TREATMENTS

At Crown Street Dental Group, Brentwood, we have experienced dental practioners and specialist clinicians providing all dental treatments and facial aesthetics in a calming and relaxed environment

GENERAL DENTISTRY

Routine care
Emergency treatment
Root Canal Therapy
Oral Surgery
Snoring and sleep apneoa
Tooth wear/grinding
Childrens Dentistry
Routine care

At your check-up, Genevieve, Damian or Anish will:

  • Carry out a full examination of your mouth, teeth and gums
  • This includes an oral cancer screening
  • They will ask about your general health and any problems you have had with your teeth, mouth or gums since your last visit
  • Ask about and give advice on your diet, smoking and drinking
  • Ask about your teeth cleaning habits and give you advice on the most appropriate ways to keep your mouth, teeth and gums healthy
  • Explain any risks, as well as dental costs, of all treatment you may need
  • Discuss with you when your next visit should be

Many of us have got used to going to the dentist every six months but you might need to go more often or less often than this depending on how healthy your mouth and teeth are. Your dentist should talk to you about when you should have your next appointment.

If you have any problems with your teeth between check-ups, please contact us to make an earlier appointment

Emergency treatment

At Crown Street Dental Group, if you’re in pain or have sustained a dental injury, we always aim to provide you with an emergency dental appointment usually within 24 hours. We will arrange to see you on the same day wherever possible.

We have a late evening one day a week and also offer Saturday appointments.

If you require assistance out of surgery hours, please call 01277 221014 where instructions are given on our answerphone.

You can also call NHS 111 to find an out-of-hours dental service near you

Please do not contact your GP, as they will not be able to offer emergency or out-of-hours dental care.

If you are in pain while waiting to see a dentist, NHS 111 will offer self-care advice.

Emergency treatment options for an injury:

If a tooth is loosened or knocked out, your dentist will check to see if the tooth can be re-fixed or re-implanted.

An X-ray may be taken to check the severity of your injury and determine whether there are any pieces of broken tooth left in your gum.

 

For a chipped tooth, the severity and location of the chip will determine what treatment your dentist recommend. Treatment could range from building the tooth up with a filling, to more extensive treatment such as root canal, a crown or both.

Emergency treatment options for a toothache:

It is essential to see a dentist as soon as possible if you are in pain from toothache, or if you suffer a dental injury.

In case of extreme pain or an injury that requires immediate attention, contact Crown Street Dental Group to book an appointment and for any initial advice. If your condition requires treatment, your dentist will discuss your options with you.

 

 

 

 

Root Canal Therapy

What is root canal?

The root canal is the area inside the center of the tooth that houses the nerve and blood supply. This becomes a larger space towards the top of the tooth known as the ‘pulp’, some teeth have only one root canal whilst larger teeth towards the back of the mouth can have up to four.

When would I need root canal treatment?

Root canal (or endodontic) treatment is needed when the pulp becomes affected by decay or trauma. In these situations, it can become infected leading to inflammation and pain. In more severe cases the tooth can become ‘non-vital’, which means that it loses its blood supply altogether. Once the pulp becomes infected, the bacteria can spread through the root canal system and lead to the development of an abscess.

What does the treatment involve?

Root canal treatment aims to remove infection and debris from the infected tooth. It is a skilled and time-consuming procedure that usually requires two or more visits. This treatment is complex because the dentist is working inside the tooth to very small tolerances. Root canal treatment consists of the following stages:

  • Removing the remains of the infected pulp and, if an abscess is present, allowing it to drain
  • Cleaning and shaping of the root canals ready for filling
  • Putting in a temporary filling
  • Checking the tooth at a later visit, to ensure that the infection is cleared and if so, filling the canal/s permanently
  • Restoring the rest of the tooth

Do root treatments always work?

Root canal treatments are usually successful in 80-90% of cases and the infection is eradicated. If infection recurs, the treatment can be repeated in 10-20% of cases it would be necessary to lose a tooth.

Are root canal treatments comfortable?

As with all modern dental techniques, local anesthetics make root canal treatments comfortable. Your experience of having this kind of treatment should be little different to that of having a normal filling, sometimes the treated tooth can be tender to pressure, such as biting for a day or two after the treatment. This usually subsides quite quickly.

Will Root canal treatment change the colour of my tooth?

A tooth that has had root treatment can darken in colour over time. This used to happen more frequently than it does today since modern techniques have improved the process. If there is any discoloration, there are several treatments that can be undertaken to give the tooth a more natural appearance. For example, it is possible to lighten root treated teeth, or alternatively your dentist may suggest that the tooth should be crowed or veneered.

Will my tooth be weakened by the tre

Oral Surgery

Oral surgery refers to any medical procedure performed on the mouth with specific regard to the teeth, jaw, and/or gums. Depending on the type of procedure being performed, it may be done by your general dentist here at Crown Street Dental Group (a tooth extraction, for example), or by an oral surgeon, we have Dr Jag Dhanda who is a Maxillofacial/Head and Neck Surgeon in house, or we sometimes refer out to a hospital or clinic setting.

Oral-Maxillofacial Surgeons are specialists in oral issues, which involve the mouth, and maxillofacial issues, those which involve the jaw and face. The qualification requirements for such a specialist include a dual qualification in dentistry and medicine, as an Oral-Maxillofacial Surgeon must be able to treat conditions which require knowledge and expertise in each field. These conditions include but are not limited to diseases of the salivary glands, cancers of the head and neck, issues affecting the oral mucosa including infections and ulcers. Some Oral-Maxillofacial Surgeons choose to concentrate on one of these areas in order to become a sub-specialist in the broader field. You may be seen by an Oral Surgeon or an Oral Maxillofacial Surgeon depending on the nature of your referral, and what hospital you are attending.

Oral surgery performed in a dental practice is quite common and requires only a local anaesthetic. Many people don’t realise that simply having a tooth extracted is a form of oral surgery. There is no need to let the term frighten you or make you feel apprehensive.

A dentist will normally refer patients to an oral surgeon for issues such as treatment of wisdom teeth, complex extractions, correction of congenital growth defects or if you have a complicated medical history. An oral surgeon is trained and skilled in the following procedures and many others.

Types of treatment

  • Removal of impacted and/or diseased teeth
  • Placement of dental implants
  • Correcting facial trauma to the jaw/mouth area
  • Evaluation and treatment of pathologic conditions such as cysts/tumors of the mouth or face, severe oral infections, etc.
  • Diagnosing and treating facial pain caused by temporomandibular joint issues or other types of joint problems
  • Performing cosmetic or reconstructive surgery involving facial bone, the jaw, or the soft tissue of the face which may result from the removal of tumors or cysts, or from facial trauma
  • Performing Orthognathic (Corrective Jaw) surgery to improve issues with breathing, chewing, or talking
  • Undertaking procedures with general anaesthesia in combination with a trained anaesthetist
  • Prescribing the necessary medications following a procedure including pain management medications, antibiotics, etc.

There are other services an oral surgeon may perform, and your dentist will be able to advise, inform, and refer you should any procedure be deemed necessary.

Snoring and sleep apneoa

Knowing the difference between habitual snoring and Obstructive Sleep Apnea (OSA)

Snoring is the result of tissues in the throat relaxing enough that they partially block the airway and vibrate, creating a sound. Depending on an individual’s anatomy and other lifestyle factors such as alcohol consumption and body weight, the sound of the vibration can be louder or softer.

Snoring is more common in people with a large tongue, long soft palate, large uvula, or large tonsils. Snoring is also more prevalent in people with a receding chin because there is less space in the back of the throat for the soft tissues and tongue.

If you are a habitual snorer, you not only disrupt the sleep patterns of those close to you, but you also impair your own sleep quality.

  • As much as 30 percent of people aged thirty and above are snorers. The proportion rises to 40 percent when it comes to middle aged people.
  • Two thirds of partnered adults say that their partner snores.
  • There is an approximate ratio of 2:1 sufferers of snoring amongst men to women. However, this gap catches up after women reach menopause.
  • 6% of children snore habitually.
  • Approximately one half of all patients who have essential hypertension are also afflicted with obstructive sleep apnoea. In addition, approximately one half of all patients who have sleep apnoea have essential hypertension.

Loud frequent snoring is one of the indicators of Obstructive Sleep Apnea (OSA), which is a chronic condition characterized by pauses in breathing or shallow breaths during sleep. When people with OSA fall asleep, they can stop breathing for a few seconds to a minute or more. Both conditions can be caused or made worse by obesity, large tongue and tonsils, aging and head and neck shape.

If you or your partner is a frequent loud snorer, stops breathing, gasps or chokes during sleep, experiences excessive restlessness at night or feels sleepy during the day, you may want to bring it up with your doctor to see whether a sleep study is necessary. Taking this first step to get tested prior to beginning any treatment prevents inaccurate self-diagnosis, inadequate treatment, and/or premature dismissal of the problem. Your GP will be able to refer you to a sleep specialist.

Snoring and how we can help:

You might be pleased to know that dentistry may have a solution for you. A selection of Mouth guards/appliances are available to help reduce or stop snoring all together. These will address your snoring problems by preventing the lower jaw from dropping back during sleep, thereby preventing the closure of your airways, which will stop you from snoring.

These appliances are made from scans taken of your teeth which are sent to our dental lab who specialise in these appliances, they will be custom made to ensure they fit you comfortably. The material used to make these is a hard wearing plastic, the mouth appliance is worn at night and works by holding the bottom jaw in a slightly forward position. This position opens up your airway significantly allowing you to breathe better and as a result sleep better too.

More and more people are seeking advice from their dentist rather than their GP when it comes to snoring. There is now greater awareness of the medical side effects of a disturbed sleep; with the advancement in Dental appliances, which means there is a need for more information on how your dentist can help.

There are many benefits to not snoring, here are few:

  • Waking up refreshed
  • Lower incidence of Headaches due to lack of sleep.
  • Lower incidence of dry mouth and sore throat during the night
  • Less tiredness during the day
  • General fatigue due to a lack of natural uninterrupted sleep
  • Lower risk of obstructive Sleep Apnoea
  • Less incidence of being moody, irritable or depressed
  • Lower incidence of forgetfulness and difficulty concentrating
  • Lower incidence of feeling run down

If you would like to find out more information on how we can help please contact us to book an appointment with Dr Genevieve Edwards to discuss your options.

Tooth wear/grinding

Imagine this: you wake up one morning, head hurting, jaw aching. You begin to wonder what you could have done while in your sleep to cause this pain. Or, you may simply shake it off as a one off headache or pain. However, you wake up the next morning, again in pain. You may need to consult your dentist because you could be suffering from bruxism. Even though you probably have never heard of bruxism, it is a condition that affects many people.

What is Bruxism?

Bruxism is the unintentional grinding of teeth or clenching of the jaw. Bruxism is usually classed on whether it is performed while asleep or awake. Sleep related bruxism is characterized by grinding of the teeth with rhythmic contractions of the jaw muscles. Conversely, awake bruxism involves clenching of the teeth and jaw instead of teeth grinding, sleep related bruxism is usually considered to be worse than awake bruxism, because the sleeping person is not aware of his/her behavior and thus cannot control the intensity and duration.

What Causes Bruxism?

The causes of bruxism are separated into two main categories: primary bruxism, which occurs without having any medical or psychiatric condition causing it, and secondary bruxism, which does have an underlying condition causing it. There are a wide range of known causes or triggers for bruxism. Sleep arousal is one of the primary triggers for bruxism. Many engage in bruxism when they experience periods of arousal, or being partially awoken from their sleep. As a result, bruxism is often associated with sleep disorders such as snoring, breathing pauses during sleep or Obstructive Sleep Apnea (OSA) Psychoactive substances are also major cause of bruxism. The use of a number of drugs, such as alcohol, caffeine, or medications for depression and anxiety can lead to issues falling and staying asleep. As a result, bruxism is higher for those who take these substances, especially before going to sleep. Stress, anxiety, and other mental disorders can also lead to bruxism. Persons suffering from high levels of stress, anxiety, or other related mental disorders are particularly likely to also suffer from bruxism. This may also be related to the fact that these disorders are responsible for also disturbing restful sleep.

Symptoms of Bruxism

There are several symptoms of bruxism, which also happen to be the effects of this habit. Common symptoms include:

Jaw pain

Headaches

Abnormal tooth wear

Gum recession

Tooth loss

Temporomandibular pain

How can I eliminate bruxism?

There are many different ways to address the treatment of bruxism. Some of the more popular methods include:

The use of dental guards or occlusion splints are often used by bruxism sufferers. These are devices used to minimize the damage caused on the teeth and surrounding facial areas by bruxism. These splints are usually made of plastic, and are fitted into the mouth to protect the teeth from wear and tear, as well as to reduce the movements of the jaw and to reduce any noise made during the bruxism activity.

Behavioral modification is sometimes promoted as a way to reduce bruxism. These behavioral modification techniques include (but are not limited to) psychoanalysis, hypnosis, relaxation, meditation and autosuggestion. However, there is limited research to show that this approach is effective.

MADSs (Mandibular Advancement Devices) – These devices, which were initially used to reduce snoring and sleep apnea, have proven useful in limiting or eliminating bruxism. These devices work by holding the lower jaw and tongue forward, thus allowing for more space to breathe, meaning that you are less likely to be awoken by snoring or sleep apnea.

Biofeedback – The use of biofeedback machines has also proven effective in limiting bruxism. This device works by detecting jaw or facial muscle movements which occur during bruxism and then sending some sort of message or signal to reduce the behavior. This signal may be in the form of a mild electric shock when the bruxism behavior begins, or releasing a non-harmful but bad tasting substance during bruxism.

Botox- The use of botulinum toxin, otherwise known as Botox, has also been found to decrease bruxism behavior. A diluted shot of Botox can weaken the facial muscles just enough to reduce the effects of grinding and clenching, while still allowing for the proper use of the facial muscles.

While bruxism can have a negative effect on your teeth and facial area, it is possible to limit or reduce bruxism behaviors. A number of treatment options are available, from biofeedback methods to meditation to the use of dental splints. Whatever option is chosen; it is important to consult with a dental professional to discuss the right treatment. Whatever the case, you can bring bruxism to a grinding halt!

Childrens Dentistry

We understand how important it is for your child to be relaxed and comfortable at dental visits. We endeavour to make your child’s experience with us a fun one, whilst teaching them how   to care for their teeth.

What age do children start going to the dentist?

It’s advised for your child to visit the dentist when their first tooth emerges or when they reach the age of 2. You can start brushing your baby’s teeth with fluoride toothpaste when their first milk tooth emerges.

How often should children visit the dentist?

It’s recommended for your child to visit the dentist every 6 months. Regular check-ups can help to prevent dental decay and oral disease.

YOUR CHILD’S FIRST VISIT

At your child’s initial appointment, we will check their teeth, tongue and gums before educating them about how to look after their teeth. We aim to catch signs of tooth decay and gum disease in their earliest stages.

CHILDREN AGED 0-2

We will help you with the following:

  • Taking care of your child’s teeth
  • Deciding on healthy food choices
  • Cleaning babies’ teeth
  • Choosing the correct fluoride supplements

CHILDREN AGED 3-5

It’s important to teach children at this age about the risk factors of tooth decay brought on by sugary foods and drinks.

CHILDREN AGED 6-10

At this stage, your child will start to lose their milk teeth and their adult teeth will begin to grow through. New adult teeth are vulnerable and will need to be checked for early signs of tooth decay. We will advise your child about how to brush their teeth, and give them healthy diet advice. We will also assess their teeth for fissure sealing in order to prevent cavities.

CHILDREN AGED 11-15

Between these ages, your child may need to wear braces. At Crown Street Dental Group we appreciate that teenagers need continued oral health education, as they are at a high risk of gum disease and dental decay. Hormone changes can cause inflammation of the gums, so your teen may benefit from visits with our hygienist.

CHILDREN AGED 16-18

At this stage of your teenager’s life, we will continue to educate them in all areas of oral health. We will also discuss with them the effects smoking and alcohol have on their teeth and gums.

At Crown Street Dental Group, we aim to help your child grow up with a healthy mouth and a beautiful smile.

COSMETIC DENTISTRY

Smile make overs
Tooth whitening
Veneers
Composite bonding
Invisalign
Smile make overs

We understand that many people can be unhappy with their smile for a variety of reasons. Their teeth may be worn down, twisted, missing, or discoloured. Sometimes it’s a combination of issues, which is where a smile makeover fits in.

Enhancing your smile can dramatically rejuvenate your entire appearance.

Full smile makeover treatments can range from white fillings, crowns and veneers to teeth whitening and teeth straightening.

smile makeover has the capacity to:

  • Improve self-esteem
  • Boost confidence
  • Improve jaw function
  • Fix multiple tooth problems at once
  • Create long-lasting, potentially permanent results.

Whatever the circumstances, we can help you get the smile you dreamed of. We can combine multiple treatments for a complete smile makeover. Leaving you feeling confident and happy to smile again.

Genevieve Edwards has considerable experience and training in complete smile rejuvenation and can provide you with a new smile that looks and feels great.

Tooth whitening

Teeth whitening is one of the most popular cosmetic treatments available today, and we are delighted to provide it for our patients here at Crown Street Dental Group.

Throughout our daily lives, our teeth are subject to all manner of obstacles that cause progressive staining, such as wine, cigarettes and coffee. Teeth whitening treatments restore your smile to your desired level of brightness.

We offer home whitening treatment for patients that want to put the sparkle back into their smile.

Home teeth whitening 

Although most of this treatment is carried out at home, home whitening does require two short in-chair sessions. During the first, we will take a scan of your teeth so we can manufacture your bespoke whitening trays.

In the second session, your new trays will be fitted and you will be advised on how to achieve pearly white teeth from the comfort of your own home. Two weeks later you’ll have a beautiful, bright smile.

Is it safe to whiten teeth?

Teeth whitening is a safe and effective way of bleaching the teeth, extensive research has been carried out over the past decade to make sure of this. Professional teeth whitening by a dentist is highly recommended rather than using home kits. Over-the-counter home teeth whitening kits often state themselves as ‘hydrogen peroxide-free’, but it’s actually the hydrogen peroxide that bleaches the teeth.

How long does teeth whitening last?

Teeth whitening can last from a few months up to 3 years, this varies from person to person, we advise using a top up once a month to maintain the colour.

Veneers

What are veneers for your teeth?

A veneer is a thin layer of porcelain that is bonded to the front surface of the tooth to transform its appearance. Veneers are a versatile treatment and can be used to align protruding or crowded teeth, lighten tooth colour or close gaps. They can also be used to strengthen weak teeth and replace lost enamel.

Porcelain is the most popular material for veneers because it is durable and creates a natural-looking aesthetic.

Veneers vs braces

One of the major benefits of veneer treatment is that it is a quick procedure – you won’t have to undergo months of treatment as you would with orthodontics – and they provide an immediate transformation for many dental issues.

We work alongside our master ceramist to design and create bespoke veneers for our patients, ensuring a perfect colour match to create their dream smiles.

What age can you get veneers?

It is advised to undergo veneer treatment for those 18 and older as the teeth must be fully developed. A consultation is required to see if you veneers are right for you.

Composite bonding

Composite bonding is an increasingly popular cosmetic dental treatment that is used to improve the shape, colour and overall appearance of teeth. We use white filling materials to either change the shape and contour of teeth or in some cases the whole smile.

There have been huge advances in the materials used in bonding dentistry in recent years, meaning composite bonding can be used for disguising minor imperfections in the front teeth, closing small gaps and hiding minor tooth rotations, with no damage to your teeth.

Most bonding can be done in one visit, and as we usually remove little if any tooth structure we rarely need to use anesthetic. The materials we use for this allow us to blend colours specific to each patient so we can produce a result that looks not only amazing but natural.

Bonding can either be used to repair chipped or damaged teeth or as part of a smile makeover.

This is how the treatment works:

  1. Your dentist picks a shade of resin that matches the natural colour of your teeth. Patients are given the option of tooth whitening at the planning stages if they wish to improve the shade of their teeth first.
  2. The resin is carefully applied to your teeth, with no need for any work or damage to them. In some cases, we will create a diagnostic wax up at treatment planning stages, as a template from which to work from.
  3. Your dentist then carefully shapes and smooths the resin to hide any imperfections, for a result that looks entirely natural.
  4. Once the resin has been shaped, it is hardened very quickly with the help of a special light.

Although composite bonding treatment does not last as long as veneers, many patients find the treatment is highly cost-effective. It can also be repeated with no damage at all to your teeth.

Life benefits

  • A natural, healthy smile that you are proud to show off.
  • No preparation of your teeth is required, meaning they remain strong.
  • Treatment can usually be completed in one short visit to the practice.
Invisalign

Invisalign Invisible Braces

Invisalign is a revolutionary orthodontic treatment that straightens teeth without any of the stigma attached to traditional fixed braces. As a comfortable and discreet alternative, Invisalign is ideal for both adults and younger patients.

Every day, dentists meet with patients who are distressed about crooked or crowded teeth. As well as harming a patient’s self-confidence, these issues can also be destructive to their oral health, which is why orthodontic treatment is so important.

How does Invisalign work?

Invisalign uses a series of clear, custom-made aligners that are changed every two weeks. The aligners gently guide the teeth into the desired position and are removable to make eating and oral hygiene maintenance hassle-free.

What Invisalign look like?

As well as providing excellent results, Invisalign braces are incredibly discreet, so patients don’t feel embarrassed about wearing braces as the treatment is not obvious to other people.

How long do you need Invisalign for?

Invisalign is usually worn for 6-18 months, but it depends on the patients needs.

If you want to straighten your smile without the help of metal braces, book a consultation with Crown Street Dental Group and let us boost your confidence

DENTAL HYGIENE

Meet the hygienists
Direct Access
Oral Health and hygiene
What is periodontal (gum) disease?
Meet the hygienists

Mandy Driscoll
Therapist

Danielle Bird
Therapist

Angie Michelson
Hygienist

Direct Access

Crown Street Dental Group has introduced the following direct access arrangements that allow patients to see a Hygienist without a prescription from a dentist. These arrangements currently apply to private patients only.

It is now possible to see a dental hygienist, without first seeing a dentist for an oral examination. However the hygienist will not carry out a complete examination and it is still necessary for you to have regular check-ups according to your individual needs; this is usually from every 6 months to every two years. Only a dentist will be able to fully diagnose any oral conditions and provide a treatment plan.

However the hygienist may find some dental problems in which case you will be referred to a dentist for treatment.

A hygienist’s main duty is to prevent and treat gum disease with scaling, polishing and root care to remove hard deposits and plaque. Hygienists can also apply medications and solutions to your mouth and gums. The hygienist will demonstrate correct flossing and brushing techniques as well as other oral hygiene techniques according to your personal requirements. Dietary advice and other information such as how to give up smoking is also provided. The research has shown that patients who regularly visit the hygienist, suffer from less dental problems in the long term.

There is no set frequency for hygiene treatments as every patient has different needs. Recall frequencies are tailored to your personal requirements. For example in the case of advanced gum disease you may need a course of treatment consisting of four visits over a month, followed by one visit a month for a year. Alternatively, if you have a healthy mouth, the recommended recall period could range from three to twelve months. The hygienist will suggest a hygiene treatment frequency that best suits your needs, and your dentist will confirm it at the check up.

The following team members provide services under direct access:

  • Ms Angie Michelson – Hygienist provides dental hygiene services
  • Ms Danielle Bird – Therapist provides dental therapy services
  • Mrs Mandy Driscoll – Therapist provides dental therapy services

Excluded from direct access by hygienists and therapists are:

  • Prescribing of medicines, local anaesthetics and radiographs, these are done under prescription of a dentist; although local anaesthetics and fluoride supplements can be prescribed by hygienists under a PGD from the practice principal, (see M 210)
  • Prescribing of tooth-whitening treatments and botulinum toxin, these require a prescription from a dentist following face-to-face examination
Oral Health and hygiene

What does a Dental Hygienist do? 

Visiting a dental hygienist is important because it ensures that the foundations of the teeth are completely healthy before you undergo restorative or cosmetic treatments.

Professional cleaning is much more effective than simply brushing at home, with subsequent polishing making the teeth look and feel smooth. A professional clean and polish removes plaque and tartar from your teeth and gums, reduces bleeding from the gums and helps to stave off bad breath.

It takes around 20 to 25 minutes for a full scale and polish, and we advise that you visit our hygienist every 6 months to keep your oral hygiene in top condition.

As well as offering a clean and polish treatment, our dental hygienists also carry out the following routine checks:

  • Gum and bone condition assessment
  • Jaw joint and bite functionality tests

Dental Hygienist Tips

Our oral hygienists are here to advise you on the necessary measures you should take to maintain excellent dental hygiene. Here are some tips on how to look after your oral health:

BRUSHING

Surprisingly, many people don’t brush their teeth correctly. Here are some pointers on how to brush your teeth the right way:

  • Brush twice a day, and after eating meals.
  • Brush for at least two minutes each time.
  • Hold your toothbrush at a 45-degree angle towards the gums and brush in a back and forth movement, reaching every surface of each tooth.
  • Brush your tongue to remove further bacteria that can cause bad breath.
  • Use fluoride toothpaste to reduce dental plaque bacteria.
  • Use a toothbrush with soft bristles to protect your gums.
  • Don’t brush too hard, as this can cause damage to the gum tissue.
  • You should replace your toothbrush every 3 months.

FLOSSING

Flossing is essential because it enables you to remove plaque and food debris from the little gaps in between the teeth that can’t be reached with a toothbrush. Our tips on how to floss easily and effectively:

  • Hold the floss tightly in each hand, and ease the floss between the teeth.
  • Rub the floss gently up and down. To cover more surface area, curve the floss toward each tooth.
  • Once you reach the top of a tooth, slide it under the gum line in order to remove plaque from underneath the gums.
  • Use a fresh section of floss for each tooth.

You should floss at least once a day.

MOUTHWASH

Antibacterial mouthwashes remove bacteria that cause plaque, and can help to prevent gum disease. Fluoride mouthwash helps to prevent dental decay and strengthen the teeth.

DIET

Watching what you eat can have a huge impact on your dental hygiene. Carbohydrates and sugars cause a build up of plaque on the teeth that leads to tooth decay, so you should limit your intake of these and instead focus on eating healthier, nutritious foods.

What is periodontal (gum) disease?

Periodontal disease is an advanced form of gum disease that affects the tissues supporting and holding the teeth in place. It is essential that periodontal disease is managed in order to prevent the decaying of the jaw bone and stop spaces from developing between the gums and the teeth, as this can lead to tooth loss.

When you attend Crown Street Dental Group for periodontal therapy, your initial appointment will involve a full mouth assessment. During the assessment we will use a periodontal screening process, which his also assesses the risk of bone loss and gingival attachment in mouth. We will review the level of plaque and tooth mobility, and if necessary, you will be referred to our periodontist.

We will also carry out a temporomandibular joint check and we may also take digital radiographs and intra-oral photographs.

We will then devise an individual treatment plan for you, along with a bespoke home maintenance plan.

If there are any areas of concern that fall outside of the hygienist’s scope of practice, you will be referred to one of our dentists. It is strongly recommended that you continue to see a dentist for regular check-ups during periodontal treatment.

What causes periodontal disease?

The most common cause of gum disease is poor oral hygiene by not brushing teeth regularly, therefore causing plaque to build up.

Plaque builds up when bacteria in the mouth combines with saliva, which forms a sticky film known as plaque.

Plaque can be removed by brushing and flossing the teeth, but if it’s not removed, it can harden into a substance called tartar, which can only be removed by a dentist or dental hygienist.

Gum disease can also be caused by:

  • smoking
  • diabetes
  • a weakened immune system (e.g. from HIV, chemotherapy etc.)
  • stress
  • malnutrition

FACIAL AESTHETICS

Botox and line reduction
Dermal fillers
Fees
Botox and line reduction

Active Facial lines and wrinkles are caused by muscle contraction every time you smile or frown. The more expressive you are, the deeper or more numerous, these wrinkles are likely to be.

What is BOTOX®?

Botulinum toxin (BOTOX®) is a purified protein, which acts as a muscle relaxant for your face or forehead and causes temporary relaxation of your facial muscles so that when you frown or smile, the treated muscles stay relaxed and the skin over the muscle no longer wrinkles.

Botulinum toxin works best on wrinkles that are not yet very deep. The possibility of new or increased lines appearing in the future is minimised It is clinically accepted that botox treatment is extremely safe, effective and requires no down time.

Where can BOTOX® be used?

  • Frown lines between the eyebrows
  • Horizontal lines on the forehead
  • Crows’ feet
  • Lower Face
  • Neck
  • Nasal ‘bunny’ lines
  • Masseters
  • Gummy smile
  • Armpits

How long does BOTOX® last?

The botox procedure consists of a few injections in the target area using acupuncture-like needles. It takes only few minutes, little discomfort and no down time.

The botox treatment will gradually wear off after 8-16 weeks. If the face is re-treated as soon as the muscles start to move, the facial muscles never regain their “memory”. After a number of re-treatments the interval between treatments is longer.

Side effects of BOTOX®

Very rarely patients may notice a slight short-term asymmetry between eyebrows. This is rectified a couple of weeks after the treatment with a ‘touch-up’ botox treatment. You may get a slight bruise at the injection site and rarely headache is reported. Please report any side effects immediately.

BOTOX® before and after results

The Botox treatment subtly enhances your appearance leaving you looking relaxed, refreshed & rejuvenated.

The consultation

You will be invited to attend for a consultation, which is free of charge, at this appointment we can discuss costings, side effects and benefits so that you can make a fully informed decision as to whether muscle relaxants are a suitable treatment for you.

Dermal fillers

As we age, our skin loses it elasticity and plumpness, as its major constituents: collagen, elastin and hyaluronic acid become less abundant.

Dermal fillers are used to replace the loss of these elements in the skin. Here at Crown Street we can help you in your battle against aging, and provide you with dermal filler treatments which are used to treat against anti-ageing and wrinkles and for lip and cheek enhancement and brow lifts.

What are Dermal Fillers?

Dermal Fillers are non-surgical, soft tissue fillers injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of these wrinkle fillers are temporary because they are eventually absorbed by the body. They are also used to plump or fill areas to enhance, such as lips and brows.

What are Dermal Fillers used for?

  • Softening and erasing lines and wrinkles
  • Lip enhancement and definition
  • Nose to mouth lines
  • Mouth corners
  • Cheek enhancement

Temporary facial fillers last from 3 to 18 months

You will be asked to attend for a consultation which is free of charge, at this appointment we can discuss costings and consent so that you can make a fully informed decision to have fillers.

Fees

For a full list of fees please click here

IMPLANTS

Meet our Implantologist
Teeth in a day
What is an implant
Meet our Implantologist

Dr Jagtar Dhanda

Jag is both medically and dentally qualified. He has also completed basic surgical training in general surgery and higher surgical training in oral and maxillofacial surgery. He has dual membership of the Royal College of Surgeons of England and has also completed a PhD.

Read More here

Teeth in a day

Our Teeth in a Day implant procedure is a long-lasting dental solution for people who live with the discomfort and embarrassment of dentures and loose or missing teeth.

In just one day, our Maxillofacial/Head and Neck Surgeon Dr Jag Dhanda can place dental implants and a full set of fixed, natural-looking teeth. You leave with your smile and your confidence restored.

These fixed teeth remain securely in place, so there is no need to wear a removable denture during the healing phase. They are exchanged for your final, permanent set around three months later once your gums have had a chance to settle.

As well as giving you back a beautiful smile, Teeth in a Day implants mean you can forget dental pain,  and the inconvenience of dentures. You’ll be able to taste and enjoy even crunchy and chewy food without worry, and will look years younger.

What is an implant

Dental implants are one of the most popular options for missing teeth replacement. It is important to replace teeth for both aesthetic and functional reasons, and dental implants are an extraordinary long-term solution for both.

An implant is essentially an artificial tooth root made of titanium, which is gently inserted into the jaw bone. Once it has been placed, it can support a crown, denture or bridge and is therefore a stable, life-long solution for missing teeth.

At Crown Street Dental Group we provide three types of dental implant: single tooth implants, multiple tooth implants and implant retained dentures.

SINGLE TOOTH IMPLANTS

If you only have one missing tooth, we can use a single tooth implant to fill the gap. The new tooth will be created to match your existing teeth, providing an undetectable result.

MULTIPLE TOOTH IMPLANTS

If you’ve lost several teeth due to illness or accident, we can place multiple tooth implants with a permanent fixed bridge. This firm bridge will make it possible to easily eat, talk and laugh just as you would with a natural set of teeth.

IMPLANT RETAINED DENTURES

Dental implants can also be used to provide support for dentures. The procedure for implant retained dentures involves attaching the dentures to artificial roots, giving you the functionality and stability to eat and talk without having to worry about your dentures coming loose.

There are plenty of benefits to having dental implants. Placing an implant into an area where bone has been lost will actually slow down bone loss. Also, teeth-cleaning can resume easily and your smile will function properly whilst looking lovely and natural.

If you are interested in dental implants, we will need to assess both the quantity and quality of your bone tissue first. We will also need to take X-rays in order to provide you with a precise treatment plan. To find out more, book a consultation today.

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