1. Dental Health Check
On your first visit and also your recall visits we will check your Oral Health. This examination checks up to 18 different aspects of your mouth and surrounding areas, and involves a check-up on your teeth, gums, and soft tissues of the mouth.
We will also ask you if there were any changes to your medication or your health in general. Your support in informing us will help to provide you with the best possible care as some medication may interfere with the anesthetics (numbing agent) we use or any prescription we give may interact with your medicines.
Your dentist is a great source of advice for any oral complaint or question, for you or your family, take this opportunity to ask any questions with your dentist.
The Health Check also involves a screening for any signs of oral cancer or change in the mouth. There are 400 new cases of Oral cancer per year in Ireland and the incidence has increased by 30% over the last decade [rte]. Oral cancer is the 8th most common cancer in the world, but when caught early is one of the most treatable.
To have a good Oral Health is also of benefit for your whole body as problems like arthritis or heart problems can be linked to bad Oral Health.
Some information about your Oral Health such as the roots of the teeth, the margins of fillings or some infections can only be adequately diagnosed with the aid of an x-ray. We use cutting edge Digital x-rays in Belvedere Dental, which has the lowest radiation possible and x-rays are only taken when they are necessary. . We use so called phosphor plates for the images to make this procedure as comfortable as possible for you.
Professional cleaning with a dentist involves using an ultrasonic scaler to remove tartar (hardened plaque) from your teeth. Tartar contains plaque, which causes inflammation, bleeding, and eventually gum disease in your teeth . By removing it, we ensure the tooth is clean and the gums are nice and healthy. We also remove any staining from the teeth to improve appearance, and finally we polish the teeth to make them smooth and not as easy for plaque to stick to. Cleaning can improve your health, the aesthetics of your smile, remove bad odours, and it can also improve confidence.
The latest evidence suggests a personalized recall system for cleanings. A standard length between appointments would be 6 months, but if you are prone to needing more or less cleanings your dentist will adjust this as necessary.
Sometimes people do not like the sensation of the cleaning instruments, if this is the case let your dentist know, they are happy to use hand instruments, or provide numbness to any teeth being cleaned.
4. Restorations (Fillings)
A filling will replace a missing part of a tooth. In a first step all decay is removed from the tooth. When the tooth is completely clean the dentist will restore it to its original healthy shape and form. Before the treatment begins, the dentist will numb the tooth so that you don’t feel anything.
If you prefer not being numbed or are really nervous about the injection – please let us know. We will ensure the whole experience is as pleasant as possible.
There are different types of fillings available. Patients will know these as ‘silver’ (amalgam), and ‘white’ (composite) fillings.
The type of filling material used depends on a number of different factors such as location and size. The dentist will tell you what filling you are suitable for, and you will be asked for your preference also. You can state at any time if you prefer one treatment over another.
Silver Fillings (Amalgam):
Amalgamis a proven material for use in fillings. It has a good life span, and has been used in dentistry for hundreds of years. The downside is the aesthetics as the filling turns black over time. Also, this material does not ‘bond’ (stick) to the tooth. The cavity in the tooth has to be shaped in a certain way to make sure the filling stays and so the filling size may have to be a bit larger. Amalgam is made of a mix of tin, silver, copper, and a small bit of mercury. There has been controversy in the past regarding mercury in fillings. You can be assured that amalgam fillings are very safe to use. Talk to your dentist if you are concerned about the latest findings. It is possible to replace your silver fillings with white ones, if you are interested in this, talk to your dentist to make up a plan.
White (tooth coloured) fillings:
We use this filling material for its high aesthetics, it is nearly always used in the front of the mouth. White fillings can also be suitable for use in the back of the mouth. White fillings are highly aesthetic, versatile, and they bond to tooth structure, meaning less drilling of the tooth! Nowadays white fillings are reliable and relatively inexpensive.
Special demand white fillings
For larger, veneer type fillings, we can use composite to bond to teeth directly. This can be used to lengthen teeth, fill spaces between teeth, change the appearance of rotations or angles of teeth, and give an illusion of straightness. This can be a relatively simple, and cost effective solution for aesthetic concerns which would otherwise required braces. Ask your dentist about what is possible with the latest technology.
5. Root Canal Treatment
Sometimes teeth are so broken down, or a cavity so large, that the nerve of the tooth is exposed or inflamed. In this case a filling will fill the gap so to speak, but it will not relieve the pain from the nerve. For this we have two options, you can elect to have the tooth and nerve extracted. Or you can choose to save the tooth by root canal treatment.
Some people turn off at the mere mention of root canal; it has a bad reputation as being painful. At Belvedere dental, we take care to make sure you are as numb as possible, and will not continue if it is sore. If the tooth is too sore to be started with a root canal, we can apply a medicine to the tooth and allow the nerve to ‘calm down’ before treatment begins.
In a root canal, we remove the source of the pain, the inflamed nerve, and then fill the remaining canal with a filling material made of rubber. This seals the canal and prevents further infection. It sometimes takes a few visits, and we check the seal of the root filling by taking x-rays. Many people regret taking out teeth, when technology is available to save them.
6. Removal of teeth (Extractions)
Everyone’s most dreaded word! At Belvedere Dental, our dentists will always make sure you are 100% numb before any extraction procedure.
We use non-traumatic techniques to improve healing time, and reduce bone loss. We have many procedures available to help replace missing teeth. If you would like a tooth added to a denture, you can have it added on the same day, meaning you never walk out of the surgery with a gap.
7. Surgical Removal of (Wisdom) Teeth
Sometimes teeth are very difficult to remove with a routine extraction because of their location towards other teeth or a nerve or teeth can be nearly embedded in the bone. Wisdom teeth especially can have an difficult position in the mouth to be removed with a routine extraction. For these cases we have an Oral Surgeon who uses our clinic for surgical procedures. For our patients the surgeon does not collect a consulting fee and generally all fees will be covered by standard health insurance
We offer both acrylic, and metal dentures in Belvedere dental. Filling a space in the mouth can improve the smile, and can improve confidence. Missing teeth can give a ‘shrunken’ appearance to the cheeks and bone; dentures can help bulk out this space.
Metal dentures use metal as a strong base material, allowing the base plate to be less bulky, and lighter. The metal dentures use ‘rests’ on your own teeth which mean when you bite using this type of denture, you are distributing the force onto your own teeth, rather than the gums.
Some people worry about people spotting their dentures. In this clinic your denture is a customized prescription made exactly for you, and is made to look as natural as possible.
9. Crowns and Bridges
A crown is a ‘covering’ that can be placed on a tooth. It can be made of ceramic, porcelain, or precious metal. Crowns are highly aesthetic, and reliable, since they are precision made in a laboratory for your mouth.
Crowns are used to restore very broken down, stained, or cavitated teeth to their full, healthy shape and shade. With the latest technology, and the highest standard in materials, we are able to create a much customized appearance for your crownwork.
You may also want to consider a crown in cases where the teeth might need protecting. If you have had root canal treatment, a crown should be considered to protect the ‘investment’ you have made in the tooth.
Bridges are crowns which are fixed inside the mouth, that are attached to the teeth beside in a variety of ways. Gaps in your smile can be fixed in this manner, without having a removable appliance inside the mouth. Bridges are made of crown materials, and are very aesthetic.
10. Professional Teeth Whitening
Tooth whitening can be a highly effective way of lightening the natural colour of your teeth without removing any of the tooth surfaces. It cannot make a complete colour change; but it will lighten the existing shade.Your dentist can advise you if you are suitable for whitening and whether you would achieve a good result. If not, then other options are available such as bonded white fillings or veneers.
Teeth should be professionally cleaned by your dentist before whitening; this will improve your end result. Tray whitening is used to brighten your teeth for a long lasting result. You decide how much your teeth improve in brightness. This method produces longer lasting results than standard ‘’laser whitening’’.
The colour change can last up to 4 years. Once you have the trays you can always come back and get more whitening product to refill your trays with. Bleaching is safe if done correctly and with the advice of your dentist. It will not cause permanent damage to teeth. Sometimes teeth can become sensitive after bleaching, this is short term only and your dentist can advise you on how to relieve or avoid this.