A description of the problem and what the solution was.
Going for implants is a bold move. It’s bold because it may well be the ultimate solution to any lack of confidence you’ve had – about meeting new people, eating out, making presentations, going for a promotion or looking for a new relationship. You know the sort of thing.
The Mall’s implant team has a great reputation and so it should – the team is led by Dr Phil Broughton and Dr Alejandra Balerdi, who have over 20 years of experience of fixing thousands of implants, having worked alongside some of the most respected professionals worldwide.
Book your consultation by filling out our appointment form and a friendly member of our dedicated team will be in touch by ‘phone.
This one’s a visit to The Mall, so we can meet and build a clear picture of how best to meet your needs and your preferences. This will include a detailed medical and dental history. You’ll also have a Cone-beam CT scan of your upper and lower teeth. A detailed written treatment plan outlining how we will approach your case. We’ll go over payment options, which include options to spread the cost.
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We never compromise with poor quality implants, components or laboratory work. We use Biohorizons implants, and CAD-CAM designed prosthetics for optimum results time after time.
A description of the problem and what the solution was.
A description of the problem and what the solution was.
A description of the problem and what the solution was.
Qualified over 30 years ago, Phil has been at the forefront of cosmetic and implant dentistry since 2004. Pushing the boundaries, he has worked alongside the best clinicians and technicians across the world in pursuit of dental excellence.
Having won several national dental awards, for years of hard work and relentless dedication, devoting much of his clinical time to larger, more complex cases. Having placed more than 5000 dental implants, he keeps his passion burning by developing The Mall and providing the best dental care. Phil also has strong links to Manchester City and Manchester United treating both management and players for many years.
Alejandra had always aspired to become a dentist, both her father and grandfather are dentists. For many years she has seen the amount of dedication they both have put into their job and their patients. Since completing her dentistry degree she’s been studying at postgraduate level in order to offer patients the best quality techniques & treatments.
Now holding a Master’s Degree in Oral Surgery and Oral Advanced Implantology has enabled her to perform implant surgery, bone regenerations, sinus lifts and prosthodontics. In addition to this Alejandra has completed a post graduate degree in endodontics. Keen on sharing her expertise with other dentists has presented her skills & knowledge at conferences in Spain. Also writing several dental related articles – published in Spain.
We have some of the best Google and Facebook ratings for dental implants in Manchester
A dental implant is a medical grade titanium post that is fitted in the jaw bone. Titanium has some unique properties as a metal in that it will fully fuse with bone and soft tissues to mimic the root of a natural tooth. We can then place crowns on top of the implant, making it indistinguishable from the real thing. Implants can also be fitted with a ‘press stud’ type arrangement to secure loose and ill fitting dentures.
A dental implant is a long-term option and, with care, should last a life-time. The cost of an implant is easily justifiable over a bridge for example, as you will get many more years service from the implant, whereas the bridge is likely to need replacing and usually when they fail, they damage the teeth they are attached to.
Implants are, in the vast majority of cases, the best option for replacing missing teeth, as long as there is enough bone present to place the implants. There are no downsides to using dental implants to replace teeth, apart from the costs involved. These are considerably more expensive than any of the above options. However, they are also the most long lasting. Implants cannot reliably be placed in immune-compromised patients, those with periodontal disease, smokers or diabetics.
Dental implants are the best option to replace missing teeth in the vast majority of cases. The main advantage of implants is that they are fixed in place and do not need to be removed for eating and cleaning, and they look and feel like your own natural teeth.
We have listed some of the main benefits of implants below.
Dental implants can last for over thirty years, and with care, you can get a lifetime of use out of them. There are many studies to show that they outlast bridges and other options, whilst maintaining the bones in the jaw.
Dental implants look, feel and behave like your natural teeth. As such, many people forget that they are even there which lets them eat, speak and socialise with confidence.
Dentures are designed in a way that often means we need to cover up the palate. In these cases, patients will have a lessened sensation of taste when eating food. Also, any hard foods such as crunchy vegetables, fruit, crusty bread and steak are usually off the menu with dentures. All these foods are no issue at all when you have dental implants.
One major issue, especially with new denture wearers, is that of slurred speech, or spitting during speaking. These problems do lessen over time. With dental implants, we can ensure that the tooth is the same size and shape as a natural tooth, so it does not impair the function of the tongue and causes no issues with speech at all.
Smiling and Socialising
Having missing, discoloured or broken teeth can make you feel unattractive and self-conscious. People often change their behaviour, such as hiding their smile behind their hands or not showing their teeth when they smile. It affects their confidence in social situations. With dental implants we can rebuild your smile in such a way that not even you will know they are not your own teeth! This will lift your confidence and let you eat, speak and socialise without fear or embarrassment.
Bones and Tissues
Dental implant treatments have a proven track record of great success. The process is now predictable and comfortable, with fantastic results.
One of the big bonuses of implant treatment is that implants will help preserve the bone levels in the jaw and keep the soft tissues healthy also.
At The Mall, we will always try to save your natural teeth, because nobody can replace what Mother Nature gave you. However, when all options have been exhausted, we can use dental implants to replace teeth that are too broken down to save, too loose to save or teeth that have become severely infected and must be taken out. Also, if you have any missing teeth at all – from single teeth to an entire arch – we can use dental implants to replace these teeth.
Dental implants are so stable that you can eat apples, crusty bread and steaks just like you can with natural teeth.
Dental Implants are not suitable for everyone. Your dentist will need to examine you and assess your medical history to give you a definitive answer on what is, and what is not, possible.
One of the main things that affects whether dental implants will work is the quality of the bone in your jaw. Dense, thick bone works very well, and porous, soft bone not so well.
Age is not a limiting factor in itself as long as the bones and soft tissues of the mouth are in good condition.
We do place dental implants in smokers as long as they understand that the risk of failure is massively increased. Similarly, heavy drinkers are more prone to dental implant failure also.
Oral hygiene is a huge factor in success. We cannot place dental implants in an individual with active periodontal disease as this will likely cause the tissues around the implant to become infected also.
There are some systemic conditions, such as diabetes and other autoimmune diseases, that affect the rate of healing, and therefore affect the success we can achieve using dental implants.
Rest assured, our implant team will fully discuss any possible issues with you and give you an opinion on the risks, depending on your background and history.
There are many benefits to dental implants over the other options available to us in filling gaps in your smile.
Dental implants do not require us to ‘prepare’ (drill!) the neighbouring teeth like we must do to place a bridge.
Also, when we have a tooth removed, the bone in that area tends to erode and thin over time. When we place a dental implant, it behaves very much like a natural tooth root, keeping the bone and soft tissues around the new tooth dense and healthy.
Implants are fixed in place and are very aesthetic, so that most patients have trouble identifying which tooth is an implant and which tooth is natural because of the amazing aesthetics that can be achieved.
Another benefit of dental implants is how long lasting they are. With care, they will almost always outlast a bridge and can often go on to last a lifetime.
The short answer is ‘Yes!’
Please read below about how we can use dental implants in various situations.
MISSING SINGLE TEETH
If you are missing a single tooth you have various options, the simplest being to leave a gap. Assuming this is not what you want, you can opt for a removable partial denture, a bridge or an implant.
Dentures are not popular with most patients as they are associated with ageing, they are not particularly stable and can affect speech and dietary choices.
Bridges are a very good option. However, in order to make a stable, long-term bridge it usually involves the preparation (drilling) of a neighbouring tooth to hold the false tooth in place. With dentures and bridges, the gums and bone under the site of the missing tooth will continue to erode and ‘sink in’ over time.
An implant in this situation involves no preparation of neighbouring teeth, looks exactly like your real teeth, preserves the gums and bones of the jaw and will usually outlast any other option.
MISSING MULTIPLE TEETH
In this situation, again, you have the option to leave a gap.
You also have the option to place a denture or multiple bridges. The issue with a denture in this case is that if it needs to cover more areas of the mouth, it will be a much larger denture. In the upper jaw, this means covering most or all of the palate and in the lower jaw this can impinge on the tongue. Covering the palate affects the taste of your food and affects your speech.
Bridges will also pose the problem of requiring preparation (drilling) of many teeth to hold them in.
The beauty of dental implants in this situation is that the neighbouring teeth will be unaffected and the implants will help retain the gums and bone where the teeth were missing. Larger bridges can be prone to failure, which often damages the teeth they are attached to. This is not an issue with dental implants.
ALL TEETH MISSING
If you have no teeth in either the upper or lower jaw there are several options. Most people in this situation are wearing a full set of dentures and may require messy creams or pastes to hold their teeth in. We can help!
Dental implants can be used in several ways. We can use the implants to stabilize a denture using a ‘press-stud’ arrangement, or we can place 4 or 5 implants and use a fixed bridge, which will then look and behave just like your natural teeth.
Initial Examination: The first step is a thorough clinical consultation with one of our implant dentists. They will determine if there is any pre-existing tooth decay, gum disease or oral hygiene issues that must be addressed prior to placing dental implants.
They will also ensure there is nothing in your medical history that could compromise the outcome. Prior to your implant being placed, we would scan your teeth and jaws and also do a CT scan to map the underlying bone and important structures. Using this technology, we can digitally place the implant and model where the final crown will be placed. We often make surgical guides, or stents, so that we can recreate this positioning in your mouth to allow for a ‘keyhole’ surgery approach and reduced healing times.
Many of our cases can be done under sedation. Sedation is not like general anaesthetic but you will not feel anything and will be unlikely to remember the procedure.
The implant is then placed into the jaw-bone at the correct angle and we can either place a temporary crown on the implant, or cover it up and leave it to heal.
Over the following 8 to 12 weeks, the bones and soft tissues will grow onto the surface of the dental implant and anchor it into the jaw. Once this happens, you will need to attend the practice so we can take a mould and begin the process of placing some teeth onto the implants.
At The Mall, we use the very best quality porcelain to make our crowns and bridges. Our master technician will ensure that your implant teeth will look indistinguishable from the other teeth in your mouth.
Your only job after this is completed is to smile and enjoy your new teeth!
Dental implants are placed under local anaesthetic, so you will feel no pain at all during the procedure. You can also opt to have the work done under sedation, which means you are likely to be asleep as we do the procedure.
When the anaesthetic wears off, people feel varying degrees of discomfort. You will probably need a couple of days off work and over-the-counter pain relief will be enough to help you at this time.
Because the body works with titanium and integrates with the implant, healing progresses quite rapidly and usually with little discomfort or complications.
You simply look after implants very much like your natural teeth!
You avoid sugary foods, brush twice a day with a good brush and fluoridated toothpaste, floss once a day and visit the hygienist every 3 months. You should also chew sugar free gum regularly and make sure you limit plaque and tartar build up. If you follow this advice your implants will last decades.
With the correct care, dental implants can last over thirty years and in most cases should last you the rest of your life. This necessitates correct cleaning, using fluoride toothpaste twice a day, flossing once a day and visiting your dentist and hygienist regularly.
Our dental implant surgeons work closely with our laboratory technicians to recreate the colours and contours of the missing teeth, and to ensure that they blend seamlessly with your natural teeth.
At The Mall, we use high quality materials that we know stand the test of time and look fantastic, even after years of service.
Our crowns (the bit you see in the mouth) are made from the very best quality porcelain or zirconia. We choose these materials as they are chemically inert, plaque resistant and compatible with the bone and soft tissues in your mouth.
Our dental implant surgeons regularly place implants and have a tremendous expertise in how to maximise the function and aesthetics of your new teeth, and make them look as natural as possible.
Our ultimate aim is to ensure that nobody can tell that you have had any work done, and in most instances, we find that patients themselves cannot tell which teeth are the implants and which teeth are their own. You will be involved in every step of the process to ensure you are happy with the final result, and ultimately you’ll definitely have something to smile about!
If you have been told by another dentist that you cannot have dental implants, it is worth coming and speaking to one of our dental implant surgeons. Our team have done advanced training across the world with some of the foremost leading surgeons in implantology, and with their knowledge on bone grafting and complex cases, they may well be able to help. It is rare to find a case that is beyond help, so please pick up the phone today to see what we can do for you.
The All-On-4 concept was developed to enable the surgeon to place only 4 implants and replace a full arch of teeth in a single visit. This is sometimes also called Same Day Teeth or Teeth in a Day. Traditionally, dental implants were placed and left in place to heal before the final bridge was fitted.
At The Mall, we can use 4 implants as described above, or we modify the technique and place an extra implant or two, to provide stability and also to mitigate against the loss of one of the implants. We would discuss which approach would work best for you at your consultation.
All-On-4 at The Mall
The first step is to attend for a free of charge consultation with our implant team to discuss your options with regard to placing dental implants.
All alternative options, costs, payment plans and any other issues will be explored and discussed with you in detail.
We will take some x-rays, a CT scan and a digital scan of your jaws to assess your suitability for treatment.
Once you are happy with the plan, and we are in position where we are also happy from a clinical ppint of view, we can book your surgical appointment to have your dental implants placed.
At the surgical visit, you will have any teeth removed and implants placed. This can be done under sedation if you wish.
Our All-on-4 laboratory technician will be on hand throughout your appointment and will make your new provisional teeth to fit onto your dental implants after they have been placed. This can all be done within the space of a few hours.
After a minimum of 12 weeks healing, you can attend for an appointment to begin the manufacture of your final bridge. This will be much smaller and more aesthetic than the provisional bridge.
The All-On-4 is a great solution for people with loose and painful dentures, ill fitting dentures, people with advanced periodontal disease or people with a full arch of failing teeth.
The advantages to All-On-4 is that it can be completed in a single day and the patient will leave with teeth fixed in place. There is no need to wear a denture as a temporary, which some people cannot tolerate. All-On-4 also negates the need for bone grafting in some cases.
There are a number of other treatments you may wish to consider
Incredibly, we can fit your new dentures in just one day, because we have that expertise, together with our own on-site laboratory. This means there’s no need for temporary dentures.
We use nearly invisible aligners from Invisalign , or tooth-coloured brackets and wires by Quick Straight Teeth, both of which are very popular and make metal braces seem like a thing of the past.