Dental Implants

World Leading Implant Dentistry in London

Dental implants are the best way of replacing teeth that are either completely missing, or which have such significant damage that replacing the entire tooth is a less invasive option than trying to restore it.

Oftentimes, they are the most cosmetically pleasing tooth replacement option.

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An implant placed by a highly experienced dentist, using proper treatment planning and the best materials available, can last 10-15 years at a conservative estimate. This is the kind of result that we aim for.

So if you are embarrassed about gaps in your smile, have certain teeth that you avoid chewing with, or are sick of uncomfortable dentures, dental implants may be an ideal solution for you.

In fact many of our patients say that they forget that they have lost their natural teeth.

“Having two tooth implants was my introduction to 92 Dental. A good experience. The staff are all very friendly, and the treatment was superb. Everybody answers questions, which pleases me. I am delighted with my two new teeth, and am happily eating apples and raw carrots again.”
Jan, Chiswick

Meet our implant dentist: Dr Ruben Garcia.

Dr Ruben Garcia

BDS(Hons), FFGDP(UK), PhD, MClinDent Periodontics/Implantology(UCL),Cert Perio (EFP),MRDRCS (Eng) Specialist periodontist with special interest in Implant dentistry Mono-specialty consultant in Periodontology. Guy’s and St Thomas’ Hospital. King’s College London. Honorary Senior Clinical Lecturer. King’s College London. European Federation of Periodontology Certified. Fellow of the Faculty of General Dental Practice. Registered specialist in Periodontology.

Our implant surgeon, Dr Garcia, has placed hundreds of implants, having worked in private practice and hospital settings. He measures his success on how far his treatment improves your wellbeing, be it increased confidence, a renewed ability to eat properly, or the avoidance of future painful complications down the line. The level of skill that comes with so much experience is not what sets our oral surgeon apart, however. Rather, he sees the difference between merely good and outstanding implant treatment as being in the treatment planning and aftercare of patients.

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This may include:
  1. Stopping smoking
  2. Identifying and managing any tooth grinding as this can put undue pressure on a new implant and crown
  3. Using floss and interdental brushes to improve gum health
We prefer to get things right the first time rather than having to treat complications once they have started having noticeable effects on your life. Dental implant surgery is by no means a quick and easy procedure, so we will only place implants if we have considered all other options and have addressed any issues that increase the likelihood of complications.

Find out more about our practice

Established since 1932

Long established Hammersmith dental practice

specialist team

Multi-specialist team and advanced digital technology

referral centre

Referral centre for other practices

0% finance

Flexible payment options, including 0% finance

accessible

Accessible facilities and hearing loops

Frequently Asked Questions

There are usually three reasons why we place implants.

These are:

  1. To replace a tooth (or teeth) that has come out.
  2. To replace a tooth (or teeth) that are so decayed that you try to hide it or you avoid chewing with it. In these instances, implants will only be considered if we cannot restore the look and function of the natural tooth by other means.
  3. To replace a set of missing, or significantly damaged adjacent teeth. In this instance, we often use two or more implants to support a bridge (several artificial teeth attached together).

If you have multiple teeth that you would like to replace then we can perform more than one implant placement at a time.

A dental implant looks and functions exactly like an actual tooth because it is designed in the same way as your natural tooth is.

This means that your newly created tooth is attached to your jaw via a titanium root that implanted into the jawbone itself.

Over a couple of months, your bone grows around the implanted root, holding it in place in a very similar way that your natural teeth are secured in the mouth.

dental implant

This process only happens correctly if you use sterile titanium to create the implanted root.

Sterile titanium is biocompatible, meaning that bone treats it as native tissue and grows around it, cementing your implant in place.

This process is called “osseointegration” and takes at least couple of months. The phenomenon is backed by decades of clinical evidence.

Once the root is perfectly secured in the jaw we attach an artificial tooth to the root via a finely ridged titanium abutment screw.

Do not worry about having a gap in your smile for the 2-3 months that follow your implant being placed.

We can create and fit a natural looking temporary tooth for you during this time.

Your final fixed tooth is custom made to match the shape and shade of your adjacent teeth.

This ensures that your new tooth is so natural looking that no one can tell that it is a dental implant.

If you would like to have whiter teeth generally, then it is best to have your teeth whitened or veneered before your final tooth is created.

This way we can ensure that your new tooth matches the shade of your newly whitened teeth.

In simple cases, dental implant treatment takes 3-4 months from start to finish. In more complex cases this can be 6-12 months.

You will make several trips to the dentist, and you will have at least one surgical procedure, most likely under local anaesthetic.

A step-by-step plan will be made during your implant consultation taking into consideration your personal circumstances.

As implants are secured in the bone under your gums, that bone needs to be of sufficient volume and condition in order to take the implant.

Certain factors can affect the quantity and quality of bone in your jaw.

These include:

  1. Gum disease in the affected area.
  2. Having had missing a missing tooth or teeth for more than 3 months.
  3. Having ill-fitting dentures (if they cause you pain, they likely are damaging your bone.)
  4. As age increases, your bone density naturally goes down, this is particularly true for post-menopausal women.

If our X-rays reveal that you do not have enough bone in your jaw to reliably support implants we can grow bone in 2 ways:

  1. Using bone from one part one part of your mouth in the area that requires extra bone.
  2. Placing a material that stimulates bone regeneration (usually either Geistlich Bio-Oss® or EthOss®) into the affected area.

We refer to both of these procedures as bone grafts.

If extra bone is required underneath the sinus, then we may need to lift your sinus in order to accommodate the extra bone. This is an additional procedure to the bone graft.

Dental implant treatment has a 98.2% success rate.

This success rate is equal across all age groups including the elderly.

That being said, there are some ways that dental implants can fail.

By far the most common cause of dental implant failure is that the bone around your implant deteriorates due to gum disease.

We reduce the likelihood of this happening in two ways:

  1. We do not recommend implants if you have if you have severe gum disease that we cannot definitively bring under control.
  2. We will pay close attention to the health of your gums that surround the dental implant. We will also educate you on how to effectively promote good gum health yourself.

There are other reasons why implants can fail, such as a fracture of the abutment screw or an implant screw loosening.

However, these complications are easily repaired by replacing the damaged components.

In very rare cases, an implant can fail to integrate with your bone. In these instances the procedure has to be redone

You may also experience some mild to moderate pain and swelling in the days that follow your implant surgery.

This pain should only affect the area immediately around the implant.

Usually, over the counter painkillers are enough to manage this pain, and we will also prescribe antibiotics to reduce swelling and lower the chances of infection.

If you require stronger, prescription painkillers than we can arrange that for you too.

Proper implant aftercare is essential for dental implants to last as long as possible.

It is vital that you keep the gum that surrounds the implant clean and healthy in order to prevent infection to the bone that surrounds your implant

If left untreated, this infection may cause loosening of the implant from the bone supporting it.

If you have an implant with us, we will dedicate some time in all future check-ups and hygiene appointments to monitoring and cleaning the gum that surrounds your implant.

We will also monitor the condition of the implant itself and the bone that surrounds it through regular x-rays.

Should we find infection in the gum that surrounds your implant, we can manage it accordingly through:

  1. Working out more effective ways to clean your gums.
  2. A deep cleaning of your gums with our periodontist.

Any other dental problems that we discover in future check-ups will be considered in the light of how they may shorten the lifespan of your implanted tooth, and appropriate measures will be taken to minimize this impact.

In short, we appreciate the additional measures required to care for implanted teeth and will address them in every dental visit you have with us.

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