Consent for Implant Treatment by Gita Auplish
For more than 30 years implants have improved the quality of life for countless individuals. Dr Gita Auplish will carry out your implant placement. She is well qualified for this advanced treatment. Nevertheless, the principle of informed consent dictates that you are reminded of the following:
- The first stage of treatment will involve the surgical placement of implant fixtures in the
jaw. The number placed will depend on the quality and quantity of existing bone and
surrounding anatomy. In some cases, inadequate quality or quantity of bone may prevent
any implants from being placed.
- (i) The first stage of surgery (the insertion of implants) will be performed under local
anaesthetic possibly augmented by intravenous sedation. If sedation is required, this would
be administered by an anaesthetist. The initial healing period is 10-14 days after which any
sutures (stitches) can normally be removed. Antibiotics and painkillers may also be prescribed. You will be instructed to use an ice pack outside of the mouth for the first 2-3 days after surgery. After the first stage of surgery the implant screws will remain under the gum and once they have bonded to the bone after several months then the teeth will be added to them.
(ii) If there is inadequate bone quantity either the implant will not be placed or you may require bone re-generative surgery. This can often be done at the same time as implant placement and usually involves the use of Bio-Oss (bovine derivative) and Bio-Gide (porcine derivative) materials.
- If you wear a removable denture, it may be necessary to leave this out for the first few
weeks after surgery. The denture will be relined and the linings changed at regular intervals
during the healing period. If, however, you wear a temporary bridge attached to teeth
neighbouring the implant site, this can normally be replaced immediately following completion of surgery.
- Some swelling or bruising may be apparent in the days following implant placement. This
can be minimised by the use of arnica, ice packs and following post-operative instructions.
Avoidance of hot liquids and foods as well as exercise will help to minimize swelling. During
the healing period, it will be necessary to apply Corsodyl to the implant site using cotton
- The second stage of surgery consists of implant exposure and placement of healing
abutments. This is undertaken 3 (minimum) to 8 months (maximum) after the first stage and
is carried out under local anaesthesia (with or without sedation administered by an anaesthetist). The healing period is similar to the first stage as outlined above.
- Although implants may be the preferred method of treatment to assist in the replacement
of missing teeth, they are seldom the only therapy possible. All other potential treatment
modalities have been explained and considered.
- As with natural teeth, effective cleaning and regular maintenance visits are essential
prerequisites for long-term success. Radiographic checks will also be required at regular
- The titanium implants, abutments and/or screws may loosen, fracture or be damaged in such a way as to necessitate the repair, replacement or loss of part of the metal fixture system.
- Implants occasionally fail. If this should occur they are usually simple to remove without significant damage to the surrounding tissues. In most cases they can be replaced when bone healing is complete. In rare instances, delayed implant loss may require re-planning of the restoration, one reason we sometimes place more implants than we restore. There are also occasions in which the loss of an implant may make it necessary to construct a removable denture instead of a fixed bridge. Alternative treatment may involve additional costs.
- Smoking adversely affects implant success rates and therefore significantly increases the chances of failure by up to 30%.
- Some implant sites are close to nerves that supply lips, teeth and other structures in and
around the mouth. There may be some transient altered sensation or even numbness. It is
possible, but unlikely, that such numbness could be permanent. Surgery close to roots and
teeth could also affect their vitality and necessitate root canal treatment.
- Implants in the upper jaw may be close to the nasal or sinus cavities. An opening into
these regions could result in infection, implant failure, or persistent communication and
drainage into the mouth. Although extremely rare, infection is always possible following any
surgical procedure and additional surgery may be required to correct this.
It would be inappropriate for a physician or dental surgeon to guarantee the results of any treatment or operation. While the results cannot, therefore, be guaranteed our undertaking is to make every effort to meet the criteria of the proposed treatment and to provide a comfortable and pleasing result.
Please do not hesitate and ask if you still have further questions.
Click here to print a copy of the Consent Form