"Scottish Dental Care Group -
High quality, patient focused dental care"
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Treatments available

The SDC Group offers the full range of NHS dental services in all of our clinics. This range of treatments is perfectly adequate to maintain dental health and function. In addition to this, all of our clinics undertake private treatments which allow more time to be spent on specific treatment items in addition to alternative materials and laboratories.

Good oral hygiene is the cornerstone of a healthy smile. Brushing twice daily with fluoridated toothpaste for two minutes and cleaning between your teeth with floss or interdental brushes is the gold standard for maintaining oral health. An adequate oral hygiene regime will also 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 healthy teeth, so the key message is to maintain them as best you can. This ensures a healthy dentition and reduces the likelihood of you requiring dental treatment in the future.

Some 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 one of our other SDC Clinics.

NHS Examination

Regular dental examinations are necessary to ensure a healthy mouth. 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 processes. 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 six-monthly basis to ensure that the mouth is healthy. This also allows any changes in the oral environment to be detected, diagnosed, and treated as early as possible.

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 CLINIC IMMEDIATELY.

X-rays

X-rays are taken as part of your routine dental care to help assess, diagnose, and treat a multitude of dental issues. At SDC group, all of our clinics use the most up to date computerised, digital X-ray equipment. This not only ensures accuracy in imaging but also allows the image to be captured with the lowest amount of radiation possible.

Hygienist treatment

Adequate care of the teeth with the maintenance of an excellent oral hygiene regime 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 fluoridated 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, swelling, redness, 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 an extensive 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 of the oral environment and examination to assess the tissues for any gingivitis (gum disease) or periodontitis (periodontal disease). The oral soft tissues are also checked along with 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.
- Air polishing

Sundries

In order to ensure that you are able to care for your teeth adequately at home, our clinics offer a range of toothbrushes, dental floss, toothpastes, mouthwashes, 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.

Fillings

If the structure of a tooth is damaged or decayed then it should be repaired to restore its integrity, function, and appearance. Fillings are provided in either amalgam (silver) or composite (white) restorations depending upon current guidelines together with patient preference.

Inlays/Onlays

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, or ceramic materials. Apart from gold, the remaining options are tooth coloured.

Root Canal Treatment

Trauma or the 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/root canal treatment to resolve the symptoms). Damage 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 a 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(s) and 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.

Crowns

A crown (cap) is a laboratory manufactured restoration which is fitted over a tooth to restore its natural anatomy, appearance, and strength. 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/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 definitive crown, a temporary crown may be placed. This is cemented onto the prepared tooth using a temporary cement. The temporary crown 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 for approval 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 is 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, or ceramic materials. Your dentist will advise accordingly on the most appropriate material in your case.

Veneers

These are similar to crowns but involve even less tooth removal as only the front of the tooth requires preparation. Veneers can be made from ceramic or composite materials. Like crowns, they are manufactured in a dental laboratory. They are cemented over your teeth to mask a multitude of dental imperfections, from discolouration, to gaps, chips, cracks, and minor misalignments.

Posts and Cores

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. These reform the adequate shape and volume of the tooth above the gumline to ensure adequate retention for the proposed restoration. Whilst posts and cores can be used in order to restore a tooth in certain circumstances, 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.

Bridges

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. Combinations of both are occasionally used. Both conventional and adhesive bridges can be manufactured in a variety of materials including acrylic, non-precious metal, gold, or ceramic materials.

Adhesive Bridgework

These bridges are stuck to the adjacent tooth or teeth using small metal or ceramic wings. Depending upon the patient’s bite, preparation of the adjacent teeth may or may not be required in order to ensure adequate retention 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.

Conventional Bridgework

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.

Extractions

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.

Oral Surgery

As well as conventional dental extractions, other oral surgical procedures are available if required. These include:

Surgical extractions:
In some cases, teeth may be so broken down that there is very little visible in the mouth. Special procedures can be utilised in order to access and allow the removal of these broken-down teeth.

Apicectomies:
Following the completion of root canal therapy, on occasion, abscesses present at the end of the root fail to resolve. In these cases, an apicectomy procedure may be required. This is a small surgical procedure which allows the infected portion of the root end to be removed along with the infected tissue 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 (i.e. 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.

Pathological Examination

Any tissues removed from the mouth during soft tissue surgery are considered for pathological examination. Such examinations are used to confirm the exact nature of the tissues. These examinations are used both when we are certain and uncertain of the composition of the tissue. In both cases, the end result is to ensure we have a definitive confirmation of what the tissue is, thus allowing the correct treatment to be planned accordingly.

Dental Emergencies

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 the appropriate treatment 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. As such, we would advise registration and examination for all as soon as is convenient.

Dentures

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. Dentures 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:

Acrylic dentures
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 Sedation

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 acclimatisation and an introduction to gentle, pain-free, dentistry is to allow a gradual return to confidence in dentistry for those patients who are 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.

Orthodontics

The normal development and eruption of the dentition 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. This aims to improve their aesthetics, ease of maintenance, and function. Orthodontic treatment can include either fixed or removeable appliances. A full orthodontic assessment is required before orthodontic work is undertaken. During any orthodontic treatment, maintenance of excellent oral hygiene is imperative.

Child Smile

SDC Group practices are delighted to be part of the Child Smile programme. Child Smile 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

Dental implants are used to support one or more false teeth. It is a titanium screw that can replace the root of a tooth when it fails. Just like a tooth root, it is placed into the jawbone. 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.
We are delighted to offer complimentary dental implant consultations with our experienced Implant Co Ordinator to advise on general dental implant information.

Tooth Whitening

Tooth whitening is a very popular aesthetic treatment to whiten your smile. At our SDC clinics we use an at home treatment. We construct bespoke thin, flexible trays for you to wear at home, the whitening gel is placed inside the trays for the required time each day.

This is a gradual process which can take several weeks to see results but very effective.

If you have crowns, veneers, bridgework or dentures replacing any teeth, these will not change shade. You would whiten your teeth first and then replace these to match your new shade.
We can supply top up gels for patients who wish to brighten their smile after a period of time.

The brightness of whitening does fade over time depending on your intake of red wine, black tea, coffee etc.

Cosmetic Dentistry

We would encourage all of our patients to discuss with our clinicians their desires for their smile. If you could have a magic wand what would you change about your smile?

We are able to offer cosmetic dentistry by offering tooth coloured fillings as opposed to silver, this is more aesthetically pleasing.

We can correct discolouration and some tooth shape through different filling techniques or crown/veneers.
Cosmetic dentistry is bespoke, to each patient following a consultation to discuss what your desires are and what can be achieved.

Facial Aesthetics

Wrinkle softening, correction of lines, fillers are aesthetic treatments available. These are available after a consultation.

Please discuss your desires with our team.