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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Lucy Tait

Assistant Manager

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Monika Krzyzanowska

Lead Nurse

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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

Great dentist and great experience. Following my recent dental check I had to get some minor work done. Allan Matthews made me feel so comfortable. He explained everything fully and I felt at home and in safe hands.  It was clear that Allan truly cares about his patients. My treatment was carried out to a very high standard and I am delighted with the result. Always excellent service and friendly staff throughout the practice.

Neeraj and his team have been looking after the family and me for 24 years - and while the younger members of the family have now moved to another country they still come to the practice for their dental care. Very caring and careful and proactive in what they do. And they don't rush to an inappropriate conclusion but take time to assess difficult situations - "judicious inactivity". This is important when you only get one shot at something. We trust the practice.

I was visiting  from the US and broke a tooth.I was given Integrated Dentalcare as a referral from my travel insurance company. I saw Christine Morrell, the dentist,  and was very pleased with the service they provided. They saw me the same morning I called and were very professional and friendly. The receptionist was very cordial and welcoming. I would highly recommend this office for any dental needs you might have while in Edinburgh.

People at Integrated Dentalcare were extremely kind and professional. They solved a dental problem I carried on for several years and it was an (almost) painless process.They dealt with my "dentistphobia" and were very understanding.  It is unbelievable how much my quality of life has improved since my first visit a couple of months ago. Been picky, the only thing I don´t like is the warning in the receipts about charging you if you need to cancel at the last minute. Other than that, 10 points out of 10.

Delighted with the friendly and professional treatment I have received.  I can't thank my dentist  Christine enough for the time she has spent on my teeth.  Every stage of treatment explained fully with great understanding of what patient hopes end result will look like. You can tell Christine takes great pride in her work.  Well done!

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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

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Ready for a new type of dental care?

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0131 225 9093
info@integrateddentalcare.com

1 Manor Place Edinburgh EH3 7DH