Advanced Dentistry
T: 01752 343140
Dental Implants at Larkham House

What are dental implants?
A dental implant is an artificial tooth root made of titanium that a dentist with special interest in Oral and Facial Surgery places into your jaw. Dental implants are ideal for people in good oral health who have lost one or more teeth.
Dental Implants have proven to be the answer to many patients’ dental problems. By replacing just one tooth in the mouth, they enable the restoration of a natural smile, improving patient comfort and confidence.
Placing of the implants is carried out at the surgery, involving a simple operation under a normal local anaesthetic. Some patients may require bone or sinus augmentation which we now offer at Larkham House without the need to refer our patients to other specialists.
With diligent patient maintenance, implants can last a lifetime. Long-term studies continue to show improving success rates for implants.
Dental Implant Referral
We are now offering an Advanced Dentistry Referral Service from dental colleagues or from patients themselves for complex dental implant cases. We have the latest CBCT imaging scanner to enable advanced diagnosis for complex procedures and patient care. We aim to see patients within 7 days of receiving the referral. Please contact us for further details.

What is the appointment process?
The practice offer patients a short waiting time for consultations and for treatment appointments, clinic hours are flexible to suit your requirements, including evening opening until 8pm.
Initially there will be a consultation appointment which will include a complete oral assessment and the taking of any required OPG or CBCT scans.
The length of the subsequent appointments will depend on each individual case.
Patients medical and dental history will be considered, along with their own wishes. To make all implants a personal solution and to help control fees. An accurate diagnosis may save cost, generic quotes can be too high, as well as too low.

Who will place my implants?
Dr Vivek Giddani BDS, DDCSc (U. Lon), LDS RCS(Eng), MFGDP RCS(Eng) GDC: 185505
assisted by Lauren Blight RDN OHE Cert Rad GDC: 236109
Dr Graham Adlard BDS Lon 2000 GDC 78803 Practice Principal
Dr Adlard is able to offer an alternative system of implants provided by Bicon which is suitable for those with limited space. Clinically proven since 1985, Bicon’s unique dental implants and revolutionary clinical techniques have not only passed the test of time, but also continue to lead implant dentistry. The Bicon Dental Implant System has offered dentists the ability to provide secure and beautiful implant restorations that can look, feel, and function like natural teeth.
Do you have some further questions?
What will happen without treatment?
Your jawbone begins to shrink from lack of stimulation. Losing your teeth will affect your smile and change the shape of your face, causing you to look prematurely aged.
Is implant placement painful?
No, dental implants are typically placed under local anesthesia. Most treatments can be completed in your clinician’s office.
How does the long-term value compared to other options?
Dental implants are low maintenance and provide stability and confidence in your smile. Therefore, the long-term value of dental implants far exceeds conventional treatment options.
How long does it take to place dental implants?
They may be placed in as little as 30 to 60 minutes depending on the location and the number of implants placed.
When will I receive my new teeth?
Treatment time varies by patient. Typically, you will have some type of temporary teeth until your implants integrate with the bone. Your clinician can provide a time estimate based on your treatment needs.
How long can implants last?
Implants can last many years if cared for properly. Many implants have been in place for more than 40 years.*
*Close to the edge – Branemark and the Development of Osseointegration, edited by Elaine
Who is a candidate?
Dental implants can be placed in most adults. Please ask Dr Vivek Giddani to explain the benefits and risks to see if dental implants are right for you.
How soon may I return to work after treatment?
You may return to work the next day unless otherwise instructed by your clinician. You may be prescribed medication to alleviate any minor discomfort you may have.
What if there is not enough bone or gum for the implant?
A sinus lift or bone augmentation may be needed if your clinician determines there is not sufficient bone or gum tissue, this can all be done in-house at Larkham House without the need to refer our patients to other specialists.
How do I care for my implants?
Home care for your implants consists of brushing and flossing. Regular dental visits are required for long-term health and success.
What is the success rate of dental implants?
BioHorizons dental implants have an extremely high average success rate (99.2%).†
† Please see Implant Clinical Overview
Are dental implants covered by insurance?
Insurance policies vary but most cover a portion of the restorative procedure. Financing options are often available with competitive interest rates, and payments can be tailored to your budget.


Dr Vivek Giddani
Director
GDC 185505
BDS, DDCSc (U.Lon), LDS RCS (Eng), MFDS RCS (Ed), PgCert Perio (U.Plym)
Trust Specialty Registrar Oral and Maxillofacial Surgery
Specialty Doctor Restorative Dentistry
Nitte University India 2004
Vivek graduated as a Dental Surgeon in 2004 and has a special interest in Oral and Facial Surgery, Periodontology (Gum disease) and Dental Implants. Since 2008 he has been working at Derriford Hospital Plymouth as Trust Speciality Registrar in Oral and Maxillofacial Surgery providing complex oral surgical procedures and been involved in facial reconstruction surgeries for trauma and cancer patients. He also works as a Speciality Doctor in Restorative Dentistry where he treats referred complex dental cases and provides rehabilitation for oral cancer patients.
Vivek completed post-graduate training in Clinical Dentistry at Queen Mary University of London. During this time he worked at Royal London Hospital where he was involved in major Oral, Facial and Oncology surgeries alongside some of the leading consultants in the country. He has completed his post-graduation training in Dental Implants and also completed post-graduate masterclass training on CBCT Interpretation, Sinus Lift and Bone Grafting. He is studying for his Masters in Periodontology at Peninsula Dental School in Plymouth. He has completed a 3-year post-graduate training in Periodontology at Peninsula Dental School in Plymouth
Recently Vivek has been awarded a place in Devon LDC (Local Dental Committee) which comprises of elected dentists from the area and represents all General Dental Service(GDS) providers and performers attached to GDS contracts. He will represent dentists practising in primary care in the area.
Vivek special interests at Larkham House Dental Practice:
Oral Surgery
- Failed and complex tooth extraction
- Wisdom tooth removal
- Orthodontic extraction
- Endodontic surgeries (Apicectomy)
- Closure of Oroantralcommunication
- Pre-prosthetic surgeries
Dental implants
- Bone and Sinus Augmentation
- Implant retained dentures
Periodontics (treatment of gum disease)
- Non-surgical and surgical Periodontal treatment
- Periodontal problems related to implants (Peri-implant mucositis and implantitis)
- Crown lengthening procedures
- Mucogingival management
Prosthodontics
Cosmetic
Outside dentistry he is currently working hard to introduce his Giddani estate coffee into the local and national market, the family coffee estate was established in 1895.
Vivek is a member of:
- The British Dental Association.
- The British Society of Periodontology.
- The Association of Dental Implantology.
- The British Association of Oral Surgeons.
- The British Society of Restorative Dentistry.
- The Royal College of Surgeons Edinburgh.
- The Royal College of Surgeons England.


Dr Graham Adlard
Director
GDC 78803
BDS (Lon), Pg Dip ClinDent, MFGDP RCS (Eng)
Clinical educator
NHS Dental Chair for South West England
Special interest in:
- Gerodontollogy (older generation dentistry)
- Complex Dentures
- Periodontics (gum disease)
- Anxiety control (nervous Patients)
To Diploma level.
He also has a interest in:
- Dental Aesthetics including Teeth Whitening and Dental Veneers (smile improvements)
- Facial Aesthetics (anti wrinkles and fillers)
- Implants (Small Bicon implants)
For which he has undertaken many hours of advanced courses.
Graham qualified from The Royal London in 2000. Following his experience in hospital with Maxillo-facial surgery, community and
general NHS practice, Graham became principal and sole owner of Larkham House Dental Practice. Vivek Giddani became a
director in 2018.
Graham has been a facilitator and clinical supervisor for the Peninsular Dental School from its inception to the present day where it has become one of the leading dental universities in the UK.
Graham is the NHS Dental Chair for South West, overseeing all aspects of primary and secondary care. His ethos is to secure the
longevity of NHS dentistry and improve referral networks.
Graham aims to promote good Oral Health from Bristol to the Isles of Scilly.
