EXAMINATIONS AND CLEANS
Catch decay early so its easy to treat.
A full examination includes a cancer screening, inspection of hard and soft tissues, inside and outside the mouth. Often we need to do a thorough cleaning in order to assess the teeth properly. X rays are often needed too as now the outer shell of the teeth , the enamel, can be very hard and fluoridated so will not break down as readily. This would seem to be great news except if the decay gets in through an inaccessible area and the tooth can rot from the inside out. This means that by the time the tooth collapses and the decay becomes obvious it is very hard to treat. Much better to get an x-ray and catch any decay so as to minimise any necessary treatment.
FILLINGS white vs metal
Many people assume that white fillings are better because they are more expensive. They do look better and in small cavities can work wonderfully but like most things they do have disadvantages too. In very large cavities they are often too weak to work long term. In these cases we can use porcelain restorations which are more expensive but stronger. If the cavity extends deep under gum tissue then white fillings may not be reliable as they have to be dry to seal adequately. Rubber dam is a rubber sheet that slips over the tooth. It helps me make sure the cavity is clean and free from saliva and it helps stop the water and materials we are using choking the patient! I like to use it for most procedures as patients usually prefer it.
A crown is a “thimble” or “helmet” which fits over a tooth to protect it. Crowns are very strong restorations, but do require tooth reduction to make space. As such we try to be very conservative before subjecting teeth to this treatment. Crowns are usually necessary over root filled back teeth, cracked teeth or heavily restored teeth.
These are false teeth which sit on top of gums to fill spaces left by missing teeth. They are relatively inexpensive way to improve the appearance and function especially if a number of teeth are missing.
If we crown one or two teeth on either side of a space we can add a porcelain false tooth to fill the space.
Resin Retained Bridges
As above but the false tooth is held in by a metal wing which is not damaging to the remaining teeth nearly as much as a conventional bridge.
Most people expect dentists to disapprove of teeth whitening. There is an assumption that cosmetic treatment will damage the teeth. The good news about whitening is that research suggests that dentist-directed tray whitening can help kill the bacteria that causes decay and gum disease. On a personal level I’m delighted to provide whitening for my patients as its wonderful to be able to facilitate such an inexpensive treatment which will make people feel better about themselves.
Othodontic treatment is provided by Dr David Hone who is a specialist orthodontist. He is experienced with fixed braces (train tracks) both metal and white, lingual braces (on the inside of the teeth so they cannot be seen and clear positioners (invisible braces). His wealth of training and experience means that our patients can get the best possible treatment in as short a time as possible.