Dental crowns have been in common use since the 1960s when the techniques to manufacture them were first understood, Nowadays, with better preventive techniques crowns aren’t used quite so much but they still play a key part of many dental treatments. We’ve found that many patients can often be confused about types and uses of tooth crowns so we thought we would write an extensive article to answer all of your questions.
What is a dental crown?
In simple terms, a dental crown is a full replacement for everything you see on your tooth above the gum. They are usually used when the natural tooth has become severely broken down and can no longer be restored with either fillings or inlays. Your crown will fit over your natural tooth which the dentist will prepare and reduce to a stump. So long as you have high quality crown then it will blend in with the remainder of your teeth and no one will know you have one fitted.
Which crown is better for front teeth?
For front teeth it is usually aesthetics which take the priority, function and strength are still important however. For the highest athletics it is better to use a more translucent material which allows the light to shine through the crown, a porcelain crown is often the best choice. This allows a more natural appearance than having a crown which has metal inside. For this reason the best crown for a front tooth will be some form of metal free crown.
What is the best dental crown to get for back teeth?
Full-back teeth it is usually function and strength which are a priority over aesthetics. Your back teeth are capable of exerting extreme pressure and therefore strength is a priority. Modern zirconia crowns can be extremely strong as well as aesthetic, however very often classic porcelain fused to metal or indeed full metal crowns are still preferred for back teeth.
What are Zirconia Dental Crowns?
Zirconia is the common name for zirconium dioxide, this is effectively sand or ceramic and it is what makes beautiful white beaches look very white. Zirconia has been used for many years in hip replacement surgery as the body does not reject it and it has little or no wear. Zirconia is also able to allow the light to shine through making crowns made from the material extremely lifelike. Zirconia is one of the most biocompatible materials it’s possible to use due to the fact it does not react with anything.
What is the best dental crown material?
The best types of dental crowns will always be selected, but this will differ depending on your clinical situation. The two criteria which are usually used to decide which crown material you should have are:
- Aesthetics. Especially important at the front. Very often metal free or crowns are chosen.
- Strength. Especially important at the back. Crowns containing metal, such as porcelain fused metal crowns are often chosen however modern advances in technology means zirconia crowns are approaching the same strength.
How long will a tooth crown last?
A tooth crown will last thousands of years… So long as it is not put under any stress and is left alone! So actually the question should be how long will the tooth crown last in MY mouth? The things which affect how long the tooth crown last are:
- Failure and/or fracture.
- Gum recession exposing the Crown margin.
You can reduce the chance of failure and/or fracture by ensuring that you look after it. Only use crowns for eating and chewing, not opening bottles! Also, be aware that a common way to fracture ceramic crown is to knock it with a ceramic mug whilst drinking.
You can reduce the chance of gum recession by ensuring that you maintain good oral health and have a regular visit to the dentist to ensure that your gums are in the best condition possible.
Why is palladium not used in dental crowns?
Palladium is used in crowns occasionally however it is falling out of favour for a few reasons:
- It is a precious metal and therefore expensive, there are lower cost alternatives which offer similar advantages.
- It is a precious metal and therefore open to fluctuations in price depending upon what the stock market is doing, more stable pricing materials are available.
- It is metal and therefore does not allow the light to travel through like a natural tooth, this can sometimes make a crown with metal alloys such as those containing palladium look not as good as an all ceramic crown.
What is the typical cost for a dental crown?
The price will vary depending on the type of crown, you should expect to pay anywhere between £300 to more than £1000 per tooth, depending upon where you visit the dentist. Understanding dental prices can be quite difficult so it’s good to speak to your dentist beforehand.
What are alternatives to dental crowns?
If you only have a small amount of damaged tooth then a dental inlay or filling may work, other filling materials are also a possibility. If however there is a large amount of tooth to restore then there really isn’t any alternative to a dental crown, if you want to keep the tooth.
Doing nothing is always an option and should always be considered, if you need to have a tooth restored then doing nothing could lead to additional dental health problems in the future or possibly losing the tooth completely.
How to take care of my dental crown?
You should take care of a tooth crown exactly the same as you would a natural tooth, ensuring you clean it twice per day for 2 min with toothpaste. You should then clean in between the crown and the next tooth with either floss or an incidental brush, just like you do natural teeth, this ensures you keep those difficult to reach areas clean as well. One of the weak areas of a crown is where it joins your natural tooth, often under the gum margin, this area needs to be kept particularly clean.
What is the process for putting on dental crowns?
The process for having crowns is as follows:
- Diagnosis that a crown is required, a treatment plan should be produced with all options including prices.
- Agreement of the treatment plan. Any root canals or root canal treatment will be done first.
- Preparation of the tooth. This involves removing any decayed or broken down tooth and preparing it to be the correct shape to accept the new crown. You will receive a numbing anaesthetic beforehand.
- Fitting a temporary crown. This will be made chair side by the dentist at the time of preparation, you wear this temporarily crown for two weeks whilst the final and definitive crown is made.
- The final crown is manufactured by a dental technician.
- The fitting appointment. You will have a numbing anaesthetic, the temporary crown will be removed, the final crown will be checked for fit, aesthetics and function. If everything is okay the permanent crown will be fitted using a special dental cement material.
We hope you have found this blog post useful, what other questions do you have about crowns?
Any good dental practice will understand that fees and prices are a major factor in the decision-making process by which dentist to visit. That’s why we have decided to tackle this issue head on, we hope that by the end of this blog post you will have more information about private dentist prices in the UK, why those fees and prices are as they are and how to make the best choice.
Whenever you have a treatment undertaken you should always have a fully itemised treatment plan in advance, the question we recommend you ask your dentist is:
What is included in treatment?
Things which may get left out of your budget in a treatment plan could include:
- X-rays. Always ask if x-rays are included in any treatment, particularly in a dental health assessment. Some practices offer an initial dental health consultation for new patients which do include x-rays, others don’t, so it’s important to find out beforehand.
- Follow-up appointments. After complex treatments you may need a series of follow up appointments, think about treatments such as dental implants or orthodontics. Does the fee includes all of these appointments?
- Retainers. When you have orthodontics you may need retainers after the treatment to ensure your teeth stay in a new position, some practices include a couple of retainers in the treatment fee whilst others include retainers for life. It’s important you find this information out before going ahead with treatment.
- Sedation. If you are particularly anxious or nervous and think you may require sedation then find out if this is included. Almost certainly inhalation sedation or intravenous sedation will not be included but it’s worth asking about oral sedation.
A good private dentist price list will include everything and not have any hidden extras.
What are the best options for paying for dental fees?
Most private dentists in the UK will offer a range of different ways to pay for the treatment. This could include:
- Paying for the entire treatment in one go and enjoying a small discount, often around 10%.
- Staged payment for each treatment, particularly useful for expensive treatments over a long period of time.
- Finance. Many practices offer 0% finance over one year and then interest-bearing finance thereafter.
- Membership plans. Practices offer membership in exchange for a monthly fee. The membership comes with certain benefits including discounted appointments and usually includes routine hygiene and dental appointments.
- Bupa Dental plans are also covered by some practices.
Why choose a Private Dentist instead of an NHS dentist?
Many people wonder what is the difference between NHS and private? NHS treatments typically cover the most basic level of care. An NHS dentist is actually still a Private dentist but has a contract to deliver a certain number of Units of Dental Activity (UDA) to the local primary care trust, in the bidding process each bidder for these UDA’s will place their bid, the trust will then decide which provider wins the contract.
The contract will include the total number of UDA’s that must be delivered within the contract period. Each type of treatment has a different number of activities attributed to it.
This is potentially an unstable system, if, towards the end of the contract period the dentist has not achieved the number of UDAs required then there may clawback where the local trust claws back any money paid to the dentist, on the face of it this seems fair but sometimes the target number of UDAs set by the trust is unachievably high, this can leave dentists in a very difficult situation, short of cash and then possibly unable to invest. The flipside to this is if patients come in which needed lots of treatment, in this scenario the dentist may use up their UDA allocation, no matter what treatments patients need the dentist will not be paid for them. This may result in dentists closing their books to NHS patients when the required number of UDAs have been delivered.
Private dentistry avoids all of this. You get exactly what you need, when you need it!
Because the amount that an NHS dentist often get paid for each unit of activity they have a tendency to want to keep treatment very basic and quick, this means treatments may not be as complex or personalised as private dental treatments. High-quality private treatments overcome this problem by giving the dentist the freedom to operate at whichever level they wish.
Where can I get affordable dental treatment?
Affordable treatment is, without doubt a touchy subject. It is also rather subjective. After all, what is affordable? Many people would be happy to spend £5000 on a new car or £2000 on holiday but would not want to spend the same amount of money on their teeth.
Your teeth are used 24 hours a day, 365 days a year, they allow you to eat, smile and chew with confidence. Having great teeth is an investment in yourself!
Having said that, there are ways to make dentistry more affordable.
The advent of private membership plans has made dentistry much more affordable. These plans can bring complex treatments like dental implants or root canal work down by about 5%. Paying for treatments booked in advance can also pay dividends, dental practices can offer up to 10% discount for treatments booked in this fashion. Many practices also offer finance, this is often 0% if the entire treatment is paid off within a year.
The key to finding affordable dental treatments is to speak to your dentist, don’t be afraid to let them know exactly how you feel, what your concerns are… This allows them to come up with the best price list and dental charges for you.
The full cost of dental implants can often run into many thousands of pounds and it is for this reason that people seek cheap dental implants abroad. This article is dedicated to providing information and advice for those patients interested in dental tourism from the perspective of a UK dentist.
What are the reasons Dental tourism occurs?
With the NHS struggling to cover a wide variety of dental treatments it’s left to private dentistry to fill this gap. Cosmetic dental treatments and particularly dental implants are very rarely available on the NHS which means patients will need to pay the full rate for any treatment they have. Dental treatments in the UK can seem relatively inexpensive but this is mainly due to the fact we are used to paying virtually nothing on the NHS.
With anything we buy we are always looking for value, so if we purchased a brand new BMW car for £5,000 that would be excellent value and most people might jump at the chance. Equally a brand new 5 bedroom house for £30,000 would be excellent value and again many would purchase due to the extreme value offered.
So it’s not about the definitive amount, rather the value that can be achieved from spending this amount.
Dental implant prices often begin much lower than £5000 but could approach £30,000 for a full set of dental implants. A car will almost certainly wear out after a few years, and we don’t even use a car 24 hours a day. A new set of teeth supported on dental implants are used all day everyday and will certainly last much longer than a car making them good value.
Unfortunately this value is not always fully recognised and people seek to have the cheapest dental implants possible… Which often means not such good value!
Why are dental implants are expensive in the UK?
The easiest way to understand this is to look at the components of a dental implant treatment in the UK to discover where each of the costs lay:
- Initial consultation. Your dentist will want to have an initial consultation with you, this may involve CT scans, x-rays and consultations with more specialised dentists. Prior to this detailed dental initial consultation some practices may offer a free consultation .
- Planning. Once you have decided to go ahead a full and detailed treatment plan will have to be done, this is very often provided by a dental laboratory in conjunction with the dental implant surgeon. With the highest quality comes the ability to use computer assisted diagnostics and planning, this means the dental implant is placed in exactly the right place and avoidance all of the vital nerves and blood vessels supplying your teeth.
- Dental implant placement. After the planning stage the placement will go ahead, this will often involve the whole team including nurses, surgeons, dentists and technicians.
- The dental implant surgery. As well as providing the practical skills your dental implant will be placed in a sterile surgical environment, as you may know this kind of facility is very expensive to run and maintain.
- Dental implant training. Of course you will want to know that the person placing your dental implant has had the best training and continues to do so, the training courses for dental implants can be very expensive and will need to be undertaken by all of the dental professionals involved.
- The dental implant itself. The dental implant itself will be made from high-grade medical titanium, implants are very often computer milled meaning they have tolerances of a few microns.
- The trans-mucosal element. This is an abutment which connects the dental implant itself to your final restoration, this could either be a Crown, Bridge or denture.
- The restoration. This is the only part of the dental implant you will actually see a it is the part that provides your new smile and enables you to eat and chew again with confidence.
- Post operative care. After the implant is placed there will be a time of healing during which you will need to visit the dentist a few times.
As you can see, there are many elements which make up the price of the dental implant, if any of these are compromised in order to provide a cheaper dental implant than the value of the implant may be reduced and you may not receive the quality of service you expect, or indeed receive the most cost-effective treatment.
How to choose the right clinic and dentist for a dental implant
Here are our top questions to ask any clinic you are looking for:
- What experience do you have? Ask how many dental implants they have placed in the previous year, this will give you an idea of the level of experience.
- What do your patients say about you? Ask to see reviews by current patients, look for reviews specifically by patients that have had dental implants.
- What dental implant system do you use? Whilst we don’t expect you to have heard of the dental implant systems if you know which system your dentist is using you will be able to do further research. Ensure that the implant system used is one of the major brands and not a cheap copy.
- What are your qualifications? In the UK we have a list of dental specialists, these specialists have additional Masters level training. Some dentist also have additional training at postgraduate level in order to place dental implants.
- What a professional bodies do you belong to? Ask about voluntary and compulsory membership. In the UK dentists have two comply with the Care Quality Commission and the General Dental Council regulations and are regularly audited. A foreign dental clinic may only have voluntary membership or comply to voluntary schemes this may not be as high standard as the compulsory ones in the UK.
- What other options are there? If your dentist only offers you dental implants you may like to consider the possibility that they are not seeing the bigger picture. There are other alternatives such as bridges, dentures and sometimes doing nothing may be the best option.
How to save on full mouth reconstructions
There are often many ways to save on a full mouth reconstruction. It’s not always necessary to place multiple dental implants. Modern techniques such as All-on-4 allow your dentist place only 4 dental implants and then placed either a fixed bridge or removable denture over the top. Dentures are often a cheaper option and can provide a good way to save on full mouth reconstructions.
Some final advice
Most dental practices really do appreciate that UK dental work can be relatively expensive, to help finance options are often available, similar to when you purchase a car. Please do let your dental practice know that you would like to find out about finance options and making treatment more affordable, there are very often ways that they can help. So don’t forget, being prepared to be open about the cost with the UK dentist may be the best option rather than travel abroad for dental implants, in order to ensure high-quality treatment.
Bruxism – a cause of enamel degradation and tooth wear. What causes it, how to stop it and how to treat it.
With the stress of modern day living more people are finding they have enamel degradation and tooth where from bruxism. This article is dedicated to helping those people and to helping you find a solution to teeth grinding /bruxism.
How do you diagnose bruxism
The first signs of bruxism will be noticeable by you at home:
- tenderness in and around the jaw muscles
- possible headaches
- visible signs of tooth wear and erosion resulting in Chipping or flat edges on the front teeth
Your dentist will be able to confirm the diagnosis of bruxism by:
- checking for additional tooth wear towards the back of your mouth where you can’t see yourself
- checking for the signs of underlying tooth and bone damage using x-rays
- checking the condition of other teeth for visible signs of abrasion
What is the treatment for bruxism
The treatment for bruxism is usually done in stages:
- understanding why you are grinding your teeth
- physical mechanisms and barriers to stop you grinding your teeth e.g. mouth guards
- drug therapies such as non-steroidal anti-inflammatory drugs like Ibuprofen to relieve pain and reduce any swelling
Understanding why you are grinding your teeth
This is the first stage in treating bruxism, if the underlying cause is stress then this will need to be addressed. If the underlying cause is something physical e.g. dental malocclusion then this can be treated with equilibration (selective and careful tooth grinding by the dentist to remove any cuspal interferences).
Mouthguard can help you stop your bruxism by keeping your teeth apart. They usually fit on the lower teeth and will be custom-made for you. The surface of the mouthguard usually flat and smooth meaning your top teeth can’t lock together with your lover teeth.
This has a double effect, not only can’t your teeth meet to actually grind but the muscles around the head, face and neck will relax to then natural position. This relaxing of the muscles can also help relieve headaches caused by bruxism
Exact causes of sleep bruxism are not actually known although there has been research which linkage to factors such as anxiety, alcohol, cigarettes smoking and stress. However, sleep bruxism is considered sleep related movement disorder and because of this if you have sleep bruxism you are statistically more likely to suffer from other sleep disorders such as snoring and possible sleep apnoea.
Can bruxism go away
Bruxism can go away depending upon its causes. If the bruxism is caused by anxiety, alcohol, cigarettes or stress then clearly reducing these factors will help with the bruxism.
There may also be other physiological causes of bruxism which, unless treated mean that the bruxism won’t go away.
Other common questions and answers about bruxism
Is it bad to grind your teeth
We all grind out teeth a little bit, after all that’s what they are therefore, to enable us to grind food into small enough chunks to eat. Teeth grinding only becomes a problem when it affects things like tenderness in around the jaw muscles, headaches and tooth and bone loss. Your dentist will be able to diagnose the extent of any teeth grinding and let you know whether it is a problem for you.
How do you relax your jaw
How do I stop clenching my teeth in my sleep
If your intention is to rely entirely on home remedies to stop clenching your teeth in your sleep then you have two primary ways of doing this:
- understand the cause of your teeth clenching and treat that, is it anxiety, alcohol, stress or cigarette smoking perhaps?
- Consider taking over-the-counter ibuprofen, this is a non-steroidal anti-inflammatory and can help to reduce pain and swelling. Always follow your doctor’s instructions and the labels on any medication.
How would you know if you grind your teeth and night
It’s not such an infrequent occasions that patients tell us the first thing they know about grinding their teeth and night is that their partner tells them… It can be a rather loud grinding noise!
Other symptoms of night time grinding could be you wake up with headaches or pain around the jaw joint or muscles in your jaw.
Is teeth grinding a sign a sleep apnoea
Teeth grinding is not a sign of sleep apnoea but the two conditions are link in that they are both sleep related movement disorders. There is no causal link between the two conditions but there may be other links worth investigating.
Can you get headaches grinding your teeth
Yes, you most certainly can get headaches from grinding your teeth, this is because the muscles which put your jaw together connect high up around the side of your head. If these muscles are under tension from grinding then this can be translated into headaches.
This blog post was written by Senova Dental Studios in Watford
There are a whole plethora of different techniques to whiten teeth, some of them available from your dentist, others not… Some of them work, whilst others have a more dubious background. These are the different types of teeth whitening that many people search for online.
- Teeth whitening kits
- Teeth whitening strips
- Teeth whitening toothpaste
- Laser teeth whitening
- Charcoal teeth whitening
- Coconut oil teeth whitening
- Teeth whitening with toothpastes
Teeth whitening kits
The best teeth whitening kits available of those available from your dentist. But why is this so?
Teeth whitening at the dentist uses a higher concentration peroxide gel which is only available on prescription from a dentist. This peroxide whitening gel will whiten your teeth faster and lighter than any other whitening kit or system. Your dentist will also make highly customised whitening trays into which the gel in placed. These trays will be customised to fit your mouth precisely and ensure there is a seal around the tooth/gum margin. This seal prevents the gel from touching your delicate gums and ensures it stays on your teeth.
Teeth whitening strips
Teeth whitening strips are available from many places online, they can work in some cases but because the level of peroxide will be limited its whitening ability will also be reduced. One must also be very careful to keep the strips solely on the teeth and not have too much of them on the delicate gum area.
Laser teeth whitening
Rather than use peroxide to remove the microscopic staining within your teeth some dental practices use lasers. Later teeth whitening can work extremely effectively to whitening your teeth in one appointment. For this reason laser teeth whitening is often used as a rapid teeth whitening system but because of the high level investment required is often more expensive than other forms of whitening.
Charcoal teeth whitening
The Oral Health Foundation took a look into the effectiveness and safety of charcoal tooth whitening toothpastes and have since suggested that there is very little evidence to suggest that charcoal teeth whitening works. Whilst this may be increasingly popular as an alternative (and possibly cheaper option) to conventional teeth whitening at the dentist you may find it’s a complete waste of money if nothing happens at all. At the very worst, The Oral Health Foundation found that the charcoal whitening toothpastes may actually be harmful as they do not contain sufficient levels of fluoride which is used to prevent tooth decay.
Whilst you may see celebrities endorsing charcoal teeth whitening, one would need to question whether they have actually had professional dentist teeth whitening prior to their endorsement.
Coconut oil teeth whitening
We will leave this firmly in the same description as charcoal teeth whitening. There is no evidence to suggest that coconut teeth whitening works and indeed, it may be harmful as many of the toothpastes do not contain adequate levels of fluoride.
Teeth whitening toothpastes
Conventional over-the-counter teeth whitening toothpastes can lighten teeth slightly. They often do this by being more abrasive than regular toothpastes thereby being able to remove more surface stain. Teeth whitening toothpastes do not contain enough peroxide to be able to whiten teeth as much as regular whitening at the dentist. Whenever using a whitening toothpaste we always recommend ensuring that it has at least 1350-1500 ppm (parts per million) of fluoride.
This blog post was written by Senova Dental Studios, your local dentist in Watford
As more and more people consider their options to replace missing teeth and opt for dental implants we are finding that the questions relating to this treatment are becoming more and more common. This article takes a look through some of the common questions and gives an in-depth answer.
What are dental implants?
Dental implants are a titanium replacement for a lost tooth. The essentially replace the root of your tooth by fixing into the bone around where the tooth has been lost. Ideally dental implants are replaced immediately the tooth has been removed, this is less traumatic for the bone and means the dental implant can support the bone and prevent bone loss due to bone resorption.
How painful it is to get dental implants
Generally speaking dental implants should not be painful although there will be mild to moderate discomfort after the procedure. Your dentist will always ensure that you are fully anaesthetised around the area in which the dental implant will be placed. Many dentists also offer dental sedation which can help you relax during treatment. Don’t be afraid to mention this to your dentist if you would like to have sedation for your implants.
After the dental implant has been fitted you may feel mild to moderate pain as the nerves return to normal after the anaesthetic. Over-the-counter painkillers will help to keep the pain at bay. Any pain should only last for a day or so will begin to subside once the swelling goes down.
If you have anything more than moderate pain or the pain lasts for more than a couple of days after having dental implants then it is advisable to see your dentist for a quick checkup.
How many years do dental implants last
The simple answer to this is, it depends. If the dental implant was left alone with no impact from the adjacent teeth then it would last for ever… But this isn’t the real world! Dental implants are in a rather hostile environment, your teeth are capable of exerting immense force on each other and this puts the dental implant under a huge amount of pressure each time you bite.
However, The dental crown on top of the dental implant will typically last approximately 10 years, however with good care and maintenance a crown on top of the dental implant could easily last 15 years or longer.
What are the side effects of dental implants
There are no real side-effects from dental implants. The titanium used is completely inert and integrates into highly with the body, making it a highly biocompatible material. Any side-effects felt are usually from the surgical aspect rather than the implant itself. Side-effects from the surgery can include mild to moderate pain, swelling and bruising… This will usually subside within a few days.
The only other side-effect from dental implants is that you can now eat, smile and chew again with confidence… A rather good side-effect we think!
Can you take out dental implants
The dental implant itself cannot be removed in normal everyday use. If you have a denture which clips over the top of the dental implant then this can be removed. Dental bridges which screw onto the dental implant can be removed by the dentist but not the patient.
If there is a clinical reason for the dental implant itself to be removed this can be done but will be done only as a last resort if there is no other way to save the implant.
Can a dental implant fall out
No. A dental implant has two mechanisms by which it attaches into your mouth:
- Primary stability by way of a thread
- Secondary stability by way of osteointegration
When the dental implant is placed it will be gently turned and screwed into the hole that has been prepared for it. This provides a primary mechanism for stability. The human body is also not able to detect the titanium oxide layer on the outside of the implant as a foreign object, the bone will actually integrate with the implant itself. This provides secondary stability and ensures the dental implant cannot fall out.
Why does a dental implant fail
There are a few levels at which a dental implant can fail:
- The dental implant itself. Failure at this level would typically be where it has failed to integrate into the bone. The most likely cause is infection.
- The screw connecting the dental implant (The part you don’t see) to the restoration on top (The part you do see). Modern dental implant design means this happens extremely rarely nowadays.
- The restoration on top of the dental implant (the part you see). This is the most likely cause of failure, it can be caused by chipping or breaking of the restoration. The good news is that the restoration can usually be removed (if it has been screwed in) and then either replaced or repaired without affecting the dental implant underneath.
What are the symptoms of dental implant failure
If a dental implant is failing you may notice:
- Moderate to severe pain around the area of the dental implant. This would indicate that the integration into the bone is beginning to fail or that there is infection in this area, you should seek dental advice as soon as possible.
- The restoration over the implant becoming loose. You may notice that the restoration, if it is screw retained, has become loose. This is not a dental emergency but you should see your dentist as soon as possible in case the restoration comes out completely.
How much does a dental implant cost for one tooth
Dental implant costs vary considerably depending on what is required. If the implant is complex and includes things like bone grafting then the cost will be considerably higher. You can expect a typical implant consultation with an oral surgeon to be around £112. Placement of the dental implant can be from around £1300 with the final restoration on top from £1300.
Whenever you have a dental implant you should always ensure you have a full treatment plan from the dentist before you begin, this ensures you know exactly what the process is and what the cost is going to be, before you go ahead.
Amalgam/silver coloured fillings are becoming less and less popular in the UK, Our experience is that patients are becoming more concerned about the biocompatibility of the mercury in the fillings as well as the cosmetic appearance of them. So what alternatives are there?
Our Watford dentist takes a brief look at the different types of fillings and discusses your alternatives.
What are the different types of dental filling?
Fillings fall into two categories:
- Tooth coloured
- non-tooth coloured
Non-tooth coloured fillings
There are two types of non-tooth coloured filling:
Both of these types of fillings are not used anywhere near as much in the UK as they used to be, gold is used less now because of its cost and appearance, whilst some people like the gold colour, many people prefer something more cosmetic and less obvious.
Amalgam fillings are a mixture of mercury, copper, tin and other trace metals.
Tooth coloured fillings
There are two types of tooth coloured filling:
Tooth coloured composite fillings
These tooth coloured fillings are made directly in your mouth by the dentist. The procedure is for the dentist to remove any decayed tooth structure, the clean cavity wall then be prepared with the bonding agent. Composite resin is a tooth coloured putty like material which the dentist applies to the cavity. Once the resin has been sculpted to the correct shape to match with the surrounding tooth structure it is then set hard with a high-powered light.
Tooth coloured composite fillings can also be used in the front teeth, not only to fill them after decay but to provide a better shaped tooth.
Tooth coloured composite fillings typically take about 45 minutes to do and can usually be completed in a single appointment.
Tooth coloured ceramic fillings-inlays
Ceramic fillings are more commonly called inlays. The porcelain/ceramic inlay procedure Is for the dentist to remove the decayed tooth structure, once all of the decay has been removed the cavity will be cleaned out and an impression taken.
You will then be fitted with a temporary filling.
The impression of the tooth, which will include surrounding teeth and opposing teeth will then be sent to a dental laboratory. A dental technician will then manufacture the ceramic inlay to exactly match the colour and morphology of the surrounding tooth.
Between 1& 2 weeks later the dental laboratory will return the inlay to the dentist.
The dentist will remove the temporary filling and ensure that the new ceramic inlay fits perfectly. Once you are happy that the ceramic inlay feels and looks good the dentist will permanently bond it in using a light cured composite resin.
Ceramic inlays typically take 2 weeks from start to finish and will always require 2 appointments.
What is the difference between porcelain and ceramic?
Porcelain and ceramic in the context of dentistry are exactly the same thing and are two terms to describe the same material.
Should I have amalgam fillings removed?
We generally recommend leaving amalgam fillings if there is nothing wrong with them clinically. Most dentists prefer to go for the most minimally invasive treatment and leaving things alone is generally the best option. Amalgam fillings are usually removed if:
- The filling is leaking. This can lead to decay underneath the filling.
- The filling has broken.
- The surrounding tooth structure has broken.
Amalgam fillings can also be removed for cosmetic reasons.
What about exposure to mercury?
Exposure to mercury with an amalgam filling is highest whilst they are being placed or removed. This is one of the main reasons why your dentist will probably suggest that amalgam fillings should be left alone unless there are underlying clinical reasons for removal.
As you can see, the primary decision is around whether you have a tooth coloured filling or a non-tooth coloured filling. Our dental practice in Watford always prefers to place tooth coloured fillings wherever possible, these are far more cosmetic and work just as well as the non-tooth coloured alternatives.
It is estimated that approximately 75% of the population are scared of the dentist and have some degree of dental anxiety with approximately 10% of the population of avoiding seeing a dentist because of that anxiety. The problem becomes self compounding, the more one does not go to the dentist for fear of what will happen the more likely it is that more work will need to be done when one does eventually go.
It really is important to see a dental professional on a regular basis to ensure that dental work is kept to a minimum, which everybody wants.
We have written this blog post to help you if you are scared of the dentist or have some level of anxiety, we hope you find what follows useful.
Definition of anxiety
Why are people scared of the dentist?
Anxiety is defined as: ” a feeling of worry, nervousness, or unease about something with an uncertain outcome”, According to this definition it can be clearly seen how an anxiety of the dentist can come about, you may be worried about what will happen what the outcome will be.
This anxiety can manifest in a few ways and may include some of the following:
- Dry mouth.
- A feeling of nausea.
- An inability to stay calm and still.
- Feelings of fearfulness and and ease.
- A racing heart.
- Shortness of breath.
Anxiety about going to the dentist is often concerned with what will happen when you are there, this is a specific anxiety about the uncertain outcome at the dentist and should not be confused with Generalised Anxiety Disorder (GAD) where one feels anxious about almost everything for no real apparent reason.
Definition of phobia
A phobia is defined as: ” an overwhelming and debilitating fear of a place, situation or feeling”. The emphasis on phobia is the fact that it is debilitating, a phobia will prevent someone from doing that thing completely. A phobia can also be described as: “…an irrational fear”. It is quite rational to be anxious about any uncertain outcome at the dentist but if that anxiety becomes overwhelming it can then become debilitating and become irrational. This is when an anxiety becomes a phobia.
Scared of the dentist but need to go?
Here are some suggestions on what you can do.
When you first start thinking you need to come to the dentist, or that you need some form of treatment it can often seem like a huge mountain to climb. But we want to assure you that the journey of 1000 steps always starts with a first step. And it’s just like the joke:
“How do you eat an elephant?”
Answer… one bite at a time.
Overcoming dental fear is the same… overcome it one small step or bite at a time, take things slowly and easily and in simple small steps.
We often find that overcoming dental fear is about realising that you have a choice.
Think about it now, you weren’t born with a fear of the dentist, babies are a blank canvass and have no such irrational fears. However, as we get older we have certain experiences that shape our views, so think about it now… what experience led you to believe you were afraid of the dentist?
When you come to see us we will ask you what was the trigger that taught you this behaviour, this will then help us to help you overcome this irrational fear.
The problem is that we have these experiences once and they then shape our thought patterns by teaching us new behaviours i.e. to fear the dentist, this is a key point to understand, your fear is a learnt behaviour – and if it can be learnt, a new way of thinking can also be learnt.
Top Tips for relaxing at the dentist
- Book an appointment in the morning, this will ensure you can relax for the rest of the day as your appointment will be over.
- For regular appointments, make sure you have a good breakfast. This will set you up for the day and ensure your energy levels remain high.
- Lay off the alcohol! Not only does it dehydrate you but it can also make you worry.
- Bring a friend. Decide before hand on what you are going to talk about, make it subjects that relax you and keep you calm. Perhaps discuss a recent holiday, or where you are going next time.
- Talk openly to us. We will NOT judge you or tell you off for not coming to see us… honestly
- Agree a stop signal with us, this will ensure that YOU are in control
Specific dental anxieties
Scared of the dentist drill
The key to overcoming fear of the dentist drill is to learn the art of distraction. All dental treatments should be undertaken with adequate anaesthetic meaning you should only feel light pressure and vibration. Anxiety about the dentist drill comes from an association which has been created between the drill and pain.
Wearing headphones and listening to your favourite music can help drown out the sound of the drill. A couple of words of warning though:
- Wear headphones that don’t popout easily so that your dentist can work as quickly and efficiently as possible.
- Choose music which has a faster beat with fewer gaps between the tracks.
- If possible don’t wear headphones at all, most dentists will prefer to have an open channel of communication to you to offer help and advice. Your dentist can’t do this if you can’t hear them.
Scared of dentist pictures
Some people find they are scared of the pictures around dental practices or scared of the photographs they may see in books at the dentist. The easiest way to overcome this fear is to speak to your dentist beforehand, let them know you are anxious and scared of the dentist pictures, this gives both yourself and the dental practice time to prepare.
Most dental practices however don’t have gruesome pictures of dental procedures on the walls, dentists want to help you relax and will ensure images around the practice facilitate this.
Scared of gagging at the dentist
Gagging is one of the biggest fears people have of the dentist, sometimes this reflex is physiological, sometimes it is psychological. The feeling of panic as one gags can be quite overwhelming.
Here are our top tips to overcome that gag reflex:
- Always breathe through your nose, this way you know you can always catch your breath.
- Remember to breathe. Whilst breathing through your nose, gently breathe in… Wait… breathe out… Wait… breathing in and repeat. This gentle breathing can really help.
- If you have a modern FitBit activity tracker these can sometimes be set on ‘relax’ mode, this gives you a guided breathing pattern which is tailored to your heart rate.
- Over the counter throat sprays with a numbing action, the ones typically used to help with throat coughs may help.
- Talk to your dentist, let them know you have a gag reflex and they can help you relax.
Modern dentistry users some of the best equipment available, needles are now so sharp you almost certainly will have no pain during any injections, anaesthetics work so well that numbing is complete and gone are the days of forcing a patient to breathe in gas through a mask.
Dentistry today is designed to be calm and relaxed, offering you a range of treatments and alternatives truly able to help.
One of those alternatives is dental sedation, sedation can help you gently drift off into your mind in a calm and relaxed world, allowing the dentist to treat your dental problem with ease.
A recent survey by Brush-Baby revealed a great amount of confusion about a bit and the dentist:
- 72% of the mums survey said they had not seen any information about teeth and gum care for their babies
- 53% of mums turned to their own mothers for advice on managing their babies teething pain
- 17% of mums turned to their grandmothers for this same advice
- and last of all, only 10% of mums asked their dentist for any advice about their babies teeth and gums
The information gathered by Brush-Baby in their research seems to support the government statistic that 25% of five-year-olds have tooth decay within average of 3.4 teeth involved.
It’s never too early to start forming a habit of good dental hygiene, so let’s take a look at what those habits could include for your baby and children.
Baby tooth eruption sequence.
As you can see from the chart your baby’s teeth will start to erupt after approximately 6 months. Clearly, it is therefore important to begin a dental health routine at this early stage, if not before.
Brushing your baby’s gums
Even before baby has any teeth it’s a good idea to get them into the habit and feeling of having their mouth is cleaned. This will make it easier to transition into using a toothbrush when the time comes and their first teeth erupt. To clean your baby’s gums use some cause or a wet flannel and gently rub it over your baby’s gums, no toothpaste is required at this early stage.
Baby tooth brushing
When baby’s teeth first begin to erupt you can gently switch from rubbing their gums with balls oral wet flannel to using a small baby tooth brush with toothpaste the size of a grain of rice. As your baby grows slowly increase the amount of toothpaste up to a pea sized amount by the time your child reaches three years old.
Be sure to clean all of your baby’s teeth as they appear, this means you will need to regularly check to see which teeth are appearing… If baby doesn’t let you know they are teething already!
Tips to help a teething baby
These can give your baby something to chew which can help to ease any discomfort. Calling them in the fridge also creates a soothing effect on your baby’s gums, however please ensure they only ever go in the fridge and NOT in the freezer.
These gels are usually not suitable for babies under the age of four months, for older babies they can be very helpful as they contain a mild local anaesthetic which eases the pain and may also contain antiseptic which can help prevent any infection around sore gums. Apply the gel with your little finger ensuring that you wash your hands before and after applying.
Soothing a teething baby
When should I start bringing my baby to the dentist?
Many people mistakenly believe that they should only take their child to the dentist when I have all of their teeth or when there is a problem. We recommend taking your child to the dentist as soon as their first tooth appears which could be as young as six-month-old, but certainly no later than 2 years old.
When you bring your child to the dentist for the first time we will normally ask for you to sit with your child on your lap, this makes it easy for you to keep them comforted and ensures they stay relaxed and calm.
Even bringing your child to the dentist when you come for your own appointments can help them see that their parent will calmly sit in the chair and that it’s nothing to be scared about, this in itself is a great lesson for your child to learn from a young age.
Bringing your child to the dentist:
- Familiarises your child with the environment and people that they will meet.
- Gets them used to the words and phrases used in a dental practice.
- Allows your dentist to take a quick look to ensure that everything is okay.
We usually recommend seeing the dentist every six months for both adults and children, progressing on to see the hygienist as soon as they have all of their teeth.
Images courtesy of Patrisyu & Nualpradid at FreeDigitalPhotos.net
This is a question we get asked lots at our dental practice here in Watford, so we thought we would take some time to take a look at the common reasons why your teeth may not be quite as white as you’d like to be… Some of those reasons are obvious but others aren’t!
What are you eating?
It sounds quite obvious but there are many foods which have any impact on the colour of your teeth. Some foods that stain your teeth directly whilst others contribute to dental decay by being rich in sugar.
Foods which contain high amounts of sugar feeds the acid excreting bacteria which live in your mouth, the more sugar there is in your food the more this bacteria is able to feed and excrete the bacteria which then attacks your teeth causing dental decay. Teeth can then become dark either through the dental decay or by the bacteria forming solid deposits, known as plaque, which then become stained by the strong colours in some foods.
Some food on the other hand has naturally dark staining such as dark berries, tea and red wine. These may stain your teeth on their own but the staining is compound it if you have plaque on your teeth caused by a combination of poor oral hygiene and sugar in the diet.
Of course, so many of us like to eat foods like this, so if we want our teeth to be bright and white then we just have to get on top of our dental healthcare!
Are you brushing as well as you could?
Even if your diet isn’t too rich in sugar and you avoid the food with strong colours then your teeth could still be yellow then you would like if your oral health care routine isn’t as good as it should be.
Your mouth contains so many bacteria, more than the population of the world in fact, so it’s really important that you keep on top of this and remove as much bacteria and food as you can after each meal.
When brushing your teeth we recommend using a pea sized amount of fluoride toothpaste twice per day for 2 min each time. We also recommend flossing daily to ensure your teeth clean in between and then using a fluoride mouthwash in between meals (never after brushing as the mouthwash has less fluoride in than toothpaste).
Are you scrubbing rather than brushing?
Yes, it’s possible to clean your teeth too much! If you scrub your teeth too much then the gum can recede as it will often become irritated due to the excessive brushing. As the gum recedes it may expose the softer dentine part of your tooth which is lower down towards the root. This part of the tooth is softer than the enamel (apart which you usually see) and is therefore more susceptible to both dental decay and staining..
When you brush, go easy and don’t scrub, if you visit a dental hygienist regularly they will be able to tell you if it looks as though you may be pressing too hard when you clean your teeth. It may also be worth considering an electric toothbrush, many of these have pressure sensors and light up red if you are pressing too hard, really useful aid if you find this is a problem for you.
Your teeth just are naturally yellower!
Some people’s teeth are just not naturally as white as other peoples. Over the years celebrities have had so much teeth whitening that the commonly accepted shade for teeth is now considerably whiter than it was a few years ago.
Dental manufacturers have had to create new whiter and brighter colours for their materials to match this new trend, what was considered an average tooth colour 10 years ago would now be considered yellow.
Perhaps you are taking medication which makes your teeth look yellow?
The first thing to say is that you should never stop taking any medication that has been prescribed to you without first consulting your doctor. It has however been reported that some medications may affect the colour of your teeth, most often this happens if the medication is taken during childhood whilst the teeth forming, rather than extrinsic staining of the teeth at a later date in adulthood.
Some medicated mouthwashes can also stained teeth, so please ensure that you read the label of any medicated mouthwash that you may have been prescribed.
Rest assured though, if your teeth have been stained through using a medicated mouthwash this can easily be removed by your dentist.
Do you smoke?
Well, you knew this would probably come up at some point! Smoking darkens teeth because it changes the delicate PH balance in your mouth, it also dries your mouth out which leads to an excessive buildup of bacteria. This bacteria not only have a rather noticeable smell, but also can contribute to increased rates of dental decay.
The smoke itself also has many this colouring components which, particularly when coupled with poor oral hygiene, can stain the teeth quite noticeably.
As a sidenote, if you have any damage to the gum in your mouth then smoking also slows down the healing process, just another reason to begin the quitting process.
You are older than you were yesterday!
It’s just a fact that as we age various things happened to our body! Gravity takes over and alas, our teeth can appear yellower. The reason for this isn’t because your teeth are actually going yellow, it’s because that as we get older the outer surface of the tooth (enamel) wears away, as the enamel wears away with age the yellower underlying dentine becomes more exposed. As that dentine nears the surface it has the effect of making the teeth look yellower.
This is often more prominent on the lower teeth towards the biting in size or age, it can be noticed that there is significant yellowing or staining right on that chip area, this is known as secondary dentine and is a common concern with people in, shall we say, more senior years!
And the good news is…
The good news is that most of these problems can be quickly and simply resolved. If you give up smoking, look at your diet and ensure your oral health care routine follows the suggested procedure then you can have a big impact on the colour of your teeth. Your dentist can also whiten the teeth in a couple of ways.
If your teeth just have surface staining perhaps from smoking or food stains then this can be removed with an air abrasion technique, this blasts very small particles at the end at your teeth which very gently remove the surface stain. If however the enamel of your tooth is intrinsically not as white as you would like them teeth whitening could also be the perfect option for you.
What ever you decide, your friendly dentist in Watford, Senova Dental Studios is here to help, please contact us today to book your appointment and begin your journey to brighter, whiter teeth.
Image courtesy of nenetus and thephotoholic at FreeDigitalPhotos.net