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Click heading for further information |
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| (These leaflets are also available by email request as individual leaflets. Please specify which leaflet you require & your postal address on the email) |
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What is a Cerec restoration?
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A Cerec restoration is a way of repairing a tooth or altering its shape or appearance using the very latest technology. |
| The equipment consists of a camera, a computer and a milling machine: |
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The camera photographs the
prepared tooth |
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The computer then records the image of
the tooth from the camera, and the
sophisticated software allows the
dentist to design the required crown,
veneer or inlay. |
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The milling machine then makes the
crown, veneer or inlay from a block
of tooth coloured material. |
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| What are the advantages of a Cerec restoration? |
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No need for impressions |
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No need to wear temporary crowns |
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The whole procedure is performed in
only one visit |
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The colour of the material used blends
naturally with your own teeth |
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The ceramic material used is a very
close match to natural teeth in terms
of appearance, wear and strength |
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The results are guaranteed for five years |
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The Cerec CAD-CAM (Computer Assisted Design-Computer Assisted Manufacture) equipment is widely used in Germany and the USA, but has only recently come to England.
This new technology, together with the Healozone, air abrasion and the anaesthetic wand have changed the face of cosmetic dentistry. |
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| Please note that although these instructions are aimed primarily at keeping children's teeth healthy, they are valid for all of us! |
DRINKS
Acid drinks cause quite a lot of tooth erosion in children. Sweetened drinks also cause decay. Carbonated or fizzy drinks are very acid. So are fruit juices. Diet varieties of fizzy drinks are also acidic, but don't usually have much sugar. Diluting squash does not affect the acidity, but does affect the sugar concentration. Therefore: |
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Try to limit acidic and sugary drinks such as fizzy ‘pop' and fruit juices. |
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If it is impossible to cut these out completely, try to confine them to meal times because the food helps to reduce their effect. |
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Try to encourage alternative drinks when possible, eg water, milk and tea. |
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Walking round with bottles or cans and
‘swishing' the drink round the mouth is
the worst way of bathing the teeth in
acid and sugar. |
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A better way of taking these drinks is
through a straw. |
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Don't allow them last thing at night and
never during the night. |
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The mouth dries up at night and the saliva does not flow as much to wash the teeth. |
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After the last food and drink of the day,
brush the teeth. |
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Don't brush the teeth straight after drinking, but use a fluoride mouthwash and wait a while before brushing. The acid softens the enamel so immediate brushing encourages erosion. The fluoride mouthwash helps to harden
the teeth before brushing. |
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FOOD
This is not an attempt to give you full dietary advice, but simply a few hints. |
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Try to check all foods for sugar content. Sweets, biscuits and cakes are obvious foods that contain sugar, but additionally most processed foods also have some sugar in them. |
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Encourage more meal time eating. Constantly snacking through the day raises the levels of sugar and acid in the mouth, thereby increasing the chances of decay and erosion. |
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If your family have the ‘snack' habit, then try to encourage snacking on fruit and vegetables, eg apples, bananas, summer fruits and carrots. |
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As a rule, the more ‘junk' or ‘fast' food that you eat, the more sugar and acid there is in it, so try to reduce the number of times you give in to this type of food. |
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Many places, especially schools, now have soft drinks machines which are a source of revenue for the organisation. They are not there because people get thirsty, but to make money. So, provide an alternative. Take your own healthier drink or have plain water from the machine. |
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Sports drinks work on an energy build up, so tend to be full of sugar - so you may be the fittest young person with dentures! |
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FILLINGS
We use Composite (tooth coloured) fillings which are set hard using a blue activating light to cure (harden) them. These do not require any waiting time before chewing or eating. |
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CROWNS AND VENEERS
These are held in place with a dental cement or fixative which sometimes takes a while to fully set. Therefore, as with other treatments, avoid chewing or eating for two hours to allow the cement to harden completely.
Provided you are not numb with local anaesthetic you can drink straight away. |
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LOCAL ANAESTHETIC
Local anaesthetic is routinely used in the majority of treatments, although not all techniques (for example air abrasion) require ‘freezing'.
If local anaesthetic has been used for fillings, crowns or extractions please be careful not to eat or drink until the effects have worn off. The lips, and sometimes the tongue, may be numb and care must be taken to avoid accidental chewing or biting of these soft, sensitive parts of the mouth.
It is also easy to burn your mouth with hot drinks, so wait until the numbness has worn off.
Occasionally a local anaesthetic may cause some drowsiness, in which case you should not drive or operate machinery. |
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WHY MIGHT YOU NEED A BITE PLATE?
The bite plate is a device which is designed to help reduce the symptoms created by problems associated with the jaw joints. It may also be used to try to prevent damaging tooth grinding habits which happen most frequently at night whilst you are asleep.
Some plates are intended to be worn all the time but more usually they are worn at night.
The device is specially designed and made to fit each individual to ensure that it is exactly the right shape to be comfortable.
In a large number of cases the plates, if worn properly, will be successful and correct the symptoms. In fewer cases the plate may be the first step in the diagnosis of jaw problems which might necessitate more involved treatment. |
HOW TO USE THE PLATE
It should be worn every night, regardless of how it affects the symptoms, for at least two weeks so that you become accustomed to wearing it.
You should visit the surgery again at the end of this two week period to enable us to check the plate, and discuss its effect. This gives us the opportunity to alter the plate if necessary.
Unless otherwise instructed the plate should then be worn nightly (possibly starting after the last meal of the day) for a two month period. You will be fully awake, but will be given an injection of local anaesthetic to numb or freeze the mouth. You are not expected to feel any pain, but you do feel different sensations which do not bother most people. |
WHAT HAPPENS NEXT?
If the symptoms have settled at the end of two months, try wearing the plate every other night and see if the symptoms remain settled. If this proves to be successful, then after a few more days try leaving the plate out for two nights out of three until you don't require it at all.
If the symptoms have not settled but are much better, keep wearing it every night and arrange an appointment to have a review.
If the symptoms do not improve or get worse, then do not suffer. Arrange an appointment to review as soon as you can.
Do not lose your plate or throw it away because your symptoms may return in the future and it may be possible to use the plate again or, if it has become worn or damaged, to copy its design. |
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ADVICE FOR PATIENTS HAVING A SURGICAL DENTAL PROCEDURE |
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| WHAT TO EXPECT DURING TREATMENT |
| You will be fully awake, but will be given an injection of local anaesthetic to numb or freeze the mouth. You are not expected to feel any pain, but you do feel different sensations which do not bother most people. |
| WHAT YOU HAVE TO DO AFTER TREATMENT |
Rest, avoid alcohol and excessive exercise.
If you have been given antibiotics, take them following the instructions given. Not everyone needs antibiotics.
DO NOT rinse your mouth for 24 hours following an operation. After that time use hot salt water mouth washes at least twice a day. (Dissolve 1 tsp of salt in a mug of hot water.) Be careful not to scald yourself.
When to return to work depends on the type of operation you have had, and your occupation. |
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| IF YOU HAVE ANY PROBLEMS |
| If you need advice or help please contact the surgery reception. If it is out of normal surgery hours and a genuine emergency, there is a number on the surgery answer phone for you to contact.If you need advice or help please contact the surgery reception. If it is out of normal surgery hours and a genuine emergency, there is a number on the surgery answer phone for you to contact. |
| IMPORTANT NOTE |
This leaflet is only a general guide and reinforces some of what you have been told. Not all the information may apply to your treatment and should be considered in conjunction with the verbal information given to you before your operation.
If you are unclear about any aspect of your proposed treatment, please ask to speak to myself or any member of my staff. |
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| What is the Healozone? |
| It is a machine which generates ozone gas. It has a soft nozzle which fits over the tooth to create a seal so that the gas can be administered for a few seconds to heal the decay in the tooth. There is no need for an injection and the process is pain free. Amazing and hardly believable, but happily it is quite true; it actually works. |
| How does it work? |
The earth has an ozone layer surrounding it which protects us from excessive ultra violet radiation from the sun. It is also present naturally at high altitude so the ‘fresh air' smell that skiers and mountaineers love, and the smell which is present after thunderstorms is ozone. It has been used in medicine for years to sterilize things because it effectively kills bacteria, viruses and fungi. It has only recently been shown to be effective on decaying teeth. |
| How long will the treatment take? |
It is quick and painless. The process involves cleaning the tooth surface before using the Diagnodent, followed by a few seconds of ozone gas on to the tooth. It is all over in a matter of minutes and you will be given some simple after care instructions, together with information about which tooth has been treated and its Diagnodent reading. |
| Will a Healozone treated tooth ever need to be filled? |
The majority of teeth treated this way will not require to be filled. In fact, research shows that once the Healozone has been used on a tooth it is less likely to decay again. However, we are going to keep our own data on all the treated teeth and will monitor them frequently. The results will be published in our newsletter.
If the decay is very advanced the tooth will not only look discoloured but will actually have a sizeable hole which may require a filling for aesthetic reasons. In this case the tooth may be left for at least 3 months after treatment to allow it to harden up and remineralise, ie heal, to place the filling more effectively. We will usually know before using the Healozone if a tooth will also need a filling and the timing of this can be planned in advance. However, regular check ups will ensure that your teeth do not reach this stage and decay can be treated in its infancy. |
| Why doesn't every dentist have one? |
It is very new on to the market following its exceedingly successful clinical trials and there is no allowance available for it on the NHS. Consequently its use is limited to private practice. At the time I ordered this one, there were only 20 available in the UK so I had to state my case to the manufacturers and, fortunately, was successful. |
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| What is Ozone Gas? |
The earth has an ozone layer surrounding it which protects us from excessive ultra violet radiation from the sun. It is also present naturally at high altitude so the ‘fresh air' smell that skiers and mountaineers love, and the smell which is present after thunderstorms is ozone. It has been used in medicine for years to sterilize things because it effectively kills bacteria, viruses and fungi. It has only recently been shown to be effective on decaying teeth.
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| How do you know that the Healozone has worked? |
An instrument called a Diagnodent is used to measure the decay present. This is a lazer light which can be shone on to the tooth to determine the amount of decay. This reading is recorded and checked again at subsequent check ups to ensure that the tooth has healed. We will keep a record of the teeth treated and their readings and will publish this data in our newsletters so that the treatment can be evaluated by patients.
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| Does it have any other benefits in addition to repairing damaged teeth? |
Yes it does, because it may be possible to use it in root canal work, and for treating gum disease and soft tissue lesions of the mouth. However, as yet these are still being researched and until positive data is available its use will be limited to the treatment of decay. We will, of course, update you if anything changes. |
| Is it safe? |
Yes, totally. The gas is given in very small amounts in a sealed unit. The ozone, once used, breaks down into carbondioxide and water as harmless biproducts which are sucked away by the Healozone. Quite harmless and painless. |
| As an adult with lots of fillings, is it any use for me? |
The answer is that it may become useful as it develops. The Diagnodent, which is currently used in conjunction with the Healozone, can only be used on unfilled teeth, so x-rays are the only way to monitor progress on filled teeth - which is not a very accurate method. The speed of research in this field is progressing very rapidly, so I am sure the role of the Healozone will increase and become useful in several ways. |
| How much does it cost? |
The course of treatment for a tooth is cheaper than filling a permanent tooth. Please ask a member of staff for details |
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WHAT TO DO IF A TOOTH IS KNOCKED OUT
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All cases of trauma should be checked by a dentist as soon as possible.
If the root is broken or it is a baby (first) tooth, this does not apply.
Don't panic, but act quickly, following these simple guidelines: |
When one or more of the front permanent teeth are completely knocked out it is essential to gain treatment immediately to have any chance of success.
Pick the tooth up carefully, holding it by the crown (the shiny part you normally see in the mouth). If the tooth looks dirty, don't worry about cleaning it, but if it is badly contaminated by mud or dirt, quickly rinse it gently under warm tap water. Do not scrub it or touch the root unnecessarily and do not use any disinfectant or cleaning agents.
Holding the tooth by the crown, and making sure it is the right way round, it is possible to replace the tooth into the socket provided the patient is not too distressed. This is not usually painful if done quickly. Bite gently on a clean handkerchief or pad to keep the tooth in place.
Don't waste time if this is not immediately successful. Instead:
Place the tooth under the tongue to keep it moist. If the patient is anxious or distressed it can be placed in a cup of milk if available.
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Do not put it into water or disinfectant.
Do not wrap it in wet or dry cloths.
Do go to the dentist as soon as possible.
If you have managed to replace the tooth, put it under the tongue or keep it in milk; it may be possible for the dentist to secure the tooth to allow it to refix into its socket. It will then, of course, require further treatment.
For the greatest chance of success it is best to re-implant the tooth within 30 minutes provided it has been kept properly. However, it is still worth doing up to 12 hours after the accident.
These teeth must be treated without delay if they are going to have any chance of surviving, so please act quickly but calmly if a child has an accident, and one day that child may have cause to thank you.
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