A thorough medical and social history will be taken, you will be encouraged to highlight your concerns and expectations and these will be noted and as far as possible accommodated.
The condition of the jaws and any remaining teeth will be assessed for suitability and the treatment planned using X-ray films, photographs and models of the teeth. It may be necessary to take a Jaw Scan (CT) type X-ray to check the amount and position of the available bone. The final decision whether or not to proceed with implant placement will be made at the time of surgery and will be determined by the quality and quantity of the jawbone.
In the upper jaw it is important to ascertain the size and position of the air sinuses and nasal cavities prior to implant insertion. Occasionally the dental implants may have to be placed slightly into the sinus or nasal cavity. Usually this is not noticeable but there may be a slight nasal discharge with a small amount of temporary bleeding. In the lower jaw it is also important to ascertain the position and path of a major nerve that runs in the lower jawbone, all precautions will be taken to prevent violation of this nerve. The implants may be placed under the gum and so will not be visible in the mouth. Occasionally part of the implant may be placed above the bone level and may be visible through the gum, this depends on the system and type of implant used.
Once the assessment is completed the available options, relative risks, benefits and their relative costs would be fully discussed with you, findings from your assessment and the points from the discussion would be put on paper as a permanent record. Through out the journey you will be encouraged to ask questions and they would be answered to your satisfaction.