Implant Dentistry in a digital world25 May 2018 Categories: Uncategorized
By Dr. Haytham Abbas
BDS (Ncle 2005), MFDS (RCS Emg 2008), Dip.Imp.Dent
Digital advancements in the last 18 years have drastically changed how we communicate, travel and even eat. The technology used in the provision of Implant Dentistry has not been left behind, allowing us as oral surgeons to offer even more predictable results for patients.
Implant dentistry has gone digital. This means that we collect data – such as clinical photographs of your teeth, x-rays and impressions – digitally. Furthermore, with the aid of computer programming and laboratory technicians, we can now put this data together to show you what the clinical outcome is likely to be before a tooth is even removed.
Traditional method – single missing tooth
If you have a missing single tooth, a dental implant can be placed into the jaw bone to fill the gap. Traditionally, a standard x-ray has been used to guide us in placing the implant. After 3 months of healing, when the implant is ready to have the crown (or visible tooth) made, an impression of the opposing set of teeth and a record of how your teeth come together is required. This involves using messy moulds and sticky impression material, which many patients find hard to tolerate.
These impressions are then sent to the laboratory where the technician uses them to make models that replicate your teeth and the top of the implant. The technician then makes your new tooth.
This has worked perfectly well for decades, so why change it? If it’s not broken don’t fix it. However, today we want faster and more predictable solutions. As a dental surgeon, if I can provide a more predictable outcome for my patients then I will want to be able to offer and deliver this to them.
Modern digital method – single missing tooth
With the modern method, before we consider placing an implant we carry out a CT scan to provide a 3D X-ray of the area. The Raglan Suite is one of only a few practices in the area to have a Cone Beam CT Scanner, allowing us to identify important anatomical structures such as the sinuses, the floor of the nose, blood vessels and nerves. This means that we can accurately plan where to place implants to ensure that they are safely away from these vital structures.
At the same time, instead of sticky moulds, we take a ‘digital’ impression of the patients’ upper and lower teeth. A digital impression uses a small, hand-held, intra-oral scanner that quickly captures hundreds of small pictures and then knits them together to create a complete 3D image of your teeth. This digital impression and the CT scan are then sent to the laboratory.
Together, the dental surgeon and technician use these to plan the precise positioning of the implant in relation to where the future tooth will be. A guide is then printed using a 3D printer. This guide fits over the patients’ current teeth and allows us to place the implant in the exact planned position. Once the implant has fused to the jaw bone after 3 months, we take a digital impression to make the new tooth. Once again, the teeth are scanned using our intra-oral scanner and the scan is sent to the lab technician who makes the tooth ready to fit onto the implant.
Here at The Raglan Suite we pride ourselves on being able to offer the best possible options to our patients using the best equipment available and 3D planning is one of them. As with any treatment choice, planning is the most important part and this is no exception. The majority of patients will be able to have their treatment carried out under a digital workflow. In some cases, we do need to use a combination of both or revert to the traditional format. Your clinician will inform you which is the best solution for you.
Dr. Haytham Abbas qualified in 2005 and has a Diploma Degree in Dental Implantology from Warwick University. Since then he has helped hundreds of patients regain their smiles and function with the aid of dental implants. For a free consultation, contact us here or call 01423 565432.
The Value of Good Service22 March 2018 Categories: Patient care
By Dr. Tim Doswell
Dental Surgeon and Practice Director
“I am obsessed by good service. I drive my wife and family mad when we eat out because if we haven’t had good service in a pub or restaurant, I won’t stay to have pudding! We leave after the main course. I admit that this is shooting myself in the foot as I love pudding, but there is a principle involved here…
The Changing Face of Dentistry22 February 2018 Categories: Dentistry
By Dr. Antony Bellaries
This time of year often provides a period of reflection and an optimistic look to the future. This year it is the 70th anniversary of the inception of the National Health Service, formed as part of Clement Attlee’s (then Labour Prime Minister) “cradle to grave” welfare state reform policy in the aftermath of the Second World War. The NHS was the first universal health care system established anywhere in the world. Amongst other services, it provided greater access to dental care, in an otherwise dentally neglected population.
In the mid half of the twentieth century, dental disease was rife. The vast majority of dental treatment provided was tooth extractions and the provision of dentures. So what’s changed? A huge amount! Below I’ve listed my top four significant changes to happen to dentistry over the last seventy years:
I’m missing a front tooth! What next?23 January 2018 Categories: Dental implant Uncategorized
In the aesthetically driven world that we live in, missing a front tooth would be devastating. Rightly or wrongly, we are often judged by the way we look. This is why missing a front tooth is embarrassing and socially awkward. Ask yourself the question – if you lost your front tooth, would you leave the house?
The traditional approach to replace a single missing tooth
So what happens if you lose a front tooth in an accident or a sports injury, or are told that it needs to be extracted?
“Will my child need braces?”19 December 2017 Categories: Children's dentistry Orthodontics
By Specialist Orthodontist Dr. Megan Hatfield
We all watch our little ones carefully as they grow and that includes their dental development. Whether or not their child will need braces is one of the most common questions that parents put to dentists, partcularly if they have worn braces themselves as a child or currently need them. However, although parents may be looking for a simple yes or no answer, it’s not always so clear-cut!
As a Specialist Orthodontist, I monitor a child’s facial and dental growth, and detect problems with bones and the position of teeth at the ideal age to treat them. In some cases, problems are best treated early when there is a mixture of baby and adult teeth which can help simplify or avoid orthodontics later on. This might include a reverse bite (lower front teeth forward of the upper ones) or teeth not coming through in the right order. In other cases, it is best to wait until most or all of the adult teeth are through (from age 10-13) to help promote a successful treatment outcome.
Is it possible to enjoy your trip to the dentist?13 November 2017 Categories: Uncategorized
By Dental Surgeon Dr. Tim Doswell
Lets face it, not many people look forward to visiting their dentist. A trip to the dentist usually conjures up images of pain, anxiety, needles, drills and someone trying to have a conversation with you while your mouth is wide open! As dentists, we hear patients saying “it’s not you, I just don’t like dentists!” But with today’s technology and sympathetic techniques, is it possible to actually enjoy stress-free dental treatment?
It is my belief that a lot of dental fear originates from trips to the old fashioned “school dentist” who struck fear into a whole generation of patients with primitive techniques and lack of a kind bedside manner. So I would like to attempt to allay fears about dentists and outline some of the techniques we use at The Raglan Suite to make the treatment journey as comfortable as possible – perhaps even enjoyable!
Does having a tooth extraction hurt?10 October 2017 Categories: Dental Anxiety Tooth extraction
By Dr. Geoff Baggaley
One aspect of dental treatment patients are often anxious about is the possibility of a tooth extraction – when a tooth needs to be removed. The most common reasons that your dentist may feel it is in your best interest to have a tooth removed are:
- A tooth that has broken down and can’t be repaired
- Severe tooth decay
- An abscess
- Gum disease
- Crowded teeth – when extra space is needed prior to braces being fitted (orthodontic treatment)
- Impacted wisdom teeth – when growing wisdom teeth can’t break through the surface of the gum
FILLING A GAP WITH A SINGLE TOOTH DENTAL IMPLANT18 September 2017 Categories: Dental implant
By Dental Surgeon, Dr. Tim Doswell
The most common case we do at The Raglan Suite is fill a gap with a single tooth dental implant. There are a number of reasons why a tooth may need to be removed, such as extensive decay or infection, trauma, a root fracture, a failed post crown or failed root filling. As dentists, we always try to save natural teeth. However, if it is clear that the tooth can not be saved, a single tooth dental implant offers a long term, stable and predictable solution.
New Suction Denture15 August 2017 Categories: Dentures
NOT ALL DENTURES ARE THE SAME!
By Chris Egan (RDT Dip Lds, CDT Dip Rcs Eng)
In March 2017, I travelled to Japan to complete a course on the revolutionary new suction denture technique taught by Dr Jiro Abe. As a result, I am now qualified to provide Suction Effective Mandibular Complete Dentures (SEMCD) – the very latest in suction effective dentures.
One of the most difficult things to achieve in dentistry is suction and stability on a full lower denture. This new technique, which eliminates the problem of the lower denture lifting by creating effective suction, is rapidly becoming popular worldwide. After achieving great results on my own patients, I can understand why this new suction denture technique offers such a huge advantage over a conventional full lower denture system.
What is Peri-implantitis and how do we prevent it?25 July 2017 Categories: Dental implant
By Dr. Tim Doswell (BChD Dip.Imp.Dent.RCS(Eng) (Adv.Cert))
There is little doubt that the “gold standard” way to replace a missing tooth is with a dental implant. They are very durable and are completely independent of the adjacent teeth, which makes them by far the healthiest option, especially when compared to the more conventional tooth supported bridges. As a means of securing dentures, they come into their own; loose dentures which can barely bite through soft bread can be transformed into teeth which can bite into an apple!