The starting point to achieving and maintaining strong teeth and gums is their preventative care.
- Regular Check-ups & cleaning – Dental plaque is a thick sticky film of bacteria that builds up on the teeth. Plaque can harden to become calculus, also known as Tartar. Plaque and calculus are caused by poor hygiene which is when the teeth have not been cleaned thoroughly or often enough. Bacteria in plaque react with sugars and starch in food to produce acids which attack tooth enamel and gums and cause dental cavities. The dentist will check you oral health by examining your teeth and gums and noting whether plaque and calculus are present. Teeth are examined for any decay and also check any existing fillings. Digital x-rays are used as an aid to detect decay. Regular check-ups every 6 months will ensure problems are detected and treated early.
- Fissure Sealants – The deep grooves in the back molar teeth are called fissures. These can be hard for young kids to clean properly leading to the development of cavities. Sealing the fissures is a quick and easy way of protecting the fissures, it only takes a few minutes. The tooth is prepared with a special blue solution, washed and dried with air. The liquid is applied and set hard using a special light. It is pain free.
- Mouth Guards
- Occlusal Splint (Nightguard)
- Fillings – Local anaesthetic is used to numb the area around the tooth being filled. The decay is removed, area cleaned and the tooth coloured material is applied in layers, a special light is used to cure and harden each layer.
Tooth coloured composites have various advantages over other filling materials:
- Bonding to tooth structure
- Tooth sparing preparation
- Inlays and Onlays are the preferred type of restoration used when a tooth is too damaged to support a filling but not damaged enough for a dental crown. It prevents the unnecessary removal of tooth structures. These restorations are made from durable porcelain.
- Inlays fill the space in between the cusps at the centre of a tooths surface.
- Onlays/Partial Crowns work like an Inlay but cover one or more cusps on the entire biting surface of the tooth.
- Bridges – A dental bridge is used to replace a missing tooth by cementing crowns on either side. The anchor teeth could be natural teeth or dental implants and are known as Abutment.
We use the Phillips Zoom White Speed to whiten teeth. You can achieve your maximum whitest smile with just one hour of treatment by your dentist. Teeth are examined first and should be caries free. You will be advised to use specific products to protect the enamel on your teeth from sensitivity. You will be given a take home kit consisting of Colgate/SDI to be used in the custom trays provided. This is to be used over a period of 1 to 2 weeks and then as required.
NB: Any fillings would have to be re-done as the filling material does not get bleached. Please consult the dentist for a better and predictable smile!
Crystal glass ornaments are bonded to the labial/outer surface of natural anterior teeth without previous preparation.
When many teeth are lost or extracted a denture may have to be fitted to maintain normal chewing, bite, speech and appearance of the upper and lower jaws. Dentures are removed every night for and cleaned regularly. Dentures can be made of acrylic or Chromium Cobalt.
- Full Dentures – A full denture is made when all the natural teeth are missing either on the upper or lower arch or both. They are customised and uniquely designed to the patient’s needs.
- Partial Dentures – A partial denture is made to fill the space left by a few missing teeth. Clasps are used to secure the denture in position.
- Immediate Dentures – A denture is inserted at the same appointment after the extraction of single or multiple teeth, thus avoiding the embarrassing situation with missing teeth, especially if it is your front teeth. This denture might need adjustment or a reline after a few weeks of insertion.
- Relines – The change in shape of the gums or underlying bone with age and wear often require the dentures to be relined/refitted to the changed surface. Annual examination of the patient’s mouth and denture are.
- Repair – Broken tooth or clasp and addition of a tooth to an existing denture can be done within a few days
Root Canal Treatment
The aim of Root Canal Treatment (endodontic Tt) is to save a tooth that has been damaged due to decay/disease or injury. It is preferred to save the natural tooth as it has better strength and function than an artificial tooth. Root Canal Treatment is needed when the pulp become inflames or infected.
Causes of Pulp Infection:
- Breakdown of filling/crown.
- Deep Decay
- Extreme wear
Symptoms of Pulp Infection:
- Sensitivity to hot or cold
- Tooth discolouration
- Swelling or pain in gums
Pulp is the soft tissue deep inside a tooth; it contains nerves, blood vessels and connective tissue. It extends from the crown to the tip of each root and has the role of maintaining normal growth, development and health of the teeth.
Course of treatment:
- Each root canal is cleaned, enlarged and shaped
- Anti-inflammatory and Antibacterial medicines are placed inside the canal
- 3 to 4 visits may be needed
- Radiograph’s are taken to aid in the treatment
- Finally the canals are filled, sealed and restored with an artificial crown.
Removal of teeth is only done after an x-ray of the tooth is taken and all options have been carefully considered and discussed with the dentist.
- Extensive damage to the tooth
- Periodontal Disease (Mobility in Teeth)
- To Prevent Infection
- Orthodontic treatment (to correct crowding)
- Cracked or split tooth
You will discuss anaesthetic options with your dentist:
- Local Anaesthetic
- Conscious Sedation
- General Anaesthesia
Complications of Extraction:
- Dry Socket
- Damage to nearby tooth or filling
- Thinning of the jaw bone.
The removal of wisdom teeth is a very common procedure. Most people have four wisdom teeth. If there is not sufficient space at the rear of the jaw for the teeth to come through, they become wedged/impacted and can cause infection, crowding, pain, cysts, ulcers, food to be trapped and ultimately decay. An OPG is recommended and if expected to be difficult a referral to the specialist is made.
Accidents and Emergencies
Babies and Toddlers
Child Dental Benefit Scheme