Implant teeth procedure

  • Options for failing teeth

  • Implants for dentures

  • Dr Owain Rees gives his advice

Our experienced implant dentist Dr Owain Rees BDS DGDP (UK) Dip Imp Dent (UCL) takes time out to talk about the  implant teeth procedure and options when faced with multiple failing teeth in a patient.

For some it’s the final chance of a solution, desperate for help as too many failing teeth have eroded confidence and any quality of life.

Others have come at their wits’ end with unstable dentures and still more as referrals from other practitioners.

However they arrive at Dudley’s North Street Dental and Implant Clinic, central to many of their solutions is dental implant surgeon Dr Owain Rees BDS DGDP (UK) Dip Imp Dent (UCL).

Famed at the practice for his “let’s go and fix somebody” quip before undertaking surgery, Owain does just that, says principal Steven Burchell DipCDT RCS(Eng).

With more than 25 years’ experience placing implants, Owain was in the vanguard of UK implant therapy while working as a house officer in oral surgery at the Royal Shrewsbury Hospital.


Dr Owain Rees BDS DGDP (UK) Dip Imp Dent (UCL)

Very early on I was exposed to implant work and placed my first in the late ‘80s. Since then I’ve continued with a special interest in this field,” he says.

Adds Steven: “We’re incredibly fortunate to have someone of Owain’s professional stature working with us. He’s innovative, accessible, everything you’d expect of a dentist with such advanced surgical skills . . . and a genuinely nice guy to meet.”

Complex surgical cases requiring long-term solution implant options for failing teeth are all under his remit and not least, the patients who require full mouth restorations.

Although figures are improving, there are around 11 million denture wearers in the UK and it’s not just the elderly who require them. Nearly a million people aged 16 to 44 also have false teeth.

Worryingly, recent figures released by the Health and Social Care Information Centre (HSCIC) show a drop in the number of people seen by dentist. Some 22 million adults and eight million children are currently without dental care and the data reveals a decade of inertia in access to dentistry. An expected 75 per cent of them will develop periodontal (gum) problems.

Gum disease is the biggest obstacle we encounter with patients who have multiple failing teeth and is also the biggest reason for tooth loss for those aged 45-plus,” Owain confirms.

Implant teeth procedure

Implants offer options for failing teeth

It is rooted in a moral and ethical commitment. Owain explains: “There can be a number of reasons for multiple tooth failure – trauma, insufficient tooth tissue, caries, gum disease and infection – but we have to commit to a decision on which teeth are worth saving and in the light of current research findings that is very important.”

Owain explains that even a couple of native teeth can help with the care of implants and there is now a strong medical consensus they improve long-term outcomes.

What is known as ‘proprioception of teeth’ – the ability for teeth to signal to the brain how much pressure is in the bite – can stop unnatural levels of force being applied in the jaw and damaging the implant.

It’s not as simple as just taking them all out and putting in the implants as replacements for teeth,” Owain adds.

If there’s infection, we must remove it and if there’s pain we need to find its underlying cause.

If there’s gum disease we have to get it under control and establish that the patient is motivated enough to do their part with disciplined cleaning,” he says.

In the course of dealing with a multiplicity of problems, fillings, root therapy, bridges, crowns and temporary crowns may be used before oral health is achieved and the implant work can begin.

It can sometimes include a vast and complex menu of work,” adds Owain.

These days there a very few people who are not suitable for implants and those lacking enough good bone to tolerate the therapy can usually undergo a synthetic bone graft (bone augmentation) at the surgery.

Adds Steven: “Especially with implants, the surgical journey needs to be embraced by the patient. It’s different for everyone, but the results can be life-changing.”

Owain at work

Owain at work

North Street Dental Clinic Implant surgery

Our implant surgery

Owain’s recent implant dentures patients have included vivacious salsa dancer, Norma Aston, and former community midwife Vicki Ball.

Speaking about her new teeth, Norma, who had six lower implants to support a removable over-denture, said:

“Knowing that Owain was going to do the surgery was great.

My new teeth . . . I couldn’t ask for more and I’m amazed at the difference. They look so natural.“

Vicki, who had two implants to stabilise her lower over-denture, adds:

“Not to have to keep thinking about my teeth when I’m out is so good. From start to finish it took 14 weeks, but it was worth the wait.”

Implant options include:

  • Implant-supported single crowns

  • Implant-supported permanent full upper or lower arch of teeth

  • Implant-supported bridges

  • Implant-retained detachable upper and lower over-dentures

  • The ‘teeth in a day’ procedure – where a whole arch of permanently fixed teeth can be secured on implants in a single day

More about our implant dentistry


While we are comfortable to comment in our blog, we are obliged to do so in a fair and balanced way that represents ‘best practice’ in our dental profession. We also wish to point out that third party information that could be reported here, may not necessarily represent the views of North Street Dental and Implant Clinic, or be endorsed by the practice and its staff.