Complex Implant Treatments
at The Hub Dental Practice
In Milton Keynes

Comprehensive treatment planning is essential with every patient. But when it comes to complex implant treatment planning or even planning for a single implant, it becomes that much more critical.

Most Implant treatment is very straight forward, especially to an experienced implant Surgeon.

However there are cases, where perhaps because of the anatomy, pathology, occlusion the treatment is complicated.

In these cases, it is reassuring to know that your implant surgeon is experienced and professional.

The use of digital technology has been a godsend in the development of a predictable full-arch prosthesis and the ability to service this type of case in the event of any damage to the prosthesis.

Our Implant team

We have 4 Implant surgeons,

Dr Jaime De Castro Torres, Dr Álvaro De Castro Torres, Dr Selcuk Erkan and Dr Ezgi Cilingir





The team has, between them, many years of experience in both the straight forward and the more complex implant cases including full mouth reconstructions

The team has a wide experience of the simple and complex case and carries out all the procedures including any preliminary work like Sinus lifts and other Oral Surgery Procedures.

The team between them has placed considerably more than 2000 implants and continue to place 100's of implants a year

At least one member of the team is available EVERY day of the week.

Click Below to View CV's

Dr Jaime De Castro Torres,
Lic Odont Universidad Complutense de Mad 2011,
Dental Surgeon
GDC registration: 218178



Jaime has been with us for over 3 years. Jaime practices in both practices in Cambridge and Milton Keynes, and was attracted to apply for a position at our practice by its high reputation amongst the local dentists.

Jaime has a special interest in Implant and Cosmetic Dentistry as well as Endodontics (Root Canal Treatment

Jaime is a very experienced dentist and has placed more than 150 implants in the last 12 months.

90% of dental implants are straight forward and have a very high success rate (> 97%). Jaime is completely focused on the straight forward cases and this is why we are able to offer our implants at such a competitive price.

Jaime offers single implants, bridge and denture retained implants.

Jaime is taking a 3 year Post Graduate Masters Degree in Implant Dentistry (MClinDent). The course is part of the pathway towards "Specialist" Status.

We have a fully equipped Dental Implants Suite, with the very latest Dedicated Electric motors and all the implant paraphernalia.

As with all cross infect control procedures at the practice we operate "Best Practice" and so we "Gown Up" for implants.

Jaime offers a full range of other dental treatment, and has a reputation for being a very gentle and caring dentist.

To make an appointment please ring 01908 690326 or email us on DrTorres@Cambridgedentalcare.co.uk

Dr Alvaro (George) De Castro Torres,
Lic Odont Universidad Complutense de Mad 2013,
Dental Surgeon
GDC registration: 247015



George has been part of the team for more than 2 years. He is Jaime's brother.

George is a very experienced practitioner with Cerec and has a special interest in Cosmetic Dentistry and Facial Aesthetics.

George is taking a 3 year Post Graduate Masters in Clinical Dentistry (MClinDent) in Implant Dentistry. The course is part of the pathway towards "Specialist" Status.

To make an appointment please ring 01223 363277 or email us on George@Cambridgedentalcare.co.uk

Dr Ezgi Cilingir,
GDC registration: 262933



Dr Ezgi Cilingir is a very Professional Experienced dentist who has extensive knowledge of periodontology, restorative dentistry, dental surgical procedures and state-of-the art techniques. She has worked both as a general dentist/periodontist with both local and international patients for 10 years in some of the best and busiest private hospitals, practices and university clinics.

PhD, Periodontology (2004-2010)
Thesis Topic: Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts.
Istanbul University, Istanbul, Turkey

Publications

Malali (Cilingir) E., Kadir T. and Noyan U. (2012) Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts, Photomedicine and Laser Surgery, 30(9):543-50. doi: 10.1089/pho.2011.3202

Oktay S., Basar I., Emekli-Alturfan E., Malali (Cilingir) E., Elemek E., Ayan F., Koldas L., Noyan U. and Emekli N. (2011) Serum and saliva sialic acid in peri-odontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(2-4):67-71. doi: 10.1159/000321377

Emekli-Alturfan E., Basar I., Malali (Cilingir) E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2011) Plasma tissue factor levels and salivary tissue factor activities of periodontitis patients with and without cardiovascular disease, Patho-physiol Haemost Thromb. 2010;37(2-4):77-81. doi: 10.1159/000323418

Malali (Cilingir) E., Basar I., Emekli-Alturfan E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2010) Levels of C-reactive protein and protein C in pe-riodontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(1):49-54. doi: 10.1159/000318189

To make an appointment please ring 01908 690326 or email us on Ezgi@TheHubDentalPractice.com

Dr Selcuk Ercut

Dental Surgeon,

GDC registration: 274945



Selcuk joined us in 2018 and brings with him an amazing skill set. He is already making an impact, offering a wide range of treatments that are restricted to a small minority of implantologists.

An experienced dentist with extensive knowledge in oral surgery, implantology, restorative dentistry and state-of-the-art techniques. Worked both as a general dentist / oral surgeon in own private clinic with both local and international patients for more than 10 years in Turkey. He has also worked as an oral surgeon and implantologist in private and university clinics in Turkey.

SKILL HIGHLIGHTS ●

Aesthetic dentistry - Smile design – Pink/White aesthetics ● Fillings, Veneer, Crown, Bridges ● Oral Surgery, Implantology, Augmentation procedures ● Cone-beam Radiography and Digital X-ray techniques

WORK EXPERIENCE

Dr. Selcuk ERKUT Private Dental Clinic,
Mecidiyekoy, Istanbul, Turkey
Oral Surgeon/General Dentist
April 2009 to June 2018
● Diagnosis, treatment planning as a general dentist/oral surgeon
● Application of state - of - the - art techniques in dentistry such as
● Cone-Beam radiography, full ceramic prosthodontic procedures
● Implantology, periodontal and oral surgery procedures
● Management of dental staff and clinical finances

Esdent Private Dental Clinic, Bakirkoy, Istanbul, Turkey,
August 2008 to June 2018

Osman Nursal Private Dental Clinic,
Kadikoy, Istanbul, Turkey
January 2009 to June 2018

Monodent Private Dental Clinic,
Kadikoy, Istanbul, Turkey
March 2013 to June 2018 Diagnosis, treatment planning, implantology and oral surgery procedures as an oral surgeon at the clinic

Gulhane Military Hospital
Kadikoy, Istanbul, Turkey
Oral surgeon ( full-time )
August 2007 to August 2008
● As part of the mandatory military service

Istanbul University
Faculty of Dentistry, Istanbul, Turkey
PhD Researcher and Clinical Resident
September 2001 to June 2007

● Research in oral surgery procedures and implantology
● Multidisciplinary treatment planning
● Undertook minimum of 15 hours of dental treatment duty per week for the duration of PhD research ( 4200 hours )
● Publication of research in local and international journals
● Worked as the quality system responsible for 2 years between 2005 and 2007 for the ISO 9001-2000 quality system operations

EDUCATION

Istanbul University -
Faculty of Dentistry, Istanbul, Turkey PhD, Oral Surgery
( 2001 - 2007 )
Thesis Topic : Investigation of nitric oxide and heat shock proteins in apical granulomas and cysts

Istanbul University
Faculty of Dentistry, Istanbul, Turkey BSc, Dentistry
( 1995 – 2000 )

PUBLICATIONS

● Yıldırım S., Erkut S.
Porfiria and importance in dentistry.
Turkish Dental Journal, 50: 112-115,2003

● Aybar B., Erkut S., Yıldırım S, Bilir A,
The effects of naproxen sodium on specific parameters of L-Strain Cells over guided bone regeneration materials.
Clinical Oral Implants Research,15,709-715 (2004).

● Erkut S, Tanyel R.C, Keklikoğlu N, Yıldırım S, Katiboğlu A.B.
A Comparative Microleakage Study of Retrograd Filling Materials .
Turkish Journal of Medical Sciences 36 (2006) 113-120.

To contact please ring 01908 690326 or 01223 363277 or email us on Selcuk@TheHubDentalPractice.com

Charges for Implant Consultation

£25 for the examination + the cost of any Xrays

Free Examination for any of our patients who have had a Full Dental examination in the previous 12 months (Jaime, George and Ezgi)

Bone Grafting/Augmentation

Our implants team at The Milton Keynes Dental Implants Practice offers bone grafting/augmentation in an ultra modern and safe environment.

These are a relatively easy procedure when carried out by experience practitioners and our clinical team has a vast range of experience.

In some cases there is not enough bone to support the implant.

In these cases we add an artificial bone substrate to the area around the implant.

Basically we use artificial bone to promote the formation of real bone.

There are two main scenarios

The first is where we add bone to the area and then wait before we place the implant (a few months). The cost for this starts from £300 per implant; but we will always give to the exact price beforehand.

The second is where the bone is added at the same time that the implant is placed. The cost for this starts from £300 per implant; but we will always give to the exact price beforehand.

Guided Bone Regeneration

Guided bone regeneration (GBR) involves the use of a membrane that physically separates the osseous tissue from the soft tissue. Ridge augmentation is based on the principle that different cellular components in the tissue have varying rates of migration into a wound area during healing. By using a membrane as a mechanical barrier, fibroblasts and epithelial cells are excluded from the osseous tissue, so that only osseous cells are available to repopulate the healing area. There are several important elements to take into account when grafting a site, such as use of membranes, type of graft, space maintenance, suturing, flap release and design, site preparation, and post-operative medication.

Membranes

Without a membrane, competing cells from the soft tissue may populate the treatment area and prevent osteogenesis. Barrier membranes used in guided bone regeneration procedures can be either resorbable or non-resorbable.



Non-resorbable membranes provide a long-term barrier effect but are subject to soft tissue opening and membrane exposure, which can lead to infection, early membrane removal, and compromised results. Resorbable membranes are less prone to soft tissue opening and becoming infected but some may not function as an intact barrier for extended periods of time.



The efficacy of the membrane technique to prevent graft resorption may be due to a combination of different factors, including:

1) Prevention of fibroblast mass action;

2) prevention of contact inhibition by heterotypic cell interaction;

3) exclusion of cell-derived soluble inhibitory factors; and

4) concentration, locally, of growth stimulatory factor.

We use only the very best artificial bone and tissue substitutes. We chose these because there lots of research papers showing great results.

Sinus Lifts

Our implants team at The Milton Keynes Dental Implants Practice offers Sinus Lifts in an ultra modern and safe environment.

This is a complex procedure and our clinical team has a vast range of experience.

In the upper jaw there are sinuses about the teeth, and this is especially important above the back teeth.

As a result of perhaps gum disease, trauma or other diseases the bone between the gum and the sinus is lost and this means either that the implants have to be very small or there will be a high risk of the implant entering the sinus.

To reduce the problem a layer of bone is established in the sinus thus increasing the bone between the gum and the sinus.

CT Xray Scans



Sometimes we need to get a CT Scan (3D X-ray) and final treatment plan and costs will depend on findings. The cost of the CT scan is £95.

What are Same Day Teeth with Dental Implants (All on 4)?



Click on image above to find out more about "All On 4's"

Cortically Fixed Implants

The Cortically Fixed Implants protocol has been developed over a number of years with leading specialist engineers overcoming the challenges often faced by Dental Practitioners working with Implants alone.



The effectiveness of Implants is reliant upon good anchorage to the Jaw bone, this can often be a challenge where the bone is weak or has deteriorated. The Cortically Fixed Implants protocol sought to find a solution to improve the anchorage of fixed teeth without the need for bone grafting and sinus lifting, both these methods are highly invasive and are not without long healing periods.

The Cortically Fixed Implants protocol offers all the advantages of Implants:
Recapture your smile and your confidence
Talk freely and comfortably in the way that you used to
Rediscover your favourite foods as chewing improves
Significantly shorter healing periods (Weeks)
Effective solution for patients with weak or no bone.
It can potentially overcome challenges where other solutions are ineffective or may fail
Great alternative for patients that want to avoid bone grafting or sinus lift