Implant referrals.

Single tooth implant

A preoperative assessment of anatomical structures, occlusal and aesthetic factors is carried out and discussed with the client. Any necessary extractions are carefully carried out with periotomes and luxators to preserve the buccal plate, often accompanied with Bioss or similar to stimulate bone healing. We prefer to place between 6 weeks and 6 months post extraction though we have experience in immediate placement and immediate loading where required.

We have experience in intravenous sedation, block grafting, platelet rich plasma, sinus augmentation and guided tissue augmentation techniques.

The restorative phase generally commences 10-12 weeks later. We can use screw retained or cemented solutions including the use of provisional customised abutments for tissue stability in critical aesthetic zones. Final restorations and abutments can be metal free in anterior and premolar segments.

Implant retained bridgework

A preoperative assessment is carried out with appropriate radiographs and mounted models with a diagnostic wax up and surgical guides. Where appropriate we will provide provisionals, either fixed or removable for the healing phase. Anterior bridgework usually requires temporary implant supported provisional bridgework for soft tissue development and stabilisation. Grafting is provided where indicated.

Final prostheses may be screw or cement retained on metal or zirconium frames.

Full arch bridgework

Where indicated we use the Nobelbiocare All on 4 protocol. Stable edentulous ridges can be treated with Nobelguide, CAD flapless surgery.

Conventional full arch treatment requires additional implants, often accompanied by sinus lift or augmentation and extended healing periods.

Bridgework can be constructed in acrylic, composite or porcelain finish.

Implant retained overdentures

We use the locator abutment, preferably on Branemark fixtures to enable future upgrade to a non-removable All-on-4 solution.

Where the existing lower denture is satisfactory, modification to incorporate the female housing can be undertaken, otherwise a new denture will be constructed. Under favourable conditions immediate loading is provided.

Aesthetic & Restorative Referrals

We are experienced in full arch and mouth rehabilitation at existing and altered face height. We can use conventional PFM materials, pressed ceramic and CAD-CAM systems. Where possible we use adhesive systems to preserve tissues.