Dental implants come to Ireland

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60 Posts

Pearldental  ·  12 Nov 2008
Sorry Kiki, forgot to reply to yours!

Generally when we place implants, we aim to make the implant itself (the bit in the bone) the strongest link, the post (fits into implant and emerges through gum into the mouth) the next strongest element, and the crown (the 'tooth' you see) the weakest link, for the simple reason that the crown is the easiest and cheapest part to repair, replace or adjust. I would always tell my patients that crown looosening is a possibility, albeit rare, and don't charge for recementing any crowns that do come loose (if I have made them) in the first 5 years. After this time frame, a small fee applies, but crown loosening after this time is very rare.

You should have been advised that an implant is intended to be a lifetime solution, but many factors affect the likelihood of this being achieved, and we would expect that some crowns may need replacing at some point. Different dentists have different approaches to this problem, and the fees charged for a crown remake vary considerably. If you have the original crown, it is not a big job to repair it if necessary and replace it. If the old crown is gone, it becomes more complicated and more expensive.

If a crown loosens, we usually use a slightly stronger cement second time, and you should also ensure that the bite on the crown is checked, as this is the most common reason for failure. I rarely see crown loosening more than once.

Hope that helps, and post back if you have more questions,

P
 

60 Posts

Pearldental  ·  12 Nov 2008
Hi Sandy et al, apologies for the lack of postings recently, but I have been under the surgeons knife myself, and experiencing the complications of keyhole surgery that doesn't quite work out as expected. All good now, so back on track again. Lots of new posts since my last, and plenty of interesting issues raised.

Sandy, your suggestion that the flapless technique is the most modern and up to date technique available, and by inference that it should be practiced by every up to date surgeon is incorrect. It is a great technique when appropriate, but is most certainly not suitable for every case. One of the main reasons for lifting a flap is to see the bone underneath and assess the site fully, and in many cases this is the most appropriate method of achieving best placement for the implant. I quite agree that all up to date implant surgeons should be well aware of the technique, as it is well documented in many of our journals, but it is not the only method of implant placement that should be practiced. Correct use of the flapless technique should always involve a CAT scan to allow full visualisation of the bone, which is obviously not possible at surgery, and for simple cases this adds significant expense to the cost of the procedure, and is unnecessary if a small flap is raised. For multiple placements, a scan is invaluable, and the cost benefit too great to ignore.
Flaps must also be raised if additional bone is required for aesthetics or deficiency infills, and will also be required if bone remodelling is required. In large precision placement cases, we have guides made to locate the ideal implant sites, and these are made to fit against the bone itself, and are generated from the CAT scan models. This is one of the most advanced and recent developments in implant surgery, but always requires a flap to be raised.
These are a few of the issues that we must consider when treatment planning a case, and much as the flapless technique was great for your situation, it is not an option for many cases we see.

Congratulations on the successful outcome of your case, but as with every country, Ireland included, not every case is as pleasant as yours. I currently have a Spanish girl under treatment who flew to Madrid for her implants 18 months ago, and was left with 3 entirely unrestorable implants, which have to be removed, bone grafts placed, and assuming healing is successful, new implants placed. Being Spanish, she is able to pursue the case through the legal avenues in Spain, but this is a much more difficult scenario if you don't have the language, or knowledge of the legal system in the country in which you undertake treatment.

Finally for now, a CAT scan is a great development in implant surgery,but is not indicated for every case. The more complex the case, the more crucial a CAT scan becomes, but like every tool we have, the cost benefit must be sufficient to warrant its use, as radiation, even though in small doses in modern dental scanners, is still not something we recommend without good reason.

Enjoy your new smile Sandy, and hopefully we will hear more good stories here as the thread continues,

P
 

2 Posts

Laurence (FET73170)  ·  12 Nov 2008
Tom:

How much radiation is there in your method and procedure?

++++


Tom (HAW75841) Posted: 11/11/2008 08:15

For the Record Again

Thank-you Laurence,
The Seapoint Clinic does use a dental (and maxillo facial) Cone Beam CT Scanner called a NewTom 3G and not a medical one.

Yes, we get people to lie down to have their scan taken rather than standing up. We find this produces better images and less movement.
 

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Anonymous  ·  11 Nov 2008
"Nearly all good Irish Implantologists use the same techniques you describe".

I am unconvinced at this statement for i did my own brief survey of two centres in Dublin ( one well known to you and one in the north.) all were very helpful but all indicated a need to open up a flap to facilitate the implanting, however small, with suturing to close at the end. No one that represented the three centres that I spoke to were familiar with the specific technique at all. These are not my words, they are those of the representatives of the three centres with whom I enquired about receiving the implant treatment!
 

4 Posts

Tom (HAW75841)  ·  11 Nov 2008
To Lia,

Our apologies for the delay. I've looked for the name "Lia" on our system and cant find you. Could you drop us an email and i'll make sure you get looked after.

Bone grafting however is quite a lengthly process. It usually takes around 6 months for a good graft to solidify before it's useful. I hope everything goes well for you.

Regards Tom
 

4 Posts

Tom (HAW75841)  ·  11 Nov 2008
For the Record Again

Thank-you Laurence,
The Seapoint Clinic does use a dental (and maxillo facial) Cone Beam CT Scanner called a NewTom 3G and not a medical one.

Yes, we get people to lie down to have their scan taken rather than standing up. We find this produces better images and less movement.

And Sandy, many thanks for your contribution. Nearly all good Irish Implantologists use the same techniques you describe.

Your assertion that they have had "no problems from any client" is very misleading to the public however. Anyone who does implants has failures. it is accepted that failure rates are around the 2-3% mark. Anyone who says they have never had a failure simply hasn't been doing implants for long enough.
 

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Anonymous  ·  10 Nov 2008
Hi
Sandy

Can you email me the name of the Dentist in Spain (Malaga) that you had implants and crowns done please. my email address is as follows

powerbreda@yahoo.co.uk

Many thanks Breda
 

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Anonymous  ·  10 Nov 2008
I have recently had implant surgery in Spain. What a fantastic experience!
5 implants and 7 crowns for 5,800 euro!!
But that is not the best part, I was in the surgery for 90 minutes only including anaesthetic(Local) and paper work. The surgeon who performed the procedure was a maxillofacial surgeon from Malaga and he performed minimal invasive surgery. That is, there was no cutting open the gum by scalpel nor suturing(stitches) afterwards. He used a special implement that removes only the targetted area where the implant is going to be screwed in.
I was on the beach within an hour of leaving the surgery with antibiotics( good practice)to be taken for 4 days afterwards and a couple of pain killers for when the anaesthetic wore off. (I used 2 that day and that was all).
Also the implants were the real thing, not mini implants used by other practitioners that have been known to fail.
Finally these practitioners have been doing these implants and crowns for the last 5 years and - no problems from any client. Oh in case you're wondering how i heard about this dentist's practice. From an retired irishman who recommended him to me!! Oh! and of course you can still claim the costs on the Med 2 form for tax relief!
 

2 Posts

lia (LLY73665)  ·  08 Nov 2008
Hi,

I was visiting Seapoint Clinic last October and the doctor I met was very nice and I don't think they are expensive at all. It is just it is a bit slow to wait the feedback from them. More than a month I am still waiting for the bonegraft job confirmation.
 

2 Posts

Laurence (FET73170)  ·  08 Nov 2008
Ive been reading up on dental x-rays and dental CT scans and find that almost all dental clinics in Ireland use *medical* CT scans, not CT scans specific to dentistry.

Seapoint Clinic uses medical CT scanning.

The difference is that medical CT scanning involves scanning the head and not just the teeth. This means you get a much higher radiation dose.

I called around and Northbrook Clinic is only clinic I found in Dublin that has offers the more modern CT Cone Beam Scanning (15a Northbrook Road, Ranelagh, Dublin 6, (01) 4967111

From what I read, Cone Beam Scanning focuses on a band of both upper and lower jaws and teeth. As well, it is fast.

The radiation dose is fifty to 100 times LESS than what youd get with medical CT scanning.

Anyone planning dental implants should definitely first look into Cone Beam.
 

3 Posts

Dee  ·  28 Oct 2008
For "Hi in Dublin"
If you want a dentist in the Algarve who provides quality work at reasonable prices, then google "implants algarve" and check the site for the dentist in Albufeira - it comes up very near the top of the list.
 

4 Posts

Tom (HAW75841)  ·  26 Oct 2008
For the Record,
The Seapoint Clinic rates of 2500 single implant and 1900 multiple implants DO include all preparatory work and the final tooth on top. (for uncomplicated cases)

Yes, there is also a fee for consultation and diagnosis (usually 120 including a simple x-ray)

And finally, Dental CT Scans are a revolution in the provision of modern dentistry. The diagnosic information that one gives means that it is fast becoming the Standard of First Class Care, not a fancy extra.

Tom
 

21 Posts

cosmo  ·  23 Oct 2008
I've been reading through many of the posts and am glad to see that many of the people on here are not keen, or at least wary of dental tourism.

I'm a dentist working in Dublin and was absolutely horrified last week when I saw the result of some Hungarian dentistry-

Not only were all the implants failing, and a risk to the patients general health, but a number of other teeth not involved in the treatment appear to have been severely damaged as a result of the treatment.

I will agree that I often see poor quality treatment carried out by Irish and British qualified dentists, but to my recollection, just about ALL of the work I've seen from Eastern Europe, Turkey and the Middle East has been sub-standard.

I'm sure there are many excellent dentists working in these countries, but I'll bet they aren't hugely less expensive than in Ireland, north or south.

If you then factor in that good quality treatment may take many months of planning and execution, it perhaps becomes clear why excellence is the exception and not the norm in dental tourism.

Ps, good advice Pearldental, perhaps you should get a day-time slot!
 

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Anonymous  ·  15 Oct 2008
Pearldentist please can you email directly on smart_one100@hotmail.com because I would like to find out if will be able to see me at your dental practice.
 

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Anonymous  ·  01 Oct 2008
I found blueappledental in Fermanagh very good.

Excellent with nervous patients. See website for phone number and details. Not sure if taking on any more patients right now, but you could try.
 

2 Posts

Mim  ·  01 Oct 2008
Hi Pearldental; thanks for your reponse i think that u are right about not going abroad... I was wondering could you give me the name of a good dentist, bearing in mind that I am petriied of them so I would like someone who is good at dealing with nerves also!!! Thanks again
 

6 Posts

hi in Dublin  ·  01 Oct 2008
I phoned Seapoint Clinic too, and it seems that just a visit would cost well over 150 euros if you include in the cost of X-rays; and that's just to assess you. No provision for PRSI. If anyone has names and addresses of dentists in the Algarve, south of France, Hungary, etc, I would love to get them. (I did do a trawl on the 'net looking for dentists in the Canaries, and specifically in Gran Canaria, but with no result as yet. The one dentist identified did not respond to the email (which was in English).
Thanks.
 

3 Posts

James A  ·  30 Sep 2008
Before I had my implants ,I had to have a cat scan in the Erne hospital.
the reason low amount on bone available and also I was having sinus grafts done

James a
 

1 Posts

KiKi (OZE75914)  ·  30 Sep 2008
I had implant surgery on one of my upper front teeth years ago (maybe 8 or so) when I was in my early 20s. I had a new crown fit last year as the old one never matched my gum line. Since then, the crown has fallen out twice (once the day before Christmas Eve and the second time the day before Valentine's!). I was living out of the country at the time so had a temporary "flipper" fit which I have been using since. I have had xrays and the implant itself is still in excellent condition.
I went back to my periodontist for the first time today since being back in the country. He says it's normal enough for crowns to come out, he sees it about twice a year. Though mine has come out twice IN a year!!
He now wants to re-place the same crown, if I can find it. Does anyone know if this is normal practise?? I thought I was paying for something permanent??
 

490 Posts

Patricia (GMC11099)  ·  29 Sep 2008
To both the anonymouses:

So, the Seapoint Dental Clinic is not as inexpensive as it would seem. You would need to find out if the crown (AND the preparatory work) are on top of the 2.500 Euro.

Re the CAT scan. It would be best to ask the dentist WHY is this necessary. I certainly had no CAT scan done on me when I got my implant (X-rays yes, naturally).
It is important to ask lots of questions when getting important and significantly expensive dental work done.

All the best
P
 

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Anonymous  ·  29 Sep 2008
Thanks Pearldental and Anonymous. I've been quoted 400 for a CT scan for an implant in the north. Is the scan always necessary and does 400 for the scan seem about right?
 

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Anonymous  ·  29 Sep 2008
In Dublin for a single tooth they charge 2500 in Seapoint Clinic. Does that include the crown ? Or will that cost another 1000 + Euro.
 

2 Posts

AMT  ·  29 Sep 2008
Thank you so much for that Tom, I appreciate the information
 

490 Posts

Patricia (GMC11099)  ·  29 Sep 2008
Tom:

That is definitely a very low price for implant treatment, and in Dublin at that! A friend of mine, and we are talking two years ago, sought a price in the southern part of the country and was quoted four thousand euro for an implant then. Therefore she had the work done in northern Ireland.

P
 

3 Posts

James A  ·  29 Sep 2008
Hi
See Name ,address and contact number for Fermanagh dentist
Sinead McEnhill is the dentist I attended

Belmore Dental Studio, BT74 6AA. Classification: Dentists. 16, Belmore St, Enniskillen, County Fermanagh BT74 6AA. Tel: 028 6632 9222 ...
my email jafeeney@eircom.net
 

4 Posts

Tom (HAW75841)  ·  29 Sep 2008
The Seapoint Clinic in Blackrock in Dublin will do Implants for 1900 if you are having more than one. For a single tooth they charge 2500, and it's all fully tax-deductible ..

that's a bit better than a lot of guys up north and certainly isn't a rip off ..

hope this helps
 

3 Posts

Dee  ·  29 Sep 2008
I've been interested to see the comments recently on the high cost of implants. I know from experience that it is possible to travel abroad and get high quality treatment more cheaply than at home. In the Algarve, in Portugal, there is a Belgian dentist who provides expert care and the cost of one implant (including crown) is 1600 euros. Even with the cost of a cheap flight to Faro and a night's accommodation, this is still far better value than the prices recently discussed.
 

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Anonymous  ·  25 Sep 2008
AMT and Anonymous:

i would definitely recommend you to go to Northern Ireland. The implants are cheaper, at around 2.000 sterling each (plus maybe 300 to 400 pounds for the preparatory work). The dentist will,and must, give you a quote in advance, but he or she will not do so by phone, obviously. You need to visit to be assessed, and based on that you will be given a price. It is worth it.
 

2 Posts

AMT  ·  25 Sep 2008
I would really appreciate if any member, Cathy or Aine could email me the name of dentist in Blackrock who does dental implants at tobin.annemarie@gmail.com. Need an implant but do not want to sell the house!
 

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Anonymous  ·  25 Sep 2008
can anyone recommend a good dentist that does implants i need 2 and since having to get two teeth out feel my life is one big mess im so upset and just wish i could get this sorted as my confidence has completing gone and if i could lock myself away i would but i have to work, my dentist said it would be 4000.00 euro for 1 and i couldnt afford that so could anyone recommend a dentist a bit cheaper my email address is taraclaxton@eircom.net
 

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Anonymous  ·  24 Sep 2008
Yes, Joe. That is too high. The implant is 2.000 pounds sterling maximum, with a very good dentist, plus there may be around 300 pounds or so for the preparatory work, depending. Usually there are five appointments required.
Up in Belfast the price may be even less.

Good luck
 

60 Posts

Pearldental  ·  24 Sep 2008
Hi Mim, Joe79 et al, plenty to answer since I last posted, so here we go. Simple one first- 3000 is definitiely high for standard implant, even with a specialist. The specialists I use in the North for referrals are about 1000 cheaper than that. Big difference. Even here in Dublin I would consider that very high. Check that there is no additional work in that quote such as bone grafting etc, and let me know if you want other specialist contacts to compare.

Mim, you're a bit more complex by the sound of things, but you've obviously made a start on getting things sorted. I would certainly not advocate abroad for such a complex plan, as I have not yet seen an exceptional result from anywhere that claims to be 'Cheap', and you're too young to take chances on the end result. It needs to be good, both cosmetically, and technically (which is what a layperson cannot assess, and what decides the longterm stability of the work), so be sure you're getting a minimum of 5 years warranty on everything.
Have you considered phasing the work, as it is often possible to get things looking great for a much more modest sum, and then over time bring in the more expensive and complex treatments? It's like a house makeover- a lick of paint hides most things, and you can then deal with the structural side without feeling self-conscious, which will transform your day to day living. We know full well that many people cannot afford the full works straight up, so we often come up with phased plans instead.
Hope that helps,

P
 

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Anonymous  ·  24 Sep 2008
I've been quoted around 3,000 pounds for a straightforward implant in the North. The dentist came recommended as a specialist in this area. Should I be expecting to pay this kind of sum for a specialist or is this figure high, even for a specialist?
 

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Anonymous  ·  23 Sep 2008
HI Anoymous posted 3-9-08

Can you please forward me the name of the fermanagh dentist you attended, my email is
annking18@hotmail.com
 

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Anonymous  ·  23 Sep 2008
CAN ANY ONE PLEASE TELL ME THE NAME OF A GOOD DENTIST IN DUBLIN THAT WILL DO IMPLANTS. I NEED 2 IMPLANTS. I JUST FEEL SO DOWN THAT I HAVE A MISSING TOOTH AT THE FRONT TOOTH. MY EMAIL IS taraclexton@eircom.net
 

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Anonymous  ·  06 Sep 2008
Hi, I had all my teeth removed over the last two years, i use polident and find that the lower teeth still very loose, is there some one other than my dentist who works only in this area, how much implants?
 

3 Posts

James A  ·  05 Sep 2008
Hi
I lost most of my upper teeth when I was 21. I had dentures for the last 20 years. 3 years ago I went a dentist in Fermanagh to see what could be done as the bone was very low.
I had two sinus grafts done, 6 months later I got the implants plus a bridge and now I am fine, just as good as my real teeth.
 

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Anonymous  ·  03 Sep 2008
MIM:

See my post below, where I give the site for a dental practice in Northern Ireland. Prices there are almost half they are in the ROI.
It is important to see to your teeth as their condition does affect your general health too.
 

2 Posts

Mim  ·  02 Sep 2008
Hi, I'm not sure if anyone can help me. I am now 27 and for as long as I can remember I have suffered with my teeth! I have reached the point where when I smile I cover my mouth in hope that people won't notice as much! I went to a cosmetic dentist 2-3 years ago in Dublin and he informed me that it would cost in the region of 20,000 to restore my mouth and as you can imagine that kind of money is hard to come by... I have thought about going out foreign but have read so many different reviews that I worry that it could be the wrong decision. I am not sure if anyone can help or point me in the best direction or even just advice on the best way forward as I do not want to turn 30 and feel as miserable as I have for the past 10 years.
 

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Anonymous  ·  01 Sep 2008
You might like to consider Switzerland instead of Hungary. A friend of mine has just had some implants inserted there at a very good price, slightly more than Hungary prices, but a big saving on Dublin prices. And they have given him a Swiss guarantee which can't be bad.
 
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