General Dentistry

 

Dental Examination

A dental examination which can also be referred to as a check-up, allows the dentist to perform a thorough inspection of your mouth, teeth and gums. This will enable them to identify any areas of early decay, acid erosion and gum disease.

By focusing on preventative dentistry any problems can be quickly identified and treated. This helps to reduce the cost and complexity of any treatment required and should enable you to keep your own teeth for as long as possible.

Using a small handheld mirror and probe the dentist will fully assess your mouth. They may also take x-rays to look at the roots of teeth and at any areas of decay.

Once a full examination has been completed the dentist will explain all the possible treatment options and provide you with a full treatment estimate for any work that needs to be completed.

 

White Fillings 

Are you concerned about unsightly silver fillings showing when you smile or laugh? - White Fillings can improve your smile and can be used to easily replace silver or mercury fillings.

Here at White House Dental Studio we want to ensure that when you smile you will not need to worry about unsightly fillings being on display and this is why we recommend the use of white or invisible fillings.

 

These will match seamlessly to the natural colour of your teeth so will not be noticeable when you smile or laugh.

In order to prepare your teeth for the filling the dentist will first numb your mouth using a local anaesthetic injection so that you will not feel any pain and will then remove the decay present ensuring that only healthy tooth remains. The hole will then be filled using a composite material which will be matched to the natural shade of the teeth. The filling is bonded to the tooth with adhesive and light shone onto it to cure it. This will then be shaped to fit correctly within your bite.

You will be advised not to eat on the filled tooth for an hour to ensure that the anaesthetic has time to wear off and the filling is fully hardened.

Over the past few years there have been many advances in filling materials and this means that white fillings are now just as strong as their silver amalgam predecessors. The expected life of a filling can vary greatly dependent on the size of the filling, the strength of your bite and how well the tooth is looked after. Although the filling itself cannot decay the tooth below it can. Your dentist will be able to give you an idea of how long your filling should last prior to treatment.

Dentures

Dentures can be used to replace several or all of your upper or lower teeth. They provide support to your cheeks and lips as well as allowing you to eat and speak normally. Replacing lost or missing teeth can help to improve your appearance, by filing out your face and cheeks. The dentures will be made to match closely your natural teeth and may even help to improve the appearance of your smile.

Dentures can be fitted immediately after teeth are extracted, to ensure that you do not have to be without teeth while your gums heal. However following an extraction your gums will naturally shrink as the sockets heal. This will mean that after four to six months your dentures may need relining, adjusting or replacing.

Traditional dentures are made from acrylic or metal, but at White House Dental Studio we are also able to offer newer cosmetic dentures Valplast. They are made from a strong nylon resin which allows them to be flexible, durable and very comfortable as well as looking very natural.

Dentures will take four to five weeks to construct and you will need to arrange appointments with the dentist every week. This allows for the dental technicians to have time to build the dentures to the dentists exact specifications, from impressions taken of your mouth.

Eating will take a little bit of practice, but as you gain more practice you should be able to eat a full and varied diet. The same will be true when you talk, it may be necessary for you to practise reading aloud and repeating difficult words.

During the first few days it is advisable that you wear your dentures continuously. After your mouth has got used to the dentures you will be able to take the out before going to bed. This allows your gums to rest and keep your mouth healthy. It is best to store dentures in some water when they are not in your mouth to prevent them warping.

Dentures if cared for properly should last several years. However your dentures will need to be relined and re-made because of normal wear and tear. If your dentures become loose they can cause health problems so it is advisable to replace them before they can cause damage to your mouth.

 

Crowns and Bridges

Crowns are an artificial restoration used to repair heavily decayed and damaged teeth and improve the appearance of your teeth and smile. Crowns can also be used to help fix bridges in place, helping to fill any gaps created by lost or missing teeth.

Crowns and bridges will be fitted at two appointments. At the first appointment the tooth or teeth will be prepared and impressions taken. These are then set to the laboratory for the technician to create the custom made crown or bridge. Whilst this happened you will be fitted with a temporary. This may not match exactly your natural teeth but it will only be in place for one to two weeks.

At the second appointment the temporary will be removed and the crown or bridge will be fitted. The dentist will adjust it to make sure that the new restoration fits comfortably within your natural bite. The crown will not match exactly the original shape of your tooth and as such may feel slightly different. However within a few days it should not be noticeable. If after a week you can still notice the shape of the crown, then it may need some slight adjustment and you should call the surgery to book an appointment.

All crowns and bridges will be shade matched to ensure that they match as closely as possible to your other teeth. Once fitted, if looked after properly, crowns and bridges should last for many years. You should clean the crown or bridge in the same way as your natural teeth, brushing with a fluoride toothpaste twice a day and cleaning in-between the teeth with either floss or interdental brushes. The dentist will be able to provide you with the expected life of any crown or bridge prior to treatment starting.

 

Bad Breath

The most common cause of bad breath is the gases emitted by bacteria present in the plaque on our teeth. Particles of food can get trapped in between teeth and if not removed by regular and effective tooth brushing these then decay and cause an unpleasant smell.

If the bacteria is left on your teeth it can lead to tooth decay and gum disease, by visiting your dentist for regular check-ups any problems can be identified early and effective treatment started.

As people continue to live longer and longer more of us are taking a number of different medications to manage health conditions. The combination of a number of medications can lead to a condition caused dry mouth, which affects the flow of saliva within the mouth. Without the necessary saliva in the mouth the bacteria can build up more quickly on the teeth and cause bad breath. If you suffer from dry mouth your dentist will be able to recommend products to help deal with the problem.

Bad breath can also be caused by medical conditions such as throat, nose or lung infections, sinusitis, bronchitis, diabetes, liver or kidney problems.

If following a thorough examination the dentist finds that your mouth is healthy they may refer you to your doctor or a specialist for further examinations of the cause of your bad breath.

In order to keep your breath fresh, any gum disease or tooth decay needs to be treated and you need to ensure that you have a complete oral care regime in place.

Brush your teeth and gums twice a day using a fluoride toothpaste and floss to ensure that you reach the 40% of the teeth brushing will miss.

Use a mouthwash containing antibacterial agents to help kill any remaining bacteria.

Cut down on how often you have sugary food and drinks.

Visit your dentist as regularly as they recommend.

 

Dental Hygienist

A dental hygienist specialises in preventive oral health, to help you keep your natural teeth as healthy as possible for as long as possible.

In the UK the number one cause of tooth loss in adults is not tooth decay but gum disease. With gum disease affecting three out of every four adults, the hygienist is specially trained to give you the appropriate oral hygiene techniques to prevent the sore, bleeding gums most common associated with gum disease.

The hygienist is able to perform a number of procedures including deep cleanings, scaling and root planing for patients with periodontal disease, dental sealants, administration of fluoride, and provide instructions for proper oral hygiene and care.

Their main focus is to ensure that you are given the tools to keep your teeth free of plaque. Plaque is caused by the bacteria in our mouths attaching themselves to the tooth’s smooth surface. If this is not brushed away properly, it can then lead to decay and/or gum disease.

By having regular appointments with our hygienist we are able to prevent gum disease, tooth decay and failing dental work. It also allows any problems to be resolved quickly, reducing the need for costly and invasive procedures.

 

Root Canal

Root canal treatment is required when the canal containing the nerve of the tooth becomes infected. This infection can spread through the root of the tooth and cause an abscess. As the nerve inside the tooth is likely to be dead you are unlikely to feel any pain in the initial stages of the infection. However as the infection progresses and an abscess forms you may experience some pain and swelling.

In order to save the tooth it is necessary to perform root canal treatment. This involves numbing the tooth with a local anaesthetic so that you will feel no pain and then a small opening is made into the tooth so that the canals can be thoroughly cleaned and disinfected to remove any bacteria present. Once completed the tooth may be left with an antibacterial dressing inside for a week to ensure that all infection is removed. The tooth will then be covered with a temporary filling to allow the tooth to have time to settle. You may feel some tenderness following the procedure but this should lessen over time.

As root canal treatment is a complex and time consuming procedure it may be necessary for you to visit the dentist two or three times for the treatment to be fully completed.

Following successful root canal treatment the tooth will need to be crowned to both strengthen and protect it.

Most cases of root canal treatment can be completed in practice. However in some cases it may be necessary to refer you to a specialist in root canal treatment, an endodontist, who will have additional equipment to ensure that best possible outcome.

Although the success rates for root canal treatment are very good in some cases we are unable to save the tooth. The only other option would then be to extract the tooth and look at providing an implant, bridge or denture to fill the gap created.

 
 

Tooth Extraction

There may come a point where it is not possible to save a tooth either because it has become too heavily decayed or has broken beyond repair, in which case it may become necessary for the tooth to be extracted.

In most cases it is possible to extract teeth in practice under a local anaesthetic. However if you are very nervous or have a complex medical history it may be necessary to refer you to either a practice which is able to offer treatment under sedation or else to the hospital, where they have the expertise to deal with any complications that may arise.

This is why it is very important that your medical history is always kept up to date especially if you are taking warfarin and bisphosphates which can thin the blood and therefore affect clotting following dental treatment.

Following an extraction it is advisable that you take it easy for the rest of the day. It will take some time for the anaesthetic to wear off and you should avoid all hot drinks and food until it has. Whilst your mouth is numb you will be unable to feel pain and therefore may burn or scald yourself. Once the anaesthetic has worn off you will be able to eat normally however it is advisable that you avoid chewing on extraction site for a day or two.

Do not be tempted to rinse the area for 24 hours as you do not want to damage the clot that will have formed over the extraction site. However it is very important that you still brush your teeth, just be very careful around the extraction site.

If you experience continuing bleeding or pain following the extraction you should call the surgery and arrange to see the dentist again. It may be that the site has become infected and the dentist will need to dress the socket and prescribe antibiotics.

If you have any concerns following the extraction do not hesitate to contact the surgery and we will be happy to advise you.

Children's Dentistry

We understand that for many children coming to the dentist can be a stressful experience. So we have endeavoured to make sure that the surgery provides a unique and friendly environment for our youngest patients.

Our aim is to ensure that by creating positive dental experiences when children are young, they will then be more likely to continue to attend as they get older and will therefore enter adulthood with the best possible oral care.

We therefore suggest that children are brought to the dentist as soon as their first teeth come through so that they can get used to the dental environment, sitting in the chair and talking to the dentist prior to any treatment being needed.

If you have any questions or queries regarding your children’s dental treatment do not hesitate to ask one of our members of staff who will be more than happy to help.

 

Preventative Care

Here at White House Dental Studio we believe in prevention. Preventative dentistry is the modern way of helping you to keep your mouth healthy. It helps to ensure that you keep your own teeth for as long as possible and reduces the amount of other dental treatment you will require. The two main causes of tooth loss are decay and gum disease. The better that these are treated the greater the chance you will have of keeping your teeth.

 

Oral Health

In order to ensure that your teeth and gums remain as healthy as possible for as long as possible we recommend a comprehensive approach from both the dentist and the hygienist.

 

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