General Dentistry

At Surbiton Smile Centre our dentists are firmly committed to providing top quality dental care, with a particular emphasis on preventative dentistry. We use state of the art equipment and materials and employ the strictest standards of instrument sterilization and cross-infection control. Our friendly and highly experienced team of experts carry out all our treatments in comfortable and relaxing surroundings. We pride ourselves with our gentle and friendly approach, and our ability to put the most anxious patients immediately at ease.

Dental examination

Dental examination at Surbiton Dentist KT5 / KT6

dental examination is surbiton kingston

Dental examination at our Surbiton dentist will consist of a thorough assessment of your general dental health. We will then take detailed records, which include:

  • Necessary X-rays (digital -low dose radiation) - Xray are taken for areas that are not possible to investigate visually.
  • Photographs
  • Gum health measurements
  • Full muscle and jaw joint evaluation
  • Oral cancer screen

Your dentist will then be in a position to discuss any dental health issues that may have been uncovered by this check up.

We as a dental practice, realize how important this dental examination can be in helping you to tackle any concerns before they become a problem.

At the end of the examination you will be provided with a treatment plan with options for the required dental treatment and it will also include the necessary fees.

Contact us to ask about any question you might have.

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White fillings / Composite bonding

White fillings, also known as composite bonding, is considered a direct technique toward improving your smile. White fillings are used for teeth that are slightly cracked, chipped, discoloured or misaligned.

Dr. Soltani, our Surrey cosmetic dentist will coat your teeth with a thin layer of acrylic resin and sculpt it into the desired shape. The acrylic is matched to the colour of your natural teeth. The results will be amazingly natural.

These fillings can often be completed in a single visit and can significantly change the appearance of your smile. The result is similar to porcelain veneers, but less expensive.

However, plastic resin is not as strong as tooth enamel and is more likely to stain, chip or break than natural teeth. Veneers are a more long-lasting solution for chips and gaps.

White fillings
White fillings

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Dental Crowns

Dental crowns, sometimes known as "caps" are restorations that are custom-built to fit over existing weak or damaged teeth to protect them or improve their cosmetic appearance. There are

  • All-ceramic Crowns
  • Metal ceramic Crowns

All-ceramic crowns:

Zirconium crown is a well-known type of all-ceramic crown which significantly improves the tooth esthetic. A zirconia crown is made of a strong, biocompatible material, zirconia, which has also got medical applications like artificial joints. Patients are least likely to develop an allergic reaction to this material and thus considered a safe option when compared to porcelain fused to metal crowns.

Zirconium also called Zirconia (Cercon) is rapidly becoming the preferred material for dental crowns. The aesthetic of Zirconium crowns is its biggest advantage. Zirconium crowns are translucent and resemble to a natural tooth and reflect light the same way. This is particularly important when it comes to using them for the front teeth. There is not metal used with Zirconium crowns therefore there is no black gum line that you can see around a porcelain fused metal crown.

Zirconium crown is extremely durable and long lasting material and withstands wear and tear in compare with other types of crown.It requires minimal tooth shaping and adjustments¬ therefore preserves most of the natural tooth, which is ideal while removing the crown. It requires minimal tooth shaping and adjustments¬ therefore preserves most of the natural tooth, which is ideal while removing the crown. Hence, zirconia crown is an ideal option to cover-up the damage including stains and to restore the tooth function.

Metal ceramic crowns:

Porcelain is the conventional material used for making crowns. Porcelain fused to metal crown is a full cast crown that is made by fusing the porcelain to the metal surfaces. The main advantage of Porcelain fused to metal crown is its strength that comes from the metal substructure. However; full porcelain can chip or break. With porcelain-fused-to-metal crowns the aesthetic of the tooth can be spoiled by the metal edge that shows right where the crown meets the gum.

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dental brides

Dental bridge, as the name suggests, bridges the gap caused by one or more missing teeth and improves the face aesthetic. A dental bridge comprised of two crowns; that would be placed over the teeth on either side of the gap, and a false tooth/teeth between those. The two crowns are called abutment and the false teeth called pontics. Dental bridges also can be supported by dental implants.When once loses a tooth/teeth, the risk of high risk of bone loss, unless the tooth/teeth are replace by dental implants or cosmetic crowns. It is crucial to address the issue of missing teeth as soon as possible as the loose of bone density will lead to shrunken and drawn appearance which is undesirable.Different material used for the construction of bridges; however the main two types are:

  • All-ceramic bridges
  • Metal ceramic bridges

All-ceramic crowns

For long the metal fused bridges have been the standard choices of bridges. Thanks to the advance of technology ceramic bridges are becoming the great alternative. Best example of ceramic bridges is Zirconia bridge. Zirconia bridge is rapidly becoming the preferred choice of all-ceramic crowns. They are strong and long lasting, withstand wear and tear in compare with other types of bridges. They resemble the colour of your natural teeth; therefore no one would know you are wearing a bridge.  Zirconia has medical applications like artificial joints. A zirconia bridge is biocompatible, which means people are least likely to develop an allergic reaction to this material and thus considered a preferred choice of material over porcelain fused to metal crowns.

Metal ceramic bridges

Metal ceramic bridges are also called porcelain fused/bond to metal bridges are the most conventional bridges used. This metal bonded bridge is made of a metal frame and ceramic crowns which are to replace the missing teeth. Metal ceramic bridges are durable and very strong; the risk of breakage and chipping is very minimal. However there are least favoured when it comes to appearance and aesthetic of them as the grey line can be seen around the gum which is not desirable. The disadvantages of metal ceramic bridges has given way to popularity of all-ceramic as there is not metal rejection and appearance wise they resemble the colour of your own natural teeth.

 

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Cerec Crowns

CEREC

 CEREC crowns- 3d

 

 

CEREC 3D technology is proudly being offered at our in-house ceramic studio.

CEREC sophisticated 3D technology gives us the ability to fabricate your crowns and veneers while you wait, which means you can be in and out in a single visit with permanent all-ceramic crowns, onlays or veneers.

Our Surrey dentist, Dr. Soltani, has invested in this 3D studio as its groundbreaking technology ensures no second appointment will be necessary. With this technique we can restore teeth, using excellent quality materials that resemble the composition of natural teeth without the need for messy impressions. This system uses Computer Aided Design technology and high-quality ceramic materials.

Chipped or discoloured front teeth can be repaired with CEREC porcelain anterior crowns or veneers. Broken-down molars can also be restored using inlays and onlays, making unsightly silver fillings a thing of the past.

Contact our dedicated team to find out more.

 

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Root canal treatment / Endodontics

Endodontic therapy, also known as "root canal" treatment, is necessary when the pulp of the tooth is injured and cannot naturally return to a healthy state, and has to be removed. The pulp is the soft tissue found within the canal spaces of the tooth, and largely consists of tiny blood vessels and nerves. There are many potential ways tooth pulp can become diseased or necrotic. Deep fillings, decay, trauma and periodontal disease are common causes. Some people experience symptoms of pulp damage immediately, while others experience no discomfort for years.

Patients are referred to an endodontic specialist for root canal treatment , not only because they are in pain, but also because the tooth in question may be in jeopardy. Our Surbiton specialist dentist alleviate any discomfort and eliminate potential sources of infection to save the tooth whenever possible. Obviously, not every tooth can be saved, but the chances of endodontic success are very good. The only alternative to root canal treatment is extraction. This is biologically costly and may be less desirable. When teeth are lost they require artificial replacement such as fixed or removable bridges or dental implants.

Signs and symptoms:

Indications for treatment include:

  • Prolonged sensitivity to heat or cold.
  • Tooth decay - if a tooth is very rotten, its nerves and blood vessels can die, leading to a painful abscess.
  • Discoloration of the tooth.
  • Swelling of the gum adjacent to the tooth.
  • Tenderness of the tooth especially to biting or adjacent gums. Sometimes there are no symptoms and the first sign of a problem maybe radiographic evidence corroborated with additional diagnostic testing by the dentist.

An infected pulp system in the tooth, shows abscess formation Root canal treatment

After root canal therapy is completed, a crown is usually placed over the treated tooth as a means of ensuring its future integrity. A tooth that has been subjected to extensive restoration and/or root canal therapy is invariably weakened in the process. The crown functions as a protective "shell," covering the tooth to help prevent it from cracking and breaking. It is important that the patient understands the value of this protective crown. The patient may jeopardizes his or her entire investment without it. We urge all patients to follow this procedure when recommended.

Revision of root canal therapy:

Even though endodontic treatment is one of the most successful and predictable procedures in modern dentistry, failures can occur. Some indications of failure include swelling, soreness or the persistence of abscess at the root tip as identified in an X-ray. When this happens, a root canal revision procedure, also referred to as "retreatment," may be warranted.

Reasons for root canal retreatment:

  • Retained microorganisms (bacteria) in the root canal
  • Breakdown or corrosion of root canal filling materials
  • Contamination from decay or leakage from a failing restoration
  • Inoperable canals because of calcification or unusual anatomy
  • Sometimes tissues fail to heal for unknown reasons

Although retreatment is technically more difficult than the original root canal, it can usually rescue a failing condition without having to consider surgery. We at Surbiton Dentist especially well equipped to handle these difficult conditions because of our additional training and experience.

Endodontic surgery:

Conventional root canal treatment is not always sufficient to correct every patient's condition. Occasionally, endodontic surgery is required. This is because a previous treatment has deteriorated or because anatomic considerations such as the shape of the tooth or canal space make the traditional root canal treatment especially difficult to complete.

Sensitivity:

If you experience sensitivity following a root canal session, we recommend you take an anti-inflammatory drug such as ibuprofen to reduce inflammation, which will in turn reduce pain. You may also want to apply ice to the outside of your face next to the tooth, keeping the head elevated.

Medication allergies:

If you are allergic to specific medications, please be sure to inform your dentist. If you notice sudden rash, nausea, sudden swelling, shortness of breath, dizziness or any other unusual symptoms after the use of the prescribed medications call the practice immediately.

Note:

Under no circumstances should you apply heat to the outside of your face. Consistent medication is the key to comfort. It is essential to follow your dentist orders by taking prescribed medications to alleviate pain and to help prevent or fight infection. If discomfort lasts more than a few days or if you have severe pain or swelling, call our office. We will suggest medication or other steps to make you more comfortable.

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Tooth extraction

Tooth extraction involves having one or more teeth completely removed from your mouth by a dentist. This can be done at one appointment or over a few sessions (if more than one tooth needs to be taken out). You may or may not want, or need to have the teeth replaced. Your dentist will explain all the options available to you.

There are a number of reasons why your teeth may need to be extracted. Some of the most common reasons include:

  • Severe gum disease (periodontal disease) - when bacteria build up on your teeth and damage the bone that holds them in place, the teeth may become loose.
  • Tooth decay - if a tooth is very rotten, its nerves and blood vessels can die, leading to a painful abscess.
  • A broken tooth that can't be repaired.
  • Crowded teeth - if you have a small jaw or lost your milk (baby) teeth early, your teeth may be crooked and you may need to have one or more removed so that the rest can be straightened.
  • Wisdom tooth problems - if there isn't enough space in your mouth for your wisdom teeth they may become impacted (stuck behind the tooth in front) and need to be removed.

What are the alternatives?

If you don't want to have your tooth taken out, sometimes alternative treatments are available at Surbiton Surrey dentist.

Painkillers or antibiotics may ease any pain and swelling, but these will just relieve your symptoms in the short term and won't get rid of the underlying problem.

If you have crooked teeth, it's sometimes possible to have them corrected without extractions. An orthodontist (a dentist who specialises in straightening teeth) will be able to explain the treatment options available to you.

If an infected tooth is identified early enough, you may be able to have root canal treatment instead of having the whole tooth removed.

Preparing for a tooth extraction

Your dentist will ask about your dental and medical history. It's important that you mention any medical conditions, allergies or recent operations. You should also tell your dentist if you use an inhaler or are taking any medication, including the contraceptive pill or over-the-counter medicines such as aspirin. If you're particularly anxious about having treatment, your dentist may give you a sedative - this relieves anxiety and causes temporary relaxation without putting you to sleep.

In certain situations, you may need to go into hospital and have treatment under general anaesthetic. This means you will be asleep and feel no pain while your tooth is being removed.

What happens during a tooth extraction?

So that you don't feel any pain during or immediately after the procedure, the Surbiton Smile dentist will give an injection of local anaesthetic into your mouth, which completely blocks feeling from the area. After the anaesthetic has taken effect, the dentist will widen the socket (the area your tooth sits in) using a tool called an elevator or a pair of special forceps and move the tooth from side to side until it is loose enough to be removed completely. During the procedure you will feel some pressure in your mouth and hear some noise. You should not feel any pain. In more difficult and rarer cases, your dentist may not be able to reach the root of your tooth, which in that case a small cut is made in your gum. If necessary for the Surbiton dentist then drill away some of the bone so the tooth root can be removed.

What to expect afterwards

There will be some bleeding and your dentist may put in stitches. After the extraction, you will be given a piece of soft padding to bite on to stop the bleeding.

If you have had your tooth removed under local anaesthesia, you will need to stay at the dental surgery until the bleeding is controlled. This will probably take about 10 to 15 minutes. You may need pain relief to help with any discomfort as the anaesthetic wears off.

If you have had general anaesthesia or sedation, you will need to arrange for someone to drive you home. Try to have a friend or relative stay with you until the next day. Both sedation and general anaesthesia temporarily affect your co-ordination and reasoning skills, so you must not drive, drink alcohol, operate machinery or sign legal documents until your dentist tells you it's safe. This will be at least until the next day. Wait until the local anaesthetic has worn off before having hot food or drinks - you might burn your mouth or chew the inside of your cheek while it's still numb. Once you regain some feeling, stick to lukewarm, soft food and try not to chew in the part of your mouth where the tooth has been removed. Try not to drink alcohol or smoke for the first 24 hours after the extraction - this may cause further bleeding. It's best not to rinse out your mouth or do any exercise for the first few hours after the extraction. This is because any blood clot that may have formed could be disturbed and the bleeding could start again. After the first few hours, it can be helpful to rinse out your mouth with salt water (half a teaspoon of salt in a glass of warm water) a few times a day.

It's important to keep your mouth as clean as possible so continue brushing your teeth after the extraction. If you had stitches during the procedure, you may need to go back to your dentist to have them removed. Otherwise you probably won't need a follow-up appointment. Smoking is not permitted for the first seven days after extraction, because smoking prevents the healing of the socket, which will be very painful and it will be costly to stop the pain.

You may have some discomfort and swelling for a few days afterwards, and your jaw may feel a little stiff. If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always follow the instructions in the patient information leaflet that comes with any medicine and ask your pharmacist for advice. It's normal for you to notice some slight bleeding for the first couple of days after having a tooth removed. Rinse the excess out of your mouth and then bite down on a clean pad of material such as a handkerchief. If the bleeding doesn't stop within 15 to 30 minutes, contact your dentist for advice.

Complications

Tooth extraction at is common procedure and generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible side effects and the risk of complications.

While such complications are not common, some people may develop some, after extraction of teeth. Usually, complications arise in patients with difficult root morphology or strong supporting tissues. Likewise, teeth with weak crown surfaces, with deep caries and brittle teeth may also cause complications during or after the extraction procedure. While some of the complications arise during the procedure itself, others develop after the procedure, sometimes, within a few days too. Contact your dentist immediately if you experience:

  • Prolonged bleeding
  • Swelling
  • Severe pain
  • High temperature (fever)
  • Dry socket

One of the most common problems that can occur after tooth extraction is called a dry socket. This is when there is no blood clot so the tooth socket doesn't heal as quickly as expected. This usually happens within two to four days after the extraction and is extremely painful. Call your dentist who will rinse the area, put a dressing on it, may give you antibiotics and keep you under observation until the problem is resolved.

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Sport Mouthguard

A custom made sport mouthguard or gum shield is a specially made, rubber-like cover which fits exactly over your teeth and gums, protecting them from damage during sports.

It is important to wear a professionally made sport mouthguard  whenever you play sport that involves physical contact ;this includes: cricket, hockey and football - which can cause broken and damaged teeth. Custom-made mouthguard can prevent damage to the jaw, neck and even the brain - helping to prevent the concussion and damage caused by a heavy blow.

Mouthguard are made by taking an accurate impression of your mouth registering the way your jaws bite together to make sure the mouthguard meets properly with your teeth. Surrey mouthguard are made in professional laboratory based on our dentist's instructions.

The Surrey Custom made Mouthguard come in a range of vibrant colours and can be customised to your country's flag, to your team's colours or to display your name.

Depending on your age, your mouthguard might need to be replaced regularly. If you are still growing, the mouthguard may become too tight or loose, and will need to be remade in order to fit the new shape of your mouth.

Adults may not need to have their mouthguard replaced quite so often. But they are like any other form of sports equipment and will suffer from wear and tear. It is recommended that you take your mouthguard along to the dentist when you go for your check-up, so it can be checked.

An effective mouth guard should be comfortable, resist tears, be durable and easy to clean, and should not restrict your breathing or speech.

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Oral Cancer Screening

Oral cancer screening here at Surbiton Smile Centre is performed during your routine dental visit. During an oral exam, the Surbiton dentist look over the inside of your mouth to check for red or white patches or mouth sores. They also feel the tissues in your mouth to check for lumps or other abnormalities.

Many people have abnormal sores in their mouths, with the great majority being noncancerous. An oral exam can't determine which sores are cancerous and which are not. If the dentist finds an unusual sore or abnormality during oral cancer screening, you may go through more diagnostic tests to determine its cause. The only way to definitively determine whether you have oral cancer is to remove some abnormal cells and test them for cancer in a procedure called a biopsy.

Factors that can increase the risk of oral cancer include:

  • Tobacco in cigarettes, cigars, pipes, chewing tobacco and snuff, among others
  • Heavy alcohol use
  • Previous oral cancer diagnosis

We carry out the oral cancer screening for all our patients during each routine dental exam. Ask our Surrey dentist about ways you can reduce your risk of oral cancer, such as quitting smoking and not drinking alcohol.

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Headaches

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