In some circumstances patients find that their remaining teeth are beyond conventional dental treatment either through dental decay, gum disease or trauma. When this affects the whole jaw, dental implants can still be considered as a method of treatment.
The Fast and Fixed Method
Here at Horbury Dental Care we use the Bredent Fast and Fixed method of full arch reconstruction. Following routine consultation, radiographs and consideration of suitable treatment options, patients who are suitable for this method of treatment have study models and where possible templates of the proposed teeth completed. These help to demonstrate in the patient's mouth what their bridge can look like. A cone beam computerised tomagraph (CBCT) is completed of the jaw at Horbury Dental Care, which is used for digital planning of where the ideal placement of dental implants should be, relative to where the final bridge is planned to be placed. Stabilising treatment may be required to any remaining teeth in the opposing jaw as well as routine pre-surgical gum treatment.
On the day of surgery treatment commences with intravenous sedation. Once sedated any remaining teeth are removed and dental implants are placed under local anaesthetic. The pre-planned bridge is then finalised around the implants and constructed by our experienced clinicians ready for connecting to the dental implants. Once connected the screws which attach the bridge to the implants are covered and you are able to leave. This process is usually completed within the day, with an arrival time of around 9am and leaving time of around 4pm.
Sutures are removed after approximately two weeks, and the bridge reviewed after six weeks. To facilitate this procedure in a day the prototype bridge is constructed from acrylic. This initially requires patients to maintain a soft diet during the healing phase.
Normally after six months this prototype bridge is then replaced with a definitive bridge, which has a milled titanium framework. This allows for the best accuracy of fit and strength to the final bridge. Upon completion it is important for patients to maintain their bridges to the best possible standards of oral hygiene - this normally includes using Thornton’s floss and waterpiks. It is advisable especially where patients have a history of gum disease that regular appointments are maintained with the dental hygienist.
Once a year the bridge is removed for maintenance and x-rays are completed normally every two years to ensure gum and bone health is maintained to the highest standards.