(02) 9159 3764
Book NowjustSMILE is located at Unit 4/160 Ramsgate Rd, Ramsgate Beach NSW 2217. While we are not located in Erskineville, we welcome and regularly treat patients from Erskineville and the surrounding areas.
justSMILE provides dental implant treatment for patients from Erskineville and surrounding suburbs who are looking for a long-lasting replacement for missing or damaged teeth. Whether you are missing a single tooth, several teeth, or need an implant-supported bridge, we offer a range of implant options tailored to your situation.
Dr Abir Rammo (Registered Dental Practitioner, DEN0001302332) assesses each patient individually to determine the most suitable implant approach. If you would like to find out whether dental implants could work for you, call us at (02) 9159 3764 to arrange a consultation.
What Are Dental Implants?
A dental implant is a titanium post that is surgically placed into the jawbone to replace the root of a missing tooth. Once the implant integrates with the bone (a process called osseointegration), a custom-made crown, bridge, or denture is attached on top. The result is a replacement tooth that looks, feels, and functions similarly to a natural tooth.
Because the implant sits in the jawbone, it stimulates the bone in the same way a natural tooth root does. This may help reduce the bone loss that typically occurs after a tooth is removed. Unlike a bridge, an implant does not require grinding down the teeth on either side of the gap.
Which Implant Option Is Right for You?
The right approach depends on how many teeth you have lost, where the gap is, and the condition of your jawbone and gums. During your consultation, these factors are assessed so we can recommend the option that makes the most sense for your situation.
Single Tooth Implants
A single implant replaces one missing tooth. A titanium post is placed into the jawbone, and a crown is attached once the implant has integrated with the bone. The crown is matched to the colour and shape of your surrounding teeth.
A single implant works well if you are dealing with:
- One missing tooth from decay, damage, or extraction
- A gap that is affecting your bite or making chewing difficult
- Adjacent teeth that are starting to shift into the empty space
- Bone loss at the site of the missing tooth
The main advantage over a bridge is that your neighbouring teeth are left completely intact. A bridge requires filing down healthy teeth on either side of the gap to support the restoration, which is best avoided if possible.
Multiple Tooth Implants
If you have lost two or more teeth next to each other, an implant-supported bridge is usually the most practical approach. Two or more implants are placed in the jawbone to support a bridge that spans the gap. You do not need a separate implant for every missing tooth, just enough to support the bridge securely.
This option suits patients who have:
- Several adjacent missing teeth
- A removable partial denture that feels loose or uncomfortable
- Difficulty chewing properly on one side
- Bone loss from having multiple teeth missing for an extended period
How many implants you need depends on the size and location of the gap. This is something that gets worked out during the planning stage using 3D imaging.
Implant-Supported Dentures
If you currently wear a conventional denture and find it moves around when eating or speaking, implant-supported dentures offer a more stable alternative. The denture clips onto implants placed in the jawbone, so it stays firmly in place.
Implant-supported dentures are worth considering if you experience:
- Dentures that slip, click, or shift when you eat or talk
- Sore patches or discomfort from conventional dentures
- Reduced chewing ability with your current dentures
- A desire for more stability without committing to a fully fixed restoration
You can choose either a removable version (which you take out for cleaning) or a fixed version, depending on your preferences and clinical situation.
Signs You Might Need a Dental Implant
You may not always be sure whether an implant is the right next step. Here are some common situations where implants are worth considering:
- A tooth has been extracted and the gap has not been filled
- A tooth is cracked, fractured, or decayed beyond the point where a crown or filling can save it
- You have a loose tooth that is likely to need extraction
- Teeth next to a gap have started to shift or tilt
- You have a bridge that is failing or causing problems with the supporting teeth
- Your partial denture is uncomfortable, loose, or you find yourself avoiding certain foods
- You have noticed changes to your bite since losing a tooth
- Bone loss is visible on X-rays at the site of a missing tooth
If any of these apply to you, a consultation can help determine whether an implant is the most appropriate solution or whether another approach would work better.
What Happens If You Do Not Replace a Missing Tooth?
A single missing tooth might not seem urgent, especially if it is not visible when you smile. But leaving a gap untreated can lead to a series of changes over time:
- Bone loss: The jawbone at the site of the missing tooth begins to shrink because it is no longer stimulated by a tooth root. This bone loss is gradual but ongoing.
- Teeth shifting: The teeth on either side of the gap and the opposing tooth can drift or tilt into the space, changing how your teeth come together.
- Bite changes: As teeth shift, your bite can become uneven. This may cause uneven wear on other teeth, jaw discomfort, or difficulty chewing.
- Further tooth loss: Teeth that have tilted out of position are harder to clean and more susceptible to decay and gum disease.
- Facial changes: Significant bone loss, particularly from multiple missing teeth, can change the shape of the lower face over time.
None of these changes happen overnight, and not every missing tooth will cause all of them. But the longer a gap is left, the more complicated and costly treatment can become. If you are from Erskineville and have been putting off dealing with a missing tooth, it is worth having a conversation about your options sooner rather than later.
Comparing Your Tooth Replacement Options
There are three main ways to replace missing teeth: implants, bridges, and dentures. Each involves different trade-offs, and what works best depends on your situation, priorities, and budget.
| Factor | Dental Implants | Dental Bridges | Conventional Dentures |
|---|---|---|---|
| What they are | Titanium posts placed into the jawbone, topped with a crown, bridge, or denture | Replacement teeth anchored by crowns on the adjacent natural teeth | Removable replacement teeth that rest on the gums (full or partial) |
| Surgery required | Yes, a surgical procedure under local anaesthetic | No | No |
| Treatment time | 3 to 9 months (including healing) | Typically 2 to 3 weeks | Shortest treatment time |
| Effect on adjacent teeth | Does not require alteration of neighbouring teeth | Requires filing down adjacent healthy teeth to support the bridge | Does not require alteration of adjacent teeth |
| Stability | Fixed in place, does not move | Fixed in place | May feel less stable, particularly when eating or speaking |
| Jawbone preservation | Stimulates the jawbone, which may help reduce bone loss | Does not prevent bone loss under the replacement tooth | Does not prevent bone loss in the jaw |
| Maintenance | Brush and floss as with natural teeth; regular dental visits | Careful flossing under the bridge; regular dental visits | Remove daily for cleaning; may need periodic adjustments |
| Relative cost | Higher upfront cost | Generally lower than implants | Generally the lowest cost option |
| Longevity | Implant post may last decades; crown typically 10 to 15 years | Typically 5 to 15 years before replacement | May need relining or replacement every 5 to 10 years |
The most appropriate option depends on the number and location of missing teeth, bone and gum health, overall health, budget, and your preferences. During your consultation, these factors are assessed to work out what suits you.
Am I a Good Candidate for Dental Implants?
Most adults with missing teeth are potential candidates for implants. Some patients who have been told elsewhere that they are not suitable may still have viable options after a thorough assessment.
| Generally Suitable | Requires Assessment and Possible Preparatory Treatment |
|---|---|
|
|
This table provides general guidance only. Suitability is determined through individual clinical assessment including 3D imaging and a review of your medical history. If you are from Erskineville and have been told elsewhere that you are not a candidate, it is worth arranging a consultation to discuss your specific situation.
The Dental Implant Procedure Step by Step
The implant process takes several months and involves a few different stages. The timeline depends on your bone quality, whether you need any preparatory work, and how your body heals.
| Stage | Typical Timeframe | What Happens |
|---|---|---|
| 1. Consultation and planning | First visit | Dr Abir Rammo examines your teeth, gums, and jawbone using clinical assessment, digital X-rays, and 3D scans. Your medical history is reviewed, and treatment options, expected timeline, costs, and risks specific to your case are discussed. |
| 2. Preparatory procedures (if needed) | Varies (may add 3 to 6 months) | Some patients require bone grafting, a sinus lift, gum disease treatment, or tooth extraction before an implant can be placed. These procedures create the conditions needed for the implant to integrate properly. |
| 3. Implant placement | 1 to 2 hours per implant | The titanium implant post is placed into the jawbone under local anaesthesia. A small incision is made in the gum, a precise space is prepared in the bone, the implant is positioned, and the gum tissue is sutured closed. A temporary restoration may be provided. |
| 4. Healing and osseointegration | 3 to 6 months | The implant integrates with the surrounding bone. Lower jaw implants typically heal in 3 to 4 months; upper jaw implants take 4 to 6 months as the bone is naturally less dense. During this time, a temporary restoration may be worn. |
| 5. Abutment and final restoration | 1 to 2 visits | An abutment (connector piece) is attached to the implant. Impressions are taken, and a custom crown, bridge, or denture is made to match the colour, shape, and alignment of your natural teeth. The final restoration is then fitted. |
Total treatment time from consultation to final restoration is typically 3 to 9 months, depending on individual factors. If preparatory procedures such as bone grafting are required, this may extend the timeline.
Does Getting a Dental Implant Hurt?
This is one of the most common concerns. Understanding what to expect can help reduce anxiety about the procedure.
During the Procedure
The area is completely numbed under local anaesthesia before the procedure begins. You do not feel the procedure, though you may feel pressure or vibration as the implant is placed. For patients who experience dental anxiety, sedation options are available:
- Oral sedation: A tablet taken before the appointment to help you relax
- Nitrous oxide: Delivered through a mask to reduce anxiety during the procedure
- IV sedation (twilight sedation): Medication delivered through a drip, allowing you to remain in a deeply relaxed, semi-conscious state
If sedation is used, you will need someone to drive you home from the appointment.
After the Procedure
Some discomfort after implant surgery is normal. Most patients describe it as similar to that following a tooth extraction. What to expect:
- Pain: Mild to moderate discomfort for 3 to 7 days, usually worst in the first 48 hours. Managed with over-the-counter or prescribed pain relief.
- Swelling: Common around the surgical site, usually peaks at day 2 to 3 then gradually subsides. Ice packs during the first 24 hours help.
- Bruising: May occur and typically resolves within 7 to 10 days.
Detailed post-operative instructions and appropriate pain relief are provided. Contact the practice if pain worsens after the first few days, as this may need assessment.
Recovery and Getting Back to Normal
Recovery varies between individuals, but most people follow a similar timeline.
| Period | What to Expect | What to Do |
|---|---|---|
| First 24 to 48 hours | Swelling begins, mild bleeding or oozing, discomfort as anaesthetic wears off | Rest and avoid strenuous activity. Apply ice packs (20 minutes on, 20 minutes off). Eat only soft, cool foods. Avoid hot foods, alcohol, smoking, and straws. Take prescribed medications as directed. After the first 24 hours, begin gentle warm salt water rinses. |
| Days 3 to 7 | Swelling peaks then begins to subside, discomfort eases gradually | Continue gentle salt water rinses after meals. Gradually reintroduce soft foods, avoiding the surgical site. Most patients return to work within 2 to 3 days. |
| Weeks 2 to 4 | Swelling and bruising resolve, sutures removed around day 7 to 10 | Resume normal eating gradually, avoiding very hard or sticky foods at the implant site. Resume regular oral hygiene, being gentle around the area. |
| Months 2 to 6 | Osseointegration progresses (the implant fuses with the jawbone beneath the gum line) | Attend scheduled follow-up appointments. Maintain careful oral hygiene. Avoid placing excessive force on any temporary restoration. |
When to contact us: Contact justSMILE if you experience severe pain that worsens after the first few days, heavy or persistent bleeding, swelling that increases after day 3, signs of infection (pus, fever, increasing redness), or numbness that persists beyond 24 hours.
Dental Implant Costs for Erskineville Patients
Dental implant treatment is a significant investment. The cost depends on the number of implants, the type of restoration, and whether any preparatory procedures are needed.
In Australia, a single dental implant (including the post, abutment, and crown) typically costs between $3,500 and $7,000. Multiple implants or implant-supported bridges cost more depending on the number of implants and the span of the restoration. The variation depends on several factors:
- Number of implants: Each additional implant adds to the total cost
- Restoration type: A single crown costs less than a multi-unit bridge or implant-supported denture
- Preparatory procedures: Bone grafting, sinus lifts, or extractions add to the total if required
- Materials: The type of crown (porcelain, zirconia) affects the final cost
We provide a detailed written treatment plan covering all stages and costs before you commit to proceeding, so there are no surprises.
- Transparent quotes: A written breakdown covering every stage is provided at consultation
- Flexible payment plans: Treatment costs can be spread over time
- Private health insurance: Itemised invoices are provided for insurance claims where applicable
- Staged treatment: Where clinically appropriate, treatment can be staged to manage costs
- No obligation: You have time to consider your options after the consultation without pressure
Understanding the Risks
Like any surgical procedure, dental implant placement carries risks. These are discussed in detail during your consultation, but the main ones include:
- Implant failure: The implant may not integrate with the bone. If this occurs, the implant is removed and a replacement may be attempted after healing.
- Infection: May occur at the surgical site during healing. Signs include increasing pain, swelling, pus, or fever.
- Nerve damage: Can cause numbness or tingling in the lower lip, chin, tongue, or teeth. Usually temporary, but permanent damage is possible in rare cases.
- Sinus complications: Upper jaw implants carry a small risk of sinus cavity involvement, particularly for back teeth.
- Bone loss around the implant: Can occur over time due to infection (peri-implantitis), excessive force, or inadequate home care.
- Damage to adjacent structures: Surrounding teeth or blood vessels may be affected during surgery.
Certain factors increase risk:
- Smoking (significantly increases implant failure rates)
- Uncontrolled diabetes
- Osteoporosis or bone disorders
- Certain medications (anticoagulants, bisphosphonates, immunosuppressants)
- Active gum disease
- Teeth grinding or clenching
These risks and any factors specific to your case are discussed during consultation. If you have any of these risk factors, we can discuss whether implants remain appropriate and how to manage the risk.
Looking After Your Dental Implant
Long-term implant success depends on proper ongoing care. The good news is that caring for an implant is similar to caring for natural teeth.
Daily home care:
- Brush twice daily with a soft toothbrush, paying attention to the gum line around the implant
- Floss daily using implant-specific floss, interdental brushes, or a water flosser
- Use a non-abrasive toothpaste to avoid scratching the crown surface
Professional care:
- Attend check-ups and professional cleans every 6 months at our Ramsgate Beach practice
- The implant, surrounding bone, and gums are monitored for early signs of complications
- X-rays are taken as needed to assess implant stability
Lifestyle considerations:
- Avoid chewing ice, hard lollies, or very hard foods that could damage the crown
- If you grind your teeth, a nightguard is recommended to protect both the crown and the implant
- Avoid smoking, as it significantly increases the risk of implant complications and peri-implantitis
With proper care, the titanium implant post can last for decades. The crown typically needs replacement after 10 to 15 years due to normal wear. Longevity varies between individuals and depends on oral hygiene, bone health, overall health, and lifestyle factors.
Why Patients from Erskineville Choose justSMILE
Patients come from Erskineville and surrounding areas for implant treatment. Here is why:
- Implant treatment provided: Dr Abir Rammo (DEN0001302332) provides dental implant treatment at justSMILE, from single tooth replacements to implant-supported bridges. Consultation, surgery, and the final restoration are all completed at this practice.
- Full in-house treatment: You are not referred elsewhere for different stages of the process.
- Nobel Biocare implant system: justSMILE uses Nobel Biocare titanium implants, one of the most widely used and researched implant systems available.
- Digital planning: 3D imaging and Digital Smile Design technology are used to plan implant placement with precision before surgery begins.
- Clear communication: Treatment options, expected timeline, costs, and realistic outcomes are explained clearly. No overselling or pressure.
- Transparent pricing: A detailed written quote covering all stages is provided at consultation, with no hidden costs. Flexible payment plans are available.
- Convenient location: Ramsgate Beach is accessible from Erskineville and surrounding suburbs.
Dental Implant Consultations for Patients from Erskineville
To find out whether dental implants could work for you, contact justSMILE to arrange a consultation. All consultations and treatment take place at our Ramsgate Beach practice. During this appointment, your jawbone, oral health, and overall health will be assessed, treatment options discussed, and realistic expectations set.
justSMILE
Unit 4/160 Ramsgate Rd, Ramsgate Beach NSW 2217
Phone: (02) 9159 3764
All consultations and treatment are provided at our Ramsgate Beach practice, not in Erskineville.
