Treatments

Titanium Implants

A fixed solution using high quality titanium roots placed into your jaw, to replace missing teeth.

Is this the right treatment for you?

Proactive dentistry to help you smile and eat better.

Dental implants are a game changer for people who have missing teeth.  By inserting titanium roots into the jaw we can use these to anchor from one tooth all the way to a whole jaw of teeth.

Good to know

This is a fixed solution which means that you don’t need to worry about movement whilst eating or taking them out last thing at night. Replacing teeth in this manner helps shore up the rest of your teeth - improving the life expectancy of your dentition. A major benefit is that adjacent teeth do not need to be cut to replace a tooth.

YOUR TEAM
You're in good hands

Quality matters. Implants are inserted into your jaw so it is important that your surgeon is experienced and uses the best materials. With 14 years experience and using the finest swiss implants with the benefits of lasers, we’ve got you covered.

Neeraj Puri

General Dentist with Special interest in Implant Dentistry

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Monika Krzyzanowska

Lead Nurse

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Lucy Tait

Assistant Manager

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The procedure
  • Information gathering - People often want to know the fee for the procedure but to be able to give you the most accurate advice we need to understand your particular requirements. The first step is an examination to assess the defect that needs to be rebuilt. The surrounding condition of teeth which might also be failing. To ensure that you receive the best advice which will provide the most economical outcome.
  • If required, a 3D scan to understand the surrounding anatomy, planning  for safe implant dentistry.
  • Discussion of treatment options and fees, including non implant options
  • Written report to re-emphasize important points of discussion.
  • Ordering of lab work to facilitate treatment, if required.
  • Implant treatment, consent forms and post operative advice to ensure you are comfortable with treatment. Surgeons personal number if any advice needed.
  • Implant placement treatment
  • Stitches removal if necessary, 2 weeks later.
  • Following implant bedding time exposure of implant top. Usually this is a second operation but in our clinic this is a minor procedure using a laser. We ascertain if the bone has grown around the implant.
  • Placement of the custom made tooth, bridge or denture.

Before and after

Show before & after photos

What our clients say

My experience getting fixed teeth with the team at Integrated Dentalcare when I was told before that I would have to live with loose dentures.

Implants for when there isn't enough bone.

Replacing missing teeth with dental implants

Dental implants to replace failing upper teeth / All on 4 or 6

All on 4 or 6 dental implants

Implant for a front tooth next to a veneer

I was referred to Integrated Dentalcare by my regular dentist when a long standing bridge collapsed and it seemed that my only solution would be a plate. This was and is unthinkable to me as my voice and articulation are vital to my working life ... Not to mention the importance of a good smile and the joy of biting into a crisp, tangy apple! So after more x rays and a long chat with Neeraj - a great listener and holistic thinker - we embarked on a two year journey of tooth extraction, gum and bone grafting, bridging and implanting. Always revising the plan, open to a new approach, the whole team worked together seamlessly, calmly and painlessly. All with a lightness of touch, openness and quite a lot of laughs! So thank you all for a truly zen experience; for diction now fit for purpose; for a natural uninhibited smile and for a bite at the crunchiest of apples!

Vari Sylvester

Today I had my final fit for a long awaited implant. It has been a fascinating adventure. Along the way I have been looked after by Neeraj Puri and his team - I had the good fortune of being treated by Mairi, Monika and Manuela - all very helpful, knowledgeable, confident of their materials and pleasant individuals. At first I was anxious and unsure of the reality of what was going to happen. I was given a brochure to read and every step of the way explained clearly and calmly and I didn’t feel that I couldn’t call at any time because when I did my call was always answered or returned quickly and my concerns dealt with so that by the time treatment commenced I felt very reassured and at ease. I am now the proud owner of an implant that looks and has the same colouring as my own teeth - very natural looking. You wouldn’t be able to tell the difference. A Big Thank You to all at Integrated Dentalcare and I have no hesitation in recommending Neeraj to anyone wishing to proceed with the investment of an implant. I feel very fortunate to have been to Integrated Dentalcare as they are true professionals of the highest calibre.

Ursula Mueller

During the last two years, I have undergone two separate rounds of treatment to have three new implants fitted. It has been clear to me throughout the process that Neeraj is a highly skilled and compassionate dentist. The treatment I have received from him and the team has been excellent. The nature of the work required means that it has been a bit of a long haul, but has it been worth it? Absolutely. I'm delighted with the results and no-one would be any the wiser that my new implants are not my original teeth.

Sue Hodges

Having had a fear of dentists all of my life, I can only say that Neeraj put me quite at ease with his quiet confident manner. I must say the process was somewhat difficult however I was assured every step of the journey that all would be well. Neeraj and staff were very comforting and overcame some tricky moments. I now have my implants and have not looked back. So thank you Neeraj and your colleagues for making Me so happy. Sincerely Margaret Heyd-Smith

Margaret Heyd-Smith

The days before my implant procedure were daunting, as it would mean a few months of treatment. However the professionalism of Neeraj and his team was second to none. This reassured me and kept me calm each stage of the way. Each procedure was carefully explained beforehand and three months after completion I can say I am a very happy lady, with a big smile to go with it!

Liz Parker

I was not nervous or uncomfortable at any time from the first appointment to the final result. I started procedure in January 2016 for a implant and am absolutely delighted with the result. But just as important was the care and assistance I received not only from Neeraj but from all the nursing staff and receptionists. I have told all my friends about the happy outcome and will continue to recommend Integrated Dental Care to anyone willing to listen! Thank you very much. June

June McCole

I underwent dental implant treatment at Integrated Dentalcare and found the treatment and care provided of an excellent standard. Everyone in the practice combines friendliness with professionalism, which helps put patients at ease. I had a complicated replacement of an original baby tooth which had finally "given up". It involved removal of the original tooth, treatment of any infection, rebuilding of the bone, to enable it to be able to take the implant post, insertion of post, and finally fitting the made to measure crown. It was a painstaking series of procedures which took place over a year to give time for new bone to form. Throughout I was treated respectfully, and given good explanations of the procedures planned. All procedures were carried out using state of the art equipment, which together with the skill of the dentist gave me great reassurance. I would not hesitate to recommend Integrated Dentalcare.

Carolyn Bevan

I needed a complete dental reconstruction for my ugly low grade teeth. Sinus lift, crowns bridges implants; I have had it all done. The brilliant Neeraj and his team have performed miracles. Every time I go there seems to be a wonderful new procedure or piece of equipment to make the process better and more relaxing.. Dentistry surely gets no better than this

Ashley Wilkes

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Your questions answered

Are titanium implants safe?

Titanium implants have been around for a long time and many millions are placed every year. This is not to say that you cannot have an allergy or reaction to them. Titanium compounds are ubiquitous in many products such as cosmetics, toothpaste, milk, sunscreen, food preservatives. Constant contact to these can increase the risk of allergic-type reactions. Another thing to consider is the purity of the titanium implant - many of the cheaper implants are composed of titanium, aluminium and vanadium. Sometimes the issues is not the implant but all the different metal alloys that are used to attach the teeth onto the implants ie screws, crowns or bridges. You can be tested for titanium and other heavy metal issues using a Melisa test. If you want to consider a more biocompatible material then why not look at zirconia implants?

Are all implants the same quality?

No not all implants are the same quality just like not all cars are the same quality. Remember that this is something that will be inserted into your jaw and so it makes sense to aim for the best possible.

Why is implant treatment so expensive?

When you commit to this treatment you want the result to be predictable and last for a long time. To achieve this you want the best materials possible as well as experienced dentists who can offer a number of different implant solutions, tailored to your needs. Not all implants and graft materials are the same quality.

How often should I visit a hygienist following my implant treatment?

It is recommended that you visit the hygienist every 3months. Professional care and advice will allow a proactive approach to any potential issues to be resolved before they become big issues.

Can gum disease affect implants?

Yes you can have implants. Gum disease affects the bone and tissues around teeth resulting in the teeth being lost. The same can happen with implants. You are unlikely to feel pain until most of the bone has been lost. If you regularly visit the hygienist and are fastidious about your cleaning then this is unlikely to happen.

Do I have to clean around implants?

Your cleaning has to be exemplary. Your hygienist will help you to achieve the best cleaning regime. Implants don’t decay like natural teeth but the bone can still become infected.

Do implants last for life?

It is very rare for the implant to fail. It is usually the bone around the implant which disintegrates. This can happen due to poor hygiene, general disease, fracture due to too much force.

Can implants and grafting be done simultaneously?

In circumstances where there is enough bone to grip an implant the grafting be done at the same time as placing the implant. The obvious benefit is the reduction in healing time. However, this may need to be balanced with a slight increase in failures. There are various parameters to consider : your general and dental health, the extent of treatment required and the medications that you are taking will all impact the success rate of the treatment.

What is a sinus graft?

When we are replacing missing teeth in the back of the upper jaw we may find that the sinus (the natural hole in the upper jaw) has expanded as the teeth have been lost. Consequently, the height of bone available is insufficient to place an implant(s). We can address this by lifting the lining in the floor of the hole so as to create space to place a graft. This can take between 6-12 months to regrow the lost bone. If there is about 3-4mm of bone height available then with current techniques it is possible to lift the sinus at the same time as placing the implant. Another option is to use very short implants which avoids the need to lift the sinus. However, a 6mm implant is the minimum length which has been shown to predictably work.

Will I need antibiotics?

The mouth is full of bacteria and consequently we commonly prescribe antibiotics to mitigate the risk against infection.

What pain medication would you recommend?

Anti-inflammatories such as ibuprofen (provided you are not asthmatic) are effective. Paractomol is also commonly used.

What can I do to help the healing process?

By following a strict regime of a soft diet; anything that you can squish easily between your fingers is acceptable. It is sensible to avoid eating on the surgical site. Brushing on the side of the surgery and mouth rinsing should be avoided as this risks dislodging the stitches. For the first two days it is advisable to stick to a cold diet to minimise bruising.

Is there any reasons why you can’t have dental implants?

If you suffer illnesses that require immunosuppressant drugs, long term steroids, intravenous bisphosphonates then you have a higher risk of implant failure. Relative risks are also smokers, diabetes, gum disease and bleeding disorders.

Will it be sore?

The procedures are provided under local anaesthetic to ensure you are comfortable. We put great emphasis on gentle touch dentistry to ensure that you have positive experiences with predictable healing. Following the treatment most people report uneventful healing. Whilst others might experience bruising, swelling and discomfort. This is very much dependent on the individual person’s pain threshold, their tendency to bruise and the extent of the procedure that has to be provided to address the issues. The majority of times this can be managed by normal headache painkillers.

What should I look for when choosing an implant dentist?

Just like everything in life experience is important. You may want to know how long the surgeon has been placing implants; what their success rate is; can you speak with one of their clients who has undergone a similar treatment to discuss their experience; what do their clients say about them.

What does bone grafting entail?

Graft bone is usually derived from another source. The graft bone options are human, cow, pig or artificial. Depending on the size of the defect the graft bone may be mixed with small scraping of your jaw bone to feed it with your hormones. This mixture is placed at the bone defect site and is then covered with a membrane which allows the bone to regenerate without disturbance from the skin or outside. If it is a large defect then a titanium or gortex reinforced membrane may be required to provide the support to help the mixture maintain its shape whilst it converts into your bone.

From start to finish how long does it take?

This is dependent on the extent of treatment that is required. If all the bone is present then it will take between 3-4 months to have the tooth back depending on the position of the missing tooth. If you have bone missing at the site where you want an implant, you will need to consider a bone grafting procedure. This may add between 4 -12 months bone regeneration time to the procedure.

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0131 225 9093
reception@integrateddentalcare.com

1 Manor Place Edinburgh EH3 7DH