Foregate Street Dental Clinic in Chester city centre

NHS Treatments

With the emphasis on prevention, at Foregate Street Dental Clinic, we will provide all necessary treatment required to secure and maintain your oral health.

The cost of NHS dental treatment is split into four charging bands. The amount you will pay depends on the treatment you need to keep your mouth, gums and teeth healthy. You will only be asked to pay for one of the charging bands for any complete course of treatment. The current prices are as follows:

Band 1 Examination of all the soft and hard tissues, oral hygiene instruction, x-rays, simple scale and polish
Band 2 Everything listed above plus any further treatment such as fillings, root filling (if appropriate), treatment of periodontal disease or extractions
Band 3 This covers everything listed above plus the provision of crowns, bridges and dentures where appropriate
Band 4 Emergency A one off payment in case of pain swelling, any discomfort, lost filling, lost crown, to stabilize the situation and prevention of deterioration until the next appointment

You may be eligible for help with some or all of your NHS charges, depending upon your circumstances. Find out more

For further information on NHS dental services in Chester please contact:

NHS England - Cheshire & Merseyside Area Team
1829 Building
Countess of Chester Health Park
Liverpool Road
Chester
CH2 1HJ

Dentist equipment for teeth examinations at Foregate Street Dental Clinic

Examinations

A check-up examination is a full periodical examination inside and outside the mouth of all the teeth and surrounding tissues, bone structure and muscles, health of the teeth and gums. Where needed we will take x-rays to get a better view of the situation in the bone structure and tooth structure?

If required we will give Oral health instruction, diet instruction and or advice on smoking cessation.

We believe that prevention is better than cure.

Periodontal disease

Gum disease is inflammation and infection of the tissues supporting the teeth. The disease attacks the gum tissues and the bone, both of which hold the teeth in place. There are two main forms: gingivitis and periodontitis.

Gingivitis affects the gums alone and is usually reversible.

Periodontitis follows gingivitis if untreated. It is more serious and affects the bone supporting the teeth. It may affect a small number of teeth (localised) or many teeth (generalised). Periodontitis unfortunately cannot be reversed but can be stabilized and maintained to preserve natural teeth as long as possible.

If untreated, enough bone is lost for the teeth to loosen considerably and they may come out or have to be taken out. The progress of the disease is usually slow, and it can take a number of years for this to occur. However, treatment of the disease becomes increasingly more difficult as it progresses, but gum disease is preventable.

Examples of Crowns

Crowns and bridges

If a tooth is heavily restored and need more repairs, or has a root filling, a crown might be a better solution to use to restore its original functionality.

Crowns can be made from metal, porcelain bonded to metal or porcelain. Your dentist will discuss with you what your best option is.

Lady having her teeth examined in Chester

Fillings

Fillings are used to repair a cavity in your tooth caused by decay, erosion of tooth surface, or failing of an old filling.

The types of filling you can have are:

  • Amalgam This is the most common, long lasting and hardwearing of fillings. They are made by combining mercury and a silver alloy (ie silver mixed with tin, copper and other metals). Amalgam fillings can last for 15 to 20 years and they are usually preferred for back teeth
  • Composite These are made from a powdered glass quartz, silica or other ceramic particles added to a resin base. They are strong but not as hardwearing as amalgam, but have the advantage that they can be made to match your tooth colour
  • Glass ionomer These fillings form a chemical link with the tooth. They may also release fluoride, which helps to prevent further tooth decay. This type of filling is fairly weak. Because of this, they are usually only used on baby teeth and ‘non-biting’ surfaces such as around the ‘necks’ of the teeth. Little preparation is needed as the filling bonds directly to the tooth. Sometimes it is used to stabilise a situation until it is clear what is the best long term course of treatment

Your clinical needs will instruct the dentist in deciding which is the most appropriate filling material to use.

Root fillings

If the tooth is heavily restored and has lost its vitality, the dead nerve will cause an infection in the bone tissue. To save the tooth, the dentist will have to do a root filling. This is a complicated procedure with sometimes an uncertain outcome. A risk assessment needs to be done between predicted outcome and the future prognosis of the tooth.

NHS dentures in Chester

Dentures

If 1 or more teeth are missing and need replacing for reasons of functionality or cosmetics, we can make a partial or full denture. Dentures are made of acrylic and are not fixed in the mouth. Dentures will have to be removed from the mouth every day for thorough cleaning.