Preventative dentistry is the modern way of helping you keep a healthy mouth. It helps you to keep your teeth, and means you require less dental treatment. The two main causes of tooth loss are decay and gum disease. The better we prevent these two problems, the more chance you have of keeping your teeth for life. When the dentist, hygienist, and patient work together, the need for treatment and the traditional pattern of fillings and extractions can be avoided. Your dental team may recommend a course of treatment to get your mouth into good condition, and then work out a ‘maintenance plan’ to help you keep it that way.
Oral Cancer Screening
Most dentists recommend an oral exam during your routine dental visit to screen for oral cancer. During an oral exam, your dentist checks your mouth for red or white patches, or mouth sores. Your dentist also feels the tissues in your mouth to check for lumps or other abnormalities.
Tooth whitening is the process of using bleach or other materials to make teeth look whiter. The materials remove stains or other discolouration from the tooth surface.
Whitening is a process where the tooth discolouration is ‘whitened’ to a lighter shade. It removes the staining agent through chemical means. It is a safe procedure when carried out under professional supervision.
Teeth can discolour for various reasons. The dentist will recommend the most ideal method based on your oral condition after an in-office examination to establish the cause and nature of your tooth discolouration, as well as provide you with more information on the various types of whitening procedures available, duration, and frequency of treatment.
Why might I be susceptible?
Periodontal disease is the number one cause of tooth loss amongst adults. This is because a certain number of people (15-20%) have immune systems that overreact to the bad bacteria in their mouths. When this overreaction occurs, the immune system attacks and breaks down the bone and tissue that surround the tooth. This destruction is not predictable and can occur sporadically. We do not know if we are part of this 15-20% because we cannot usually feel or notice the onset of gum and bone (periodontal) disease. Both adults and children should be routinely checked for gum disease.
Keeping your gums in shape
Keep in mind that healthy gums do not bleed. You are the key player on the hygiene team. If you do not do the essential daily brushing and flossing, the rest of your dental team (the dentist and hygienist) is playing short-handed. And sometimes with everyone fighting the good fight, stubborn plaque and bacteria will require some new maintenance techniques for battling gum infection.
Gum disease is not curable, but it is treatable, and in most cases, controllable.
Are you living at high risk for gum disease?
Smoking: Numerous studies have shown that smokers have more gum disease. Smokers have increased levels of tartar in the mouth, and experience more tissue irritation, which makes their gums more susceptible to disease. Smokers have more bone loss and heal less quickly than non-smokers.
Stress: When our immune system is stressed it is difficult to fight off the bacteria that cause gum infections.
Dental neglect: Avoiding the dentist is a lifestyle choice that puts you at risk of contracting diseases of the mouth, teeth and gums.
Floss or die! Your hygienist or dentist works to prevent infection in your mouth from entering the bloodstream and reaching vital organs.
Heart disease: Gum inflammation products and bacteria in gum disease can cause heart disease, and in some cases, double the risk of a fatal heart attack. In addition, bacteria from your mouth may combine with blood-clotting cells called platelets, forming heart-stopping blood clots.
Stroke: New studies show that 70% of the fatty deposits of stroke sufferers contain bacteria, of which 40% comes from the mouth.
Diabetics: This group of people are more likely to have gum disease than most people and gum disease makes it more difficult for diabetics to control their blood sugar.
Premature birth: Pregnant women who have periodontal disease may be as much as seven times more likely to have a baby born early. Some research suggests that gum disease may increase the level of hormones that induce labour.
Make an appointment on 01509 219 699 or email us at firstname.lastname@example.org if you think you have experiencing any symptoms related to gum disease.
Tailor-made hygiene appointments
We recommend routine appointments with our dental hygienist in order to maintain healthy teeth and gums. Hygienists are exceptionally skilled in cleaning and maintaining the health of your gums. Professional cleaning removes the hard deposits of build-up on and in between the teeth.
Our friendly hygienists at Carillon can give you tailor-made oral hygiene advice, give dietary advice in relation to oral health, and direct you into using the most appropriate oral hygiene aids, e.g. floss, mouthwash, electric toothbrush, etc.
For nervous patients we offer empathy and understanding as we do appreciate that some people are anxious about visiting the dentist. Our team is friendly and gentle, and we are always ready to listen any concerns you may have.
What are dentures?
A denture is a removable prosthesis used to replace missing teeth. Commonly referred to as ‘false teeth’, a denture is usually made of acrylic or a combination of acrylic and metal. A partial denture is fitted to replace some missing teeth whilst a complete denture is indicated when all natural teeth are missing. A good set of dentures helps you to eat, speak, function, and often improves a person’s appearance.
How long does it take to make dentures?
Depending on the complexity of each case, the duration of the treatment will vary. After the initial visit of examination and diagnosis, the subsequent visits will include taking impressions of the mouth, bite registration, try-in of the denture, fitting and review.
What can I expect?
New dentures always feel strange when first placed in your mouth. Several days or weeks will be required before you get accustomed to them. Adaptation varies with different persons and often time and experience are essential before dentures can be worn comfortably and function effectively.
Useful suggestions to help you to adapt to the new dentures:
Eating – Eating will take a little practice. Start with soft foods and foods cut into small pieces will help. Chew slowly using both sides of your mouth at the same time to prevent dentures from tipping. Once you become accustomed to chewing, include other foods until you return to your normal diet.
Increased salivary flow – You may experience an increase in salivary flow when the dentures are first inserted. This is a natural response of the salivary glands that will return to normal after a few weeks. You can improve the situation by swallowing more often.
Speech – New dentures may alter your speech initially. Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will speed up the adaptation process. This problem rarely persists beyond two weeks.
Sore spots – Minor irritation caused by surface irregularities or pressure spots on the denture-bearing areas are quite common. Your dentist will relieve the discomfort by adjusting the denture surface. Stop wearing the denture if the irritation is very painful. Consult your dentist immediately.
Cobalt Chrome Dentures
These are cast metal dentures generally considered to be the more permanent partial denture unlike plastic partial dentures. These are clipped to the natural teeth with clasps and most importantly incorporate rests on the teeth. The clasps hold the denture firm and the rests stop any damaging up and down movement.
Inlays / Onlays
You can have inlays and onlays instead of fillings. Fillings are soft to begin with and are moulded to shape in the mouth. Inlays and onlays are made outside the mouth, usual in a dental laboratory, and then glued to the tooth in the surgery.
An inlay sits in a hole in the tooth. An onlay sits on the tooth and builds up its shape. Inlays and onlays can be made in tooth-coloured porcelain, gold or a material called composite. Different materials are suitable for different parts of the mouth and different parts of the teeth.
What are the benefits?
Inlays and onlays are strong and can last longer than fillings.
They are especially suitable for the chewing surfaces of back teeth and for large repairs to front teeth where it can be difficult to make a white filling look natural.
Veneers are thin, custom-made shells crafted of tooth-coloured materials designed to cover the front side of teeth to improve the overall appearance of teeth. They are made of either thin plastic resin or porcelain and can be placed to:
- correct poorly formed or mildly mal-positioned teeth
- close gaps between teeth
- mask internal stains
- restore partially broken-down teeth
Tooth preparation is minimal and confined to the enamel structure. The veneer is bonded to the tooth structure with tooth-coloured resin cement. Several visits are necessary to complete treatment.
You should be aware that this is usually an irreversible process because it is necessary to remove a small amount of enamel from your teeth to accommodate the shell.
Six Month Smiles
Straight Teeth. Less Time. Clear Braces for Adults.
Are you one of the millions of adults in need of adult braces who are unhappy, self-conscious or even embarrassed of your smile? Many adults spend their entire lives covering their mouths when they laugh, smile or talk. They feel stuck because they do not want to wear adult metal braces for years or they are concerned that other corrective teeth straightening procedures could be too invasive or too expensive. Now there is an effective, safe and affordable cosmetic braces solution that fits your lifestyle.
Six Month Smiles treatment, just one example of “short term orthodontics,” can straighten crooked teeth. The best cases for such limited treatment are patients with a great bite in the back, mild alignment problems in the front, and either mild crowding or slight spacing between the teeth. The main movement patients will experience after braces are glued to the teeth and the flexible wires inserted is expansion. The front teeth will move forward and outward. If the bite is good in the back and the crowding or spacing is mild, the amount of expansion will be minimal and may actually be beneficial in some patients.
Implants are one way of replacing missing teeth. A post is planted in the jaw bone to support a replacement tooth. This acts like the root of a natural tooth. Implants can also be used to support fixed bridges or dentures.
Implant treatment normally has two stages. First, the implant is placed in the jaw. Then, when the jaw has healed, replacement teeth are attached to the implant. In some situations it is possible for temporary teeth to be attached to an implant at the time of fitting.
Would implants be right for me?
First, you should decide whether implants could be right for you. Contact us to arrange an implant consultation and discussion and we will let you know the possibilities. Our team will be only too happy to help you with any questions you may have.
If you decide to go ahead, this is what will happen:
- Implants are put into holes in the jaw with a local anaesthetic. You can opt to have sedation for this procedure also.
- The implant is screwed or pushed in and the gum is stitched so that it heals over the implant
- Under the gum the bone grows round the implant to hold it firm. This takes several months.
Implants usually have two sections – the post in the jaw and an extension that is added later when the post is secure. Attaching the extension needs a small cut in the gum above the implant. You might have more than one implant. The replacement teeth might be fixed permanently (like a crown or bridge) or attached in a way which lets you remove them for cleaning (like a denture).
Easy ways to refer to us.
What are bridges made of?
Bridges are usually made of a precious metal. If the bridge will show, porcelain is then bonded to the base. Sometimes, there are other non-precious metals used in the base for strength.
Are bridges expensive?
Although a bridge may seem costly they can be a wise investment that will give many years of good service. It will also improve your appearance and bite. A bridge uses the considerable skill of the dentist.
How do I look after my bridge?
You need to clean your bridge every day to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. Your dentist or hygienist will show you how to use special floss that a normal toothbrush cannot reach.
Root Canal Treatments
When is root canal treatment needed?
The crown of the tooth is made up of the hard, white, enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp. The dental pulp contains blood vessels and nerves within and extends from the crown to the tips of the root or roots. Root canal treatment involves the removal of the pulp tissues from the tooth in the event that it gets infected or inflamed. The pulp can be infected or inflamed due to either deep decay or an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp, and sometimes as a result of severe gum disease. Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discolouration of the tooth, swelling, and tenderness of the overlying gums or a bad taste in the mouth. On the other hand, there may be no symptoms at all. If pulp inflammation or infection is left untreated, it can eventually cause pain, swelling and loss of the supporting bone.
What are the advantages of root canal treatment?
Root canal treatment saves teeth that would otherwise have been extracted. After root canal treatment the tooth is pulp-less i.e. it has no vital tissues within. However, there are vital tissues surrounding the root e.g. the gum, periodontal membrane and supporting bone. A root canal treated tooth can function normally and can be maintained with routine dental care and oral hygiene measures.
Is root canal treatment painful?
Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetised during treatment. After treatment, the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues.
Dental amalgam is the traditional silver-coloured filling we are all familiar with.
Whilst composite (tooth coloured) fillings are becoming more popular, amalgam fillings represent the most durable and long-lasting form of filling available (apart from gold fillings which are more expensive.)
Amalgam fillings are the only type of filling provided through the NHS (if you meet the criteria under the NHS service) – composite fillings are considered to be ‘cosmetic’ and therefore must be paid for.
Most people have fillings of one sort or another but today, because we are much more conscious of our smile, we can choose a natural looking alternative – the composite or tooth-coloured filling.
A composite resin is a tooth-coloured plastic mixture filled with glass (silicon dioxide) first introduced in the 1960s. Originally only used for front teeth because of their softer nature, modern improvements to their composition make them generically suitable today.
Composite fillings are more difficult to place than silver fillings so may take your dentist 15-20 minutes longer to complete and because they are considered to be a cosmetic treatment, they are not available on the NHS and must be paid for.
The main advantage of composite fillings is their aesthetic appeal. The main disadvantage is their life expectancy. White fillings have always been considered less long lasting than silver amalgam fillings but there are now new materials available with properties comparable to silver amalgam, and these are proving to be very successful. The life expectancy of your composite filling can depend on the depth of cavity and its position in the mouth; your dentist is best positioned to advise you.
What is a crown?
A crown is a cap that is placed over a tooth and held in place by dental adhesive or cement. Crowns are used for several reasons:
- as a protective cover for badly decayed teeth or fractured teeth
- as a permanent restoration for teeth with large fillings
- to correct minor problems in natural teeth like spacing and irregular shape or severe discolouration.
What are crowns made from?
Crowns can be made from a variety of materials: plastic, ceramic or metal alloys. A combination of metal and ceramic is also possible to maximise strength and simulate the appearance of natural teeth.
How are crowns made?
Firstly, a thorough clinical examination is conducted with radiographs by the dentist. The suitability for crowns is assessed and any preparatory work is carried out. Your dentist will also be able to advise on your treatment sequence and any other concerns you may have.
At the second appointment, the teeth to be crowned are prepared. This involves reduction of the tooth size (usually under local anaesthesia) followed by an impression or mould of the prepared tooth. This trimming of the tooth is required to create space for the crown to be fitted. The mould taken is then sent to a laboratory where skilled technicians will fabricate the crown. In the meantime, a temporary crown is made and fitted onto the trimmed tooth.
At the third appointment, the temporary crown is removed and the tooth surfaces cleaned. The completed crown is tried on the tooth for fit, harmony with the bite, and appearance. Finally, the crown is cemented onto the prepared tooth with dental cement.
How long do crowns last and how do I care for them?
Crowns are made of inert materials that do not deteriorate over time. However, the underlying tooth is still prone to decay and gum disease.
Ceramic on the surface may chip or fracture. Avoid chewing excessively hard substances like ice or bones. Daily brushing and flossing are essential for maintaining good oral health as well as keeping the crown trouble-free. The most vulnerable portion of the crown is the margin or the junction between tooth and crown.
Regular check-ups will enable your dentist to detect any problems with your crown and recommend necessary treatment.
What is Invisalign?
A smile can change everything
Your confidence. Your outlook. Your life. And with Invisalign, achieving the smile you always dreamed of doesn’t have to be a big deal. In fact, it barely has to impact your day-to-day life at all.
Invisalign straightens teeth using a series of nearly invisible, removable aligners that are custom-made specifically for your teeth. As you replace each aligner every two weeks, your teeth will move – little by little, week by week, gradually moving towards the projected final position.
Comfortable, clear and removable – Invisalign transforms your smile without disrupting your life. Something that over 2.5 million people worldwide have already discovered.
Are you ready for your new smile?
What will it cost?
A smile can help your confidence, self-esteem and happiness
When you think about it, improving your smile goes beyond just the cosmetic. It is about doing something for yourself – so you can be more…you.
We understand price is an important consideration. Unfortunately, no definitive cost can be determined until you visit us for an initial consultation.
The cost of Invisalign is dependent on the specifics of your individual needs. These factors can include the complexity of your case and how long your treatment will take, but it is generally comparable to the cost of traditional fixed braces.
To obtain an estimate for the total cost of treatment, come in and speak to one of our fully trained dental practitioners.