More Than A Smile
More Than a Smile is the podcast from Andrew Scott Dental Care, where we have honest, relaxed conversations about oral health, confidence and wellbeing.
Hosted by Pete and Jodie, each episode explores the topics people are often curious about, but don’t always ask about. From dental anxiety and smile makeovers to women’s health, oral hygiene and sports dentistry, the series brings together expert advice, real patient stories and the people behind the practice.
Warm, approachable and jargon-free, More Than a Smile is designed to help you feel more informed, more confident, and a little less nervous about visiting the dentist.
More Than A Smile
Episode 5 - Dental Implants
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
In this final episode, Pete and Jodie are joined by Andrew Scott and patient Lorraine to explore the world of dental implants and replacing missing teeth.
From common misconceptions and fears to the life-changing impact implants can have on confidence, eating and everyday life, they discuss what implant treatment actually involves and why it's often much more straightforward than people imagine.
Lorraine shares her own experience of treatment, including what prompted her to take the first step, the concerns she had beforehand, and the difference it's made to her life since.
Plus, in Tooth Be Told, Andrew looks back on over 25 years of implant dentistry—including the story of his very first implant patient... his Dad!
Welcome to More Than a Smile. From Andrew Scott Dental Care.
SPEAKER_03The podcast where we have honest, relaxed conversations about your oral health.
SPEAKER_01And we hope you feel more confident about your smile.
SPEAKER_03Welcome back to More Than a Smile from Andrew Scott Dental Care. I'm Pete, and I will be asking all of those questions that everybody thinks but nobody asks.
SPEAKER_01And I'm Jodie, and I'm here to guide us through it all.
SPEAKER_03Jodie, don't know how you feel, but this is the final episode.
SPEAKER_01No, come on.
SPEAKER_03Already. It's been great. I've learned so much already, but it's not over just yet. Today we're talking about dental implants. And I'll be honest, it's one of those topics that sounds quite daunting. When you first hear it, people hear the words like implants, surgery, replacing teeth, and immediately think it's going to be a massive process. But as we find out throughout this series, the reality is often quite different from what people imagine. So today we're talking about missing teeth, confidence, eating, smiling, and how dental implants can help people get back to feeling like themselves again.
SPEAKER_01Joining us today, we've got Andrew in one of his patients, Lorraine, also my patient too. Hello. Andrew is our principal dentist and one of the owners of Andrew Scott Dental Care and has been placing dental implants for over 25 years. He also mentors dentists in studying implant dentistry, so it's fair to say he knows a thing or two about the subject. Andrew, welcome back.
SPEAKER_03Thank you very much. Have you got your red shoes with you today? Uh no, I've left them behind. Listen to episode one if you haven't yet. And Lorraine, thank you for joining us on the podcast. You're a patient at Andrew Scott Dental Care. How long have you been a patient for?
SPEAKER_00Good afternoon. I've been a patient for over two years.
SPEAKER_03Okay. Thank you for joining us today. Obviously, you have had some experience with dental implants. That's what we're talking about today. We're gonna hear from you a little bit later in this episode. Right. Let's start with you then, Andrew, because I believe that your very first implant patient was actually your dad. Is this true? This is true, yes. I mean, no pressure there, but that's a brilliant story. Your first implant patient was actually your dad. What happened? How did that happen?
SPEAKER_02Well, uh he was um having some problems with uh a bottom denture that he had, giving giving him a lot of bother. Uh bottom dentures tend to move around a lot and cause like sore gums and whatever. Okay. So implants can be used to hold them steady. So uh I was needing a guinea pig. Who was more nervous? You or your dad? Who was more nervous here? Uh I think it was me. Uh my dad actually did kind of really want to be my first patient. Right, okay. So he was offering uh himself as uh uh for me to um work on him uh as his first case. So it was it was uh he was really wanting uh he sort of got I don't know, there was a emo emotional connection.
SPEAKER_03Okay. That's good. I assume it went well. What was his reaction once it was all complete?
SPEAKER_02Yeah, it it went well. We got the treatment completed for him and it's r really made a very big difference for him and really makes it you know much more comfortable to eat with whenever you know your your denture's not moving around, uh it's much much nicer uh experience improved quality of life.
SPEAKER_03And after around twenty-five years of placing implants, what excites you most about this type of treatment?
SPEAKER_02Um well I think it's you know, getting to see the finished product, you know, um seeing the the difference that it makes to um people's lives and their uh you know the benefits that it can bring to them. You know. Um yeah, I really like seeing the end result.
SPEAKER_03Aaron Ross Powell And what difference can it make to people's lives then? And y you know, someone who's had the treatment, what difference does it make to them uh outside c the cosmetics?
SPEAKER_02Aaron Ross Powell So yeah, people um that are coming along to us looking at dental implant treatment, they normally have something that's you know really bothering them quite a lot. Uh it may be a a missing tooth. Um they m either it's aesthetic and then they are concerned about the appearance of it, or they're just not able to chew and eat very well, and that bothers them over a period of time. And it's obviously not great for you if you're not able to eat your food properly. No. Um and it's a constant kind of uh thing that bothers people. So um yeah, these are the the kind of biggest um sort of reasons for people to come and get dental implants, really.
SPEAKER_03And how does it look like, Jodie, from your side of things being the being in that hygienist chair when when people are getting implants? What do you how how how does your role come into play?
SPEAKER_01So hygiene is really important in maintaining the health of implants, and Andrew has placed massive importance on that in the practice with the equipment that we've got and things. So, generally speaking, you want um the gums to be nice and healthy around the implants, and teaching people how to manoeuvre around these new um things in their mouth all of a sudden that they weren't ever there before, and teaching them how to clean them properly um prevents disease around the implants um and just means that the you know you get more longevity out of them as well.
SPEAKER_03And I remember when we spoke to David on the earlier episode about smile makeovers, you also said healthy gums, very important before you kind of get into that side of things. So that's that's good to know. Right, Andrew, let's um bring it back to implants. For someone who's listening who has heard the term but isn't really sure what it means. What is a dental implant?
SPEAKER_02So a dental implant is basically like an artificial root of a tooth. It just basically gives us an anchor point to attach things onto. So uh where people don't have um any uh teeth in certain areas, then they can't obviously, you know, attach anything onto them, like traditionally bridges might have been used, but uh they attach on to teeth. So if you don't have anything there, then you need to put something into the bone to be able to attach either, you know, a cro an implant crown or a bridge or a denture onto. So the the implant is like a titanium screw that goes into the bone of the jaw and then the bone fuses with it over a few months, and then it's solid in the bone, and we can uh take impressions of it and get to attach into it.
SPEAKER_03So it actually becomes part of you.
SPEAKER_02Yes.
SPEAKER_03You've explained kind of how it all works. Who might benefit from one then? I mean, maybe an obvious question, right?
SPEAKER_02Well, certainly anybody that's uh already l lost teeth and wants to replace them, or anybody that's in the process of losing a tooth. So sometimes you know somebody might have a failing root treatment or a split root or something like that. Um or it can be gum disease and the the teeth start to get loose and eventually need to get taken out. So anybody that's eminently gonna have teeth taken out, or anybody that's already had teeth taken out that um uh have healed and they now want to kind of replace them with something usually a fixed solution, um so something that they can't take out and in normally. Okay. But you can use them for support uh retaining dentures as well.
SPEAKER_01So I think people are often surprised about how common implants actually are. And I think the reason being is that they they look quite natural. What do you think?
SPEAKER_02Uh yeah, yeah, that's what we're aiming for. Yeah. Um we try and make them uh obviously look as uh natural and as good as as possible. So it's always it's always the goal. Okay.
SPEAKER_01I think that's the closest thing um you could probably get to a natural tooth is an implant. It behaves in a similar fashion.
SPEAKER_03So Okay. And I think people probably assume that missing teeth maybe only happen later in life, but it's not always the case, is it?
SPEAKER_01No, that you can actually that some people are missing teeth, uh just congenitally missing. They might not develop um in the same way. So that can be a reason for people getting implants um at a younger age. And you know, no one's immune to gum disease. It can happen at any age as well. So reasons like that can be a cause of tooth loss and subsequent need for implant placement.
SPEAKER_03Are there any other reasons? What what would be the most common reasons for, I guess, losing a teeth to to either of you?
SPEAKER_01Aaron Powell It could be trauma as well, you know, a hit to the face.
SPEAKER_02Uh that are ca causing the tooth to need to be removed. But then apart from that, then other reasons can just be decay, deep decay in a tooth, or um people prefer not to have a root treatment and they want to opt for a dental implant because um that's the alternative.
SPEAKER_03Okay. So what are the options then if a tooth is lost? What what what are your choices? You could leave it?
SPEAKER_02Yeah, absolutely. It's always one of the options. Don't do anything. Yeah. Uh but there are consequences for that. So if you take a tooth out and you don't do anything with it, then uh the other teeth either side will tend to tilt in towards each other, and the tooth, you know, opposite it might over-erupt into the space as well, so it makes your bite less uneven, makes your uh teeth a wee bit not as nice looking as well.
SPEAKER_03Interesting. All right. Okay. Um I we've spoken a lot throughout this series about confidence, and I imagine losing the teeth can have quite a big impact on that. I know that I've got a missing tooth. I've got I always feel like, you know, are you looking when I talk to a dentist, are you looking he's got a missing tooth. I've got a missing tooth, which happened about a year ago. It was decay, I got it removed. I haven't done anything about it yet. And I don't always notice it, but I do a lot of video work and podcasting, and occasionally, every now and then, I just get a glimmer of it, and I think, oh, maybe I should. But I didn't realise there was also things to consider with just leaving it, like it might affect your teeth.
SPEAKER_02Yeah, it does. And also the bone uh in the area will get thinner and lose height as well. So the sooner that you deal with it after it happens, it's can you recommend any dentists that that's uh have a uh a card that can be let's get back on topic then.
SPEAKER_03How does it affect confidence then? I know that I've kind of spoken about mine and uh it's maybe for me maybe a confidence thing because sometimes you are aware of it. What do you hear from your patients?
SPEAKER_02Yeah, well, I mean, imagine if that's like a front tooth that's missing, you know, and it's like so obvious for people. Um I think that psychologically, you know, it's very emotionally damaging for people to lose, for instance, a front tooth, um to have to get that out. So uh to be able to and then you know they always talk about how they hate their temporary denture or something like that. Okay. So um it's the being able to get back to a stage where you know your teeth look nice and they're fixed in and you don't take anything in and out, and it doesn't move when you speak or smile, and you can go out and eat in restaurants uh with confidence, you know, all these things make a huge difference to people's daily lives, you know.
SPEAKER_03Yeah, Jody, we spoke with um another patient, it was Derek on the episode about smile makeovers, and he what surprised me was he suppressed his smile and he used to hide it, which for me is like, well, that's almost changing your whole personality, but then the confidence that's given Lorraine, we're gonna hear from you in a moment, but just just very quickly, has your confidence changed just during the the time you've had treatment at Andrew Scott Dental Care? Immensely. Okay. Hugely. I can't wait to hear more about that. What conversations do you have with the patients then, Andrew, with regards to this kind of treatment? What do you talk about with them? What how does the first appointment look?
SPEAKER_02Well, we have to do a a consultation to start with, so we need to assess a lot of things with their smile, um, you know, where their lip sits when they smile, see how much gum they show, things like that, you know, stuff that people aren't not so they're not really consciously thinking about, but they might be aware of some subconsciously, you know. Um so we're looking at things like that. We're looking at the bone volume as well, so we might take 3D x-rays that allows us to plan the placement of the implant. Uh we're looking at all things like their bite, where the forces go, what the all all the details really, and um we do we do a very thorough assessment. And then after that we speak to them about what the actual kind of process involves. So that they're kind of a bit more knowledgeable about that.
SPEAKER_03Okay. So quite an involved session again. Jodie, have you got any thoughts?
SPEAKER_01It is a very involved, and I think it's it's very good that Andrew takes all these measurements and looks at the mechanics of of um sort of each patient and how they might be suitable or not suitable for it. Um and I think yeah, there's been lots of success with um our lovely patients and um some amazing results as as a result of careful planning.
SPEAKER_03Yeah. Okay. Right, let's move on to some of the myths and fears, because that's always a big thing. When people hear the word implant, they immediately think surgery, and that's probably where some of those fears might come from. Andy, what are the biggest misconceptions that you hear?
SPEAKER_02I think that you know people are expecting it to be very uncomfortable afterwards, and in a lot of cases, actually, the the um people come back after, you know, we see them for a review after a couple of weeks to take out a few stitches and uh they say that it hasn't really given them that much discomfort afterwards. Some people even come back saying they haven't even needed to take any painkillers or anything like that. So so it's um i I think people maybe expect it to be worse than it's than it is, which seems to be a kind of recurrent theme, isn't it, with kind of dentistry.
SPEAKER_03Is the process usually easier than people expect, do you think?
SPEAKER_02Yeah, I think people probably have it sort of uh worked up uh in their head a wee bit, you know. So um usually uh you know it's a lot uh less significant than they expect it to be. Um but you know, some people are a bit anxious and we o also can offer sedation and stuff for patients like that that uh makes them less aware and less anxious about the treatment and they forget all about it. So uh we can do that as well so that they don't really remember any of the kind of experience.
SPEAKER_03So that's very good and reassuring for for for many, I guess, as well. Well, this feels like a good point to bring Lorraine back into the conversation. Lorraine, uh you're a patient at Andrew Scott Dental Care. Take us back a little bit. What was your situation before you started looking at implants? Tell us a little bit, give us your background.
SPEAKER_00Right. I'm a married grandmother and I stay in the North East area in quite a culture-led society, and um both of my parents had full set of dentures, so I was brought up with parents that had that. So it was different expectations in those days back in the sixties and seventies for younger children. So I firstly got my first partial denture with one tooth at the age of sixteen. Right. And then it processed over the years it I had five on a partial denture. And it wasn't thought much of at that time because it was sorta a way of life. Okay. But as I got older I didn't really like it, but I just had on the NHS I just went with it. But in 2018 I had had three dentures in three years because I crap bit in my sleep and cracked them. So the dentist said I should have a cobalt denture. So in 2018 I got a five-tooth cobalt partial denture, and it didn't fit well. It was very uncomfortable.
SPEAKER_03So this wasn't with Andrew Scott, this is a previous dentist.
SPEAKER_00Okay, and he didn't really give me much encouragement about it, and I kept saying it was very uncomfortable, I was getting a lot of pain with it. And at the end of that year, 2019, he did an extraction, and I don't know what happened, but he pulled a tooth in the lower, it wasn't the upper, and this just kicked off the most chronic pain I had ever had. Okay. So in January 2020, I went to the local GP and I was given amtryptaline, which is antidepressants.
SPEAKER_03Wow. So this has taken quite a turn. Yeah. Turn of events here, okay.
SPEAKER_00So I took them and COVID struck. So that was probably the worst thing that happened to me.
SPEAKER_03Yeah.
SPEAKER_00So in March of that year, I went to see a private um maxillofacial consultant at ERI, and he said to me, You need to seek a private dentist, because he agreed the pain, etc. So everything sort of closed down then, so I could do nothing. And it was just a living hell. The whole time of COVID, I was taking antidepressants and pain colours to try and deal with this pain that I had.
SPEAKER_03Yeah, that's really difficult because it sounds like you had a series of bad experiences. Yes. It's led to you taking antidepressants during COVID, which was a terrible time for all of us. So eventually you find Andrew Scott dental care.
SPEAKER_00I hadn't got to that place yet. Oh right, what happens? What it was, I worked with a NHS and I knew a doctor friend who had then moved to Edinburgh. Right. And 'cause I was concerned of being on so much of this tablets, I thought one night I would give him a ring. And he had been a patient of Andrew's. Ah and he said to me, Lorraine, you need to get off these tablets, you need to go and see Andrew Scott.
SPEAKER_03Right. So an introduction was made.
SPEAKER_00Yes, I knew of him.
SPEAKER_03Okay.
SPEAKER_00So then I went and saw Andrew it in 2020, and because of my pain, he understood it, he listened to me. I got a Valplas denture which was softer material to try and help the pain on the roof of my mouth and my gums. But unfortunately it didn't really make much difference. But I continued after that, I sort of thought, well, what am I going to do? This is an impossible situation. So I continue attending my local practice with this unbearable pain until April 22, and my hair all fell out, a lot of it, with being on the antidepressants. Oh no. So life continued, very difficult. I tried acupuncture and Aberdeen. I tried one life hypnotherapy to manage the pain better, which was really helpful. And I persevered. I was determined I would never give up. I would try everything humanly possible to improve my situation.
SPEAKER_03It shows that you're a really strong character because you didn't give up and you've you've kept trying.
SPEAKER_00What happened then? In autumn 2023, I started getting emails from Andrew Scott Practice because he was relocating to a new venue and for a review. And at that point I thought, I'm beyond help. And this was my painful path for retirement. Okay. But in January 24, supported by my husband, he said to me, We heard it on the radio too, driving in the car. Right. So he said, No, you need to go back and see if he can do anything. Because I had gone to various dentists and they had said, No, your teeth have been out too long and we can't do this for you. So that was m coming up to Andrew Scott.
SPEAKER_03Wow.
SPEAKER_00You have been through quite a lot. That's why I wanted to share that with you. It's not just how I look, it was I did it for pain.
SPEAKER_03And Jodie, Andrew, are experiences like Lorraine's out of the normal? Because that sounds like quite a lot for a person to go through. Do you see situations like that often?
SPEAKER_02I think it's not a that common a thing, but it's a a a very significant thing and and and severe whenever it does happen. And um I think that, you know, at the time you felt like a lot of the discomfort was coming from you wearing your dentures. That's right. Uh-huh. So our consideration was to get rid of the denture completely for you, I think. Okay. But it's not it's most most patients that come to see us are not uh in that kind of haven't been through this kind of uh.
SPEAKER_03What were you what were you able to do for Lorraine that other maybe dentists or GPs weren't able to do? What what fixed this problem? And Lorraine, how are you now?
SPEAKER_00Well I said my goal was to live without partial five denture, which gave me the chronic pain on the roof of my mouth and my gums. So that was my goal. Now I live a painless life.
SPEAKER_03Oh, that's so good. You can't believe it. That is so good. And that for Andrew and Jody, that's a huge difference to make to anybody's life.
SPEAKER_01I love it when you come and to see me because you're always so happy to be there. And you're so whenever I say, Oh, how are you? and how how's things? You're like, so good. I'm so good and you're really happy. You can see it.
SPEAKER_00I just love going to see my dentist and my hygienist. It's like being part of the Andrew Scott family.
SPEAKER_03Well, look, thank you. So much for sharing your story because it was quite a tough time for you and it's just brilliant that you're able to live a much better life now. Unbelievable, yes. Such an incredible story. So Lorraine, one last question for you then. What would you say if anyone's in similar pain or they're thinking about getting implants? What advice would you give to them having gone through what you've been through?
SPEAKER_00Not to wait. If you think about it, go and see the right person, the right dentist, and get the advice because they won't tell you like what I found with Andrew. I was prof I was impressed with his professionalism and his honesty regarding all concerns of my dental care. He asked me if he could contact Maxwell of Facial because I had attended there to get more history of me. And I asked as many questions and fully understood the treatment, but if my dental situation allowed me to go ahead with this, and I think that was very important for me. I had true faith before we even went on that journey because I understood it fully.
SPEAKER_03Yeah, and that's obviously very important to you as a patient. Yes. Thank you again for sharing your story. Right. Let's get back to the process again. Let's let's touch on the process. For somebody listening who's maybe curious about implants, what does the process actually look like? Talk us through that again. What happens maybe at the first appointment?
SPEAKER_02Yeah, so we do all the measurements at the first appointment, the um x-rays, photographs, check the gums, make sure everything's as healthy as possible. Um and then um we also what we also r really want to do is uh find out what it is that the patient's uh wishes are for their treatment. Um really important to uh find out what it is that's the patient's concerns rather than what you feel your diagnosis is of uh the situation. So um yeah, we we speak to the patient about what what they would like to achieve out of the treatment and then discuss with them what their situation is and what we can do to help them out.
SPEAKER_03And does that differ quite a lot from patient to patient?
SPEAKER_02Yeah, every it's like everybody's different, so every case is individual, so you've got to do the same, go through the process uh every time.
SPEAKER_03Okay. And I guess one thing people might wonder is how long do they last? How long does an implant last?
SPEAKER_02Uh well, my dad's got still got his implants, yeah. And how long has that been? Uh it's about twenty-six or twenty-seven years, right? So Okay. Um and uh that was my practice ones, remember. So Well, there we go.
SPEAKER_03And you've got much better at doing them since then, your poor dad being the guinea pig. Um okay. Right. So if someone is listening and, you know, like me, they're maybe missing a tooth, or perhaps they've been thinking about implants for years, what would you say to them? What's that first step?
SPEAKER_02Uh well, yeah, I mean I think that you've got to look at what implants can uh achieve for you. Um the benefits are massive uh potentially for people to get a dental implant. So um they've got to sort of look at the end goal and um see what uh is required to take them there and then you know just basically um just need to go with that. Other treatments can't achieve the same sort of um sort of end result. So yeah, just think about the end goal um and go and see uh the dentist and uh talk through the process and find out a bit more about it. And it could be absolutely life-changing. It absolutely could.
SPEAKER_03Okay, let's move it along to Tooth Beat All. This is the part of the podcast where we like to find out what's going on at the practice that patients might not know about. And Jody, today I believe it's a bit of a confession from you.
SPEAKER_01Yeah, you'll need to forgive me, everyone. Before I came to record this podcast, I I d had five minutes between finishing my work and uh for the day and and trying to get here as quickly as possible. So no lunch was had, but instead a fine piece of school cake was very hurriedly consumed, and the nurses were laughing at me because I didn't have any uh dignity whilst doing that. Crumbs everywhere.
SPEAKER_03So, I mean, to put this in perspective, you're like straight from surgery to a podcast with five minutes in between and you scoffed a cake.
SPEAKER_01I just needed a little summon summon, you know.
SPEAKER_03Did you uh use those intradental brushes afterwards?
SPEAKER_01No, but that's first job after this. Terrible.
SPEAKER_03I think we say no more on this subject. That is today's Tooth Be Told. So just to recap, I think the biggest takeaway for me today is that implants aren't really about replacing teeth. They're about restoring confidence, comfort, and definitely quality of life as well. And like so many of the topics we've covered in this series, the reality seems a lot less intimidating than what people first think.
SPEAKER_01One more point I'd like to make, Pete, is that the journey doesn't stop after the final fitting of your implant work. Um you get so much support ongoing just to keep the implants healthy and maintained, and uh which I'm sure Lorraine can uh back me up on. Yeah. Um because we still see each other on a very regular basis.
SPEAKER_03Lorraine, have you got any final thoughts then? Anything you'd like to share just to kind of wrap things up?
SPEAKER_00Yes, well I've spoken to a lot of people and shared my really good experience, and that I don't know if anyone's aware of the time it takes, but my journey started at the very end of May and finished at the end of December due to all the healing process. Right. And that it goes on. And I think good things come to everyone who waits, and also it's not a sprint like getting a filling or it's a marathon. But at the end of the marathon you get the medal. But at the end of my journey with Andrew Scott and getting my implants, I got really a lovely smile and lovely teeth, and it didn't take me long, and I had never had pain in the seat, and it was just an enjoyable experience with the whole of the Andrew Scott dental group.
SPEAKER_03And it sounds like you truly have got your quality of life back again.
SPEAKER_00Yes, I would not be living my best life in retirement if I hadn't listened to the radio and answered that emails that was sent out at the end of autumn into December that year.
SPEAKER_03There we go. If that is not a testimonial, I don't know what is. Look, if you've been listening today and thinking about your own situation, or perhaps you've been living with a missing tooth and wondering what your options are.
SPEAKER_01The team at Andrew Scott Dental Care are always happy to have a conversation. No pressure, just honest advice and guidance about what's possible.
SPEAKER_03There you go. That is a wrap on the first series of More Than a Smile from Andrew Scott Dental Care. Thank you, Andrew. Thank you very much. And thank you, Lorraine. Thank you. And thank you, Jodie. A huge thank you to all of the guests who have joined throughout the series, and of course, to everyone who's listened as well.
SPEAKER_01We hope you've enjoyed the conversations and maybe learned something along the way.
SPEAKER_03And remember, oral health is about so much more than a smile. We'll catch you next time. Bye.