Circus Dental are proud to provide a wide range of high quality dental treatments to our patients.
We offer a full range of treatments and our contemporary dental practice is where you go to seek advice and receive treatment to maintain the oral health and attractive smiles of you and your family.
A dental bridge literally bridges that gap created by one or more missing teeth. They are made up of two or more crowns either side of the gap, with a false tooth in between. Bridges are supported by natural teeth or implants.
WHAT ARE BRIDGES MADE OF?
Bridges are usually made of a precious metal. If the bridge will show, porcelain is then bonded to the base. Sometimes, there are other non-precious metals used in the base for strength.
HOW DO I LOOK AFTER MY BRIDGE?
You need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. Your dentist or hygienist will show you how to use a bridge needle or special floss, as a normal toothbrush cannot reach.
ARE BRIDGES EXPENSIVE?
Although a bridge may seem costly, they can be a wise investment that will give many years of good service. It will also improve your appearance and bite. A bridge uses the considerable skill of the dentist and technician, and in this way, it’s similar to ordering a piece of hand-made jewellery.
Most people have fillings of one sort or another. However, because we are much more conscious of our smile today, we can choose a natural looking alternative – the composite or tooth-coloured filling.
A composite resin is a tooth-coloured plastic mixture filled with glass (silicon dioxide) first introduced in the 1960s. Originally only used for front teeth because of their softer nature, modern improvements to their composition make them generically suitable today.
Composite fillings are more difficult to place than silver fillings, so may take your dentist 15-20 minutes longer to complete. Because they are considered to be a cosmetic treatment, they are not available on the NHS and must be paid for.
The main advantage of composite fillings is their aesthetic appeal. The main disadvantage is their life expectancy. White fillings have always been considered less long lasting than silver amalgam fillings, but there are now new materials available with properties comparable to silver amalgam, and these are proving to be very successful. The life expectancy of your composite filling can depend on the depth of cavity and its position in the mouth. Your dentist is best positioned to advise you.
What is a crown?
A crown is a cap that is placed over a tooth and held in place by dental adhesive or cement.
Crowns are used for several reasons:
as a protective cover for badly decayed teeth or fractured teeth
as a permanent restoration for teeth with large fillings
to correct minor problems in natural teeth like spacing and irregular shape or severe discolouration.
What are crowns made from?
Crowns can be made from a variety of materials. They can be made from plastic, ceramic or metal alloys. A combination of metal and ceramic is also possible to maximise strength and simulate the appearance of natural teeth.
How are crowns made?
Firstly, a thorough clinical examination is conducted with radiographs, by the dentist. The suitability for crowns is assessed and any preparatory work is carried out. Your dentist will also be able to advise on material choices, treatment sequence and any other concerns you may have.
At the second appointment, the teeth to be crowned are prepared. This involves reduction of the tooth size (usually under local anaesthesia) followed by an impression or mould of the prepared tooth. This trimming of the tooth is required to create space for the crown to be fitted. The mould taken is then sent to a laboratory where skilled technicians will fabricate the crown. In the meantime, a temporary crown is made and fitted onto the trimmed tooth.
At the third appointment, the temporary crown is removed and the tooth surfaces cleaned. The completed crown is tried on the tooth for fit, harmony with the bite, and appearance. Finally, the crown is cemented onto the prepared tooth with dental cement.
How long do crowns last and how do I care for them?
Crowns are made of inert materials that do not deteriorate over time. However, the underlying tooth is still prone to decay and gum disease.
Ceramic on the surface may chip or fracture. Avoid chewing excessively-hard substances like ice or bones. Daily brushing and flossing are essential for maintaining good oral health, as well as keeping the crown trouble-free. The most vulnerable portion of the crown is the margin or the junction between tooth and crown.
Regular check-ups will enable your dentist to detect any problems with your crown and recommend necessary treatment.
Porcelain (tooth coloured) inlays and onlays are restorations placed usually on the chewing surfaces of the back teeth.
An inlay fits within the confines of the teeth. An onlay covers the entire chewing surface of the tooth. These can be made of either plastic resin or porcelain.
The procedure involves removing decayed tooth structure or old fillings, preparing the tooth cavity, and taking an impression of the cavity to fabricate a custom-fit inlay or onlay.
Two visits are required to complete the treatment.
WHEN IS ROOT CANAL TREATMENT NEEDED?
The crown of the tooth is made up of the hard, white, enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp. The dental pulp contains blood vessels and nerves within and extends from the crown to the tips of the root or roots.
Root canal treatment involves the removal of the pulp tissues from the tooth in the event that it gets infected or inflamed. The pulp can be infected or inflamed due to either deep decay; an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp; and sometimes as a result of severe gum disease.
Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, swelling, tenderness of the overlying gums or a bad taste in the mouth. On the other hand, there may be no symptoms at all. If pulp inflammation or infection is left untreated, it can eventually cause pain, swelling and loss of the supporting bone.
WHAT ARE THE ADVANTAGES OF ROOT CANAL TREATMENT?
Root canal treatment saves teeth that would otherwise have been extracted.
After root canal treatment, the tooth is pulp-less, i.e. it has no vital tissues within. However, there are vital tissues surrounding the root, e.g. the gum, periodontal membrane and supporting bone. A root canal treated tooth can function normally and can be maintained with routine dental care and oral hygiene measures.
IS ROOT CANAL TREATMENT PAINFUL?
Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetised during treatment. After treatment, the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues. This discomfort can be relieved by taking mild analgesics or painkillers available over the counter at the pharmacy. However, if the pain persists and is severe, or a swelling occurs, you should contact your dentist.
HOW IS ROOT CANAL TREATMENT CARRIED OUT?
Removal of the infected or inflamed pulp is the first step in saving the tooth. Under local anaesthetic, an opening is made in the crown of the tooth to get access to the infected or inflamed pulp within.
Using small, specially designed hand or rotary files, the root canals are cleaned and shaped to a form that can be sealed. Debris within the canals is removed by flushing with an anti-bacterial solution.
The canals are finally filled or sealed with an inert material called gutta-percha. The tooth should be restored to full shape and function by either a permanent filling or a crown, depending on how much of the tooth is left. This should be done as soon as possible as there could be a risk of tooth fracture due to biting forces.
All root canal treatment procedures are performed by isolating the tooth with a rubber dam to provide a clean and saliva-free environment. Root canal treatment may be done in single or multiple visits depending on the complexity of the tooth. In between treatment appointments, medicaments may be placed within the canals and the tooth is covered with a temporary filling.
Often, X-rays are taken to determine the length of the root and to monitor the various treatment stages.
As far as possible, avoid chewing or biting on the tooth being treated until you have it permanently restored with either a filling or a crown. Excessive pressure at this stage may crack or fracture the tooth. Therefore, it is very important to restore the tooth properly as soon as possible. Most endodontically treated teeth last as long as natural teeth following permanent restoration.
Practise good oral hygiene, including brushing and flossing at all times, as root-filled teeth are as prone to decay as natural teeth. It is also important to have your treated tooth reviewed regularly by your dentist.
Veneers are thin, custom-made shells crafted of tooth-coloured materials designed to cover the front side of teeth to improve the overall appearance of teeth. They are made of either thin plastic resin or porcelain and can be placed to:
Correct poorly formed or mildly mal-positioned teeth
Close gaps between teeth
Mask internal stains
Restore partially broken-down teeth
Tooth preparation is minimal and confined to the enamel structure. The veneer is bonded to the tooth structure with tooth-coloured resin cement. Several visits are necessary to complete treatment.
Patients should be aware that this is usually an irreversible process because it’s necessary to remove a small amount of enamel from your teeth to accommodate the shell.
Teeth Whitening is a process where the tooth discolouration is ‘whitened’ to a lighter shade. It removes the staining agent through chemical means. It is a safe procedure when carried out under professional supervision. Treatment results usually depend on the severity of the discolouration. Both vital (i.e. live) and non-vital teeth (e.g. tooth with root removed) can be bleached and may take several visits to complete. It is not effective on dental restorations such as amalgam fillings, metal or porcelain crowns, etc.
Teeth can discolour for various reasons. The dentist will recommend the most ideal method based on your oral condition after an in-office examination to establish the cause and nature of your tooth discolouration, as well as provide you with more information on the various types of whitening procedures available, duration & frequency of treatment.
DIFFERENT BY DESIGN
With safety in mind, Fastbraces® Technology was developed to straighten teeth differently – allowing for a fast, safe and affordable solution.
Fastbraces® Technology allows for movement of the roots of the teeth towards their final positions from the beginning of treatment by torquing them from the very first appointment. Patients can now get results often with less sensitivity, in about a year, and in some cases, just a few months. It has been developed and tested over the past 20 years and is now becoming available in countries around the world . Fastbraces® Technology is fast, safe, easy and affordable treatment that comes with a lifetime satisfaction commitment from the doctor providers. With the patented triangular design of the braces, cutting edge techniques and a special heat-activated wire, this new technology is revolutionizing the field of orthodontics.
Traditional braces move teeth into position in two stages, usually over a period of about two years. In the first year, the crown of the tooth is moved into alignment. In the second year, treatment addresses the position of the root of the tooth. However, the brackets used with Fastbraces® work on a different mechanical principle altogether. The patented system uses an innovative bracket and a specially- shaped wire to correct the position of the root of the tooth, from the beginning of treatment. This combination is key in realigning the root and crown simultaneously.
The Fastbraces® Technology brackets have an elevated slot and a unique elbow design. The shape of the bracket is critical because it literally changes the force-flexibility equation. The square shape of conventional brackets defines the distance between the brackets and that distance determines the flexibility of the wire. However, the triangular shape of the Fastbraces® patented bracket, with its elevated slot, typically increases the distance between the individual brackets, which increases the flexibility of the wire. Additionally, the “elbows” of the bracket help deliver torquing and tipping forces to the root from the beginning of treatment. These fundamental differences allow treatment to be completed in about a year, or as little as 3 months in select cases. For the consumer looking for an aesthetic cosmetic solution, Fastbraces®Clear™ ceramic brackets are also available and offer the same technology advantages of moving teeth as the Fastbraces® metal brackets.
Twenty (20) years of history, thousands of consecutively treated patients and university research have shown that Fastbraces® are not only safe but offer many additional benefits. Patients oftentimes experience less discomfort and there are no more risks with Fastbraces® than those associated with traditional braces. Additionally, the fact that the braces are on for less time means that there is possibly less chance of tooth decay due to improper oral hygiene. Treatment with Fastbraces® Technology improves the patient’s lifestyle because treatment typically takes just a few visits at the doctor’s office. Less doctor visits mean less money spent, less gas used getting to and from the doctor’s office and less time off school or work. Another remarkable benefit is the reduction of retainer usage. When the braces come off one needs to wear the retainers only 15 minutes a day in the shower, cleverly described as Fastbraces® “Tooth Shampoo”.
The Fastbraces® Technology patented bracket design uses unique, triangular shaped braces that allow for the use of just one super-elastic nickel-titanium wire during the treatment process. This brace technology works on an entirely different mechanical principle altogether. Historically, old braces would move the crown of the tooth in the first year, and the root of the tooth in the second year.
The Fastbraces® Technology helps move the crown and root of the teeth at the same time, from the beginning of the treatment. Patients can now get results often with less sensitivity, in about a year, and in some instances, just 3 months.
Today, how you look is more a matter of choice than genes and it is no different when considering your choice of smile.
We all want healthy teeth and gums, fresh breath and the confidence and comfort to choose whatever we would like to eat. But we also want to smile freely, with poise and the assurance that our smile does what it is meant to do: to present and represent us; to be an attractive and welcoming feature.
Using the latest computer imaging technology we are now able to determine the very best cosmetic dentistry solutions, show you the potential results and allow you to choose your ideal smile. You can discuss what you don’t like about your teeth, learn about your options and receive an accurate quote for the treatment involved.
The smile you deserve is only a call away.