White Fillings & Inlays
Nowadays, modern dentistry strives to be as cosmetic as possible. This mantra extends to fillings too. We try, where feasible. to use white filling materials in all dental cavities. The modern materials are very strong, durable, and are able to match the natural tooth colour very closely. Back teeth as well as front teeth can be restored with these materials, and as techniques get better and better, the ability to create perfectly matching fillings, is readily achievable.
Whether it is a new cavity that needs filled, or replacement of an old silver/grey amalgam filling, we can make a significant difference to your smile by using cosmetic filling materials.
Where the fillings are very large, but there is still a significant amount of tooth left, we may have to place an inlay rather than a direct filling.
The old filling is removed, and an impression taken of the cavity, and the laboratory will make us a “filling” (inlay) to fit the cavity. These inlays are usually made of porcelain, and are very strong and cosmetic, and are glued into place with special tooth coloured adhesives.
They are very useful in situations where we would like to preserve the remaining natural tooth substance rather than cut some of the tooth away for a crown.
Periodontics refers to the treatment of gum disease. Gum disease is one of the most common diseases in the world, and it is worth remembering that most teeth that are lost nowadays, are as a result of gum disease. Prevention of destructive gum disease (periodontal disease) is one of our primary objectives in modern dentistry.
Good gums are essential for the overall health and wellbeing of your teeth and mouth. We monitor your gums at every check up, and for the vast majority of patients, we recommend that they see our hygienist for a scaling and oral hygiene instruction. She will remove the deposits of plaque and tartar on your teeth, and explain the best techniques for cleaning your teeth and cleaning between your teeth.
By monitoring your gums, we are able to detect any changes in your gum condition that would require further intervention. In such cases, we may recommend further treatment with the hygienist to thoroughly “deep” clean underneath your gums (using local anaesthetic) and use some “Periochip” (a small gel chip impregnated with antiseptic) to help disinfect under your gums.
We also recommend that if you are a smoker and you have significant gum problems, that you cease smoking if possible to prevent further damage to your gums.
Crowns (or caps) are used as a tooth shaped “thimble” to cover heavily restored teeth or badly broken or misshapen teeth. By covering the remaining tooth, they act as a protection to the underlying tooth. Modern cosmetic crowns are made of a ceramic core and porcelain, and have superb aesthetics. They can be placed on top of existing teeth or an implant.
Older type crowns have a precious metal core with porcelain on top. For non cosmetic areas of the mouth, in some circumstances we still use gold to cover the tooth.
Crowns can be used in smile makeovers to match in with teeth, veneers and implants.
The treatment normally involves 2 visits. The first visit is for preparation of the tooth by reshaping it to a suitable form; an impression is taken and sent to the laboratory, and a temporary crown placed over the prepared tooth. At the second visit, the crown is glued into place.
A bridge is used to restore a gap in the mouth, by putting crowns on the teeth on either side of the gap, and then joining these crowns together with a “false” tooth in the space.
An impression is taken of the prepared teeth, and a bridge made in the laboratory. This is then cemented into place with dental adhesives and is a permanent solution that cannot be removed.
Bridges can be made from a precious metal core and porcelain, or a ceramic core and porcelain, depending on the required aesthetics.
Alternatively, in some situations, an adhesive bridge can be made with wings that are bonded on to the back of the adjacent teeth. Usually very little drilling is required for these bridges.
Bridges can only be done if the teeth are strong enough and the bone support is good. In some circumstances bridgework is inappropriate, and alternatives such as dentures or implants may be indicated.
A porcelain veneer is a thin layer of porcelain placed over the front of a tooth, similar to a false fingernail. They are used to improve the colour, shape and position of your teeth and are often used in smile makeovers to improve the look of your teeth. A small layer of the outer enamel is removed, and is subsequently replaced with the veneer, meaning that the teeth are of a similar thickness after completion of the restoration. Very strong glues are used to bond the veneer on to the tooth and rarely give problems afterwards. With due care and attention, veneers should last for several years before requiring replacement.
Below are some photos of veneer cases
Tooth whitening (or bleaching) is a proven method of lightening the colour of your teeth without resorting to using fillings or crowns/veneers etc. A form of peroxide gel is used to lighten the colour of the teeth which may have become darker over time due to smoking, tea ,coffee and red wine staining or other extrinsic factors. The technique is very safe and is one way of having a new look smile without damaging your teeth.
Our preferred method of whitening is to use the home bleaching method with specially made trays that fit accurately around your teeth. The trays are filed with the peroxide gel and moulded closely to your teeth for up to 2 hours daily over 10-20- days. In most cases, a shade change is evident after3-5 applications.
Following a course of whitening, you are able to “top up” your whitening by purchasing more tubes of bleach from us for use further down the line. Most patients re-whiten their teeth every 6-12 months.
Dentures are used to restore mouths that have all or some teeth missing, where it is inappropriate to use bridges or implants.
Dentures are either made of plastic (acrylic) or cobalt-chromium (metal). Modern dentures are well fitting and use aesthetic teeth to make them look as natural as possible.
4 visits are required to make dentures:-
1 impressions of your mouth and associated structures
2 further accurate impressions and measurement of your mouth
3 trying in of the denture in wax
4 fitting of the denture.
A dental implant is a titanium rod which is placed into the jawbone surgically. This rod is then used to support either a new tooth (implant crown) or a denture.
Placement of an implant is dependent on several factors, including the amount of bone present, the shape and quantity of gum tissue, and the size of the gap to be restored.
For large gaps, more than one implant may be required to restore the space, and in the case of dentures, up to 7 or 8 implants may be required to restore a whole dental arch.
Implants have a success rate of around 95%, and are the treatment of choice for many situations, as they avoid the need for uncomfortable dentures, or having to cut down sound teeth for a bridge.
Once an implant has been surgically placed in the bone, it has to “heal” for a minimum of 3 months before the final restoration can be placed. In most cases, a temporary denture/bridge is made to fill the gap temporarily.
Once restored, your implants need good after care for optimal longevity of the restoration. Our hygienist will instruct you on the best way to keep them clean
Introducing the Inman Aligner
Until now, the alternatives to straighten front teeth involved either long and expensive orthodontic treatments or destructive and expensive restorative treatments such as veneers or crowns. Even ultrathin veneers involve heavy reduction of natural teeth when used to align crowding or protrusion.
But with the arrival of the Inman Aligner, all that has changed.
The Inman Aligner is a cost-effective removable orthodontic appliance that moves teeth in a fraction of the time of other systems. It aligns crowded or protruding anterior teeth with two opposing spring loaded aligner bars. This provides gentle but continuous pressure over a large range of movement. Surprisingly, this gentle pressure is the quickest way to move teeth but it also makes treatment very safe and kind to teeth.
People love the speed of treatment and it’s changing the face of dentistry as we know it. The average treatment time is only 4-16 weeks and now with concerns over the economy it’s a more justifiable expense.
Only certified Inman Aligner dentists can provide them. Dr Alistair McPhail BDS of our Practice has achieved this certification and provides Inman Aligners, here in Glasgow.
Dr McPhail; “The Inman Aligner is the greatest innovation in dentistry of recent years. It’s fast, affordable and kind to teeth. It really is the best way to straighten crowded front teeth.”
More Information is available at www.inmanaligner.com