ADVANCED RESTORATIVE CARE
Feel reassured that if you have a complex dental problem, the team at St Mawes Dental are qualified and trained to look at the variety of options available to you.
Dr Nina Khaira is one of the most qualified restorative dentists in the South West and the only dentist who holds a Masters in Aesthetic Dentistry from King's College, London.
TEMPOROMANDIBULAR JOINT PROBLEMS
The TemporoMandibular Joint is the joint that allows your jaw to open and close. When the jaw opens, there is a hinge movement to drop the jaw, but also a sliding movement to bring it slightly forwards. Muscles attached between the jaw and the skull contract and relax to move the jaw.
Discomfort in the jaw is a common problem and there are many possible causes. The most common symptoms experienced with TMJ dysfunction include pain and clicking in the jaw, earache, discomfort in the face, headaches and difficulty with biting and chewing. The causes of these symptoms may be divided into two broad groups: problems with the function of the muscles, and problems within the joint. Sometimes the muscles working the jaw become overactive, a condition called parafunction. It is not known exactly why this occurs, but there are many effective treatments available. Other problems with the TMJ include increased sensitivity to pain, inflammation, arthritis and injury.
Rest, painkillers, exercises, orthodontics or a splint to prevent you grinding your teeth at night are all common treatments.
At St Mawes Dental, we will discuss your symptoms in detail with you together with your treatment options. The treatment your dentist recommends will depend on your symptoms and what is found when your teeth and jaw are examined.
To make an appointment, please call us on 01326 270392.
When the soft tissue inside your tooth becomes infected or damaged, you may require endodontic treatment.
At St Mawes Dental we routinely carry out root canal treatments, which are a form of endodontic therapy. Endodontic treatment is delicate and complex and our team is highly trained in this field.
Dental pulp or soft tissue can become damaged or infected when the outside of a tooth breaks or chips or when dental restorations (such as a bridge or dental crown) come loose or are damaged. A dental nerve infection can be very painful, resulting in swelling of the gum and face, nerve damage or an abscess.
Where you require further specialist treatment, we can refer you to an endodontist. These are specially trained dentists who have undergone additional training and study to focus on this area.
To make an appointment, please call us on 01326 270392.
A bridge is used to replace a missing tooth or teeth. It is a strong and stable solution to fill gaps in your teeth, restoring function and appearance.
When you lose a tooth, it can cause discomfort, problems when eating and might affect your confidence. That is why at St Mawes Dental we offer a number of solutions to replace missing teeth with natural-looking, resilient prosthetic alternatives.
If you require a traditional dental bridge, crowns will be placed on the teeth adjacent to the gap. The prosthetic or false tooth will then be placed into the gap and will be supported by the crowns. Once these restorations are fitted into the mouth, they will be fixed with a special adhesive for a permanent result.
Other types of bridges include:
A cantilever bridge, which is held in place by one natural tooth instead of two.
A resin-bonded bridge which is bonded to the supporting teeth via a metal framework.
Bridges can be made of metal or porcelain and will be created specifically for you in our laboratory.
Benefits of Bridges
At St Mawes Dental, your dentist will give you all the advice and information needed prior to the fitting of a bridge. There are a number of benefits to a dental bridge, including:
Replaces a missing tooth to enhance function and appearance
Long lasting and durable
Natural appearance and feel
Subtle and unnoticeable
To book an appointment, please call us on 01326 270 392.
Dental implants are a permanent, strong and natural-looking replacement for missing teeth. Embedded into the jawbone, they are made of two parts: a titanium screw and a prosthetic tooth.
At St Mawes Dental we are experienced and skilled in the assessment and placement of dental implants to help restore patients’ appearance and functionality. We work closely with the only specialist practice in Truro where we work closely with an implant dentist who has used this treatment on a frequent basis with high levels of success.
Losing one or more teeth can have a severe impact on an individual’s self-confidence as well as their ability to eat, chew and speak normally. Dental implants are therefore the ideal solution for patients who are struggling with the loss of their teeth.
Once we have examined your mouth and jawbone thoroughly – using x-rays and occasionally CT scans – we will be able to ascertain whether you are a suitable candidate for dental implants. If you are, a titanium screw will be embedded into your jawbone. This is to act as the new ‘root’ for your prosthetic tooth or teeth. Once the site of the screw has healed (which can take a few months), the dentist will attach a false tooth or teeth to the screw.
Implants are durable and proven to last for a number of years.
Single Tooth Implant
If you have lost one tooth at the front or back of the mouth and would like the gap to be filled, a single tooth implant is a great solution.
Blending into the mouth and functioning as a normal tooth, many patients prefer implants to a bridges these have been found to last much longer and there’s no need for treatment on the surrounding teeth.
The prosthetic tooth will be colour-matched to your surrounding teeth and once attached to the screw, can last a lifetime if cared for properly.
Implant Retained Dentures
Dentures are often used when a patient has lost a number of teeth in a row or have lost all their upper or lower teeth.
Implant retained dentures are simply where a denture appliance is held in place by implants which are embedded into the jaw. This significantly reduces the chance of a denture slipping out of place or rubbing against the gums as it is held by clips attached to the implants.
If you opt for implant retained dentures, we will assess the suitability by taking x-rays or referring you for a CT scan to determine the viability of your jawbone.
A number of screws (or implants) will then be placed into the jawbone in order to act as a foundation for the dentures. While your mouth heals, we will provide you with temporary dentures but once ready, your new dentures will be fitted.
As with normal dentures which are held in place by adhesive, you can still remove your implant retained device for cleaning.
To book your appointment, please call us on 01326 270392.
CHANCE OCCLUSAL PROBLEMS TO TOOTH WEAR
Tooth wear occurs when the enamel outer surface of the tooth erodes exposing the inner dentin layer. Tooth surface wear is classified as erosion, abrasion and attrition depending on the cause.
Factors contributing to tooth wear include dental injury, tooth decay, unsafe teeth whitening, incorrect teeth brushing technique, high acid and sugar diet, and teeth grinding.
To book your appointment, please call us on 01326 270392.
Dental erosion may be caused by excessive dental bleaching or unsafe teeth whitening without dentist supervision. Other contributing factors include consumption of excessive acidic and sugary foods such as citrus fruits and fizzy drinks.
Health conditions may also cause dental erosion, such as acid reflux disorder, alcoholism, bulimia and anorexia nervosa. The enamel outer tooth surface is eroded by acid that exposes the nerve-containing dentin layer, making teeth feel highly sensitive to hot and cold temperatures of food and air.
Treating Dental Erosion
Dentists strive to treat dental erosion preventively and through dental restoration. Assessing a patient's health holistically enables dentists to identify medical conditions that are contributing to dental erosion. Providing patient referral and having these medical conditions treated may reduce dental erosion.
Dietary advice may also help patients consume a more balanced diet by reducing acidic and sugary food intake and lowering risk of dental erosion. Dentists may recommend chewing sugar-free gum to increase saliva flow and neutralise acid content.
To restore teeth damaged by dental erosion patients are provided tooth restoration treatment options including composite fillings, dental crowns, inlays and onlays. Where dental erosion produces teeth cavities with dental pulp infection, root canal treatment may be necessary to remove infection from the root canal and prevent spread of infection.
Tooth abrasion results from improper teeth brushing technique, when the hard toothbrush bristles excessively wear down the outer tooth surface layer. Dentists provide patients with guidance on proper teeth brushing technique to prevent dental abrasion.
Dental abrasion causes oral trauma, not just to the teeth but also gum tissue. The gums surrounding the teeth may recede exposing the inner dentin layer of teeth and tooth root surfaces. Leaving dental abrasion untreated increases tooth sensitivity and poses an increased risk of developing oral disease.
Treating Dental Abrasion
Prevention is better than cure and following recommended teeth brushing techniques helps to reduce dental abrasion. Using a soft-bristled toothbrush rather than a hard-bristled one, or using an electric toothbrush, lower the risk of dental abrasion and resulting oral trauma.
Where gums have receded dental composite may be used to fill the area if dentin is exposed. Dental composite fillings restore tooth structure, reduce tooth sensitivity and prevent tooth decay.
Bruxism is the dentistry term used to describe teeth grinding that causes tooth attrition. Tooth attrition results from teeth grinding, flattening the dental cusp surface and eventually exposing the inner dentin layer. This makes the teeth more sensitive or painful than usual.
People suffering from bruxism may grind their teeth when awake out of habit or during sleep. Untreated tooth attrition may lead to further dental trauma, improper bite and oral infection, which is why it is important to treat bruxism conditions.
Treating Dental Attrition
Typical treatments for bruxism and to reduce the risk of tooth attrition include wearing a night or mouth guard to prevent excessive tooth contact. Having damaged teeth restored with dental restorations such as crowns, onlays, inlays and fillings can also help.
Night or mouth guards are custom-made to suit the individual's teeth grinding condition and oral dimensions. Similarly, teeth restorations are made bespoke to restore unique dental structure and enhance teeth appearance.
If left untreated teeth grinding may cause severe dental damage and tooth attrition. This includes damage to teeth restorations such as crowns and fillings. Shielding the teeth with a night or mouth guard protects teeth from wear, improves health and reduces dental treatment costs.
Screening for Tooth Wear
Attending regular dental check-ups will enable dentists to screen patients for tooth wear. If any is identified the dentist can appropriately diagnose the cause and type of tooth wear and provide treatment recommendations.
Each type of tooth wear –dental erosion, dental abrasion or dental attrition – requires different dentistry procedures. And some individuals may suffer from one or more of these teeth wear conditions.
Diagnosis and Tooth Wear Treatment
An individual suffering from a medical condition that causes dental erosion may need referral to a General Practitioner (GP) for treatment.
People suffering from bruxism and acid reflux disorder may not be suited to treatment with a night or mouth guard that retain excessive acid on the tooth surface. Stress and anxiety can cause bruxism and dentists may recommend patients receive medical treatment for their anxiety levels along with dental treatment.
Treating tooth wear usually involves dental restoration and prevention of future dental wear. Dentists strive to preserve existing tooth structure and oral health by providing dental restoration treatments to re-build and strengthen tooth structure, including composite fillings, inlays, onlays and dental crowns.
Educating about the causes of dental wear and prevention enables patients to engage in lifestyle practices that enhances their well-being. This includes consuming a balanced, healthy diet and cleaning teeth with a soft-bristled toothbrush.
St Mawes Dental provides patients with information about tooth wear and screening. After the cause of the problem has been diagnosed, comprehensive care is offered. An early diagnosis is essential so that simpler treatments, including monitoring and prevention, may be provided.
Sometimes more complex treatments may be necessary to restore satisfactory function and deliver a good aesthetic result.
To book your appointment for us to assess your oral health, please call us on 01326 270392.