A crown generally refers to a “full” crown, which means it covers the whole tooth. It is a jacket of artificial material which is usually made by a dental technician from an impression of the tooth. A crown is usually done where a tooth is too badly broken down to be restored with filling material. It may also be done when a tooth has a crack, to stop the crack from developing further. Multiple crowns may be needed to build up teeth that are severely worn down from bruxing (grinding at night). A crown is most commonly made of metal with porcelain fused to it, for aesthetics, or of a gold alloy. Sometimes it is made entirely of ceramic.
It is also possible to do a partial crown, which could be done to conserve tooth structure when the tooth is not as badly broken down.
The choice of material and design of the crown depends on several factors, such as aesthetic requirements, the expected load on the tooth and the amount of tooth structure needing to be replaced.
We deal only with trusted and high quality local laboratories for all our crown and bridge work.
As most dentists do these days, we use tooth-coloured filling materials. We don’t have any philosophical objection to using silver amalgam, and may in fact use it about once a year, but the tooth-coloured materials have a lot of advantages. These include better aesthetics, more conservative tooth preparation allowed and preserving strength in the tooth from good bonding.
Root canal treatment refers to treatment of the root canal/s of the tooth, where the nerves and blood vessels extend down from the pulp chamber in the crown of the tooth. The treatment is usually necessary when bacteria enter the pulp from a cavity or a crack, or from severe gum disease. Sometimes it is necessary when a tooth has been subject to trauma or knocked out, damaging its blood supply.
Very simply, the aim of root canal treatment is to eliminate the bacteria from the roots and to restore the crown of the tooth (the part above the gum) in such a way that the bacteria from the mouth can no longer find a way in, and that the tooth is protected from breaking. A combination of mechanical debridement with metal files and irrigating with disinfectant solutions is used. Usually, two or three appointments are necessary.
Because a tooth in need of a root canal treatment is usually heavily-filled and/or badly decayed, it is already quite weak. The process of doing a root canal treatment will weaken it further, as more tooth structure needs to be removed. This is why root canal-treated teeth often require crowns as a long term restoration. In the meantime, it is often necessary to place a temporary stainless steel band around the tooth, to prevent possible fracture.
A root canal-treated tooth is not a “dead” tooth, it is a non-vital tooth; it still has blood supply to the ligament which holds it to the jaw bone.
Root canal treatment should not be painful. Occasionally, when a pulp is extremely inflamed, it can be difficult to get it anaesthetised at the start of the first appointment. This may mean that pain may be experienced for a very short time, until the tooth can be anaesthetised.
The decision on whether or not to do a root canal treatment depends on a few factors, such as the restorability of the tooth, the usefulness of the tooth, the likely success expected, the physical difficulty of actually performing the treatment, the consideration of other treatment options (eg bridge or implant) and the cost.
Achieve a Whiter. Brighter. You.
poladay and polanight both contain fluoride, which remineralises the tooth surface to protect against tooth sensitivity
Safe and convenient
poladay and polanight’s unique, high water content formulation has a neutral pH and high viscosity to protect your gums during treatment. The tacky feel remains securely in place throughout the procedure.
Your desired whitening effect can be achieved in as little as 15 minutes or can be conveniently applied overnight while you sleep. There are a variety of different strengths of poladay and polanight that you can use at home – use the polaSelector below to choose the product that is most suitable for you.
poladay is a neutral pH teeth whitening formulation that can achieve your desired whitening effect in as little as 30 minutes a day. poladay contains fluoride to remineralise your teeth and protect them against tooth sensitivity.
poladay is available in the following strengths, with the higher concentration of hydrogen peroxide able to deliver tooth whitening results in a shorter period of time due to the formulation containing more active ingredient.
3% hydrogen peroxide
6% hydrogen peroxide
7.5% hydrogen peroxide
9.5% hydrogen peroxide
poladay CP is super fast take home whitening with a unique formulation that enables you to whiten your tooth in 15 minutes a day. poladay CP is designed for those people who need to jump start their tooth whitening in a short space of time. poladay CP is only available in 1 strength.
35% carbamide peroxide
About Teeth Whitening
Teeth whitening generally refers to bleaching the teeth with hydrogen peroxide. Sometimes, a higher percentage of carbamide peroxide is used, which breaks down to a lower percentage of hydrogen peroxide. The treatment can either be done in the dental chair, using a stronger solution and masking to protect the gums from burning, or in take-home trays, using a weaker solution. Sometimes, bright lights or lasers can be used in the dental chair to accelerate the effects of the hydrogen peroxide.
Bleaching the teeth will not remove stains- these will need to be removed first by professional cleaning. Bleaching will also not whiten porcelain or resin, so any discoloured fillings may need to be replaced.
We believe in using take-home trays for bleaching, for a few reasons- bleaching in the dental chair is more superficial, and part of the initial “whitening” effect is caused by dessication of the enamel from having the mouth open for a long period of time. It is also relatively expensive, as more chairside time is needed. The use of lights or lasers will make it more expensive again.
Trays with a bleaching gel are a more effective long term way to whiten teeth. They can be made from impressions of the teeth, or supplied as a ready made item that is an average fit for most people. We have started using the latter method, as it cheaper because it does not require surgery and laboratory time. Once the trays are purchased, it is possible to reuse them indefinitely in the future by using a refill bottle of bleach.
A veneer refers to a thin layer of material bonded to a tooth. Veneers are usually done on upper front teeth, to change the shape and/or the colour of the tooth. A veneer is a much more conservative way of achieving this than placing a crown, which involves more tooth reduction. It is possible to do a veneer on one tooth, but it can be extremely difficult to match the colour and translucency of the surrounding natural teeth. It is common to have veneers done on the upper six front teeth, so they can be made to look more uniform.
Veneers are usually made of porcelain or composite resin. Porcelain veneers are made by the dental ceramic technician from an impression of the teeth. It is almost always necessary to grind some tooth away from the front and sometimes the biting edge of the tooth, to get a sharp margin that the veneer fits up to. Porcelain veneers cost more, but they can look superb and last longer than composite resin veneers.
Composite resin veneers, or laminates, are made of the same material used for fillings. They are built up directly onto the tooth. Because the material can be shaped into thin layers and tapered out to thin edges, tooth reduction is not usually necessary. For this reason, the thickness of the veneer will make the teeth look slightly more prominent. If tooth reduction is necessary to counteract this, then it would probably be worth considering porcelain veneers on such teeth.
The decision on whether to have porcelain or composite resin veneers depends on a few factors-
Porcelain veeers are usually done on older people, whose teeth are more likely to be mis-shapen and discoloured. The strength of the porcelain enables shorter teeth to be lengthened. The pulps in more mature teeth are less likely to be injured by the necessary grinding of tooth structure. Porcelain veneers provide the ultimate in aesthetics and last longer, but they also cost more.
Composite resin veneers are more often done on younger people, whose teeth usually require more modest cosmetic enhancement. They are not usually strong enough to lengthen the tooth much. Because tooth reduction is not usually done, the procedure is reversible, and they can also be reshaped and added to, if needed. Composite resin veneers usually look quite acceptable for most people, but will probably last around five years before staining around the edges becomes quite noticeable. They are cheaper than porcelain veneers.
Invisalign is the latest technology that smooths misaligned teeth without speech problems, is much more comfortable than the traditional appliance, and is also virtually invisible. Invisalign uses digital models of your teeth and the knowledge of your doctors to develop a safe and effective way to correct misaligned teeth. The result is straight, fast teeth and no braces.
The benefits of straighter teeth are:
Properly positioned teeth are easier to brush and floss than teeth that are crowded, crooked, or spaced too far apart. Properly aligned teeth can help gums fit more tightly around them, which may lead to better periodontal health.
EASE OF CLEANING
With maintenance of good oral hygiene, the chances of having plaque retention, or developing tooth decay, or periodontal (gum) disease can be reduced.
Properly aligned teeth contact each other more predictably and hence can lead to lesser wear of tooth enamel.
CLEAR, REMOVABLE, COMFORTABLE
Invisalign fits with your lifestyle to ensure your treatment doesn’t hold you back. The removable nature of the aligners means you can take them out for special occasions, continue to eat your favourite foods and brush and floss normally to keep your teeth and gums healthy
Smile confidently with Invisalign. The clear alternative to braces.
WISDOM TOOTH REMOVAL
Wisdom tooth surgery can be more complex than a standard tooth extraction. If you need to have your wisdom teeth removed, WE can help you. Our Wisdom Teeth Specialist dentists use the latest dental systems to diagnose problems and remove the affected wisdom teeth.
A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:
• Your jaw may not be large enough for them, and they may become impacted (stuck) and unable to break through your gums.
• Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
• More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
• One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.
• At your consultation appointment, we will discuss the presentation of your wisdom teeth with you based on your x-rays and accordingly advise any treatment.
How would you like the idea of having all your dental work completed while you sleep comfortably, and wake up with no recollection of the procedure at all?
With Sedation or Sleep Dentistry we are able to offer you a unique experience, where you can conquer any fear of needles, drills, noise, sensitivity or discomfort.
We offer 2 different sedation techniques :
Intravenous (IV) sedation
IV Sedation (also called Twilight Sedation) is a completely safe procedure where we utilise the expertise of an anaesthetist who will be present along-side your dentist, while your treatment is being carried out. You are asleep during the appointment, and when you wake up, all your dental treatment is finished!
Inhalation Sedation / Gas
Nitrous oxide is a gas, commonly known as ‘happy gas’ or ‘laughing gas’. Giving nitrous oxide is a way to help reduce a person’s pain and anxiety during dental treatment. You will breathe the gas through a small nosepiece that sits on your nose.
Dental implants are biocompatible restorations made to mimic the function of natural tooth roots.
When a tooth is missing, an implant can be set into the area and support a permanent crown, bridge or denture. They’re ideal alternatives to traditional bridges and partial dentures, because of their ability to function independent of other teeth.
Healthier for Your Smile
Implants integrate with your body as new bone forms around them, fusing them permanently in place. This characteristic enhances the natural shape of the jaw, preventing a “sunken in” facial profile that’s typically associated with tooth loss.
Living with implants is easier than wearing a removable denture, in that an implant is designed to:
• Provide a permanent alternative
• Be stronger than natural teeth
• Blend in with the teeth around it
• Last for life
• Strengthen the bone
The Implant Process
Getting implants involves a few different appointments, including surgical placement of the implant root, healing period and then final reconstruction with a fixed restoration.
Although implant placement does require a minor surgery, it’s typically easier and even more comfortable than having a tooth pulled! Most of our patients are quite surprised at how straightforward and efficient the process actually is.
As the implant integrates with the bone over the next few months, you’ll wear a temporary restoration for aesthetic purposes. About 3-6 months later, the permanent crown, bridge or denture will be affixed into place.
Are You a Candidate for Implants?
Before considering implant treatment, our family dentists will need to screen you for gum disease, decay and evaluate the amount of healthy bone support available.
Whenever you or your child plays sports, you need to protect your teeth from injury. To protect your mouth from the injury, we offer bespoke mouthguards that can protect you in training or during the game. They can help prevent injuries that can affect your teeth, gums, cheeks, jaw, neck, and head.
If you’re playing sports like football, soccer, netball, basketball and cricket, then your teeth can be in the firing line! And no goal or score is ever worth that dental injury – no matter how good it feels at the time! A custom-fitted mouthguard is designed to fit the contours of your mouth, balance your bite and allow normal speech and breathing but most importantly it spreads and absorbs impact reducing the risk of dental injuries whilst you’re out on the field / court / pitch.
Implant-supported dentures also known as dental implant overdentures are a solution for individuals missing all their upper or lower teeth. These are an advancement on traditional dentures, as they look similar but instead snap into position using implants surgical inserted into your jaw to keep the implant in place so the denture does not move inside your mouth while eating, laughing or talking.
Implant-supported overdentures, offer many benefits over traditional dentures, as they can:
• Drastically improve stability of denture
• Increase bite retention
• Improve comfort with less gum and cheek irritation
• Restore the ability to bite and chew food, allowing for a wider variety of foods to be eaten, consequently improving nutritional intake
• A more affordable solution to missing teeth, than a full arch replacement
• Help your feel more confident about yourself and your smile