Dental Exam

Dental Treatments can cover just a simple exam, scale & polish – and you may assume you should have a check up every 6 months, but some people may not need to go so often and others may need more frequent checks.

We will always discuss and advise what is best for you based on how good your oral health is, and what your personal choices are.

Why do I need a dental exam?

An exam allows us to see if you have any dental problems and help you keep your mouth healthy. Leaving problems untreated could make them more difficult to treat in the future, so it’s best to deal with them early, or, ideally, prevent them altogether.

What happens during a dental exam?

At each exam, we:

  • Examine your teeth, gums & mouth in general.
  • Screen for Mouth Cancer or other problems.
  • Cover your general health, medication & any issues you’ve had since your last visit.
  • Ask about, & give you advice on, diet, smoking or alcohol use if necessary.
  • Give advice and instruction on cleaning and oral hygiene if necessary.
  • Discuss & make plans to correct any problems you have.

What about dental treatments?

The advice during an exam is about routine check-ups only. You may need other appointments for dental treatments such as fillings.

Dental TreatmentsChildren

Dentistry for children is very important to us and you can register your child from birth. Their own exams start when their first teeth start to appear. At Orchard House children under 18yrs are seen & treated on the NHS.

Your child’s first trip to the dentist will normally be accompanying you to your routine exam. This can help to familiarise them with the surroundings. On their first exam it may only involve them simply meeting David or Stephanie, possibly having their teeth counted if they are happy to or may be just having a ride in the dental chair!

For more information, also visit www.gr8smileclub.com provided by our plan provider DPAS, or NHS Choices

Dentistry at Orchard House Dental Care

This is a brief guide to the main dental treatments carried out at Orchard House Dental Care.

Click on a Treatment below to read details.

Airflow

Airflow Polish

logo-electro-medical-systemsAirflow tooth polishing is a new method of dental cleaning that successfully tackles the persistent staining of daily food and drink, leaving the mouth feeling cleaner and fresher. Airflow combines air, sodium bicarbonate and a jet of water to produce excellent results without risking any damage to your teeth, plus combats staining all in one go!

The powerful jet is a step up from the standard Scale and Polish session as it is able to blast persistent stains allowing the natural, whiter and brighter enamel to resurface.

The Airflow system has been carefully designed and developed to be an effective, but safe hygiene treatment:

  • The mixture is non toxic and therefore will not cause any harm if accidentally ingested
  • There will be virtually no pain caused, as this is a 100% non-invasive treatment

080112_AFT_PIC_EN_before_air-flow_treatment_patient_05_BOTTOM_75x35mmair_polishing

Bridge

Bridges

A bridge is a fixed replacement for a missing tooth or teeth and is made by shaping and taking moulds of surrounding teeth, which will eventually support the bridge. A bridge unlike dentures, which can be removed, will be fixed in your mouth.

Dental Bridge

 

Broken Teeth

Broken or Knocked out Tooth

It's fairly common to break or chip a tooth, but sometimes if you or your child has had a serious accident you can knock a tooth out. If you or your child's tooth has been knocked out or is badly broken and causing pain, contact us as soon as possible for advice.

If an adult tooth is knocked out, try putting it back in place. Do NOT try to re-insert a baby tooth.

If you can't put an adult tooth back into position, place it in a container of cold milk and contact us or your usual dental practice. You may be able to see a dentist straight away or you may be directed to an urgent care dental service.

If you're not a patient of ours, or don’t have a regular dentist, we will do out best to see you or you can contact NHS 111 for advice on where to get urgent care.

If the tooth is just chipped and NOT causing pain or trauma to the mouth, simply make a normal appointment to have it smoothed down or filled. No great harm will come to the tooth if it is not repaired straight away. If the break is large and cannot be repaired with a filling, then other options will be discussed, e.g. a Crown.

 

Crown

Crowns

A crown is a type of cap that completely covers a real tooth. It is fixed in your mouth and can be fitted where a tooth has broken, decayed or been damaged. A crown can also just to make a tooth look better. To fit a crown, the tooth will need to be drilled down little so it's like a peg onto which the crown will be fixed.

Crown

Dentures

Dentures

More commonly known as false teeth, dentures are fitted in place of natural teeth. A full set is used to replace all your teeth. A part set can be used to replace one or more missing teeth. Dentures are custom-made using impressions (mouldings) from your gums and are usually made from metal or plastic.

Dentures

They're removable and need to be removed regularly and soaked in a cleaning solution.

Dentures are an alternative to other treatment options, and are important if you lose your natural teeth as losing your teeth makes it difficult to chew your food, which will adversely affect your diet and may also cause your facial muscles to sag.

Dentures 2

 

Implants

Implants

Implants are a fixed alternative to removable dentures. They may be the only option if the loss of teeth has caused the mouth to shrink so that it can no longer support dentures, or if the space between teeth is too great to support Bridgework. You can use implants to replace just a single tooth or several teeth.

To fit an implant, titanium 'screws' are drilled into the jawbone to support a crown, bridge or denture. Implants are usually only available privately and can be very expensive. They're sometimes available on the NHS for patients whose face and teeth have been damaged, such as people who've had mouth cancer or an accident that's knocked a tooth out.

We can refer to a number of colleagues around the local area that can assess and provide dental implants.

dental-implants

Root Canal Treatment

Root Canal Treatment - RCT

RCT (also called endodontics) tackles infection at the centre or tip of a tooth (the root canal system). It's also got a bad rap!

When the blood or nerve supply of the tooth has become infected, if root canal treatment is not carried out, the infection can spread, lead to an abscess and the tooth may need to be taken out.

During treatment, all the infection is removed from inside the root canal system. The canal is filled and the tooth is sealed to stop it from becoming infected again. RCT may require 2 or even 3 visits depending on the tooth and amount of infection. 

Because RCT also remove the pulp, the teeth involved can no longer function as living things. Over time, this deficit causes them to lose strength and become likely to fracture.

After performing RCT, we apply permanent fillings to protect the treated teeth from bacteria and to strengthen them in the process. For many root canal procedures, however, fitting crowns over the filled teeth is necessary because of the high risk of fracture without the extra protection crowns provide.

Horror stories you may have heard, are usually exaggerated. To you, the procedure is largely like a regular filling, it just takes longer to do and requires Special Equipment. We will always discuss options first, which may include a referral to a Specialist who carries out RCT. 

RCT

Scale&Polish

Scale & Polish

This is when your teeth are professionally cleaned and involves carefully removing the deposits that build up on the teeth (tartar).

scaling teeth

Teeth Whitening

Teeth Whitening/Bleaching

Teeth whitening involves bleaching your teeth to make them a lighter colour. Teeth whitening can’t make your teeth brilliant white, but it can lighten the existing colour by several shades.

Standard teeth whitening involves a couple of appointments in house, then sessions at home wearing a mouthguard containing whitening gel. The whole process only takes a couple of months, plus you can just purchase more gel as needed. At Orchard House we can now offer Whitewash Laboratories Professional LEGAL Whitening Products. These range from the traditional trays and gel, which are the Gold Standard for getting the best results PLUS,  new whitening strips that can be worn for as little as 20mins...! - with no moulds needed.

Another procedure often called laser whitening or power whitening is offered at Orchard House and takes about an 1.5hrs. At Orchard House Dental Care for adults we offer Phillips ‘Zoom®’.

before-and-after-whiteing

Safe Whitening

Safe Tooth Whitening treatment can deliver a brilliant, long-lasting result, without . Your whitening treatment will be tailored to suit your individual needs and wants, with monitoring during and after the procedure; ensuring that any adverse side effects are minimised and the overall tooth whitening is as brilliant as you had hoped. Book an exam to find out how brightly you could be smiling.

For more information click here or download an information leaflet

Veneers

Veneers

Veneers are new facings for teeth that can be used to improve the appearance or shape of a discoloured tooth, or where there are numerous fillings. To fit a veneer, the front surface of the tooth is drilled away a little, although this is not always necessary. An impression is taken, and a thin layer of porcelain or composite is bonded to the front of the tooth (similar to how a false fingernail is applied).

Veneers Before & After

White Fillings

Fillings

Fillings are used to repair a hole or chip in a tooth, possibly caused by decay. The most common type of filling is metal called an Amalgam, and is made from a mixture of metals including mercury, silver, tin, copper and zinc. White fillings made from a resin composite and obviously give a better looking result, although depending on size or location, may not possible. In these cases other cosmetic treatments can be used, e.g. a Crown or Veneers.

Silver-Filling-Vs-White-filling

Wisdom Tooth Removal

Wisdom Tooth Removal

The wisdom teeth grow at the back of your gums and normally are the last teeth to come through, usually in your late teens or early twenties. Most people have four wisdom teeth, one in each corner.

Wisdom teeth can sometimes emerge at an angle or get stuck and only emerge partially. Wisdom teeth that grow through in this way are known as either impacted or partially erupted

In these cases they often need to be removed surgically, and in some cases can be done on the NHS. Dependent on x-rays we may perform the procedure or may refer you to a dentist with a special interest (DwSI) or to a hospital's oral and maxillofacial unit.

You will usually have to pay a charge of £51.30 (NHS band 2) for wisdom tooth removal at a DwSI. If it necessary to refer to a hospital for NHS treatment, you will not have to pay a charge.

We can also refer you privately for treatment if you wish.