FREQUENTLY ASKED QUESTIONS

General, treatment, cost and finance questions.  Informed patients make the best decisions.

Q: How do I book a Full Clinical Assessment appointment with Evo?

A:

You can take the next step in changing your life by:

 

1 – Completing a ‘Suitability Test’ (upper right)

2 – Calling:

  • London: 0808 163 6104
  • North West: 0808 301 7175

3 – Clicking the ‘Live Chat’ button (lower right)

4 – Clicking the Contact Us Form on the location pages

Q: What is the difference between Evo and other normal dental practices that do implants?

A: We do not offer routine or general dental services (e.g. check-ups, hygiene, fillings, root canal treatments, single dental implants etc).

We ONLY perform the Evo Solution™, a precision engineered fixed full-arch dental implant restoration.  We have completed over 6,200 of them. This means that ALL clinical cases must require at least one full jaw correcting with dental implants and fixed teeth.

Other differentiating factors include:

  • We have our own in-house laboratories, with digital software and 3D printing technology
  • Our surgeries do not require bone grafting
  • Evo clinicians can place implants in the Pterygoid bone (so we can avoid Sinus lifts).  There are only a handful of clinicians on the planet that can do this, and most of them are at Evo.

We will only extract teeth that cannot be saved and we do not invite people in for Clinical Assessment, we turn people away if they have perfectly healthy teeth and do not require a full jaw dental implant restoration.

Q: How many appointments does it take to complete Evo Solution™?

A.

1. Analyse

A proper chat about where you are
and where you want to be, and
world-leading 3D scans of your
entire oral area.

/ Scan & Plan
– Non-invasive examination
– 3D CT Scan

– Treatment plan

/ Precision measurement

– Digital technician performs
– advanced measurement for your
– perfect set of new teeth

2. Correct

Our surgical procedures are done in one day, and patients leave with detailed hygiene and recovery information.

/ Implant session

– Teeth removed according to
– treatment plan
– Implants placed
– Prosthetics fitted

/ Interim fitting
(Non-surgical)

– Second prosthesis fitting

/ Final fitting
(Non-surgical)

– Final fitting

3. Maintain

All our treatments include follow up appointments to make sure your new smile is on track. Lifetime aftercare is available with every treatment.

/ Aftercare

– Implants assessed and refined
– based on initial 6 months
– setting in

/ Annual maintenance

– Yearly check ups with Evo
– specialists to maintain your new
– smile

Q: Why doesn’t the Evo Solution™ require bone grafting?

A: In traditional dentistry, when providing implants around existing teeth that are healthy and staying put, it is often necessary to add bone graft materials to rebuild the lost architecture so it can complement the architecture of the adjacent existing teeth.
Our procedures involve a full jaw correction. With full jaw correction, we only need bone that is no more than 5mm wide and 10mm high, and of adequate spread, across the jaw.
With cone beam CT (CBCT) scanning (which we provide for free in the clinical assessment), we can evaluate the availability, position and quality of even these small amounts of remaining bone.
We use newer implant techniques, such as placing pterygoid and zygomatic implants – which negate the need in most cases for either bone grafts or sinus lifts.

Q: How much does the Evo Solution™ package of care cost? What is included?

A:
One Jaw package of care
  • £99 per month over 120 months (10 years), with a £2k deposit
  • Cost £11,000

Full Mouth package of care

  • £199 per month 120 months (10 years), with a £2k deposit
  • Cost £19,000

Evo SolutionTM is a ‘package of care’ which includes treatment, aftercare, associated warranties and annual maintenance.

Evo understand that patients want peace of mind when making such a large emotional and financial investment.  In our extensive experience, and our investment in training and cutting edge technology, we are in a position to offer an unmatchable peace of mind warranty on the products and processes that we know, with certainty, are possible or not possible.

Biological warranty:  3 Years

  • If you have any biological issues within 3 years, we will remediate at our cost
  • Biological issues include: implant failure and / or lack of osseointegration due to infection, impaired healing, peri-implantitis, natural rejection by the body’s immune system, overload, progressive bone loss, bone quality / quantity, bruxism and other parafunctional habits.  Iatrogenic failure, including poor angulation and alignment.

Mechanical warranty:  3 years

  • If you have any mechanical (implant component or prosthesis) issues within 3 years, we will remediate at our cost
  • Mechanical issues include: prosthetic and / or implant component (implants, abutments, connecting components) fracture, prosthetics fracture

Annual Maintenance Appointments: 3 years

  • Your Annual Maintenance appointments are free of charge
  • Annual Maintenance appointments are critical, must be attended within your specified month.

Q: Why does the Evo Solution™ package of care cost so much less than than other centres offering full jaw correction procedures?

  • We receive special pricing from our suppliers and partners due to the amount of implants we place.
  • Each of our centres has an in-house, state-of-the-art dental laboratory. This enables close communication between the clinical and technical teams, which facilitates optimal high quality prosthesis manufacture and delivery for our patients. Other facilities outsource this and so have higher costs.
  • Our skilled team have perfected (and are continuing to perfect) every phase of the treatment plan, allowing us to perform all steps with efficiency and predictability.  This enables us to pass on efficiency savings to the patient.
  • Our experience, expertise and investment in the most advanced dental manufacturing technology in the world, means we are able to create your advanced prosthetics in less time than most.
  • You can enjoy the foods you love within a few days following Reset Day and save thousands.

Q: The Evo Solution™ package of care sounds fantastic, but it is out of my price range.

A:
At Evo, we carry out very complex procedures which are at the cutting edge of dental implant work. There are only a handful of dentists on the planet who can place implants in the Pterygoid bone (a procedure that we do every day), and most of them are at Evo.
However, thanks to our one-stop supercentres, our technology and in-house laboratories, we are able to bring down the costs of our treatments to meet most peoples pockets.
Our costs are also directly proportional to the quality of materials we use and the expertise involved in providing our multi-dimensional package of care.
Your new teeth could potentially last a lifetime and should be seen as a long term investment.

 

We also have finance plans available to help make treatment more affordable and fit most budgets. Your Patient Coordinator will be at hand to explain the finance options to you.

Q: How often do I need my Evo Solution™ bridge professionally examined?

A:
Annually.  Proper maintenance is extremely important to the stability of the implants as well as the longevity of the bridge.  An Evo SolutionTM bridge needs to be professionally examined by an Evo Clinician annually.  In this Annual Maintenance appointment, we will:
  • Check implant stability and integration
  • Check you dental prosthesis (to detect any signs of wear and tear).
  • Check supporting structures (soft tissue levels, bone) are healthy
  • Extra & intra oral examination taken, with x-rays as appropriate.
  • Multiple photos, phonetic check (using video)
  • The service may include the removal of your prosthesis to undergoes microscopic analysis in our on-site lab, a full ultrasonic clean and polish of your teeth to return them to their original finish, and brand new connecting screws fitted where necessary. This will ensure a continued excellent fit and a ‘good as new’ feel.
Your aftercare and home-care routine can also significantly influence implant success and you will receive detailed instructions on this.

Q: What do the Evo Solution™ dental implant bridges feel like?

A: If your natural teeth have been missing or compromised for many years, having a new bridge in the mouth will be a new sensation and might take some getting used to. Given time, the bridge will feel as close to your natural teeth as possible. There certainly won’t be any uncomfortable, bulky palate that you find with dentures.

Q: Are the Evo clinical team ‘specialists’?

A: No, our clinical team are ‘experts’. When we use this term, we mean that each person has excelled in their chosen field of implant dentistry.
In order to be classed as a ‘Specialist’, the General Dental Council requires that you are qualified in their list of specialisms (e.g., Oral Surgery, Orthodontics, Periodontics, etc).
Currently, there is no specialism in Implantology or in the Evo SolutionTM.
Importantly, Evo is a mentoring practice for the MSc programme in Oral and Maxillofacial Surgery at The University of Manchester and our team teach advanced implant dentistry as part of the post-graduate course.
The Evo SolutionTM is not taught in any formal dental institution. This technique is unique to Evo and can only be learned through our advanced training program via the Evo Institute.
Our team can, therefore, not call themselves ‘specialists’ but, having completed over 6,220 full jaw implant reconstructions, we think it is fair to call them experts.

Q: Can I send my X-ray or CBCT scan for evaluation?

A: Yes, of course. Please just give us a call and we will organise this with you.

Q: How do I care for my Evo Solution™ bridge?

A: We will give you detailed aftercare instructions when you come to see us. This will tell you what to do at different intervals following Reset Day (surgery).  You also need to attend your Annual Maintenance appointments.
You should brush your bridges like you did your natural teeth; twice daily with the soft toothbrush that we provide. Use a non-abrasive tooth gel as opposed to a regular toothpaste.
An electronic toothbrush should not be used until instructed to by our Evo clinical team (usually after 5 months). Do not brush your gums as this will affect proper healing. After 5 months, we recommend an electronic toothbrush such as a Philips Sonicare.
Oral irrigators are excellent for cleaning under the prosthesis (along with vigorous rinsing). We recommend the Waterpik or Silonit Oral irrigator. Interproximal brushes may be used under the lower prosthesis. These brushes look like little bottle brushes (eg TePe brushes) and are widely available.

Q: My teeth are in a really bad state. Will dental implants still work?

A: We treat 99% of patients that have a clinical assessment with the Evo SolutionTM  and dental implant technology.
Our expert team is extremely experienced in working with the most complex of cases, where patients have come to us as a last resort and they have been told that dentures are their only option.
The best way of seeing if we can help you is to call our team and arrange for a free clinical assessment.

Q: I have been told I require 6-12 months healing before getting my permanent teeth. How can you do it in 1 day?

A: The Evo SolutionTM uses the modern ‘immediate-loading’ dental implant procedure rather than the traditional 6-12 month ‘delayed-load’ technique.
The delayed-load procedure requires a healing time of 6-12 months before the implants are ready to be ‘loaded’ and the final bridge can be attached. With this procedure, a patient must wear a temporary denture during the extensive healing time.

With the Evo SolutionTM  you will be provided with three progressively refined (zero palate) implant-retained prostheses:

  • DeProgrammerTM. A 3D printed prosthesis fitted on Reset Day.  It ‘De-Programs’ your bite, serves to protect the surgical site during healing (forcing the tongue away) and controls swelling
  • ReProgrammerTM. A 5-axis CNC machine-milled prosthesis. It is fitted 2 weeks after Reset Day. It ‘Re-Programs’ your bite even further.
  • DC1TM. A 5-axis CNC machine-milled metal-bar reinforced prosthesis.  It is fitted 6 weeks after Reset Day.  Machined to 5 micron accuracy.  It is a very robust, anatomically designed monoblock polymer veneer (PMMA – Polymethyl methacrylate) prosthesis

Q: How can the dental implants be placed at the same time as removing teeth?

A: In most cases, the best time to place implants is when we are removing teeth, as you are using the same healing process after tooth removal to integrate bone to the implants.

Q: What is PMMA?

A:
The first use of Poly Methyl Meth-Acrylate (PMMA) as a dental biomaterial was for the fabrication of complete denture bases. Its qualities of biocompatibility, reliability, repairability, retrievability, relative ease of manipulation and low toxicity were soon seized upon and incorporated by many different medical specialities.
PMMA has been used for bone cements in orthopaedics; contact and intraocular lens inopthalmology; screw fixation in bone; filler for bone cavities and skull defects; and vertebrae stabilisation in osteoporotic patients.
Our PMMA is produced using no inorganic fibres or fillers. The organic polymer network is the strongest, most dense, and tissue-friendly material on the market. It is plaque resistant, abrasion-resistant and stain-resistant.

Q: What if I’ve been told I don’t have enough bone for dental implants?

A: 90% of our patients that have been told they are not candidates for traditional dental implant options are suitable for the Evo SolutionTM.
Conventional approaches of placing dental implants for full jaw correction can require sinus lifts and bone grafting and a minimum of 6 to 9 months waiting and healing time.
The Evo SolutionTM places the back implants at angles and uses the Zygomatic and Pterygoid bone to anchor implants beyond the jaw bone and provide stable and predictable long term results.

Q: Is it better to have 4 or 6 implants?

A: The Evo team will place the necessary number of implants required for the best treatment outcome in each individual case, whether this means 4, 5 or 6 implants per jaw.
Using a CBCT scan and our digital 3D software, we are able to carry out the full procedure ‘virtually’ before any surgery takes place, making any alterations that are necessary to get to the final predicted outcome. Treatment cost will not be affected by the number of implants used.

Q: Is dental implant treatment painful?

A:
The simple answer is ‘no’, it shouldn’t. We believe in total pain management and carry out the surgical procedure under local anaesthetic.
As with all extensive dental treatment, some patients will experience post-operative tenderness in the mouth and mild swelling for a few days after the procedure.
Full pre and post-operative medications and instructions are provided by our clinical team.

Q: What if I have severe dental anxiety or dental phobia?

A: Please talk to us about any concerns you have. We pride ourselves on being welcoming, caring, understanding, non-judgmental, professional, and extremely friendly.
However, for those patients who are phobic, we do not provide general anaesthetic or intravenous (IV) sedation for the Evo SolutionTM for good reason:
  • At Evo, patients cannot be ‘asleep’ with either a general anaesthetic or intravenous (IV) sedation (needle in the arm).
  • Evo SolutionTM is not designed for people with severe dental phobia, inc.: needle phobia (not needle anxiety), gag reflex, associated with taking moulds of the mouth
  • Evo SolutionTM is a precise and exacting process, where patient cooperation is essential for optimal precision implant placement, bite record taking and the prosthesis placement.
  • Evo understand that for certain patients either a general anaesthetic or intravenous sedation (IV) is essential for them to ‘get through’ this procedure. There are clinics that perform procedures where general anaesthetic or intravenous (IV) sedation is possible

Q: How long is the surgical phase (Reset Day) of the treatment?

A:
We call the surgical phase ‘Reset Day’.  The surgical phase on your reset day involves removing any teeth and placing implants, takes approximately 1 hour per jaw (upper or lower). This is followed by 30 minutes of bite calculation and impression taking.

Q: Will my new teeth look and feel like natural teeth?

A: Over time, dental implants actually become part of your mouth because they bond to your jawbone like real teeth. You can work with our expert dental technicians to perfect the shape, colour and size of your teeth so that they look completely natural.

 

Our prostheses are designed to complement the individual’s facial anatomy. Bright white teeth, for example, would most probably just look false.

You want a result where people will talk to your face, not to your teeth.

Your new teeth look and feel like natural teeth, they will also function like healthy teeth.  You’ll be able to eat whatever sensible foods you wish, with total confidence.

Q: How do I know what my teeth will look like?

A: In your Validation appointment, we will go over our extensive library of smile shades and shapes with you. As we have done these procedures thousands of times, we are very experienced at what would look best and our team will help guide you. As long as we are still able to provide stable function, we will incorporate as many of your wishes as possible.

Q: How do you ensure that my bite is correct after I get my bridges?

A: Historically, the field of occlusion (the bite) in dentistry has been dominated by subjective analysis and ‘patient feel’ to diagnose and treat problems related to the bite.
Articulating paper is an occlusal indicator that only shows points of contact between teeth. However, paper alone cannot provide data on the level of force and timing of when the teeth come together. At Evo we use Tekscan pressure mapping, force measurement & tactile sensors to gather digital bite force data, pinpoint occlusal interferences and quickly remove them with greater accuracy than ever before. This is critical in the long-term performance of your prosthesis and as such will be subject to ongoing checks at your all-essental Annual Maintenance appointments.

Q: What foods can I eat after surgery (Reset Day)?

A: Immediately after receiving your fixed teeth prosthesis, you can eat all foods you can cut easily with a fork. Chewing forces should be kept relatively gentle in the first 4 months following surgery to allow your jawbone to bond firmly with the implants.
Once we have done our final checks at 6 months after implant placement and we are sure your implants have fully integrated with your jawbone, you may move on to more adventurous foods like chewing steaks and biting apples! Our food recommendations for the first 4 months include fish, chicken, pasta, chips, mashed and boiled potatoes, and eggs. Your Evo team will give you specific instructions for your case.

Q: What if I have a problem?

A: Evo has treated thousands of patients and due to the nature of our exacting and predictable procedures, serious issues are extremely rare.
However, you can rest assured that we are here for you. If you have any problems, contact us and we will be only too happy to help and reassure you.
Your health, well-being and overall satisfaction are our number one priority. That is why we have thousands of happy patients.

Q: Does Evo offer Finance for the Evo Solution™? Are there any payment plans available?

A: Yes, we do offer very competitive payment plans.
Our Finance page has more information and examples of monthly payment options available.

Q: What forms of payment does Evo accept?

A: Debit/Credit card, bank cheque, bank transfer, third-party financing (prior to surgery).

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