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Dental Implants

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For many years, the main options available for replacing missing teeth were either dentures or a dental bridge, and whilst both of these methods satisfied aesthetic and functional criteria, they potentially lacked in other areas such as stability, longevity and comfort.

At Roland and Tollett Dental Practices in St John's Wood, we are pleased to offer our patients a modern alternative which has many advantages over bridges and dentures, in the form of dental implants. We have a visiting specialist dentists, who is an extremely skilled and experienced surgeon and who limits his practice entirely to placing implants.

What are dental implants?

Dental implants are effectively artificial tooth roots which are made from titanium. The implant is positioned in the jaw by means of a minor oral surgical procedure. It is then left to bond with the bone in a process known as osseointegration, forming an extremely solid foundation to support a dental crown. Although other materials will bond to bone, very pure titanium is the best and most reliable material for this particular purpose.

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Implants may be placed individually or in multiples depending on the number of missing teeth, An entire jaw can be restored, sometimes with only 4 implants. This is known as the All on 4 Technique and can often be undertaken over the course of just one day.

When the implant has integrated securely, usually after a period of around three or four months, a very high precision support collar called an abutment is attached followed by a dental crown, resulting in a natural looking and extremely strong replacement tooth.

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Alternatives

The only alternatives to a dental implant are either to simply leave a gap in the teeth, to use a denture or to use a dental bridge.

Dental implants have a number of advantages over other methods for replacing teeth including the following:

  • Implants are extremely strong and stable and will not move around in the mouth. Dentures, on the other hand, have a habit of becoming unstable and may cause wearers to eliminate certain foods that are difficult to eat, from their diet. Dentures may also cause the gums and underlying jaw bone to recede, whilst implants actually maintain and support the gum and bone.
  • Fitting a bridge involves the reshaping of otherwise healthy teeth either side of the gap in order to attach the crowns. This may in some circumstances shorten their natural lifespan.

How long does a dental implant take to work?

This will depend on any prior work that may need to be done before the implant is placed. Some patients who have significant bone loss in the area where the implant is required, may need a bone graft prior to the implant procedure.

The fusing period (osseointegration) usually takes around four to six month for upper jaw implants and between three and four months for lower jaw implants. In addition to this, impressions are needed in order to design and manufacture the crowns to attach to the implant. This typically takes around two weeks.

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How successful are dental implants?

Dental implants have an extremely high success rate but in the few cases where they do fail, this is primarily because of poor oral care on the part of the patient. We will advise you of how to keep the area clean and generally look after your new implant once it has been placed. It is important to remember that these first few months are critical for the long term health of your dental implants.

Is the procedure uncomfortable?

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Placing a dental implant is generally a minor surgical procedure but is performed using a powerful local anaesthetic, so any pain will be minimised. Intravenous sedation, administered by a consultant anaesthetist/sedationist can be arranged if you feel you would like to be put into a more relaxed and comfortable state and be mostly unaware of the processes happening around you.

Patients often remark how surprised they were at the small amount of discomfort involved, with many saying it was no more uncomfortable than other dental procedures. So it is certainly not to be feared. Naturally, you should expect some soreness and possibly some localised swelling and bruising for a short period following the procedure, but this should be manageable with a regular painkiller.

Are dental implants expensive?

Because of the costly materials involved plus the additional years of training need to perform implant placement, it would be untrue to describe this as a cheap procedure. However, we do have dental plans available to help you spread the cost and, as an implant can potentially last for twenty years or even more, it actually works out relatively inexpensive over time.

If you have a missing tooth, or teeth, or are simply unhappy with an unstable denture, we invite you to call Roland and Tollett Dental Practices on 0207 722 8995 to arrange an appointment to see if implants are a suitable treatment for you. We will be pleased to discuss the options and considerable benefits with you.

Fees

Implants Therapy Fees £
Implant Consultation £200
Implant Therapy (Inc crown restoration) From £2700
Bone Grafting From £900
Sinus Lifting From £900

Our Dr's who will be taking care of you

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Dr Guy McLellan

Dentist BDS Lond 1993

Dr Guy McLellan is our dental implant surgeon.

Guy McLellan is doubly qualified in both dentistry and medicine and a Fellow of the Royal College of Surgeons of England. He has over 10 years’ hospital experience including training in ENT and plastic surgery and has held an Honorary Consultant post in Oral Implantology at Charing Cross Hospital where he has run the dental implant clinic.

His experience in implants dates back to 1994 and includes extra-oral implants to retain facial cosmetics/reconstruction following facial cancer surgery as well as intra-oral cancer rehabilitation and facial deformities such as cleft lip and palate. He continues to work as a member of the Cranio-Facial team at Chelsea and Westminster Hospital. In private practice he limits his practice to surgical implantology and augmentation procedures including complex intra-oral and extra-oral grafting. He is a mentor for Nobel Biocare and is actively involved in Implant education.

He is a member of the Association of Dental Implantology (ADI), the European Association of Osseointegration and a Fellow of the International Congress of Oral Implantologists. He is a mentor for Nobel Biocare and the ADI.
In his spare time he is a keen sportsman in particularly in Triathlons.

GDC Number 69883

Dr James Kleiber
Dr James Kleiber

James is our dental implant and restorative dentist at Roland and Tollett Dental Practice.

In addition to being an award-winning dentist, he is also a key opinion leader for Nobel Biocare, teaches dentists how to place and restore implants at the Diamond Academy UK and The Esthetic Alliance Programs, and is frequently published in leading industry magazines. James has also taught at Guy’s Hospital in London, is a member of the Association of Dental Implantology (ADI), and has extensive experience in the management of dental implants and aesthetic dentistry. He enjoys putting his artistic eye to his skills as a dentist to produce fantastic results and excels with patients of a nervous disposition.

GDC Number 81143