Dental Implants

What is a dental implant?

A dental implant is a titanium component also called a fixture, that is placed into the upper or lower maxillary bones to replace a single tooth or ultiple missing teeth.

It is the support for a crown, a bridge or for a more complex prosthetic dental work.

Implant surgery step by step

  • Step 1: Implant placement in the bone. The gum is sutured completely over the implant.
  • Step 2: After three months from the surgery, the bone is completely formed around the implant. A healing abutment is used to allow the next step.
  • Step 3: The impression is taken for the final crown.
  • Step 4: The crown is cemented.

Since the implant surgery became a science in the early 60s, the medical research has done incredible improvements in the implant design, surface and connection of the crown.

The option of implant placement is largely used as today to replace missing teeth due also to the biological saving that can be achieved.

When an implant is placed it is possible to avoid doing a classic bridge to replace a tooth: the adjacent teeth don’t require any preparation to support the missing tooth. And this is a great news: unnecessary treatment is never ideal!

Very important to understand and remember is that the implants with their crowns require an immaculate oral hygiene: it is mandatory to have the regular visits with the hygienist and an excellent home maintenance.

To book a free implant consultation, contact Upper Berkeley Dental Practice on 020 7262 7652.

It’s important to get your child used to visiting the dentist from an early age. A recent survey revealed that 12 percent of three-year-olds suffer from tooth decay. In England: the Health & Social Care Information Centre quote 26,000 children aged between 5 and 9 years were hospitalised for multiple tooth extractions, during 2013-2014! Good dental health is vital for good general health, and the best way to make sure your child has healthy teeth is to take them to visit the dentist regularly, as well as maintaining a good oral health regime at home. We at Upper Berkeley Dental Care can help advise you with this.

You should brush your baby’s teeth as soon as the first milk tooth appears, which is on average at the age of six months, although it can be earlier or later. Use just a tiny smear of toothpaste for babies and toddlers and a pea-sized amount for children up to the age of seven. You should also take your child to the dentist as soon as the first milk teeth start to come through this will make sure they are used to regular check-ups and any problems can be spotted sooner rather than later. Recently caring parents were shocked to find out their children had decay even though they were giving healthy snacks. Children usually have 20 milk teeth, which should all be in place by the age of 3 years. Adult teeth will start to appear at the age of six or seven. At your regular check-up for older children, as the adult teeth develop, issues such as crowded or misaligned teeth can be spotted and treated early.

Dentist Jo Gallop is renowned for her preventative, gentle treatments and she will make sure your child is happy and relaxed and that the visit is fun and rewarding. You can accompany them into the treatment room, where they will have a thorough dental check-up. If any further treatment is required then Jo will discuss this with you and provide you with a detailed treatment plan for your child. It is recommended that children visit the dentist for a check-up and hygiene, on average six monthly,

Jo will recommend any preventative treatments that are needed, such as fluoride therapy or supplements or fissure sealants and will advise if orthodontics are required. Some decay treatments do not need injections!

Fissure sealants

Fissure sealants are a preventative dental treatment where the valleys in adult and child molars are filled with tooth coloured plastic after being prepared. These areas are vulnerable to decay building up as they are difficult areas to clean. They can last for approximately 7 years.

Fluoride Treatment

A special varnish with high levels of fluoride can be painted on to both milk teeth and adult teeth. The fluoride in the varnish helps to strengthen enamel and prevent tooth decay. This treatment should be repeated every six months.

Alternatively we have a delicious mousse that can be applied to teeth in trays at hygiene visits to apply fluoride protection.

One option to improve the cosmetic look of your smile is to have your metal-coloured fillings replaced with tooth-coloured or white’ fillings. This is a safe procedure that entails one of our dentists removing any decay from your tooth, taking out the metal or amalgam filling and placing a tooth coloured filling instead. The new filling is made from a very hard substance and will withstand the forces in your mouth when you bite and chew over a long period of time. This will allow you to smile without a metallic glint in sight, giving your teeth a more natural appearance overall.

As dentists we believe prevention is always better than cure and will always encourage and help you to look after your teeth so you don’t develop tooth decay in the first place. If you do have decay and need a filling then we recommend white fillings as a good solution that is both aesthetic and functional.

Are your teeth stained, chipped, or not aligned on top of each other? Veneers are a good treatment option to consider because they look like natural teeth and don’t require a major procedure.

A veneer is a very thin, tooth-coloured piece of porcelain (like a false finger nail) that is bonded on top of your own tooth. Based on your needs, we can adjust the shape of your veneers to make your teeth overall look longer and or closer together. You can have just one veneer or a whole set, known as a smile makeover.

For a single stained tooth we can also match the precise shade of porcelain to give it a lighter appearance and fit in with the surrounding teeth. Veneers can also be used to close small gaps, when braces are not suitable. If one tooth is slightly out of position, a veneer can sometimes be fitted to bring it into line with the others.

Before and After

Tooth whitening is now the treatment of choice to brighten up a smile. It’s easy and non-invasive, with no surgical treatment required and no teeth cut. In fact, it’s a form of treatment that is carried out at home.

At Upper Berkeley Dental Practice we offer a full home tooth whitening kit, after a full consultation with our dentist, who will help you assess what the likely results of treatment will be.

If you opt for home whitening treatment, dentist Jo Gallop will take a full set of x-rays and a record of current tooth colour, as well as showing you what results you can expect. After your first course of treatment you will have a second consultation to check colour and, if necessary, supply you with further tooth whitening gel.

Whitening works by filling trays that cover your teeth with tooth whitening gel, which is worn at home. These trays are custom-made to fit each patient’s mouth. It is perfectly safe on teeth, gums and all areas of your mouth, and results last up to two years. Smoking, drinking a lot of red wine, green tea or coffee can sometimes mean you will need a top-up treatment sooner.

Teeth can be a little sensitive when bleaching usually by stopping for 1-2 days you can minimise this effect.

An important fact to remember is that if you have existing white veneers, fillings or crowns matched to the current shade of your teeth then they will NOT match the lighter shade of teeth after bleaching treatment. These could need replacing, but any issues should be raised in your initial consultation.

Straight teeth. We read about it all the time, see it on tv and in magazines. What used to be associated with horror pictures of metal mouths and geeks is now a thing of the past when it comes to orthodontic treatment. A lot of people still feel orthodontic treatment is only for kids but there has been a growing trend across the world for adult braces. Perhaps you had a brace as a child but you are noticing your teeth are not as straight as they used to be.

Or perhaps you have an important event in your life coming up and would like to enhance your smile for it? Whatever the reason may be short term orthodontic treatment could be the answer for you.

What is short term orthodontics?
This is designed to enhance the appearance of your front teeth and consists of wearing clear removable or fixed tooth coloured braces giving an almost minimal visibility. Treatment can last as little as 4 weeks up to several months depending on individual cases.

What is the difference between this and conventional orthodontics?
If you have a misaligned jaw or bite then conventional orthodontics is appropriate for you. Treatment times can also last up to 18-24 months with conventional orthodontics. As part of your consultation you will be advised which treatment is best for you.

How often do I need to attend for appointments?
This is dependent on which type of brace you are receiving but this is normally every 2-4 weeks.

Contact 020 7262 7652 or Email Us for further enquires.

Root canal treatment is needed when the pulp inside your tooth becomes infected through tooth decay or damaged by an injury to your mouth. This infection may spread through the root canal system, which could eventually lead to an abscess, causing a great deal of discomfort. If root canal treatment is not carried out, the tooth may need to be taken out.

Our dentists can perform root canal treatment to stop the infection from spreading and will preserve as much of your tooth as possible. Using specific techniques and advanced equipment, you will receive a local anaesthetic and the treatment overall should feel no different to having an ordinary filling placed. The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection. A temporary filling is put in and the tooth is left to settle. The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled. Root canal treatment is a skilled and time-consuming procedure and most courses of treatment will involve two or more visits.

To keep your mouth in tip top shape we recommend you come in for regular hygiene appointments and dental check-ups.

Do you suffer with any of the following?

  • Facial Pain
  • Chronic earache
  • Lock Jaw
  • Tenderness of the jaw
  • Neck and shoulder pain

You may be suffering with TMJ dysfunction up to one in four people suffer with this.

The cartilage in the jaw joint is thought to slip forward because of over-use of the muscels surrounding the jaw. This over-use commonly produces tightening of the muscles and may occur as a result of chewing habits, such as grinding or clenching the teeth when under stress or at night. Nail biting or holding things between the teeth can also cause jaw joint problems. Less commonly missing back teeth, an uneven bite or an injury to the jaw can lead to the problem.

What are the treatments?

Painkillers – anti-inflammatory medication (eg Nurofen) is good and can be taken as either tables or applied as a gel on the outside of the joint.

Mouth guard can be made with your dentist for you to wear at night which will help if you are grinding or clenching you may be unaware you can ask a loved one if they can hear you grinding as this might wake them up. Missing back teeth can also be replaced by your dentist either with Implants or denture which you can discuss this at your appointment.

Relaxation therapy and learning techniques to control tension and stress also avoiding yawning to much as over stretching of the jaw can contribute to this. Jaw exercises can be discussed with your dentist or GP.

A crown is a type of dental restoration used to fix teeth that have been broken, weakened by decay or have a very large filling. The crown fits over the remaining part of a prepared tooth, making it strong and giving it the shape of a natural tooth. It will also be tooth coloured, giving the restoration a more natural appearance so it fits in with the rest of your teeth.

A crown could be a good solution for you if you have some discoloured fillings and would like to improve their appearance. Crowns can be used to replace these to give you a more aesthetic smile. Also, if you have had root canal treatment you will need a crown to protect or cap the restored tooth, allowing you to eat and bite down on it as if it was a real tooth. Crowns are also used to anchor a bridge or denture firmly in place in the mouth.

If you have gaps because a few or all of your teeth missing, one solution is to have a denture. A denture is made from hard-wearing material that mimics the look of teeth and gums to give you mouth a natural appearance. Your denture will be made to fit snugly on your gums and you will be able to remove it for cleaning.

When you wear a denture for the first time it may get some getting used to when speaking or eating and chewing. It is important that you take extra care in your hygiene regime so that you can avoid bad breath, tooth decay and gum disease. The hygienist will be able to show you how to best take care of your denture and gums and will tell you about specialised brushes you can use to do this.

Denture Stabilisation

If you have loose or ill-fitting dentures, your ability to eat and speak may become affected. Due to advances in dentistry, there is now a procedure whereby your denture can be fixed to your jaw with Dental Implants. This treatment, known as implant over dentures or denture stabilisation, offers patients with dentures a more permanent solution and can improve your quality of life significantly. You will be able to enjoy your favourite crunchy foods again and feel comfortable smiling and such a boost in confidence because you are safe in the knowledge that your dentures are staying put.

As part of this treatment, you will require surgery to have the implants placed into your jaw. Once they have integrated with the bone and surrounding tissues for a period of time, your dentures are placed on top of the implants through a range of special fixtures. This means your dentures can still be removed for cleaning, but will stay put once in place.