FAQs

FREQUENTLY ASKED QUESTIONS

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Checks and Cleans

Maintain a healthy smile with regular checkups and professional cleaning to prevent cavities and gum disease.

How often should I get a check up and clean?

Usually every 6 months unless you have periodontal disease, in which we will recommend 3 monthly gum checks and cleans.

Why do I need a professional clean every 6 months even though I brush and floss consistently at home?

While bacterial plaque can be easily removed with tooth brushing and flossing, once this plaque hardens it forms calculus or tartar. This cannot be removed with store bought products and home care.

Did you know that it only takes 2 days for calculus to form? Despite good home oral care, it is easy to miss certain spots and for calculus to form. Professional cleans not only remove these stubborn build-ups, it also removes surface stains keeping your mouth feeling fresh and clean and your smile sparkly.

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Periodontal Treatments

Combat gum disease and restore gum health through deep cleaning and specialized treatments.

What can I do to help stabilise my periodontal disease?

Home care: At home oral hygiene practices are crucial in stabilising periodontal disease.

  1. Tooth brushing: Electric tooth brushing for at least 2 minutes morning and night with the correct technique
  2. Daily flossing: Make sure you curve around each tooth and gently glide the floss underneath the gums!
  3. Interdental brushes/waterpik: Use of interdental brushes are very helpful if you have larger spaces between the contact of your teeth and the gums. An alternative is the use of a waterpik. Interdental brushes and waterpiks do not replace the use of floss! (insert picture of interdental brushes in use) Regular deep cleaning: 3 monthly periodontal checks and deep cleaning at the dentist are strongly recommended until the periodontal disease has stabilised. The frequency of deep cleaning can then be reduced gradually until the regular 6 monthly check ups and clean.
What is periodontal disease?

Periodontal disease, often referred to as gum disease, is a chronic bacterial infection that affects the gums and supporting structures of the teeth. It begins with the accumulation of plaque, a sticky film of bacteria that forms on the teeth. If not properly removed through regular brushing and flossing, plaque can harden into tartar (calculus), which can only be removed by a dentist or dental hygienist.

Periodontal disease progresses through several stages:

  1. Gingivitis: In its early stage, gingivitis, the gums become inflamed and may appear red, swollen, and prone to bleeding, especially during brushing or flossing. However, at this stage, there is no irreversible damage to the bone and tissue supporting the teeth.
  2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis. This stage involves the gums pulling away from the teeth, forming pockets that become infected. Over time, the body’s immune response and bacterial toxins can break down the bone and connective tissue that hold teeth in place, leading to tooth loss if not treated promptly.

Common risk factors for periodontal disease include poor oral hygiene, smoking, genetics, certain medications, hormonal changes (such as pregnancy), and underlying health conditions like diabetes.

Treatment for periodontal disease depends on its severity but often includes professional cleaning (scaling and root planing), medications (such as antibiotics), and in more advanced cases, surgical procedures to restore gum and bone tissue. Early detection and treatment are essential in preventing irreversible damage and maintaining good oral health. Regular dental visits and diligent oral hygiene practices at home are key to preventing and managing periodontal disease.

Does it ever go away?

Periodontal disease, once established, does not typically go away on its own. However, with appropriate treatment and diligent oral hygiene, it can be controlled and managed effectively to prevent further progression and maintain oral health.

Early-stage gum disease, known as gingivitis, can often be reversed with professional dental cleanings (scaling and root planing) and improved oral hygiene practices at home, such as regular brushing, flossing, and using mouthwash. These measures help remove plaque and prevent its buildup, reducing inflammation and restoring gum health.

In more advanced stages of periodontitis, where there is irreversible damage to the bone and tissues supporting the teeth, ongoing treatment and maintenance are necessary to manage the disease and prevent tooth loss. This may involve more intensive professional cleanings, medications like antibiotics to control infection, and sometimes surgical procedures to repair damaged tissues or regenerate lost bone.

While periodontal disease cannot be cured outright, effective treatment and consistent oral care can significantly halt its progression and preserve the health of your gums and teeth. Regular dental visits for professional cleanings and check-ups are crucial in monitoring the condition of your gums and managing any signs of recurring or persistent gum disease.

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Fillings

Repair tooth decay and restore function with natural-looking fillings.

How does tooth decay start?

Bacteria naturally reside in our mouth. They feed on food debris resulting in the multiplication of acid-producing and resistant bacteria in the mouth forming plaque. If this plaque is not removed, tooth demineralisation and cavitation occurs with time.

How to prevent decay?
  1. Good home oral hygiene: Twice daily tooth brushing with a fluoridated tooth paste in combination with daily flossing. Make sure the technique is right! We are happy to go through tooth brushing and flossing techniques at your appointment.
  2. Diet: Reducing the frequency of consumption of fermentable carbohydrates and sugars, both natural and artificial, is crucial in preventing decay. We recommend avoiding grazing and sipping at drinks throughout the day. 3 main meals with only water between meals is ideal in preventing decay formation.
What happens if my filling breaks/chips?

If your dental filling breaks or chips, several things may happen depending on the extent of the damage:

  1. Discomfort or Sensitivity: You may experience discomfort or sensitivity, especially when chewing or consuming hot or cold foods and beverages.
  2. Exposed Tooth: A broken or chipped filling can leave the affected tooth vulnerable to further decay or damage. Bacteria can enter the gap between the filling and the tooth, potentially leading to decay or infection.
  3. Sharp Edges: If the filling breaks off unevenly, it can leave sharp edges that may irritate your tongue, cheeks, or gums.
  4. Functional Impairment: Depending on the location and size of the filling, a broken or chipped filling can impair your ability to chew properly, affecting your eating habits.

If you notice that your filling has broken or chipped, it’s essential to contact your dentist promptly. They can assess the extent of the damage and recommend appropriate treatment. Treatment options may include:

– Repairing the Filling: If the damage is minor, your dentist may be able to repair the filling by smoothing out rough edges or replacing the missing part with a composite resin material.

– Replacing the Filling: If the filling is extensively damaged or if there is decay underneath, your dentist may need to remove the old filling and replace it with a new one.

– Additional Treatment: In some cases, additional treatment such as a crown or onlay may be necessary to restore the tooth’s structure and function, especially if a large portion of the tooth or filling is compromised.

How long do fillings last?

The lifespan of dental fillings can vary depending on several factors, including the type of filling material used, the location of the filling in the mouth, your oral hygiene practices, and your chewing habits. Here are some general guidelines for the longevity of different types of fillings:

  1. Silver (Amalgam) Fillings: Amalgam fillings are durable and can last for 10 to 15 years or longer with proper care.
  2. Composite (Tooth-Colored) Fillings: Composite fillings are aesthetically pleasing and bond directly to the tooth. They are suitable for front and back teeth and can last 5 to 10 years or more, depending on the size of the filling and how well they are cared for.
  3. Gold Fillings: Gold fillings are highly durable and can last 15 years or more.

Factors that can affect the lifespan of fillings include:

– Oral Hygiene: Regular brushing, flossing, and dental check-ups help maintain the health of the filling and the surrounding tooth structure. 

– Chewing Habits: Grinding or clenching teeth (bruxism) can put excessive pressure on fillings, potentially causing them to wear down or break prematurely. 

– Diet and Lifestyle: Eating habits, such as consuming sugary foods and drinks or using tobacco products, can contribute to decay and compromise the longevity of fillings.

Regular dental check-ups allow your dentist to monitor the condition of your fillings and recommend replacement if necessary before complications arise. If you notice any changes or discomfort around a filling, such as sensitivity or rough edges, it’s important to contact your dentist for an evaluation and appropriate treatment.

My filling is a different color than my teeth, how can I fix that?

If your filling is a different color than your natural teeth and it bothers you, there are several options to address this issue:

  1. Replace the Filling: One option is to have the filling replaced with a tooth-colored composite filling that matches the shade of your natural teeth.
  2. Composite Bonding: If the filling is small or if only a portion of it is visible, your dentist may be able to apply a tooth-colored composite resin material to the surface of the filling to blend it with your natural tooth color. This procedure, known as composite bonding, can improve the appearance of the filling and create a more uniform smile.
  3. Porcelain Veneers or Crowns: For larger fillings or if you have multiple fillings that are visibly different in color, porcelain veneers or crowns may be considered.  Both options can be customized to match the color, shape, and size of your natural teeth for a seamless appearance.
  4. Teeth Whitening: If your natural teeth are discolored or yellowed, professional teeth whitening may help lighten their color to better match the shade of your filling. This can create a more harmonious and natural-looking smile.
  5. Consult with Your Dentist: It’s important to discuss your concerns with your dentist, who can evaluate the color discrepancy and recommend the most appropriate treatment option based on your dental health, aesthetic goals, and budget.

By addressing the color discrepancy between your filling and natural teeth, you can achieve a more uniform and attractive smile that boosts your confidence and oral health.

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Paediatric Dentistry

Provide gentle and comprehensive dental care for children, setting them up for a lifetime of healthy smiles.

What is Child Dental Benefit Schedule (CDBS )?

CDBS is an Australian government programme for children age 0-17 to make dental treatment accessible to eligible families that are receiving certain Centrelink payments. Eligibility is assessed at the start of every calendar year. Give us a call to see if your child is eligible, if not visit this link to check your eligibility.
CDBS covers up to $1026 over 2 consecutive calendar years. If the full amount is not used in the first year, it will be carried over to the next year before being forfeited when the new cycle starts. However if the full sum is used in the first year, there will be no funds available for the subsequent year.
At Dentistry First we bulk bill all eligible children, hence there is no out of pocket expense if sufficient funds are available.

Some dental treatments that are available include:
• Check ups
• X-rays
• Cleans
• Fissure sealants
• Fillings
• Pulpotomies/Root canal treatments
• Extractions

Orthodontic treatments, high end dental work such as cosmetic dental work and any dental services carried out at the hospital will not be covered by CDBS.
Some of the available treatments have a time or item restriction so please check with us if you have any concerns prior to making the appointment.

This is especially importance if you have chronic medical conditions (e.g. diabetes, heart complaints, cancer treatment), on many medications (often leading to dry mouth), or are on medications that strengthen your bones.

At what age should children start going to the dentist?

Australian Dental Association (ADA) recommends child to visit the dentist when their first tooth comes through or when they are 1 year old. It is normal to expect some fussing from your child at the initial appointment but the aim is to get your child familiar and comfortable with the dental setting as early as possible. It is also a good time to get any questions answered and for the dentist to assess any habits and give oral hygiene instructions and diet recommendations for your child.

How do you prepare your child for their first appointment?

Parents play a very important role in making the dental visit a positive experience. In the lead up to the first appointment, parents could play dentist at home – lying your child back, getting them to open wide and to count their teeth.

It would be helpful if you could use phrases such as “going for a ride in the chair” or “visiting the tooth fairy’s friend” to make them excited about the upcoming appointment. Reassure your child that dental visits are a regular occurrence to keep their teeth happy. If you have any older children comfortable at the dentist, it is a good idea for your younger child to come along to see what a dental appointment is like.

Definitely avoid using the dentist as a punishment! Never use phrases such as “if you don’t brush your teeth the dentist will pull them out!” and terms like “needles”, “drills”, “pain/hurt”, “pull” as this will reinforce any fear in your child to visit the dentist.

Keep it light hearted and fun! If you are anxious about the visit, try not to show it as it can rub off on your child making them anxious as well. Try to be positive and encouraging and let us take the lead!

How often should children get checked up?

We recommend 6 monthly checks and cleans just like adults unless specified by the dentist.

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Root Canals

Save an infected tooth and eliminate pain through root canal therapy.

How does the pulp become infected or inflamed?

Main cause of an infected or inflamed pulp leading to partial or complete pulp death are decay, cracks, trauma, extreme wear, extensive dental work done to tooth and severe gum disease. This provides a path of entry for bacteria to the pulp causing it to be infected. The pulp can also become irritated and inflamed if extensive dental work has been done on the tooth or due to trauma.

What are the symptoms indicating that a root canal treatment may be required?

Some signs that indicate a root canal treatment is needed are:
• Pain or dull ache, can be spontaneous
• Pain waking you up at night
• Extreme sensitivity to hot and cold that can linger
• Pain on biting
• Grey discolouration of tooth
• Abscess (localised swelling)
• Facial swelling

To note:

  1. Pain: pain is the most common symptom indicating the need for a root canal treatment. If the tooth is still alive, it will be very sensitive to both hot and cold and will remain sensitive for a period of time after the stimulus is removed. If the tooth is dead, it could ache spontaneously and be sore to bite on. If the tooth is dying or partially dead, there could be a combination of symptoms. Occasionally you will experience pain that wakes you up in your sleep.
  2. Abscess and facial swelling: An abscess forms when the infected pulp causes inflammatory response that eventually leads to the breakdown of bone around the root tip of the infected tooth. This infection can drain into the mouth resulting in a ‘pimple’ on the gums near the tooth. Occasionally the infection spreads through the fascial planes resulting in a facial swelling.
  3. Not all dead or infected teeth have symptoms and can remain asymptomatic for many years. Hence regular check-ups are important. An OPG (x-ray showing all the teeth and surrounding structures) can help with identifying such issues.
What are the stages of a root canal treatment?

There are usually 3 visits to complete the treatment. Depending on the tooth, more appointments may be needed and your dentist will advice you if so. A rubber sheet, ‘rubber dam’, is used in every appointment to isolate the tooth from any saliva and bacteria in the mouth and to prevent debris and irrigants used to clean the tooth from entering the mouth. Avoid eating on the tooth under treatment until a definitive filling or crown is placed on the tooth. All root canal treated teeth are more brittle and a crown is usually recommended for long term protection from breaking and reinfection.

Visit 1:

Decay is removed and a small access hole is created to access the root canals. The infected or dead pulp is removed and an antibacterial dressing and temporary filling is placed.

Visit 2:

The root canals are cleaned, disinfected and shaped to the correct lengths. Some narrow canals may need more work and time to negotiate them and more appointments may be needed. An antibacterial dressing and temporary filling is placed.

Visit 3:

The root canals are sealed with a rubbery material to prevent reinfection and the cavity is sealed with a filling material in preparation for a crown or large filling. Do not leave a treated tooth for too long before getting a final filling or crown as the tooth may crack or get reinfected.

Why am I being referred to an endodontist?

Root canals are often referred to a specialist if it is a more complex case such as narrow, blocked canals or teeth with unusual anatomy or additional canals for the best outcome for your tooth.

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Preventative Dentistry

Proactively protect your smile with cleanings, sealants, fluoride, and personalized oral hygiene instruction.

Manual tooth brushing technique
  1. Angle your toothbrush 45⁰ along the gum line, do small gentle round circular motions.
  2. To clean the back of the top and bottom front teeth, hold toothbrush parallel to the midline of face and do up and down motions – handle of toothbrush to nose for the back of lower teeth and to chin for the back of upper teeth.
Electric tooth brushing technique
  1. Angle the toothbrush 45⁰ along the gum line
  2. Focusing on one tooth at a time, slowly glide the toothbrush from tooth to tooth, stopping on each tooth for a few seconds. Follow the contours of your teeth and gums
Recommendation for children
  1. Introduce a small headed, soft bristled toothbrush when your child’s first baby tooth comes through
  2. Prior to using a toothbrush, a soft wash cloth or muslin cloth can be used with water to clean your baby’s gums. This will help desensitise your baby for tooth brushing
  3. No toothpaste is needed for children under 18 months old. A low strength fluoride toothpaste should be introduced at 18 months and can be used up to 6 years unless recommended otherwise by your dentist.
  4. 2 minutes is the recommended amount of time but this can be too long for young children with only a few teeth. Just ensure that all tooth surfaces are cleaned well and slowly working up to 2 minutes as they start getting all their teeth. Playing a song or using apps with a timer can make tooth brushing more fun. Physical or phone app brushing charts and stickers can help as a positive reinforcement for brushing.
  5. Parents should brush their children’s teeth up to about 10 years old. Children can have a go at brushing their own teeth under the supervision and assistance of a parent but parents may need to go back in to brush areas missed.
  6. A good indicator when a child can brush by themselves is when they receive their pen licence at school.
  7. Floss between any teeth that are touching each other. Ask your dentist for any tips and tricks to make this an easier process.
General tips
  1. Apply gentle pressure! The toothbrush bristles should not fray before the 3 month mark. Brushing too hard damages both the enamel and gums.
  2. Replace your toothbrush or electric toothbrush head every 3 months or when the bristles start fraying.
  3. Electric toothbrushes are excellent for patients with limited dexterity. It is also a fun way for kids to enjoy tooth brushing.
  4. Spit out excess toothpaste, do not rinse out with water after tooth brushing.
  5. Do not forget to brush your tongue after tooth brushing!
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Veneers

Enhance your smile’s appearance by correcting imperfections with custom-made, thin porcelain shells.

What are veneers?

Veneers are thin, custom-made shells crafted from tooth-colored materials like porcelain or composite resin. They are designed to cover the front surface of teeth to improve their appearance. Veneers can effectively mask imperfections such as discoloration, chips, or gaps between teeth. They are permanently bonded to the tooth surface, providing a natural-looking and durable solution to enhance the smile’s aesthetics. Veneers are a popular choice in cosmetic dentistry for achieving a symmetrical, white, and attractive smile.

What happens if I change my mind, can I take them off?

Veneers are a permanent dental treatment because they involve modifying the tooth structure by removing a thin layer of enamel to accommodate the veneer. Therefore, once veneers are placed, they typically cannot be removed without replacing them with new veneers or opting for an alternative dental restoration.

If you change your mind about veneers, it’s important to discuss your concerns with your dentist or dental specialist beforehand. They can provide information about the process, potential outcomes, and alternatives to help you make an informed decision.

How long do veneers last?

The lifespan of veneers can vary based on several factors, including the material used (porcelain or composite resin), oral hygiene practices, and daily habits. Generally, porcelain veneers are more durable and can last between 10 to 15 years or even longer with proper care. Composite resin veneers may have a shorter lifespan of around 5 to 7 years.

To maximize the longevity of veneers, it’s essential to maintain good oral hygiene by brushing and flossing regularly and visiting your dentist for routine check-ups. Avoiding habits like biting hard objects, clenching or grinding teeth and minimizing consumption of staining substances (like coffee, red wine, or tobacco) can also help extend the lifespan of your veneers.

Regular monitoring by your dentist can ensure early detection of any issues with your veneers, allowing for timely repairs or replacements as needed to maintain your smile’s appearance and function.

How long is the appointment?

The length of appointments for veneers can vary depending on several factors, including the number of veneers being placed, whether they are porcelain or composite resin, and the complexity of the procedure. Generally, each appointment for veneers can range from 1 to 3 hours.

During the initial appointment, your dentist will typically prepare the teeth by removing a thin layer of enamel, take impressions of your teeth, and place temporary veneers if necessary. This appointment may take longer if multiple veneers are being placed or if additional dental work is needed.

The second appointment involves bonding the permanent veneers to your teeth after they have been custom-made in a dental laboratory. This process includes cleaning and etching the teeth, applying dental adhesive, and carefully placing each veneer. Adjustments may also be made to ensure a comfortable fit and proper alignment with your bite.

Your dentist will provide a personalized treatment plan and schedule based on your specific needs and goals for achieving a beautiful smile with veneers.

Do I need to get all my teeth done?

Whether you need to get all your teeth done with veneers depends on your individual dental situation and goals. Veneers are typically applied to the front teeth that are visible when you smile. It’s common for patients to choose veneers for specific teeth that have cosmetic concerns, such as staining, chips, or gaps.

Your dentist will evaluate your teeth and discuss your aesthetic desires to determine the number of veneers needed. In many cases, only a few teeth may require veneers to achieve the desired cosmetic improvement. However, some patients may opt to have veneers placed on multiple teeth to create a more uniform and attractive smile.

It’s important to have a thorough consultation with your dentist to discuss your expectations, explore treatment options, and develop a personalized plan that addresses your dental concerns and goals effectively.

Do I get to see what they look like before they are permanent? What if I don’t like them?

Yes, before your veneers are permanently bonded to your teeth, you will have the opportunity to see what they look like and make any necessary adjustments. This typically occurs during the second appointment when the permanent veneers are ready to be placed.

During this appointment, your dentist will temporarily place the veneers on your teeth to allow you to preview their appearance. This gives you the chance to assess the color, shape, and overall look of the veneers. If there are any aspects you are not satisfied with or if adjustments are needed, your dentist can make modifications at this stage.

If, after previewing the veneers, you decide that you do not like them or have concerns, it’s important to communicate this with your dentist. They can work with you to address your preferences and make necessary changes before the veneers are permanently bonded to your teeth. This ensures that you are satisfied with the final result and achieve the smile you desire.

Communication with your dentist throughout the process is key to ensuring that your expectations are met and that you achieve the aesthetic outcome you envision with your veneers.

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Whitening

Brighten your smile and remove stains with professional teeth whitening treatments.

Things to note before whitening your teeth
  1. Fillings, crowns and veneers do not change colour with whitening. If you have these in the aesthetic zone and would like to proceed with whitening, these will need to be replaced after whitening.
  2. If you have sensitive teeth, whitening will make your teeth more sensitive during and for a period after whitening. Exposed root surfaces may not whiten and are more susceptible to sensitivity. Using sensitive toothpaste and tooth mousse can help with the sensitivity.
  3. Not all teeth can be whitened with whitening, see below for more information!
  4. Whitening is not recommended in pregnant and breastfeeding woman
  5. To achieve the best results, avoid dark foods and drinks and tobacco while whitening and for a short period after.
  6. Teeth will darken again with time and will need whitening periodically to maintain the brightness.
What are the causes of tooth discolouration and can whitening help?

Extrinsic stains:

These are stains that build up on the surface of our teeth. These stains usually occur from our daily food and drinks such as coffee, tea, red wine, soft drinks or from smoking cigarettes or cigars.

Most of these stains can be removed during your six monthly check and cleans before they are absorbed into your teeth.

Intrinsic stains:

• As mentioned above, stains that accumulate on the surface of your teeth that are not removed over a long period of time can absorb into your teeth becoming intrinsic stains. Whitening will be able to help these stains.

• Medications: The most common medication causing staining is tetracycline that is taken when your teeth are forming. This causes a permanent banded brown, grey or yellow discolouration in teeth. These stains are very very difficult to remove with whitening and if whitening is unsuccessful veneers or crowns can be done to cover up the teeth.

• Fluorosis or hypoplasia: Excessive fluoride ingested when teeth are forming can cause white spots in mild cases or roughened brown or black areas in teeth in severe cases. Mild cases may improve with teeth whitening in combination with tooth mousse application, occasionally there may be initial worsening with the white spots becoming brighter. In severe cases, whitening may not be able to help and veneers or crowns may be required.

Age:

As we grow older, our enamel thins out and the underlying yellow dentine shows through. Wear from grinding, excessive tooth brushing especially with hard tooth brushes and whitening tooth pastes can exacerbate the thinning of enamel making the underlying dentine more visible.

Dental factors:

White spot lesions develop when minerals leach from teeth due to poor oral hygiene or diet. This is the start of a cavity. Whitening will not be able to correct these lesions.

A single dark tooth is because the tooth can be due to a dead tooth or a root canal treated tooth. For root canal treated teeth, a different procedure called internal bleaching can be done, if not a veneer or crown can be placed to cover up the dark tooth.

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Tooth Gems

If you like to add a little sparkle in your smile, have a tooth gem placed!

Can tooth gems damage my teeth?

Tooth gems, when applied correctly by a trained professional, typically do not damage teeth. However, improper application or removal by unqualified individuals can potentially harm tooth enamel or lead to issues like decay if hygiene is compromised. It’s crucial to seek reputable dental professionals or specialists for safe application and removal to minimize any risks to your dental health.

How to remove tooth gems?

Removing tooth gems yourself is not recommended. Tooth gems are typically bonded to the tooth surface using dental adhesive, which requires professional tools and techniques for safe removal. Attempting to remove them yourself can damage the enamel or surrounding teeth structures, leading to potential dental problems. It’s best to consult with a dental professional or the specialist who applied the gems to ensure safe and proper removal without causing harm to your teeth.

What happens if a tooth gem falls off?

If a tooth gem falls off, it’s important to assess the situation promptly. Typically, when a tooth gem comes off, it indicates that the adhesive bond has weakened or failed. Here’s what you should consider:

  1.   Assess the Tooth: Check the tooth where the gem was placed. Look for any remnants of adhesive or potential damage to the tooth surface.
  2.   Contact Your Dentist: It’s advisable to contact your dentist or the professional who applied the tooth gem. They can assess the tooth’s condition and determine if any immediate action is needed.
  3.   Potential Risks: Leaving the tooth without the gem may expose it to oral bacteria, potentially leading to decay or discoloration if not addressed promptly.
  4. Replacement: Depending on the situation, your dentist may recommend replacing the tooth gem. They can ensure proper bonding and minimize the risk of damage to your teeth.
Do tooth gems leave a mark on the tooth?

When a tooth gem is properly applied and removed by a trained professional, it should not leave a permanent mark on your tooth. The adhesive used for tooth gems is typically designed to be non-damaging to tooth enamel. However, improper application or removal by unqualified individuals could potentially cause minor surface imperfections or temporary discoloration.

If you’re concerned about any marks left on your tooth after a tooth gem has been applied or removed, it’s best to consult with a dental professional. They can assess the condition of your tooth and provide appropriate recommendations for any necessary treatment or cosmetic enhancements.

How long do tooth gems last?

The longevity of tooth gems can vary depending on factors such as the quality of the adhesive used, oral hygiene practices, and daily habits. Typically, well-applied tooth gems can last anywhere from several months to over a year. However, factors like chewing habits, teeth grinding, and oral care routines can affect their durability.

To maximize the lifespan of a tooth gem, it’s important to follow dental hygiene practices recommended by your dentist, such as regular brushing and flossing. Avoiding habits like biting hard objects or using abrasive dental products can also help prolong the gem’s appearance and adherence to the tooth.

If you have concerns or notice any changes in the tooth gem, such as loosening or discoloration, it’s advisable to consult with a dental professional for proper evaluation and care.

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Onlays, Bridges, Crowns

Synthesize integrated schemas with networks.

How do I maintain my onlay, crown and bridge?
  1. Oral hygiene is of upmost importance as decay can still form around the margins of the crown. Daily brushing and interdental cleaning is crucial. Superfloss or interdental brushes should be used to clean under the bridge daily.
  2. Despite being very strong, ceramics and porcelain can still chip if placed under a lot of force. Avoid biting hard foods like bones and crab shells and avoid habits such as using teeth to open bottles or cracking nuts.
  3. Occasionally splints or mouth guards are recommended if clenching or grinding is suspected
How long does a crown last?

The lifespan of a dental crown can vary depending on several factors:

  1. Material: Crowns made from different materials have varying durability. Porcelain-fused-to-metal (PFM) crowns and all-ceramic crowns are commonly used for their aesthetics and can last 10 to 15 years or more with proper care. Gold crowns are highly durable and can last even longer.
  2. Oral Hygiene: Maintaining good oral hygiene is crucial for the longevity of a crown. Regular brushing, flossing, and dental check-ups help prevent decay and gum disease that could compromise the crown’s integrity.
  3. Diet and Habits: Avoiding hard or sticky foods and habits like teeth grinding can help prevent damage to the crown and underlying tooth structure.
  4. Location: Crowns placed on front teeth may be more susceptible to wear and aesthetic changes compared to those on back teeth that endure more chewing forces.
  5. Crown Fit and Quality: Properly fitted crowns with high-quality materials and craftsmanship are more likely to last longer without issues.

While crowns are durable, they may eventually need to be replaced due to normal wear and tear or changes in the underlying tooth structure. Your dentist will monitor the condition of your crown during regular check-ups and recommend replacement if necessary to maintain optimal oral health and function.

What happens if my crown or bridge breaks/falls off?

If your dental crown or bridge breaks or falls off, it’s important to address the issue promptly to prevent further complications. Here’s what you should do:

  1. Retrieve and Inspect: If possible, locate the broken or dislodged crown or bridge. Handle it carefully to avoid further damage.
  2. Contact Your Dentist: Schedule an appointment with your dentist as soon as possible, even if you are not experiencing pain. Your dentist will assess the situation and determine the appropriate course of action.
  3. Avoid Self-Repair: Refrain from attempting to reattach the crown or bridge yourself using household adhesives or materials. Improper reattachment can lead to further damage to the tooth or surrounding teeth.
  4. Protect the Tooth: If the tooth underneath the crown or bridge is sensitive or exposed, you can use dental wax or temporary dental cement (available at pharmacies) to cover the area temporarily until you see your dentist.
  5. Pain Management: If you experience discomfort or sensitivity, over-the-counter pain relievers such as ibuprofen can help alleviate pain before your dental appointment.

Depending on the extent of the damage and the condition of the crown or bridge, your dentist may be able to reattach it if it is intact and the underlying tooth structure is healthy. In cases where the crown or bridge is damaged beyond repair or if there is decay or structural issues with the tooth underneath, a new crown or bridge may need to be fabricated.

Early intervention is crucial to prevent further damage to your tooth and ensure that your restoration continues to function properly. Contact your dentist promptly for guidance and treatment to restore your smile and oral health.

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Dentures

We offer a range of denture solutions for replacing missing teeth.

What is the denture making procedure like?
  1. Primary impressions
  2. Secondary impressions – an accurate impression of the oral hard and soft tissues for a well fitting denture
  3. Bite registration
  4. Try in – denture teeth in wax to assess shade, shape and alignment of teeth prior to casting the final denture. An additional appointment is required to try in the framework if a cobalt chrome partial denture is being made.
  5. Denture insert
  6. Adjustment as required
How do I care for my dentures?
  • Do not wear your dentures to bed! This give time for your tissues to have a break and prevent fungal infections.
  • Clean dentures with a soft tooth brush and liquid soap, do not use toothpaste. Leave dentures out to dry overnight
  • Wash the dentures over the sink lined with a wash cloth – this is to prevent the denture from breaking if dropped into the sink. Dentures often break when dropped into the sink, counter or the floor!
  • Soak the denture in a denture cleaning solution weekly
  • Soak the denture in a diluted white vinegar solution to remove calculus formation on the denture.
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Implants

A titanium screw replaces a missing tooth, topped with a natural-looking crown.

What is a dental implant?

A dental implant is a titanium post or fixture that serves as a replacement for the root of a missing tooth. It is surgically placed into the jawbone beneath the gum line, where it fuses with the bone through a process called osseointegration. This integration provides a stable foundation for a replacement tooth or bridge. Dental implants are designed to mimic the natural tooth root and can support various dental prostheses, such as crowns, bridges, or dentures, to restore functionality and aesthetics to the smile.

How long is the process of getting an implant?

The process of getting a dental implant typically spans several months and involves multiple stages:

  1. Initial Consultation and Treatment Planning: Your dentist will assess your oral health, take X-rays, and discuss treatment options.  A comprehensive treatment plan will be created based on your specific needs.
  2. Tooth Extraction (if needed): If a tooth needs to be extracted before implant placement, this may be done in a separate appointment.
  3. Implant Placement: During a surgical procedure, the dental implant (a titanium post) is surgically placed into the jawbone. This acts as a replacement root for the missing tooth.
  4. Healing and Osseointegration: Over the next several weeks to months, the implant integrates with the jawbone through a process called osseointegration. This provides a stable foundation for the replacement tooth.
  5. Abutment Placement: Once osseointegration is complete, an abutment (connector) is attached to the implant. This serves as a support structure for the final crown or prosthetic tooth.
  6. Final Restoration: Finally, a custom-made dental crown, bridge, or denture is attached to the abutment, completing the implant restoration.

The total process typically takes anywhere from 3 to 6 months or longer, depending on individual healing times and any additional treatments needed. Your dentist will provide a personalized timeline and guide you through each step to ensure successful implant placement and restoration with regular follow-up appointments.

Why should I get an implant and not a bridge?

Choosing between a dental implant and a dental bridge depends on various factors, including your oral health, budget, and personal preferences. Here are some reasons why you might consider getting an implant over a dental bridge:

  1. Preservation of Adjacent Teeth: Unlike a dental bridge, which requires the adjacent teeth to be prepared (reduced) to support the bridge, an implant preserves the adjacent teeth because it is independently anchored into the jawbone.
  2. Long-Term Solution: Dental implants are designed to be a long-lasting solution for replacing missing teeth. With proper care and maintenance, implants can potentially last a lifetime, whereas a dental bridge may need to be replaced after 10-15 years.
  3. Bone Health: Implants stimulate the jawbone and prevent bone loss that can occur when a tooth is missing. This helps maintain facial structure and prevent changes in your facial appearance over time.
  4. Natural Look and Feel: Implants are designed to look, feel, and function like natural teeth. They integrate with the jawbone, providing stability and allowing you to chew and speak comfortably without the potential discomfort or limitations associated with a dental bridge.
  5. Ease of Maintenance: Implants are easier to clean and maintain compared to dental bridges. They can be cared for like natural teeth with regular brushing, flossing, and dental check-ups.

However, it’s important to discuss your specific dental needs and goals with your dentist. They can evaluate your oral health, explain the pros and cons of each option, and help you make an informed decision based on your individual circumstances.

What if I don’t have enough bone for an implant?

If you do not have enough bone for an implant, there are several options your dentist or may consider:

  1. Bone Grafting: This procedure involves adding bone material to the jawbone to enhance its volume and density. Bone grafts can be sourced from your own body (autogenous graft), donor tissue (allograft), or synthetic materials (alloplastic graft). After the graft heals and integrates with your natural bone (typically several months), the area may then be suitable for implant placement.
  2. Sinus Lift: If the bone loss is in the upper jaw and has affected the sinus cavity, a sinus lift procedure may be necessary. This involves lifting the sinus membrane and placing bone graft material beneath it to increase the height and thickness of the bone in that area.
  3. Mini Implants: In some cases, mini implants (smaller diameter implants) may be an option for patients with insufficient bone volume. These implants require less bone structure for placement and may be suitable depending on your specific situation and oral health needs.
  4. Alternative Treatments: Depending on your dental condition and preferences, your dentist may also discuss alternative treatments, such as a dental bridge or removable dentures, which may not require as much bone support.

It’s essential to consult with a qualified dentist or oral surgeon who specializes in implant dentistry. They will evaluate your bone structure through imaging techniques (like X-rays or CT scans), discuss your treatment options, and create a personalized plan to achieve optimal oral health and restore your smile effectively.

How long do they last, will I have to replace it?

Dental implants are designed to be a long-term solution for replacing missing teeth. With proper care and maintenance, implants can potentially last for many years, even a lifetime in some cases. Factors that can influence the longevity of dental implants include:

  1. Oral Hygiene: Regular brushing, flossing, and dental check-ups are crucial to maintaining the health of your implants and surrounding tissues.
  2. Health and Lifestyle: General health conditions, habits like smoking, and conditions like bruxism (teeth grinding) can affect the lifespan of implants.
  3. Quality of Bone Integration: Successful osseointegration (fusion of the implant with the jawbone) is key to the stability and longevity of implants.
  4. Implant Maintenance: Following your dentist’s recommendations for regular maintenance and monitoring of your implants is essential for their long-term success.

While implants are durable, occasional maintenance or replacement of components such as the crown or abutment may be necessary over time due to normal wear and tear or changes in oral health. Your dentist will monitor the condition of your implants during routine check-ups and provide guidance on any necessary maintenance or replacements to ensure their continued function and longevity.