Spot the crown competition
Just for fun
Winning Smiles spot the crown competition take 2:
Clue: there is one crown in this picture, can you tell which one?
Some of the simplest jobs are the most satisfying.
Invisible filling in front tooth – as good as new
Sometimes its the little jobs that make such a difference.
This chap said he had been hiding his smile for years. His main issue was the general yellowness of his teeth and an old filling in the upper central incisor.
We carried out some (minor) bleaching and replaced that old filling with a new one using Enamel Plus HFO material with Dr Lorenzo Vanini’s technique – see our best white fillings blog article.
Not sure if these pictures do it justice (it may depend on your computer settings). The real-life difference was more remarkable, but I’m sure you can see the difference anyway.
Recent dental implant case studies
Dental implants are an increasingly popular choice for my patients as I’ve been doing a lot of them recently.
So I thought it was about time I posted a few case studies. Here they are:
Tooth replacement and smile makeover: Case Study
A full set of replacement teeth: Case Study
Implant retained dentures: Case Study
I’d love to hear what you think – or if you have any questions about dental implants at all, please do post something in the comment box below.
Are your teeth stained on the inside?
Many people are familiar with the techniques used to whiten teeth from the outside, but I doubt many of you know that discoloured teeth can also be bleached from the inside, out!
There are times when the teeth are discoloured from within rather than from run of the mill red wine and coffee stains on the outside. It usually involves one or two front teeth (upper or lower) that have been root-filled in the past and have become severely discoloured (brown, yellow or orange).
When these badly discoloured teeth are combined with a generalised yellow appearance of the other teeth (from years of staining) this makes for the hand-over-mouth, or lip over teeth, smile that so many patients seem to put up with.
Standard dental bleaching involves either using trays at home or a special light source used in the dental chair (see my teeth whitening blog for views on which works best). However it is also possible to bleach the inside of these very dark (root-filled) teeth, and at Winning Smiles we use a technique that combines both bleaching the outside of all the teeth and bleaching the inside of those extra-orange ones. The results are quite spectacular and often avoids the need for drilling and crowning these individual problem-teeth.
In the photo, two of these front teeth were ‘off-the-scale’ orange, the rest were just a creamy shade of yellow from normal staining. The patient had 10 days to go before his dream wedding in the caribbean. This is how he looked after a week of Inside-Out-Bleaching. Can you tell which ones used to be orange?
If you look really closely, two of the teeth are whiter than the others – yep, you guessed it, those are the ones that were orange a week ago!
Perfect smile not required
Someone came to the surgery the other day, and this happens a fair bit, they apologised for their teeth.
It reminded me that I should put ‘something on the website’ about this, as we’re really not here to judge anyone and people should not feel the need to be embarrassed (even if it is human nature).
You see, its only when people really need us that we get to make the most difference.
And if its not too selfish of us, we’d be delighted to see you.
White filling photos
More work inspired in Italy, crafted in Romford, Essex. We’re proud of this one
Readers are invited to guess which one is the filling, and which one is the crown.
I would take the opportunity to mention that our white fillings are always guaranteed to stay in.
Immediate dental implant techniques
Just recently we’ve had an unusual number of patients coming in with serious problems with single front teeth. Perhaps it’s something in the Essex water!
Among the causes of these problems are
- sports injuries (eg getting kicked in the face playing rugby)
- ‘other’ injuries (eg falling down the stairs or sliding on the ice)
- old crowns that have failed and cracked the root
- problems with old crowns with posts
- problems with root filled teeth
in these cases extraction is often the only option.
In the past we would have had to wait months after extracting the tooth before putting the implant in, and then a few more months of waiting before the implant could have a tooth added to it…..6-9 months of waiting with a temporary bridge in place…
With Immediate Implant techniques we can often bypass this waiting time: if the bone is intact around the failing tooth and there is no infection present then we can (very) carefully extract the root (without damaging the socket walls) and put an implant directly into the tooth socket!
And if the implant is secure in the bone then we can even put the titanium post into place and put a temporary crown on top.
Where appropriate this treatment means that the patient can literally come to the clinic with a failed tooth and leave a short while later with their new implant tooth in place.
Pain free dentistry, the secret ingredients
I’ve written before about pain free dentistry, and that it shouldn’t be an optional ‘extra’. We’re all human, and none of us would look forward to needles and discomfort. We always use the dental wand to make the visit as painless as possible.
But, although this technology has been around for a while, most new patients are as wary as ever.
I’m hoping that some day this worry might simply just go away. It would certainly make for less stress the day before the visit – from most people’s accounts.
But a good friend set me thinking about this again the other day whilst in the chair. He asked if we were busy or not, which we pretty much always are. Its a common question, and then it dawned on me, as he was looking around.
He has a very sensitive mouth, and I can almost go and make a cup of tea whilst we’re waiting for him to be ready for treatment – except it’s nice to have the time catch up.
But the secret ingredient – its a ‘time’ thing
People do vary in the amount of time it takes for their mouths to numb. And the key is definitely ‘not to rush’. Don’t rush the anaesthetic, use the proper amount according to the patient, and don’t rush the treatment.
It’s been fairly second nature for quite some time in dentistry, and so perhaps we didn’t tell everyone we needed to (hence this post).
My view is that with the right planning, there is time to do everything we need to and communicate, which is our other key tool!
Time and communication.
Perhaps I will ask Damien to write about the dental sedation skills he’s bringing to the practice too, it might be useful for people to know a bit more about that, and we often work together. Watch this space.
update: Andrew recorded a video about the dental wand
Dental Patients being charged twice?
Time to read exactly 2mins and 16 seconds
I heard on the radio today, (BBC dentist article) that ‘some NHS dentists’ are playing the system and charging patients twice for the same treatment.
It is a highly emotional subject for many, and it pains me that the some parts of our media take advantage and sensationalise aspects of this very difficult subject. A number of news reports have even neglected to point out that this situation is only relevant if you are an NHS patient.
This particular version originated with the Tory party, so I can only assume there are political points to be scored with the release of this latest ‘report’…
I do feel the need to stick up for the vast majority of dentists, because I know many who still work within the NHS system, and without exception they are honest hard working professionals providing the best service they can, within, what has to be said is a very narrow framework afforded by their NHS contracts (managed by the local Primary Care Trusts).
I know those of you who know me will have heard this before, but I think that the problems of providing government regulated (tax funded) ‘dentistry for all’ are once again shown up in sharp relief.
The main points as I see them are threefold
- Dentistry is now not only about stemming pain, it is about the long term benefits of the work carried out. In our opinion, it is better to spend more time and money on something that lasts longer. There is a whole other conversation about how the work looks (aesthetic or cosmetic) and self esteem, but in this context we should also see it from the society’s point of view (government).
- Where does the line get drawn between stemming pain, and providing long lasting quality work? The vast majority of us pay taxes. How much should we spend on medical ‘non-essentials’ that don’t save lives – of which dentistry is one.
- The above issues mean that the government is forced to ‘ring-fence’ nhs dentistry to prevent dental costs spiralling out of control at the expense of those essential bits of medicine which save lives….
‘Ring-fencing’
in this instance means capping fees (forcing dentists to use cheap materials and work faster than they should) and limiting what treatments can be used and when (ie only ‘low cost’ treatments approved). The results are disgruntled dentists, disgruntled patients and a subject which recurs every time the media has a ‘slow news’ day!
Now I’m just waiting for the obvious response to this email which is, ‘Fine, you think you can do any better?
What’s your solution, Einstein!?’
A subject for another day 😉 (soon)
“Teeth in an hour” – immediate implant technique
Is it possible to walk into a dental clinic and have all your old broken, unsightly teeth replaced with shiny white new ones supported by titanium implants all on the same day?
The answer is yes in many cases – providing the case has been prepared carefully in advance.
Over in the States ‘immediate implants’ (also known as ‘teeth in an hour’) are becoming commonplace, and this technique has been available for about 10 years or so.
Here in the UK we tend to take a rather more cautious approach to our dental implant treatment so a number of us have been waiting on the sidelines to see what the outcome of these more radical treatments was going to be…. In other words, “will it work long term?”
The answer is yes once again.
We now have enough long term data (over 5 yrs) to convince even the more conservative of us that;
- immediate implant teeth work in the long term
- in some cases doing it this way can improve the aesthetic outcome
- this method can significantly reduce bone the bone shrinkage which occurs when teeth are extracted.
- the immediate implant technique can be used on single, multiple or full mouth cases
So there it is. Viable and better, in many cases.
Once again, as with ‘Painless Injections’ the future has arrived, all you need is comprehensive surgical training, advanced surgical equipment, and an open mind…..for the dentist, that is. Our patients are often the people who inspire us to strive to give them these gold standards of dental treatment.
No one mention drive through dentistry though, or it’ll be time to hang up the rubber gloves.
Cosmetic Open Evening T’s & C’s
All Cosmetic Open Evening treatments are subject to suitability and availability. Over 18’s only. Offer is only valid on the Thursday 10th November. All Cosmetic Open Evening treatment discounts only applies where the first appointment in relation to this offer is booked before 23:59 on 10th December 2022.
These offers are open for all individuals who are patients at Winning Smiles. The discount will be applied when the final payment is made following the completion of the full treatment plan. The offers will therefore not apply to appointments booked for an initial consultation only. Appointments are subject to availability and are with either Dr Andrew Fennell or Dr Jonathan Woods for Implants and Dr Jamie Nelson for cosmetic work only. Free initial consult for implants and veneers bookings. Free Whitening for the opposite arch for 6 or more composite veneers. Two free hygienist appointments for three or more implants only.
In the event that the treatment is paid for upfront in full the discount will be applied at the point of payment. For all treatments which are not paid for upfront in full the discount will be applied when the final payment is made. Payments are subject to standard practice policy which is available upon request. All cosmetic open evening treatment plan discounts are non-exchangeable, non-transferable, and are not redeemable for cash or other treatments. All sales are final. In the event that Dr Andrew Fennell, Dr Jonathan Woods or Dr Jamie Nelson is unavailable for any appointment scheduled in relation to this offer, Winning Smiles will use best efforts to rearrange the appointment.
All cosmetic open evening discounts cannot be used in conjunction with any other offer. Winning Smiles accepts no responsibility for any damage, loss, liabilities, injury or disappointment incurred or suffered as a result of the use of this offer or receipt of the treatment. Winning Smiles does not guarantee that the treatments will not cause damage of any kind (whether direct or indirect) to the patient’s teeth or face, and therefore a Winning Smiles accepts no responsibility in the event that the treatment causes any damage. Nothing in these terms and conditions excludes or limits liability for personal injury resulting from Winning Smiles negligence or for fraudulent misrepresentation, or for any other liability which cannot be limited by law. Winning Smiles can vary or replace these conditions from time to time, at its sole discretion. If any provision or part-provision of these terms and conditions is or becomes invalid, illegal or unenforceable, it shall be deemed deleted, but that shall not affect the validity and enforceability of the rest of the terms and conditions.
Update: We are open – Latest News
Dear Patients,
We are open, with new operating procedures to keep us all safe.
For those patients who are booking in to see us now please look out for our pre-appointment email which explains how we have had to change the way we work to safeguard you and the team from any risk of viral spread – here it is:
Dear Patient,
Ahead of your upcoming appointment we have made a number of necessary changes to how we practice to ensure your safety and our safety during the pandemic. Although the UK has passed the infection rate peak the Government has advised all of us to remain on high alert and maintain social distancing.
At Winning Smiles we will be using a 6 part protocol to minimise the risk of viral transmission
Pre-appointment screening
Please cancel your appointment if you have experienced any of the following symptoms over the last 14 days:
- Cough
- Sore throat
- Runny nose/sneezing
- Shortness of breath
- Loss of smell
- Fever
Please cancel your appointment if anyone in your household has displayed any of these symptoms in the past 14 days
Please cancel your appointment if you have been asked to self isolate due to COVID 19 over the past 14 days, if you are being tested for COVID 19, or if you have been in contact with anyone suspected of having COVID 19 in the past 14 days.
We will phone you 24 hrs before your visit to check the above.
Maintaining social distancing during your visit
Please drive to the clinic if you can and phone us when you arrive in the car park so that we know you are there. Stay in your car and keep your phone handy so that we can call you in when we are ready for you. Please do not bring any family members with you when you are called in.
If you don’t drive please let us know before your appointment and an alternative arrangement will be made.
Please maintain a distance of 2 metres/6 feet between you and any other patients you encounter during your visit.
Entering the building
Please wear a face mask if you have one. If not we will provide you with one at the door.
We will check your temperature using a non-contact forehead thermometer.
There will be a table on your left with hand sanitiser on it. Please sanitise your hands.
You will need to continue wearing your mask until you enter the treatment room.
Entering the treatment room
Once you are sat in the dental chair we will give you a mouth rinse to use for 1 minute prior to starting your treatment.
Leaving the treatment room
Before leaving the treatment room we will ask you to sanitise your hands again, gel will be provided.
Payment
At this time we will only be taking card payments, no cash transactions. If you require a receipt we can text or email it to you. You will notice that all of us are wearing face-masks and face shields for the duration of your visit. I know this will make some people uncomfortable but I trust that you understand why we must continue to take such precautions at this time.
Thank you for your understanding and for taking the time to read this.
Dr Andrew Fennell
Thank you for your support in keeping everyone safe.
With best wishes,
The Winning Smiles Team
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Hygiene—What Happens?
What happens to your teeth after 3 months 6 months and 10 months without a dental hygienist cleaning?
Well this is really a very difficult question to answer because each person responds in a different way to bacteria. In dentistry, this is called “host response”.
Happy New Hygienist Regulations
As of last month the General Dental Council – our governing body – has ruled that patients who want to visit a hygienist can do so without the need to have an examination with a dentist.
What this means
In practice these new hygienist regulations mean that if you feel the need to have your teeth cleaned you can go to a hygienist without the need for your dentist to officially ‘refer’ you.
Furthermore if your dentist doesn’t have a hygienist and you feel that you would benefit from seeing one you can turn up and see any hygienist at any dental clinic where they have decided to operate on this basis.
So what?
Well up until now hygienists were not allowed to see patients who had not been directly referred to them by a dentist – if they did this would have been an ‘illegal’ practise and they could lose their job!
At Winning Smiles we think this is a fantastic leap of common sense in the world of dentistry. Any legislation which helps to remove barriers between patients who want and need our help is legislation to be celebrated!
So to anyone out there who wants to check in with our lovely hygienist, please pick up the phone and call us for an appointment.
We can usually fit you in within a week!
What’s in a dental checkup?
I was reminded this week of the what a brilliant tool the humble dental checkup is…(assuming it is carried out with some thoroughness and enthusiasm)..
Often I think patients wonder why we do it?
And listening to the dentist counting teeth with the nurse repeating the numbers and tapping away on a keyboard, it must feel like a bit of waste of time for some….and it would be if all we did was look.
(Guess what – if all we do is look, it only takes 3 minutes….and in my opinion we may as well just take a photograph and send the patient home).
Looking for change
But the value of a decent dental check up is often about looking back and – probably more importantly – looking forwards. A good dentist will look in the mouth and compare the current situation to the last check up – looking for change. Change can be good (eg less plaque, better brushing, flossing etc) or change can be bad (fillings wearing out, crowns cracking etc). Often though the real value is in crystal gazing.
We all wish we could predict the future – well in dentistry it’s actually not that hard. Careful examination and an up to date dental examination history will give strong clues as to how long our teeth and our dentistry will last.
The positives for the patient are that
- they can focus their resources on dealing with issues that need immediate attention (ensuring they stay out of pain and continue to be able to eat a normal diet and smile at people)
- they can plan ahead for problems ‘on the horizon’ ie 6, 12, 24 months and even 5 or 10 years ahead.
A good dentist can give you realistic predictions about the longevity of your teeth and dentistry for years ahead.
Long range forecasting ultimately brings peace of mind.
So what?
Well I think in the end it’s all about being mentally prepared. When issues have been predicted well in advance and then happen, people feel ok with it. It’s not a shock, some patients may even have been quietly building their rainy day fund in expectation…
Knowing is better, and less expensive, than not knowing. And that’s why we developed our dental plan
So even the worst problems have been dealt with in advance and managed correctly it is that preparedness which brings peace of mind.
What to do about a missing incisor tooth
As time goes by we have noticed an increasing number of young adults turning up at Winning Smiles with..
- crooked and crowded teeth (especially at the front)
- narrow upper or lower jaws
- one or more missing adult teeth (usually front incisors or canines)
- very unhappy with their smile
The cause
With all the problems we have seen above, the cause is an adult tooth (or teeth) that never grew down in to place during childhood.
The other teeth crowded around the space that was left, and whilst often there has been an attempt at correcting the problem with orthodontics, for whatever reason it didn’t work very well….
One other common factor is that again, some patients tell us that their dentist has told them nothing can be done – or if it could it would involve horrible and expensive surgery….
Does this sound like you? What to do about a missing incisor tooth?
Here’s the good news
At Winning Smiles we have been successfully treating these cases since the mid 90’s!
Though it is true to say that these cases are challenging – and involve both orthodontics (braces) and one short session with our surgical dentist – the results are very predictable and our patients invariably end up with exactly what they want
- nice straight teeth
- wider smile
- all their own teeth (no implants needed here – your own tooth pulled into the correct position is much better)
- very happy with their smile!
How does it work?
As always it starts with a free consultation to see if you are suitable for this sort of treatment – (most people with ‘trapped’ canines or incisors are)
We then need to utilise our 3D CT specialist dental CT scanner – this is the diagnostic tool we need to accurately visualise the position of the trapped tooth in the bone.
Once we know exactly where it is (to the nearest half millimetre) the surgery to uncover the tip of the tooth becomes easy and keyhole – the CT scan image shows where to go. Normally we can uncover the tip of the tooth within 40 minutes using the Dental Laser! We then bond a little hook onto the tip of the trapped tooth.
The best thing about using lasers instead of scalpels is the wounds heal up much faster and there is much less bleeding during the procedure – truly ‘minimally invasive’
At this stage the (very minor) surgery is all done.
The patient goes to see our friendly orthodontic team along the corridor and they will fit one of our discreet adult braces which attach to the little hook to pull the wayward tooth back down into its proper position.
The process normally takes from 12-18 months.
And the bonus? The same discreet brace is used to widen the smile, and get all those crooked/twisty teeth back into a nice straight line at the same time as pulling down that tooth no one ever thought could be reached!
We love these treatments because they showcase the best of what we can achieve at Winning Smiles with our friendly enthusiastic multi-disciplinary team backed up with state of the art technology!
We love our job.
Dentistry is about connecting with people
A wise old dentist once told me ‘dentistry is 85% communication and 15% manual dexterity’ (I’d like to think some of that 15% includes a level of artistry as well!)
What my dad meant was that without a high level of communication – in his opinion – good dentistry can’t happen.
What do we mean
- make the patient feel at home – on the first visit!
- explain all the options and their pros and cons
- talk about fear and pain upfront and how to minimise both
- be honest about the fees
- take time to explain all the issues that can and do occur for a given treatment
- discuss honestly how long the treatment will last and the necessary maintenance
The more we know about a new situation, the less frightened we are by our ‘imagining’ about what may occur. If the patient feels able to approach the dentist and the team at any time with any concern, or question, no matter what it is, then it often happens that 90% of the previous nervousness, phobia or plain fear disappears.
Communicating gets the right results
With the right level of understanding, there need be no second thoughts or surprises, and we are given the proper permission to carry through with our high level dentistry. Building a level of confidence that the results will always match the expectations agreed between dentist and patient, means that patients feel right about things the whole way through
- they know the dentistry looks good and will last
- they are happy and comfortable and devoid of fear
- they get to know how passionate we are about our work!
In the end. It’s all about connecting with people for me too. And that’s what gets me to work every day. That’s what inspires me.
That’s why I do it.
Cosmetic Fillings: Why the Italians have got it White
I am often asked why my white fillings are significantly more expensive than Dr.A.N.Other’s just around the corner. They’re white, right? What more is there to ask?
So I thought that I’d tell a little story about how I ended up spending a considerable number of long weekends hanging out with arguably the best cosmetic filling dentist in the world. He calls them ‘aesthetic composite restorations’ and his name is Dr Lorenzo Vanini (google him and you’ll see). Now Lorenzo, apart from being the best cosmetic dentist in the world is also a fine pianist and jazz-composer, a black belt in karate, and lives on the shores of Lake Como not far from George Clooney.
I went to find Lorenzo because my experience of white fillings was that:
- They didn’t last very long (less than 5 years)
- They didn’t look like tooth, they often looked like murray-mints surrounded by a dark brown leakage-line
- They often had decay underneath them (so if anything, they looked worse underneath than they did on top)
- They were weak and prone to fracture
a n other dentist white filling In short – mercury fillings were better in every way except they looked a bit black!
Lorenzo opened my eyes and proved beyond a doubt that:
- Quality white, cosmetic fillings can last 20 years!
- Quality white, cosmetic fillings are indistinguishable from natural tooth tissue
- They won’t decay underneath (providing a strict placement protocol is adhered to as prescribed by Lorenzo)
- They are strong and not prone to fracture
- They are so much better (for the tooth and patient) than mercury fillings – and they look good to!
Lorenzo opened my ears too, because being a keen musician myself, we inevitably found ourselves jamming after a long hard day’s teaching/learning (and some decent italian wine of course).
Lorenzo also taught me to use his material to produce free-hand immediate veneers which have become a very popular cosmetic treatment here at Winning Smiles over the years.
Anyway here is my recipe for making the best white fillings in the world (and our ‘routine’ procedure here at Winning Smiles)
- Purchase the best white filling material in the world (‘Enamel Plus’ from Italy, produced by Mycerium, designed by Lorenzo and his chemists)
- Ensure that the tooth is properly numb (using ‘The Wand‘ our painless injection system from the US)
- Apply ‘rubber dam’ to the tooth so that it is isolated from the saliva in the mouth (saliva + white filling = disaster, also we use the rubber dam to prevent bits of mercury filling being ingested!)
- Remove old filling/decay etc, the cavity has to be prepared precisely as prescribed by Lorenzo (margins polished, etc etc)
- Chemically clean cavity (Lorenzo technique)
- Apply bonding agent (Lorenzo technique, the bonding agent is also one of the best in the world – cheap bonding agent = leakage and brown lines around the filling)
- Apply different shades of Enamel Plus filling material, laminating/layering technique as per Lorenzo
- Finish with specific tungsten-carbide tipped drills and specific polishing brushes and pastes (as per Lorenzo’s technique)
- Voila! A white filling that can be (easily) guaranteed for 5 years, will last much much longer, and actually looks like a tooth – even after years of use!
Using the best materials and the best technique and ensuring the best environment for the alchemy to take place takes time, and those materials cost double what the cheap stuff does….but is it worth it?? Of course it is. Anybody for a cheap white filling now?
Fit & Forget Dental Implants – Part 2
So here’s the follow up to my last blog about fit and forget implants:
If you think that you might benefit from dental implants..
here’s a few questions to put to the dentist before you choose to go ahead:
Q. What guarantees do you offer on your dental implants?
Q. Will you replace an implant if it doesn’t take – free of charge?
Q. And in the long term – how will you ensure that I still have my implants in 10 years?
Q. What are the ongoing maintenance requirements for dental implants, and how much does that maintenance cost?
Q. Can I see some before and after photos of your work?
Q. Can I speak to any of your patients who have had implants placed by you? (Ask for testimonials)
Q. How long have you been placing dental implants?
Q. How many implants have you placed?
Q. How many of those implants have failed?
Q. Talk to me about peri-implantitis!
Q. I’m a smoker – am I still suitable for dental implants?
Q. I have had gum disease, this is how I lost my teeth (they got wobbly and fell out), will the same thing happen to my dental implants?
Its important to know everything before you choose, and of course, we’ll answer all these questions for you in the Free Consultation.
Fit and Forget Dental Implants?
I love talking my patients. They are my lifeline to the real world out there – (you know the one where most people don’t spend all day every day thinking about teeth!)
This lady is one of my long standing dental implant patients – a few years ago we completely rebuilt her upper teeth using custom porcelain bridges supported on titanium implants
The thing is, they look as good today as the day we fitted them all that time ago. But this is no accident. This lady follows Laura’s (one of our lovely hygienists – yes they’re out there, honest!) advice to the letter. She cleans the bridges and implants twice a day, and visits us every 6 months for her Healthy Mouth Review to allow us to monitor the health of her mouth and implants, to clean those areas even she can’t get to, and to carry out our Oral Cancer Check.
This is routine at Winning Smiles.
Implants need as much – possibly more – upkeep than natural teeth…they are a great copy of the real thing (better than a chinese rolex) but even I don’t claim to have beaten mother nature at her own game!
So when Gill told me yesterday that she is coming across more and more people who are benefiting from this sort of dental treatment – but some of them can’t understand why she has to keep coming back to see us for what they see as ‘unnecessary maintenance’, I had to press her for further clarification! ‘Why?,’ I said. And Gill went onto explain that these patients are popping into dental practices (yes in the UK) and having implants placed ‘as if they are just expensive fillings’!
This is a worrying trend. Problems with dental implants rarely cause pain, so for a patient who has been advised in this way the first time they realise there is a problem with their dental implants might be the day they fall out! The fact that this may take 5-10 years is what is protecting both these dentists (and their patients – ignorance is bliss) for the time-being. But it’s a ticking time-bomb. These cheap ‘quick-fit’ (and forget) implants have been placed in the last couple of years as more and more of the profession learn about them – in response to greater and greater demand from patients….alas it is only a matter of time before the chickens come home to roost. And when they do, the only winners (as usual) will be the lawyers.
Leaving the cost issue aside, once implants fail it is not nearly as easy to do them a 2nd time. The bone around them disappears – which is why they fall out – so if they fall out, by definition there is often no bone left to put another one in….and this puts us right back to the 1970s: dentures for all.
Happy Easter. Lay off the eggs 😉
