The Initial Evaluation
To plan the most suitable treatment certain information is helpful, for example photographs, x-rays, models of your teeth and jaws, in some circumstances, a more comprehensive x-ray evaluation using a C.A.T. Scan may be helpful to give greater detail of the shape of your jaws.
Having a healthy mouth
Implants survive best in a healthy environment. Any tooth decay or gum problems need to be sorted out before implants are placed to give them the best chance of success.
Preparatory Procedures 1
Gum Health. This may involve the use of a special brushing method, toothpicks and little “bottle” brushes. Some gum treatment may be necessary.
Removal of Unsavable Teeth. Despite the great advances in modern dentistry some teeth may have reached a stage when no treatment can save them. It is often best to remove them at an early stage
Bone Grafting. When teeth are lost the bone holding them in place dissolves way. The more the loss of bone the less bone there is in which to place implants. When there is not enough bone present, bone may be grown to fill in missing bone. This allows implants to be fitted. The procedure is known as bone grafting. The bone used may be specially treated bone from a bone bank
Having Implants Fitted.
Implants may be fitted using local anaesthetic, with or without sedation or under general anaesthetic
At the time of Implant Placement
Despite the thoroughness of our planning extra procedures are sometimes required during treatment to produce the best results. It is important you accept that in this event appropriate alternative treatment is performed at the time of treatment although it may be different to that already planned.
After Implant Placement
Sometimes bone may be lost around an implant. There are procedures available to treat these situations
Implantology is a rapidly advancing science. We may take advantage of some of the new procedures as they become available. Alterations to your original plan may therefore be made during your treatment.
After-effects of having implants placed are usually mild and may include slight bruising, dull ache, swelling and discomfort. The effects vary depending on the amount of implants being placed. When choosing a date for implants placement avoid significant social engagements and significant work commitments for a week after. This is just to be on the safe side. Taking time off work is not usually necessary however you may not want to work for up to about 10 days. This will depend on the amount of implants being placed and the complexity of the case.
Denture Modification After the placement of implants, the under surface of the denture may require modification to accommodate implants. The use of denture adhesive may be necessary to keep dentures in place during the healing period after implants have been placed.
With any operation, there are risks that should be taken into account. There is the risk of bruising, swelling and discomfort as a result of any procedure. Dental surgical procedures, performed in the back of the lower jaw, run a risk of damage to nerves supplying the lower lip and jaw. Damage to these nerves may cause temporary or, in rare circumstances, permanent numbness to the cheeks or lips.
How long does the treatment take to complete? 1
This depends on the complexity of the treatment. To start with there is a treatment planning stage that may last a month or so. Then there may be some time spent on such preparatory procedures as improving gum health, removing any unsavable teeth and growing bone. This may take from a few months to nine months. After the implants are placed they are left to settle in place from three to six months. The final fitting of crowns or bridges or the attaching of dentures to the implants takes a month or two. The time depends on your individual situation.
Special Medication will be prescribed for you to help healing and produce minimal discomfort. To gain the most benefit, follow the instructions given
Denture wearing after implant placement
Denture wearers may require their dentures modifying to prevent them resting on newly placed implants. During settling in stages, metal framework dentures may need to be replaced with a plastic set, as they are more easily adjustable. The fitting surface can then be altered when the implants are placed.
The Increased Biting Force
When dentures are supported by implants biting forces are greatly increased, resulting in better chewing power. Sometimes denture breakage may occur owing to this increased power. Reinforced dentures may be necessary.
If anything arises that you are concerned about, telephone immediately. Usually there is nothing to worry about but it is best to check.
Unlike teeth, implants cannot get tooth decay. However, like teeth, they can suffer from gum problems. Teeth with untreated gum problems can become loose and be lost. This is also true of implants. Daily cleaning is as important with implants as it is with teeth.
Smoking and Alcohol Consumption
Both smoking and high alcohol consumption reduce the survival of implants. The success rate of your implants will therefore be reduced by smoking and high alcohol consumption.
To ensure that any problems are detected early, regular maintenance check-ups including x-rays are advisable. Problems are, detected early, are more easily treated. Check-ups may be advisable three, four or six monthly.
1. Initial Evaluation and Planning.
2. Preparatory Procedures.
3. Possible Healing Period.
4. Implant Placement.
5. The Settling in Stage of four to eight months.
6. Follow-up review appointments.
7. Restorative or Denture Stages which may include the fitting of Crowns or Bridges, or the attachment of dentures to the implants.
8. Trial Use Phase.
9. Progress review and maintenance appointments.
10. Upgrading Stages.
1. Initial Evaluation and Planning, including photographs, x-rays, and impressions of your teeth for making models.
2. Preparatory Procedures specially required to enable implants to be placed.
3. Possible follow-up appointments.
4. Implant Placement and any extra unforeseen treatments found to be necessary.
5. Follow-up checkups.
6. Restorative or Denture Stages.
7. Follow-up checkups and Maintenance.
8. Upgrading Stages if you wish to progress further.
During treatment fees may vary due to:-
1. Alternative procedures required due to changes in treatment plan.
2. New treatments becoming available in the course of your treatment
3. Treatment extending over a longer period of time than expected
If for some reason it is not possible to proceed with the planned procedure at the treatment
appointment, the time spent will be charged at the normal hourly rate. An alternative treatment may be performed if considered appropriate.
Problems and Queries 1
If you have any queries about your treatment at any time or if any problem arises contact us immediately.
Success depends on your body reaction to implants and your personal care of them. Success rates are constantly improving due to improved techniques.
Natural teeth have an increasing success rate as awareness of the need for looking after them becomes more accepted. However there would not be a need for implants if teeth were totally successful. Implants sometimes fail owing to gum disease just as teeth do.
Keeping implants clean from plaque is as important as keeping teeth free from plaque.
Success rates for implants now compare favourably with all other forms of dentistry.
If an implant does not heal in place satisfactorily, it will require removal and replacement at a later date. The first year is the most critical.
Problems that can arise.
Porcelain crowns attached to implants can break as they can when attached to natural teeth. Removal of crowns from implants for repair is however easier than from natural teeth.
The need for regular check-ups is as important as with natural teeth, if not more so. If any deterioration starts to occur, treatment needs to be started immediately.