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FILLING A GAP WITH A SINGLE TOOTH DENTAL IMPLANT

18 September 2017 Categories: Dental implant Tagged with: ,

Dr. Tim DoswellBy Dental Surgeon, Dr. Tim Doswell

The most common case we do at The Raglan Suite is fill a gap with a single tooth dental implant. There are a number of reasons why a tooth may need to be removed, such as extensive decay or infection, trauma, a root fracture, a failed post crown or failed root filling. As dentists, we always try to save natural teeth. However, if it is clear that the tooth can not be saved, a single tooth dental implant offers a long term, stable and predictable solution.

The location of the gap – why is it so important?

missing front tooth

If a tooth has to be removed from the front of the mouth, it is clearly visible and can affect social interaction and confidence. There are few patients in this instance who would want to accept a gap as a long term solution. A single tooth dental implant at the front of the mouth also offers additional benefits to bite capabilities, whereby you can confidently bite into an apple.

What if you lose a molar tooth at the back of the mouth?

Even if aesthetics are not a concern, it’s still important to have a missing back tooth replaced. Losing a molar in the short term is unlikely to be an issue, however we need to consider the affect losing a molar can have in the long term.

Wisdom teeth (the third molars) are virtually never replaced with implants as there is just no justification for it. However, the first and second molars (in most patients the “back teeth”) play an important role, not just in chewing up food, but also to take the load off the front teeth when biting together.

It’s a simple question of balance. If a person loses a single molar, when they chew it will increase the load on the teeth either side of the space. If these teeth are healthy and intact (i.e. not filled or crowned) then this may not be an immediate concern, but if they are, the increased workload on teeth which have already weaker and restored may cause a problem. Similarly, the teeth on the opposite side of the mouth will also be doing more work. replacing the gap with a single tooth dental implant balances the workload, which in the long term will help support and sustain the other teeth in the mouth.

What other risks are presented by a missing back tooth?

Adjacent teeth moving into gapThe other main risk of losing a molar is that the tooth it used to bite on in the opposing jaw can overgrow (“over-erupt”). This creates two issues. Firstly, if at a later date the patient decides to have an implant, the overgrown tooth may have to be cut down to create the space. Secondly, the overgrown tooth can cause a problem with bite, which can lead to a condition called TMD – Tempo-Mandibular Disorder. This disorder can lead to tooth grinding, jaw discomfort and even headaches, neck pain and shoulder stiffness. Many patients have TMD without knowing it and mistakenly put these symptoms down to stress and work.

As well as the opposing tooth over-erupting, the teeth either side of the gap can drift into the space. This may lead to a partial closure of the space, which would create a problem for placing an implant in the future. Commonly, the teeth that drift into the space have poor contact with the teeth either side, which can lead to gaps opening up and becoming food traps that attract decay. By filling the gap with a single tooth dental implant these issues can be avoided.

Of course, it is also possible that none of these issues occur when a back tooth is lost, but the fact is, it is impossible to predict. If these issues do occur, the patient will be looking at either having their teeth cut down or orthodontics (braces) to put the issues right before dental implant treatment can commence.

What are the options to a single tooth dental implant?

single tooth dental implantThe main options to a single tooth dental implant are either removable dentures or tooth supported bridges. Most patients would not choose to have a denture to replace a single tooth as they are bulky, removable and act as a plaque trap. The big issue with a tooth supported bridge is that the teeth either side of the space need to be cut down to support it. This is very damaging to these teeth. In fact, 20% of teeth used to support bridges go on to need a root filling, which further weakens them. The huge benefit of dental implants is that they are completely independent of the adjacent teeth, which eliminates this risk.

There are many elements to consider when planning a single tooth dental implant. At The Raglan Suite we assess all of these factors when a patient has their complimentary assessment. However, just as it is important to understand the risks of the procedure itself, it is also just as important to understand the risks of having nothing done at all.

Tim.

Dr. Tim Doswell works exclusively in the field of implant dentistry at The Raglan Suite and is one of only a few implant surgeons in the north of England who has been awarded an Advanced Diploma in Implant Dentistry by the Royal College of Surgeons of England in London. Call 01423 565432 to book your free consultation with Dr. Doswell or contact us through our online enquiry form

New Suction Denture

15 August 2017 Categories: Dentures Tagged with: , ,

Chris Egan

Not all dentures are the same!

By Chris Egan (RDT Dip Lds, CDT Dip Rcs Eng)

Dr. Jiro Abe

Dr. Jiro Abe demonstrating his new suction denture technique

In March 2017, I travelled to Japan to complete a course on the revolutionary new suction denture technique taught by Dr Jiro Abe. As a result, I am now qualified to provide Suction Effective Mandibular Complete Dentures (SEMCD) – the very latest in suction effective dentures.

One of the most difficult things to achieve in dentistry is suction and stability on a full lower denture. This new technique, which eliminates the problem of the lower denture lifting by creating effective suction, is rapidly becoming popular worldwide. After achieving great results on my own patients, I can understand why this new suction denture technique offers such a huge advantage over a conventional full lower denture system.

Over 70% of patients with no lower teeth are suitable for a suction effective lower denture. In my experience, patients adapt to a new suction denture far quicker than a conventional denture and tend to experience fewer sore spots, which results in fewer adjustments.

Advantages of the new suction denture:

The process to make a suction effective denture takes the same number of appointments as a conventional denture, however the technique used in taking the impressions is significantly different. In order to achieve the most effective suction, this new technique considers a patient’s oral mucous as well as muscle attachment, therefore impressions need to be more precise. Most patients find the impression taking for a suction lower denture is a better experience than having dentures made with the conventional technique.

Man wearing new suction dentureLike all the dentures I make, I only use the highest quality materials available in order to achieve the most superior denture for the patient. I also work very closely with a fantastic dental laboratory which again guarantees a quality finish by using Ivoclar’s latest denture teeth and acrylic which has less than 1% shrinkage compared to some pink acrylics.

After spending over 30 years making dentures, I am finding that the suction effective lower denture is the biggest advancement we have seen in many years and I’m confident that many more patients will continue to feel the benefit.

Chris Egan

Book your FREE consultation with Chris for suction effective lower dentures today, call 01423 565432 or complete our online contact form.

Shopping around for a Dental Implant

27 June 2017 Categories: Dental implant Tagged with: ,

tim-editBy Dr. Tim Doswell (BChD Dip.Imp.Dent.RCS(Eng) (Adv.Cert))

There is little doubt that the “gold standard” way to replace a missing tooth is with a dental implant. They are very durable and completely independent of the adjacent teeth, which makes them by far the healthiest option, especially when compared to more conventional tooth supported bridges. As a way of securing dentures, they come into their own; loose dentures which can barely bite through soft bread can be transformed into teeth which can bite into an apple! No more fixative!

So it is little surprise that the demand for dental implants in Yorkshire and the UK is growing rapidly and in response to this growth, there are more and more dentists offering dental implants as a solution.

How do you choose a dental implant surgeon?

Implants SMLSo how do you choose which implant surgeon to trust when there is so much choice? Do you just go for the cheapest provider or the most local to where you live? After all, at it’s most basic level, an implant is just like a screw or a rawl plug – isn’t it? Is it not just a bit like choosing which hardware store to go to?

The reality is that choosing a dental implant surgeon or practice is complicated by several factors:

The quality of the components

There are now hundreds of different implant manufacturers across the world and they all market their hardware, which is of varying quality, to the dental profession.  So how do you know you are getting a “quality” implant and not a “budget” implant. The fee you pay may hold the answer, although we frequently see implant work carried out where a high fee has been paid, but the low quality components have been used. The problem for the patient is that it’s impossible to know. Implants are regarded as a long term solution, so it may be worth investing a little more rather than just going to the cheapest provider. If something is cheap, there’s usually a reason.

The expertise and experience of the dental implant surgeon

Good implant dentistry is very technique sensitive. The jaw bones have important structures in them such as nerves and blood vessels. If these were to get damaged during surgery, it could lead to a significant bleed or a permanently numb lip and chin. It is therefore essential that you choose an implant surgeon with the appropriate level of experience so that these complications do not arise. The correct positioning of the implant in the jaw bone is also critical for the delivery of a good final aesthetic result and takes a high level of surgeon training and experience to deliver.

So how do you know a dentist is sufficiently qualified to carry out implant surgery? Most dentists who hold a post graduate qualification such as a Diploma or MSc in Implant Dentistry would have had to complete a lot of training to earn that qualification, so that should be a reassuring start. Like all surgical procedures, a depth of knowledge and experience only comes with regularly carrying out a lot of procedures.

So ask yourself, is it safer to see a dentist who places implants once in a blue moon or an implant surgeon whose practice is dedicated to implant dentistry and related work?

The aesthetics  

Single front implant

Single front implant

After all, it’s not just about the implant itself, but also the tooth that is fitted to it. It’s advisable try to find out about the technician who would make your new teeth and, if you can, view some of their previous work. There is an almost endless variety of materials and manufacturing methods in making teeth, all which influence the fit, strength, durability and aesthetics.

Poorly fitting implant teeth are one the main causes of implant problems in the long term, so it is essential that your dentist uses a reputable and experienced technician.

A relationship you can trust

Fundamentally, the most important factor influencing your choice of dental implant is an implant surgeon you can trust. They must be someone you can communicate and feel comfortable with.

Many implant problems arise because there has been a lack of information or communication from the outset. Dental implant procedures involve elective surgery and can be complicated, so a good surgeon should have a robust consent procedure. You should never embark on any dental surgical procedure unless you feel you have been very well informed and fully understand the treatment they you about to embark on.

Delivering great results

There is little doubt that dental implants are a wonderful treatment option for patients, particularly denture wearers. However, they only deliver great results if they are appropriately planned, delivered safely and restored with the final teeth correctly and with a good aesthetic result. Any reputable implant surgeon should have photographs and examples of previous work.

It is entirely appropriate to shop around for an implant surgeon, but it should be for the right reasons, not just to get the cheapest price.

Tim Doswell.

Dr. Tim Doswell works exclusively in the field of implant dentistry at The Raglan Suite and is one of only a few implant surgeons in the north of England who has been awarded an Advanced Diploma in Implant Dentistry by the Royal College of Surgeons of England in London. Call 01423 565432 to book your free consultation with Dr. Doswell or contact us through our online enquiry form

 

How do you cope with dental anxiety or dental phobia?

19 May 2017 Categories: Dental Anxiety Uncategorized Tagged with: ,

Dr Geoff Baggaley

By Dr. Geoff Baggaley

BChD DGDP(U.K.) RCS Dip.Con.Sed(Newc)

Dental anxiety is one of the body’s most powerful emotions. Anxiety in itself is a condition in which the body is preparing for something unpleasant to happen. 

This ‘preparation’ is accompanied by both physiological and psychological responses. The psychological responses are often tension and a feeling of impending danger and lack of control. The physiological responses are perspiring, increased heart rate and a liability to faint.

Dental Anxiety

A significant percentage of the population feel a high level of dental anxiety in response to visiting the dentist or having dental treatment. In reality, this means that people who suffer from dental anxiety or dental phobia will often limit their dental visits to emergencies only. The strength of this emotion dissuades them from going to the dentist for regular and essential dental check ups.

Further to this, dentally anxious patients often carry a feeling of guilt –  compounded by feeling that they are the most anxious patient who has ever walked the planet or that they have the worst teeth of anyone. The truth is very different. Over 60 % of the adult population suffers from some level of dental anxiety, which demonstrates that they are not alone – in fact, quite the opposite.

Treating “dentally anxious” patients

At The Raglan Suite we successfully treat people with higher than average levels of dental anxiety every day. The thing is – teeth and gums, like the rest of our bodies, need to be looked after and any issues treated promptly. The main problem for dentally anxious patients isn’t just the possibility (or reality) of unsightly, stained or missing teeth, but the wider implications and substantial risk of undetected dental disease and oral cancer.

Getting help if you suffer from dental anxiety

If a patient hasn’t visited a dentist in a number of years, it’s important to get support. The first step is to talk to their dentist about it – if a dentist is sympathetic, they will understand and make a special effort to help their patient feel as comfortable and relaxed as possible. This can take time. However, if the dentist has genuine empathy, they will be capable of building a strong relationship with their patient built on trust. Overcoming dental anxiety is primarily about finding the right dentist, one who they feel listens to them and understands their fears, one who they are comfortable with and trust 100%.

However, more often than not, patients have been let down by an unpleasant or painful experience, or by a dentist who may appear more interested in working quickly and with little understanding of the patient’s anxiety.

Dental Anxiety Management Professionals at The Raglan Suite

At The Raglan Suite, we use a range of different methods of care to create a safe atmosphere in which the patient feels confident enough to accept advice and treatment. The aim is to facilitate positive dental experiences. We start with behavioural management techniques, which alone can be successful. Often the anxious patient needs to be allowed the time to “tell their story” of why they are anxious. If this is received with empathy, it may be enough to begin a relationship of trust, enabling simple dental checks and procedures to take place. If this is effective, more complex care may be provided. It needs to be accepted that a significant number of anxious patients may need more than simple dentistry in order to regain good oral health.

Sedation

However, if following such techniques, a patient still feels a high level of anxiety, we can also provide different forms of sedation to help them relax.  If a patient is sedated, they will still be awake and able to respond throughout the procedure, but they won’t be aware of what is happening and may not be able to remember it. There are different ways to be sedated:

  • ‘Gas and air’ (inhalation sedation) – this is simply a mixture of nitrous oxide and oxygen which is breathed in through a nasal mask and provides a level of sedation and analgesia (pain relief).
  • Intravenous Sedation – this is the use of sedation drugs which are delivered through a small plastic tube placed carefully in a vein, usually in the arm. This drug has a very useful side effect, in that the patient usually remembers very little of the dental visit. This form of sedation can only be performed by a dentist or doctor that is specially trained.

Our approach for treating dental anxiety

At The Raglan Suite, I work exclusively with people who suffer from dental anxiety.  In my experience, even people who have extreme fear about the simplest dental procedures can learn to receive treatment in a manner that feels safe and calm. Our approach here at The Raglan Suite is to encourage small, yet conquerable steps. The first step is simply having a chat with me, in a non-clinical environment, to discuss their feelings and concerns.

In conclusion, it is important to remember that if a patient suffers from dental anxiety or phobia, they are not alone.  There are many, many people who share their anxieties and equally there are many ways that we can help them towards achieving a happy, healthy smile.

Dr. Geoff Baggaley

Dr. Geoff Baggaley is a professional in the management of dental anxiety and teaches dentists across the UK on how to deliver his techniques to their own anxious patients. If you would like to meet with Geoff to discuss your concerns in a non-clinical environment, simply fill in the online form and one of our Treatment Co-ordinators will contact you.

 

 

Baby Teeth: Where a lifetime of good oral health starts

2 May 2017 Categories: Children's dentistry Tagged with:

By Dr. Elnaz Aliakbari

Registered Specialist in Paediatrics
(DDS MFDS RCS MClinDent (Paeds) MPaedDent RCS) 

Your child’s first set of primary teeth – sometimes called baby teeth or ‘milk’ teeth – are extremely important. Strong, healthy primary teeth help your child chew food easily and learn to speak clearly, as well as look good. Also, your child’s general health can be affected if diseased and broken primary teeth are not treated early. Baby teeth also have an important role to play in holding the spaces for the second, permanent teeth to descend into good positions. However, because the enamel is thin, primary teeth are more likely to be affected by decay and erosion if exposed to too much sugar or acidic drinks.

Your baby will have 20 primary teeth, which usually come through from the age of about 6 months. Occasionally teeth can be present at birth (natal teeth) or shortly after birth (neonatal teeth). These are seen in less than 1% of babies and shouldn’t be a cause for concern.

When should a baby first see a dentist?

It is important that a child’s first visit to the dentist is a pleasant and calm experience, so not when they first have pain or problems. Ideally, it is best to take your child to the dentist when he or she is between 6 to 12 months of age. This allows the dentist to anticipate and prevent problems, rather than treat them. In addition, the dentist will assess your child’s risk of tooth decay, evaluate adverse habits and customise an oral health program specific for your child.

If you bring your child to the dentist at an early age, it also means that they will become familiar and comfortable with procedures such as examinations and tooth cleaning, and learn that a dental visit is not something to fear.

How to clean baby teeth

Good oral hygiene begins at birth, so it’s wise to get in the habit of cleaning your baby’s gums even before any primary teeth come in. Gently clean your baby’s gums after every feeding using a clean, damp washcloth or a toothbrush with soft bristles and a small head made just for babies.

As soon as the first baby tooth arrives, you can start brushing it with a toothbrush and toothpaste. Brush the front and back of your baby’s tooth and lift your baby’s lips to make sure you get the gum line. You should brush your baby’s teeth and gums twice a day.

Don’t forget to lead by example and show your baby or young child how you brush your teeth too. It will greatly influence their desire to brush their teeth like you do.

Early childhood decay

Unfortunately Early Childhood Caries (ECC) is a common and severe form of cavities found in very young children from 0-4 years of age. Without treatment for ECC, decay can spread deeper into the tooth causing pain and infection and possibly damage the underlying adult tooth. The primary tooth or baby teeth may need to be removed. If your child’s tooth is badly decayed, infected or broken, then your dentist may feel that your child would benefit from receiving advanced treatment from a paediatric dentist (a specialist children’s dentist).

For my top tips for helping to prevent your child getting tooth decay, visit our ‘Ask The Team’ page (click here).

At The Raglan Suite we do our utmost to provide a positive and comfortable experience for all our young patients and strive to ensure the best outcome for their future oral health. Your child does not have to be referred by your regular dentist to have treatment at The Raglan Suite – you are always welcome to book a private consultation with me, just simply click here or call 01423 565432.

Ellie.

Dr Elnaz Aliakbari (DDS MFDS RCS MClinDent (Paeds) MPaedDent RCS) is a Registered Specialist in Paediatric Dentistry. Elnaz currently works as the Senior Speciality Registrar at the University Dental Hospital of Manchester and Royal Manchester Children’s Hospital, and also provides high quality dental treatment for children at The Raglan Suite Harrogate in a Saturday clinic.

What is ‘Reconstructive Dentistry’?

28 March 2017 Categories: Uncategorized Tagged with: , , ,

By Dr. Steve Byfield

BDS(lond) MFGDP RCS (UK) 

Reconstructive Dentistry is the term used for the treatment of patients who have experienced advanced dental disease.

Symptoms range from loose, missing or decayed teeth, increasing tooth spacing (especially in the front of the mouth), to very worn teeth and the inability to chew food properly. Reconstructive Dentistry is the treatment used to return the patient back to dental heath and restore tooth function and aesthetics.

Due to the complexity of reconstructive dentistry, it normally involves what is called a “multidisciplinary approach”. This means that a team of highly skilled clinicians, who work exclusively within their chosen field of practice, are brought together to provide treatment and ultimately the best clinical result for the patient.

What to expect from the reconstructive dentistry process

Treatment of advanced cases is rather like a staircase – patients start at the bottom step and progress through treatment one a step at a time:

A dedicated treatment co-ordinator is provided for every patient.

Step One: Examination & Diagnosis

The first step is to receive a full dental examination. This may be carried out over one or more visits with the lead clinician who may bring in other clinicians in their respected fields to provide their opinion.

Each patient is also assigned a dedicated treatment co-ordinator to support them throughout their journey with us. The treatment co-ordinator provides a direct point of contact and administrative liaison from diagnosis though to completion.

Step Two: Stabilisation

Once a diagnosis is made and the patient has a full understanding of what the issues are, we move onto the next step – ‘stabilisation’. This stage is essential to restore the patient’s mouth to a healthy and stable state. It involves the removal of any dental disease and the restoration of tooth and gum function and aesthetics.  This could feature a range of treatments including gum therapy, tooth extractions, root fillings, provisional bridges or dentures, or cosmetic veneers.

Step Three: Reassessment and Advanced Treatment Planning 

Just like assessing a failing wall, at times it’s obvious it has to come down and be rebuilt, but other times all that is required is re-pointing. Some of the time underpinning is considered to avoid removing the wall, however, the long-term success may then be unknown. Advanced treatment is similar because as clinicians we do not want to over treat – i.e. carry out unnecessary, aggressive treatment – nor under treat and thereby not achieve a long-term result.

At the reassessment stage, the team of clinicians will closely examine the situation after stabilization and from there develop a plan for the next step – advanced restorative treatment. The patient will then have the opportunity to consider their options.  If they would prefer to spread the financial investment or the amount of active treatment, advanced care can normally be carried out in phased appointments. However, some patients prefer to address all advanced treatment at the same time.  The decision is always down to personal choice.

Step Four: Advanced Care Appointment/s

The Raglan Suite philosophy is to provide the highest level of treatment with the least intervention to meet the patient’s expectations. Wherever we can, we prefer to keep the natural teeth and avoid invasive, irreversible tooth loss with aggressive crowns. Within advanced care, we will normally replace teeth with implants or dentures to avoid bridges that are very destructive.

If aesthetic treatment is required, we prefer teeth whitening and direct composite veneers that need little or no preparation of the tooth. Any invasive preparation has a high risk of damaging the nerves and weakening the teeth. Although we want people to be happy with their smile, our priority as dentists is for teeth to be healthy and remain healthy long-term.

During the advanced restorative stage we may recommend that patients undergo a period of ‘provisionalisation’. This is where the “final” treatment is actually provisional, in order to re-evaluate the patients aesthetics, function and feel of the new teeth.

Step Five: Final Restoration

Once both the clinicians and patient are happy, then the final restorations are placed that mirror the approved provisional stage.

Step Six: Maintenance 

The last step to the top of the staircase is high level maintenance of the patient’s reconstruction. At The Raglan Suite we have an experienced team that show patients how to look after their new smile and, in conjunction with daily home care, will help ensure that your mouth remains healthy and stable long term.

The long term

We are frequently asked, “will advanced treatment last me a lifetime?” The true answer is that it depends on a number of factors – your age at the time of treatment, how well you look after your mouth on a daily basis, the execution and planning of the treatment – and I have to say – also a little luck in your gene make up.

Natural teeth in general do not always last a lifetime. So if we consider that any form of Dental treatment is second best to natural teeth, then it is likely that there will be a form of re-treatment required at some point, albeit localised. It is important that patients understand this possibility before consenting to advanced therapy.

As a dental surgeon, seeing the huge difference that reconstructive dentistry can make to a patient’s life is what makes me get out of bed in the morning. I see patients who are withdrawn and self-conscious, grow into smiling, happy, confident people, who boldly hold their heads up in the world around them.  To be part of that incredible journey is very satisfying for all concerned – myself, the team here at The Raglan Suite and of course, the patient.

Dr SDE Byfield

Dr Steve Byfield has over twenty years experience in implant and restorative dentistry. Our clinicians are dedicated to finding the best solution for you and are always happy to answer any questions you may have in relation to restorative dentistry.  Call 01423 565432 to book your complimentary consultation or contact us through our online enquiry form

 

What are ‘Invisalign’ braces and how do they work?

16 February 2017 Categories: Orthodontics Tagged with: , ,

By specialist Orthodontist, Megan Hatfield (BChD MDentSci FDS MOrth RCS (Eng))

Many adults ask me how I can help improve their smile. Either they never had braces when they were younger or their teeth may have changed position over time.

There is no age limit on orthodontics, providing there is good dental health. Our adult patients range from 16 to over 60. However, most adults looking for orthodontic treatment need it to fit in with their work and lifestyle, as well as be comfortable, so traditional ‘train-track’ braces are not ideal.

This is why we offer Invisalign® as one of our treatment options. Invisalign® is a removable aligner. It is made of a series of clear trays that fit tightly over the teeth and gradually push the teeth into the correct position.  It is almost invisible, hence the name, as well as comfortable to wear and easy to adapt to. Temporary discomfort and speech disturbance only lasts a few days, and more significantly – most people will not notice that you are wearing a brace! Here are the most common questions that our patients ask when considering Invisalign:

How does Invisalign work?

Each Invisalign® tray is worn for between 20 – 22 hours per day and changed for the next one every 14 days. They are removed for eating and cleaning, so you don’t need to radically change your diet or your teeth cleaning routine.  Your personalised orthodontic treatment is planned to my prescription using a digital system called ClinCheck, which shows you how many trays you will need, how long the treatment will take and what the teeth should look like at the end. ClinCheck is a fantastic tool which helps to demonstrate how much difference your treatment will make, as well as help me to effectively monitor your treatment.

How long does it take?

I provide patients with 3 or 4 trays at a time and they visit the clinic every 6 to 8 weeks for me to check their progress. Typical treatment time is about a year, but can be as little as three months or up to two years.

Why the Invisalign brand in preference to any other?

Invisalign® was developed in the USA and was the first type of brace of its kind. Now, over 4 million patients have been treated worldwide. Over the 10 years I’ve been using it, new developments have made it a real alternative to fixed braces, which means I can confidently recommend it to my patients. I only use Invisalign® branded aligners – in my opinion it’s the best system of its kind.

Invisalign® is ideal for adults of all ages or older teenagers who don’t want visible, fixed braces. Excellent for realigning teeth which have moved over time or closing small spaces, recent developments have made Invisalign treatment possible for a wider range of problems. However, there are some cases for which Invisalign is not the ideal solution and a different type of brace might give a quicker or better result. The first step is to come and see me for a free consultation so that I can accurately assess your dental requirements.

What are the benefits of Invisalign?

How much does Invisalign cost?

As with all orthodontic treatment, the cost of Invisalign will depend on your individual requirements, the positioning of your teeth and course of treatment required to achieve the desired straightening. The cost for adult treatment is typically between £2,200 and £4,400, however after your free consultation we will provide a full written treatment plan with an accurate cost.

Megan.

To find out if Invisalign® is suitable for you, book a complimentary consultation with Dr. Megan Hatfield on 01423 565432 or contact us through our website.

Dr. Megan Hatfield has won numerous UK awards for her orthodontic work and was voted the prestigious title of  ‘Aesthetic Dentist of the Year’ at the 2014 UK Smile Awards. She also won the category for ‘Orthodontic case – Invisalign’ in the same year.

 

 

 

 

 

 

 

Are Immediate Dentures a solution?

27 January 2017 Categories: Uncategorized Tagged with:

By Clinical Dental Technician, Chris Egan (RDT Dip Lds, CDT Dip Rcs Eng)

In order to answer this, let’s first explain what “immediate” dentures are. Immediate Dentures are those that are put in ‘immediately’ after having a tooth extraction. They can replace one tooth or a number of teeth. Immediate Dentures are constructed before the teeth have been removed and inserted immediately after the removal of the teeth.

If the prognosis is very poor for all your remaining teeth, as commonly happens with severe gum disease, an ‘immediate complete denture’ or dentures (top and bottom) may be made and fitted. An ‘immediate partial denture’ could also be made as a temporary solution during a course of treatment to allow the gums to heal.

Advantages of Immediate Dentures

There are several advantage of Immediate Dentures:

Are there any disadvantages of Immediate Dentures?

It’s advisable to bear in mind that Immediate Dentures are a work in progress or temporary solution, so that the mouth can heal. This means that biting and speech may be affected to begin with and adjustments need to be made. However this is all part of the process with the changes that occur to your jawbone as it heals.

If you are having an Immediate Denture, i.e. your teeth are removed and the denture put straight in, you do not have the luxury of a prior ‘try-in’. This means that we have to estimate the shape of the jaw after the teeth have been removed due to the ‘straight to fit’ procedure. With a single tooth this generally isn’t an issue, but with a full denture where the extension of the base is so crucial to the stability of the denture, some adjustment and the use of fixative may be required in between adjustments or ‘relines’.

Are there any alternatives to an Immediate Denture?

If it is a single tooth, you can of course do nothing and leave the space if you are happy to do so.

A temporary bridge may be made, but this cannot be added to and so can become unsightly and need replacing when the gum heals and shrinks. No matter how well they are made, a temporary bridge is not easy to clean and tends not to be the best for gum health as they collect a lot of plaque. Immediate Dentures on the other hand can be removed, which makes cleaning much easier and more efficient.

So do Immediate Dentures mean I can walk out of The Raglan Suite with all my teeth again straight after an extraction?

Yes! We can complete the treatment in a single day by having you come in early in the morning and then again later that same afternoon. During the afternoon appointment, it is literally out with the tooth, in with the denture!

Chris Egan

If you still have any questions about Immediate Dentures, please call us on 01423 565432 or email info@raglansuite.co.uk and we will be happy to help.

 

What does “minimally invasive” aesthetic dentistry mean?

12 January 2017 Categories: Uncategorized

By Dr. Kim Taylor (BDS MSc (AES Dent)

To be able to smile with confidence is a joy that cannot be underestimated. As more aesthetic dentistry treatments become available and the ways in which this can be achieved become more accessible, increasing numbers of people are realising their dream and vision of the perfect smile.

But how is the way we approach this changing and what does minimally invasive aesthetic dentistry actually mean?

The two pillars of this concept in dentistry are –

Minimally invasive: is a modern dental technique designed around the principal aim of preserving as much of the natural tooth structure as possible. (i.e. the teeth and supporting tissue). 

Aesthetic: Relating to the enhancing and appreciation of beauty.

The two concepts combined therefore –

Minimally invasive aesthetic dentistry:

Enhances both the function and appearance of teeth, though minimal intervention and preserving as much of the tooth tissue as possible, in order to achieve the individuals perception of beauty.

The aim is to create beautiful, individual smiles with little or no detriment to the original tissue. This is achieved via:

The benefits of this minimally invasive approach cannot be underestimated. By preserving as much tooth tissue as possible (and ideally not affecting it at all), the risks associated with treatment are dramatically reduced.

For example, if tooth tissue is removed (or teeth are cut back) there is a risk that the nerve that sits at its centre will become irritated. This may result in anything from a slight sensitivity to irreversible damage to the tooth which requires root canal treatment or even the tooth extracted. Therefore, if no tooth tissue is removed and the tooth remains wholly intact, this risk is significantly reduced.

Before

After treatment with Direct Composite Veneers, which uses a minimally invasive technique.

Not only is this process less damaging to your teeth than conventional methods, it is also easier on the wallet! So to realise your dream of the perfect smile, consider requesting a minimally invasive approach. Of course we all want a beautiful smile – but not at any cost, and most certainly not at the expense of the health of your teeth.

Dr. Kim Taylor

The team at The Raglan Suite are always happy to answer any questions you may have in relation to minimally invasive aesthetic dentistry. Call 01423 565432 to book your complimentary consultation. They look forward to helping you realise your vision. 

How long do dental implants last?

2 December 2016 Categories: Uncategorized

tim-editBy Dr. Tim Doswell (BChD Dip.Imp.Dent.RCS(Eng) (Adv.Cert))

Perhaps the most commonly asked question after “how much do implants cost?”, is “how long do implants last?” Fortunately, in the majority of cases, implants can last a lifetime.

There are hundreds of research papers spanning 5 decades that look at dental implant success rates and the commonly accepted success rate is at least 95%. With modern day implant technology and techniques, this figure is actually even higher.

Compared to other dental treatments that are aimed at filling a gap, dental implants come with a few key benefits.

Dental implants – the key benefits

It is however important to be aware of a few factors which may influence the success of implant treatment.

Key factors that affect dental implant success

Dental implant components

It is also important to understand that implant supported teeth are made up of several components. The “implant” is the artificial titanium root that the new teeth are anchored to. The worst case scenario is that the artificial root fails, but if this does happen – which is unlikely – it can usually be replaced. It is more common (although still unusual) that the teeth fixed to the implant chip or break, but this is no different to any other dental restoration. The good news is that implant supported teeth are designed to be repairable. They have to be – the mouth is a very harsh environment, so it is likely that some maintenance will be required. After all, you wouldn’t expect a new car to drive continuously day in, day out, year after year, and never need any repairs now and again.

_gmf1090-smlWhen you come for your initial complimentary consultation at The Raglan Suite, we will assess all these issues so that we can give you a reasonable forecast of the success of your treatment. Dental implants do involve some surgery, so like any other elective procedure, you need to understand the benefits and risks, but this is where our expertise can help.

As a way to replace missing teeth, implants are without a doubt the gold standard. The good news is that in the vast majority of cases, we can predict very long lasting, successful and even life changing results.

Tim Doswell

Dr. Tim Doswell works exclusively in the field of implant dentistry at The Raglan Suite and is one of only a few implant surgeons in the north of England who has been awarded an Advanced Diploma in Implant Dentistry by the Royal College of Surgeons of England in London. Call 01423 565432 to book your free consultation with Dr. Doswell or contact us through our online enquiry form

 

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The Raglan Suite is the trading name of Raglan Suite Limited | Company House Registration Number: 8221259 | Registered in England and Wales | Registered Address: 16-18 Raglan Street, Harrogate, North Yorkshire, HG1 1LE | Raglan Suite Limited is authorised and regulated by the Financial Conduct Authority