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'm passionate and motivated in helping patients with their dental health. Encouraging them their use of daily toothbrushing and interdental cleaning....
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....
In most cases, root canal treatment is successful and the tooth should settle over a few days and no longer cause pain. However, there is always some risk depending on the condition of the tooth, your oral hygiene, and the biting forces on the tooth.
Risks and complications include:
Mild temporary pain/discomfort due to inflammation of the tissues surrounding the tooth.
The tooth might darken over time. There are procedures available which may lighten the tooth if this occurs.
Tooth fracture may occur due to reduced strength and durability of the tooth. Thi may lead to tooth extraction. This risk is reduced when a crown fitted.
Uncommon risks and complications:
The fine metal files used to clean inside the root canals may break during use and remain in the tooth, this may or may not affect the success rate of the root canal treatment.
Depending on the size and shape of the roots, there is some risk of creating a hole
in the side of a tooth root during the cleaning process, this is called a perforation.
If you experience persistent pain, return to your treating dental practitioner.
If you develop an infection return to your treating dental practitioner.
Root canal tratment might fail. The tooth may require further treatment or even extraction.
This varies from individual to individual, but most people tend to have three to four treatments over the course of the first year. The duration of effect often increases with each repeat treatment; eventually you may only require one maintenance treatment per year.
There will be no immediate visible changes, and you will be able to return to your normal daily activities following treatment. The full effect of the treatment will develop over the following 2-14 days.
The Waterlase iPlus® can be used to carry out multiple procedures in and around the oral cavity:
Periodontics (gum disease treatments): The laser can assist in treatment of moderate to severe gum disease with the minimally invasive Repair Perio™ Protocol, as well as killing bacteria and help preserve gum and bone health.
Smile design: Provides a state-of-the-art procedure for reshaping and redesigning smiles.
Surgical procedures: Eliminates the need for conventional surgical tools, with a gentler solution with little to no (in some cases) anaesthesia, simplifying a variety of soft tissue surgical procedures from frenectomies to polyp removal and biopsy.
Implants: Gains effective access to disease sites below the gum to decontaminate infected implant surfaces.
Restorative dentistry: Patient friendly restorative procedures for cavity preparation without the use of traditional handpieces. * Please discuss suitability with one of the dentists providing a laser service.
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.
A Dental Implant is a small titanium screw that is surgically placed into the jawbone to replace the root of a missing tooth. It serves as a stable foundation for attaching prosthetic teeth, offering a durable and natural-looking solution.
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.
There will be no immediate visible changes, and you will be able to return to your normal daily activities following treatment. The full effect of the treatment will develop over the following 2-14 days.
A Dental Implant is a small titanium screw that is surgically placed into the jawbone to replace the root of a missing tooth. It serves as a stable foundation for attaching prosthetic teeth, offering a durable and natural-looking solution.
There are several different types of orthodontic appliances, (braces). The one best suited depends on a few factors including your particular case, the severity of the problem, as well as yor personal preference. Your clinician with discuss all suitable options.
This varies from individual to individual, but most people tend to have three to four treatments over the course of the first year. The duration of effect often increases with each repeat treatment; eventually you may only require one maintenance treatment per year.
All treatment plans will be discussed with you at the examination appointment, along with associated costs.
Complex treatments, may need multiple visits to complete the investigations needed prior to providing an estimate. This will be printed at reception, or if preferred emailed to you.
Please look at our Fees page for more details.
See Our Treatment FeesThere are numerous PRPs, PRfs, PRGFs on the market, each claiming to have certain advantages. Leukocyte and PRP (L-PRP) maintain their white blood cell count but have a low fibrin matrix. Leukocyte and platelet-rich fibrin (L-PRF) have no white blood cells but a high fibrin matrix. The PRFs release release additional growth factors over time.
This can be all very confusing. Your dentist will discuss all options at your visit.
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.
This discreet technique uses custom-made aligners to gradually move teeth to an improved position. It’s suitable for adults or teens who are self-conscious about noticeable braces.
Gentle and age-appropriate dental care for little ones. From first check-up to teaching oral hygiene habits, we create a positive and comfortable dental experience for children.
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