As a new patient we can talk extensively about any concerns you may have. During the examination we will check your jaw joint and jaw muscles, your glands, check for any signs of lesions in your mouth, including cancer screening, check your teeth, and carefully check for gum disease around each tooth. We will also take routine x-rays and any other x-rays deemed necessary as a result of the initial examination. Depending on the facilities available at the practice I am working in I will take a full set of photos inside your mouth to help you visualize and understand any treatment you need.
Once this is done I will discuss any necessary treatment with you and go through different options where relevant. Together we can then design a treatment plan that fits your needs and your budget, which will be printed for you to take away.
After treatment is complete it is advisable to attend for routine 6 monthly examinations so any future problems can be dealt with at the earliest possible opportunity before they progress into something more serious.
Porcelain veneers are largely cosmetic treatment. This involves bonding a porcelain facing on the front of your tooth or teeth. They can be used to correct poor alignment or positioning of the teeth, discoloration, chipped teeth and to improve the size of shape of a tooth. A set of 6, 8 or 10 veneers on the front teeth can give a beautiful symmetrical smile. In most cases the front surface of the tooth will need to be polished back about half a millimeter, otherwise the veneer would look very bulky. However in some cases we can now use ultra thin veneers that can be bonded directly onto the teeth as they are.
Crowns and Bridges
Crown cover and protect teeth that have been weakened by decay, large fillings, root canal treatment or tooth wear. Bridges usually involve a crown on each tooth either side of a space, linked together with a solid middle bridge tooth. In the past crowns and bridges were usually made of metal with a porcelain coating. The underlying metal often caused a rather dull appearance, and a grey line around the gum. These days we use all ceramic metal free crowns which give a much more aesthetic, natural appearance.
Dental implants are an excellent way to replace a missing tooth and do not rely on any other teeth. A small metal screw is fixed into the jawbone, and a tooth fitted on top. If you are looking for dental implants New Malden then you can find out more by contacting me or coming for a free consultation.
Direct Veneers and Composite Treatments
Dental composite is a material that dentists use as an artificial enamel to do white fillings, and repair other damage to teeth. It can also be used to veneer teeth with great results, although it is not as strong or long lasting as porcelain.
Over time our teeth tend to appear more yellow, but fortunately we can reverse this process with tooth whitening. Hydrogen peroxide gel is used to gradually and safely whiten the teeth. It can give you a real lift to have a brighter whiter smile, and it can make you look younger too!
Invisalign treatment uses clear aligners to straighten your teeth over an average of 9-12 months depending on the case. These aligners are made of thin clear plastic and fit snuggly over your teeth. You wear them all the time except for eating and drinking, and move to the next aligner every two weeks. This treatment is becoming increasingly popular for people who want to improve their smile, and don’t want to have any drilling. Check out the great Invisalign website.
The Inman Aligner can be a good way of straightening just the front teeth. It is really fast, very safe and great value compared to other systems. With the Inman Aligner, your front teeth are guided into position in few weeks. Most cases complete in 6-16 weeks and because it’s removable you can take it out for up to 8 hours a day if needed. See the Inman Aligner website for further details.
Powerprox Six Month Braces
Powerprox Six Month Braces are fixed braces using tooth colour brackets and wires in a new and exciting way to give you the smile you always wanted in the fastest possible time. No need to worry about taking aligners in and out. See more on their website.
Splints for headaches, tooth grinding and Snoring
I have been really enjoying making the new NTI splints for patients over the last few years. These are fantastic devices for patients who have chronic headaches or jaw pain caused by grinding or clenching the teeth. As most people clench or grind their teeth at night they often don’t know they are doing it and have no idea this is the cause of their chronic headaches. These devices just fit over two front teeth so the back teeth are kept slightly apart. It is impossible to clench or grind and your muscles stay relaxed. The teeth are protected from grinding damage too.
There are also splints that can hold your lower jaw forward slightly during sleep, to keep your airway open and prevent snoring.
Root Canal Treatment
Root canal treatment has come a long way in recent years. This treatment aims to clean and disinfect infected root canals in teeth, which cause pain and abscesses. A general Dentist New Malden working with good equipment can get a great result in most cases. In complex cases a specialist endodontist working with a powerful microscope to see inside the root canals may be necessary.
Earlier in my career I spent some time working in the oral surgery departments of several London hospitals, extracting difficult teeth that general dentists referred in to us. People often think extractions are going to be worse than they really are. With good local anaesthetic you shouldn’t feel a thing. In fact quite often after extracting a tooth patients say to me “was that it, is it really out already?”
Wherever possible I always want my patients to avoid dentures, either by keeping their own teeth, or when necessary having dental implants. But in reality some people will always need dentures, either for clinical reasons, or because their budget doesn’t stretch to implants. Fortunately now full dentures are rare, and most denture wearers only have part dentures. Having said that for those that do need dentures there are still options. You can choose between the cheaper plastic dentures, or the dentures with a hidden metal framework that clip in providing a very secure fit.