Dr Andy Tannahill - Dental Implants Specialist - Scarborough

Brief summary of stages for Dental implant treatment.

1. Initial consultation appointment will include diagnosis and treatment planning. This will involve looking at your whole mouth, and may include clinical pictures, radiographs and some study casts. A written assessment is then produced for you, when you will then be asked to come for a second appointment, where this is discussed in more detail.

2. After the implant(s) are placed they are allowed to heal from 8 weeks to 6 months. Sometimes the teeth are connected onto them at this visit. There will be follow up appointments to remove sutures and check on progress.

3. The implants have healed and now they are uncovered and transitional restorations or a denture may be connected to them. This allows me to assess the aesthetics and allows the gums time to mature before the final restorations are fitted onto them. It also allows me time to check that the teeth fit and move in harmony to alleviate any overloading or interferences between them.

4. The final new teeth are fitted 3-9 months after placement of the implants.

5. Regular checkup appointments and oral hygiene ensure that your whole mouth will remain healthy.

Stages of treatment

Each patient has an initial consultation appointment. Special tests e.g. radiographs, impressions etc are taken. Discussion then takes place, which is specific to each person, and a treatment proposal drawn up. 

Further discussions are held and any concerns are alleviated. Clinical pictures are taken and models used in conjunction with the laboratory to show what the final predictable outcome may be.

Stage 1

The earlier diagnostic tests help us to choose the desired length and shape of implant. The implant can then be placed to provide the best aesthetic and functional outcome. It sometimes has a tooth connected to it, or is covered over and the bone allowed to grow around it (osseointegration).

Stage 2

The implant is then uncovered after a period of time, and a connection(abutment) may joined to it, if not already. Impressions can be taken to send the information to the Laboratory. Transitional restorations are now used to encourage the gums to be shaped to as natural a shape as possible.

Final stages

A number of visits take place:

  1. Impressions
  2. Choosing the best shade, and recording the bite
  3. Try-in of the porcelain to ensure the best fitting
  4. Final fitting of the restoration

During treatment follow up appointments take place at each stage. Dialogue and clinical pictures are taken at each stage, so that any concerns can be alleviated.

Everyone is different, and a customized treatment plan, which is unique to the individual is drawn up. This may be altered as circumstances can change throughout the course of the treatment.