GENERAL DENTISTRY

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AmALGAM FILLINGS

Amalgam fillings (silver fillings), are used to repair and restore teeth that have been affected by decay or cavities. The advantages of the Amalgam fillings are durability, strength, affordability and they are particularly effective in areas of the teeth where it's not possible to maintain a dry working surfaces.

White fillings

White fillings (Composite or tooth-colored fillings) are used to restore teeth that have been affected by tooth decays and cavities, also to repair broken

teeth like in cases of trauma and accident and to replace old Amalgam fillings for cosmetic reasons.

White fillings can also be used for cosmetic treatment to close or minimize spaces between teeth and to reshape small, rounded and crooked teeth to a more natural shaped tooth

Our Highly experienced dentists use the best materials and techniques to restore your tooth with white filling that is exactly the same shape, shade and function of your natural teeth.

The benefits of white fillings are aesthetic, less drilling of the tooth comparing to the silver fillings, additional retention of the restoration from the bonding process between the filling and the tooth, and they can be used in front or back teeth.

Gum problems

Gum disease (periodontal disease), is a common condition that affects the tissues surrounding and supporting the teeth. Gum disease usually affect the adults, it can be related to several factors such as :

Poor oral hygiene.
Smoking.
Genetics.
Diabetes.
Hormonal changes during pregnancy.

Now there is evidence that gum disease is linked to coronary heart disease, especially in patients exposed to other risk factors like unhealthy diet, smoking or high blood pressure.

The Signs and symptoms of gum disease:

Teeth look longer and increase the spaces between teeth
Teeth mobility
Teeth sensitivity.
Pain
Gum Swelling
Gum Bleeding
Bad breath.

Gum disease can lead to teeth loss, your dentist and hygienist will look for signs of gum disease; early identification can help with the gum disease treatment and avoid teeth loss.

It's essential to practice good oral hygiene to prevent gum disease, this includes regular brushing and flossing, regular dental check-ups and professional cleaning. If you notice any signs or symptoms of gum disease, it's important to see your dentist or hygienist for an evaluation and appropriate treatment.

Root canal treatment

Root canal treatment (Endodontics) is sometimes necessary to treat a damaged or infected tooth pulp. The pulp chamber (the inside part of the tooth) contains nerves and blood vessels; can be affected by infection or inflammation; this can cause severe pain and may lead to the formation of swelling or an abscess. Our dentists first start the assessment procedure to diagnose the case and discuss the options for the treatment. The procedure is done under local anaesthetics and then the tooth will be isolated with rubber dam to keep the tooth dry and protect the patient airways.

The dentist will remove the infected pulp tissue, and the root canals are cleaned and shaped using special instruments called files and the root canals are then irrigated with disinfectant solutions to chemically eliminate any remaining infection; after this stage the canals will be filled with special filling materials to seal the space and prevent further infection. After the treatment completed the tooth will need to be restored with the final restoration which can be filling, Onlay or crown.

We perform root canal treatment under the microscope where the dentist uses high-powered magnification and illumination to perform root canal therapy; visualization of the inside details of the canals can results in more successful treatment and better long term prognosis of the tooth.

Teeth extractions

The teeth extractions (removal) can be sometimes necessary to stop pain and infection, some of the reasons why teeth need to be removed are:

Deep cavities or severe infections.
Periodontal disease.
Orthodontic treatment.
Infected wisdom teeth.
Broken or cracked teeth.

Extractions will be performed under local anaesthetics where the dentist will give injections to numb the area and the surrounding tissues, then the tooth will be carefully removed from the jaw bone, and the patient will receive post operative instructions and sometimes will be reviewed few days after the procedure. It is essential to follow the instructions correctly and to report any abnormal reactions or post operative complications to your dentist.

Dentures

Dentures are removable appliances that replace missing tooth or teeth, dentures can be complete to replace all the teeth or partial to replace some of the teeth.

Dentures are made of acrylic, metal (Cobalt-Chromium) or flexible dentures.

The procedure of making dentures involves several visits, the first visit is to take impressions or scans to the mouth and the teeth, and the following visits will involve recording the way the jaws articulate to each other, trying the final models and adjusting them as necessary and then finally we fit the dentures and patient will receive instructions about how to use and clean them. It can take some time for the patient to get used to the dentures, and with time dentures may need to be adjusted, relined or re make new ones.

Crowns

Crowns are types of restorations that are placed over a damaged or weakened tooth, they are custom made to restore the tooth shape, size and colour to provide the same function and aesthetic of a natural tooth.

Crowns can be made from different material:

Metal alloys.
Porcelain fused to metal.
Full porcelain.
Composite resin.

The dentist will discuss the choice of material options depending on the patient's preferences and the dentist's recommendation.

The procedure of making crowns ideally involves two visits and is done under local anaesthetic mostly, the dentist will prepare the tooth and shape it in a certain way to be ready to receive the crown, and then dental impressions or scans will be taken and the shade of the tooth will be selected with the patient in case of tooth coloured restorations, and a temporary crown will be placed on the tooth waiting for the final restoration to be made by the dental technician. In the second visit the final crown will be tried and checked and if the patient and the dentist are happy with the result then it will be cemented to the tooth by special cement, and then will be checked again and make sure that the patient is happy and comfortable with the new restoration, and the final post operative instructions will be giving to the patient.

Good oral hygiene measures including brushing, flossing and the regular dental check-up can help to elongate the lifetime of the crown.

Bridges

A dental bridge is a type of restoration used to replace one or more missing teeth, it consists of crowns on both sides of the bridge called the abutments bridging between them the fake teeth called the pontics. The main different types of bridges are:

Conventional Bridge: which is supported by crowns on both sides of the bridge.
Cantilever Bridge: Which is supported by crown or crowns on one side of the bridge.
Adhesive bridge: Which is supported by a metal wing usually on one side of the bridge and is attached to the back side of the adjacent tooth by special cement.

The dental bridges are made of metal alloy, full porcelain or porcelain fused to metal.

One of our experienced dentists will see you for a consultation and assess your teeth and gum and decide if the bridge is a good option for you, the treatment involves at least two visits, in the first visit the dentist will prepare your abutment teeth to be ready to support the bridge, then followed by the selection of the fake teeth shade and colour, and after an impression or a digital scan will be sent to the lab to make the final restoration.

In the second visit, the dentist will try the final restoration and if we are happy with the fit, shape and shade of the bridge then it will be finally cemented in place.

Regular dental check-ups and good oral hygiene measures are crucial for the long-term success of dental bridges.

Contact

Our Address

Challis House, 85 High St, Caterham CR3 5UH firsdental.enquiries@gmail.com | Tel: 0188 333 0250

firsdental.enquiries@gmail.com

Tel: 0188 333 0250