Treatment Options

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Hygienist Treatments
Our resident hygienist, Jenny Kenward, runs the hygiene centre. Most patients will be seeing her 2 or more times a year so that your teeth & gums can be kept in tip-top condition. 

Why do I need to see the Hygienist? The hygienist is a professional member of our team who is here to help you maintain your teeth and gums in tip-top condition. She is your Personal Dental Fitness Trainer, and she concentrates on improving plaque control.

What is Plaque? Plaque is the furry stuff that that you can feel around your teeth if you haven’t brushed your teeth for some time. It contains bacteria & it’s these bacteria which cause the problem. The acid from the bacteria start tooth decay & the bacteria by-products attack the gums & cause gum disease. patient

Surely just brushing my teeth will remove plaque? Sadly no. This won’t happen. Plaque is very sticky & is difficult to remove. If it’s not removed it will set & form tartar (calculus). Tartar is like coral & encourages all sorts of bacteria to colonise the area. Tartar is also rough which irritates the gums & causes further problems. Your hygienist will remove any tartar & plaque, show you where the plaque is difficult to remove & she’ll show you the tools you’ll need to remove it effectively.

Why do I need more than 1 visit? Like all things in life it often takes more than 1 visit to remove all the plaque and get the hang of new habits. If you haven’t had a recent visit, you may find you get rusty about how to effectively remove all the plaque every day & further plaque builds up causing more damage. We also like to monitor patients’ progress so that we can be sure you’re getting the best chance possible of preventing future gum disease and tooth problems.

Why do I need to come back more than once a year? We’ve found that although you may be very good at removing the plaque when you leave us, over time, efficiency does drop. Your teeth & gums may be very susceptible to the effects of plaque & we have found that those who leave longer intervals between visits start to get more problems, which could have been prevented. A recent audit in the practice indicated that those who do not keep up regular visits can need up to twice the amount of treatment compared to those who come regularly.

Could Plaque be the Cause of Bad Breath? Plaque & tarter build up causes gum disease & this is the biggest cause of bad breath.

Should my children be seeing the Hygienist? A big yes to this. Children produce plaque just like adults. Their developing teeth are changing so fast that regular hygiene visits will prevent problems which could otherwise lead to early tooth loss & gum disease.

The hygiene visit is all about plaque control: Plaque and bacteria are what cause all the damage to teeth and gums, and if we can get these factors under control, you stand a much lower chance of developing tooth or gum disease in later life. Your hygienist will show you how to prevent such problems.

Whitening Treatments

Clear Braces

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Composite Bonding
 
Bonding can correct defects in your smile in one visit.

  • It can close spaces between teeth;
  • Lengthen small or misshapen teeth;
  • Whiten stained or dark teeth.
  • Hide unsightly marks & grooves in your teeth.
  • Repair fractured teeth.How do we carry out bonding? -
  • First the teeth are shaped, cleaned & then a conditioning gel
    is applied.
  • Any existing fillings are either replaced, or if in good condition, incorporated
    into the bonding.
  • Next, the tooth to be treated will be primed so that it’s ready to chemically
    bond with the composite.
  • Natural shade composite resin is placed & sculpted to the desired
    shape.
  • A harmless bright light is used to harden the resin & bond it to
    the tooth surface.
  • Final shaping & polishing completes the procedure.
 
White Fillings
 
All restorations (fillings) provided in this practice are tooth coloured to match & preserve your natural smile. We use composite resins, porcelain & glass ionomers; silver amalgam is never used.A restoration replaces part of a tooth that has been lost because of decay or trauma. Unlike amalgams , composites actually bond to the teeth, so they are especially suited to repairing teeth that have been chipped, broken or decayed. They can also be used very successfully in back teeth. The procedure is simple and is usually completed in one visit. Composites, glass ionomers, and resins are just different types of white restoration materials.
Procedure

  • Normally, your dentist will give you an anesthetic to numb the area
  • Any existing decay will be removed
  • Any existing restorations (if present) will be removed
  • The tooth will be washed and dried
  • Next, the tooth to be treated will be primed so that it’s ready to chemically
    bond with the composite
  • The composite will then be placed into or onto the tooth and contoured
  • A harmless bright light is used to harden the resin & bond it to
    the tooth surface.
  • Your dentist will trim and polish the final restoration.

Benefits

  • White restorations come in a range of shades so they can be
    matched to the color of your existing teeth.
  • White restorations are sticky so they can be used to reshape and rebuild
    broken edges or worn teeth.
  • They can also be used to cover stains or discoloration if they cannot
    be removed by cleaning.
  • Because white restorations bond to the tooth, less structure needs to
    be removed than when placing a silver one.
Crowns, Veneers, Inlays & Onlays
A crown is a precision made “cap” that fits over your existing tooth to strengthen & rebuild it. Crowns are made for 1 of 3 reasons:To rebuild a heavily filled or badly broken tooth. If the tooth is not crowned it may break further & have to be extracted.As a cosmetic restoration to improve the shape &/or the colour of the tooth.To improve the function of a tooth.How many Appointments are Necessary? Usually 2: the 1st to prepare the tooth to receive the crown & the 2nd to have the crown fitted.What happens in between Appointments? A strong temporary crown is fitted which matches the colour & shape of your teeth. Sometimes back teeth, which do not show, are fitted with a simple aluminum temporary crown.Why does my tooth need a Post?If a tooth has been root filled it will need a precision made metal post to strengthen the root before the crown can be fitted.Why does my tooth need a new filling before a Crown?Often the existing filling is old or poorly supported. There may be decay under an old filling which would cause problems if not removed & the tooth” sealed” with a new filling. This new filling is often called a ” Core”.

How is a Crown fitted? The temporary crown is easily removed & the new crown fitted with a strong dental cement.

What Type of Crowns are there? The strongest type of crown is made entirely from strong dental gold. This is much harder than jewellery gold & will last a long time if properly cared for. Another benefit is that less tooth needs to be drilled away.

Bonded crowns consist of a strong precious metal substructure covered with natural shade porcelain.

All Ceramic Zirconium crowns have no metal substructure so give the best cosmetic result of all. Can not be used in all cases.

What is a Bridge?

A bridge is a fixed false tooth supported by one or more crowns. This technique allows missing teeth to be replaced without having to wear a plate. Once fitted a bridge looks & behaves like a real tooth; no one can tell & there is no awkward plate to wear.

What is a Veneer?

A veneer is a thin covering, made from very strong porcelain, which is bonded to the front of your tooth in a 2 visit technique. This technique is cosmetic in nature & can restore discoloured or misshapen front teeth to their former glory. Not suitable for all teeth.

What is a porcelain Inlay/onlay?Back teeth no longer have to be discoloured with black or silver fillings when, natural shade, porcelain inlays or onlays are fitted. This 2 visit technique is similar to having an all porcelain crown fitted. Inlays & onlays can also be made from composite resin (tooth coloured) or gold in heavy bite areas.
 
Implants
Before
After
 
What is an implant?An implant is a small device anchored in the jawbone to provide a stable foundation on which new teeth can be attached. The implants are made from medically pure titanium & fixed in place during a minor operation. 2 months later new teeth can be built on the now integrated implants. We use the Straumann system.What is the benefit to me of having an implant fitted?Firstly an implant is solid so any new tooth placed on it will be as stable as a normal tooth; there is nothing to “take out at night” & no embarrassing plate to wear. Secondly there is no necessity to crown adjacent teeth such as if you were having a bridge fitted. And finally implants will give you the confidence to eat anything & smile without embarrassment.Is there any age limit? No any reasonably fit person can have implants. If you are tired of ill fitting dentures then implants can often be the best way of securing a stable & healthy smile.I’m reasonably happy with my dentures but they sometimes move: can implants help? Yes 2 or more implants can be fitted under the plate to help anchor the denture in place. This gives much greater stability to the denture stopping it moving around.

Can you replace back teeth as well as front teeth? Yes any tooth can be replaced.

Is there a limit to the number of teeth that can be replaced? No implants can be used in many situations not only to replace single teeth but also if you have lost all your teeth.

I need to have a tooth extracted now: can an implant be fitted immediately? Yes, in some situations the tooth can be extracted & an implant placed into the socket at the same time. However the new tooth cannot be fitted onto the implant until it has integrated into the bone. This is normally 2 months later.

What happens during the 2 month healing process: do I have to have a gap? No a temporary tooth will be provided.

How long do implants last? Once integrated the implant should last for a long time, however, the tooth on the implant may need replacement from time to time. It should be remembered that you will have to carry out meticulous cleaning of your new teeth to keep everything healthy: we will show you what to do. Failure to carry out adequate oral hygiene can lead to failure
of the implant. Regular hygiene appointments & examinations, at least every 3 - 6 months, are essential.

Do implants ever fail? Yes occasionally even with the best care & attention the implant is rejected. We take every care to eliminate potential problems but every so often an implant will fail for no apparent reason. Poor oral hygiene is one cause of failure. However once the rejected implant has been removed a new implant may be successful in another position.

How much do implants cost? This is very variable & depends on the number of implants placed & the complexity of the teeth fitted to the implants. We can only give you an estimate once all factors have been assessed. However a single tooth implant will cost in the region of £2200.

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