Posts tagged “Farnham”

Dental implants in Farnham, Surrey

November 20th, 2011

Having lost two teeth, a client came to see us in Farnham to discuss what options he had for replacing the missing teeth.  Removable options would be a denture which was not appealing to the patient for obvious reasons.  Fixed options were either having a bridge or having dental implants in place.

A bridge uses teeth on one or both sides of the gap for supporting a tooth which replaces the missing one.  If the missing tooth is one of the molars the supporting teeth often need to be prepared as if they were to be crowned.  Impressions are then taken of the prepared teeth and then sent to the laboratory.  A bespoke handcrafted bridge is then constructed in either metal ceramic or all-ceramic.

A dental implant simply replaces the tooth which is missing.  The teeth on either side of the gap are therefore untouched.  A dental implant is essentially a titanium root replacement.  Once the implant has been put into place, impressions of the implant using special impression abutments are taken and then sent to the lab for fabrication.  Implants have a fantastic succes rate of 98% and are now routinely placed at Time Dental.

The pateint opted for the dental implants which were carefully put into place.  There is now a period time for the implant to integrate with the surrounding tissues, and a crown will be placed on top very soon.

For any further informtation call us on 01252 723 008

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

Tooth decay and teeth whitening in Farnham

November 3rd, 2011

A client came to see us about his stained and discoloured teeth and was interested in options for whitening them.  He had been thinking about it for a while as he was getting very conscious of the dark colour of his teeth when smiling.  We discussed the two different teeth whitening options which are in-chair teeth whitening and Professional teeth whitening.  The difference being that in-chair teeth whitening is faster than the professional teeth whitening but the end result being generally the same level of whiteness.

However on assessing the health of his teeth before commencing with any type of teeth whitening, we found that he had multiple cavities at the gum line of many of his teeth.  The cavities were due to him having a very strong bite and the enamel chipping away at the gum line.  This left the softer dentine layer exposed and can result in very sensitive teeth- which he said happened every time he had a cold drink and also when tooth brushing.

Tooth whitening is not recommended when you have cavities or holes in the teeth.  The teeth will become incredibly sensitive if not taken care of first.  We decided to postpone the teeth whitening until we had stabilised the health of his teeth and gums first and then look at teeth whitening afterwards.

To see how we can help you, feel free to call us on 01252 723 008

Crowns at a dentist in Farnham

October 27th, 2011

A new client came to see us today in Farnham having lost a front tooth.  On discussion with him he had previously had crowns on his two upper front teeth for twenty years and one of them had fallen out.  He had some quite extensive work on them as they had been root treated with posts also placed in them.  He had been wearing temporary crowns for quite some time and they kept falling out.  He was now fed up with the situation and wanted a permanent solution.

There are two main tooth coloured types of crowns.  Metal ceramic crowns and porcelain all-ceramic crowns.  Metal ceramic crowns are the traditional type of tooth coloured crowns.  They have been around for many years and is certainly a viable option.  The main down side to metal ceramic crowns are that they can look a little lifeless and the gum line round the edge of the crown can look bluish due to the metal work underneath.

The upgrade would be the porecelain all-ceramic crowns.  Again there are a number of types available, and each type is used in different situations.  If the underlying tooth is very dark and discoloured then a zirconia all-ceramic crown may be the best option.  If the tooth structure is not too dark then a pressed all-ceramic crown could be advised.  Both are extremely strong and give the best aesthetic results.  Your dentist will be able to advise you appropriately.

In this gentlemans case the posts were very dark so the options were either a metal-ceramic crown or a zirconia all-ceramic crown to give the best and strongest aesthetic option.

Feel free to call us to see how we can help you.  01252 723 008

Straighter teeth at your dentist in Farnham

October 12th, 2011

A client came to see us at Time Dental to see what her options were for straightening her upper front teeth.  They had always been crooked and had really started to bother her.  She was now very conscious of them being crooked and stopped showing her teeth when she was smiling.

On discussion and assessment of what she was looking for, we found that it was only her top front four incisors that really bothered her.  Options for straightening her teeth could be porcelain veneers to correct the position as well as the shape of the incisors.  The main disadavantage of porcelain veneers are that the teeth would have to be prepared to correct the crowding.  Traditional orthodontic braces that could take 8 to 18 months of treatment; clear aligners that are very discreet but may still take 8 months or more to achieve the desired result, or the Inman aligner which is a removable appliance that can move teeth in a matter of weeks.

Our client was interested in the Inman aligner as it moved the teeth very fast, was cost effective and the teeth did not have to be prepared.  The secret to the speed of the inamn aligner is by a spring loaded mechanism that squeezes the teeth into position using very light pressure.  It needs to be worn for a maximium of 20 hours per day and the advantage is that if you have an important meeting or social function you simply take it out and put it back afterwards.

Feel free to call for a free consultation to see how we can help.  01252 723 008

Replacing mercury fillings at a Farnham dentist

September 28th, 2011

A client came to see us who had old amalgam mercury fillings from childhood and wanted to make sure they were still in good shape.  After throughly examining her dental health we discovered that a number of her old amalgam mercury fillings were failing.

Amalgam fillings over time expand and contract.  Combine this with the heavy force they are taking on eating and chewing result in micro-enamel cracks occuring in the tooth.  Over a period of time decay will start to occur at the site of the cracks and the filling or tooth may break.  This could potentially be disasterous for the tooth.  If the break is a vertical fracture through the whole tooth it has a very poor outlook and will have to be extracted.  This is why it is crucial for your dental health to regularly see your dentist to catch things early and be given the appropriate advice.

In this particular case one tooth had a very large amalgam in with visible fine hairline cracks to the back and side.  The old mercury filling was safely removed and we discovered that the crack ran across the corner of the tooth.  In this particular instance the best option for this tooth was to crown it.  A crown acts like a bomb shelter for the tooth where it is protected from the sides as well as the top.  The strongest tooth coloured crowns are zirconia porcelain crowns.  The tooth is first prepared and an impression is taken.  This is sent to the master ceramist who makes a stone model from the impression and digitally scans the tooth.  After milling the zirconia, the tooth his built up using porcelain by our master creamist.  Crowns are essentially handcrafted bespoke restorations which are then cemented into place to restore the bite.  This allows you to chew and eat with confidence withour the risk of your teeth breaking.

Feel free to call Amanda the practice manager to book a comprehensive dental examination on 01252 723 008

Broken tooth in farnham needing a cosmetic dentist

September 22nd, 2011

A client came to see us at Time Dental having broken his front tooth in an accident in Farnham.  He was also concerned about the overlapping crowded front teeth and wanted to know what his options were.

On visual inspection of his mouth, he had fractured his upper incisor horizontally and he also had quite a severe overlap of his upper front tooth.

There were a number of options for repairing his broken tooth.  The least invasive procedure is composite bonding.  This invloves adding composite white filling to the broken edge to restore the tooth back to the correct shape. 

A further option could be to veneer the tooth.  A porcelain veneer is a lab made bespoke restoration which is handcrafted by an expert master ceramist.  Veneers are very strong once bonded to the tooth and will last for many years.  They do not stain like composite fillings and are a great alternative to composite bonding. 

The last option is to crown the tooth.  A porcelain crown is again a handcrafted bespoke restoration by the ceramist.  It encompasses the whole tooth to provide all round protection of the broken tooth.  More preparation is required to provide space for the porcelain crown, but again this type of restoration will last many years.

After discussing all the options, the patient decided to go with composite bonding as he wanted to preserve as much of the original tooth as possible.

Feel free to call us to see how we can help you.  01252 723 008

Cosmetic dentist in Farnham

September 9th, 2011

A client came to see us in Farnham recently having broken a filling on his front tooth.  He had a very important speech to give and needed to look his best.

On inspecting the tooth, he had lost a filling that had been placed there three times in the past.  This was a worry as we had to first find out why this was happening before repairing the tooth with immediate cosmetic bonding.  Had missing teeth at the back and was therefore placing alot of pressure on his front teeth where he was doing all his biting and chewing which the front teeth and not designed to do.

We discussed his treatment options, and for the short term he just wanted to look reasonable for his speech the following day.  So we carried out cosmetic bonding on the front tooth and shaped a new surface using composite white filling.

For the long term health of his mouth, we discussed options for possible cosmetic dentures to balance out his bite, and porcelain crowns on his front teeth that were severely damaged.  The porcelain crowns would protect the damaged teeth and allow him to bite without the risk of his teeth breaking.

Call us to see how we can help you on 01252 723 008

Tooth Whitening in Fleet

August 23rd, 2011

A client came to see us to help her improve her smile.  We discussed what it was that bothered her about her smile and she said she was very unhappy about the shade of her teeth.  She drank a large amount of black coffee daily as well as cups of tea.  She was very conscious about the colour to the point where she did not show her teeth when smiling.

We discussed the different options to freshen up her smile.  The least invasive way was professional tooth whitening.  There are essentially two different types of tooth whitening.  In- office tooth whitening and professional tooth whitening.

The in-office tooth whitening system involves placing a high concentrated gel on the teeth that immediately boosts the shade of your teeth in one hour.  Some systems need to use a light source which is sometimes called “Laser whitening”, other systems do not need to use this system and are chemically activated rather than light activated to achieve the same result.

The professional tooth whitening system involves placing the tooth whitening gel into custom made trays which are then worn for 40 minutes per day for 10-14 days.  Some professional systems require the trays to be worn over night.  The length of time required to be worn can depend on the concentration of the gel being used. 

When using the in-office system, it is common to combine it with the professional system as well.  If you want the fastest result use the In-office system, if you prefer to take a gentler pace then the professional kit is for you.

When tooth whitening you may experience sensitivity during the procedure.  If this happens this not permanent and normally lasts only for 24 hours.  Rubbing your teeth with a special tooth balm often helps in extreme cases of sensitivity.

For further information cal 01252 723 008

Tooth whitening in Farnham

August 16th, 2011

A client came to see us at Time Dental looking to improve his smile.  His main concern was his discoloured teeth and also the brown spots which were on them.  He said he had not been to see a dentist in about seven years.

On further discussion he told me that he smoked 20 cigarettes a day and drank lots of red wine.  It was easy to see why his teeth were so discoloured!  As well as the major general health and dental health risks associated with smoking it can cause heavy staining on your teeth.

On closer inspection the brown spots on the teeth were not only from smoking but also from tooth decay.  We discussed his aesthetic concerns and how we could improve the colour of his teeth by professional tooth whitening, but he would be putting the staining back on his teeth if he didn’t cut down or better still quit his smoking.

The first steps were to get his mouth into a healthy condition.  He had multiple areas of tooth decay which we had to remove and fill with white composite fillings.  This had an immediate impact on the look of his teeth as he now no longer had unsightly amalgam fillings and decay.

Ideally we would tooth whiten first and then match fillings to the brighter shade of teeth, however his teeth were so decayed that we had to stabilise his mouth first with composite bonding before proceeding with tooth whitening.

He wanted a fast tooth whitening result so he chose the in-office tooth whitening system.  This involved placing a special tooth whitening gel on his teeth for an hour to immediately achieve a fantastic result.  Combined with the professional tooth whitening system at home this gave him a really confident smile.

See how we can help you. Call 01252 723 008