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’.
Implants are a well-established, tried-and-tested treatment. 90 per cent of modern implants last for at least 15 years.
Yes. You can have any number of teeth replaced with implants – from one single tooth to a complete set.
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.
Placing the implants 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.
Usually the permanent false teeth are fitted 3 to 4 months after the implants are put in. Some teeth can now even be fitted at the same time as the implants (these are called ‘immediate implants') but you should check with your dentist to see whether these are suitable for you. Sometimes treatment takes longer and your dentist will be able to talk to you about your treatment time. The implants need to bond (integrate) with the bone after they have been placed. This takes at least 3 months in the lower jaw and 6 months in the upper jaw.
It takes about 12 months from the initial assessment to the time when the artificial teeth or dentures are finally attached to the implants. However, if only the lower jaw is involved then it may only take around 5 months. A lot depends on how complicated your treatment is. Your dentist will be able to give you a timetable once the surgery has been done.
Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth. However, there may be areas that give you problems and you will be shown methods to help.
Q: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.
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.
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.
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 and the remnants are left in the bone then they may be more difficult to remove than natural teeth would be. After healing, new false teeth can then be placed alongside the fragments.
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’.
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 locators, then you’ll be able to take them out for cleaning.
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.
This varies depending on the numer placed, and the quality of remaining bone. 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 have this problem.