Periodontal (gum) disease refers to the inflammation and infection of the tissues that support the teeth. Initially, disease starts as bacterial populations grow with failure to adequately remove plaque with effective oral hygiene techniques. Initially the gums become red, swollen, tender and bleed when brushing. Bad breath can also be a symptom. This is the earliest stage of disease and is called “gingivitis”. This is reversible and can be managed with improved oral hygiene. Professional cleaning, together with Oral hygiene instruction is beneficial. Left untreated, disease may progress. Periodontitis is when the gum condition progresses beyond gingivitis into a chronic, destructive, irreversible inflammatory state. The bacteria penetrate deeper into the gum and bone tissues. tissues and surrounding periodontium. The invading bacteria trigger a host response (this is a reaction of living tissue to the presence of a foreign material) in defence. However, while trying to protect against the invading bacteria, the host defences also lead to the destruction of the periodontium (the supporting structure for the teeth, consisting of periodontal ligament, cementum, gingiva, and supporting bone).
Symptoms include bleeding gums, bad breath and loose teeth; however disease progression can often be insidious, progressing unbeknownst.
Regular dental examinations are essential for early diagnosis. Without treatment, tooth may become inevitable.
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I treat patients with periodontal disease referred to me by other dentists both with conventional therapy (root surface debridement, bone regeneration surgeries) as well as using laser (waterlase) where it's necessary....
I'm passionate and motivated in helping patients with their dental health. Encouraging them their use of daily toothbrushing and interdental cleaning....
With modern anaesthesia and techniques, root canal treatment is generally a pain free procedure. However it is likely that the patient will get some post-operative discomfort after the anaesthetic has worn off. In the vastmajority of cases this can be controlled with regular over the counter pain relief such as ibuprofen and paracetamol.
You may have visited the dental practitioner if you had symptoms of a pulp infection such as:
An x-ray of your tooth may show the cause of pain or infection. Antibiotics are not effective in treating root canal infections. The two treatment options are removing the tooth or having a root canal treatment.
Get Expert HelpExemption
Patients do not have to pay any NHS dental charges for a course of treatment if, on the first day of treatment, they are:
Remission
Patients do not have to pay any NHS dental charges for a course of treatment if they or their partner are currently receiving:
Patients can be exempt from paying if they have a valid NHS low income scheme certificate HC2 for full help. Payment can be reduced if they are named on a valid HC3 certificate.
It is impotant the information you give us is contemporary and accurate.If you are unsure if you are exempt from NHS dental charges, please discuss with reception.
With all procedures there is a possibility that it may not work. This applies to root canal treatment as well as any other treatment. There are a variety of reasons why it may not work. some of these reasons include but are not limited to:
Failure to adequately disinfect, leaving bacteria in the canal system, resulting in recurrence of infection.
Failure to instrument all the canal system. In some teeth the root canals can be incredibly small (often as small as one tenth of a millimetre across or even smaller). Dentists who carry out a lot of root canals usually utilise high powered magnification to help them find and treat such small canals.
Failure to fill and seal the root canals adequately, allowing bacteria from the mouth to reinvade the root canal system and set up infection again.
Inappropriate instrumentation technique that does not allow for adequate disinfection and sealing of the root canals.
Severe fracture of the tooth leaving remnants that cannot be fixed again.
If the dentist feels there is a significant risk of treatment failure, possible causes will be discussed, so you can make an
informed decision regarding treatment.
We are not funded by the Local Health Boards to provide orthodontic services. All orthodontic work carried out at our practices is done so under a private treatment agreement. Generally, only patients under the age of 18 are eligible for an NHS orthodontic referral. Your dentist will offer to put you on a waiting list an NHS orthodontis, provided you fulfil the referral criteria. Irregularities of teeth which are less than 4mm out of line (e.g. open bites of less than 4mm) or deep bites with no functional problems will not qualify for NHS treatment.
Platelet-rich (PRP) injections are a treatments used in the medical field, commonly to help heal an injury. These are derived on your own blood, and are being used more and more to treat sporting injuries and help wounds heal after surgery. Some doctors and dentists use it in facial cosmetic procedures. In the world of dental implants it is used with sinus augmentation procedures, at extraction sites and with bone augmentation procedures. It is also becoming very popular in periodontal disease treatments, particularly in the regenerative procedures.
Your blood is drawn from your arm, then placed in a centrifuge to separate out the platelet rich plasma. This part is rich in growth factors.
Our waiting times for an NHS examination and treatment appointments, for new and historic patients, vary. Our reception team will happily update you on current waiting times.
The NHS contract funds a set amount of dental activity for the year and we are obliged to deliver this evenly over the twelve months.
The level of NHS funding provided is not high enough to enable us to meet the demand for NHS care that exists.
These factors lead to long waiting times to access NHS care.
Private care can be provided at all times with a minimal wait.
Your dentist will be happy to go through all available options including that of accessing some treatment options on a private basis alongside an NHS course of treatment.
Yes, all dentists have training in Endodontics (the subject that covers root canal treatment). However, some dentists choose to continue with extensive post graduate training in this field, using advanced treatments, commonly with aid of a microscope. They also perform many more root canal treatments than the average general dentist? As a result, they tend to have a significantly higher success rate across the board in both complex and simple cases. It is not uncommon for a general dentist to offer the patient the choice of having them do it or referring it to a practitioner with more training and expertise if they feel the latter will offer a high chance of success. In some cases, the general practitioner will feel that a case is beyond their skill set and refer to a suitably qualified colleague.
With modern anaesthesia and techniques, root canal treatment is generally a pain free procedure. However it is likely that the patient will get some post-operative discomfort after the anaesthetic has worn off. In the vastmajority of cases this can be controlled with regular over the counter pain relief such as ibuprofen and paracetamol.
Saving your tooth with a root canal has the benefits of:
• A better bite and more efficient chewing.
• Keeping your natural teeth.
• Protecting your other teeth from wear and tear.
This will vary from individual to individual. It very much depends on factors such as a person’s age and lifestyle, the structure of the skin, and the degree of correction required. Most clients choose to have a repeat treatment within a year, since the main component of both products (hyaluronic acid) is a natural substance which dissolves over time.
The results are instantaneous.
Absolutely! Your clinician wil introduce themselves when you meet at your first visit. Building a strong patient-dentist relationship is important to us. Your initial examination visit enables us to understand your needs and address any concerns. We ensure open communication, so you can freely discuss any worries before proceeding with treatment. Your comfort and peace of mind are our top priorities.
Meet Our Expert TeamTeosyal dermal filler is a considered a very safe medical substance which is highly biocompatible and biodegradable. A local anaesthetic may be used to minimize any discomfort at the time of injection. Bruising, redness and some slight swelling at the site of treatment does sometimes occur, although rarely lasts more than a few days.
Dental Implants offer numerous advantages, including improved speech, enhanced chewing ability, preservation of facial structure, and a natural-looking smile. They can also help secure full or partial dentures, providing a more comfortable and secure tooth replacement solution.
Experience expert oral surgery treatments by our skilled surgeons use advanced techniques and the latest technology for amazing, painless results.
With SureSmile® Clear Aligners, you can achieve professional results with your doctor. The smile you’ve always wanted is closer than you think.
Wrinkles are a natural part of aging, but we have non-surgical treatments to rejuvenate your skin. Our services include botulinum toxin injections (Botox®) and dermal fillers for youthful results.
Experience exceptional dental care with Cox & Hitchcock’s General Dentistry. Our compassionate and knowledgeable team offers comprehensive oral care, focusing on prevention, expert treatments, and a patient-centred approach.
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