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Implant dentistry
A missing tooth changes how you chew and how the bone underneath behaves. We place a titanium post that takes over the job of the root, then restore it with a crown, bridge or denture. Every plan starts with an examination and a written quote.
Treatments
From one missing tooth to a full arch, the route depends on how much bone is left and what you want to end up with.
Single tooth, multiple teeth and the restorations that go on top.
Learn moreA whole upper or lower jaw carried on four to six posts.
Learn moreRebuilding a site so a post has bone to anchor into.
Learn moreConsultations, imaging, guided surgery, sedation and recovery.
Learn moreA denture anchored on posts instead of resting on the gum.
Learn moreWhy implants
A bridge sits on top of the gum and borrows support from the teeth either side. An implant goes into the jaw itself, which is why it is the only option that keeps loading the bone the way a natural root did.
That matters more than most people expect. Once a root is gone the bone around the socket starts to resorb, and after a year or two there may not be enough width left to place a post without a dental bone graft first. Acting earlier usually means a simpler treatment, and sometimes socket preservation at the time of extraction avoids the problem entirely.
For a single gap we would normally talk through a single tooth implant. Where several teeth in a row are missing, an implant-supported bridge can span them on two posts rather than one each.
How it works
We examine the site, take a 3D scan and check bone height, width and nerve position. You leave with a written plan and an itemised quote.
The post goes in under local anaesthetic, with sedation available if you would rather not be aware of it. Most people are back at work the next day.
The bone fuses to the post over roughly three to six months. A temporary tooth can usually be worn during this time so there is no visible gap.
We scan the healed site, then fit the crown, bridge or denture and check the bite. Shade is matched to the teeth either side.
CBCT planning
A panoramic X-ray shows teeth. A CBCT scan shows the jaw in three dimensions, which is what actually decides whether a dental implant is possible in that spot and at what angle.
In the upper back jaw the sinus floor often sits lower than people expect, and there may be only a few millimetres of bone below it. That is the usual reason sinus lift surgery gets recommended. In the lower jaw the concern is the nerve running through the mandible, which the scan maps precisely.
Once we have the scan we can plan the position digitally and place through a surgical guide, so what happens in the chair matches the plan. You see the same images we do, on screen, before agreeing to anything. The imaging step on its own is covered under 3D CBCT imaging.
Common questions
The five that come up in almost every consultation.
Lost a molar years ago and put off doing anything about it. The scan showed I had just enough bone to avoid a graft. Post went in one morning, crown four months later, and I can chew on that side again without thinking about it.
I was quoted for All-on-4 at two places. This was the only one that walked me through the CBCT on screen and explained why the back implants were angled. Having the reasoning made the decision much easier.
Needed a sinus lift before the implant, which I had not expected. It was explained clearly, including that it added months. No surprises on the invoice either, it matched the written quote exactly.
Front tooth, so I was worried about how it would look. They matched the shade against the tooth next to it and adjusted once before fitting. My family has not noticed which one it is.
From the blog
Plain answers to the questions that come up before anyone books, written for Victoria patients.
Next step
A consultation covers the examination, the CBCT scan and a written treatment plan with itemised fees. No obligation to proceed.
Serving Victoria, Langford, Colwood, Saanich and the surrounding area.