Dental Implants – Step-by-step guide (recent case)

Posted on 3rd March 2018

If you have missing teeth, then fixed dental implants are often the best solution.

Dental Implants are the most natural replacement for your own teeth and will provide an excellent solution if you have lost, or are about to lose any of your teeth. Traditional dentures can often be loose and may not provide the function of your natural teeth. With Fixed dental Implants you will be able to bite, chew, speak and laugh as you did with your natural teeth.

Case Example – Dental Implant to replace 2 premolar teeth

This recent case that we treated was for the replacement of 2 upper premolar teeth which is shown in the series of pictures in this blog.

missing teeth

Step 1 – Following the removal of the broken and infected teeth, the gum is left to heal naturally for approximately 6 weeks. This enables the gum to heal over the extraction site completely like in the picture above (right side of picture).

Step 2 – A CBCT scan is taken using our in-house scanning facility during this healing period to assess the bone volume and the suitability of dental implant treatment for the patient. The CBCT scan is also used to plan the procedure with precise accuracy, making the procedure aesthetic, successful and safe.

Step 3 – Using the information gathered from the pre-planning and CBCT scan, the implant is then placed at the 6 week stage. This is a skilled procedure undertaken by our implant team. The dental implant is carefully placed below the gum and left to heal naturally for approximately 3 months. This is the average time it takes for osseointegration to occur, which is the process of bone growth onto the implant surface. The picture below shows how the dental implant can look after 3 months of healing and osseointegration have ocurred.

healing implant abutments

Step 4 – A digital scan of the whole mouth and dental implant is taken at this 3 month stage.

digital scan of dental arch

This is the most accurate way of gathering information and our latest digital scanner ensures that no conventional impression taking is required. The digital scanner allows us to manufacture a bespoke implant supported tooth to be as natural in appearance as is possible. The picture below shows how our skilled technical team make these teeth using the latest 3-d printers, ceramic technology and CAD/CAM.

implant restoration digital

Step 5 – These aesthetic teeth are then screwed into the integrated implants in the mouth. This is usually done at month 3. Notice how the access hole is carefully positioned onto the biting surface of the tooth – away from the visible part of the tooth. This is only possible with skilled dental implant placement. By ensuring this ‘screw-retained’ type of tooth is made, we can easily maintain the long term health of the implant without every having to drill or damage the implant tooth in the future.

implant access holes

The access hole is carefully sealed using a matching tooth coloured composite as seen below.

implant composite aesthetic

This patient was delighted with her new teeth. They look and feel just like her old teeth, which is exactly what she wanted.

A Dental Implant has provided this patient with a tooth that not only looks natural, but will also feel and bite like a ‘real’ tooth. The Dental Implant procedure has not damaged her neighbouring teeth and will help to support her face to avoid the sunken appearance that can sometimes be seen in denture wearers.

Thank you for reading

Mohsin Patel BDS MJDF RCS (Eng)

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