The assessment is the most important part of the procedure will determine just what we can achieve with implants. I will carry out a thorough examination of your teeth and gums to ensure they are as healthy as can be. If we detect any existing tooth decay or gum disease, this will need to be treated prior to implant therapy, as it is important that implants are only placed into a healthy mouth.
I will also carry out an assessment of your jaws, chewing muscles and your bite to determine if you grind or clench your teeth. If you do, this will be factored into the final treatment plan. If you have signs of active night-time tooth grinding (bruxism) then I may advise that you wear a night time bite guard to help protect the implant and other teeth.
I will need to take X-rays to assess whether you have enough bone to place the implants and also to help identify any important anatomical landmarks around and in your jaws that we wish to avoid during implant placement. In certain areas of the mouth I need to see important structures like blood vessels and nerves so I may require a CBCT-scan, which is a computerised 3-D image. There is a charge for this additional scan if it is indicated and this is listed in the ‘professional fees’ section of the report. Scan fees vary between 300 PLN and 500 PLN depending upon the size of the scan.
CT scan used to verify position of dental implants and maxillary sinus.
At this stage, I may also take some casts of your teeth and take some photographs to help with planning your treatment. Here you can see an example of diagnostic model:
Implant treatment planning.
From the information I gain from the assessment, I can formulate a treatment plan. Any basic dentistry such as the removal of decay or treatment of gum disease will be planned first. Where your oral hygiene is not at an optimum level, I will also arrange a visit to our hygienist. From the casts, charting, x-rays and CT scan if indicated, I will be able to determine whether you have enough bone to place an implants.
If there is only a small bone deficiency, we may be able to use an artificial bone derived from cow bone called ‘Bio-Oss’. For patients that prefer not to use an animal product, we have a fully synthetic alternative. If this were the case, the material can be used when we place the implant so treatment wouldn’t be delayed. This technique is called ‘guided bone regeneration or GBR and is used in around 50% of all implant placements. There is an additional charge for the GBR and this is listed ion the professional fees section of this report. If GBR is NOT used then there is no charge.