Ravi Jhutie Implant & Smile Design
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Cases

Real change, planned in stages

Every smile here was rebuilt from the foundation up — bone and gum first, then the tooth — in patient, planned stages. Below is exactly how I work, then five cases that prove it. All anonymised and shared with consent.

My method

Foundation First

Rebuild the foundation — the bone and the gum — before building the tooth, then take it in patient, planned stages with a healing check at every step. That’s why the results last.

  1. Plan it properly

    We start with a consultation, 3D scans and a digital design — so the whole case is mapped out before I pick up an instrument.

    • pre-op records
    • CBCT
    • digital smile design
    • treatment-plan letter

  2. Rebuild the foundation

    I remove what’s failing, then rebuild the bone and gum that hold everything in place. Get this right and the rest lasts.

    • extraction (XLA)
    • bone graft
    • CTG
    • FGG
    • CAF

  3. Place the implant

    The titanium “root” goes in — often the same day as the extraction, so we lose no time and preserve the shape of the ridge.

    • implant placement
    • immediate placement
    • ridge preservation

  4. Protect the gap

    A temporary keeps you smiling while it shapes the gum around the new tooth — so the final result looks like it grew there.

    • custom healer
    • temporary crown / bridge
    • immediate load

  5. Let it heal

    Staged reviews while the implant fuses to the bone. We only move on when it’s genuinely ready — never on the clock.

    • 2-week suture removal
    • 4-week review
    • 2–3 month osseointegration

  6. Finish the smile

    The final, shade-matched tooth is fitted and refined — then one last review to make sure it’s everything we planned.

    • crown prep & impressions
    • final crown / bridge
    • composite bonding
Shorthand
  • XLA extraction
  • CTG connective-tissue graft
  • FGG free gingival graft
  • CAF coronally advanced flap
  • Immediate load a tooth fitted the same visit
  • Custom healer a shaped abutment that trains the gum
The proof

Five cases, documented

The top three are documented end to end — every stage, photographed as it happened. Two more follow in brief.

Broken front tooth & gum disease — pre-op
Pre-op
Broken front tooth & gum disease — final results
Final results
Top case Anterior aesthetic

Broken front tooth & gum disease

Male, 64. He was unhappy with his smile and the shape of his teeth — with a broken front tooth and another affected by significant gum disease. I treated the gum disease first, then rebuilt the tooth with an implant and bridge and refined the smile with composite bonding and injection moulding.

Treatment
Implant, bridge & bonding
Area
Upper front (UR1)
Method
Full Foundation First

The work behind a smile that lasts

Before I rebuilt a single tooth, I rebuilt what holds one in place — treating the gum disease, then grafting bone and gum back to where years of disease had worn it away. Only once that foundation was solid did the implant go in, and even then we didn’t rush it: I checked the healing at two weeks, four weeks and three months, and only moved on when it was genuinely ready. Along the way he wore a trial smile, so he could see and approve the new shape before anything became permanent. The finishing touches — the bridge, composite bonding and injection moulding — blended the new tooth so closely with his own that you can’t see the join.

Complex rebuild after a childhood accident — pre-op
Pre-op
Complex rebuild after a childhood accident — final results
Final results
Top case Anterior aesthetic

Complex rebuild after a childhood accident

Male, 27. A childhood accident left him with root canals and crowns that later failed, causing significant bone loss into the palate. Referred to me by other dentists, he was glad to start his complex implant treatment in my hands — the final implant and crown were fitted on 27 May 2026.

Treatment
Complex implant treatment
Cause
Childhood accident
Completed
27 May 2026

More than a year, taken one stage at a time

The accident had left almost nothing to build on — the bone behind his tooth had collapsed inward — so this was never going to be quick, and it wasn’t meant to be. I rebuilt the site in layers: first a bone graft to restore the ridge, then gum grafts to bring back healthy, natural tissue around it. When the implant finally went in, I fitted a temporary tooth the same day, so he was never left with a gap while it healed. From there we let the healing lead — reviews at two weeks, then across the months as each graft matured — until the final implant and crown were fitted in May 2026. Complex cases like his are exactly why other dentists refer them to me.

Fractured front tooth, rebuilt — pre-op
Pre-op
Fractured front tooth, rebuilt — final results
Final results
Top case Immediate placement

Fractured front tooth, rebuilt

Male, 58. He fractured a front tooth and — with a high-profile career — needed a robust, lasting solution he could rely on. Nervous at first, he trusted me with his care after seeing my other cases. We removed the tooth and placed the implant the same day.

Treatment
Implant & temporary bridge
Grafts
Bone graft & CTG
Area
Upper front

One visit — and he never lost his smile

For someone whose work puts him in front of people every day, the worst part of losing a front tooth is the gap. So we did everything in a single visit: I removed the fractured tooth, placed the implant the same day, and rebuilt the foundation around it at the same time — a bone graft to preserve the ridge and a gum graft to keep the tissue full and natural. A custom healer then began shaping the gum, and a temporary bridge went straight on, so he left with a complete smile, not a space. The implant is now quietly fusing to the bone; when it’s ready, the final tooth will be fitted — on its timeline, not the clock’s.

Also in the portfolio

Two more rebuilds

Pre-op
Final
Complex / full mouth

Further case study

A detailed before-and-after write-up for this case is coming soon. [Placeholder — replace with real case notes.]

Pre-op
Final
Smile makeover

Further case study

A detailed before-and-after write-up for this case is coming soon. [Placeholder — replace with real case notes.]

Every case is shared anonymously, with patient consent.

In their words

Patient stories

In their words

What my patients say

I cannot thank Dr. Ravi enough for the incredible care I received throughout my implant treatment. From the first consultation, I felt completely reassured and in expert hands. The whole process was explained clearly, every step was handled with professionalism and compassion, and the final result has transformed both my smile and my confidence. I’m so grateful for the outstanding care. I have recommended him to all my friends!
Bupa Pershore patient
My experience with implant dentistry was far better than I ever expected. Dr. Jhutie took the time to listen to my concerns, answer all of my questions, and make me feel comfortable at every stage. The treatment was carried out with such precision and attention to detail, and the outcome has been life-changing. I can now smile, eat, and speak with complete confidence again.
Bupa Pershore patient
I was extremely anxious about having dental implants, but Dr. Ravi and the nursing team were exceptional from start to finish. Their calm, caring approach made a huge difference, and I always felt supported and well looked after. The level of skill and professionalism was outstanding, and I am absolutely delighted with the result. I would highly recommend this Bupa Pershore to anyone considering implant treatment.
Bupa Pershore patient
The care I received for my implant treatment was truly excellent. Dr. Ravi combined technical expertise with a genuine concern for my comfort and wellbeing, which made the entire experience so much easier than I imagined. The results have exceeded my expectations, and I now have a natural-looking, secure smile that has given me back my confidence. I cannot praise the treatment highly enough.
Bupa Pershore patient
Two taps to a brighter smile

Could your smile be next?

If you've seen something here that gives you hope, let's talk. Request a consultation — no pressure, no obligation.

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