Specialist prosthodontist in London

What happens during prosthodontic treatment for Dental Implants?

Using photos, a 3D X-ray and a digital scan of your mouth, we prepare to proceed with our computer-guided implant operation. You will receive appropriate anaesthesia before we begin. Your gums are accessed using a small incision to place the implant into the prepared jawbone and in 99% of these cases, we use a titanium implant. Post-surgery and after healing, the implant is exposed to the oral cavity so another digital impression is taken to evaluate the position of the implant in relation to the other teeth. Two weeks pass before the final restoration such as a crown, bridge or denture is inserted and so securely attached.    

What happens during prosthodontic treatment for Inlays, Onlays, Partial Crown, and Crowns?

If teeth are only partially destroyed, they will receive a full ceramic inlay, onlay or partial crown. If teeth are missing, bigger parts of tooth material or are filled heavily, we might have to prepare for full crowns. For that purpose, teeth are partially or fully ground down circumferentially and a digital scan of the resulting tooth shape is taken. A temporary restoration made from composite or plastic restores the prepared teeth until the final restoration is placed. The permanent full ceramic restoration is either cemented adhesively or conventionally. 

What happens during prosthodontic treatment for Dental Bridges?

We start with the precise preparation of your neighbouring teeth to ensure the bridge produced offers the perfect fit. We use an intraoral scanner to take a digital impression. We place a temporary plastic dental bridge over the prepared area whilst the all-ceramic (permanent) prosthetic is custom-made. A technician uses the teeth impression to create the prosthetic to your exact colour specification. Once ready, your temporary is removed, your teeth are cleaned and a high-performing adhesive dental cement is applied to secure it in place. Post-treatment, your dentist will advise on aftercare.

What happens during prosthodontic treatment for Partial Dentures?

We start with a full set of diagnostic tests to confirm your suitability to receive partial dentures. We take initial and fine impressions with an individual impressions tray respectively to ensure a perfect fit. We conduct a thorough check on the current condition of your jaws, gums and your remaining teeth to confirm you have enough support in place. We produce your partial dentures plate to your exact match for both individual gum colouring and precise teeth positioning. Your partial dentures are then secured in place by clips which are easy to use to insert and remove as you wish. Once satisfied with the result, your dentist will advise on aftercare. Partial dentures with clasps are usually used as a temporary measure to replace missing teeth. Other options for partial dentures are telescopic or implant-supported partial dentures, which can stay much longer than temporary dentures.

What happens during prosthodontic treatment for Full Dentures?

Just as for partial dentures, we start with a full set of diagnostic tests to confirm your suitability to receive full dentures. We take initial impressions to produce an individual impressions tray. We additionally conduct a thorough check on the current condition of your jaws and gums to confirm you have enough support in place. To ensure a perfect fit we retake the impression with the newly produced individual tray.  We produce your full set of dentures to your exact match for a snug fit, individual gum colouring and precise teeth positioning. Your full set of dentures is secured due to the perfect fit created. If there is only a little bone left, further support might be offered by a dental sealant (fixative adhesive). However, a more elegant solution would be supporting the dentures with implants underneath. With full dentures, you will experience an initial settling period and might have to visit us to remove sore spots. Once satisfied with the result, we will advise on aftercare and especially how to keep the dentures clean.

What happens during prosthodontic treatment for Dentures on Implants?

Just as for partial and full dentures, we start with a full examination and diagnostic records to confirm your suitability to receive your dentures on dental implants (implant-retained dentures). After discussing all options, we again start by taking impressions. Additionally, we conduct a thorough check on the current condition of your jaws and gums to confirm you have enough bone support in place. With a 3D X-ray and a digital impression, we create a guided drilling template to ensure the exact placement of the implants prior to the procedure. For a removable denture in the lower jaw, two to four dental implants are sufficient. To support a denture in the upper jaw, it would be best to place four implants and only in very rare cases, two implants could be enough. After the implants have healed into the bone, which takes between two and five months, we expose your implants to the oral cavity using a small incision. After a renewed impression we produce precisely fitting dentures using individual gums and teeth positioning. The dentures are connected to the implants comparable to a button on your jacket (locator system). Your dentures are further supported by a metal or ultramodern (PEKK) framework. Once satisfied with the result, we will advise on aftercare.

What happens during prosthodontic treatment for German Telescopic Crowns?

Just as for partial dentures, we start with a full set of diagnostic tests to confirm your suitability to receive full dentures . We take initial impressions to produce an individual impressions tray. We additionally conduct a thorough check on the current condition of your jaws and gums to confirm you have enough support in place. To ensure a perfect fit we retake the impression with the newly produced individual tray.  We produce your full set of dentures to your exact match for a snug fit, individual gum colouring and precise teeth positioning. Your full set of dentures is secured due to the perfect fit created. If there is only a little bone left further support is might be offered by a dental sealant (fixative adhesive). However, a more elegant solution would be supporting the dentures with implants underneath. With full dentures, you will experience an initial settling period and might have to visit us to remove sore spots. Once satisfied with the result, we will advise on aftercare and especially how to keep the dentures clean.

Why choose a prosthodontist over a general dentist?

A prosthodontist is a dental specialist within this professional arena and so is ideally positioned to share with you all the treatment information you need, plus show you the clinical data on the results achieved in the clinic and be aware of and employ (where appropriate) all the latest developments on appliance and technique. We are delighted to have the expertise of Professor Christian Mehl at our practice who is ably assisted by our team of general dentists should you wish to consult them, too.

When should I see a prosthodontist?

If your missing tooth is currently compromising your oral health, personal comfort and confidence, then you may wish to consult a prosthodontist. Why not contact us at our clinic for an initial consultation when we can share our best advice on how we can help you restore your smile with our ultramodern dental prosthetics?