Frequently asked questions
At Evodental, we believe that informed patients make the best decisions. That’s why we’ve created this Frequently Asked Questions page. If you don’t see an answer to your question here. please just contact us and we’ll do our best to help.
Click on a question below to expand an answer.
Q: What is the difference between Evodental and most normal dental practices?
We ARE NOT a general practice that offers general dental services to patients (eg. check-ups, fillings, root canal treatment, single implants etc).
We ONLY perform full-arch restorations – and we have completed over 3,000 of them. This means that clinical cases must require at least one full jaw correcting with implants and fixed teeth. We will only extract teeth that cannot be saved and will turn people away if they have perfectly healthy teeth.
Q: How can you offer the Evolution Full Jaw Implant Solution for so much less than other centres offer full jaw correction procedures?
There are a few reasons for this:
- We receive special pricing from our suppliers and partners due to the amount of implants we place.
- Each of our centres have a full 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.
- At Evodental, our skilled team have perfected every phase of the procedure, allowing us to perform your surgery with greater efficiency and predictability, which 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 surgery and save £000s.
Q: Why doesn’t Evodental provide procedures that require bone grafting?
This is a very complex question! 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 scanning (which we provide for free at the consultation stage in all our centres) we can evaluate the availability, position and quality of even these small amounts of remaining bone. Newer implant techniques using pterygoid and zygomatic implants negate the need in most cases for either bone grafts or sinus lifts.
Q: Are the Evodental clinical team ‘specialists’?
No. Our team are EXPERTS. When we use this word 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 (eg. Oral Surgery, Orthodontics, Periodontics, etc). Currently, there is no specialism in Implantology. Evodental 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 Evolution Solution is not taught in any formal dental institution. This technique is unique to Evodental 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 3,000 full jaw implant reconstructions, we think it is fair to call them experts.
Q: What do the Evolution Solution implant bridges feel like?
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: Can I send my x-ray or CT scan for evaluation?
Yes, of course. Please just give us a call and we will organise this with you.
Q: How do I care for my new bridges?
We will give you detailed information in our ‘Home cleaning instructions’ leaflet. This will tell you what to do for the first week, at 4 weeks and then at 5 months. You should brush your bridges like you did your natural teeth; twice daily with the soft toothbrush we provide. Use a non-abrasive tooth gel as a toothpaste. If you have an electronic toothbrush, please do not use it on the prosthesis until instructed by the 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: How often should I have my new bridges professionally examined?
Proper maintenance is extremely important to the stability of the implants as well as the longevity of the bridge. Bridges should be professionally examined every 12 months. This examination can be done by a local dentist who is familiar with the All-on-4® procedure. Your home-care routine can also significantly influence implant success and you will receive detailed instructions on this after your surgery.
We recommend that you visit us annually so we can check how your implants are doing and that your new teeth are also performing well. We take this opportunity to carry out a thorough oral screening; checking the health of the implant, the surrounding bone and gums, and the state of your dental prosthesis (to detect any signs of wear and tear). The service includes the removal of your bridge which 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. There is a fee for the annual screening and maintenance service.
Q: How much does the Evodental annual screening and maintenance service cost and what does it include?
As part of our ongoing care, we offer an annual maintenance programme. This requires a 1-2 hour session every 12 months at one of our centres. The service is ONLY for patients who have had either one or both jaws fully rehabilitated with implants. The cost for a single jaw prosthesis screening and maintenance session is £150, or £200 for both jaws.
As part of the screening, the clinical team will perform any or all of the following: Remove the prosthesis for cleaning and evaluation in the laboratory (at the discretion of the clinician); check the health of the intraoral soft tissues to ensure they are healthy; check the implants are stable; take any necessary control x-rays to evaluate bone health; clean the implant interfaces with an air polisher (a very gentle process but may sometimes require some local anaesthesia); descale any remaining natural teeth if we feel it is needed to maintain oral health; smooth any rough surfaces on remaining teeth to protect the opposing prosthesis; refit the prosthesis and close the screw access points.
The technical team will: Clean the prosthesis with ultrasonics; examine the prosthesis under magnification for signs of cracks or flaws; record the wear on the prosthetic teeth; debride and repolish to a high finish; and change any or all fixing screws as necessary.
Q: Is there a guarantee on dental implants?
We stand by our Evolution Solution with a 5 year warranty on our dental implants, although we would expect them to last a lifetime. Failure after this timescale is usually related to health issues rather than actual implant failure. Most practices will charge extra for these services, even though the cause of this failure is sometimes due to their own error. In the rare case of implant failure during the warranty period, not only will Evodental remove the implant and replace it at no charge, but any corrective procedures required will also be performed at no extra cost. Your final PMMA bridge(s) are warrantied for a period of 3 years. Within the warranty period we will repair or replace bridges that fail due to workmanship at no charge. An annual implant examination including x-rays and regular cleanings is an absolute requirement for any warranty to apply.
Q: How do I schedule an appointment?
You can take the next step in changing your life by calling us, clicking the live chat button on the lower right side of our website, or clicking here and filling out the consultation form.
Q: My teeth are in a really bad state. Will implants still work?
We firmly believe that we can successfully treat most people with our Evolution Solution and dental implant technology. Our 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 initial consultation.
Q: Others have said I need to heal for 6-12 months before getting my permanent teeth. How can you do it within 1 day?
Our Evolution Solution uses an ‘immediate-loading’ dental implant procedure rather than the traditional 6+ 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. Although we offer this procedure if it is clinically necessary, it is less than 0.5 percent of our cases. Our patients are generally suitable for our Evo 1-Day Smile procedure, where their new teeth are fitted as a temporary PMMA bridge on the same day as their implant surgery so they are never without teeth. Their final reinforced cobalt chrome PMMA bridge is fitted at the 2-week appoinment.
Q: How can the implants be placed at the same time as removing teeth?
In most cases (although not always), 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 an arch?
An arch is either your upper (maxillary) or lower (mandibular) jaw.
Q: What is PMMA?
The first use of Poly Methyl MethAcrylate (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?
90% of our patients that have been told they are not candidates for traditional dental implant options are suitable for the Evolution Solution. Conventional approaches of placing 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 Evolution Solution 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?
The Evodental 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 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 price will not be affected by the number of implants used.
Q: Is dental implant treatment painful?
Patients often ask us if the surgery will hurt. 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?
We encourage you to talk to us about any concerns you have. We pride ourselves on being welcoming, caring, understanding, non-judgmental, professional, and extremely friendly. However our centres are not suited to treating extreme needle phobia as the use of local anaesthesia is essential in all aspects of what we do.
Q: How long is the surgery?
The surgical portion of the procedure, which 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: How many appointments does it take to complete the Evo 1-Day Smile procedure?
There are normally four appointments following the initial consultation.
Initial Consultation – CT scan, x-rays, discuss treatment options with dental implant clinician.
Appointment 1: Record taking – Impressions, bite record, measurements, pick tooth shade and shape. We take time to do all the necessary pre-planning at this stage.
Appointment 2: Surgery – Tooth extractions and placement of implants. Your new PMMA temporary bridge is fitted on the SAME DAY as the surgery. You will leave with your new teeth in place. Remember, we are not giving you a temporary converted denture. You are receiving a custom-made PMMA prosthetic.
Appointment 3: Two weeks later you return to have your custom-made cobalt chrome PMMA reinforced bridge fitted. This is your final, permanent and much stronger prosthetic bridge.
Appointment 4: Review 20-24 weeks later. Implant healing check, final tweaks and relining of fit and bite, with final sign-off.
Q: Will my new teeth look and feel like natural teeth?
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. YOU MUST LOOK LIKE YOU IN THE END! Bright white teeth, for example, would most probably just look false. The compliment we like to encourage is that you have a nice smile, not that you’ve had your teeth done!
And, not only will your new teeth look and feel like natural teeth, they will function like healthy and strong teeth too. You’ll be able to eat whatever foods you wish (sensible foods) with total confidence.
Q: How do I know what my teeth will look like?
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 much of your wishes as possible.
Q: How do you ensure that my bite is correct after I get my bridges?
Historically, the field of occlusion 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 Evodental 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 something that is critical in the long-term performance of you prosthetic and as such will be subject to ongoing checks at maintenance appointments.
Q: What foods can I eat after my surgery?
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 5-6 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 Evodental team will give you specific instructions for your case.
Q: What if something happens after I leave the centre?
Evodental has treated thousands of patients and, in our experience, serious issues are extremely rare. However, you can rest assured that we are here for you. If you have any problems after leaving us, you just need to contact us as soon as possible 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: How much does the procedure cost?
The Evo 6™ costs £12,000 for a single jaw. The All-on-4™ costs £9,990 for a single jaw. These prices include ALL aspects of the procedure. During your consultation, your clinician will go through your treatment options and costs so that you leave with your recommended treatment plan, the exact cost and the finance options available.
Q: What’s included in the cost?
Everything you need.
Q: Are there any payment plans available?
We do offer payment plans. Our Finance page has more information and examples of monthly payment options available.
Q: What forms of payment are accepted?
Debit/Credit card, bank cheque, bank transfer, third-party financing (prior to surgery).
Q: The treatment sounds fantastic, but is it out of my price range?
At Evodental, we carry out complex procedures which are at the cutting edge of dental implant work. However, thanks to our one-stop supercentres and technology, the cost of dental implants is much less than it was even a few years ago. Our costs are also directly proportional to the quality of materials we use and the expertise involved in providing our entire multi-dimensional package of care. Your new teeth could potentially last a lifetime and should be seen as this kind of investment. Your clinician will discuss all appropriate treatment options and costs with you at your consultation.
We also have finance plans available to help make treatment more affordable and fit most budgets. Your Client Coordinator will be at hand to explain the finance options to you.