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Dental Implants Glasgow
What are dental implants?
Dental implants involve an artificial tooth root which is placed into your jaw to hold a replacement tooth or bridge. This makes it a great and long-lasting alternative to dentures and the perfect solution for missing teeth.
An implant may not be the same as having your own tooth. However it’s the next best thing.
What happens when you get dental implants?
In this video Glasgow dentist Dr Brendan Murphy explains what is involved when you get a dental implant at his dental practice in Glasgow.
He also talk about implant aftercare and explains what you can and cannot eat after an implant.
Dr Murphy is a very experienced implantologist. He has attended specialist courses in placing implants and has a particular interest in keeping up to date on latest advances in implant technology.
I've just finished my first three implants and because I am so happy with them I'm getting more done now. I genuinely thought it would be more sore than it was - Innes, Dental Implant Patient, Glasgow
Appletree Dental Care is where I refer patients for implants, cosmetic dentistry and full mouth rehabilitation. Every one has been delighted with their new smile - Louise Richardson, Glasgow Dentist
I had very bad teeth at the top but I've got a beautiful smile now.- Alison, Dental Implant Patient, Glasgow
They helped me out when I had a mess of a denture, which was quite important for my work. I haven't had any significant pain - Jamie, Dental Implant Patient, Glasgow
How Much do Dental Implants Cost?
Patients who shop around often end up coming to us as our implant prices are highly competitive and we try to take time to explain how we come to these specific costs:
- A single implant costs £1050
- More than one implant £1000 each
However check with the practice to make sure these prices haven't recently changed.
Breaking down the cost of implants
The key elements of price are:
- The tooth implant is placed first. This costs £1050 (for a single fixture) or £1000 each where more than one is placed.
- Some time later you may return for porcelain work to be added on top. This is likely to cost from £800-850 per tooth depending on the type of porcelain. It is important to note, these fees include all laboratory costs such as shade matching and component costs such as gold or zirconium abutments. There are no hidden fees.
It is possible to fix dentures or removable appliances to implants and this offers considerably greater resistance to movement when eating more challenging foods such as steak or biting into apples. Removable appliances vary in cost from £1900-3900 depending on whether they involve gold abutments or a titanium bar to lock the denture in situ. They are fabricated with the very best technical expertise to offer highly cosmetic, anatomically formed acrylics and individually placed teeth.
Cosmetic dentistry involves much more than simply replacing enamel with composite or porcelain. The facial profile, lip support and gum positions must be considered after tooth loss. This is particularly true when teeth were removed many years ago or the event was preceded by advanced gum disease and associated bone loss.
The best dental implants are technically very advanced and we constantly review our the technology we use to make sure our patients get great service and value for money.
How Does it Work?
Your implant treatment involves at least two visits to the dental surgery:
- First of all we prepare the correct size of cavity in the bone. This prepares the tooth for the implant.
- The implant itself is like a hollow screw. It is usually made of titanium and is available in different sizes to ensure an accurate fit.
- This then attaches itself to the bone over a few weeks.
- The next part is what goes onto your tooth implant. This could be a porcelain crown or a bridge or even a denture. It depends on your requirements.
- Our dental laboratory partners are closely involved in shading the finished porcelain work to match your existing teeth as closely as possible. This ensures the final result is very cosmetic and long lasting.
What Does it Feel Like to Have Implants?
Innes, a dental implant patient in Glasgow describes his experience at Appletree Dental Care, how he damaged his own front teeth, how he felt about his missing teeth and how he found the experience of getting dental implants fitted.
Watch his video on our implant testimonial page.
Benefits of teeth implants.
- They help protect your other healthy teeth
- They help keep the natural shape of your face
- They have become a very successful form of dental treatment
- They last a long time and tend to prove very stable
- You worry less about what you eat
- Closest thing to getting your original teeth back
When it comes to the discussion of implantation vs dentures there is usually a clear winner.
Does it hurt to get an implant?
Most patients would say no. Implants are placed with a lot of irrigation using saline which helps to keep them nice and cool.
The treatment is done in a very controlled environment. and you’re also 100% numb when we’re placing implants.
There may be swelling afterwards, possibly some bruising and discomfort for two or three days but that will usually settle
We will usually supply you with some anti-inflammatories and perhaps some antibiotics to reduce any post operative infection, swelling or pain.
Carry on as normal
After you’ve had an implant, you can more or less carry on as if the implant is one of your own teeth.
We always tell patients to be careful and not use their teeth for things they shouldn’t be used for. For example biting into an apple is absolutely fine, biting into crusty bread is fine but try and avoid using your teeth as a tool eg. to open packets.
Porcelain can fracture if it’s put under heavy biting forces and pulled in a different direction. But we would tell you that if it was your own natural teeth anyway.
Dental Tourism - Implants Abroad
Occasionally we see patients who have gone abroad for dental implants and, as in Scotland, there are good and bad practices everywhere and sometimes we see different types of techniques. It is called dental tourism and it has become increasingly popular. However there can be a real downside.
On the whole we think it is probably better to see a dentist who, if not local, is still close enough and accessible enough - within a couple of hours of where you live - so that if there is a problem you can be examined quickly.
After all, if you develop an infection around your implant you don’t want to phone you dentist in Poland or Hungary for an emergency appointment. Unfortunately people here can find themselves in that situation and it’s really upsetting for them.
They may feel as if they have started out on a journey to save some money but in the longer term, they might save anything at all.
Unfortunately if an implant problem isn’t attended to quickly it can manifest itself as a failure and that can generate considerable stress. Inevitably, implants - no technology is 100% reliable - can fail and at that stage how their dentist deals with the failure it important to the patient.
Our stated aim is always to ensure that we replace any failed implant free of charge within the first year. And if it integrates well beyond that first year there tend not to be problems.
We are very fortunate that last year we had absolutely no failures of implants. We didn’t remove one single fixture as a result of infection or pain or any issues at all.
What is the process for getting an implant?
The exact timetable might vary by patient but generally it looks like this:
- Initial consultation, usually free of charge, to discuss implant treatment
- X-rays, scan, dental impressions as required to scope the treatment
- Extraction of the infected or broken tooth if necessary. Or preparation where there is a missing tooth.
- Placing of the dental implant once the infected area is healed
- Fitting of the restoration, which may be a crown or bridge or even denture.
- Follow up appointment and often a visit to the dental hygienist
The implant process always involves a full consultation. We may not take the X-rays at this first consultation itself but we do like to have a good picture of things before we commit to the longer appointments. There may be a scan as well and impressions of your teeth so that we can take a look at the ridge of gum ready, hopefully to accept an implant
Placing the implant
The appointment for the implant itself will usually come six to eight weeks if possible after the tooth comes out. This is so that any infection settles and the area is well-healed.
Total treatment time will very often be as long as four or five or even six months. Sometimes we can turn things around in three months but the gums have to heal after implants are placed and they have to be in the final resting place before the crown or bridgework.
The next major appointment is for the fitting of the restoration, whether it is a crown or bridgework, on the implants. Sometimes it might actually be dentures that are fixed onto implants with other components, precision attachments.
The fitting of the restoration is an important moment for the patient. You’ll be given a mirror as we go along so that you can see the quality of the result and to make sure you are happy before go ahead and fit the crown, bridge or denture finally into place.
Dental Implant Gallery
There are some good photographs of implant work before and after dental surgery in our cosmetic dentistry gallery.
Many of these pictures of dental implants illustrate the challenges and rewards of modern tooth replacement.
If you have any questions about these cases or would like to know more about the different types of implants please contact our Glasgow practice today.
Patient implant case studies
All on Four Dental Implants
A classic and very well-established dental restoration is to fix several teeth onto four implants, often referred to as All On Four. How much do All on Four cost? When fabricated in acrylic this will cost £5900-7900 per jaw and can provide 12-14 teeth.
If porcelain bridgework on four implants is the chosen final restoration then All On Four is still feasible but limited to ten teeth. This will cost £12000 per jaw.
There is no doubt about it implants costs a lot of money - although dental costs in Scotland are not as high as in many countries. However we do have dental finance options to help spread the cost. And remember: we offer you a free dental consultation initially involving a 20 minute appointment with one of our implant dentists in our Glasgow clinic. This is when you can discuss the pros and cons without any prior commitment.
Ready to get started?
About your replacement teeth
When you visit our Glasgow dental clinic we try to give you as much information as possible about implant surgery and always take time to help you understand the importance of aftercare and routine hygiene. We will advise you on the best dental implants for your situation and make sure we spell out the cost of implants and your finance options.
Once your implants and surrounding soft tissues are seen to be healthy and your new teeth are comfortable and correctly adjusted, it is the quality of your home care, and willingness to present for regular maintenance reviews, that will most influence how long they will last and whether you end up with a healthy smile.
Danger of gum infection
When poorly cared for, implants develop a covering of deposits similar to that found on neglected natural teeth. Left untreated, these can lead to gum infection, bleeding, soreness and general discomfort, just as can occur around natural teeth.
We often say tooth implants, much like natural teeth, will last for as long as you care for them.
Care and maintenance
Well-maintained implants, placed into adequate bone, can be expected to last for many years. However, just as with other surgical implants such as hip replacements there is no lifetime guarantee.
Once successfully placed, integrated and restored, they should provide many years of satisfactory appearance and function. We provide you with up to date percentage success rates to assist you in making an informed decision.
Cleaning after tooth implants
Long term results of this type of cosmetic dentistry are dependent on good oral hygiene, regular professional cleaning and monitoring as advised. Patients should clean between their teeth and implants once daily, in addition to normal brushing.
This interdental cleaning should be with floss or interdental brushes. Without regular checkups, hygiene visits and X-rays (to monitor bone levels), patients risk the long term health of the gums and bone around implants.
Smoking and its effects on your replacement teeth
This is a key issue in implant dentistry. We often discuss the effect of smoking on teeth generally but more specifically nowadays on implant healing.
While some dentists report that there is a small increased risk of an implant failing to integrate, the major effect of smoking is on the long-term health of the gums around the implants.
Smokers and gum disease
We certainly see an increased incidence of gum disease around implants in smokers and this mirrors the effect of nicotine on the gums around natural teeth. This is something you must be aware of and smokers run the risk of increased long term failures. The best advice is always to stop smoking.
Smoking cessation often involves nicotine replacement. Unfortunately nicotine in any form is detrimental to gums and bone when used for a sustained period.
What to do after implant surgery
Our implant patients tend to experience only mild discomfort after surgery and the dentist will always give instructions on how manage any pain which might occur. Here are a few other recommendations for patients who have just had implants:
- Rest for the first 24 hours after you get home and avoid strenuous exercise.
- Sleep with an extra pillow under your head for a couple nights to reduce any swelling.
- You could hold an ice pack, carefully, over the are to reduce swelling. Do this for five minute at a time but for no more than an hour so so for two days after surgery.
- Try to avoid alcohol for two weeks after the operation as it might impair the healing process.
- Also avoid hot drinks for the first 24 hours after the surgery.
- It is permissible to use warm water to rinse your mouth, gently, after your meals.
- It is better to avoid brushing your teeth over the implant area for a week or so.
- Do not poke at the implant area with your tongue in case you loosen any stitches.
- As far as food is concerned, go for soft foods in the first week.
However these are general post-surgery recommendations. Check with the dental clinic team after your own implant surgery.
Why and how often do implants fail?
Implant surgery generally has a success rate in excess of 95% over 5 years according most current clinical research. That still means 5% are failing within that time.
Over recent years we have seen success rates in our Glasgow clinics increase slightly to around 97%. We have placed several hundred implants over the last ten years - long enough to see a few failures in amongst all the successes.
Replacing dental implants over time
In the case of a failing implant it is usually possible to replace it after a few months and this will normally be done (within one year of placement) at no additional cost to you.
It is extremely rare for two successive implants to fail and if failure occurs it is usually in the first or second year.
Dental surgeons in our clinic prefer to wait until they are confident of implant integration before restoring it in order to secure the best prognosis for your new tooth.
Once integrated and functioning, the overall research shows that you have in excess of a 90% chance of any implant still performing well after 25 years. Implants are therefore a long term and predictable treatment option, often for a lifetime.
Risks of implant treatment
There is around a 20% risk of swelling +/- bruising following implant surgery and a slight risk (of 1%) that an adjacent tooth can be damaged leading to requirement of root canal treatment. This compares to a risk of 20% during crown or bridge preparation.
When working in the lower molar area there is a chance of damage to adjacent nerves. This can cause temporary numbness or pain and is very rarely permanent. A scan is advisable when bone levels are limited in this and other areas.
Success rates of dental implants in Scotland
Unfortunately it is not possible to guarantee the success of implant treatments, although success rates are extremely high and we offer a commitment to free replacement within one year if any problems arise.
Treatment plans are provided as a guide to how things should progress if healing, bone/gum availability and aesthetic demands remain relatively constant.
Flexible treatment plans
They may be, however subject to subtle changes and we try where possible to keep you informed of any minor changes as the dental implant treatment is carried out.
For example, there is a small risk of graft rejection which may necessitate the use of pink porcelain (additional technician’s fee of £50 if required). Pink porcelain can disguise spaces and allow for normal tooth proportion in cases where gum tissue has been lost.
If you are interested in hearing more about dental implant surgery please contact us today to talk it through with one of our dentists.