At SDC Group, we aim to offer the full range of NHS dental services to you in all of our clinics. This range of treatments is perfectly adequate to maintain dental health and also restore damaged, diseased or missing teeth to restore dental health, function and aesthetics.
The best starting point is that of maintaining the health of the natural teeth and mouth. There are few images greater than that of a healthy smile. Maintaining a thorough brushing regime, every morning and every evening using a fluoridated toothpaste, together with flossing and interdental brushing as advised, will ensure that the existing teeth are maintained in the best possible health. Similarly, an adequate oral hygiene regime will ensure that any restorations required are placed into an environment that is suitable for their long term success.
Most individuals are lucky enough to be born with a healthy dentition, so the key message to all is to maintain this as best you can, thus ensuring a healthy mouth and smile and reducing the likelihood of requiring dental treatment.
Certain of the treatments listed below may not be available at all times in each SDC Clinic. Should your desired treatment not be available at your local SDC Clinic, we will endeavour to make suitable arrangements for you to attend at one of our other SDC Clinics.
Regular dental examination is necessary to ensure that the teeth, their supporting tissues and the oral environment are healthy, well maintained, function well and look good. In addition, a dental examination will confirm that the soft and hard tissues in and around the mouth are thoroughly checked to highlight the presence of any disease process. As part of a dental examination, a thorough medical history is carried out together with an oral cancer check. Ideally, patients should attend for routine examination on a 6 monthly basis to ensure that the mouth is healthy, but also to ensure that any changes detected are diagnosed as early as possible, meaning they are as minimal as possible and can be dealt with straightforwardly.
Prior to and during treatment, it is imperative to ensure that your dental clinic have an up to date medical history record. This is essential to ensure that any treatment provided is appropriate and safe. You will be provided with a medical history form at appropriate intervals, which should be completed and added to your records. This should include a record of all of your medications and current/previous conditions, no mater how minimal you feel these may be.
If your medication or medical history changes at any time, please ensure that you advise your dentist or hygienist of this change, when asked, prior to treatment. Similarly, if you have any concerns at any stage regarding dental treatment with your current medications, then please get in touch to discuss this with your treating dentist. All medical information will be treated in the strictest confidence.
SMOKING AND ORAL HEALTH: SMOKING CAN AFFECT BOTH GENERAL AND ORAL HEALTH. IF YOU ARE A SMOKER, YOU ARE LIKELY TO BE AT HIGHER RISK OF MOUTH (ORAL) CANCER THAN SOMEONE WHO DOES NOT SMOKE. THERE ARE OTHER LIFESTYLE RISKS, WHICH CAN ALSO CONTRIBUTE TO AN INCREASED RISK OF ORAL CANCER. AT YOUR ROUTINE EXAMINATION, YOUR DENTIST WILL CHECK THE ORAL SOFT TISSUES AND REINFORCE THE RISKS OF SMOKING TOGETHER WITH THE METHODS AND ROUTES OF STOPPING SMOKING. IF YOU ARE CONCERNED AT ANY TIME REGADING SMOKING OR ANY CHANGE IN THE TISSUES IN THE MOUTH, PLEASE CONTACT THE SURGERY IMMEDIATELY.
As part of your dental examination, care or treatment, x rays may be taken assist in diagnosis, treatment or review. At SDC group, all of our dental clinics use the most up to date computerised, digital x ray equipment. This not ensures accuracy in imaging but also allows the image to be captures with as low an amount of radiation as possible. Xrays can be used in examination, review, diagnosis, decay detection, root treatment, veneer, crown and bridge treatments.
Adequate care of the teeth with the maintenance of an excellent oral hygiene will ensure that the oral environment is conducive to the long term health of the teeth and any restorations which are placed in the mouth. Ideally, the teeth should be brushed twice daily using a fluoridate tooth paste. Flossing and interdental cleaning should be carried out daily or as advised by your dentist or hygienist.
If you are aware of any bleeding when brushing, swelling or redness of the gemlike, bad taste or discharge from the gum line , gum recession or tooth mobility then this should be assessed and treated without delay.
At SDC group, we offer a full range of dental hygiene services including:
- Routine dental hygiene treatment: Regular visits to the hygienist will allow not only cleaning and polishing of the teeth but also regular checks on the oral tissues and examination to assess the tissues for any gingivitis (gum disease) or periodontitis (periodontal disease). The oral soft tissues are also checked and the periodontal status.
- Assessment and treatment of gum disease (gingivitis)
- Assessment and treatment of periodontal disease (periodontitis)
- Remedial treatments and rehabilitation treatments
- Review and maintenance protocols - Oral hygiene instruction
In order to ensure that you are able to care for your teeth adequately at home, our clinics offer a full range of toothbrushes, dental floss, toothpaste, mouthwash and interdental cleaning aids. These are all priced as low as possible in order to ensure that they are as accessible as possible for all of our patients.
If the structure of a tooth is either traumatised or damaged/decayed, then it will require to be built up to restore its integrity, function and aesthetic look. Fillings are provided in either amalgam (silver) or composite (white) restorations depending upon current guidelines together with patient preference.
On occasion where a filling is very large, a decision may be taken to provide an inlay or only to restore the tooth. These restorations are manufactured in the laboratory following the preparation and an impression of the tooth. Whilst the inlay or only is being manufactured, a temporary dressing is placed on the tooth. Inlays or inlays can be manufactured from gold, composite resin, porcelain, zirconia or E Max. Apart from the gold inlay/onlay, the remaining options are tooth coloured.
Trauma or progression of decay can lead to the involvement of the nerve of the tooth. Damage to the nerve of the tooth can be reversible (resolving with treatment) or irreversible (requiring nerve removal or root canal treatment to resolve the symptoms). Damage to or involvement of the nerve of the tooth can present as sensitivity to hot or cold, tenderness when biting on a tooth, mobility of a tooth or dental abscess which may involve a number of the symptoms mentioned above together with swelling and discharge.
Root canal treatment involves accessing the nerve canal, removing any damaged/necrotic contents. The root canal(s) are then shaped, smoothed, dried and then filled with an inert rubber material allowing the resolution of symptoms and the subsequent restoration of the tooth.
Root canal treatment may take place over one or two visits depending upon the number of root canals involved and the complexity of the treatment.
Root canal treatment involves the isolation of the tooth to enable the safe and successful treatment of the tooth in question. This is undertaken using a small clasp over the tooth together with a rubber dam.
A crown(Cap) is a restoration, manufactured in a laboratory which is fitted over a tooth to restore the natural anatomy, aesthetic look and in some cases the strength of the remaining tooth and its resistance to the likely forces which may be applied to it in function. A crown may be recommended following the fracture of a tooth, the restoration of a tooth with a large filling or if a tooth is misaligned, discoloured or unsightly.
Crowns are prepared in as minimally invasively as possible to retain as much healthy natural tooth as possible. Following preparation, an impression is taken and sent to the laboratory for manufacture.
During the manufacture of a crown, a temporary crown is placed. This is cemented into the mouth using a temporary cement and the temporary functions to protect the prepared tooth, reduce sensitivity if the tooth is still vital/alive, prevent gum overgrowth, prevent tooth over eruption and maintain aesthetics if appropriate. Temporary crowns can come loose from time to time and any function on a temporary crown should be minimal.
When the crown is returned from the laboratory, it will be tried in to the mouth and approved in terms of design and fit by the dentist. In addition, the patient will give the final approval in terms of appearance, shade and shape. The crown is cemented into place using a dental cement and any excess removed. The new crown is checked to ensure that it can be easily brushed and flossed.
Crowns can be made from a variety of materials depending upon the specific situation these include, acrylic, non precious metal, precious metal, gold, e max or zirconia materials. Your dentist will advise accordingly on the most appropriate material in your case.
In some cases, dental decay or fracture may mean that there is not enough tooth structure remaining on which to retain the proposed restoration. In such cases, posts and cores can be used, reforming an adequate shape and volume of tooth above the gumline to ensure adequate retention for the proposed restoration, for example a crown. Whilst in some cases, posts and cores must be used in order to restore a tooth, it must be remembered that these can weaken the remaining root and increase the risk of root fracture. Posts can be manufactured from a number of materials including metals or fibrous material. Similarly, cores can be constructed in metals or white composite materials.
Dental bridges can be used to replace one or more missing teeth. Dental bridges rely upon the teeth adjacent to the space for retention. These are fixed solutions that cannot be routinely removed. Dental bridges can be divided into two main types, adhesive and conventional, however, combinations are occasionally used. Both conventional and adhesive bridges can be manufactured in a variety of materials including acrylic, non precious metal, precious metal, gold, e max or zirconia materials.
These bridges are stuck to the adjacent tooth or teeth using small metal or ceramic wings. Depending upon the patients bite, no preparation may be required, however, more often than not, the retaining teeth must be prepared, albeit minimally, in order to ensure adequate retention and reduction for the retaining wing. Adhesive bridges are commonly used towards the front of the mouth and can be used as either permanent or temporary solutions. Adhesive bridges can debond and if this is the case, recementation can be carried out.
These bridges again use the adjacent tooth or teeth for support. They can be used in any position in the mouth so long as there is adequate support available. Conventional bridges use a more invasive preparation of the adjacent/supporting teeth, which are prepared for conventional crowns. This preparation of the adjacent teeth is potentially destructive, but less so if these teeth are already crowned or heavily filled. Bridges rely upon the stability of the adjacent teeth for their long term stability and survival. In addition to this, given their reliance upon the adjacent teeth, the adjacent teeth can be weakened in the long term.
Dental decay, fracture, trauma or overcrowding/impaction may require teeth to be extracted. Teeth can be extracted using a variety of different techniques. Following extraction and healing, options to replace the missing teeth can be considered where appropriate.
As well as conventional dental extractions, other oral surgical
procedures are available if required. These include:
In some cases, teeth may be so broken down that there is very little visible in the mouth. In such cases, when the teeth are badly broken down or broken down to bone level, special procedures can be utilised in order to access and allow the removal of these broken down teeth.
Following the completion of root treatment, on occasion, abscesses present at the end of the root fail to resolve or on occasion can persist. IN these cases, an apicectomy procedure may be required. This is a small surgical procedure which allows the infected portion of the root end t be removed and the remaining infected tissue in the area to be removed allowing the area to heal/resolve naturally afterwards.
Soft tissue surgery:
Where required, small areas of the soft tissue in the mouth may require to be removed. This is generally required when there has been a change or alteration in the oral tissues, or the presence of abnormal tissues. In these cases, the small growth or swelling (ie polyp, mucocele) can be removed, or a small piece taken of any abnormal tissue in the form of a biopsy. All such tissue samples are then sent for pathological examination in order to determine the exact nature of the tissue removed.
Any tissues removed from the mouth during soft tissue surgery are considered for pathological examination. Such examination is used to confirm exactly what tissues are and such examinations are used both when we are sure what the tissue is and also when we are not so sure what the tissues are. In both cases, the end result is to ensure we have definitive confirmation of what the tissue is, thus allowing the treatment to be planned accordingly.
At SDC group, we recognise how concerning any dental pain or trauma can be. As a result, we will always aim to see any patient, whether they are registered with our clinics or not in order to assess their condition and offer treatment as appropriate to deal with their pain. A proactive approach to seeking dental examination, treatment and hygiene work is far preferable to treating painful problems as and when they arise and as such, we would advise registration and examination for all as soon as is convenient.
Following the loss of a tooth or teeth, there are many options for the replacement of those teeth that are missing. One such option is dentures. Entures are used commonly to replace missing teeth. Dentures can be very quick to produce and easy to alter or repair. Dentures are, however, removeable and can occasionally move during function. Prior to denture wear it is imperative to establish and maintain adequate oral hygiene to prevent deterioration of the health and stability of the structures supporting the teeth. There are two main types of denture available:
These dentures are made completely of acrylic and rely of suction together with possible use of undercuts to stay in position. Upper acrylic dentures generally will involve some form of palatal coverage.
Cobalt chrome dentures
These dentures are made using a chrome (metal) framework, onto which is placed acrylic teeth and gums. As the chrome is stronger than acrylic, such dentures can be stronger in thinner volume and as such may be less of a mouthful. In addition, small clasps and rests can be incorporated into the denture framework in order to ensure that the denture contains retentive elements to stabilise them during function. Chrome dentures may still have some element of palatal coverage but to a lesser degree than acrylic dentures.
Dental anxiety or phobia can be a major factor in preventing patients from seeking the dental treatment that they need. At SDC group, our main aim, through gradual acclimatisation and an introduction to gentle, pain free dentistry is to allow gradual return to confidence in dentistry for those patients who are for whatever reason apprehensive or phobic. Initially, however, as an adjunct to acclimatisation, sedation can be a useful tool to enable a large amount of work to be undertaken with the patient comfortable and relaxed. Dental sedation can take the form of inhalational sedation, oral sedation or intravenous sedation. These methods together with the risks and benefits of each can be discussed as appropriate depending upon the individual case.
The normal development and eruption of teeth ideally provides nicely aligned teeth which meet in a balanced bite. In some cases, however, this development is interrupted or disturbed meaning that the final alignment of the teeth is less than ideal from either a functional, aesthetic or maintenance viewpoint. In such cases of mal occlusion, orthodontics can be used to correct the alignment of the teeth, improving the aesthetics, ease of maintenance and function. Orthodontic treatment can include either fixed or removeable appliances. Full assessment and planning is required before orthodontic work is undertaken. During any orthodontic treatment, maintenance of excellent oral hygiene is imperative.
SDC Group practices are delighted to be part of the childsmile programme. Childsmile Core is a Scotland-wide initiative to help improve the health of our children's teeth, through the distribution of free dental packs and supervised toothbrushing programmes in all nurseries, P1 and P2 in priority schools. Ask in surgery for more details or visit www.child-smile.org.uk
Dental implants are a well-researched, successful solution to replace missing teeth. Dental implants can be used to replace a single tooth, multiple teeth or to replace a full arch of teeth. In addition, dental implants can be used to successfully stabilise dentures, which are prone to move during function. Our experienced team would be happy to assist with any questions you may have regarding dental implants, bone grafting, soft tissue grafting or dental implant maintenance.