Invisalign

What is Invisalign? keyboard_arrow_down

Invisalign treatment is the process of wearing a series of clear, removable aligners that gradually straighten your teeth. Invisalign is the most advanced clear aligner system in the world, backed by more than two decades of innovation. Unlike conventional fixed braces, Invisalign clear aligners are removable and virtually invisible. There are no wires and brackets, so you don’t need to change the way you brush and floss and you can continue to eat all your favourite foods.

Invisalign is the world’s leading clear aligner system. You get personalised treatment based on years of research and intelligence from over 8 million smiles. Discreet clear aligners that don’t interrupt your life and fit snugly around your teeth, straightening your smile predictably and conveniently

We create a unique, digital treatment plan that maps out the exact movements of your teeth. Your Invisalign clear aligners are then designed to apply the right amount of force to the right place at the right time based on your plan. We’re with you every step of the way to monitor your progress and ensure your aligners fit correctly.

We understand that cost is an important consideration. Exact treatment costs are dependent on your individual requirements, but typically Invisalign treatment is comparable to traditional fixed braces. In fact, Invisalign could cost you from as a little as £28 per month.

The duration of your treatment will depend on your individual requirements. Typically, treatment lasts between 6 and 18 months, but we will provide more information during your consultation. With our new Dental Monitoring service, we can track your treatment progress from the comfort of your own home, saving you time and effort and making your treatment as efficient as possible.

Not all clear aligners are the same. Only Invisalign clear aligners are made of patented SmartTrack material, a strong, medical grade, virtually invisible thermoplastic material, developed for the Invisalign system and custom made for you, making your aligners more comfortable to wear and easier to put on and take off.

You should only take your aligners out to eat, drink, brush and floss your teeth.

You may experience some very minor discomfort at the beginning of each new stage of treatment, typically described as a feeling of pressure. This is normal and is a sign the aligners are working. Any discomfort should go away after a couple of days.

SmartForce Attachments are small, tooth-coloured shapes that may attached to your teeth, depending on your case. They're like tiny handles that give your aligners something to gently push on.

Tiny and discreet, they’re barely noticeable, but help the aligners apply the right amount of force in the right direction, making complex tooth movements possible without braces.

You should brush and clean your aligners regularly using lukewarm water and toothpaste.

Don’t forget to brush your teeth after each meal and before putting your aligners back in to help maintain good oral hygiene.

We also recommend using RetainerBrite twice a week to keep your aligners fresh.

Keep supplied with RetainerBrite from the Space Healthcare Shop.

Crowns

I only have one crown but it is on my front tooth. It is not a perfect match with my other front tooth. How can it be improved? keyboard_arrow_down

You should arrange a consultation with a dentist who is experienced with cosmetic dentistry. It's not always an easy task to perfectly match a single front crown to your other teeth, but it can be achieved. Usually you will need to have the crown replaced.

At Space Healthcare our dental team are ideally suited to discuss your options with you. High quality digital photographs and scans, careful shade taking and possibly a visit to the dental technician or ceramist who's involved in making a new crown can all help to ensure that the result is absolutely fantastic.

First of all, you don’t have to put up with an unattractive crown anymore! At Space Healthcare our clinical team can advise you on a wide range of highly aesthetic crown options that can really enhance your smile.

The reason that you have a black line around your crown is most likely due to your gum receding over the years and exposing the edge of the crown, where the underlying grey metal is shining through to give the black appearance. The solution may be to replace the crown with one of the modern all-ceramic alternatives. No metal - no dark lines!

However, this appearance could be caused by tooth decay affecting the root beneath the crown. It would probably be sensible to get the health of the tooth checked, to make sure there's nothing serious going wrong.

Crowns should give trouble-free service for many years. So a crown that's wobbly means that there's something wrong - probably with the tooth underneath the crown. So the first thing to do is have a dental consultation and examination so that the reason your crown is wobbly can be diagnosed.

Once a diagnosis has been made, we can then discuss and evaluate options for treatment. We would be delighted to see you at Space to examine your teeth and fully assess the situation.

Fillings

My dentist has said that I need a filling but I cannot see a problem with my tooth. How can he be sure? keyboard_arrow_down

Your dentist may use several techniques to assess the health of your teeth. Many areas of tooth decay are situated on parts of the tooth where it is impossible to view them with the naked eye. By using a dental x-ray however, these areas of tooth decay can sometimes be seen clearly seen.

At Space Healthcare we follow the concept of Minimally Invasive Dentistry (MID). This means that, before we tell you that you need a filling, we'll have done a comprehensive evaluation of your dental disease risks and an in-depth examination, which may include state-of-the-art technologies such as fluorescence imaging, as well as digital x-rays.

We'll only tell you that you need a filling if you really do need one.

No. Only your natural tooth substance can whiten. Fillings, crowns and veneers will not change shade during the whitening procedure.

At Space Healthcare, our clinical team will be able to discuss options with you, so that once you have finished tooth whitening you can have your fillings replaced to your new lighter shade.

The first thing to do is to discuss your concerns with the clinical team at Space Healthcare. We can advise you on all the alternatives for treatment and once you have this knowledge you can make an informed decision about what is best for your teeth. The really good news is that several excellent tooth-coloured options are available for the vast majority of situations.

This is not true. The latest tooth-coloured composite fillings are resistant to wear and very stable over the long term. However, these filling materials will only work well over a long period if they have been placed with meticulous attention to detail and if a tooth-coloured filling was the right option for your individual case.

Tooth-coloured fillings take considerably longer to place properly compared with metal amalgam fillings. If your fillings were placed in just a few minutes, without the correct care and attention, then your concerns about a limited life-span may be correct!

Implants

How much do implants cost? keyboard_arrow_down

Every treatment is unique, so to receive a personalised costing and estimate of the time involved in an implant treatment it would be a good idea to book a new patient examination and we can assess your dental health and discuss your individual requirements.

As a rule of thumb, the cost of a single implant restored with a crown is from £2500.

Every clinical case is unique and so we cannot give you a definitive answer regarding whether you are suitable for implants.

In general terms it is certainly the case that most people, of any age, can benefit from implant based treatments, so it would be a good idea to book a new patient examination and we can assess your dental health and discuss your individual requirements.

In most cases – yes, a single tooth implant is a very predictable way to replace a missing tooth, so you can smile and chew with total confidence. It would be a good idea to book a new patient examination and we can assess your dental health and discuss your individual requirements.

One of the most successful uses of implants is to support a specially made denture. In many cases only two to four implants are required which fit into a special attachment built into the denture, fixing it securely in place. The feeling of having your denture so secure is wonderful, chewing is no longer a problem and there is no risk of the denture moving or dropping down when you laugh or speak. The first thing to do is arrange a consultation with a dentist who specialises in dental implants; at Space Healthcare we can facilitate this for you with ease.

Teeth Whitening

Do many people whiten their teeth? keyboard_arrow_down

More people than you might imagine. A bright sparkling smile can make a big difference and with the convenience of tray-based whitening, it’s even easier and quicker than ever.

It’s usual for the shade improvement to last several years. This can be extended by a regular maintenance program with occasional top-up sessions of tray-based tooth whitening, in combination with regular visits to our dental hygienist.

No! The materials and techniques we recommend will not damage your teeth. The same can’t be said for whitening products you may see for sale on the internet, many of which could result in permanent damage.

Increased tooth sensitivity during treatment is quite common. On rare occasions, some people experience tingling sensations in the teeth immediately after the procedure, however these subside shortly after use. It is not advised to use whitening systems if you have decay or defective fillings, or if you have active gum disease. That’s why we always carry out a thorough examination of your mouth before we start any form of whitening treatment.

As everybody is different, any side-effects may be more of a problem for some people than others, which is why we’ve several different whitening systems, designed to provide the optimal solution for you. We’ll advise on the best choice for your teeth during your whitening consultation.

This depends on the nature and degree of the initial stains. Everyone is different and just as our hair and skin colour vary, so do our teeth. Some people notice a difference after just one treatment whilst others can take a little longer.

Most people will achieve an ideal shade improvement after an initial course of 1-2 weeks.

Our usual advice is to wear your trays overnight. With some of our whitening systems it can be effective in as little as 60 minutes during the day.

There are advantages and disadvantages with different whitening systems: we’ll advise you on the best choice for your teeth during your whitening consultation.

The gel only works on natural teeth. However, it will not harm any dentures, fillings, crowns or veneers that you already have.

Gum Disease

What is gum disease? keyboard_arrow_down

It’s important to know that, despite it being one of the most wide-spread diseases across the world, gum disease is preventable and can be easily treated when if it’s detected early enough.

Periodontal disease, another name for gum disease, is caused by bacteria that collects at the gum line as dental plaque. The plaque needs to be removed by brushing and cleaning between the teeth twice a day. If not properly cleaned, the gum starts to come away from the tooth, forming pockets and the plaque grows down below the gum line. Over time, the bone that supports the teeth is destroyed, the gums shrink and eventually the teeth become wobbly and fall out.

Most people can get mild gum disease, but some people are susceptible to more aggressive forms. Severe gum disease, especially if you have it at a young age, can run in families. There are a few factors that put people at higher risk of getting severe gum disease. These include:

• diabetes (especially if poorly controlled)

• smoking (possibly including e-cigarettes)

• stress

• a poor diet lacking in vitamins and minerals

• obesity

• certain medications.

Periodontal disease is usually pain-free (sometimes called ‘the silent disease’) and so you may be unaware of it until your dentist or hygienist checks for it. Here are some ‘red flags’ - symptoms you may notice that should raise concerns:

• Bleeding gums when brushing or even whilst eating

• Red, swollen gums

• Bad breath

• Spaces appearing between teeth

• Loose teeth or teeth moving position in the mouth

• Receding gums

• Sensitivity to cold or hot foods and drinks

Book an appointment with our hygienist.

Treatment aims to reduce bacteria around your teeth and prevent the disease from getting worse. Generally though, treatment cannot replace the support your teeth have already lost.

We can help you to develop the best methods of cleaning your teeth and gums to remove dental plaque. Treatment will only work if you clean your teeth properly, twice a day, to a high standard.

  • You need to clean daily between your teeth with interdental brushes - or floss if the gaps between teeth are too tight for brushes.
  • You should use a small headed toothbrush or a good quality power brush - our hygienist can give you advice on the best choice.
  • The tartar above the gum-line can be removed by our hygienist.
  • Any bacteria below the gum line can be removed by our hygienist deep cleaning your teeth. An injection to make your gums and teeth numb is often ideal during this treatment.
  • Mouthwashes may help with very mild gum disease but may mask more serious gum disease, so we don’t generally recommend these.

Book an appointment with our hygienist.

Your gums will be healthier, and you may notice such benefits as:

• Greater confidence of a fresher mouth.

• Gums not being sore or bleeding when you brush.

• Teeth becoming less wobbly.

• Less discomfort when you eat.

• And ultimately, you will keep your teeth for longer.

Success depends on how well you clean your teeth and how your gums respond. Cleaning thoroughly twice a day and regular dental visits are good habits to adopt for life.

Book an appointment with our hygienist.

Your gums are likely to bleed more to start with - don’t worry and keep cleaning as this is normal and will improve.

• As they become healthier your gums may shrink. Spaces may appear between the teeth and they may appear longer.

• As gums shrink, your teeth may become more sensitive to hot, cold or sweet things. Usually this gets better in a few weeks, but you might need to use a special sensitivity toothpaste or have other treatment to help with this.

Book an appointment with our hygienist.

The only real alternatives to treating gum disease are not treating the disease, or having your teeth removed.

If you have no treatment:

• The gum disease is likely to get worse

• Your teeth could become wobbly with gaps appearing between your teeth

• Your breath will not improve

• Your gums and teeth could become painful

• You are highly likely to lose your teeth sooner

Extractions:

Removal (extraction) of teeth may be an acceptable alternative treatment if your disease is severe.

• You may wish to have replacements for any lost teeth by means of a denture, bridge or an implant. Implants are only recommended if the gum disease is no longer present.

• People find it easier and more enjoyable to eat with natural teeth rather than replacements.

• Extractions would reduce the time spent treating your gums.

• An extraction would remove a painful tooth quickly.

• If your front teeth have a poor appearance, a denture or a bridge may look better

Additional information:

If you smoke tobacco you should do your best to give up - there are plenty of organisations that can help.

Smokers who continue to smoke:

• are more likely to get gum disease

• may find their gum disease gets worse quite quickly

• are less likely to get better after treatment

• are more likely to have a recurrence of gum disease following treatment


Acknowledgements: Information courtesy of British Society of Periodontology.

More information on gum health and periodontal disease can be found at: bsperio.org.uk/patients

Crowns, Veneers and Bonding

What is a crown? keyboard_arrow_down

A dental crown is a cap that covers a damaged tooth to protect the remaining tooth structure, providing you with a strong, long-lasting layer of protection between the tooth and your mouth.

Crowns are the best way to treat teeth that have lost a significant part of their structure, which can happen as a result of an injury, decay, or the failure of a large filling. Crowns can also be used to rebuild teeth that have been badly worn down, or that have significant appearance problems that can’t be corrected in other ways. Crowns made from the most modern ceramic materials can look fantastic and mimic all the characteristics of a natural tooth.

At your consultation, you’ll be able to discuss a range of options with our clinical team to ensure you can confidently make the best decision for your treatment.

Veneers are a great way to give you the smile everybody wants. They are a particularly good solution if your teeth are chipped, a poor shape, very discoloured or can’t be whitened. The advantage of veneers is that they can be done in only two treatment visits, using ceramics that look beautifully natural and will not stain or discolour. The main disadvantage is that the teeth sometimes need to be shaped, so it’s generally not a reversible procedure.

Dental bonding is a single-session treatment capable of producing incredible results. This procedure, also known as composite bonding or cosmetic bonding, is an ideal option for anyone who has minor aesthetic flaws, such as small gaps between the teeth, chips or worn edges. No tooth substance is removed in the bonding process and so, if your dental bonding is later removed, your tooth is just the same as before the treatment. The cost of dental bonding is lower than veneers or crowns, but the composite resin used in bonding not as stain-resistant as ceramic and will need to be replaced more frequently.