Cambridge Dental Implants Practice

Open Every Day
Every Week

Cambridge Emergency Dentist

Is Available 24/7
365 days a year

Peri-Implantitis

Peri-Implantitis is an infectious disease that causes an inflammatory process in the soft and hard tissues surrounding an osseointegrated implant, leading to the loss of supporting bone.



Bone, for a variety of reasons, is lost around the dental implant. This condition generally occurs without the patient being aware of it. There are many factors on why this can happen.



Some dental implants on some patients will develop bone loss which can happen very early after having the crown put on the implant or it can happen many years down the road.



Dental implants are fantastic, but nothing is without risks. If your dentist tells you they are 100% successful and have no problems ever, I would suggest seeking another opinion.

Risk Factors

•Tobacco use
•Poorly controlled systemic conditions (e.g., diabetes mellitus, osteoporosis, post-irradiated jaws)
•History of periodontitis and noncompliance to treatment
•Poor oral hygiene
•Parafunctional habits (e.g., bruxism)
•Iatrogenic factors (e.g., lack of primary stability and premature loading during the healing period)

Signs

•Progressive increase in probing depth
•Suppurations (Pus) and exudation from peri-implant space
•Bleeding on probing
•Clinical appearance of inflamed tissue (bleeding, swelling, colour change, suppuration, and
plaque/calculus accumulation)
•Progressive loss of supporting bone on follow-up radiographs (Figs. 1 and 2): loss of supporting bone beyond 0.2 mm annually, after the expected physiologic remodelling.
•Metal thread exposure
Long tooth

Symptoms

Most patients are unaware that they have bone loss around the dental implant. Peri-implantitis generally progresses in a painless fashion. Once it is established, you may begin to develop symptoms.

•Not always symptomatic
•Pain severity: typically none
•May have dull aches, tenderness on brushing or palpation
•Bad taste: potentially noticeable if there are purulent exudates
•Increasing mobility (in cases of a failed implant)
•Lymphadenopathy

Treatment

The long-term goals are to stop the progression of the disease and maintain the implant site. Depending on the etiology of the problem, a specific treatment is selected. Appropriate management of peri-implantitis often requires referral to a periodontist.

Treatment Options include:



Control the acute bacterial infection and reduce the inflammation in the tissues through:
Mechanical debridement
Localized and/or systemic antimicrobial therapy
Improved patient compliance with oral hygiene until a healthy peri-implant site is established
Detoxify the implant surface by using mechanical devices (e.g., high pressure air powder abrasive, laser decontamination) and/or by applying chemotherapeutic agents
Perform flap management with either (or both) resective and regenerative approaches, depending on the morphology and size of the bone destruction.

Our Implant team

We have 5 Implant surgeons, Dr Jaime De Castro Torres, Dr Iyad Abou-Rabii, Dr Álvaro De Castro Torres, Dr Aaron Lopez and Dr Ezgi Cilingir.






The team has, between them, many years of experience in both the straight forward and the more complex implant cases including full mouth reconstructions

The team has a wide experience of the simple and complex case and carries out all the procedures including any preliminary work like Sinus lifts and other Oral Surgery Procedures.

The team between them has placed considerably more than 2000 implants and continue to place 100's of implants a year

At least one member of the team is available EVERY day of the week.

Charges for Implant Consultation

£25 for the examination + the cost of any Xrays
For patients seeing
Dr Jaime De Castro Torres
Dr Alvaro (George) De Castro Torres.
Dr Ezgi Cilingir

Free Examination for any of our patients who have had a Full Dental examination in the previous 12 months (Jaime, George and Ezgi.)

£65 for the examination + the cost of any Xrays
For patients seeing
Dr Aaron Lopez (Specialist Periodontist)
Dr Iyad Abou-Rabii

Our Periodontal Diseases Treatment Team in Cambridge

Dr Aaron Lopez, Specialist Periodontist

GDC registration: 190495
Lic Odont Oviedo 2008,
M.Sc in Periodontology Specialist Periodontist




Dr Aaron Lopez offers a full range of Periodontal treatments as well as simple and complex Implant Treatments

Aaron's expertise covers all aspects of periodontal care and management, and gum surgeries, He is a very friendly clinician and has years of experience in both teaching dental students and fellow professionals.

Aaron has extensive experience in treating advanced gum disease in the UK, Sweden and Spain, his experience includes all the major surgical procedures.

Employment History

Clinica Dental Opera. Work focused on aesthetic treatments. Oviedo, Spain. June 2008 - November 2009
Clinica San Lorenzo working as a general dentist. Gijon, Spain. September 2009 – August 2010
Clinica Dental Cuervo. Endodontic treatment exclusively. Oviedo, Spain. October 2009 - December 2009
Bond Street Dental Care working as a general dental practitioner (GDP). Wakefield, UK. September 2010 – August 2012
Specialist Clinic in Periodontology. Sahlgrenska Academy. Gothenburg, Sweden. January 2013 – January 2016
Clinica Dolores Garcia. Lugo. Spain. Periodontist. January 2016 - up to date

Education

Bachelor of Dental Surgery. Oviedo University. Spain. September 2003 - June 2008
Diploma in advanced Endodontic treatments. Santiago de Compostela University. Spain. 2008 - 2009
Diploma in Advanced Periodontology. Complutense University. Madrid. Spain. 2012
M.Sc in Periodontology. Gothenburg University. Sweden. January 2013 - January 2016

Membership of Professional Bodies

Member of the General Dental Council (number: 190495). Included in the Specialist list of periodontics
Member of the Swedish Dental Association. Included in the Specialist list of periodontics
Member of Medical Protection Society (number: 468687)
Member of the Spanish Dental Association (number: 27001219)
Member of the Scandinavian Society of Periodontology
Member of the Spanish Society of Periodontology
Member of the European Society of Periodontology

Awards

2013. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden Scholarship of the Swedish-Spanish Foundation for the Promotion of Education and Studies.
2014. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden

Periodontal Examination with Dr Aaron Lopez
Click for more information about Examination with Dr Aaron Lopez
Periodontal Surgery and Treatments with Dr Aaron Lopez
Click for more information about Periodontal Surgery and Treatments with Dr Aaron Lopez
To make an appointment please ring 01223 363277 or email us on aaron@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack

Dr Giovanni Marras, Practice Limited to Periodontics

GDC registration: 253205
Practice Limited to Periodontics




Dr Giovanni Marras offers a full range of Periodontal treatments, and is available on both Saturdays and Sundays

Giovanni's expertise covers all aspects of periodontal care and management, and gum surgeries, He is an extremely approachable clinician.

Giovanni has extensive experience in treating advanced gum disease in the UK, Isle of Mann and Italy, his experience includes all the major surgical procedures.

Employment History

Dentist June 2015 to Present

Tracey Bell Dental
Castletown, Douglas (Isle of Man) !

Periodontal Disease Treatment Experience

• Wide experience in the Treatment of Aggressive Periodontitis;
• Wide experience in Microbiological tests when needed;
• Wide experience in the Performing Non Surgical Periodontal Therapy;
•Wide experience in the Re-evaluating and deciding the need of Surgical Therapies;
• Wide experience performing Resective Therapy;
• Wide experience performing Regenerative Therapy;
• Wide experience performing Conservative Therapy;
• Wide experience performing Gingivectomy;
• Wide experience performing, assessing and treating Endo-Perio Lesions;
• Wide experience performing crown lengthening procedures;

EDUCATION

Bachelor (Honours) Degree in Dentistry. University of Sassari Grade: 1st.

Graduation thesis: Implant restoration of edentulous jaws with 3D software planning, guided surgery, immediate loading and CAD/CAM full-arch frameworks. A prospective case series study.

Periodontal Examination with Dr Giovanni Marras
Click for more information about Examination with Dr Giovanni Marras
Periodontal Surgery and Treatments with Dr Giovanni Marras
Click for more information about Periodontal Surgery and Treatments with Dr Giovanni Marras
To make an appointment please ring 01223 363277 or email us on Giovanni@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack

Dr Ezgi Cilingir, Practice Limited to Periodontics

GDC registration: 262933
Practice Limited to Periodontics




Employment History

Dr Ezgi Cilingir is a very Professional Experienced dentist who has extensive knowledge of periodontology, restorative dentistry, dental surgical procedures and state-of-the art techniques. She has worked both as a general dentist/periodontist with both local and international patients for 10 years in some of the best and busiest private hospitals, practices and university clinics.

Qualifications and Degrees

PhD, Periodontology (2004-2010) Thesis Topic: Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts. Istanbul University, Istanbul, Turkey

Publications

Malali (Cilingir) E., Kadir T. and Noyan U. (2012) Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts, Photomedicine and Laser Surgery, 30(9):543-50. doi: 10.1089/pho.2011.3202

Oktay S., Basar I., Emekli-Alturfan E., Malali (Cilingir) E., Elemek E., Ayan F., Koldas L., Noyan U. and Emekli N. (2011) Serum and saliva sialic acid in peri-odontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(2-4):67-71. doi: 10.1159/000321377

Emekli-Alturfan E., Basar I., Malali (Cilingir) E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2011) Plasma tissue factor levels and salivary tissue factor activities of periodontitis patients with and without cardiovascular disease, Patho-physiol Haemost Thromb. 2010;37(2-4):77-81. doi: 10.1159/000323418

Malali (Cilingir) E., Basar I., Emekli-Alturfan E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2010) Levels of C-reactive protein and protein C in pe-riodontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(1):49-54. doi: 10.1159/000318189

Periodontal Examination with Dr Ezgi Cilingir
Click for more information about Examination with Dr Ezgi Cilingir
Periodontal Surgery and Treatments with Dr Ezgi Cilingir
Click for more information about Periodontal Surgery and Treatments with Dr Ezgi Cilingir
To make an appointment please ring 01223 363277 or email us on Ezgi@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack

Periodontal Surgery Choices:

We offer a full range of Periodontal Surgery Options:

Pocket Reduction Procedures

Gum tissue is folded back so that bacteria and damaged bone can be removed. The tissue is then secured back in place.

Regenerative Procedures

Membranes, bone grafts and proteins that stimulate tissue growth are used to regrow healthy bone and gum tissue.

Crown Lengthening

Removing excess gum tissue and/or bone to expose more of a tooth. This can also be used to correct a “gummy smile.”

Soft Tissue Grafts

Used to cover roots or grow new gum tissue where tissue has receded. These techniques are typically combined with non-surgical treatments to restore your gums to health.

Regenerative Procedures

Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.


Your dentist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.

During this procedure, Your dentist folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue.

Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease. With a combination of daily oral hygiene and professional maintenance care, you'll increase the chances of keeping your natural teeth – and decrease the chances of other health problems associated with periodontal disease.

Crown Lengthening

Crown lengthening is a procedure that re-contours the gum and often the underlying bone surrounding one or more teeth so that an adequate amount of healthy tooth is exposed.

Before, During and After Crown Lengthening

This procedure is prescribed by your general dentist in order to fit a proper crown or filling.

Crown lengthening provides the necessary space between the supporting bone and the new restoration, preventing it from damaging your gum tissues and bone.

This procedure can also be used to improve a “gummy” smile where the teeth appear short because of excessive gum tissue.

Select areas of gum tissue can be removed to expose more of your natural tooth and improve the look of your smile.

Click to View/Download our Crown Lengthening Leaflet

Soft Tissue Graft Surgery

Exposed tooth roots are the result of gum recession.

Gum graft surgery will repair the defect and help to prevent additional recession and bone loss.

Before and After Gum Graft Surgery

Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession.

Before and After Gum Graft Surgery

During gum graft surgery, The dentist takes gum tissue from your palate or another donor source to cover the exposed root.

Before and After Gum Graft Surgery

This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

What are the benefits of gum graft surgery?

A gum graft can reduce further recession and bone loss.

In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve esthetics of your smile.

Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health.

These are the keys to smiling, eating and speaking with comfort and confidence.