Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Surgically placed below the gums over a series of appointments, implants fuse to the jawbone and serve as a base for individual replacement teeth, bridges or a denture.

Implants offer stability because they fuse to your bone. Integration of the implants into your jaw also helps your replacement teeth feel natural and some people also find the secure fit more comfortable than conventional substitutes.

Implants, however, are not an option for everyone. Because implants require lengthy surgery, patients must be in good health, have healthy gums, have adequate bone to support the implant and be committed to meticulous oral hygiene and regular dental visits.

Implants, at present, are the costliest option for replacing teeth. If you are considering implants, a thorough evaluation will help determine if you would be a good candidate.

What are 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. In practice, both the false teeth and their supporting rod are known as ‘implants’.

Are implants safe? How long will they last?

Implants are a well-established, tried-and-tested treatment. 95 per cent of modern implants should last for many years with the right care.

I have some of my own teeth. Can I still have implants?

Yes. You can have any number of teeth replaced with implants – from one single tooth to a complete set.

Can implants always be used to replace missing teeth?

It depends on the state of the bone in your jaw. Your dentist will arrange for a number of special tests to assess the amount of bone still there. If there is not enough, or if it isn’t healthy enough, it may not be possible to place implants without grafting bone into the area first.

Do implants hurt?

Placing the implants requires a small operation. This can be done using a simple local anaesthetic, and sometimes with sedation if you are very nervous. Sometimes the dentist needs to use a general anaesthetic for complex cases. You will not feel any pain at the time, but you may feel some discomfort during the week after the surgery. This is usually due to having stitches, and the normal healing process.

How long does treatment take?

Your dentist will be able to give you a rough timetable before the treatment starts. Usually the permanent teeth are fitted 6 to 9 months after the implants are put in, but many implant systems now allow the time to be as short as 3 months.

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.

Are the teeth difficult to clean?

No. But after care is important if you are going to have a long-lasting, successful implant. Your dentist should give you detailed advice on how to look after your implants. Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth. However, there may be areas that are difficult to reach and you’ll be shown methods to help you. You may need to visit the hygienist more often but your dentist will be able to talk to you about this.

If I had gum disease when I had my own teeth, will I get it with the teeth attached to the implants?

Yes, if you don’t care for them well enough. If you keep them clean, and don’t smoke, then you should not have any problems.

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 if I get hit in the face?

Implants and the teeth they support can be damaged by an accident in the same way that natural teeth can. However, if the false teeth are damaged then the remnants are left in the bone and they may be more difficult to remove than natural teeth would be. After healing, new false teeth can then be placed alongside the fragments.

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 the treatment expensive?

Unfortunately, yes it can be. Your Implanologist will be able to provide you with a written estimate of cost. However, over the longer term, implants are usually a more cost-effective and satisfactory option. 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 as they are anchored to the bone more firmly than natural teeth.

Where do I get implants treatment?

At Ashwell Dental Surgery we now have an oral surgeon in our team, Mr Bikram Bal who has a special interest in implants. Please ring the surgery for an appointment.