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Same Day Teeth in London
Moor Park Dental provide Same Day Teeth in London. This is a fixed rather than removable option and the surgical procedure can be carried out for your upper and/or lower jaw. The treatment journey including the risks and benefits, the time frames, the number of visits and what is involved in your treatment will all be explained below.
Consultation with Dr Pattni
At this visit a full mouth assessment is done and you will be informed of any other treatment that you may need to make your mouth healthy before we start the journey. The exact breakdown of costs and number of visits will be explained to you at this appointment. If you decide you would like to commence treatment at this visit, a CT scan (3D scan) and impressions of your teeth can be taken.
If your treatment requires extractions, a wax mock up of your teeth will be shown to you on a plaster model as we will not be able to try it in your mouth until the day of surgery. You will be able to confirm if you are happy with the shape and shade of the teeth and if you would like any adjustments to be made. Please allow at least six months for your treatment to be completed.
If your treatment does not require extractions we will take a second impression in a special tray designed for your mouth and we will take measurements for the correct bite of your temporary teeth. Here you can confirm if you are happy with the shape and shade of the teeth and if you would like any adjustments to be made. A shade of your new teeth will be taken at either of the first two appointments. Please allow for at least four months for your treatment to be completed.
On the day of surgery, you will need to be accompanied by an adult who can escort you home. The surgery will be carried out under conscious sedation under the supervision of Dr Dipa Patel. Conscious sedation is distinctly different from general anaesthetic, because you remain alert enough to respond to simple instructions which may be helpful to the surgeon – however you will remember almost nothing about the procedure.
The surgery will last approximately five hours. You will be given a series of injections in the mouth.
Dr Bhat will place the appropriate number of implants, under the gum and into the bone. The implants will have connectors attached to them known as abutments which will rest just above the gum.
Dr Pattni will be taking an impression at the end of the surgery to prepare the temporary teeth. You will have several stitches placed at this visit. At the end of the surgery, you will leave the practice with metal caps over the abutments. These caps will stay on for a maximum of 48 hours so you will have to remain without teeth for this time. You will be asked to avoid hard food and brushing. The appropriate mouthwash will be provided and you will be able to brush the teeth on the opposing jaw as normal.
For the next couple of weeks, please expect facial pain, swelling and bruising which we will closely monitor at your review appointments. You will be given the necessary antibiotics and pain killers on the day of the surgery.
Fitting of the temporary teeth
Within 48 hours of surgery, you will have your temporary teeth fitted by Dr Pattni. You will still be advised to follow a soft diet for the next three months. You will also need to avoid brushing the surgical area for one week. Please allow up to three hours for this appointment. An x-ray will be taken at this appointment to check the positions of the implants and abutments. There will be a ridge of acrylic on your palate which may cause you to lisp for several weeks and may take time for your mouth to adjust to. The palatal coverage will not be as extensive as that from a denture.
Two to three days after the temporary teeth have been fitted, we will review the healing response of the soft tissues.
7-10 days following the surgery, you will have the stitches removed and you will be shown how to gently clean around the implants.
We recommend weekly reviews for 12-16 weeks depending on the nature of your surgery and depending on whether extractions have been undertaken. At the review appointments, we will be checking the soft tissue healing and that the bite is correct. We will be giving you instructions on how to clean the prosthesis and check for any breakages.
During this healing process, the gap between your temporary teeth and healing gums will get bigger. This is important to allow suitable cleaning around the implants whilst they are integrating. The gaps will be made smaller at the fit of your final teeth.
Impressions of final prosthesis
3-4 months after the surgery, impressions of the implants will be taken. This appointment will last 3 hours. At this appointment, you will be able to tell us of any changes you would like made to your final teeth, for example, the colour.
Three weeks later, you will have the wax try in of your final teeth. This appointment can take up to 2 hours. At this visit you can comment on any adjustments to the shape, colour and position of the teeth.
Your final teeth will be fitted three weeks later. They will be fixed so that only a dentist will be able to remove them. The gaps between the final teeth and the gums will be small enough that they will look cosmetically favourable but be large enough to get the appropriate cleaning aids through. A final xray will be taken at the end of your treatment.
Hygiene & Long Term Maintenance
This is the most important aspect of the long term care of your implants. One month after the surgery, you will be asked to see the hygienist monthly for the first year.
The importance of good cleaning and the techniques are shown and discussed at every review appointment. If you have had gum disease in the past, you are at higher risk of your implants failing if they are not maintained suitably. It has been proven that poor oral hygiene can contribute to the failure of implants. To minimise the risk of the failure of the implants, you will be made aware of the lifelong commitment to excellent oral hygiene including visits to the hygienist and regular attendance to the practice for reviews of the implants.
After the fit of the final prosthesis you will see Dr Pattni once a month for three months and your care will then be taken on by Dr Bhat for regular implant reviews. Dr Bhat will then decide the frequency of the review and hygiene appointments.