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Dental Implants in London

Specialist Dental Implants in London and Surrey

If you’re looking for the top implantologists in London and Surrey, look no further! Here at the Neem Tree Dental Practices, we have brought together the best dental team possible. Our practices provide high-quality, professional dental implant treatments with a friendly and pain-free service. Both our practices in Wandsworth, London and Esher, Surrey offer a wide range of dental implant treatments to our growing family of patients. 

Following an initial consultation and check-up, our team will create a treatment plan that is tailored specifically to your needs. It doesn’t matter how extensive of a change you need, or even if you just need us to check on an existing dental implant. Our expert team will ensure you leave our practices, satisfied, confident in your smile and pain-free. 

Dental Implants in London and Surrey at the Neem Tree

Both our practices offer a wide range of dental implant treatments across the London and Surrey area. No matter what your dental implant needs are, our team are perfectly placed to handle them. From single implants to dental crowns to All-on-4 solutions, we can help restore your smile and make sure you are left happy and confident in your new smile. Whether you need a simple replacement or full arch restoration or sinus augmentation, we offer the full complement of dental implant treatments from both of our practices in Wandsworth and Esher.

Your London and Surrey Dental Implant Specialists

The Neem Tree Dental Practices offer high-quality, professional dental implant treatment options at both of our locations in Esher and Wandsworth. Both of our practices boast top-of-the-range equipment, expert yet friendly staff and treatment plans to suit your needs.

We first opened in Wandsworth in 2004 and we have been providing only the best dental implant treatment, orthodontic services and periodontics, as well as cosmetic and general dentistry, across London ever since. Both of our practices in Wandsworth (London, SW18 1TF) and Esher (Surrey, KT10 9QJ) are open 6 days a week, with the option for Sunday bookings by appointment and same-day emergency dental treatment. 

If you’re looking for dental implants in London or Surrey, call or book online with one of our practices, or just pop in! Our team will be more than happy to discuss your implant and general dental needs.

What causes tooth loss?

The number 1 reason patients require dental implants is as a solution to tooth loss. When teeth are lost, there are several problems that can arise which can be prevented with a dental implant. Of course, if you lose a tooth you will be left with a noticeable gap in your smile (depending on which tooth is lost). If a lost tooth is not replaced, you are also at risk of losing bone mass in your jaw, your remaining teeth moving out of alignment and even losing more teeth!

There are a long list of differing possible causes for tooth loss in adults. These range from poor oral hygiene, poor nutrition and bad habits, as well as physical injury. Let’s take a look at some of the leading causes of tooth loss in adults. 

Poor oral hygiene

The leading cause of tooth loss in adults is the presence of gum disease (periodontitis). The main cause of gum disease is, quite simply, poor oral hygiene. An inadequate dental cleaning routine is extremely problematic for a large number of reasons. Not properly cleaning your teeth can lead to bad breath, gum disease and, consequently, tooth loss.

It is absolutely essential to clean your teeth and gums properly at least twice a day, once in the morning and then again in the evening. You may find it more effective to simply clean your teeth directly after each meal, rather than at a set time each day. 

By not cleaning your teeth properly, you are not clearing away the food debris that is left behind after you eat. This debris is teeming with bacteria. If this bacteria is allowed to build up, it will create a sticky, colourless substance called plaque. If it is not removed, this layer of plaque will begin to eat away and erode the connective tissue between the gums and the tooth.

Over time, this layer will also turn into ‘tartar’ if left unchecked. Tartar is a layer of plaque that has become hardened around the gum line. Tartar is almost impossible to remove with regular brushing and cleaning methods. Unless removed professionally by a dental hygienist, this tartar will continue to damage the teeth and gums, no matter how well you brush and floss. 

If gum disease manages to take hold, you are at serious risk of losing one or more teeth. To help prevent this, you need to be both brushing and flossing twice a day, or after every meal. Spend 4 to 6 seconds concentrating on each tooth as you brush. Brush at a slight angle, with the bristles of the brush pointing down towards the gum line, do not just concentrate on the enamel (front) and crown (top) of the tooth. Brush in small circles to dislodge any food that has become trapped. Clean between your teeth with dental floss or small interdental brushes, as normal tooth brushes will not reach these places.

If tartar builds up you will not be able to remove it on your own. For this reason, amongst others, it is also advisable that you visit a dental hygienist twice a year. They will be able to give your teeth and gums a thorough deep clean. They will also be able to keep an eye out for early signs of gum disease, as well as helping to prevent it. 

Gum disease

As mentioned above, gum disease is the leading cause of tooth loss in adults. Gum disease, otherwise known as periodontitis, is a condition where damaged gums become infected, sore and inflamed. 

If you do not clean your teeth and gums well enough, plaque and tartar (dental calculus) will begin to build up. Plaque is a thin, colourless film of bacteria that builds up along the gum line and can feel almost furry. If left undisturbed, this plaque hardens to form tartar, which cannot be removed easily. Once this build up begins to happen, your chances of gum disease increase rapidly. 

Plaque is primarily made up from bacteria. It is this bacteria that causes gums to become damaged. The bacteria in plaque release toxins that irritate and inflame the surrounding gums. The affected gums will become swollen and sore. They may also change colour from pink to a darker red hue. Gums affected by gingivitis may also bleed while brushing or flossing. Gingivitis is quite common in adults and does not always lead to gum disease (periodontitis).

When gingivitis is left untreated, the problem will be exacerbated and can lead to gum disease (periodontitis). This happens when the inflamed and swollen gums have begun to pull away from the tooth. When the gums start to pull away from the tooth, small pockets open up below the gumline.

These pockets can quickly become filled with food debris, plaque and bacteria. When this happens, the pockets can easily become infected if left untreated. As the pockets become larger, the teeth more infected and the gums weaker, the connective tissue between the gum and the tooth will breakdown. When this happens, the tooth loses its anchor in the mouth and start to become loose. If this process is not halted, the tooth can eventually be lost altogether. 

Cavities and Tooth Decay

Similarly to gum disease, cavities and tooth decay can also lead to tooth loss in many circumstances. Cavities (also called dental decay or caries) form when the enamel on the tooth’s surface begins to breakdown. This can be caused by a number of different factors, such as poor oral hygiene, too much sugary or acidic foods or smoking. 

Most commonly, cavities are caused by a build-up of plaque on the tooth. The bacteria contained in plaque will begin to eat away at the hard outer enamel of the tooth if it is not cleaned properly. Unchecked, the plaque will continue to eat away at the tooth until it forms a small hole in the tooth. The longer the problem goes untreated, the larger this hole (or cavity) will become. 

Cavities can be very hard to spot, especially in the early stages. They will eventually appear as small dark blemishes on the tooth. You may also experience increased sensitivity in your tooth, as well as an increase in pain and the feeling of pressure when you bite. In severe cases, you may also experience pus leaking from the tooth. 

Cavities, if caught early, are usually treated with fillings. The damaged sections of the tooth are removed and the resulting hole is filled with a sealing material, such as metal or ceramics. 

If a cavity forms in the enamel, the hole will also fill with plaque and bacteria. In these cases, the plaque then begins to eat away at the next layer of the tooth, the dentin. This layer is much softer than enamel and more susceptible to the erosive effects of plaque. Once this layer has also been eroded, the plaque and bacteria have reached the root of tooth.

Teeth with damaged roots have a greatly increased risk of infection and will usually require root canal treatment. In this treatment, the inner sections of the tooth which have decayed are removed, along with the nerve and inner tissue. This is then filled with a sealing material and is covered with a crown. 

If the problem is not treated early enough, the tooth may be beyond repair. If too much of the tooth has decayed and cannot be reliably treated with a root canal procedure or a crown, your dentist may recommend removing the tooth entirely. 

Physical injury or trauma

Of course, not all causes of tooth loss are due to poor dental hygiene. You may well lose a tooth due to factors entirely out of your own hands. One of the most obvious examples of this is losing teeth through physical injury. In these cases, blunt force can cause your tooth to fracture or fall out completely. 

Babies and young children are usually the most at risk of losing teeth due to physical trauma. This is due to the fact that the gums and tooth root are still developing and, thus, not as securely anchored as they are in adults. 

In adults, tooth loss due to trauma is quite often a result of injury sustained during a contact sport such as rugby. The risk can be lessened by wearing a protective mouthguard while playing such sports. However, not all sports require a mouthguard. There is also a risk of losing teeth to physical injury in your everyday life. Simple mistakes such as falling over or knocking your mouth with a hard object can all cause teeth to fall out. 

In these instances, you may well need to replace the tooth with a dental implant. 

Smoking

As well as its vast array of well-known health risks, smoking also increases the risk of tooth loss in adults. This is due to the fact that smoking leads to an increased risk of gum disease (periodontitis). In fact, research has shown that male smokers are up to 3.6 times more likely to suffer tooth loss than non-smokers. Similarly, female smokers were 2.5 times more likely to suffer tooth loss.

Smoking increases the risk of gum disease for a number of reasons. Firstly, smokers are more likely to produce bacterial plaque, the leading cause of tooth decay. This increase leads to a greater risk of gum disease, the most common cause of tooth loss. Smoking and tobacco products also affects the production of saliva.

Saliva is essential in a process known as recalcification. This is a process whereby calcium and other essential minerals are transferred to the teeth through saliva. If this process is disrupted, it becomes far harder for gums to heal themselves; thus leading to gum disease. Furthermore, smoking leads to a decrease in the oxygen present in the bloodstream. This makes it much harder for the gums to repair themselves naturally.

Teeth grinding (Bruxism)

Grinding or clenching your teeth is a very common habit that can affect patients of all ages. Bruxism is a condition whereby the patient either clenches (bites down hard) or grinds (clenches teeth and then moves the jaws back and forth) their teeth regularly. This can either be a conscious habit or can even occur during sleep.

In most cases, tooth grinding is not serious and usually only leads to the partial wearing away of the enamel. Bruxism is quite easily treated by using a mouthguard, especially when the problem occurs during sleep.

However, in more severe cases, you may be at risk of tooth loss. If bruxism continues unchecked, you will continue to put undue pressure on the teeth. By constantly applying pressure, coupled with the teeth grinding together, you are slowly but surely weakening the connection between the tooth and the gum. Over time, this can lead to the teeth feeling loose. In some cases, this can deteriorate to a point where the tooth has become so loose that it needs to be removed, or even falls out naturally. 

Age

Although growing old does not necessarily result in tooth loss, your risk of losing teeth does increase with age. There are several combining factors that lead to this increase. Although the risk of cavities in children is greater than in middle-aged adults, as we get older the risk of cavities increases again.

As the body ages, gums have a tendency to recede for a number of reasons. As bodily tissue and bone density naturally deteriorates with the passage of time, this can have a noticeable effect on the gums and teeth. Gums naturally recede and teeth can begin to lose their anchorage in the jaw. This can be exacerbated if you have already lost a tooth and not had it replaced with a dental implant. This is because the jaw begins to lose bone mass if there is no tooth around which to grow.

Dry mouth is also a very common issue in older patients. Dry mouth can be caused by a number of things, most notably certain medications for various treatments. Saliva is a key component in the body’s natural ability to repair and heal itself. Saliva is an essential part of the recalcification process.

Recalcification is when calcium and other essential minerals are restored to the teeth via saliva, an important part of keeping your teeth healthy. If this process is disrupted, the ability of teeth to heal themselves is greatly restricted, leading to an increase in the risk of losing the tooth. 

The risk of gum disease also increases with age. The damaging effects of receded gums, sugary, acidic foods and untreated cavities can build up over time, if left untreated. Coupled with naturally eroded enamel and the damaging effects of certain medications, this greatly increases the risk of gum disease which, in turn, increases the risk of tooth loss. 

Diabetes 

Patients suffering from diabetes also have an increased risk of tooth loss. In fact, patients with Type 2 diabetes are roughly three times more likely to suffer dental health problems. Diabetes patients face an increased risk of health problems throughout the body, and the same goes for dental health. 

One of the main reasons for this link is that diabetes patients have increased blood sugar levels. This weakens the body’s natural ability to fight infections. Therefore, if infections do take hold in cavities it is much harder for the body to naturally combat this. 

Furthermore, the increased sugar is also the case in saliva. The increased sugar levels in the saliva make it a breeding ground for harmful bacteria that contributes to plaque and dental decay. If this increased level of bacteria is not adequately treated, the risk of periodontitis is similarly increased. 

Why do I need a dental implant?

If you have lost a tooth, a dental implant is a great way to restore both the aesthetics of your smile and the functionality of your teeth. There are several benefits to getting a dental implant over other treatments, such as dentures, or simply leaving the gap. Although not necessary, dental implants are great replacements for a lost tooth (or teeth!). 

When you lose a tooth and do not replace it, you are left with a gap in your smile. For many people, this is not a problem. For others, however, this can be an issue for many others. Firstly, many patients are left feeling self-conscious about the resulting gap in their smile. Gaps, especially those at the front of the mouth, can be very noticeable. Patients sometimes even report avoiding smiling altogether for fear of how they look to others.

In such cases, many patients would much rather have the gap plugged with a dental implant. Dental implants can be specifically crafted to resemble your natural teeth. Of course, there are gold and silver options which stand out. However, tooth-coloured implants, which are essentially indistinguishable from natural teeth, blend in to your smile. Therefore, dental implants can restore both your smile and your self-confidence.

Furthermore, dental implants can help to restore not just the aesthetics of your smile, but its functionality too. Patients who have lost teeth without replacing them often report changes to the way they speak and eat. The tongue plays a key role in speech patterns.

One of the ways that dictate how we speak is how the tongue interacts with your teeth. After a lifetime of speaking a certain way, a change to this can often result in differences, such as a lisp. Similarly, dentures can often take quite a while to get used to, in terms of speech patterns. They are not always entirely comfortable or secure and sometimes move slightly during speech, making it harder to do so. 

It goes without saying that teeth play a key role while eating. If one or more of your teeth are lost, it can make the process harder. Not only can it make it harder, many patients dislike the feeling of food filling the gap between teeth when they bite down.

Simple acts like tearing and chewing food can be made harder if important teeth are missing, such as canines. Even if you replace your missing teeth with dentures, they can often be unstable and make eating and chewing difficult. A dental implant provides a stable, secure and permanent replacement for your teeth.

In addition to this, if you do not replace lost teeth with a dental implant (or similar treatment), your teeth may shift positions. Having a gap in your teeth allows room for the remaining teeth to begin to move out of alignment. This can leave other teeth feeling looser than normal and provide more space for food debris and plaque to build up.

As well as this, you may also experience bone loss if you do not have teeth replaced. The bone in your jaw is kept strong and stable via constant pressure and exercise gained through acts like chewing. Dentures do not solve this issue, you will continue to lose bone mass and your jaw may even begin to retract. Without a tooth or replacement implant to sustain it, the bone in the jaw begins to atrophy. In the first year after tooth loss, 25% of the underlying jawbone is lost in terms of volume.

What is a dental implant?

A dental implant is an artificial replacement for natural teeth. There are several different types of replacement for teeth; crowns, bridges, dentures etc. An implant is a direct replacement for the tooth. It is designed to look exactly like a natural tooth, perform the same functions and to last permanently. 

There are 3 major components to a dental implant. These are the root, the abutment and the crown. 

The root of the dental implant serves the same purpose as the root of a tooth; it anchors the tooth into the gum and jaw bone. Dental implant roots are often made of titanium. This is due to the fact that titanium is strong, durable and more importantly, is biocompatible, non-toxic and non-allergic. The root takes the shape of a screw, which gives it greater stability and security when implanted. 

The abutment is the part of the implant that connects the crown to the root. Abutments are often made of titanium but can also be made from other materials such as ceramics, steel or gold. Dental cement is also often used to attach the crown to the abutment. 

Healing abutments are implements which are used to allow the root to heal and fuse with the bone without allowing the gum to heal over the top. If you do not use a healing abutment, the gum is allowed to close up over the new implant root. The gum will then need to be reopened when the time comes to place the crown. Healing abutments are placed at the same time as the root and stop the gums from healing up over the top of it. 

The crown is the top of the implant, the section that is crafted to resemble and perform the same function as your natural tooth. Artificial crown s can be made from a number of materials, such as ceramics or metal alloys. The crown is the only part of a dental implant that should be visible in the mouth. Since they are designed to look exactly like your natural teeth, this means it is virtually impossible to tell when a patient has a dental implant. 

How is the dental implant procedure performed?

When a dental implant is required, the treatment is performed in several stages. There is often time left between certain stages of the procedure to allow time for gums to heal and the implant root to take hold. This process can take several months. The exact time will vary case by case but can take anywhere between 3 to 9 months in some instances. 

Assessment

The first stage in the dental implant procedure, as it is in most general dental treatments, is the initial assessment and evaluation of your teeth. Your dentist will evaluate your current oral health and determine the most fitting treatment or procedure for you case. This can take the form of x-rays, digital imagery, tooth models and often all of the above!

Your dentist will use this information to decide whether you need a single implant, a bridge or another treatment. Your dentist will then draw up a treatment plan. This will set out and plan the different stages of your procedure. 

If you have not lost the tooth yet, the next stage will be the tooth extraction. In this common procedure, you will be placed under anaesthetic and the damaged tooth will be completely removed from the jaw. 

Bone graft

If your jaw does not have adequate bone mass to support a dental implant, the next stage of the procedure will be a bone graft. There are several reasons why you may not have enough bone mass in the jaw. For instance, if you have lost a tooth and not had it replaced, the bone that once supported a tooth will begin to atrophy.

Severe gum disease is another factor that may lead to your bones not being sufficient for an implant. If this is the case, you will require a bone grafting procedure. This is when a dentist takes bone from another part of your body (such as the hip), or uses artificial bone replacement materials, and grafts them onto the existing jaw bone.

Once the graft is completed, there will be a period of time dedicated to letting the new graft fuse with the existing bone and heal properly. This may take several months but exact time varies by case. 

Placing the implant

Once the bone graft has had time to heal (should you need one), the next stage of the procedure is to place the implant root. This procedure can be undertaken in the dentist’s surgery and will require anaesthetic. The dentist will make an incision into the gum to expose the bone that will hold the implant. They will then drill down into the bone, deep enough to provide a solid and secure anchor for the implant.

This is why bone grafting can be such a vital stage of the implant procedure. If there is not enough bone, the root will not hold. The implant root resembles a screw and will be drilled down into the bone itself. Once this has been completed, another period of healing will occur.

As the implant heals, a process known as osseointegration will take place. This is when the natural bone begins to grow into, alongside and fuse with the titanium implant screw/root. This process can also take several months. Once the bone is properly fused with the implant, however, the implant will then act as your natural tooth root would. 

Placing the abutment

Once the implant root is completed, the next stage is to add the abutment. The abutment is what connects the root and the crown that sits on top of it. It can be made from several materials, such as titanium or gold. There are 2 ways in which you may have the abutment added.

The first is to allow the gum to heal over the implant root during the osseointegration period. In this instance, your dentist will then have to make a new incision in the gums when it comes to placing the abutment.

The second is to secure the abutment in place at the same time as the implant root. This means that the gum heals around the abutment, as opposed to over the root. Although this means you will not need a second surgical procedure, it does mean that you will have the abutment sticking out from the gum. A temporary denture can be used to cover this up, however. 

The crown

Once the root and abutment have been placed in the jaw and had time to heal, it is time for the dental crown. The crown is the top part of the implant. It is the only section that is visible above the gum line and is intended to resemble your natural teeth.

You will be given a choice on what kind of material you would like your new implant to be made from. There are several factors that will help determine this, such as the expense, durability and how it looks. Materials range from ceramics, metal alloys such as gold. 

Once the crown is added, the dental implant procedure is complete. It is important to maintain regular visits to your dentist to ensure that the implant functions as it should. It is also important because your dentist can keep an eye out for possible complications, such as peri-implantitis.

Different types of Implant Procedures

Single Implants

A single implant is, as the name suggests, a dental procedure in which only one tooth is replaced with an implant. Once a tooth is either lost or removed due to being damaged or unhealthy, the resulting gap is plugged with a single implant. The implant consists of a root screw, an abutment and the crown. 

If you are thinking about replacing a tooth with dental implants in London or Surrey, contact us today! We offer a range of materials with which to make the crown and we try to ensure you leave our practices satisfied with your smile and pain-free. 

Dental Crowns

Your natural crown is the top, visible part of the tooth. A dental crown is an artificial replacement that is placed on top of either your natural tooth or an implant. Dental crowns are designed to exactly mimic the functionality of your natural tooth and can also be made to look like one too. 

You may require a dental crown without needing to also get a dental implant. In these cases, the existing tooth has become damaged through severe tooth decay or physical injury. In most cases, a tooth suffering decay can be treated using a filling. Unfortunately, if the tooth has become too damaged, a filling will not be enough. This is when a crown is required to protect the entire natural tooth. 

If you have an implant, however, the crown is necessary to replace the missing tooth itself. 

Crowns can be made from several different materials such as ceramics, porcelain, gold or other metal alloys. 

Both of our practices in Esher and Wandsworth offer dental crown treatments to our patients across South West London and Surrey. Contact us today to find out more about dental implants in London! 

Dental bridge

Dental bridges consist of one or more false crown teeth which are bonded to the existing natural teeth. The false tooth (or teeth) will be flanked by a crown on each side. This crown is then bonded to the natural teeth either side of the toothless gap.

Since bridges are fixed in place via natural teeth, there is no need for the surgeries involved with a dental implant. However, depending on the type of bridge, the natural teeth may need to be reshaped to accommodate the bonding crowns. 

Traditional bridges work in this way; a false tooth is flanked by two artificial crowns which bond to the natural teeth. There are, however, other methods for attaching a bridge.

A cantilever dental bridge works in a similar way, the main difference being that the bridge is only bonded to one tooth, as opposed to one either side. Another option is the Maryland bonded bridge. A Maryland bridge, instead of using 2 crowns on the abutment teeth, uses a framework of porcelain and metal that is attached to the backs of the abutment teeth.

Thinking about getting a dental bridge or dental implant in London or Surrey? Call or book online with one of the Neem Tree practices today to discuss your options! 

All-on-4 Dental Implants

All-on-4 dental implants are an extensive treatment whereby all the artificial teeth in a jaw are support on 4 dental implants. All-on-4 dental implants are required when a patient has severe decay or damage in several teeth. It is also suitable for patients who have a deficiency in bone mass in the jaw and cannot support traditionally orientated implants. 

All-on-4 implants remove the need for removable dentures or multiple single implants. The procedure can also be completed in one day. The treatment is, in fact, often referred to as ‘Smile in a day’ or something similar.

Once the damaged teeth have been removed, 4 implants are strategically placed along the jaw to ensure stability. Implants are also angled to make use of the thicker, denser bone in both jaws. This is why it is an appropriate treatment for patients who have suffered bone atrophy from tooth loss. These 4 implants are then covered with a non-removable bridge, fashioned to resemble natural teeth. 

If you think you require more than one or two dental implants and are interested in finding out more about All-on-4 dental implants in London or Surrey, contact the Neem Tree today! You can phone or book online, our team would be more than happy to discuss your options.

Full Arch Restoration

Full arch restoration is another extensive procedure, similar to all-on-4 implants, which aims to fully restore an entire jaw’s worth of teeth. Patients who have or face the loss of all the teeth in one of their jaws may opt for a full arch restoration. This procedure offers a permanent solution and alternative to removable dentures or multiple implants. 

The difference between this treatment and all-on-4 implants is that full arch restoration uses at least 4 -6 implants, as opposed to the rigid 4 used in all-on-4. Once the damaged teeth have been removed, several dental implants will be placed into the jaw bone.

These implants are then connected via a metal bar. This ensures the stability and rigidity of the implants. A dental bridge is then placed above and connected to the implants, giving the appearance and functionality of a full row of natural teeth.

If you need, or wish to discuss, a full arch restoration then contact the Neem Tree today! We provide a wide range of dental implants in London and Esher, our team would be happy to discuss your options!

Dental Implant Treatments

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