Treatments

Dental Filling

Fillings

Fillings are required when a part of the tooth has fractured or has been damaged due to decay and subsequently has created a cavity (hole in the tooth). They are used to restore the tooth to original function and integrity within a single visit.

 Amalgam filling

Amalgam Fillings

Amalgam fillings are the traditional silver coloured fillings we are familiar with and have been used as a filling material for over a century. There is mercury within the amalgam but it is rendered harmless once combined with the other materials in the dental amalgam. Amalgam fillings are amongst the most durable and long-lasting form of filling.

Fillings

Composite

Many people today are more conscious of their smile and are unhappy with silver fillings that can be seen when they laugh or smile and for this reason there is a more natural tooth coloured filling called composite. Composite fillings are adhesive and unlike amalgam fillings require minimal preparation of the tooth to be held in place. They are shade matched to the remaining tooth making them appear natural.

Composite is the material routinely used to restore teeth anteriorly in the smile line.

 Fisure Sealant

Fissure sealants

Every tooth has grooves and pits and these are called fissures. Fissures are on the chewing surface of the teeth and some tend to be deep and narrow and become difficult to clean effectively with toothbrush bristles. These deep fissures can harbour bacteria and result in tooth decay.

Sealants are used to fill these fissures to make the tooth smoother and less grooved therefore limiting food collection and decreasing the chances of decay. A tooth can be fissure sealed if it has not been filled previously and most commonly we recommend sealing newly erupted molars in children.

 Root canal

Root canal treatment

A tooth has several outer layers to protect the most inner part of a tooth that contains the nerves and blood vessels (known as the pulp). If the pulp becomes irreversibly damaged or infected through decay or injury, root canal treatment (or endodontic treatment) is required to save the tooth.

Root canal treatment is simply the removal of the damaged or infected pulp from inside the tooth and roots and subsequently filling this space with a root filling material.

Root canal treatment can be completed in one or multiple visits and can be carried out painlessly. The first part of treatment involves removing the infected tissue from the roots, then shaping the canals and flushing them out with antibacterial agents. Finally, the clean roots are filled with a rubbery antibacterial material. The tooth may then require a post and/or a core build up before it is protected with a crown or onlay. These restorations are used to protect the treated teeth as they become more susceptible to fracture following root canal treatment.

The only alternative option to a root canal treatment would be removing the irreversibly damaged pulp by extracting the tooth.

 Crowns

Crowns

A crown is sometimes known as a ‘cap’. Crowns are ideal restorations for teeth that have been broken or weakened by trauma or decay and the remaining tooth structure is not capable of supporting a regular filling. On occasion crowns are placed on teeth that are already heavily restored or root canal treated to prevent fracture in the future. They can be made of porcelain or metal or a combination of these materials.

The process of placing a crown requires at least two appointments. At the first appointment the tooth is prepared, moulds/records taken and the tooth will be protected with a temporary restoration. The moulds and records are sent to a dental lab and the finished restoration is returned to the dentist after approximately two weeks. At the fitting appointment the temporary is removed and the new restoration is checked before it is fitted.

Before the treatment is undertaken we will assess the tooth and take x-rays as required. After the final restoration is fitted it is extremely important to maintain good hygiene and attend for regular check ups/hygiene visits to ensure it lasts as long as possible.

 Veneers

Veneers

Porcelain veneers are very thin layers of porcelain that can be bonded to the front of your teeth to improve their appearance. They are long lasting, minimally invasive and can produce an extremely pleasing result in the treatment of the following problems:

  • Staining. Polishing, cleaning or whitening cannot remove all stains. Veneers are used to cover these stains, providing a uniform aesthetic result
  • Chips and fractures. Veneers can be used to restore fractures or imperfections in the shape of the front teeth. They can also be used to close spaces and change the shape of individual teeth.
  • Misaligned teeth. Veneers can be used to align crooked or rotated teeth providing a more even smile.

For porcelain veneer treatment we may need to prepare the teeth minimally and painlessly, leaving you with great looking temporary veneers. After two weeks you return and we remove the temporaries, try-in the porcelain veneers and once we have checked that you are pleased with the final restorations, we then definitively bond them on for you to enjoy your new smile!

For ‘direct’ composite veneer treatment we can layer the materials onto your teeth with no preparation over one visit. These are recommended for younger patients as they require no tooth reduction, and are therefore seen as a very conservative restorative option.

 Dental Bridge

Bridges

A traditional method of replacing a missing tooth with a fixed replacement is to use a bridge a bridge is where a false tooth is held in the position of the missing tooth by being anchored to one or more of the neighbouring teeth. For a bridge to be successful it is necessary to have strong teeth either side of the space with good bone support.

There are many types of bridges available and a choice of materials. Due to the specific nature of this treatment, at the Bretton Dental Practice your dentist will advise you as to which type is most suitable for your individual case and the choice of materials available.

You will need at least two visits to have a bridge fitted. During your first visit we will carry out preparatory work on the teeth adjacent to the missing tooth. A small amount of the teeth may need to be removed to make room for the crowns that support the bridge. We will then take an impression that will be used to make the bridge and crowns in the laboratory. Temporary crowns are placed, or a temporary bridge if suitable before you leave the surgery. At the second appointment we will try the bridge to make sure you and the dentist are happy with the fit and appearance, if needed it can be adjusted to ensure a very good fit. It will then be cemented into place once you are completely happy.

 Dentures

Dentures

Dentures are appliances used to replace missing teeth. The dentures can be complete where they replace a full arch of missing teeth or can be a partial denture where they replace selected teeth.

They can be made of Acrylic, Flexible Acrylic or Chrome to suit personal requirements and budget. They can provide an immediate replacement option for a missing tooth or a tooth that needs to be extracted.

The manufacture of a denture can take takes a few appointments where we take impressions, record the jaw relationship, try in and subsequently fit the final denture. The shades of the teeth are matched accordingly to the remaining teeth using a shade guide.

 Teeth Whitening

Teeth Whitening

Our teeth can discolour over time and from eating and drinking certain foods and smoking. Whitening reverses this process by lightening the teeth through a non-invasive chemical process. Moulds are taken of the teeth and trays are made into which the lightening agent is placed and the patient wears these at home, usually at night, until the desired results are achieved.

Teeth whitening with whitening gels can often be the quickest, cost-effective and most conservative option for improving a patient’s smile.

 Hygiene

Dental Hygiene

In a dental hygiene appointment the dentist professionally cleans the teeth and removes all plaque deposits to treat any underlying gum disease and help improve the gingival health, whilst removing any stains on the surfaces of the teeth. They provide advice to patients on how to keep their teeth and gum healthy, showing use of toothbrushes and interdental aids tailored to fit individual needs. Regular hygiene sessions help maintain a healthy mouth, improving the look and feel of your teeth.

 Sports guard

Sports guard

Your teeth can be seriously damaged during contact sports and a mouth guard provides protection against this. They are made of hard plastic that can be made in team colours or plain. They are quick and easy to manufacture, requiring two short appointments a week apart.

 clear-mouthguard

Mouth guard

Some people grind their teeth in their sleep causing irreparable damage to the enamel of their teeth. The wearing of a protective night guard helps prevent further damage to the tooth surface. These are made of plastic that fits snugly over teeth preventing the jaw from fully closing, thereby limiting contact between opposing teeth and the damage that occur during teeth grinding.