Dental Implant Treatment
A dental implant is a titanium post that is used in the replacement of missing teeth. Whenever any teeth are missing dental implant treatment may be the best method to replace the missing teeth.
Single tooth missing upper left first incisor
Dental implant crown in position replacing missing tooth
Dental implant treatment is simple and usually possible with normal dental anaesthetic injections only. It is possible to arrange sedation for nervous patients.
Single-Tooth Implant — This is the replacement of a single missing tooth with an implant crown.
Implant Bridgework — This is the replacement of multiple missing teeth with implants. Implant bridgework is permanently fixed in position. Bridgework is available to replace two missing teeth through to when all teeth are missing.
Implant Dentures — Implants can be used to help improve the retention of loose dentures.
Guided Bone Regeneration / Bone Grafting
In some patients the loss of teeth is also associated with shrinkage of some of the underlying bone. Replacement of this missing bone is very important both for support for the implant but also the cosmetic appearance.
Minimal bone defects can sometimes be repaired using artificial bone substitutes. This is called guided bone regeneration (GBR).
Larger bone defects need to be restored utilising bone grafts from the lower jaw. This treatment is simple and can be undertaken with normal dental injections. Again sedation can easily be arranged for these treatments.
X-ray showing bone loss around lower back teeth
Dental implants in upper and lower jaw following bone grafting in the lower jaw
Maxillary Sinus Grafting
The maxillary sinus is a naturally occurring cavity at the back of the upper jaw. It varies in size in all individuals. Following the loss of back upper teeth, some people do not have sufficient bone for dental implant treatment. In these patients it is possible to undertake maxillary sinus grafting. This is simple treatment involving the placement of an artificial bone graft substitute in the maxillary sinus. This then allows sufficient bone for dental implant treatment. Treatment can be undertaken using normal dental injections. Sedation can also be arranged if necessary.
No vertical bone at the site of the missing upper teeth because of the maxillary sinus
Maxillary sinus graft allowing dental implant surgery
Peri-implantitis is an infection that can occur around existing dental implants. It is much more common in patients who smoke and have a history of periodontal disease. Signs of peri-implantitis include swollen or red gums around an implant, a bad taste or pain associated with implants.Treatment includes surgical exposure of the implants to allow cleaning of the implant surgery and corrective gum treatment. Occasionally it is necessary to undertake gum grafting to improve the quality of the gum around uncomfortable dental implants.
Oral Surgery Treatments
Oral surgery treatments undertaken include:
- Wisdom tooth removal
- Difficult / impacted tooth extraction
- Root removal
- Exposure of impacted teeth for orthodontics
- Cyst removal
- Dental implant surgery
- Cosmetic gum surgery