Posts tagged “crowns”

Veneers and cosmetic dentistry from dentist near Guildford, Surrey

February 11th, 2013

 

before veneers, crowns before veneers, crowns

 

 

 

 

 

 

 

 

Veneers are a fantastic way of making a fast improvement for your smile.  Porcelain veneers are thin layers of laminate veneers that can you used to correct shape, colour, form, and position of your teeth.  The teeth are accurately shaped before impressions are taken.  The master ceramist at the dental them then handcrafts bespoke veneers for each individual tooth.  In the meantime you have your trial smile in place which allows you to test run your smile bofore the final veneers are bonded into place.  Looked after properly veneers can last many years to give you a confident smile.

The patient above had an old bridge which he had broken and wanted to have a brighter smile.  So with the combination of veneers, crowns and bridges provided hm with a fantastic result.

Call or email us for a FREE consultation to see how we can help.

Time Dental- Private dental care at its best

Patients near Winchester feel confident with dental implants at Time Dental

August 22nd, 2012

Missing teeth need not end in wearing dentures.  A patient came to Time Dental near Winchester having broken his upper front teeth.  One tooth was broken badly and the other front upper tooth was completely lost in his accident.  He was looking for a fixed option as he wanted to feel confident and did not want to end up with dentures.

We discussed his options for a fixed solution which was either a bridge or a dental implant to replace his missing tooth.  Bridges are a great option to replace missing teeth.  They involve preparing the teeth on either side of the gap to replace the missing tooth.  They are fixed in place and can last many years.

The other option was an implant.  An implant is a titanium root which replaces the missing root of the tooth.  The dental implant is precisely and carefully placed by an implant surgeon.  Once the dental implant has integrated which normally takes 3-6 months the implant is exposed so that a post can be placed to hold a crown on the post.  There is no need to touch the teeth on either side of the gap, and implants also help to preserve the bone where the root of the tooth used to be.  This helps in stabilising and maintaining support.

Time Dental provides this implant service for patients in Winchester as well as the surrounding areas in Hampshire, Surrey, West sussex and Berkshire.

Time Dental- Private dental care at its best.

Why replace missing teeth with dental implants at dentist near Guildford?

June 28th, 2012

A patient near Guildford came to Time Dental with a swelling at the gum line on one of her teeth.  She had no pain from it but she noticed the swelling was now getting bigger.

On assessing the tooth in question, it had already been root canal treated and had a crown on top.  The swelling origin was from midway up the root of the tooth.  On further investigation the root had a horizontal break thorough it which rendered the tooth unrestorable.  The only option for the tooth was extraction.

This particular tooth was a molar chewing tooth and so the chewing function for the patient would have been decreased after extraction. The other problem that may occur when losing a tooth is teeth drifting and tilting into the space.  This can result in a change of the bite and also cause gum problems as food would now get stuck between the open spaces of the teeth that have tilted.  The patient was keen on replacing the missing tooth and we discussed her options for filling the gap.

One fixed option would be to have a bridge.  This uses the teeth on either side for support.  A good option for replacing the missing tooth, but it does require shaping the teeth on either side of the gap to fit the bridge.  The other option is a dental implant and crown. 

The dental implant is essentially a titanium root that is inserted into the jaw.  Once the dental implant has been integrated a post is fitted to the implant with a crown which fits on the post.  This is a great option for replacing missing teeth as they do not require any preparation of other teeth and the dental impants last many years.  Dental implants have success rates of higher than 95% and are an excellent option for gappy smiles, as well as heping to provide chewing function for back teeth.

Time Dental provides this service for patients from Guildford, and surrounding areas in Surrey, Hampshire, Berkshire and West sussex.

Time Dental- Private dental care at its best

Replacing mercury amalgam fillings at a Cosmetic dentist near Alton

June 27th, 2012

A patient came to see us at Time Dental looking for a Cosmetic dentist.  She had a number of old mercury amalgam fillings which she wanted replacing as white composite as they looked like she had holes in her teeth.  She had not been to see a dentist in 18 months and was aware that she was overdue a dental health check.

On assessing her mouth she had early stages of gum disease also known as gingivits.  Her gums were inflammed, red and she reported seeing blood after brushing her teeth.  She also had a number of very old mercury fillings that had been in place since childhood days.  Cracks on the larger mercury amalgam filled teeth were also evident and there were also gaps between the fillings and the teeth which indicated that they were failing.

Mercury amalgam fillings expand and contract over time. Combined with the pressure from chewing, this places an enormous amount of stress on the tooth.  In time micro enamel cracks occur and the tooth or filling will then break. If the fracture is vertical and runs straight thorough the tooth it renders it unrestorable and will have to be removed.

Small to meduim sized mercury fillings are routinely replaced with white composite fillings.  Tooth coloured fillings such as composite actually stick and bond to the tooth which helps give it strength.  Less preparation is required to restore the tooth and expertly placed white composite fillings by a cosmetic dentist can make the tooth look natural.

When mercury fillings get to a large size they actually weaken the tooth which places it risk of breaking.  To protect the weaker part of the tooth often an Onlay is advised.  An onlay covers and protects the biting surface of the tooth.  You maybe familiar with crowns which encapsulate the whole tooth.  An onlay has edges which are higher up which makes it easier for you to keep clean; they are also bonded in place that give it strength.

Time Dental provides this service for patients in Alton as well as the surrounding area of Hampshire, Surrey, West sussex and Berkshire.

Time Dental- Private dental care at its best

Cosmetic dentistry at Farnborough dentist

June 20th, 2012

A patient came to Time Dental looking for a cosmetic dentist and to provide dental care to ensure a healthy mouth.  They had looked us up on Google and had read our reviews.  She had not been to a dentist for a while and was looking to replace some of her old amalgam fillings.

On assessing her mouth she had a range of size of amalgam mercury  fillings.  The larger amalgams also had cracks running down the side of the teeth.  Mercury fillings actually weaken your teeth.  On placement of the mercury fillings the tooth is often over prepared to help lock the filling into place.  Over time mercury amalgam fillings expand and contract. Combined with the forces on chewing this can result in cracks occurring within the tooth.  The cracks then propagate and the result is either the tooth breaking, the filling breaking, or decay as a result of the cracks.

When amalgam fillings are at a certain size the cusps of the teeth are often the first to the at risk of breaking.  This is when onlays are recommended to protect the weaker cusps.  Crowns cover and protect the whole tooth by encapsulating it, onlays are lab made restorations that cover the biting surface of the tooth.  There are several advantages of onlays; the edges are high up on the tooth which allow you to keep the tooth plaque free; they can be made of ceramic which makes it very strong; they last longer than direct composite fillings; and they cover and protect the biting surface of the tooth.

Time Dental provides the service for patients in the Farnborough area as well as the surrounding areas in Hampshire, Surrey, West sussex and Berkshire.

Time Dental- private dental care at its best

Tooth decay causing broken tooth at dentist near Aldershot

May 3rd, 2012

A patient came to Time Dental having broken a tooth and she wanted to know what the options were for replacing it.  On discussion she had a regular diet of sticky hard sweets.  Strawberry bonbons were her favourite.  Sitcky hard foods are a nightmare for your teeth.  They can regularly break yur teeth as they are very hard.  Once they become soft and chewy they have a suction effect on your teeth and can pull off fillings and crowns.  The third thing is that they are loaded with sugar which will result in tooth decay.  All in all not a good idea to eat them!

The tooth that had broken due to the sweet had completely broken at the gum line and the root of the toth was left.  Unfortunately there is no way in saving the remainder of this tooth so it will have to be removed.  However ther are excellent fixed options to place a tooth in the gap.

One option is a dental implant.  An implant is a titanium root that replaces the missing root of your tooth.  It then holds a crown which is attached via an abutment which fits into the dental implant.  Imaplnts have 95% success rates and are an excellent choice for gaps in the mouth.  This will help to restore your function of your mouth and allow you to chew confidently again.

Another option is a dental bridge.  This uses teeth on either side of the gap for support.  The teeth on either side are prepared and impressions are then taken of the prepared teeth.  This is sent to our master ceramist where they provide a bespoke handcrafted bridge that is tooth coloured and which is very strong.  Another great choice for replacing missing teeth.

Time Dental services many patients from Aldershot as well as Fleet, Farnborough, Winchester, Alton and Guildford, and the surrounding areas in Surrey, Hampshire, Berkshire and West Sussex.

Porcelain crowns at a Surrey dentist

February 22nd, 2012

A patient came to see us who was unhappy with his smile.  He was very conscious of a discoloured tooth at the front of his mouth and restricted his smile to not show his teeth.  The tooth had slowly darkened over a period of time.  He felt that if he could get this tooth looking like his other teeth it would restore his smile and his confidence when speaking to people.

On assessing the tooth, we noted that it had already been root treated and it had a very large discoloured composite white filling.  The tooth had been broken in accident some years ago and the only option to save the tooth was to root treat it.  This involved cleaning and disinfecting the inside of the tooth to prevent further infection and abscesses.  The broken tooth had then been repaired with composite bonding.

When a tooth is root treated it becomes dry and brittle and is prone to breaking.  The tooth can also discolour significantly over a period of time.  In this case half the tooth had discoloured and have the tooth was a worn compsite white filling.

We discussed the options which were to either whiten the tooth and replace the old white filling with composite bonding, or place an all-ceramic crown on the tooth to mask the darker colour and help protect it from breaking in the future.

We decided to place a porcelain crown on the tooth which is an excellent choice for this situation.  The tooth was prepared and impressions of the teeth were sent to the master ceramist.  The ceramist then hand crafted the bespoke crown which was then cemented onto the prepared tooth.  That left a very happy patient who was able to smile confidently again.

Dental Implants at a Farnham Dentist

February 8th, 2012

A client came to see us looking for options to replace back teeth that had been taken out a number of years ago.  He was currently finding it difficult to eat and chew properly and wanted to know what his options were.

On assessing his mouth he was missing his last teeth on the top and bottom jaw and as a result was putting more pressure on his remaining teeth which made him at risk of breaking them.

One option could be to provide a denture.  This is a removable appliance that needs to be taken out daily and cleaned.  Due to the fact that it had to be taken out this was not an option that he wanted to choose.

A fixed option could be a bridge as long as there were teeth on either side of the gap.  This was not the case for this patient as he was missing his last teeth at the back.

The other option is a dental implant.  This is  titanium root that is placed into the jaw.  The dental implant then holds a post onto which a crown is fitted.  Dental implants are an excellent option for missing teeth with 98% success rates.  They are routinely placed by a specialist implant surgeon, Dr Queseshi at Time Dental and the crown is then placed by the restorative dentist Dr Rashid.  The advantage of placing implants are the high success rates, ease of placement, excellent longevity, and no need to prepare any adjacent teeth.

Replacing Mercury fillings at dentist near Farnborough

January 18th, 2012

A patient came to see us at Time Dental for their routine healthy mouth review having not been to see us for quite some time.  She had some old mercury amalgam fillings which had been in place for over twenty years, and at her last healthy mouth review she was advised that they needed replacing as they looked to be failing.  She was not experiencing any symptoms at the time and preferred to leave them for the time being.

On her most recent review we found that the teeth with mercury amalgam fillings now had cracks running down the sides of the teeth.  This progression is very common to see mercury filled teeth and is better to be dealt with in the very early stages as things get progressively complicated if left in place.

Mercury fillings expand and contract over a period of time and combined with strong downward chewing forces can eventually result in micro enamel cracks occuring in the teeth.  At some point either the filling or the tooth will break.  When visible vertical cracks can be seen the tooth normally needs something much more robust to prevent the crack from propagating and splitting the tooth.  Porcelain or metal ceramic crowns are tooth coloured restorations which help to protect the broken tooth from splitting.  If amalgam fillings are relatively small to medium sized and they are at their early stages of failing they can normally be replaced with white composite fillings.  However if they are failry large in size either onlays or crowns are recommended as they also cover the biting surface of the teeth which protect the weaker parts of the tooth.

Porcelain crowns at a dentist in Farnham

November 9th, 2011

A client came to see us requesting to change old mercury fillings that she had since a child.  Mercury fillings a currently far less acceptable for dental fillings nowadays.  Firstly they contain mercury which is a toxic metal;  secondly the tooth has to be prepared more to keep the mercury filling in place; thirdly they look awful; fourthly they actually weaken your teeth over time as they expand and contract which results in hairline cracks appearing.  The tooth or the fillng will eventaully beak possibly leaving you in a dire situation for that tooth.

Fortunately there is a solution.  When a filling is very large, it leaves the tooth weak in sturucture.  Combine this with a mercury filling and your tooth is ready to break on you.  When replacing large fillings it is common to advise crowning the tooth to protect it.  A crown is best seen as a “bomb shelter”.  It protects the tooth from all sides and prevents the cusps from breaking as they are encased with in the crown. 

There are 2 main types of crowns.  Metal crowns and tooth coloured crowns.  The metal crowns are generally made of gold.  Gold is the best metal to have in your mouth as it is time proven and also creates an affective seal.  Most people prefer the tooth coloured types as it looks more natural.  There are two main tooth coloured types.  Metal-ceramic crowns and porcelain crowns.  Metal ceramic crowns are the traditional types however due to the metal underneath it can make the gum line look bluish.  The porcelain crowns are the strongest and most natural looking crowns.  There are a number of types of porcelain crowns, they can be made of zirconia, or a pressed ceramic.  The best thing to do is discuss your options with your dentist who will able to advise you appropriately.

Feel free to call us for advice on 01252 723 008