Information for Dentists

Why choose SDIC?

Solihull Dental Implant Centre (SDIC) was established to allow patients and dentists to benefit from an implant team with the experience and expertise to provide an excellent standard of care.

Our Philosophy is to work in partnership with our referring colleagues to provide high quality comprehensive dental implant therapy in a professional and caring manner. To educate and enhance dentist and patient awareness and understanding of dental implant therapy.

How we can help

By working with referring colleagues we can provide a comprehensive package of care in a hospital based environment offering security and confidence that patients demand and expect in implant treatment.

Our services

1. Diagnosis and Treatment Planning – An experienced team with access to digital imaging and CT scanning and close liaison with experienced laboratories allows accurate diagnosis and management of simple and the more challenging cases involving hard and soft tissue deficiencies and those of a high aesthetic demand.
2. Complete surgical and restorative management from start to finish
3. Surgical implant placement – for colleagues who wish to restore their patients in their own practices
4. Bone and soft tissue augmentation and major bone grafting – to manage the severely resorbed mandible, maxilla or partial edentulous alveolar ridge, using the latest Guided Bone and Tissue Regeneration techniques and harvesting bone from intra and extra oral sites.
5. Managing the failing dentition – full mouth rehabilitation of the failed dentition with implant supported prosthesis
6. Managing failing implants – repairing / rebuilding hard and soft tissue architecture associated with failing/failed implants to enable restoration.
7. LA / GA / Sedation services to manage simple and extensive treatments and manage the anxious patient.

Our Referral Standards

1. To ensure the highest level of service and professional care for our referring colleagues and patients.
2. Effective communication, from initial referral to discharge, working with our referring colleagues and only providing care and treatment that has been mutually agreed.
3. Consent – detailed written treatment plans and estimates of fees prior to treatment commencement.
4. Follow up care – when in the rare circumstances a complication may occur or should our referring colleague or patient have any particular concern with any aspect of treatment provided, we will ensure a quick and comprehensive response.

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Meet the team

Dr Mohammed. Binamin BDS DRDP MMedSci (Implantology) Principal Dental & Implant surgeon
Bini is the principal of a dental practice in Knowle and also works in the Maxillofacial Department at Solihull Hospital. He has extensive experience in placing and restoring implants and has completed a Masters degree in implantology.
He also sees patients at Solihull Hospital.

Mr Keith Webster BDS MBBS MMedSci FDS FRCS FRCS(OMFS) Consultant Oral & Maxillofacial Surgeon
Keith is based at University Hospital Birmingham, Solihull Spire Parkway. He has extensive experience in intra-oral and extra-oral implantology from his work in head and neck cancer.
He also sees patients at Solihull Hospital & at Spire Parkway

Our Team are delighted that you have chosen them to enhance your smile. From the moment you walk through the door, we will endeavour to provide the highest level of care and service. The centre has been designed with your comfort uppermost in our minds. You will receive a warm welcome from out team, who will put your wishes and desires first.

We are a team of dedicated implant surgeons who are committed to the highest standards of care and who strive to maintain the highest standards in implant dentistry.

We are confident that your visit to the centre will be relaxing and comfortable and we aim to meet the expectations that advanced implant treatment can provide.

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Department of Maxillofacial Surgery Solihull Hospital

The Solihull Dental Implant centre at Solihull Hospital is an outpatient Implant clinic providing an advanced private referral centre for all stages of dental implant treatment.

Having your patient treated in a modern hospital environment provides you with the reassurance of a clinical setting where you are guaranteed the highest level of care and expertise. The Department and staff undertake rigorous training and works to exceptional standards of patient care and cleanliness.

Your referred patients are supported with high levels of equipment and standards, and the 24 hour support and follow up that may not be available in other settings. All members of staff have undergone specific training in implant surgery and the equipment used is maintained and sterilised to the highest standards of cleanliness.

Clinical Governance also provides the reassurance that your implant surgeon undergoes a yearly appraisal to confirm that their surgical ability, knowledge and postgraduate training is optimal. The nursing staff will ensure that all your patients’ needs and questions are attended to you and will provide both written and verbal advice to guide your patient through implant treatment. In partnership with you we aim to establish working relationship with your implant surgeon at Solihull so that your patients treatment will be seamless, and you will be kept fully in formed at all stages of treatment.

Treatment is undertaken as an outpatient procedure under local anaesthetic or IV sedation. Following the minor surgery to place the implants your patient will then be referred back to you for the crowns or dentures or if requested this final treatment can also be provided at our centre.

We hope to provide you with a caring and reassuring environment where your and your patient’s needs and desires are placed foremost.

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Spire Parkway Hospital Solihull

The Solihull Dental Implant Centre at Spire Parkway Hospital Solihull provides an advanced referral centre for patients who require dental implants.

Having your patient treated in a modern hospital environment provides you with the reassurance of a clinical setting where you are guaranteed the highest level of care and expertise. The facilities for implant placement and minor or major bone grafting under LA or GA are not available elsewhere in Solihull or immediate surroundings.

The Hospital undertakes rigorous training of its staff and works to exceptional standards of patient care and cleanliness. Your patient is provided with high levels of customer service and aftercare standards, coupled with 24 hour support and the follow up that you can expect from a major healthcare provider such as Spire.

All members of staff have undergone specific training in implant surgery and works to the highest standards of cleanliness. Your Consultant Surgeon is both medically and dentally qualified and undertakes all the implant surgery personally. A hospital setting also provides the reassurance that your implant surgeon undergoes a yearly appraisal to confirm that their surgical ability, knowledge and postgraduate training is optimal.

The nursing staff will ensure that all your needs and questions are attended to you and will provide both written and verbal advice to guide you through implant treatment.

Your patient may need bone grafts as part of your implant treatment and Spire Parkway provides a modern operating theatre environment and in patient care for treatment under general or local anaesthetic.

Following the surgery to place the implants and bone grafts your patient will then be referred back to you for the crowns or dentures, or this can be provided at Solihull Hospital if desired.

We strive to provide you with a caring and reassuring environment where your and your patient’s needs and expectations are placed foremost.

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Dental Implant System: Clinical Coaching

Mr. Keith Webster & Dr Mohammed Binamin will present the Astra Clinical Coaching Programme for Dentists in Solihull. They will cover the basic sciences behind implant dentistry and an overview of the surgical and restorative procedures involved.

There will be 3 modular programmes aimed at providing Clinicians with the opportunity to receive theoretical and practical training on how to restore a variety of implant cases under supervision. The Clinicians will be “coached” by Mr. Webster & Dr Binamin through the process.

Clinical Coaching was created by Astra Tech to meet the recently issued “Training Standards in Implant Dentistry for General Dental Practitioners” after the Working group for Training Standards in Implant Dentistry under the chairmanship of Dr Michael Martin examined the current status of dental implant education in the UK and published their finding in July 2006.

This document suggested that GDP’s placing implants without major bone augmentation:

1. Have a detailed knowledge of the surgical anatomy of the maxilla and the mandible. The standard of this knowledge should be equivalent to that necessary for passing Dental Faculty membership examinations and ideally the practitioner should have passed one of these examinations.
2. Have a detailed knowledge of the pathological processes that occur in the maxilla and mandible.
3. Have a detailed knowledge of the radiology and radiography of the mandible and the maxilla, and how to interpret the findings from radiological examinations.
4. Understand in detail the healing processes that occur following surgery, and how to deal with post-operative complications.
5. Have a detailed knowledge of and have been trained in infection control and practical surgical aseptic techniques as applied to implant dentistry.
6. Understand the techniques involved in harvesting bone from oral sites for minor augmentation during implant placement.
7. Understand the use of exogenous bone or bone substitutes for minor augmentation in the placement of implants.
8. Understand antibiotic use in relation to implant dentistry.
9. Understand the clinical assessment of a patient’s suitability for implants, and the medical conditions that could preclude a patient from implant techniques, or complicate surgery.

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Flow Chart of Dental Implant Referral

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Single Tooth Implant placement and restoration

Case Study
A 56 year old fit and well secretary was referred by a local GDP for an implant assessment to restore a gap at the upper left lateral incisor tooth. She presented two months earlier with a lost upper left lateral incisor post crown due to a fracture of the root. This tooth was unrestorable and extracted with the provision of an immediate upper partial acrylic denture. The patient was very anxious and desperate to replace the upper denture, which was poorly tolerated.

Pre-op Radiograph showing fracture 22 root.	Pre-op view approx. 6 weeks post extraction 22 root.
Cement retained Procera implant crown.	Three months post implant placement healing at impression stage.
Abutment torqued onto implant head.	One year post op radiograph showing good bone levels with evidence of integrated implant and bone minor bone augmentation

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Bone Grafting from Mandibular Ramus

At previous extraction site there may not be sufficient bone width to accommodate an implant. The planned implant site is augmented with a cortico-cancellous bone fraft harvested from the mandibular ramus.

The graft is shaped to the buccal bone deficiency in this lateral incisor extraction site previously restored by an adhesive bridge.
The bone graft is fixed to the underlying bone using two titanium microscrews. The rest of the defect is covered with bone granules harvested at the time of cortical bone graft harvest.
At four months the graft site is exposed, the retaining screws are removed and an implant placed in the grafted area.

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Anterior Maxilla Mandibular Symphysis Block Grafts

In many cases following tooth loss a significant amount of alveolar bone may be lost thus compromising the foundation for implant placement. It is necessary to restore the hard and soft tissues as close to their original form as possible. This will enable optimum implant positioning and satisfactory restoration.

Case Study
A 31 yr old male patient was referred for the management of gaps in the maxilla. He had a history of trauma resulting in the avulsion of 12 and extraction of 21. This caused a significant bone tissue defect at these sites necessitating block grafts and bone augmentation to restore the partially dentate ridges.

Pre-op view following loss of `12 and 21. note concavities of maxillary alveolar ridge	Pre-op OPT

Harvesting of cortico-cancellous block grafts from mandibular symphisis	Fixation of block grafts to maxillary alveolus and bone augmentation using autogenous bone chips and bovine inorganic bone granules	Post-op Radiographs showing block graft in situ

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Implant Failure and Salvage

Implants may fail due to a failure to osseointegrated or may be placed in a position that is unrestorable. We are able to salvage failing implants on your behalf.

These implants have been placed to bucally to allow adequate restoration
The implants are surgically removed demonstrating bone defects requiring further grafting
Here Bio-Oss® and a resorbable membrane Bio-gide® have been used to restore the bony defect. In three months time the patient will undergo further implant placement to restore the dentition.

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Fees list

All fees are for guidance only. A complete estimate is provided prior to commencement of treatment

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