Treatments - Apsley Dental Practice
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Treatments

Treatments Overview

Going to the dentist is rarely at the top of anyone's priority list. That is why we take our time to listen to your needs in our comfortable surroundings, making the experience and treatment better than any you have had before. Click on any of the treatments below to find our more details..

At Apsley Dental Practice, we provide a complete 12-point dental health check during each dental examination.

 

What we do during a dental examination?

 

  • We ask you how healthy you feel your mouth is when you visit us.
  • Do you have any concerns that we need to deal with?
  • Is there is anything in your medical condition, or in medicines you take likely to affect your dental health?
  • Are you are happy with the appearance of your smile?
  • We check every surface of every tooth to see that they’re healthy and strong.
  • We check that any fillings or other restorations are still strong and healthy.
  • We check your gum health – as we now know this is absolutely critical if
you are to keep your teeth for life.
  • We check for the presence of plaque (which does all the damage to mouths – yet can be controlled to preserve health!).
  • We check to see if the inside of your mouth (cheeks, lips, tongue, roof and floor of mouth) is healthy.
  • We also check the outside of your mouth.
  • We check inside, under and between the teeth for health. *
  • Finally we check the bone that supports your teeth. *

 

* Both of these areas are checked on x-rays. We have a strict policy to only allow the taking of x-rays where they are clinically indicated, and usually only every 2 years.

A healthy smile and maintaining good oral health is a major priority for our team at the Apsley Dental Practice.

 

Reaching a healthy smile and maintaining good oral health is a major priority for our team at the Apsley Dental Practice. Our Dental Hygienists, Teresa and Zo are both qualified Dental Care Professional, who are specially trained members of our team to help you achieve and maintain optimal oral health status by thoroughly cleaning your teeth and offering expert advice on Gum Disease, Sensitive Teeth and Fresh Breath.

 

With regular Hygiene visits, care and co-operation on your part, it is very achievable to attain the healthy smile you want with clean teeth, fresh breath and healthy gums.

 

You can now have Direct Access* to see our hygienists on a regular basis in accordance to the new GDC guidelines.

Here at the Apsley Dental Practice we use a few different ways in order to give you beautiful straight teeth.

 

CLEAR ALIGNERS

 

Clear Aligners are ideal for adult patients who are reluctant to have a lengthy orthodontic treatment wearing metal brackets or bulky removable appliances.

What is the advantages of Clear Aligners?
• They are invisible, very thin, and don’t impede speech
• They are an excellent tool for final corrections after orthodontic treatment
• They can realign teeth after relapse post-orthodontic treatment
• Excellent for aligning mild crowding of front teeth
• Simple cases can be finished with only two or three aligners

 

How does Clear Aligners work?

 

1. Impressions are sent to the lab where plaster casts are made and each individual case assessed
2. Up to five aligners can be made out of each impression
3. Each aligner should be worn for 2 weeks
4. Patients will be given a detailed care instructions

Apsley Dental Practice is proud to offer Clear Aligner treatment.

 

INMAN ALIGNERS

 

What is the Inman Aligners?

 

The Inman Aligner is a simple removable appliance used to align front teeth quickly and safely. It’s ideal as a stand alone treatment or to prealign teeth prior to further cosmetic options such as bonding or minimal veneers.

 

The Inman Aligner has Nickel Titanium coil springs that power two aligner bows that gently oppose each other, guiding the teeth into their new position. These gentle forces are active over a very large range of movement, which is why the Inman Aligner works so quickly.

 

How long does treatment using the Inman aligner take? Most cases are completed within 6-18 weeks. Your Inman Aligner dentist will give you a realistic guide of what to expect. For suitable cases, the Inman Aligner is usually much faster than alternative orthodontic techniques.

 

It is also important to realise that patients co-operation are key when doing this type of treatment. If a patient do not wear their retainers for the prescribed amount of time every day the treatment will take longer to complete.

 

REMOVABLE APPLIANCES

 

What is a Removable Appliance?

 

A removable appliance is a simple plastic brace that is used for a number of reasons. It may be used to correct an early problem when you have a mixture of adult and baby teeth present, to reduce a deep or to move your top teeth, at the front, backwards or forwards. Your removable brace is an essential part of your treatment and in some cases more important than a fixed brace. Once your removable brace has completed its function you may have fixed braces fitted.

 

How long does treatment using removable appliances take?

 

Treatment with the removable brace largely depends on what it is being used for and how well patients wear their brace. Patients that wear their brace all the time, as requested, progress with their treatment very quickly.

 

HOW MUCH DOES ORTHODONTIC TREATMENT COST?

 

The cost of treatment is directly related to the severity. Again, the more severe the treatment, the higher the cost as more retainers will have to be made to wear.

An initial Orthodontic consultation at Apsley Dental is £250. During this consultation, we will take photos of your teeth, Xrays and impressions. This fee also includes a video demonstration of how the treatment will work.

 

Treatment prices range from £1200 for Pre-cosmetic alignment to £2800-£4000 per arch in severe or multi modal treatments.

 

Why not give us a call today and see how we can help you achieve that beautiful smile you’ve always wanted the invisible way!

At Apsley Dental Practice we do not use Mercury or Amalgam filling materials at all.

 

We only use high quality Composite fillings for all restorative purposes. They are made from a special resin with filler particles embedded in it to provide strength and resistance to wear.

 

There are many advantages to using Composite fillings:

  • Since they bond or stick to the tooth, composite fillings restore most of the original strength of the tooth. Silver weakens   the teeth, making them more susceptible to breaking. Since broken teeth are very expensive to restore, composites can   save a lot of expense over the long run.
  • Composite fillings restore the natural appearance of the tooth.
  • Teeth restored with white fillings are less sensitive to hot and cold than teeth restored with amalgam, if correct    techniques are used.
  • Composites are mercury-free. Mercury in the fillings is viewed by some as being toxic.
  • Composites require less removal of tooth structure. Especially with new cavities, the size of the hole made for the filling   can be dramatically smaller with composites.
  • Composite fillings can also in some cases be repaired and do not need complete removal if there is a problem with the tooth or filling.

Crowns

 

Crowns are restorations that cover or cap teeth, restoring them to their natural size, shape, and colour. They are used to cover a damaged tooth and protect it from further breakdown. Even a poorly maintained or badly damaged tooth can benefit from a well-designed and correctly placed crown. This crown not only improves the appearance of the tooth, but can also save a tooth that might otherwise be lost.

 

Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. While it is recommended that a tooth should be crowned after root canal treatment, it is not always necessary to do root canal treatment before fitting a crown.

 

Cosmetic Crowns

 

With modern technology, crowns can be made so that they give you the strength, beauty and feel of a natural tooth. They can be made from gold or porcelain or a combination of the two.

 

Fitting a crown requires at least two visits to the dental surgery. During the first visit the decay is removed, the tooth is prepared (shaped) to accommodate the crown. The damaged natural tooth is reduced in size so the crown can cover the damaged area without appearing too large or out of place. An impression is taken of the tooth and a temporary crown is fitted afterwards.

 

In a subsequent visit, the temporary crown is removed, the permanent crown is fitted and adjusted, and then cemented in place.


 

All-porcelain crowns

 

Crowns were traditionally made by firing porcelain onto metal copings. The metal often resulted in a dark line being visible at the gum-line of a crowned tooth. Today there are a number of different systems available where the entire crown is made from porcelain.

 

All porcelain crowns

 

The colour of your teeth is made up from how the light that strikes the layers of tooth material is then reflected back out. Modern all-porcelain crowns allow some light to penetrate into the crown, while other light waves reflected off the surface. The porcelain mimics the characteristics of a natural tooth so that a natural looking restoration can be created in your mouth.

 

The life-like qualities of natural teeth can be recreated in porcelain, so that it is very difficult to tell what is real and what has been replaced.


 

Bridges

 

Few incidents have greater impact on dental health and personal appearance than the loss of a tooth. When one or more teeth are missing, the remaining teeth can drift out of position, which can lead to a change in the bite, the loss of additional teeth, decay and gum disease.

 

When tooth loss occurs, we may recommend the placement of a bridge. A bridge is one or more replacement teeth anchored by one or more crowns on each side. This replacement tooth “bridges” the gap between your teeth and restores function while improving appearance.

 

Cosmetic Bridges

 

The main function of a bridge is to provide stability for your bite if there are missing teeth. When a tooth is lost, the surrounding teeth shift and collapse into the empty space. Without a bridge, the resulting misalignment of the teeth can cause instability and stress to the Temporomandibular joints and muscles.

 

Bridges can be made from ceramics or reinforced with gold for strength. Bridges, unlike dentures, can only be removed by a dentist.

Veneers are thin porcelain coverings, similar to false fingernails. They are made from the same strong porcelains used to make all-porcelain crowns, and are bonded to natural tooth tissue.

 

Veneers can be used to disguise the original colour, shade or shape of your teeth, or to close gaps between the teeth. Your smile can be quickly, comfortably, and beautifully transformed!

 

Porcelain Veneers
Before a tooth can be veneered, a small amount of enamel has to be removed from the front of the tooth to provide space for the porcelain. An impression of the tooth is sent to a dental laboratory where the veneer is made to match the colour and shape of your teeth.

 

The veneer is bonded into place using composite resin cement after roughening the tooth surface with a mild etching solution.

Root canal treatment (Endodontic Treatment) is carried out when the nerve (also called the “pulp”) inside a tooth is either inflamed or dead.

 

The nerve may become inflamed or may die if there is significant decay in a tooth, if there is a large restoration (filling or crown), or if the tooth has been subjected to trauma.

 

The inflamed nerve may cause toothache or remain pain-free. When the nerve dies, the space it inhabits (the root canal) rapidly becomes infected with bacteria. This may cause pain and swelling in the supporting tissues (abscess), or the tooth may remain symptom-free.

 

Apsley Dental Practice offers considerable expertise in the treatment of root canal problems from our dental centre here in Hemel Hempstead, Hertfordshire.

 

The purpose of root canal treatment is to remove the inflamed tissue or bacteria inside the root canal and thus allow the surrounding tissues to heal. After cleaning the root canal system, the space created is filled with a root filling. A rubber material called gutta percha is used for this purpose.

 

The root canal system, especially in molars, is often complex and difficult to clean completely. This is why many general dentists prefer to refer these cases to a specialist.

 

Root Canal Treatment

 

The treatment is time consuming because of its complexity but with the use of modern local anaesthetic techniques it can be performed with little or no discomfort. It is normal for patients to experience some soreness after treatment, as the supporting tissues of the tooth may be a little bruised.

 

The success rates of first time root canal treatments is over 90%, while the success rate is reduced to about 80% when an existing root treatment needs redoing if it has failed.

 

How long does root canal treatment take? 

 

The duration of root canal treatment will depend on the complexity and number of canals in the tooth. Root canals are often complex structures and may be very small, even invisible to the naked eye. It is not uncommon to find four or five canals in a molar tooth, the smallest of these often being less than .05 mm in diameter.

 

Root canal treatment on a molar tooth will normally take from ninety minutes to three hours. Some complicated cases may take even longer. Between visits anti-bacterial medicaments are placed inside the canals to kill any remaining bacteria. This dressing is usually in place for a period of one week, during which the tooth is sealed with a temporary filling.

 

It is normal for teeth to be slightly tender for a few days after root canal treatment. This discomfort is normally from the inflamed supporting tissues surrounding the tips of the roots.

 

Some teeth, particularly ones that have been problematic for a while, may take a few months to settle completely. Once the root-treated tooth has settled down completely a crown should be placed to protect the remaining tooth structure from fracture.

Inus Goossens has considerable experience in treating difficult curved or blocked root canals, removing fractured posts or root canal instruments, and repeating failed root canal treatments. Although not on the specialist list for endodontics, he accepts referrals for root canal treatments from colleagues.

A dental implant is an artificial tooth placed in the jawbone to replace the root of a missing tooth.

 

It is a metal screw which is placed into the jaw bone during a small surgical procedure. Placing the implant is straight forward, and usually results in less post procedure soreness than having a tooth extracted. After a healing period, a crown is then placed on top of the implant which effectively replaces the missing tooth (or teeth).

 

What is a dental implant?

 

A dental implant is simply a metal screw that is placed into the jawbone. It acts as an anchor for a false tooth or a set of false teeth. A dental implant is a replacement artificial tooth root that provides a stable foundation for a replacement artificial tooth, functioning very much like the root and crown of your natural teeth.

 

Your natural teeth are stable biting and chewing surfaces because your jawbone supports them. This is also true of dental implants.

 

Successful dental implants become firmly embedded in the jaw through osseointegration, a natural process where the bone grows onto the implant surface.

 

This provides the same stability as natural teeth, making it possible for your replacement teeth to look, feel and function like natural teeth.

 

Why are dental implants so popular?

 

Dental implants have a number of advantages over more conventional methods of replacing missing teeth.

 

An implant-supported crown is very similar to your natural tooth because it is fixed permanently, and does not need your other teeth or soft tissues for support: NO MORE REMOVABLE DENTURE and NO DAMAGE TO THE ADJACENT TEETH.

 

Dental implants preserve the bone of the jaw that would normally have resorbed after tooth extraction.

 

Implants can’t get decayed, so no more fillings.

 

In the very rare event of an implant not integrating with the bone of your jaw, it will be replaced free of charge by the manufacturer.

 

How are dental implants placed?

 

Dental implants do involve a small surgical procedure. However this is a very minor procedure, and you can go back to work the next day. There is usually a little discomfort, but very little pain afterwards.

 

The success of dental implants depends on the amount of bone available to place them into. It is therefore important to have your implant placed as soon as possible after extraction, before loss of bone occurs.

 

What type of implants do you use at Apsley Dental Practice?

 

Our dental implant provider is Southern Implants,* a pioneer in this field, contributing extensively to the enhancement of implant devices. Southern Implants is focused on the top-end specialist sector of the implant market.

 

Contact us today to request additional information or to make an appointment with one of our dentists.

The bleaching of teeth is a very effective way to brighten and lighten dark or discoloured teeth. We use the home bleach system, where a mild bleaching agent is placed in a mouth guard and worn at night.

 

This technique offers the advantage that the patient is in control of the amount of lightening that takes place. The bleaching can involve a single tooth or all the teeth.

 

Some sensitivity of the teeth is sometimes experienced, but this is always of a passing nature.

 

Cosmetic Bleaching

 

One of the biggest concerns with bleaching is that teeth tend to become darker again as time goes by, especially if you consume lots of coffee, tea, red wine, or tobacco. If re-discoloration takes place, a few nights of re-bleaching using the same mouth guard is usually sufficient to achieve the desired shade again.

The bleaching agent used in this system has been extensively researched and proven to be safe when used as prescribed.

Gum disease is also known as periodontitis, periodontal disease, or pyorrhoea. Periodontal literally means “around the tooth”.

 

It is a serious infection affecting the tissues surrounding the teeth. These tissues include the gums and bone supporting the teeth.

 

Gone unchecked, gum disease can result in tooth loss. More seriously, gum disease is also associated with an increased risk of heart disease and stroke. People who are diabetic are also more likely to suffer from Periodontal disease. With treatment, it can be controlled and maintained.

 

Once a diagnosis has been made and a treatment plan formulated between the patient and their dentist, the actual periodontal treatment is often performed in two phases, although a 3rd phase (surgery) is sometimes required.

 

Phase 1 – initial preparation & scalings

 

The first phase is the initial preparation. All patients need to complete this initial phase. This is when the patient learns which tools to use, and how to properly brush their teeth and clean in between their teeth.

 

In addition, during these visits, the dental hygienist/dentist/periodontist performs multiple scalings (cleanings) of the teeth, attempting to remove all the plaque and tartar (calculus) stuck to the teeth. Often, changes can be seen right away. Bleeding reduces and the pockets get smaller.

 

During this phase of treatment, we can also do a treatment using our Helbo light* which can see up to a 99% reduction in bacteria without an antibiotic! Occasionally we will place a Periochip* or an antibiotic called Dentomycin to enhance the treatment and depending on the severity of you periodontal condition.

 

Phase 2 – re-evaluation & possible further scalings

 

The second phase of periodontal treatment consists of re-evaluating the pocket depths and seeing if gums still bleed after the initial scalings. The more the patient exercises effective oral hygiene techniques, the more they can improve their condition.

 

There are times when additional scalings help attain the goal of smaller pockets. However, if the pockets are still too deep at the time of re-evaluation, patients need more treatment before returning to periodontal health.

 

Phase 3 – gum surgery

 

Surgery is indicated when non-surgical methods are not enough to stop the disease process. Periodontal surgery helps save teeth. When the pockets are so deep that scalings will not effectively clean them out, the dentist or periodontist gently separates and peels back the gums from the underlying structures.

 

Tartar and plaque can then be scraped off the roots, much the same way splinters need to be removed when they are stuck under the skin. However, periodontal surgery accomplishes more than just scraping off tartar and plaque.

 

We know that bacteria impart chemicals, called endotoxins, onto the root surface. These endotoxins must be removed if gums are to reattach to the roots, in the quest of making pockets smaller. Without removing the endotoxins, periodontal treatment is hampered.

 

One way to remove endotoxin is to leech it out of the roots with mild acids…citric acid and tetracycline being two that are often used. Surgical access is essential to accomplish this. The other way to get the endotoxins off the roots is to scrape them off with careful scaling. Both are effective techniques performed during periodontal surgery.

 

Surgical treatment results in cleaner roots, shallower pockets, and healthier gums. The patient and dental professional who treats them, can effectively maintain their periodontal health in this new and improved environment.

 

Guided tissue regeneration (GTR) involves the use of a biocompatible membrane material, often in combination with a bone graft, which promotes the growth of lost tissue and bone around your tooth. Not every case is suitable for grafting.

Dentures are removable prostheses made to replace natural teeth that have been lost due to accident or disease.

 

Dentures are complete if there are no remaining teeth. If there are some teeth remaining then a partial denture can be made to fit around the remaining teeth.

 

With the improvements in dental implants and other techniques in recent years, dentures are not as common as they once were. However, they can still be very effective for many people.

 

The denture is less costly than non-removable solutions, such as bridges and dental implants. For some patients, because of physical health or economics, it is the only option available to them.

 

dental_reconstruction_dentures

 

Full dentures

 

A removable prosthesis, such as complete dentures, can restore function and appearance in the mouth as well as the surrounding facial tissues. Your Prosthodontist can provide top quality new dentures for you. Success with dentures depends on a good fit and a well-made denture, and on the amount of bone and soft tissues available to support the dentures.

 

Denture wearers gain confidence about how their dentures look and feel as they adjust to them over time. They usually learn to speak and eat more confidently as time passes. With a good daily cleaning routine and regular visits to the dentist, dentures can help you lead a healthy and natural lifestyle.

 

Of course, even with the best of care, it may be necessary to have dentures remade after a number of years. This is because the bony ridge in the mouth that dentures rest on goes through natural changes over time, causing dentures to fit improperly.

 

Whenever you sense any change in the way your dentures work or feel, your prosthodontist can provide new dentures or reline your existing dentures to improve their level of fit.

 

Comfort is a major factor in the success of removable dentures. Appearance is another. Initially, a removable denture can look aesthetically pleasing and function effectively. However, bone loss in the jaws can cause dentures to lose their fit after a while.

 

The emphasis in dentistry has shifted to providing edentulous patients with dental implants to support their dentures while there is still enough jawbone available, rather than waiting until large amounts of bone have been lost.

 

Removable dentures are simply an interim solution for many patients who eventually opt to pursue dental implant treatment.

 

Partial Dentures

 

Partial dentures are used as an alternative to fixed bridges in replacing missing teeth. They are often simply an interim solution for many patients who eventually opt to pursue dental implant treatment.

 

The partial denture has clasps that fit around the remaining teeth to help stabilise it, and utilises both the remaining teeth and the soft tissues for support during chewing.

 

Temporary partial dentures are usually made from acrylic, while long-term partial dentures are made from acrylic teeth fitted onto a cast metal framework. The clasps can be made from a tooth-coloured material so that no metal is visible when you smile.

 

Contact us today to request additional information or to make an appointment with our dental reconstruction specialist (prosthodontist).

 

Getting used to your new denture

 

Many of our denture patients need a bit of time to get used to wearing dentures, especially if they are wearing dentures for the first time. In our experience, it can take longer to adjust to complete lower dentures, as there is usually less retention and the tongue may feel constricted for while. It will take your tongue, lips and cheeks several days or even weeks to get used to the shape of your new dentures. Any problems usually resolve themselves within a short time.

 

Appearance – It is normal for your mouth and face to look and feel different. After a few days this feeling will disappear and you will enjoy new confidence in your appearance.

Speech – As your tongue and lips get used to the shape of your new dentures, any initial difficulties you experience will soon subside. Reading aloud is very effective and can help speed up the process. Try counting from 65 – 70, as these sounds can be the hardest to get used to. It is common to salivate more (which can affect speech) when your new dentures are fitted. As your mouth gets used to presence of the dentures, this will soon subside. Try sipping water to thin down your saliva and try swallowing more often.

 

Eating – Getting used to chewing can take more time and practice until your cheeks, lips and tongue adapt to their new interaction with your new denture base. When wearing your new dentures for the first time, begin eating with small bites of finely sliced foods. This will help you begin to control your new bite and tooth position. Avoid tough, hard and sticky foods until you become more accustomed to your replacement dentures. Biting on the front teeth of even the best made denture can cause your denture to lever away from your gums. Biting slightly to the side more towards your back teeth causes less leverage.

 

Everyday wear – When it comes to the period of time you wear your new dentures, it is a matter of personal choice. However, we do recommend that you leave your dentures out at night, as this is often the most convenient time to allow your mouth to rest. If this is not possible, we suggest that you remove your dentures whenever you are in private, as even a short break will allow your mouth to rest. Whenever you remove your dentures, make sure you keep them soaked in water as the acrylic component of the denture can become brittle and break eventually if it dries out too often.

 

Sore Areas – Your mouth may have changed a great deal since your last set of dentures were fitted. The size and shape of your new dentures will be created to fit precisely with the contours of your mouth. As a result, pressure points and sore spots can develop under and around your new dentures during the first few days of wear. This is perfectly normal but should it continue, we can alleviate any discomfort you experience by adjusting the denture surface. If the irritation is very painful, stop wearing your dentures and consult your dentist who can usually make a small adjustment to alleviate the problem.

 

Handling and storing your denture

 

Denture Care – Most dentures are constructed from a highly durable impact resistant resin, which reduces the likelihood of breakage in the event of your dentures being dropped. This will allow you extra confidence when you are handling and maintaining your dentures. To further reduce the risk of breakage, we recommend that whenever you are cleaning your dentures you hold them just above a full basin of water. This way, if they are dropped, your dentures will hit the water and not the hard sink, which could fracture the denture acrylic and mean an unnecessary emergency denture repair.

 

Denture Storage – Your dentures are designed specifically to function in a moist environment. Therefore, we advise that you do not allow them to dry out. Try soaking your dentures in a glass of water prior to insertion. If you do remove them at night to allow your gums to rest, please store your dentures in water or your preferred denture soak.

 

Cleaning your denture

Many denture wearers suffer from problems caused by microorganisms present on dentures. These germs can aggravate infection and cause oral inflammation. Unless they are eliminated from the denture on regular basis denture intolerance can occur.

 

Conventional toothpaste is not suitable for cleaning dentures as it can abrade and permanently damage your dentures. Instead you should use one of the many denture cleaners available. To remove food debris, we recommend you use a cream or gel with a special denture brush.

 

Clean all the surfaces of your dentures, including the surface which comes into contact with your gums. This is especially important if you use any kind of denture adhesives, which need to be removed daily. Then soak your dentures in a specialist solution to keep them fresh. Never use bleach or boiling water to clean your dentures. Always follow the manufacturer’s instructions for use.

 

Leaving your dentures out at night will allow your gum tissues to rest and benefit from normal stimulation by your tongue and saliva. However, we know that many patients feel embarrassed about removing their dentures in front of their partner and prefer to wearing dentures at night. Any denture worn overnight must be spotlessly cleaned to avoid decay to any remaining teeth or irritation. Try to soak your dentures in a denture cleaning solution before you go to bed to ensure that you sleep with clean dentures.

The Greek word “apnea” literally means “without breath.”

 

Obstructive Sleep Apnea affects 1 in 10 people moderately and 1 in 100 severely. Due to their sleep being disrupted and restless, these people often feel tired and drowsy all day long.

 

What causes Snoring?

 

Snoring occurs when you fall asleep and the lower jaw drops backwards when the muscles relax. The airway is narrowed and partially obstructs the flow of air. Large tonsils, a long soft palate and uvula and excess fat deposits contribute to airway narrowing. As the air passes through these obstructions, these structures vibrate producing the snoring sound.

 

Symptoms and effects of sleep apnea can include occasional snoring, disrupted sleep, low blood-oxygen levels, momentary loss of breathing, and excessive daytime drowsiness and tiredness.

 

What causes Sleep Apnea?

 

Narrowing airway passages can cause Obstructive Sleep Apnea. Muscles relax during sleep. When the muscles relax too much during sleep, the tongue is sucked against the back of the throat causing airflow to stop. The oxygen level in the brain becomes low enough to awaken the sleeper partially.

 

The obstruction in the throat clears and the flow of air starts again (usually with a loud gasp). This is called apnea. Some patients experience up to 300 apnea episodes each night. Severe cases may have up to 700 per night.

 

The Sleep Apnea/Snoring Appliance

 

There are several different oral appliances available to treat snoring and Sleep Apnea, but they are all based on the principle of preventing the lower jaw from dropping backwards and the tongue obstructing the airways. Oral appliances have several advantages over other forms of therapy. They are comfortable to wear, and easy to care for. Treatment is reversible and non-invasive.

 

The Sleep Apnea/Snoring Appliance is made up of 2 custom-made mouthguards, connected by either plastic or metal connectors. They fit over the teeth and are worn while sleeping. The device works by moving the lower jaw and tongue forward and opening the airway in the back of the throat to let air flow freely.

When a drug, usually of the anti-anxiety variety, is administered into the blood system during dental treatment, this is referred to as Intravenous Conscious Sedation. Not to be confused with general anaesthesia.

 

How will having sedation affect me?

 

You remain conscious during IV sedation. You will also be able to understand and respond to requests from your dentist. In most cases you will still need an injection to numb your mouth during treament, but if you are very nervous this will only be done once sedation has reached its full effect.

 

You may not remember much about what went on because of two factors: firstly, in most people, IV sedation induces a state of deep relaxation and a feeling of not being bothered by what’s going on. Secondly, the drugs used for IV sedation can produce either partial or full memory loss (amnesia) for the period of time when the drug first kicks in until it wears off. As a result, time will appear to pass very quickly and you will not recall much, or perhaps even nothing at all, of what happened. So it may, indeed, appear as if you were “asleep” during the procedure.

 

Who administer the Sedation?

 

At Apsley Dental we outsource our Sedation and have Medical doctors trained to administer sedation come in to the practice and assist us during treatment. They also charge separate to the practice for their services.

 

Advantages

 

  • The onset of action is very rapid, and drug dosage and level of sedation can be tailored to meet the individual’s needs. It is both highly effective and highly reliable.
  • The maximum level of sedation which can be reached with IV is deeper than with oral or inhalation sedation.
  • The drugs used for IV sedation can produce either partial or full memory loss (amnesia) for the period of time when the drug first kicks in until it wears off.
  • The gag reflex is hugely diminished
  • Can be ideal for those with a phobia of dental injections
  • Conscious IV sedation doesn’t really introduce any compromises per se in terms of carrying out the actual procedures, because people are conscious and they can cooperate with instructions.
  • A needle has to be put in the arm or hand to administer the medication during treatment.
  • Recovery from IV administered drugs is not complete at the end of dental treatment. You need to be escorted by a responsible adult.

 

Disadvantages

 

  • A needle has to be put in the arm or hand to administer the medication during treatment.
  • Recovery from IV administered drugs is not complete at the end of dental treatment. You need to be escorted by a responsible adult.

Like a bite splint, a mouthguard is made to fit your teeth in a precise manner and to protect them from damage when you do any form of contact sport.

 

Who should wear a Sport Mouthguard?

 

Everyone taking part in any contact sport such as rugby, hockey, boxing etc.

 

Can I coose what I want my Sport Mouthguard to look like?

 

Yes, there are many available designs and colors.

Occlusal splints (also called bite splints, bite planes, or night guards) are removable dental appliances carefully molded to fit the upper or lower arches of teeth.

 

They are used to protect tooth and restoration surfaces, manage mandibular (jaw) dysfunction, and stabilize occlusion or create space prior to restoration procedures. People prone to nocturnal bruxism, or nighttime clenching, should routinely wear occlusal splints at night.

 

Why do I need a bite splint?

 

Tempero Mandibula Joint disorder can present with numerous signs and symptoms:

 

  • Facial pain
  • TMJ pain
  • Back and Neck pain
  • Postural problems
  • Pain in the joints or face when opening or closing the mouth, yawning, or   chewing
  • Tension headaches
  • Pain in the muscles surrounding the temporomandibular joints and in   front of the ears.
  • Pain behind the eyes
  • A bite that feels uncomfortable, or as if it is continually changing
  • Clenching or grinding of the teeth, at night or during the day
  • Tender sensitive teeth
  • A limited opening capability or inability to open the mouth comfortably
  • Deviation of the jaw to one side
  • The jaw locking open or closed
  • Ringing in the ears and ear pain

 

A bite splint (and in particular the Michigan splint which is our first choice bite splint at Apsley Dental) is 1 way to tackle these problems.

 

How will it feel wearing a bite splint?

 

Like a denture, it will take time for your mouth to adjust to the feel of a bite splint. A splint is quite hard and retains the teeth in a precise position during the night, therefore your mouth will feel a bit strange the first few mornings you remove the splint as the ligaments surrounding your teeth can relax a it more.

 

How do I care for the bite splint?

 

It is recommended that you should thoroughly clean and floss your teeth at night before putting in the bite splint. Due to existing bacteria in your mouth, it is very important to wash the splint every morning and occasionally soak in a ‘retainer brite’ solution, following manufacturers instructions.

Headaches and facial pain are often related to problems originating in or involving the teeth, jaws, and the joints of the jaw (called temporomandibular joints).

 

This condition is often referred to as Temporo-Mandibular Disorders (TMD), or Myo-Facial Pain Disorder Syndrome (MPDS).

 

TMD presents with numerous signs and symptoms, which can include the following:

 

  • Facial pain
  • Jaw joint (TMJ) pain
  • Back and neck pain
  • Postural problems
  • Pain in the joints or face when opening or closing the mouth, yawning, or chewing
  • Tension headaches
  • Pain in the muscles surrounding the temporomandibular joints and in front of the ears
  • Pain behind the eyes
  • A bite that feels uncomfortable, or as if it is continually changing
  • Clenching or grinding of the teeth, at night or during the dayTender sensitive teeth
  • A limited opening capability or inability to open the mouth comfortably
  • Deviation of the jaw to one side
  • The jaw locking open or closed
  • Ringing in the ears and ear pain

 

The treatment of TMD usually involves a combination of dental treatment, physiotherapy, drug therapy, and exercises to relax the muscles. Some successes have also been reported with hypnosis.

Here at Apsley Dental Practice we are fully aware that dental anxiety or ‘fear of the dentist’ is a major stumbling block for a lot of people. It usually prevents otherwise intelligent, rational people from maintaining a healthy smile.

 

The key to good oral health is prevention – stopping problems before they arise. Unfortunately, people who suffer from dental anxiety often fail to visit the dentist for routine care. When they finally do go, often a small preventable problem has turned into a problem which will require major attention.

 

Our dentists have years of experience from various practices around the world in successfully treating dental phobias. We have used a number of techniques in treating nervous patients. Some even involve the use of mild sedatives but most techniques involve face to face communication, answering of the patient’s questions, and a lot of listening.

 

Browse through our website and if you feel that we can offer you some assistance, please contact us – we understand your special needs and fears.

Call us today to 01442 269826 or email us at makemesmile@apsleydental.co.uk  to book an appointment or request additional  information about any specific treatment you may be considering.