Nervous & Phobic Patients
I can help you - I promise.
I am going to discuss treating nervous and phobic patients before I even write about your initial examination.
I am able to help you – I promise. It does not matter how overpowering your aversion to dentistry is. I will help you walk away from your anxiety and phobia, making your dental visits and treatment a more relaxed and manageable experience.
The hardest part of visiting a Dentist, is walking through the door for the first time. I understand that. Take that step. It really is just for an examination. Come in and meet me. Give yourself a chance to get used to the practice and the staff. Give me a chance to have a chat to you. I promise, if you want me to help you, I can. I spent 13 years in a sedation clinic, dealing for a large part of every week with referred, very anxious and massively phobic patients. This gave me more experience than most Dentists have in a lifetime. I can help you!
Which brings us to your initial examination.
An examination and a chat never hurt anyone....... ever!
During an initial examination I will
- Check your oral hygiene and how the gums are affected
- Do a full dental base chart of your teeth.
- Assess your need for restoring or replacing teeth.
- Check your bite and jaw position for functional problems.
- Take dental x-rays and do any necessary diagnostic procedures.
- Discuss treatment options and the difference in cost of each.
- Create a treatment plan with all treatment and costs involved.
Prevent small problems, becoming big problems.
A regular 6 monthly check-up and the routine cleaning of your teeth, are the most important things I can ever do for you. Dental problems do not get smaller! They become much bigger, more difficult to treat and far more expensive. A Routine Dental Examination can prevent that.
By the time a tooth becomes painful, we have missed the chance to fix the problem when, the treatment would have been far easier, far quicker and less expensive!
"Prevention, prevention, prevention!"
A routine scale and polish allows me to thoroughly clean all the deposits and stains from the teeth, scale away tartar build up and polish your teeth with a fluoride polish.
Run your tongue over the back of your teeth. You can feel the collar of rough tartar build-up behind the teeth. This is what causes bleeding gums, bad breath and ultimately loose teeth. It clings to your teeth like “sea-sand and superglue”! There is no way to get rid of it by brushing. It’s a tough, stubborn and very damaging accumulation which I need to scale for you.
After the scale and polish your teeth will feel and look very much better. More importantly, you can now apply your daily oral hygiene effectively.
Relaxed, Familiar, Confident.
Your child’s oral hygiene, diet and regular visits to us, will help prevent any dental problems. It really is as simple as that.
Please bring your child for an examination as regularly as possible. From the age of 3, we can communicate very effectively and get the child relaxed, familiar with the surroundings and confident as a patient. We offer children under the age of 16 a free annual examination, as this helps detects any problems early and allows your children to feel relaxed about coming to the dentist.
Please do not stay away until there is a problem. We will do everything we can to welcome your child and help them feel at ease, so that their visit is fun, educational and stress free.
Regular check-ups from the age 3 – 4 years allow me to intercept orthodontic problems very early. You do not have to wait until the child has all the permanent teeth.
Please see the section, Children’s Orthodontics, under Advanced Treatments.
Dental Fillings are used to repair a decayed or broken tooth. There are a variety of fillings, which we can use to repair a cavity. It is a huge advantage if we are able to do this as early as possible.
Direct fillings: Silver amalgam / mercury fillings have been used for many years. In this day and age, composite tooth coloured fillings, are far more natural and acceptable. This material can be used to restore teeth beautifully, avoiding the necessity and expense of veneers or crowns.
Indirect Fillings: Are required when the cavity is too large to fill with a direct filling. In this case an inlay is required. Gold or silver coloured inlays or porcelain inlays, if an aesthetic result is required.
Dental crowns are the procedure we use to restore a tooth that cannot be filled. It is like “putting a hat over the head”. Crowns cover the entire reduced core of the tooth and so become the tooth’s new outer surface.
Crowns are made from porcelain, porcelain bonded to metal or, full metal crowns – (gold or silver coloured alloy).
I may recommend a crown to
- Replace a large filling
- Protect a weak tooth from fracturing
- Restore a fractured tooth
- Cover a discoloured or poorly formed tooth
- Restore a tooth after root canal treatment
- Attach a bridge
- Cover a dental implant
A Bridge is an option to replace a missing tooth or teeth. Like a crown, it is a fixed prosthesis, not removable like a denture. Porcelain bridges can match the natural colour of your teeth. The teeth on either side of a missing tooth are crowned. These crowns are joined to the replacement tooth and “the bridge” is cemented into position.
Why is a bridge necessary? It is obviously very much more comfortable than a denture, – the aesthetics of your smile. More importantly, gaps left by missing teeth can cause the remaining teeth to rotate, tip or erupt into empty spaces. This can lead to a change in our bite and the function of the jaw joints or temporomandibular joint dysfunction. This in turn can lead to neck tension, headaches, an increased risk of periodontal disease and a greater chance of tooth wear, tooth decay or tooth fracture.
Think of it like this. Our teeth function just like a Roman Arch. If all the bricks are in position, the arch will stand for 1000 years. Each brick supports the one above it, and each in turn is supported by the brick below it. If we pull one brick out of alignment the arch will collapse.
How “Hollywood” do you want your smile to be? Veneers are a wonderful technique to restore a single tooth or to transform your smile. There is a minimal reduction of the front of the tooth required and a perfect shade of a thin layer of porcelain is bonded to the outside surface of your tooth. Veneers are used in cases of severe discolorations, fractures or tooth wear. Veneers can recreate the natural shade and shape of your original teeth or give you the smile you have always wanted.
Some patients choose to whiten their teeth first before having veneers placed.
I will always try and save your tooth, if the tooth is worth saving and the cost of treatment is affordable.
However, there are reasons for extractions
- Decay has destroyed too much of the tooth to repair the remaining tooth structure.
- Chronic infection around the tooth which cannot be cured.
- Tooth fracture.
- Mobile or loose teeth as a result of advanced gum disease and periodontal infection.
- An extraction may well be the only affordable option. Above all else, I will respect your choice and your decision.
Modern local anaesthetics are very effective.
Your extraction will be painless.
You will feel pressure not pain.
If you feel any sensitivity, you lift your hand, I stop, immediately.
We will make the whole experience as pleasant and as manageable as practically possible.
A denture is an appliance, which fits over the gums to carry false teeth. It can be a full denture or a partial denture which replaces those teeth that are missing or need to be extracted.
Dentures can be full plastic or plastic attached to a metal framework.
Modern dentures are comfortable and natural looking but can never replace the function and appearance of your own teeth.
We will choose the type of denture that is best for you.
Accidents happen and trauma to the face can be very damaging.
If your tooth is fractured or has been shifted or knocked out, you need help …….fast.
Get an ice pack on the lip.
Telephone us. We will always make time to help. Here is our advice for some common dental emergencies.
Knocked out tooth
- Rinse the tooth in milk if possible or briefly in water if milk is not available.
- Try to put the tooth back into the socket.
- If you cannot manage this, keep the tooth in the mouth between the cheek and the gum.
- This is not always practical especially with trauma to the lips and cheeks. Store the tooth in a clean container in milk or saliva.
- Get to your dentist…..fast! The sooner the tooth can be re-implanted the better the prognosis.
- If you have a mouth guard use that as a support for the tooth.
- Tooth fracture is quite common. Is it as a result of trauma or just biting something?
- Is the tooth painful or just rough?
- See your dentist as soon as convenient.
If you have toothache, contact us and we will see you as soon as possible.
Please note toothache for three weeks is not an emergency. It is sheer neglect! Do not stay away and try to ignore the pain. It will always fluctuate and come and go. When it does blow up, it is just about the worst pain imaginable and really is “in your face”.
Do not wait until the pain reaches that proportion. We can help. We can fix it – painlessly.
Following a dental examination I will assess the suitability of your teeth to be whitened.
If it is possible and beneficial to do whitening for you, this is the technique.
I will take impressions of your teeth and custom made trays are made for you. You fetch the whitening kit and the trays one week later. This gradual whitening technique requires wearing the clear trays with the whitening gel at night for up to three weeks depending on the shade required.