We offer a multitude of treatments from simple regular Dental Check-ups to Teeth Whitening and Smile Makeovers.
Fillings are needed when the tooth has either been affected by decay, is broken, or has some developmental anomaly. As well as restoring function, fillings can be natural looking as well. Many people do not want Silver fillings that contain mercury, to show when they laugh or smile, as they are maybe considered aesthetically undesirable. White fillings are made from a composite resin material that comes in different tooth shades, to look like a natural tooth. They can also be used to restore small gaps in teeth and used in reshaping teeth. The benefits of dental composites is that they are tooth coloured and hence aesthetically more pleasing. Furthermore, unlike metal fillings White fillings are adhesive to the tooth, which results in more tooth preservation during preparation. The capability to expand reduces stresses on teeth.
Bridges are ideal for people who don’t like dentures and only have one or two teeth missing. Bridges are usually made by specially preparing and crowning the teeth on either side of the gap and attaching a false tooth in the middle. In other words, a dental bridge is used to bridge a gap (missing tooth/teeth) between healthy teeth. They are fixed in the same way as crowns. These bridges are usually made of precious metal bonded to porcelain. Sometimes other non-precious metals are used in the base to give it extra strength. Adhesive bridges are another way of bridging a gap, and less of the tooth needs removing. These bridges are made up of a false tooth with metal ‘wings’ on either side. These wings are made to bond to the teeth on either side, with very little drilling involved. Instead, the teeth are roughened, and the bridge is fitted using a very strong composite resin. Bridges are only possible if you have enough strong teeth with good bone support. We will help you decide which is the best way of replacing missing teeth.
Dentures (usually referred to as “false teeth”) are removable appliances that are used to restore missing teeth. They can be made for the upper and lower jaws and are constructed from an acrylic material that is specifically moulded to the individual’s jaw contours. Dentures can be used to replace one or multiple teeth. The procedure involves a series of appointments, which include taking impressions, recording the correct tooth size and shape, and a try-in stage to ensure a comfortable and desirable outcome. Your opinions during the fabrication are also of paramount importance in the success of this treatment.We will also discuss and advise you on other options for replacing missing teeth as considered appropriate for each individual case.
• Root Canal
Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury. You may not feel any pain in the early stages of the infection. If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess. An abscess is an inflamed area in which pus collects and can cause swelling of the tissues around the tooth. The symptoms of an abscess can range from a dull ache to severe pain and the tooth may be tender when you bite. If root canal treatment is not carried out, the infection will spread and the tooth may need to be taken out.The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection. Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist. At the first appointment, the infected pulp is removed, and any abscesses can be drained. The root canal is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle. The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.
A crown is an artificial restoration that fits over the remaining part of a prepared tooth, making it strong and giving it the shape of a natural tooth. A crown is sometimes known as a ‘cap’. Crowns are an ideal restoration for teeth that have been broken, or have been weakened by decay or a very large filling. A crown could be used for a number of other reasons, for instance: you may have discoloured fillings and would like to improve the appearance of the tooth you may have had a root filling which will need a crown to protect what is left of the tooth. It may help hold a bridge or denture firmly in place. The dentist will prepare the tooth to the ideal shape for the crown. Once the tooth is shaped, the dentist will take an impression (mould) of the prepared tooth. The impressions will then be sent to the dental technician, along with an appropriate shade and other information needed for the crown to be made. A temporary crown will be made so that you can use the tooth while you wait for the crown to be made. This crown may be more noticeable but is only a temporary measure. When you and your dentist are happy with the fit and appearance of the new crown it will be fixed in place with special dental cement or adhesive.
• Dental Implant
Implants are titanium screws that are surgically placed in the jaw bone. Over a few months, bone starts to grow and bond around the titanium screw. This process is called osseointegration. Just as a natural tooth root, these biologically entwined titanium screws can provide a stable well anchored support for crowns, bridges and dentures.Usually the permanent false teeth are fitted 3 to 4 months after the implants (titanium screws) are put in. Some teeth can even be fitted at the same time as the implants (these are called ‘immediate implants’) we will advise you on whether these are suitable for you. Sometimes treatment takes longer, we will talk to you about your treatment time.Dental implants are one of the most significant advancements in dentistry. An advantage of dental implants is that they do not require the preparation of any other healthy teeth, as with the case for bridges.Having dental implants will involve at least one minor operation. You need to have healthy gums. We may not offer you dental implants if you smoke as it can affect the outcome of the treatment. Implants are less likely to be successful if you have a medical condition such as diabetes or osteoporosis, or have had chemotherapy. If you have any of these medical conditions, we will discuss this further with you and advise if implants are an option for you.Usually with local anaesthetic, dental implants can be easily and comfortably placed. The dental implant is placed within the jaw bone and left to heal for usually 3 to 6 months. During the healing phase a fixed bridge or removable denture is used to close your gap. Once the implant has successfully integrated to the bone, the final restoration can be secured onto the healed implant. This maybe either be a crown, bridge or denture depending on each case.
• Orthodontic Treatment
Orthodontic treatment is the correction of malpositioned teeth, which can effect 30% of the population. The teeth can be corrected with the use of dental braces and other appliances to move the teeth around, which can be fixed or removable, depending on your preference and the severity of the condition. Fixed appliances like braces are bonded to the teeth with adhesives. These braces can be tooth coloured to make them more aesthetic. A series of removable clear aligners (such as INVISALIGN) are an alternative to braces. The aligners are worn throughout the day and night to gradually move the teeth over a period of time. More basic orthodontic treatment usually takes a few months, but more serious cases might take years and require more specialised treatment. This might include treatment for children which will encorporate the growing of the jaw during treatment. Orthodontics are only recommended for patients with good oral hygiene and good motivation, as treatment can last a few months. Patients will be assessed by the dentist pre operatively, and will need regular appointments during the treatment to maintain and assess the success of treatment. Post operatively, the patient is likely to need a retaining device to keep the new orthodontic position in place and prevent ‘relapse’. These can also be either fixed or removable, depending on the risk.
Dental hygienists provide clinical and educational care to help patients achieve good oral hygiene and avoid gum disease.They work closely with a dentist to give care that is tailored to your needs. The hygienist’s main work is to professionally clean the patient’s teeth. They are uniquely qualified to assist in the prevention and treatment of gum disease by scaling and polishing teeth and developing home care plans with patients to maintain their oral health. Cleaning teeth efficiently is a far more complex and skilled procedure than most people realise. Hygienists identify those areas where patients have difficulty in removing plaque and work with them to modify their tooth brushing technique to ensure effective cleaning.
Veneers are super thin, translucent shells that are permanently bonded to the front tooth. Veneer are the popular cosmetic dental treatment and correct a number of aesthetic and dental concerns. Advances in materials make today’s veneers look and feel more like natural teeth. The material used to create these cosmetic restorations is very fine and reflects the light in the same way as your natural enamel. Veneers are wafer-thin laminates or shells of tooth coloured material. These are precisely made to fit over the visible surface of your teeth, like a false fingernail fits over a nail.As veneers are thin very little preparation of the tooth is needed. They are “cemented” to the front surface of teeth to improve their aesthetic appearance. Veneers can improve the colour, shape, length and position of your teeth. They can be used to correct a chipped tooth, close gaps between teeth, and improve the colour and alignment of teeth.
• Oral Surgery
When dental extractions are more complex, a surgical procedure might be involved. This could include extraction of difficult or broken teeth and roots where it may require sectioning of the multiple roots or removing minimal bone to facilitate easy removal. Surgical procedures will be involved in implant placement.It is likely that post operatively patient will experience some pain and swelling. Your dentist will help explain techniques on how to manage this.Wisdom tooth removal- surgical removal of upper or lower wisdom tooth/teeth under local anaestheticThe impacted lower wisdom tooth when indicated for removal requires possible incision on the gum margin and some local bone removal to allow extraction. The wound is closed with dissolving stitches.Postoperatively patients may experience pain, swelling, possible bruise for few days. There is an extremely remote risk of nerve damage leading to temporary or permanent numbness of lip, chin and tongue on the affected side.Apicectomy- This procedure involves surgical removal of the tips of the infected roots of front teeth where root canal treatment has failed and has led to persistent infection in order to salvage the tooth.A small incision on the gum line allows the dental surgeon to access the infected area where the offending root tip is apicected, cleaned and filled to prevent leakage. Wound is closed with dissolving stitches.Patient may experience pain or swelling after extraction. All the patients are explained in detail with regards to post-operative care and instruction along with written instructions.
• Teeth whiteningTeeth whitening is one of the most popular procedures in cosmetic dentistry. Quick, effective and relatively inexpensive, teeth whitening is an excellent option for improving the appearance of smile. Tooth whitening can be a very effective way of lightening the natural colour of your teeth without removing any of the tooth surfaces. It cannot make a complete colour change, but it may lighten the existing shade. Professional bleaching is the most usual method of tooth whitening. Your dentist will be able to tell you if you are suitable for the treatment, and will supervise it if you are. The ‘active ingredient’ in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.