What different dental implants are available?

Hundreds of different types produced by lots
of different manufacturers around the world. Most of them are based around the same theme.
In that, they tend to be screw-shaped of various sizes and lengths. They are made of titanium
because titanium is biocompatible with the bone and the bone will actually grow on it.
They are screw-shaped so that they can be inserted into the bone and will be stable
when they’re placed. The surface of the implant is treated in such a way that it attracts
the cells from the bone. And not only encourages early healing but will also maintain the bone
over a long period of time. There is also a method of connecting the teeth to the implant.
So, there are lots of different connection designs. And the importance of these connection
designs is that they must be stable over a long period of time as they will be subjected
to repeated loading. So, an implant is effectively a way of attaching a mechanical joint in a
biological environment. And as long as the materials used are of a high quality and the
execution of the treatments is of a high standard, implants can last for many years. Which design,
doesn’t matter so much as how the implant design is used. And over a period of time
we know what works, we know which design features work, what materials work, what connection
designs work. And I think a bit like cars on a wind tunnel, everything starts to kind
of gradually converge at the ideal design. And I think there are a few implant systems
now on the market that are very successful and they are the market leaders. And we are
proud to use one of those. And we’ve now been doing implants in this practice for about
28 years. And we kind of know what works as short term and long term. An implant needs to replace a natural tooth.
Natural teeth are designed to last for the whole of a patient’s life. So, when a tooth
is lost, not only do you lose the tooth, you also lose the surrounding bone and the gum
and also creating stability in the rest of the mouth where the teeth tend to move. As
well as executing the actual treatment to start with and making sure that you replace
not only the root of the tooth but also all of the tissues around it and the bone and
the gum, it also means that whatever you place there has to be maintained for the period
of the patient’s life. Implants don’t necessarily last the whole of a patient’s life, but they
can. But in reality, just like anything where biology is involved and where mechanics are
involved, there will be compromises and failures along the way. The best way to maintain implant
treatment for the duration of a patient’s life is to diagnose and plan and execute it
properly to start with, and ensure that the implant is looked after both in terms of dental
hygiene and also in terms of controlling the loads that are placed on it over a period
of time. Natural teeth wear. Natural teeth move. Implants tend not to move. So, if the
implant is in a good environment when you first place it into the mouth, you have to
keep checking that it’s well looked after, kept clean, and not adversely loaded as the
patient’s mouth changes over time. And we keep abreast of all of those things for the
duration of the implant’s lifetime. So, it’s not just about doing the treatment it’s about
looking after the treatment over the next 10-15 years as well. That’s our reason for being. This is why we’re
here. There is a lot of knowledge in dental care as in any field. And how you apply that
knowledge is based on experience, is based on the knowledge you have, and also based
very much on educating your patients as to what it is you’re exactly doing. Many patients
may have a limited conception of what it is we do, but when you look at all of the information
and look at all the decisions that we take and all of the aspects that we look out for,
during treatment, patients who come here suddenly realise that actually it’s not that straightforward
and they really have to look at not just the treatment aspects, but also the maintenance
aspects of what they’re having in their mouth. We ensure that we give quality treatment by
planning everything properly, by diagnosing everything properly, and ensuring that when
we carry out the treatment we do it in a documented fashion so that we can look back and see what
we’ve done five-ten years down the line; see what works see, what hasn’t worked and why
it hasn’t worked. And quality, as they say, is not just an accident. It is the culmination
of many decisions based on knowledge and experience which is something, unfortunately, you only
get over time. So we really try to make sure that every time we do something, we learn
from it and apply it to the next thing that we carry out. Trust. I think you have to have a very good
rapport with the person that you are having treatment with. Experience counts for a lot,
but there are obviously people with less experience with better knowledge and better abilities
and people with lots of experience with not such great knowledge and abilities. But all
in all, I think you need to understand what’s being done, why it’s being done, to have it
explained properly to you, for it to be documented properly so that you have a record of what’s
been done to you, and ensure that when you ask a question it’s answered properly. If
you have any doubts, then do seek a second opinion and we encourage all of our patients
actually to go and seek a second opinion. The way we approach it here is we try to diagnose
everything and give the patient all of the information that they require to make a decision.
We go quite in-depth. We spend a lot of time on it. And we ensure that when the patient
actually has treatment with us they’re actually on our side. They’re with us, they understand
what we’re trying to do, they cooperate with us, and they also understand what it is that
they’re spending time and money and effort on, and why it takes the period of time and
costs money it does to be able to get them the result that they want. You basically have
to find somebody who you trust to treat you the way you want to be treated. And that also
depends on your personal ethos as well. Not every dentist is for every patient and vice
versa. I think there are many developments. I think
technology is being honed. But it isn’t just about technology. I think it’s about the fact
that the dental profession is becoming more knowledgeable and more proficient at what
we do. I think it’s also a case that the patients are becoming better educated. There are lots
of ways and techniques for treating somebody but the basis of it must always be that there
is a correct diagnosis. And we have lots of diagnostic tools at our disposal these days.
There are different ways of recording the treatment we do, of planning the treatment
we do. Everything is digitised and computerised and reproducible. We can plan on computers,
we can design all of the treatment that we’re going to do well in advance. The use of tomography
and CT scanning, the use of computer planning, the use of intraoral scanning with digital
scanners allows us to actually almost replicate a patient in digital form and do all of our
planning to start with. This is really making a big difference. But at the end of the day,
again, it’s all about communication. There’s no point having all the technology if it’s
not possible to communicate to the patient why we’re doing what we’re doing. So yes,
technology is increasing. We have lots of different– in every field there are advances.
But the main one is still communicating with the patient. That is still the bit of technology
that still needs that personal touch.

Comments 23

  • hi! i was trying to find out how genuine this is https://www.popsci.com/science/article/2010-05/new-technique-uses-bodys-stem-cells-regenerate-teeth

  • would like to know your cost

  • "Implants can last for many years" ? I have a bridge that has lasted almost 20 years at a fraction of the cost. I need more assurances first

  • Ripoffs.go to mexico

  • if the upper and lower molar are extracted but doesn't effect the bite. Does it require dental implants? If no implant will the bone collapse and reasorb?

  • I am going through this know. Full upper and lower I was not informed on all that was required. Not cost nor the time and procedures. I am smart guy and I assumed for $40,000 they would be complainant. They had good on-line reviews. I found the owner Dentist to be good but I don't think he actually works on patients any more unless an issue. I hope and wish I had watched this before I started but I had little choice via genetics.

  • Wow teeth costing the price of a car or half of a house😳😩😫😤🥺🥺🥺🥺🥺🥺😭😭😭😭😭😭😭😭😭😭😭😭😭😭

  • Excellent! What to learn more bout getting this done

  • Bt am wondering, after those years,wat happens to da implant?they put another one or ?

  • 4:48 in I still haven’t heard of different types??

  • hi re bone loss upper jaw ive 2  implants at top  I hate denture had years have been told can have two more with bar retained  is  that good ….and open roof of mouth again thanks

  • Just did mine check out my results

  • https://www.gofundme.com/i-need-help-for-a-dental-prosthesisimplants&rcid=r01-156003305559-f2518039a5104e0f&pc=ot_co_campmgmt_m

  • I smell bull shit eg they last 10 years and fall out ?

  • I got cheated for $14,000 what can I do Doctor?
    Can I come to you ?

  • What about the clinician’s continuing education..?

  • 270,000 Dollars I was quoted ! That is more than the value of my house ! no thanks

  • How long are dental implants expected to last – how many years?

  • It may make sense for some people that need extensive dental work to travel abroad. So many people just can’t afford the cost of implants and lots of people come to border towns like ours here in Mexico. 15 minutes from Yuma, Arizona is Los Algodones. We do hundreds of implants a year and the complete procedure including the implant, abutment, and ceramic crown is around $1,200 USD. The materials we use are the same as in the USA and Canada (e.g. genuine Straumann or Noble Biocare implants). Getting your teeth fixed shouldn’t cost you a house. It’s a shame so many put it off because of Cost. You only live once!

  • Do you use Laser to clean out the implant site? Is this laser procedure available in the U.K?🥀

  • Wait wait wait. I was told an implant last a lifetime, this guy is telling us they don't?

  • Very good presentation.
    Respect yourself, then choose your doctor.

  • Good job Americans live next to Mexico the country your president hates.In Europe people travel to Easten Europe from the U.K halve the price and same quality work.The dental industry is a rip off business.Teeth are essential for people and shouldn't cost an arm and a leg for inplants if needed.

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