Is it painful?
Dental implants are placed in one appointment under local anesthesia without significant experience of pain. Post operative discomfort is well managed with regular pain relief like Paracetamol (Panadol™) and Ibuprofen (Nurofen™ or Advil™). Feel free to read how do I manage post-surgery pain?
Dental implants are placed in a highly sterile environment, with careful handling of bone and surrounding structures. As a result, there is minimal post-operative discomfort experienced after the surgical procedure.
How big is the procedure?
Most cases can be managed with minimally invasive approaches. In some case, bone grafting is required. You can request a detailed assessment of your condition, so that we can give you an accurate idea.
How many days do I need to take off work?
We work on the philosophy of affecting your personal life least by our intervention. We try to put you back in your life as soon as the surgical procedure is finished. A light work (no exercise) is recommended for first 24 hours. Your case-specific advices can be discussed during a consultation appointment.
Who can get an implant?
You must have healthy gums and adequate oral hygiene to be considered for implants. This minimizes chances of infection around implant in short and long term. We can advise you in your consultation appointment, if needed.
In most medical conditions like osteoporosis or diabetes, dental implants are possible. We need to assess your medical condition to provide case-specific advice.
When Can I get a tooth?
In most cases, a temporary tooth or prosthesis is put in place immediately, or as soon as the swelling is subsided. A permanent restoration can be placed in six to twelve weeks on the implant.
A thorough examination and treatment planning:
A consultation with us is needed for a thorough dental examination.
The availability of bone is analyzed using radiographs or scan.
We can plan your treatment and give you a stage-wise quote (i.e. First stage of treatment, second stage, and so on).
Once you understand and go ahead with the treatment, we will discuss an informed consent with you.
Inserting the dental implant
Depending upon availability of bone, implant placement may be performed
- Without any additional need of bone grafting
- With simultaneous bone grafting (simultaneous approach)
- With prior bone grafting with subsequent implant placement (staged approach)
In most cases, bone grafting is done using botted bone, not removed from your hip or other parts of your body. The bottled bone can be:
- Lab made porous scaffold of calcium and phosphate
- A highly processed cow bone, which removes all the other ramnents to leave natural arrangment of Calcium phosphate crystals. The available products uses Australian cows, as they are free from Mad-Cow Disease. A natural product like this can provide natural (bio-mimetic) arrangement of bone crystals and an ideal environment for bone in-growth.
- Generally the bone graft particles are supported by collagen membrane with or without a titanium mesh.
How do I manage post0perative pain?
Post-operative pain and discomfort are generally well managed by over-the-counter pain relief medication. we recommend:
- Day-Time: One paracetamol (Panadol™ or any generic brand)with one or two ibuprofen (Nurofen™ or Advil — please do go for these brands) every 4 to 6 hours. Some recent randomised clinical trials suggested combination of 500mg paracetamol (one Panadol™ tablet) and 200mg ibuprofen (one Nurofen™ tablet) has equivalent effect to 15 mg codeine containing pain relief tablets. The use of one Panadol™ and one Nurofen™ combination can avoid side effects associated with Codeine which are sedation (“Do not drive”) and constipation, while providing equivalent pain relief.
- Night-Time: one panadeine forte (30 mg of Codeine — depending on body weight) is sufficient as a good night time pain relief. Please try to avoid taking two panadeine forte together, as it may cause overdose especially in skinny female patients.
If you are a heart-disease patient, you need specific instructions of pain relief from us or your specialist. If you have very low pain threshold, additional medications to effectively control your pain can be prescribed.
DON’T BE BRAVE. Don’t wait till you are in severe pain. A regular pain relief tablets (every 4 to 6 hrs) would control far effective than taking pain tablets only when in pain. If YOU WAIT TILL SEVERE PAIN, it takes very long or even no effect with really good pain relief tablets.
What else do I do?
You will also be required to use a Chlorhexidine mouth rinse (Savacol™) twice daily 24 hours following the surgery, for the first couple of weeks. That is available over the counter in a supermarket or pharmacy. PLEASE DO NOT USE ANY MOUTHWASH. It has to be SAVACOL or Chlorhexidine containing mouthwash. It is very important in controlling pain and post-operative discomfort.
A review appointment is MANDATORY with periodontist after the final restoration to review final restoration and explain you post-operative care and hygiene instructions related to the new prosthesis. This review is highly required to maintain long term success of implant procedure.
Step by step summary
|Stages||Single tooth||Multiple teeth||
All teeth in one arch
|Missing too/eeth or after extraction of teeth|
|Implant placement with or without healing abutment|
|Insertion of teeth by your dentist||FIXED OPTION||DENTURE BASED OPTION|
|Review and oral hygiene instruction||MANDATORYREVIEW ANDOHI||MANDATORYREVIEW ANDOHI||MANDATORY REVIEW AND OHI|