Spedding Dental Clinic. 73 Warwick Road Carlisle CA1 1EB T:

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1 DENTAL IMPLANTS Spedding Dental Clinic 73 Warwick Road Carlisle CA1 1EB T: SPEDDING DENTAL CLINIC

2 Jack Spedding is a partner in Spedding dental clinic. He is a highly experienced dentist, having been working in general practice since Jack is a forward thinker who is keen to provide the best, most up to date treatment for his patients, and has been placing dental implants since In 2012 Jack was the first general practitioner in Cumbria to achieve a Masterʼs Degree in Dental Implantology, awarded by the University of Warwick. In addition to full-time private practice, Jack is regularly involved in providing postgraduate education for general practitioners in the field of dental implants. He has a special interest in bone grafting, having spent the final year of his Masterʼs Degree producing a dissertation on the subject. Claire Greenhow is a qualified dental nurse who has been assisting with dental implant surgery since Claire is responsible for co-ordinating all implant treatments at Spedding dental clinic, from the first stages of referral and assessment, through the surgical and treatment stages, to post-operative care and review. Claire also has an extra qualification in dental radiography, and takes a full range of implant related x-rays, an essential part of the diagnostic process. Jenny Smith is a qualified dental nurse who has been with Spedding Dental Clinic since Jenny has six years experience of assisting with all aspects of dental implant treatment, from simple cases through to complex full mouth rehabilitation. Jenny has additional responsibilities concerning the organisation of cross infection control and sterilization procedures, which are crucial for patient safety and surgical success.

3 Dental Implant Information 1.What is a dental implant? Natural tooth Natural tooth Gums (soft tissue) Tooth root Bone Implant with prosthetic crown Prosethetic crown Abutment Dental implant 2. How will you know if you are suitable for implants?

4 6. How long will the implants last? 3. Do you need to have a healthy mouth? 4. How long does treatment take? 7. How many teeth can be supported by implants? 5. What should you know before you start treatment?

5 Integration period: The restorative phase; 8. An overview of the implant process Maintenance; Assessment and treatment planning: Implant placement;

6 11. What anatomical structures must be avoided during the placement of dental implants? 9. What can cause bone loss? long-term it is the direct effect of chewing forces that causes slow deterioration of the supporting bone. Therefore the longer dentures are worn, the less bone is available for dental implants. 12. Can dental implants preserve bone? 10. What if I donʼt have enough bone?

7 13. Can you wear replacement teeth whilst going through implant treatment? 14. Can dental implants be placed next to natural teeth? 15. Are the new teeth joined together? 16. Is it uncomfortable when implants are being placed?

8 17. How do you look after the implants? Maxillary sinus Onlay grafting Osseointegration Plaque 18. What can you do if an implant does not work? Restorations Sinus augmentation Sterile conditions Titanium Treatment plan

9 Definitive restorations Frequently Asked Questions Will I be able to eat what I like afterward? Dental anaesthetics What costs are involved in implant treatments? Dental implant How long will it take? Dentures Extraction site How long will it last? Gum disease Am I too old for implant treatment? Periodontal disease Is the treatment painful? Immediate loading Inferior dental nerve S Integrate/Integrated/Integration Interdental toothbrushes

10 Post-operative care following implant placement. - For the first hours, avoid extremes of temperature in your mouth, such as tea and coffee. Glossary Abutment - For the first week, avoid major exertions such as sports or heavy lifting. - Alcohol slows healing, so please reduce or abstain from alcohol for a week if possible. If you are a smoker, it is important to either stop or reduce your tobacco intake for at least a week; this will improve your chances of good healing. Barrier membrane Bone grafting/regeneration - Starting the day after surgery, please use warm salt water to gently rinse your mouth. Mix ¼ teaspoon of salt in warm water and rinse for 30 seconds. - It is important that your oral hygiene is well maintained; a clean mouth is a good environment for healing. Bone resorption - If you have a denture to wear, please leave it out as much as possible for at least a week. If your dentures are uncomfortable, please call the dentist to have them adjusted. Bridge - Please take your post-operative medication as directed. If you think that you are having a reaction to this medication, stop taking it and call the surgery as soon as you can. - A soft diet will be required for around a week after surgery, so it will be best to avoid hard or crusty food that requires a lot of chewing. Bruxism - If you have had a sinus lift procedure, please avoid blowing your nose or drinking through a straw, and try to sneeze with your mouth open, to reduce the pressure in your sinuses. You should also avoid flying and swimming for two weeks. Calculus - You can help your natural healing process by maintaining a healthy diet and taking supplements or multivitamins. Contact the surgery if; Complete arch 1) Numbness persists more than 24 hours after surgery Consultation 2) Stitches become loose or fall out within the first five days 3) If you experience excessive pain or bleeding. Crown