Services include:
Surgical consultations and procedural fees by Dr Borman need to be settled immediately. We will provide cost estimates before treatment for authorisation to be obtained by the patient with their specific medical aid, and a statement after treatment for the patient to submit to their medical aid for fair reimbursement. Dental & Implant Surgery by Dr Borman is done at the Somerset West office only.
You will be requested to fill out the necessary documentation that will give us more information about yourself, your medical history and dental history. Dr Borman will consult you to evaluate if you are a candidate for surgery. We also want to listen and understand your desires and concerns about your dental care. Only then will we be able to provide you with the excellent care you deserve.
During this appointment, the necessary X-rays will be taken, but it does not include a CBCT scan for a more detailed evaluation of the available bone.
We pride ourselves on great service and being transparent; thus, we will always provide a cost estimate for planned surgical procedures. However, a clinical consultation with necessary X-rays is needed to do so.
Most teeth are removed using forceps and are considered normal extractions. There are some situations where a normal extraction may not be possible, and surgical removal will be needed.
Reasons that surgical removal may be necessary include teeth:
Cost varies from R 2 000 - R 5 000 per tooth. At times, we might need to remove an associated cyst with a tooth and/or do bone augmentation for possible future implant treatment. This will involve additional costs.
Conscious sedation is also an option for a more comfortable experience (additional costs to the medical sedationist).
Treatment under general anaesthesia (“going to sleep”) at one of our private day hospitals is also a comfortable option if you want to use medical aid/hospital plan benefits.
Wisdom tooth extraction, also called removal, is a surgical procedure to take out one or more wisdom teeth. These are the four permanent adult teeth located at the back corners of your mouth on the top and bottom. If a wisdom tooth, also known as a third molar, doesn't have room to grow, it can become impacted.
If an impacted wisdom tooth causes pain, infection or other dental problems, you'll likely need to have a dentist or a dental surgeon remove it. Some dentists and dental surgeons recommend removing your wisdom teeth, even if they aren't causing problems. That's because these teeth can lead to problems later in life. The majority of wisdom tooth removals take place under general anaesthesia (“going to sleep”) at one of our private day hospitals. We will provide all the necessary info if it is the case. There are extra costs to the hospital and anaesthetist.
Cost varies from R 9 000 - R 12 000, depending on the clinical scenario and the number of wisdom teeth to be removed.
A dental implant is a titanium screw that is placed in the jaw to act as an anchor for a false tooth (an implant crown) or a set of false teeth (an implant bridge or denture), functioning in a similar way to a natural tooth root.
The surgical procedure can be done in the rooms under local anaesthetic and is generally not at all painful.
Conscious sedation is also an option for a more comfortable experience (additional costs to the medical sedationist).
During the surgical procedure, the implant will be placed into the jaw. The gum will be stitched back into place, after which a healing period of about 3 months is allowed for the implant to integrate. Discomfort after surgery is different from patient to patient & usually relates to the stitches. After the healing period, fabrication of the implant crown can be started.
Sometimes an additional surgery might be needed if the implant needs to be exposed if left underneath the gum. This is usually due to weaker-than-suspected bone quality and will be discussed before the start of the surgical procedure or after the surgical placement of the dental implant (costs are average estimates).
Cost of surgical placement of the dental implant: +/- R 12 500
Cost of additional exposure surgery after the healing period of 3 months: +/- R 2 500
Cost of implant testing to determine sufficient healing if no exposure is needed: +/- R 1 500
In certain cases, a surgical guide might need to be used to provide exact implant insertion in challenging or cosmetic cases. Cost of surgical guide: +/- R 3 500
The procedure of building up the bone is known as Bone Grafting. Bone Grafting is a very common procedure in dentistry and is used extensively in dental implant procedures. A shortage of bone can be overcome by using a variety of materials which can either be placed at the time of implant placement or as a separate procedure prior to implant placement.
Cost of bone grafting: +/- R 2 000 – R 4 000 (dependent on amount and surgical site with specific outcomes)
In certain cases, the infected or broken tooth can be removed, and a dental implant can immediately be surgically placed. This will save time on the waiting period after the tooth removal before placement of the implant. In most of these cases, the dental implant will need to be supported by bone grafting as discussed earlier. Cost of tooth removals and bone grafting as above.
After a healing period of 3 months and successful implant testing, the process can start for the fabrication of a dental implant crown. This entails two appointments, usually one week apart, during which the necessary impressions will be taken, and the dental implant crown will be fitted onto the implant that has been surgically placed.
If you have been referred to Dr Borman for the placement of the dental implant, you will be referred to your dentist to start the process of fabricating the crown, after the necessary follow-ups with Dr Borman.
For implant bridges or implant dentures, the appointments can be more, as these turn into more advanced dentistry.
Cost for implant crown: R 13 000 – R 15 500 (depending on the dentist’s costs for doing the crown)
Cost for implant bridges and dentures need to be individually determined, depending on the clinical scenario.
Aftercare for an extracted tooth, including wisdom tooth extractions, can vary slightly depending on a few factors. These include which tooth the dentist took out, as some teeth have deeper roots than others and take longer to heal. However, most people find that pain decreases after about 3 days. One of the most important aspects of aftercare is maintaining the blood clot that forms in the socket where the tooth used to be. Caring for this blood clot is key to the healing process, and it helps prevent painful complications, such as dry socket.
Dental implants, like normal teeth, are susceptible to infection if good dental hygiene is not maintained. Following successful implant treatment, patients should be offered an individualised supportive care program. Systematic & continuous monitoring of peri–implant tissue conditions is recommended for the diagnosis of peri–implant health & disease. This usually involves 4-monthly visits to the dental hygienist and a yearly visit to the dentist.
Proper dental hygiene maintenance products will also be offered if the need arises.
More aftercare will be provided after surgery has been done.
Do take note that Dr Borman is not a specialist in periodontics or maxillofacial surgery, but a general dentist with postgraduate training in dental implantology, more than 15 years’ experience in dental surgery and a surgical assistant in maxillofacial surgeries at the local private hospitals. In certain cases, Dr Borman will refer you to his specialist surgeon if he feels the specific case justifies it.
Dental implants have a high success rate, but some people experience dental implant failure. It's estimated that about 5 to 10 percent of dental implants fail, either shortly after a procedure or months or years later.
Please note that our fees are reviewed and adjusted annually on 1 February. Treatments continued after this date may require an updated estimate and could be subject to the new fees.
For any questions, please feel free to contact us.
Visit our practice
Somerset West:
19 Lourensford Road, Somerset West.
Stellenbosch:
Unit 2, Oewerpark, Rokewood Avenue, Stellenbosch
Give us a call
Somerset West:
021 851 4318
Stellenbosch:
021 887 0047
Chat on Whatsapp
Somerset West:
062 709 1302
Stellenbosch:
069 906 0857