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DENTAL
IMPLANTS
A dental
implant is a titanium metal rod which is placed into the jawbone. It is
used to support one or more false teeth.
Dental implants are a well-established, tried-and-tested treatment. 90
per cent of modern implants last for at least 15 years.
You can have any number of teeth replaced with implants, from a single
tooth to a complete set.
What is involved with dental implants?
Placing the dental implants requires a small operation. This can be carried
out under local anaesthetic with sedation or with a general anaesthetic.
You will not feel any pain at the time, but you may feel some discomfort
during the week following the surgery. This is usually due to having stitches
in place, and the normal healing process.
How long does treatment take?
Your dentist will be able to give you a provisional timetable before
the treatment begins. Usually the permanent teeth are fitted 6 – 9 months
after the implants are put in.
How soon can I have the new teeth?
The implants need to bond (integrate) with the bone after they have been
put in. This takes at least 3 months in the lower jaw and 6 months in
the upper jaw. Sometimes the implants may be stable enough when they are
fitted for the artificial teeth to be attached much sooner than this.
If you are having one, two or three teeth replaced, you will have a temporary
restoration in the meantime. If you have complete dentures, then these
can be worn throughout the healing period once they have been modified
after the surgery.
Can I take the teeth out if they are fixed to implants?
Most artificial teeth attached to implants can only be placed and removed
by the dentist. However, if you have complete dentures fixed to the implants
by bars, then you’ll be able to take them out for cleaning.
Do the implants show?
Your dentist will make sure that the implants won’t show during all normal
movements of the mouth and lips. You will need to be able to see them,
so that you can clean them properly.
Do I have an implant for each missing tooth?
No, unless you’re only having a single tooth replaced. Normally, five
or six implants are used to replace all the teeth in one jaw, as each
implant can usually support two teeth. For a few missing teeth, two or
three implants may be used.
What happens if the implant does not bond (integrate) with the bone?
This happens very rarely. If the implant becomes loose during the healing
period or just after, then it is easily removed and healing takes place
in the normal way. Once the jaw has healed, another implant can be placed
there. Or, the dentist can make a bridge, using the implanted false teeth
that have ‘taken’.
Is dental implant treatment expensive?
Unfortunately, yes. However, in many situations, the cost of the treatment
is only a little more than the cost of more conventional treatment with
crowns and bridges. There are advantages to it, too. An implant to replace
a single tooth avoids the need to cut down the teeth either side for crowns
to support a bridge. Normal dentures often mean you can’t eat or speak
well, due to the dentures moving about. But teeth attached to an implant
don’t cause this problem.
Where can I get dental implant treatment?
Talk to your dentist, so you can be referred to a specialist for assessment
and treatment. Your dentist may already carry out some or all of this
type of treatment and will give you the advice you need.
Remember to ask exactly what treatment is proposed, what experience the
dentist has in this work, the total cost of the treatment and what the
alternatives are. If you are unhappy with any of the answers then do ask
for a second opinion. You will be spending a lot of time, effort and money
so you must be sure that you know what you are getting at the end of treatment.
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