Surgery Day

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

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 suggest you consider attending Dental Hospital as specifically trained to help. For patients who are anxious or nervous we offer two types of sedation:

• Oral Sedation – This is medication dissolved in water taken before and during the procedure. This can be used in addition to local (needle in gum) anaesthetic.
• Intravenous Sedation (IV) – This is via a needle in the arm, again this is in an addition to local (needle in gum) anaesthetic.

Both these options allow the patient to be awake and able to communicate with the clinicians. The EvoSolutionTM is a precise and exacting process, where patient cooperation is essential for optimal precision implant placement, bite record taking and the prosthesis placement.

Both options also create a amnesic effect where the patient may experience a partial or total loss of the procedure, even though during they are able to communicate.

We do not provide general anaesthetic sedation for the EvoSolutionTM for good reason:

• General Dental Council advice at the moment advises General Anaesthetic should only be available in a hospital and at EvoDental we agree.

Although we can reassure and talk you through every step of the process and have many years of experience in helping nervous patients through our procedure, EvoSolutionTM is not designed for people with severe dental phobias such as sever needle phobia (not needle anxiety), severe gag reflex (associated with taking moulds of the mouth). We understand that for certain patients a general anaesthetic is essential for them to ‘get through’ this procedure. There are clinics that perform procedures where general anaesthetic is used, but we do not.

Immediately after receiving your fixed teeth prosthesis, you can eat all foods which can easily be cut 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.

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-essential annual maintenance appointments.