Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Research
  • Published:

The provision of dental implants: current practice among university and hospital specialists in restorative dentistry within the UK and Ireland

Abstract

Objectives To establish current implant practice among university and hospital restorative dental specialists in the United Kingdom (UK) and Ireland and their opinions relating to criteria for implant treatment.

Materials and methods An online questionnaire was distributed to 150 university and hospital restorative dental specialists in the UK and Ireland.

Results The response rate was 27%. Twenty-nine (70%) respondents provided implant treatment, of which 76% and 100% placed and restored implants respectively. In addition, 79% worked with oral surgeons or oral and maxillofacial surgeons as part of the implant team. Hypodontia and malignancy were cited as the main groups that qualified for NHS dental implant treatment. Irradiation, smoking and bisphosphonates were considered the most important medical factors in patient selection for implant placement, while untreated periodontitis, poor oral hygiene and uncontrolled caries were the most important dental factors.

Conclusions The majority of responding university and hospital restorative dental specialists within the UK and Ireland provide dental implant treatment and undertake a multidisciplinary approach where necessary. There is variation in the number of patients treated with implants by each respondent annually. The main patient groups that receive priority for NHS dental implant treatment are malignancy and hypodontia. Otherwise, there is general agreement about the factors considered important when selecting patients for implant treatment on the NHS and this aligns to the Royal College of Surgeons guidelines on selecting patients for the provision of dental implants.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Royal College of Surgeons of England. Guidelines for selecting appropriate patients to receive treatment with dental implants: Priorities for the NHS. 2012. Online information available at www.rcseng.ac.uk/-/media/files/rcs/fds/publications/implant-guidelines-20121009_final.pdf (accessed July 2018).

  2. Jung R E, Zembic A, Pjetursson B E, Zwahlen M, Thoma D S. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012; 23: 2-21.

  3. Marx R E, Morales M J. The use of implants in the reconstruction of oral cancer patients. Dent Clin North Am 1998; 42: 177-202.

  4. Vogel R, Smith-Palmer J, Valentine W. Evaluating the health economic implications and cost-effectiveness of dental implants: a literature review. Int J Oral Maxillofac Implants 2013; 28: 343-356.

  5. Sargozaie N, Moeintaghavi A, Shojaie H. Comparing the quality of life of patients requesting dental implants before and after implant. Open Dent J 2017; 11: 485-491.

  6. Muller K, Morais J, Feine J. Nutritional and anthropometric analysis of edentulous patients wearing implant overdentures or conventional dentures. Braz Dent J 2008; 19: 145-150.

  7. Morais J A, Heydecke G, Pawliuk J, Lund J P, Feine J S. The effects of mandibular two-implant overdentures on nutrition in elderly edentulous individuals. J Dent Res 2003; 82: 53-58.

  8. Thomason J M, Kelly S A, Bendkowski A, Ellis J S. Two implant retained overdentures - a review of the literature supporting the McGill and York consensus statements. J Dent 2012; 40: 22-34.

  9. Arcuri M R, LaVelle W E, Higuchi K W, Svec B R. Implant-supported prostheses for treatment of adults with cleft palate. J Prosthet Dent 1994; 71: 375-378.

  10. Andrews K V, Penny J R, King P A. Are patients referred for NHS-funded dental implant treatment being selected in accordance with national guidelines and subsequently funded by their primary care trust? Ann R Coll Surg Engl 2010; 92: 512-514.

  11. Butterworth C J, Baxter A M, Shaw M J, Bradnock G. The provision of dental implants in the National Health Service Hospital dental services - a national questionnaire. Br Dent J 2001; 190: 93-96.

  12. Beddis H P, Durey K A, Chan M F W Y. Survey of consultants in restorative dentistry in the UK regarding ongoing care of patients provided with dental implants. Br Dent J 2017; 223: 255-260.

  13. Cook C H, Heath F, Thompson R L. A meta-analysis of response rates in web- or internet-based surveys. Educ Psychol Measurement 2000; 60: 821-836.

  14. Cowpe J, Barnes E, Bullock A. Skill-mix in dental teams in Wales. Vital 2013; 10: 38-43.

  15. Eckert S E, Choi Y G, Sanchez A R, Koka S. Comparison of dental implant systems: quality of clinical evidence and prediction of 5-year survival. Int J Oral Maxillofac Implants 2005; 20: 406-415.

  16. Gotfredsen K, Carlsson G E, Jokstad A et al. Implants and/or teeth: consensus statements and recommendations. J Oral Rehabil 2008; 35 Suppl 1: 2-8.

  17. The Faculty of General Dental Practice UK. Training standards in implant dentistry. 2016. Online information available at www.fgdp.org.uk/sites/fgdp.org.uk/files/docs/in-practice/fgdp%20implant%20training%20standards%202016.pdf (accessed July 2018).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jann Siew Chin.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chin, J., Rees, J. & Addy, L. The provision of dental implants: current practice among university and hospital specialists in restorative dentistry within the UK and Ireland. Br Dent J 228, 39–43 (2020). https://doi.org/10.1038/s41415-019-1112-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41415-019-1112-y

This article is cited by

Search

Quick links