The Problem

Janet came to the surgery with broken down teeth, which were beyond repair. After much consideration with the patient, it was concluded the teeth were best removed. We talked Janet through the options, and her preferred method to replace them was with dental implants.

Treatment Plan

It was proposed to stage the treatment, so that Janet did not have too many missing teeth at any one time. Her lower left teeth were most urgent to be treated, so we elected to start here.

Once the teeth and roots were carefully removed, the lower jaw was allowed to heal.

At this point, a CBCT scan was carried out at the practice for Janet, to establish how restoring this missing area of her mouth could be replaced with dental implant supported crowns or a bridge.

This allowed us to plot the pathway of an important nerve in the area, and also avoid an area of historic bone damage where it would not have been possible to place an implant.


The solution for Janet’s lower left jaw tooth replacement was with a screw-retained fixed 3 unit bridge, secured to 2 dental implants hidden beneath. The two lower left implants were placed in a single visit. The stitches were removed a week later.

4 weeks after this, using our photographic digital modelling scanner, we took records of Janets new implants and had a metal framework milled at Straumann’s digital milling centre in Spain.

This framework was then sent to our laboratory in Farnham to have the porcelain work built up to match Janet’s natural tooth form and shade. Completely personal and adapted for her.

Two weeks after the scan, the work is tried in and refined to fit perfectly for Janet.

Once her lower left side was stable, we carried a similar treatment for her upper left side tooth spaces and her lower right side tooth space.

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