Great Britain was the first country in the world to regulate the practice of implant dentistry. To date, implant dentistry is a private affair between a dentist and the patient. Governments have not entered the field of regulation of this new, important and growing field of dental practice. Some say that the lack of a regulatory atmosphere in dental implantology will produce plenty of dental quacks that will be detrimental to the well-being of dental patients. One of the main reasons why governments have not set upon a regulation on this dental procedure is because there is no widespread clamor for regulation among the patients and its practitioners. Some fear that the lack of regulation will unnecessarily increase the number of implant failures.

Dental implantation is considered a postgraduate course for a dentist who would like to specialize in this area to perform these procedures for their patients. The normal dentistry course may acquaint the dentist with this technology and procedure but an ordinary graduate is not qualified to perform dental implantology unless he receives further certification in a postgraduate course in dental implantology. Training can be done by universities, colleges, hospitals and accredited individuals and commercial groups.

The General Dental Council of the UK has placed the welfare of patients in paramount position with regard to practicing dentists. Therefore, practicing dentists have to make sure that their recommendations to their patients are always advantageous to the latter. If risks are involved in their evaluation, the patients have a right to know what these risks are. The General Dental Council of the UK processes all complaints against dentists throughout the UK.

Implant dentistry can be either simple or complex. As to the perception of the case, it is simple if the end result can be easily visualized and if the treatment stages are predictable. It is complex if the end result cannot be easily visualized without extensive diagnosis and planning, and a multi-stage scenario is seen. Complications in the treatment could probably arise.

As to tooth position, it is simple if the final position of the tooth is relatively easy to determine. It is complex if the final position can only be determined after extensive diagnostic study.

Regarding implant surgery, it is simple if the contemplated surgery does not entail any significant risk, can be carried out without any need of tissue grafting and can be easily performed by an experienced dentist or oral surgeon. It is complex if the implant surgery is more complicated and requires tissue grafting. It should be performed only by a surgically experienced dentist or oral surgeon.

As to occlusion, it is simple if the teeth can easily be replaced without changing the existing occlusal scheme and the current vertical positioning. It is complex if there is a need to change the occlusal scheme or to alter the occlusal vertical dimension.

When it comes to aesthetics, it is simple if the aesthetic requirement of the patient is not very high. It is complex if the aesthetic demands and expectations of the patient are very high or unusual.

The simplicity or complexity of the dental implant will determine the level of expertise that dentists must have before they can embark on the procedure. A simple case may be undertaken by a dentist with simple training on implantation dentistry but a more complex case can only be done by a dentist with extensive experience, training and exposure to implantation dentistry.

Needless to say, the simple cases can only be done by a dentist who has recently graduated from a dental implantation course, but the more complex cases can only be undertaken by a dentist who has finished an implantation course and had extensive clinical practice in it.

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Dentistry is a wholesome procedure that seeks to provide a patient with better looking teeth and a perfect smile.
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