21D Full Mouth Dental Implants

21D Solution is NOT funded by the NHS

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Surgery

How long is the surgery?

Your surgery appointment is 2 to 3 hours long. 

Does it hurt?

There is usually some pain involved in any surgical procedure. Every patient is different but generally the post surgery recovery process usually takes up to 7 to 10 days. Pain is managed by over the counter pain killers and the bruising and swelling subsides during the healing process.

Can you put me to sleep during the surgery?

We cannot and do not put people to sleep under general anaesthesia. In the UK this is not allowed outside a hospital environment for patient safety reasons.

What if the implants fail?

We offer a 3 year biological peace of mind warranty which means that during this period if any further surgery is required or an implant needs to be revised it will be undertaken free of charge.

Can I drive after surgery?

No. We advise all patients to be accompanied to their surgery and back home afterwards by car but the patient cannot drive.

Can I take public transport after surgery?

No. We advise all patients to be accompanied to their surgery and back home afterwards by car.

Suitability

What happens at my free Clinical Assessment?

You will have a one hour appointment with a clinician and will have CBCT scans, Intra-oral scans and facial photographs taken. With this data we will analyse and provide a costed solution plan immediately in 99% of cases. Sometimes we may need to confer with colleagues before we finalise our solution plan in which case we will endeavour to let you know within 24 hours. Once you have your costed solution plan you decide whether you wish to proceed to the next stage.

If I have type 2 diabetes can I be treated?

Yes. If your Diabetes is under control we can treat you. We will need your last year of HbA1C test results in order to show that your Diabetes is under control before we can proceed with your solution. A test result of 50 or less is suitable to proceed with surgery.

I have gum disease. Can I be treated?

Many of our patients suffer from gum disease and we are able to treat them successfully. We would like you to come in for your free clinical assessment so that our clinicians can advise on suitability from the scans we take on the day.

Do I have to give up drinking?

No! We advise you not to drink immediately prior to or post surgery but it is not necessary to give up alcohol for a prolonged period of time.

Do I have to give up smoking?

You do not have to give up smoking but continuing to smoke more than 10 cigarettes a day substantially increases the risk of implant rejection. smoking can impede wound healing following implant surgery. Carbon monoxide produced by cigarette smoke has a higher affinity for haemoglobin, which reduces oxygenation of healing tissue. In addition, the cytotoxic effects of smoking can disrupt body cell repair and defence. We therefore advise all patients not to smoke. If you continue to smoke after your surgery your warranties will be invalid.

I have been told I need bone graft. Do you do this?

We do not do bone grafts but our solution is proven to be suitable for patients who have been told they need bone grafts by non specialist providers, and we have treated them successfully without the need for bone graft.

I have been told I need a sinus lift. Do you do this?

We do not do sinus lift but our solution is proven to be suitable for patients who have been told they need sinus lift by non specialist providers, and we have treated them successfully without the need for sinus lift.

The 21D Solution

What is 21D?

21D is a UK registered group of companies. We are entirely owner managed and self-funded, with no external investors. We are a team of highly experienced clinicians, nurses, coordinators, designers and fabricators. We have a nationwide network of our own and partner clinics. 21D has created and provides a full jaw implant rehabilitation solution using fully computer guided implant delivery system enabling the delivery of implants and fixed teeth in 1 hour or less per jaw in 95% of cases that need it. It is a modern and precise way of delivering an all-on-4 or any all-on-X rehabilitation.

Why is it more expensive in the UK than going abroad?

Regulation

In the UK, all dental professionals are regulated and monitored by the General Dental Council. Their job is to maintain professional standards and protect the public. UK registered dentists are required to keep up to date with modern techniques and show to be actively engaged in continuous professional development. The Care Quality Commission (CQC) also monitors dental clinics and ensures they are safe environments for patients to be treated in. These are large ongoing costs which lead to higher costs of solutionfor patients in the UK. Whilst there may be regulatory mechanisms in overseas territories, they may not be as effective for the patient if something goes wrong. This level of scrutiny in the UK, whilst sometimes onerous, is ultimately there to protect patients.

 

Staffing Cost

In the U.K we have minimum wage requirements for all staff. Over and above this, our staff are highly skilled and are paid accordingly. In Eastern Europe and Turkey, it is not uncommon for dentists to be paid €1000 per month, nurses €200-€300 per month and dental technicians to be paid €400 per month. Some clinics are set up really well, others not so. Some clinics have excellent standards of sterilization and hygiene, others not so. Some clinics have excellent staff, others not so.

 

Cost of living

The cost of living in some of these countries is far lower than the UK As such this contributes to their charges for dental solution being cheaper than the UK.

 

Computer guided

Most overseas operators DO NOT provide fully computer guided implant delivery – Fully computer guided means just that. Everything is pre planned on computer screens and delivered EXACTLY as planned. This is an additional cost to SAFELY deliver implants and avoid vital structures such as nerves and blood vessels

 

Overall

Overall, there are good clinics and good clinicians who work to high standards worldwide… We work to a very high standard exclusively in the UK.

Why are fixed teeth better than wearing dentures?

Dentures are removable and have to be taken out a night. Dentures are uncomfortable and lead to bone tissue shrinkage if worn on a long term basis. The 21D solution of full arch fixed teeth on implants is a permanent and final solution which means that you should not experience further bone loss and gum disease from the point of surgery.

What is fully guided surgery?

The 21D fully guided solution is surgery that delivers your implants to within 100 microns of plan through the use of 3D printed digital guides that are unique to you, specialist CAD software and the comprehensive portfolio of digital data that we capture at your full clinical assessment.

Do you do All on 4?

Yes. We do all on 4 and use the appropriate number of implants including 3 and up to 6.

How long is the whole process?

From your initial free consultation it is between 10 and 16 weeks to your final fit.

Is this available on the NHS?

No. The NHS do not offer any implant surgery.

What are the teeth made of?

Your final teeth are made of titanium (subframe) and polymer (veneer).

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