Dental Implants in Nantwich

This gentleman from Wales presented requesting a replacement for the upper right central incisor that had recently been extracted because of an abscess. The upper left incisors had crowns with poor aesthetics and the right lateral incisor was twisted. The abscess had caused a lot of bone loss in front of the tooth and this meant that an implant solution would have a slightly longer crown length. Implant placement was delayed to remove the infection.

Despite the bone loss, healing was uneventful and a temporary made. The implant was restored and the crowns on the other incisors were replaced with procera, non-metal crowns two months after osseointegration had taken place. The lateral incisor was veneered to bring it into alignment. The final appearance is excellent.

This gentleman's bridge, which stretched from canine to canine, failed catastrophically leaving fractured and infected roots with marked bone loss. The bridge was sectioned leaving the crown temporarily on the right canine (see below). We removed the roots and provided a temporary denture while the infection resolved. The bone loss was rectified with augmentation at the same time as the implants were placed.

The four implants integrated well under the denture for two months. A temporary bridge was then made and worn for a further two months before conversion to the definitive implant supported bridgework (seen left and below). The crown on the right canine was also replaced. The final appearance is excellent and the patient is delighted with the natural appearance.

This is the most stable and advanced removable solution for loose upper dentures. The large sinuses in the upper jaw can mean it is not possible to place implants at the back without further surgery. However, with adequate bone it is possible to place 6 implants and join them with a precision made milled bar to which the denture is attached using a perfectly matching female bar connector with special clips. This patient suffered from the premature loss of his upper teeth, which also lead to the loss of the bulk of the supporting bone. This meant that there was little ridge to support an upper denture.

He is an active businessman and needed the confidence of a stable and aesthetic upper prosthesis. We allowed 6 months after extractions to clear the infection before placing six implants.

These integrated uneventfully and the precision bar was constructed joining the implants, implant retainer bar. The special clips can be seen clearly in the denture. This type of denture support has all the advantages of removable restorations i.e. provide lip support, possible to cut away the palate allowing the patient to taste his food, as well as feel the texture and heat, easier to repair or replace the plastic components that wear with time.

It is not absolutely fixed but is nevertheless very stable and retentive. It has hugely increased the quality of this gentleman's life. Note the natural appearance of the finished denture and the confidence of a satisfied patient.

Many patients are unable to be without their teeth while the implants integrate. We have been providing "same-day teeth" for several years and have experience with three different implant systems using this technique.

This gentleman has had the benefit of bridgework for many years that has now failed and could not be replaced. He wanted a fixed alternative to dentures and even a temporary denture was not an option given his busy lifestyle and commitments.

We carefully removed the remaining teeth and placed 7 Straumann implants and a temporary bridge at the same visit. The final bridgework (by Richard Noar) is excellent and the patient is delighted.

Many patients do not want to have to wear a denture while their gums heal after extractions and before they are ready for implant placement. The All-on-4 technique from NobelBiocare overcomes this by allowing us to fit a fixed bridge on the same day the teeth are removed.

This lady had excellent oral hygiene but was losing her teeth to gum disease. The centre photo shows her on the same day that the teeth were removed and the temporary bridge was fitted. The final photo is of the definitive bridge which is fitted after 4-6 months. In her case this was of acrylic teeth on a Titanium framework.

The lost lower front teeth were replaced with a four unit bridge on two implants. The patient and the team are delighted with the result.