DENTAL TREATMENTS

At Fraserburgh Dental we aim to provide the very best of care to our dental patients and offer a wide range of treatments from dental crowns and hygiene to Invisalign and orthodontics.

Dental Crowns & Bridges

A crown restores the damaged tooth and mimics the size, shape and color of the original tooth.

They are indicated for fractured and worn out teeth; to protect teeth that have been filled by root canal treatment; to provide extra support for bridges; and to cover poorly shaped or discolored teeth.

They on an average last for five to eight years, but can even last much longer if proper oral hygiene is maintained.

The tooth to be crowned is prepared (i.e. reduction of the tooth size) followed by an impression of the tooth, being obtained. This reduction of the tooth is required to build room for the crown to be fixed. The impression taken is then sent to a laboratory where expert technicians will fabricate the crown. In the meanwhile, a temporary crown is made and fixed on top of the reduced tooth.

Crowns can be made of porcelain, metal or newer restorative materials like metal-free ceramics.

All Resin – These are normally used for temporary coverage. However they do not last long like other types of crowns because they are not very fracture resistant.

All Metal – This includes gold alloy and other base metal alloys. Metal crowns are the toughest. They rarely break or chip and can resist daily wear and tear. The only disadvantage is that they look like metal and not a natural tooth.

Ceramic fused to Metal – They merge the strength of the metal along with the esthetics of porcelain. Although the porcelain is somewhat more prone to chipping, they are still tough. They are the most commonly used crowns now.

All Ceramic – These crowns are best esthetically and have the advantage of being ‘metal free’. This is a big advantage even for subsequent scan in the face and head region since it does not produce ‘scatter’ during CT scans.

A dental bridge restores missing teeth by “bridging” the space between two existing teeth. The crowns are fixed over the remaining teeth to hold the false tooth in place.

When teeth are only on one side of the space, cantilever bridges can be given. Cantilever bridge consists of two or more side-by-side crowns and only one is fixed over the prepared natural teeth.

To design a bridge, the reshaping of the abutment tooth or teeth is done to make space for the crowns. Then the mold of the teeth is made. This mold is then sent to a laboratory, where the crowns and bridge are made.

They prevent the nearby teeth from moving or shifting in the oral cavity and also stabilize the bite of a patient with missing one or more teeth.

Unlike partial dentures, bridges are fixed; patients need not remove them. The lost tooth is replaced with an artificial one attached between two crowns, and is permanently cemented onto the adjacent teeth.

It is a type of all-ceramic crown with translucent color, good durability and excellent aesthetic qualities. this crown is considered to be the best match with your own natural teeth giving it a life like appearance that is unlikely to be noticed amongst your own natural teeth. The only disadvantage of this type of crown is its cost.

Teeth Whitening

Your smile is important. It’s one of the first things you notice when you meet someone. A whiter, brighter smile is beautiful – it can help you feel better about yourself and make a memorable impression.

Your lifestyle and the aging process can stain and darken your teeth. Many things we do on a regular basis can contribute to stained teeth, such as drinking coffee, tea, cola and red wine or smoking.

Whitening can get your smile looking its best. Non-professional procedures and clinically unproven teeth whitening tips can often lead to unsatisfactory results, you should look for a whitening procedure that is:

DENTURES

Removable partial dentures replace teeth lost due to decay, periodontal disease or injury. They replace the missing teeth, utilizing the remaining teeth to support and secure the removable partial denture. Removable partial dentures are a functional, esthetic and cost-effective means of tooth replacement. They can be removed to clean the denture or the remaining natural teeth. There are different types of removable denture, such as:

  1. Cast partial denture
  2. Acrylic partial denture
  3. Flexible partial denture

Complete dentures replace teeth when all upper and/or lower teeth are missing. They restore the function of eating, restore proper facial aesthetics and help people talk properly. Lower dentures, though more difficult, can restore proper function and comfort. Dental implants stabilize the lower denture better!

 

Another type of denture called the Flexible Denture offers a solution to the pain caused by constant friction between the hard acrylic of the denture and the soft tissues. This type of denture is made of a flexible resin and reduces the rubbing between the two surfaces. As there is no adhesive required it can adjust to the mouth easily rather than rubbing and causing blisters. The unique resin used to fabricate these dentures tends to make them expensive.

 

Root canal treatment

Root Canal Treatment or Endodontics is a procedure that involves the filling of the core of the tooth (pulp) with an inert material.

Your tooth is opened, then your root canal is cleaned and shaped

Cleaning and shaping your root canals

First, your dentist makes an opening in your tooth and removes any fillings and decay. Then your dentist removes unhealthy pulp with tiny, flexible, files. Using delicate, up-and-down motions, your dentist gently cleans and smoothens your canals to prepare them for the canal-filling materials.

Filling your root canals

After the pulp has been removed from your root canals and they have been smoothened, your root canals will be filled. Your dentist may fill the canals with tiny cone-shaped pieces of gutta-percha, a firm, rubber like material, or use another dental material. A sealer cement is used to seal the filling material into place.

Restoring your Tooth

After the inside of your tooth has been treated, the outside will be restored. To protect your tooth’s underlying structures and give your tooth a healthy appearance, and if your tooth needs extra support, your dentist may remove some gutta-percha and insert a post before the filling and crown are applied.

A post, stainless steel or another metal, is sometimes cemented into your root canal to build up your tooth after root canal therapy. A filling, usually silver or a tooth-colored dental material, may be used to fill the opening in the top of your tooth. A crown, usually gold or porcelain, may be used to cover a tooth that has a large opening after root canal therapy.

DENTAL Hygiene

“Gum disease begins with plaque depositing on your teeth, without you being aware of it.”

Our mouth is full of bacteria. These bacteria, along with saliva and other food particles, constantly form a sticky, colorless “plaque” on teeth. Proper brushing and flossing can remove plaque. When it accumulates to excessive levels and is not removed, it can harden into a substance called tartar (calculus) in as little as few days. Only a professional cleaning by a dentist or dental hygienist can remove tartar.

“Gingivitis and periodontitis are the two main stages of gum disease.”

Inflammation of the gums caused by bacteria is called as ‘gingivitis’. In this condition the gums become red, swollen and can bleed easily, often during tooth brushing.

Daily brushing and flossing, and regular cleaning by a dentist or dental hygienist, could be all that is needed to prevent gum disease and can actually reverse the early stages of the disease and help you keep your teeth for a lifetime. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

If gingivitis is left untreated, it can lead to inflammation around the tooth and is called ‘Periodontitis’. In Periodontitis, the inner layer of the gum and bone pull away from the teeth (recede) and form ‘pockets’ that are infected. Periodontal diseases range from simple gum inflammation to serious disease that result in major damage to the bones, gums, and connective tissue that support the teeth. In advanced cases the teeth eventually become loose and have to be removed.

If gingivitis is left untreated, it can lead to inflammation around the tooth and is called ‘Periodontitis’. In Periodontitis, the inner layer of the gum and bone pull away from the teeth (recede) and form ‘pockets’ that are infected. Periodontal diseases range from simple gum inflammation to serious disease that result in major damage to the bones, gums, and connective tissue that support the teeth. In advanced cases the teeth eventually become loose and have to be removed.

Plaque is the primary cause of periodontal disease, but some other factors can increase the risk and severity of gum disease. They are:

Smoking It is one of the most significant risk factors associated with the development of gum diseases. Smoking can lower the chances of success in some treatments. The percentage of periodontitis in smokers is seven times more than in nonsmokers.

Hormonal changes in girls/women. Hormonal changes make gums sensitive and easier for gum diseases to develop.

Grinding teeth – Due to excess force on the teeth, the rate of destruction of the supporting tissues of the teeth increases.

Diabetes – Diabetic patients are at higher risk for developing periodontal disease because they are more prone to get infections.

Stress can lower down your body’s immune system to fight infection, including gum disease.

Some medication like anti-depressants, anti-convulsion and some anti-angina medicines, reduces the amount of saliva flow and this can affect your oral health as saliva plays a protective role on teeth and gums.

Illnesses that interfere with your immune system such as AIDS or cancer can also affect the oral health.

Genetic factor – Some individuals are more prone to get severe gum disease than others.

 

There is a cause-and-effect relationship between periodontal disease and general health:

  • An increased risk of heart attack
  • An increased risk of stroke
  • An increased risk of low birth-weight and premature babies
  • An increased difficulty in controlling diabetes.

The symptoms of periodontal disease often are not obvious; but the condition is not entirely without warning signs. Few symptoms include:

  • Tender, swollen, or red gums
  • Gums bleed during and after tooth brushing
  • Gum recession
  • Bad odour / halitosis or bad taste in the mouth
  • Deep pockets are formed between teeth and gums
  • Loosening and shifting of teeth
  • Abscesses (pus oozing from the gums)
  • Gums bleed during and after tooth brushing
  • Gum recession
  • Increase in spacing between teeth
  • Sensitivity or Pain in teeth due to exposure of the roots by gum disease

Some degree of gum diseases persists without any symptoms and some individuals have gum disease only around few teeth such as the back teeth, which they can’t see. Only a dentist or a periodontist can recognize and determine the sequence of gum disease.

 

  • Your gums are checked for swelling, bleeding and firmness.
  • The teeth are checked for mobility and sensitivity.
  • Assessment of your bite is done.
  • Full-mouth X-rays (OPG) can help to detect bone loss surrounding your teeth.
  • Periodontal probing determines the pocket depth.
  • “The deeper the pocket, the more severe the disease.”

Some of the things you can do to prevent periodontal diseases:

  • Brush your teeth twice a day
  • Floss every day
  • Visit your dentist regularly for a check-up and professional cleaning
  • Eat a well balanced diet

Six month smiles

How is it different from traditional orthodontics?

6 month smiles is an affordable alternative to the train track appearance of conventional orthodontics. In less than half the time required by the comprehensive orthodontics it can correct crooked, protruding, rotated, overlapping or spaced teeth.

Retention

In order to keep your teeth in the desired position fixed and removable retainers will be required like any other orthodontic treatment.

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Invisalign

As the name suggests, Invisalign is a series of clear removable aligners customised specifically to fit your teeth.

How is it different?

If you would like to straighten your teeth without anyone knowing then Invisalign would be your choice of treatment. The aligners can be removed during eating and brushing.

Retention

In order to keep your teeth in the desired position fixed and removable retainers will be required like any other orthodontic treatment.

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Porcelain Veneers

What are porcelain veneers?

Veneers also known as laminates are thin shell like coverings similar to artificial finger nail which are used to cover crooked, chipped or stained teeth.

Procedure for porcelain veneers

it requires two easy dental visits with minimal preparation of your natural tooth structure.  the visit will involve reshaping of the affected tooth under local anaesthetic, after which an impression of the prepared tooth is taken for fabrication of the mould. In the next visit the actual fitting of the veneer will be done with the a cement.

Advantages of porcelain veneers

The main advantage of these veneers is their longevity and can last up to 10 years . apart from that they impart a very natural appearance, maintain the natural tooth structure, less likely to become stained and discolored, straighten crooked teeth or close gaps where braces are not suitable. there are practically no disadvantages of porcelain veneers.