Mandy is Nick’s nurse here at Woodborough House. They have been working together for the last two years. They have become a friendly and efficient team providing their patients with ground breaking dentistry.
We have asked Mandy to write a blog about the implant work that they provide for their patients and explain how the latest technology works and benefits our patients. Here’s what she had to say.
“Nick is very well known for placing his dental implants using the latest computer guided surgery technology. He is in fact a leading specialist in this area of technology and is asked to speak in many countries about this exciting and ground breaking treatment.
Computer guided surgery is used here at Woodborough House to place dental implants. Digital imaging and CBCT scan images (3D x-rays) are used by Nick to ensure smooth treatment planning and the precise fitting of dental restorations.
The images generated by 3D imaging software and CBCT scans enables Nick to visualise the placement process. Nick is able to see where the optimum sites in the jaw bone are and this ensures that the implants are placed in areas of high bone density wherever possible. Imaging software allows Nick to plan out the procedure completely, which eliminates any guesswork and contributes to better standards for our patients. This can be very reassuring for our patients, especially those who feel nervous or anxious about having dental treatment, and it also leads to less complications and post-operative pain, with healing time greatly reduced due to the dental work being key hole procedures rather than procedures in which it is required to lift a full surgical flap.
At the start of treatment, patients will come in for a consultation with all relevant x-rays (usually taken by me) to go through their treatment options. After this appointment they are given time to think about what they would like to achieve from their treatment. If they wish to go ahead with dental implants the patient is then booked in for a work up appointment.
The work up appointment consists of taking photos, a digital impression using our iTero scanner and a CBCT scan (3D x-ray).
I will then talk the patient through how the digital scanner works before taking the digital image:- patient understanding is an essential part of making any dental procedure as stress free and pleasurable as possible.
iTero technology has been developed by Cadent, and uses a digital scanner to generate perfect replica images of the mouth. The images and measurements can then be used by dental technicians to create and manufacture a dental surgical stent to be worn during surgery. This does also mean that no dreaded impressions are taken!
The iTero scanner makes everyone’s lives easier, from the team here at Woodborough House to dental technicians and most of all our patients. A CBCT scan (which is a 3D x-ray) is also taken by myself so that Nick is able to meticulously plan the final surgery. We’re really proud to be the first dental practice in the whole of the UK to pioneer the Pax-Reve3D scanner. Our CBCT scanner is a high-tech and modern scanning machine, that is capable of producing incredibly detailed images. Simply, a CBCT scanner uses very low doses of radiation to produce amazing 3D images of the teeth and the surrounding structures. Unlike traditional X-rays, CBCT scanners can distinguish between different types of tissue and this enables Nick to see structures in and around the mouth in greater detail.
Once we have the iTero digital scan and the CBCT scan it’s all systems go for the planning stage.
Nick will then use the Straumann coDiagnostix technology to virtually place the Straumann implants in the relevant sites.
The next stage is the surgery. Single implant placement is generally a one hour appointment. The implant is placed using the Straumann guided surgery kit and patients surgical stent that has been made from Nick’s planned co-ordinates. The patient will arrive one hour before their surgery time. At this time all post-operative instructions are given, such as our patients are encouraged to toothbrush and mouth rinse for six minutes. Complimentary oral sedation is given to help relax the patient, it also helps the time to go quickly for them.
After surgery the patient is accompanied home by a family member or friend. Nick will review the patient approximately ten days after surgery.
The patient can be left to heal to six weeks after simple dental implant placement or up to twelve weeks if the surgery has involved sinus lifts or bone grafting.
After the period of recommended healing the final restoration can be made by our technicians and fitted as a trial so that the patient can make sure that they are happy with the shape, fit and shade. Once the patient is happy the restoration can be fitted and the patient is finished.
Nick will recommend for all patients to see their hygienist within the first three months for cleaning advice, and to have the implant reviewed on a yearly basis by himself or the patients referring dentist.
As you can see implant placement is very straight forward and can be a simple procedure if the planning is provided at the beginning of treatment. There is now talk that implants placed like this at Woodborough house will be offered to patients in their lunch breaks (without sedation).
I have been totally amazed by the treatments and the patient care I have seen since working with Nick. I feel truly honoured to be part of this incredible team and look forward to an even more successful 2013.”