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PROGRESSIVE DENTISTRY MOBILE MENU BUTTON
34 Fulham High Street, London, SW6 3LQ
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NEWS - NOTHING BUT THE TOOTH

{ THE ONLINE BLOG }
JUN 20
24
WEDNESDAY 24TH OF JUNE 2020

Dental implants can be a costly procedure. During this article I will explain why dental implants cost what they do and how the prices vary so much. I will not dwell on the technical aspects of dental implant treatment but simply concentrate on costs with an emphasis on a single dental implant treatment.

TRAINING COSTS

Firstly, it is important to recognise that dental implant treatment cannot be offered by any dentist on the high street. It takes a great deal of time to train in the implant field. Although there is no recognised speciality of dental implants, it is nonetheless a highly technical aspect of dentistry and one that must be respected. In the past, one could take a weekend course and start placing implants the following Monday. This is no longer the case.

Typically, at least a one-year course is required for training which will involve taking time away from the practice and hence add a greater cost with the subsequent loss of earnings. Most dentists are self-employed and must fund training themselves. A well-known Implant Diploma course run by the Faculty of General Dental Practitioners FGDP costs in excess of £23000. https://www.fgdp.org.uk/courses-implant-dentistry

EQUIPMENT COSTS

Apart from training, the other essential requirement is the equipment. Implant dentistry requires a vast array of surgical equipment, specialised motors, handpieces, sterile covers, dedicated drill sets and insertion tools. Every implant company will have their own surgical drill set and restorative components. A typical set up cost for all the above will be in the region of £10,000 to £15,000.

Let us not forget the cost of the dental implant. There are literally hundreds of dental implant systems now available and the costs do vary per company. For the case of simplicity, the main implant companies tend to have similar pricing for their implants. Typically, the cost of one implant will be £250-300 which includes a cover screw. In most cases, healing abutments are not provided with the implant. Healing abutments will generally be used with most simple implant cases. The cost of a typical healing abutment is between £60-80.

PLANNING AND TIME COSTS

I would say a typical case would take 1 hour of planning, but this could be more for a more complex case. Most cases are planned digitally these days using cone beam CT scans or CBCT. We have invested in our own CBCT machine so that scans can be taken immediately. These machines are not cheap and cost the same as a new BMW M3 or M5 depending on the specification. Now there is also the cost of set up, CEAT certification, RPA fees and costs of training to be able to take the scans themselves and report on them. The set-up fees for us were approximately £1800 and the annual maintenance fees will be around £1000.  I myself went on a dedicated training course which cost £1000 and 2 days away from clinical practice.

Previously we would refer our scans to Cavendish Imaging in Harley Street,https://www.cavendishimaging.com/ . The scan fees are be between £100-150 and if a specialist report is needed, there is a fee of between £85-105. However, the cost is worth it in our opinion. The amount of information with a 3-D CBCT scan is invaluable and we now cannot work without such knowledge prior to implant treatment.

Although most simple cases can be planned on free software such as I CAT vision, Blue Sky Plan or Morita One Volume viewer, it is becoming more common place for dedicated planning software to be used. Implant Studio by 3 Shape and Nobel Clinician by Noble Biocare are examples. This software is not free and there are yearly licence fees. Implant Studio costs between £2800-3500.

The use of surgical stents in the field of implant dentistry is now becoming common place. Once a case has been planned digitally, we can print surgical guides to accurately relay that information in the mouth to ensure the correct position and angulation. Digital prints will be between £200-300 with traditional analogue models and guides only a little less.

SURGERY COSTS

Just remember, a dental practice is like any other business. There are running costs every hour of day regardless of whether the practice is open or closed. This will involve the usual costs of rent, rates, staff, utilities, insurance, indemnity fees and materials for example. Every business will have their own running costs and hourly rates which will equate to how much time is allocated to each treatment.

We will generally block a two- or three-hour window for an implant case. We need at least 30 minutes setting the surgery ready, 1-2 hours for the surgery and another 30-45 minutes cleaning up and sterilising all the equipment. This is a long time and essentially will take up most of a morning or afternoon session. For one single implant this is not cost effective, but we take the same measures for one or several dental implants.

RESTORATIVE COSTS

To restore a dental implant, we need to replicate the position of the implant. For this we take either a digital impression or a conventional impression. A special impression coping or digital scan body is required for this with the typical cost of these between £70-90.

The other required components and costs are:

Implant replica £30-50

Custom made abutment £180-250 OR

Stock abutment £60-100

Of course, the whole point of undergoing an implant treatment is to replace the tooth. So the final cost will be the laboratory fee to make the dental implant crown. This will either be cement retained on an abutment (stock or custom made) or screw retained where the crown seats directly into the implant, again with the lab using a custom abutment or stock abutment. The typical laboratory fee for the crown is in the region of £250-350.

SUMMARY

Let us do a little round up purely of costs to us the dentist, forgetting all of the training, set up, sundries and maintenance costs involved in providing dental implant treatment for a single tooth replacement.

Surgical planning and guide £300

Dental Implant £250

Healing abutment £60

Custom abutment £250

Screw retained implant crown laboratory fee £300

Total £1160

The time frames involved are:

Planning 1 hour

Surgery 2 hours

Review appointment 15 minutes

First stage uncovering if required 30 mins

Impression/ scan stage 1 hour

Fitting of final crown 45 mins

Total time 5 hours 30 minutes

Our Fee to you

As a member, our fee for a simple dental implant without bone grafting is £2040. Does this now seem quite reasonable?

Would you now think again when seeing an advert on Google for an implant all-inclusive at £999? Certainly food for thought. Visit our implant page for further information: https://www.progressivedentistry.co.uk/treatment/dental-implants/

JUN 20
11
THURSDAY 11TH OF JUNE 2020

We are delighted to say that from the 8th June we have opened our dental practice after a huge amount of work behind the scenes to keep our staff and patients safe. We have made a major investment in our business including:

Newly painted exterior and signage. No more black!


New flooring internally with a lovely white oak effect vinyl which can be steam cleaned

PPE for all staff including custom made washable gowns, masks, caps, half face respirator masks by 3M and full face visors

Virus Killer air filtration units (due to 2 weeks) using 5 types of filter and UVC lamps to destroy bacteria and viruses. www.radic8.com

Infra red hand sanitizer station on our bar in reception

Reception screening with custom made perspex barriers


What to expect at your next visit

Covid 19 has changed everyday life as we know it. We have had to follow various regulations, operating procedures and risk assessments. These include:

A text message will be sent to you for pre screening. Please click the link and in fill in the questionnaire. Your answers will be remotely sent back to us. There is no need to sign anything.

Temperature check on arrival using a contact free thermometer

You will be asked to use a pre treatment hand sanitizer

You will be asked to wear gloves, shoe covers, a mask and gloves

Please refrain from touching anything

Toilet area will be out of bounds. Please go before you see us!

Pre treatment mouth rinse Post treatment mouth rinse

Post treatment hand sanitizer

Contact free payments are preferred or remote payment by BACS or over the telephone.

Please report any signs of Covid 19 up to 14 days after your visit to us

Behind the scenes

Before and after your appointment, we will be working hard cleaning and disinfecting the surgeries. We have adopted a longer time frame for cleaning including spraying and cleaning the usual surfaces and extra areas such as desks, chairs, surfaces, door handles, keyboards and floor. Therefore it is even more important to be on time for your appointment. Please do not be early as we would like to keep the waiting area as free as possible but on the flip side, do not be late! This is even worse and will have a knock on effect for the rest of the day.

We appreciate your patience at this time

These measures mean it is impossible to see as many patients in a day as before. We will usually only have one clinician working per day to minimise staff and patient numbers at any one time. We know this is not ideal and hope that the measures will relax in the next few weeks. Please be patient with us, however, if you do have an emergency we will do everything we can to see you on the same day.

New opening times

Our new opening times are:

Monday to Friday 0900-1700

Saturday 0900-1400

Video consultations are still available 7 days a week with Dr Nissit Patel.

We will extend our opening times as soon as it is safe to do so and when we have a full complement of staff.

Prices

New patient examination £95

Emergency visit £95

Routine examination £60

Routine hygiene maintenance 45 mins £120
Routine hygiene maintenance 30 mins £80

We look forward to seeing you at Progressive Dentistry

www.progressivedentistry.co.uk

t 0207 7311162

e info@progressivedentistry.co.uk

WhatsApp +44 7508 663942





MAY 20
14
THURSDAY 14TH OF MAY 2020

Article written by Dr Nissit Patel

One of the most pressing issues in dentistry at the moment is when will we be able to re open for emergency dental appointments. It is has been nearly 2 months since we were forced to close our doors. Despite what the Government may say, on the 25th March the Chief Dental Officer stated:

  1. All routine, non-urgent dental care including orthodontics should be stopped and
    deferred until advised otherwise.
  2. All practices should establish (independently or by collaboration with others) a remote
    urgent care service, providing telephone triage for their patients with urgent needs during usual working hours, and whenever possible treating with:
    • Advice
    • Analgesia
    • Antimicrobial means where appropriate
  3. If the patient’s condition cannot be managed by these means, then they will need to
    be referred to the appropriate part of their Local Urgent Dental Care system. These
    new arrangements will involve providers working with defined groups of patients to
    manage urgent dental care needs only, with appropriate separation arrangements in
    place to manage patient status and professional safety

    By all accounts, this ordered an immediate halt to all dental services within primary care. In my local area, Fulham, SW6 London, I have not been informed of a local urgent dental care centre that I am able to refer extreme emergency cases to. The advice given by various bodies ( I shall not name them) was to call 111. Frankly, this may have been almost acceptable in the early stages of the pandemic but NOT 7 weeks after the statement. Thousands of patients across the country have been left in pain and distress with the advice to take pain killers and anti biotics, which as we all know, are only effective when infection is present.

    In this respect, I spent many hours reviewing the literature to provide some evidence based analysis on how we can protect ourselves, our patients and get back to work after lockdown. If you are interested in reading this article, it was published by Dentistry and the link is:
    https://www.dentistry.co.uk/2020/05/05/dentistry-post-lockdown-protect-patients/

    The summary involves 10 key points which are easy to implement and allow us to get back to work as soon as possible. These include:

  1. Careful screening of patients pre treatment
  2. Alteration of patient appointment times/ flexible time frames
  3. Reception screening, social distancing measures  
  4. Consider clean air systems within reception areas and surgeries such as those involving air suctioning pre filters, HEPA filters, carbon filters and UV lamps
  5. Reducing aerosol
  6. Always use high volume suction or HVA
  7. Use rubber dam or consider additional isolation systems such as Isovac/Isolite
  8. Provide assistants to hygiene/therapists for HVA
  9. Enhanced PPE especially for those at greater risk of Covid 19
  10. Extra time for cleaning and disinfecting surfaces including areas not previously cleaned

    These are measured points that will go a large way to help our profession back to work and re start the process of opening our dental clinics in London and across the UK.

    Should you have a dental emergency, please do not hesitate to contact me. Although we cannot see you right now, I can try to help as best as I can remotely and arrange an appointment as soon as we can re open.

    www.progressivedentistry.co.uk
    t 0207 7311162
    e info@progressivedentistry.co.uk

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