Root Canal Treatment Info

Root Canal Treatment

Endodontist

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Michael Goldsmith

BDS Bristol 1989 FDS 1996 MSc Eastman 1998

Root Fillings (Root Canal Treatment)

What are root fillings?
Teeth are held in the jaw by their roots, which have nerves inside of them. When there is decay or an injury, it can cause the root to die, which can result in an abscess at the end of the tooth. Root fillings involve removing damaged or dead nerves and filling the space. This allows your Dentist to repair the tooth that is left.

What does this treatment involve?

  • Firstly, your Dentist will x-ray the tooth, to identify any signs of infection in the surrounding bone and whether this treatment would be suitable for you, depending upon the shape of the tooth roots.
  • To ensure that this treatment is painless, your dentist will numb the area around the tooth.
  • Your dentist may apply a sheet of thin rubber around the tooth, which will be attached to a metal or plastic frame outside the mouth. This is to ensure that the root canal is kept dry during the treatment.
  • In order to see the opening of the root canal, your Dentist will make a hole in the tooth. A narrow file will then be used to find the root canals and take out any dead nerves.
  • Your Dentist will then fill the roots and apply a paste, so that it will set hard.
  • You may need to take some mild painkillers after the treatment, as the tooth may still feel tender for one or two days.

What are the benefits of root fillings?

  • Successful root fillings can last for many years.
  • Root fillings can stop the severe pain that is caused by nerve damage.
  • This treatment can prevent a tooth with a dead nerve from being extracted.

Oral Surgery and Sedation Info

Oral Surgery and Sedation

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Dr. Raji Ranganathan

Specialist Oral Surgeon with a particular interest in managing Dental Phobics with IV Sedation. She is also a Consultant in Oral and Maxillofacial surgery and is registered with BUPA and other Insurance providers, for impacted wisdom tooth removal

MDS (ORAL SURG), DNB (MAX FAX)

Extractions

What is an extraction?
When your Dentist refers to the term extraction, it simply means to take a tooth of your mouth. This may be necessary if a tooth is very decayed, damaged or has become loose due to gum disease. Sometimes children’s teeth are taken out to give new or remaining teeth enough room to grow.

What does this treatment involve?

  • Your Dentist will have to decide the best way to take the tooth out, as some teeth are relatively more difficult to take out, depending on their size, shape, its position within the mouth or the shape of their roots.
  • Your Dentist might also discuss other treatment you need. You may need an immediate replacement denture or if you already wear a denture, it can be made with a new tooth at the same visit.
  • There is no need for concern, as you will feel no pain whilst the tooth is being extracted. Although, you may feel some pressure as the tooth is eased out.
  • After the extraction your Dentist will give you a pad to bite on in order to stop the bleeding. Your dentist will also give you advice on how to look after your mouth, so that it heals properly and does not get infected.

Wisdom Teeth Extractions

What are they?
Wisdom teeth appear at the back of the mouth, generally from the late teens onwards. Most people have four wisdom teeth, but it is not unusual to have fewer or even none. As they are the last teeth to form, there sometimes isn’t room for them. This can cause them to come through at an angle, pressing against the teeth in front or the bone behind. If you think that you have a problem, you should tell your Dentist.

What will my Dentist do?

  • Your Dentist can use x-rays to indicate where the wisdom teeth are in the jaw and how much room there is for them to come through. They can also show how simple or difficult it may be to take a wisdom tooth out. Your Dentist might refer you to a specialist to have your wisdom teeth removed.
  • When wisdom teeth come through, the surrounding gum becomes inflamed and sore, which is called ‘pericoronitis’. It is usually better to remove a wisdom tooth after you have had pericoronitis, as they often continue to cause trouble.
  • Sometimes it is necessary to remove all wisdom teeth in hospital under general anaesthetic. If so, you may need to take two or three days off work.
  • What are the benefits of removing wisdom teeth?
  • Pericoronitis can reoccur and continue to cause problems. Therefore, having your wisdom teeth removed will prevent pain and infection.
  • Also, when there is restricted room for the wisdom tooth to grow in, it can press against the teeth in front. Therefore, removing wisdom teeth can stop any damage to the teeth in front.

Post Extraction Advice

It is important to look after your mouth after you have had a tooth taken out, so that you can speed up the healing process and prevent infection. Here is some general advice for looking after yourself.

  • After an extraction a clot will form in the hole left by the tooth. It is important not to disturb the clot, as it may cause the socket to start bleeding again. Therefore, for the first 24 hours, you should avoid exercise for the rest of the day. Also, do not smoke, drink alcohol or eat hot food.
  • Six hours after the extraction, add half a teaspoonful of salt to a glass of warm water and gently rinse your mouth. This will keep the socket clean and prevent infection. This process should be repeated after meals and before bed for up to a week.
  • To keep your mouth clean, you should continue with your normal daily routine of brushing your teeth with toothpaste.
  • After an extraction it is quite common for small pieces of bone to work their way out of the socket and for there to be some swelling or discomfort.
  • If the bleeding does not stop you can either use clean cotton handkerchiefs or some gauze, which your Dentist may supply you with.
  • Roll some small firm pads into a size that will fit over the socket.
  • Remain sitting up and use the gauze or handkerchief to clean away any blood around the socket.
  • You should then place a pad across the socket and bite down on it for 10 to 15 minutes. If it has not stopped bleeding you should apply another pad.
  • If the bleeding has not stopped within two hours, you should contact your Dentist.

Currently we provide sedation for extractions with our Specialist Oral Surgeon for an additional cost of £220. For nervous or anxious patients, sedation is a safe and effective solution.

Please ensure you bring somebody with you and eat a light meal a few hours before treatment.

Orthodontics Info

Orthodontics

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Dr Thomas Norlin

GENERAL AND COSMETIC DENTIST, IMPLANTOLOGIST (GDC 74192)

Dental Surgeon DDS, Odont Lic., Diploma in Halitosis.

Dr Norlin is a cosmetic dentist with a special interest in orthodontics and implants.

Information on Orthodontics

Orthodontics, the branch of dentistry concerned with the growth of teeth, jaws and face, is in high demand. Nearly one million people in the UK started having orthodontics last year and more adults than ever before are wanting treatment.

Why? Orthodontic treatment is about making the best of your teeth; its about improving the harmony of your mouth and jaws. Once you can bite together correctly, you can eat more comfortably and care for your teeth and gums more easily. And you’re smile will benefit immensely!

We at the Abbeymead Dental Centre except internal or external Abbey Referrals to Thomas, where he can advise on fixed, removable, metal or the new clear Invisalign brace. He follows a keen interest in dental facial cosmetics and is a Six Months Smile orthodontics provider.

Hygiene Visits Info

Hygiene visits

As a practice dedicated to prevention, we are fortunate to have highly qualified hygienists as part of our team; we will not only professionally clean your teeth but also show you the best way to keep them plaque free.

We have an excellent team of hygienists who can help with bleeding gums, bad Breath, Stain removal and any other Oral Hygiene concerns you have call now to book an appointment.

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Michayla Morris graduated as a dental hygiene and therapist from Sheffield University in 2010. She then completed a vocational training year within the Oxford and Wessex deanery. She is committed to the prevention of dental disease, through education and keeps up to date with all the current research to be able to provide the best possible information to patients. Within her role she can undertake periodontal treatments, fillings, treatment on children, radiographs and whitening.  In her spare time, Michayla has a passion for travelling. She also enjoys reading and going to the gym.

GDC Number 171541

Other members of the hygiene team

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Sandeep
Dip Dent Hygiene Sweden
2006 -104794

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Nicola
CEB Dip Dent Hygiene 2000
Dip Dent Therpay RCS eng
2000 – 5762

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Alex
Dip Dent Hygiene Cardiff
2

Tooth Whitening Info

Tooth Whitening

Using customised trays, this at-home system provides you with flexibility to undertake the whitening at your own pace and until you have achieved your desired shade. The trays are then available for you to use again in the future.

Here at the Abbeymead Dental Centre we use the Phillips Zoom Whitening system. Phillips have tested the product and say that “Philips Zoom NiteWhite is backed by studies that have shown it is safe and effective for your teeth and gums. And because your dental professional recommends it, you can be sure that your results will be consistent and safe on any fillings or restorations you might have. With Philips Zoom NiteWhite, your dental professional makes a custom whitening tray to perfectly fit the contours of your teeth. That means you get the same bright results across your entire smile”

Gum Disease Info

Gum disease – Periodontics disease

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Dr George Xirogiannis

D.D.S (Ath) MClinDent in Perio (Lond)

What is it?
Periodontal Disease affects the bone supporting the teeth. People with chronic cases of Periodontal Disease, eventually have to have teeth extracted, as much of the bone is lost and teeth become loose. You can prevent Periodontal Disease from getting worse by maintaining a good dental care routine and making regular visits to your Dentist or Hygienist.

There are two stages of gum disease:-

  • The first stage of gum disease is called gingivitis. This is when the gums become red and swollen. Such inflammation can be cured with good oral hygiene.
  • The second stage is called chronic periodontitis. People with chronic cases of Periodontal Disease, eventually have to have teeth extracted, as some of the bone is lost and teeth become loose. Although, periodontitis cannot be reversed once it has developed, you can prevent it from getting worse, if you clean your teeth properly and have regular treatment from your Dentist or Hygienist, who may recommend deep scaling or root planning.

What should I do if I suspect that I have gum disease?
You should visit your Dentist for an examination, so that they can check your teeth and gums and prescribe what treatment is required. Usually the Dentist will illustrate how to clean your teeth effectively in order to remove all of the plaque.

What does this treatment involve?

  • This treatment is often performed under a local anaesthetic and may require you to make more than one visit, depending on whether your mouth is treated in sections.
  • There are two different tools that are used for root planning. The hand scaler comes in various sizes and shapes to enable your Dentist to reach all parts of the tooth and to ensure that the tooth and its root are completely clean. The electric scaler is then used, which vibrates with water. The water circulates around the mouth to thoroughly clean out the mouth, which is then removed using suction.
  • After this treatment you will need to be careful when cleaning the teeth above the gum-line, as the root planning should cause the gum pocket to shrink, resulting with the gum sitting closer to the tooth.
  • This treatment is generally repeated on a regular basis.

What are the benefits?

  • Root planing is beneficial, as it stops gum disease from getting worse and can prevent tooth loss.
  • Although this treatment can help you to keep your mouth clean and healthy at home, you should not solely rely on this treatment for keeping your mouth healthy. However, it is important that you maintain a healthy mouth.

Can my dentist help?
If you are concerned about bad breath, you should discuss this with your Dentist. You should ensure that you do not try to hide the smell of your breath in any way, as it will make it difficult for the dentist to distinguish where the problem is coming from. Generally good oral hygiene will resolve bad breath, so your Dentist or Hygienist will probably give you a scale and polish to make it easier to keep your mouth clean at home. There are also instruments that can be used to measure sulphur compounds in the mouth or swelling around the gums.

How can I help?

  • Brush your teeth twice a day and ensure that you use a fluoride toothpaste.
  • Your Dentist may advise that you use floss. If so, you should smell the floss after you have used it, to check if there is a smell from a particular part of your mouth. This will enable you to take extra care to clean that area.
  • If your tongue is heavily coated, you can gently brush it, which should help to get rid of the smell.
  • When your mouth becomes dry the smell of your breath will often get stronger. Chewing sugar-free gum will help to reduce this problem, as it increases the flow of saliva around the mouth.
  • Smoking can also make your breath smell. Therefore, it is important to try to give up, not only to resolve the problem of bad breath, but to also help you to maintain a healthy mouth and body.