Implants are one way of replacing missing teeth. A post is planted in the jaw bone to support a replacement tooth. This acts like the root of a natural tooth. Implants can also be used to support fixed bridges or dentures.
Implant treatment normally has two stages. First, the implant is placed in the jaw. Then, when the jaw has healed, replacement teeth are attached to the implant. In some situations it is possible for temporary teeth to be attached to an implant at the time of fitting.
Would implants be right for me?
First, you should decide whether implants could be right for you. Contact us to arrange an implant consultation and discussion and we will let you know the possibilities. Our team will be only too happy to help you with any questions you may have.
If you decide to go ahead, this is what will happen.
Implants usually have two sections - the post in the jaw and an extension that is added later when the post is secure. Attaching the extension needs a small cut in the gum above the implant. You might have more than one implant. The replacement teeth might be fixed permanently (like a crown or bridge) or attached in a way which lets you remove them for cleaning (like a denture).
If you require any further information please do not hesitate to call 020 8245 7575
This is a genuine dental emergency, especially if it is uncontrollable and after a dental extraction. Call immediately to arrange an appointment. You may require sutures or special gauze placement to help control the bleeding. Please bring a list of any medication that you may be taking.
Problems with braces can include:
Teeth may break for a variety of reasons including:
Dentures can break due to a variety of reasons, including:
A dental abscess is a collection of pus that can form in the teeth or gums as a result of a bacterial infection.
Bacteria are found in plaque (a by-product of food, saliva and bacteria in the mouth). Plaque damages teeth and gums and can eventually infect the soft tissue inside a tooth or gums, forming an abscess.
There are two types of dental abscess:
periapical abscess (the most common type), when bacteria infect the inside of the tooth as a result of dental decay periodontal abscess, when bacteria infect the gums Dental abscesses can be very painful and tender and can make a person feel unwell.
OutlookWithout dental treatment, a dental abscess will get worse and may lead to the destruction of surrounding bone and other serious health problems.
Causes of a periapical abscessWhen a periapical abscess occurs, plaque bacteria infect your tooth as a result of dental caries (tiny holes caused by tooth decay) that form in the hard outer layer of your tooth (the enamel).
Causes of a periodontal abscessA periodontal abscess occurs when plaque bacteria affect your gums, causing gum disease (known as periodontitis).
Playing football, rugby, cricket or on a set of rollerblades, sports injuries can range from minor chips of a tooth to severe cases where teeth have been knocked out, loosened or displaced. It is important with any dental trauma to arrange an assessment straight away, especially if you have disrupted the position of the tooth or knocked it out. Studies show that the highest success rates can be achieved within the first two hours.
Gum pain can arise from a variety of causes, and maybe the result of something relatively minor (for example trapped food) to something that may require active treatment (periodontal abscess). It is important to arrange an appointment immediately as often this pain may escalate and may very well be the initial signs of an underlying problem.
Treatment is dependent upon the cause, but can vary from debridement of the area and antibiotics to specialist periodontal treatments.
Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds and holds the teeth in place. Gum disease is caused by toxins secreted by certain bacteria in "plaque" that accumulate over time along and under the gum line. This plaque is a mixture of food, saliva, and bacteria. An early symptom of gum disease is gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of deep gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth. Gum disease is complicated by such factors as poor oral hygiene, family history of gum disease, smoking, and family history of diabetes.
Treatment of gum disease always involves oral hygiene and removal of bacterial plaque and tartar (hardened plaque). Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "scaling and root planing" and "subgingival curettage." Scaling and root planing is the removal of plaque and tartar from exposed teeth roots while subgingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anaesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment, if necessary, may include various types of gum operations. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.
What are Wisdom Teeth?Wisdom teeth are the last molars on each side of the jaws. They are the last teeth to emerge, or erupt, usually when a person is between 16 and 20.
Wisdom tooth painFood impaction and bacterial plaque accumulation may set off an infection. This may very quickly spread and become very painful. Symptoms of a spreading infection may include difficulty in mouth opening, and swallowing. This may or may not, be accompanied with a facial swelling. There is usually a significant amount of pain also which may radiate to the ear..
How are Wisdom Teeth Removed?A tooth extraction is a relatively routine procedure. Your dentist or a dental specialist, called an oral surgeon, will recommend either "going to sleep" using general anaesthesia, or numbing this area in your mouth with local anaesthesia.
If a tooth is completely knocked out, it should be quickly rinsed off with water, but never scrubbed. The tooth should be held by the crown (top), not the root, so you do not damage the ligaments. In a cooperative adult, the tooth should be put back in the socket.
Many people may be uncomfortable re-implanting the tooth on their own. If this is the case, be sure to transport the tooth to the doctor or dentist in saline, milk, or saliva.
You may also place the tooth between the cheek and gum line of either the person who lost the tooth or any willing adult. The mouth is the best place for the tooth because it protects the root by keeping it moist and providing protection against bacteria.
Do not transport the tooth dry. This will cause damage within minutes. Transporting the tooth in water is also not recommended.
It is important to see a dentist as soon as possible if you are unlucky enough to lose a filling or a crown. You may or may not have pain or sensitivity, but the longer you leave a tooth without a protective covering, the higher the chances of you possibly developing a problem, or exacerbating an existing problem. The loss of a filling or crown may also have occurred as a result of an underlying problem, for example dental decay.
If there is no decay, then your existing crown can normally be cemented back straight away. Lost fillings will usually require replacement of the filling, you may have the option of a temporary or definitive filling being placed.
Following dental extractions, there is likely to be some discomfort, but this should subside within 24 hours and should respond well to painkillers. If persistent pain is occurring after this period, then there is a chance that you may have developed a post extraction infection. This is much more likely if you are a smoker.
It is important to arrange an appointment to see a dentist, as left untreated these can become quite painful. Treatment normally consists of stopping smoking, irrigation of the extraction site, placement of an antiseptic dressing and use of antibiotics.
Swelling after an extraction is entirely normal, and is the body's natural response. It should normally start to settle down within three days, but if it persists after this, then it is best to arrange an appointment.
The crown of the tooth is made up of the hard, white, enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp. The dental pulp contains blood vessels and nerves within and extends from the crown to the tips of the root or roots.
Root canal treatment involves the removal of the pulp tissues from the tooth in the event that it gets infected or inflamed. The pulp can be infected or inflamed due to either deep decay or an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp, and sometimes as a result of severe gum disease.
Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, swelling, tenderness of the overlying gums or a bad taste in the mouth. On the other hand, there may be no symptoms at all. If pulp inflammation or infection is left untreated, it can eventually cause pain, swelling and loss of the supporting bone.
What Are The Advantages Of Root Canal Treatment?Root canal treatment saves teeth that would otherwise have been extracted.
How Is Root Canal Treatment Carried Out?
Is Root Canal Treatment Painful?Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetised during treatment. After treatment, the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues. This discomfort can be relieved by taking mild analgesics or painkillers available over the counter at the pharmacy. However, if the pain persists and is severe, or a swelling occurs, you should contact your dentist.
Care Of The Root-Treated ToothAs far as possible, avoid chewing or biting on the tooth being treated until you have it permanently restored with either a filling or a crown. Excessive pressure at this stage may crack or fracture the tooth. Therefore, it is very important to restore the tooth properly as soon as possible. Most endodontically treated teeth last as long as natural teeth following permanent restoration.
Facial swellings are usually a sign of a severe infection. Pus has formed and has entered the space between tissues. This may or may not be accompanied by pain, but it is very important to see a dentist straight away to assess the cause, and start any appropriate treatment. Left untreated, swellings may cause hospitalization, especially if they spread to the neck region and start to cause difficulties in breathing.
Treatment may include drainage of the swelling if appropriate (either by a small incision, or by making a small hole in the tooth) and the use of antibiotics. Sometimes, if appropriate and if clinically feasible, the offending tooth may be removed.
I had a sudden toothache on one tooth. The gums are slightly swollen. I feel the tenderness when I touch it. After a few days it subsided and I ignored it. A few days later, I had the same toothache. What can I do about this?
Sudden excruciating pain or toothache may indicate the deep spread of decay in the tooth. Often, root canal treatment is necessary. If you note mild symptoms on the teeth, a check-up with your dentist will help prevent a bigger problem from occurring.
Management depending on cause:
We deal with all manner of dental trauma, from accidental trips and falls to sports injuries and assaults.
Treatment really is dependent upon the extent and degree of trauma.
Knocked out and displaced teeth can normally be replanted and splinted. If the tooth has been knocked out, it is important to care for it appropriately- keep it clean, don't scrub the root, try to keep it in the socket if possible or in milk/contact lens solution. The important thing is not to let it dry out, and to avoid further damage to the root. It is ideal to see a dentist within two hours of the incident, but sometimes this is not possible-as long as the tooth has been cared for, it may still be replanted.
Splinting takes the shape of a piece of wire bonded onto the tooth surfaces to hold the teeth in place during the healing period, which may be between two to four weeks. You will require regular assessments during this phase in order to diagnose any infections or complications that may occur, so that they are dealt with appropriately and at the earliest time possible.
Minor cracks and chips can be restored by either bonding the fractured portion back to the tooth or restoring the missing part with some composite filling material.
This can be particularly distressing for anyone unfortunate enough to experience it. A full examination is required to ascertain likely causes. Dental infections can cause radiating pain, such that it is difficult for the patient to pinpoint where the pain is coming from.
Once the source of the pain has been diagnosed, appropriate treatment may be started to relieve your pain.
On rare occasions, you may be suffering from a pain of non-dental origin which may require referral to a specialist for further assessment.