West_Street_Dental

GENERAL DENTISTRY

Fillings


FILLINGS

Nowadays, most people have Fillings in order to maintain a good chewing habit, which is necessary for a well-balanced diet or, if it’s because they are self- conscious about their smile, then we can choose a natural looking alternative, which is a tooth-coloured restoration.

You need fillings when decay causes cavities, or holes in your teeth. Many patients don't realise they need fillings, which is another reason why getting a regular check-up is important.

Most people prefer tooth-coloured fillings because they look more natural and other people can’t see them when you laugh. Composite fillings are usually called "white fillings" but we actually use a range of different shades to match the natural colour of your teeth.

White fillings


White fillings are used in the front or the rear of the mouth. They are the ideal, natural looking way, to bring back strength & functionality to your damaged teeth. We can build up cracked or chipped teeth with white fillings, to restore each tooth to its natural appearance or, it can be used to close gaps, reshape uneven or short teeth.

Fillings offer a quick and affordable way to correct a variety of dental problems, however we generally recommend that fillings of any kind are replaced only when it is clinically necessary.

Depending on its position in the mouth, its volume and functional load – a minimum of 5-7 years is expected from any filling. Sometimes when the existing fillings are very large, composite fillings may not be an option, instead a porcelain inlay or even a crown may be required.

It must be understood that if a defective tooth / restoration is identified during an examination and is left untreated, bacteria can get into the tooth and cause you a painful infection and tooth disease. Postponing visits for dental treatment often lead to tooth loss. It is very important to deal with any dental problems quickly, to prevent them becoming more serious.

White Fillings


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Extractions

MINOR ORAL SURGERY & EXTRACTIONS

Tooth removal can be an upsetting and anxious time and, if possible, we’ll always try and save your tooth. But if removal is needed, we do everything we can to make it as comfortable for you as possible.

Dental extractions are most commonly required when one of your teeth has been damaged beyond practical repair. In order to remove the tooth or retained root we numb the area to reduce discomfort. During the extraction you'll feel pressure as the tooth is being removed, but you won't feel any pain. Typically, we are able to remove your tooth within a matter of minutes.

Immediately after the tooth is extracted, a small amount of bleeding is expected and a sterile patch of gauze is placed in the affected area. The area may bleed minimally for a while and then taper off. Follow our instructions on how often to change the gauze and what other post procedure steps to follow.

Sometimes due to a patient’s general health, bad habits or local circumstances, the post-operational area may get infected, which is called “dry socket”. If you notice that recovery doesn’t follow the course that was described by the dentist – then the best option would be to book another visit for a review, and possibly to take another set of precautionary measures to achieve a positive recovery.

The most common reasons for Extractions include:

• Severe tooth decay or infection often make it impossible, or too costly to repair the tooth
• A split tooth due to trauma or a hairline fracture which means that any restorative techniques would be unsuccessful
• Extensive tooth deterioration which is already at, or below the gum line.
• Advanced gum disease sometimes requires a tooth to be extracted, so that the tooth doesn’t affect the supporting tissues and bone structure of the mouth in adjacent area.
• A tooth is sometimes extracted if it is blocking other teeth from coming through
• Wisdom teeth are often extracted either before or after eruption in cases when they cause substantial discomfort
• During orthodontic work, teeth are sometimes extracted to create more room for the teeth that are being moved into place.


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Crowns

CROWNS

Crowns are caps that are placed over teeth and held in place by dental adhesive or dental cement. They cover the entire chewing surface of the tooth as well as most of the vertical surfaces. There is a range of crowns which could be made from a variety of materials: plastic resin, various types of porcelain, porcelain bonded to metal, noble and non-noble alloys.

Your tooth is initially prepared for your crown, this will involve removing most of the outer surface and leaving a strong inner core. Sometimes we may have to build up the core of the tooth (particularly if a lot has broken off) with filling material, or place a post into your tooth so that the crown has something to sit on. The amount of tooth removed will be the same as the thickness of the crown.

A mould of the prepared tooth would be taken, to be passed on to a dental laboratory in order to construct a Crown exactly as indicated by the dentist. The shade of the adjacent teeth is recorded so that the new crown is an exact match for the other teeth. We then fit a temporary crown while the permanent crown is being made, so that the tooth looks and feels the same. A second visit is usually required to complete the treatment. Brushing daily and flossing are essential for maintaining healthy gums, which are a guarantee of a long-lasting aesthetic result and of keeping the crown trouble-free.

The most vulnerable part of the crown is the margin or the junction between the natural tooth and the crown, therefore regular check-ups ensure that we can detect any problems with your crown in their early stages and recommend the necessary treatment in due time to prevent substantial deterioration.

Crown placement

Crowns are indicated for the following situations:

• As a protective cover for a badly decayed tooth or fractured tooth
• As a permanent restoration for a tooth with a large filling
• To correct minor aesthetic issues in your natural teeth like spacing and/or irregular shape or severe discolouration
• As anchorage of a multi-unit bridge in case one or more teeth are absent.


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Root_Canal

ROOT CANAL TREATMENT

Root canal treatment (RCT) is for a tooth where the nerve has been damaged by decay or trauma. This procedure is relatively comfortable and often painless, as the tooth is anaesthetised during treatment.

RCT gives a chance to save the tooth that would otherwise have to be extracted. This treatment is also sometimes necessary prior to crowning a tooth. This treatment usually involves the removal of the pulp tissue of the tooth when it becomes irreversibly inflamed or infected.

Debris within the canals is removed and the canals are then cleaned and disinfected prior to being filled and sealed with special root filling material. After root canal treatment your tooth has no pulp and subsequently has no vital tissues inside, however there are vital tissues surrounding the root, thus a root-treated tooth functions normally and should be maintained with routine dental care and oral hygiene measures.

Completed root canal representation

 

After treatment your tooth may be sensitive or tender for a few days due to inflammation of the surrounding areas. This can be relieved by taking mild analgesics or pain killers available over the counter at the pharmacy, however if the pain persists and is severe, or swelling occurs, you should contact us.

When RCT is considered completed and successful, the tooth is restored back to its full shape and function with a permanent filling or a crown.

Infected Pulp Tissue

Image above shows a representation of infected pulp tissue which can be treated by a root canal.


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Dentures

DENTURES

A Denture is an appliance that replaces some, or all of your natural teeth in either the upper or lower jaw, and gives support to your cheeks and lips.

A partial denture fills in the spaces created by your missing teeth. It is attached to your natural remaining teeth with metal clasps or devices called precision attachments.

The base of the denture is called a plate and is normally made from either acrylic plastic or metal. The teeth are usually made from acrylic material and are made to match your natural teeth.

This is particularly important in the case of partial dentures because they should match your adjacent and/or opposing natural teeth.

It might take you some time to get used to them, however, once you reach that stage, your eating habits will be the same with the exception of a few dietary restrictions.

It is also worth mentioning, that dentures aren't as efficient as your natural teeth. If you experience eating difficulties at any time, it's important to contact us. Poorly fitting dentures often contribute to eating difficulties. Dentures that fit correctly are vital for enjoying a well-balanced diet.

Dentures are durable but that doesn’t make them indestructible. They can sometimes discolour, chip, break and bend out of shape. With good care your dentures can last for many years.

Dentures offer many benefits to those who wear them. While they may need some initial adjustment and getting used to, they can enhance your smile as well as your long-term confidence.

Visit us at least once a year to evaluate how they fit, their appearance and to receive oral cancer screening.


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