Author: foregatedental

Dentist in Chester for dental implants

If you are unhappy with how your teeth look due to gaps in the teeth or severely decayed teeth, then dental implants could be for you. These implants replace your natural teeth, but still look and act like them. This treatment is mostly used with patients who already have missing teeth, but can also be done after a tooth extraction.dentist-in-chester

Our dentists’ main focus is to make sure you are as happy as possible with your smile, and they can assist you. We will always make you feel welcome and comfortable when you come into our dental practice, as we know it can be nerve wracking.

How does it work?

The entire process of getting dental implants can take a few months, but it is very worth it because they can last a lifetime with the right care. There are a few steps to getting dental implants, all of them being an important part in the process of getting your smile back.

The first step of getting dental implants is having a consultation meeting with your dentist in Chester. This is vital in making sure that you are eligible for the implants in the first place. We will examine the area to make sure it is in a good enough condition, and will take scans to make sure there is still enough bone in the area to allow the implant to attach.

If you are eligible and ready for your dental implants, then the next step can begin. The more surgical parts of this treatment are done under local anaesthetic, but you will still be awake. The area will be numbed very well by the anaesthetic, but if you are still feeling nervous then we are able to arrange some form of sedation for you. Once you have your consultation meeting, there are usually two appointments which follow.

The first of these appointments will involve your dentist in Chester opening up the gum in the chosen area, and drilling the initial hole in the bone which will hold the implant. A metal post will be implanted deep into the bone and the area will be recovered and left for several months to heal. This healing stage is so important in making sure that the implant will be stable in the gum.

Once the post has fused to your bone, this is when it will be time to get your crown fitted. A custom crown/filling would have been made previous to this appointment ready for when the bone is healed. You can choose between removable and fixed implants, it is completely up to you. Your dentist in Chester will then attach the crown to the metal post and the process is complete!

The advantages

The main benefit that our patients love about dental implants is how easy it is to take care of them. All you have to do is make sure you are brushing and flossing regularly, just like you would with your natural teeth. It is as simple as that!

Another great advantage of getting dental implants is that it supports the teeth around it. When you have missing teeth, this puts pressure on the teeth surrounding it, meaning they can weaken and become damaged. When you have the implant in, this means that those teeth are supported, just like when you had your natural teeth.

Dental implants look just like your natural teeth, which our patients love. This is why it is such a popular way of replacing missing teeth. They will blend in almost perfectly with your other teeth, meaning no-one would ever know you have implants.

Dos and don’ts of tooth extraction

At Future Health Partnership Practices, we don’t take tooth extractions lightly, because we will always endeavour to save and repair teeth whenever possible. In severe cases of decay and unresponsive gum disease, it is unavoidable, so how should you manage your extraction so the procedure and aftercare go as smoothly as possible? Let’s find out more from our dentist in Chester.

Each person is unique so the following can only be a rough guide for the average patient.dentist-chester

Steps we go through in the clinic

Dependent on the location of the tooth, and the involvement of the root in the case of an impacted tooth, a set of X-rays may be carried out to guide the extraction. A local numbing agent is applied, usually by injection into the gum. Our dentist in Chester can also provide partial sedation at this point if required. Antibiotics will only be prescribed if there are active signs of infection, to avoid overuse.

Aftercare

Just a few tips on a speedy and successful recovery. After the extraction, the first 24 hours are the most important. Avoid aggressively rinsing out the mouth for 24 hours post-surgery, as it can disturb the formation of blood clots and new scabs. Choose softer foods and avoid very sticky food like toffee. If the extraction site bleeds, you can stem the bleeding by biting down on a piece of clean cloth for 10 to 15 minutes. Both alcohol and smoking can prevent healing and should be avoided for as long as possible post-extraction. A saltwater mouthwash can be used 4 times a day, but only after the first 24 hours when all bleeding has stopped. Brush with caution, avoiding the affected site, but don’t stop brushing.

Possible complications post-extraction

It is common to expect some secondary effects of extraction during recovery. Most of this sensation can be treated with over-the-counter pain relief. It is normal for the teeth located around the extraction to feel sensitive for several weeks, but in particular to hot or cold stimuli. There are several reasons why healing can be delayed. If healing is very poor, dry socket can occur. If clotting does not occur within 24 hours, please get in contact with us. Dressing, stitching and a course of antibiotics may be required. You may experience a sensation following the wearing off of the localised numbing injection, it feels like pins and needles or a hot/cold numbness. It usually only lasts a few days, but could be a sign of infection if it continues for more than a week.

A follow-up appointment with a dentist in Chester is not always necessary post-extraction, but we like to check the rate of healing and explore any symptoms you might be having so we stop further complications.

After a local numbing agent has been applied, there is no reason why you can’t drive or return to work after extraction from our dentist in Chester. If you have had a general anaesthetic, you will need an escort to leave the surgery and shouldn’t operate heavy machinery for the rest of the day.

When can I stop worrying about dry socket?

Dry socket is a common condition which is caused by tooth extractions; if you have recently had a tooth extraction it is something to be aware of, but it is still quite rare. In modern dentistry, less than 2% of all patients suffer from a mild case and it is not something we see much of at our dentist in Chester. So, let’s try to settle some of the worries you may have.chester-dentist

When a tooth is removed the surrounding gums should close around the vacant tooth socket, migrating over the exposed bone. If this process is disrupted, this can lead to a permanently exposed jawbone. This has its own risks with infection, but is also uncomfortable with the nerves in the jaw being exposed to air.

There are greater risks of a dry socket forming with wisdom tooth extraction, which is why we usually stitch the gum post extraction of wisdom teeth.

After an extraction, the first 24 hours are the most important to prevent dry socket. This is why we do not recommend using mouthwash and only lightly brushing during this critical period. If the blood clot in the tooth socket is not disrupted you should not have any issues with a dry socket.

This risk increases dramatically if you have a history of dry socket, are a smoker or are on oral contraceptives. With difficult extractions, the resulting tissue damage to the gum seems to make a dry socket more likely. There doesn’t seem to be a silver bullet solution to preventing all cases of dry socket, but with care and attention, the vast majority of cases are avoidable. If you have had an extraction at our dentist in Chester and the discomfort continues for more than 10 days, call us and we will be able to advise you further or book you in for a check-up.

Treatment options

Once a dry socket has occurred, we will be able to mitigate it by cleaning it out to prevent any bone infections and will pack the socket with an antiseptic numbing fibre to relieve the symptoms.

This will allow tissue migration beneath the fibre, which can be removed at a later date.

Your mouth will have to be kept extremely clean during this process, with regular use of a saltwater or prescription mouth rinse. As well as avoiding alcohol and smoking due to their retarding effect on healing and tissue migration, it may be necessary to redress the socket. If so, we will provide dressing and a member of our clinical team can tutor you on applying them at home, as well as how to brush without disturbing the gum.

For the management of further soreness, non-steroidal, anti-inflammatories are recommended. If over-the-counter options are insufficient, we will prescribe a stronger medication. The application of a cold compress can help to reduce swelling. The use of steroids will slow the rate at which the dry socket closes.

If the discomfort spreads along the jaw or to the eye socket, there may be a bone infection, which can be very stubborn once they become established. Please inform us immediately so treatment can start at the dentist in Chester without delay.

Worried about tooth extraction?

With our Future Health Partnership Practices’ dentist in Chester we are mindful of the concerns which many people have around dentistry and around extractions in particular. Let’s try to demystify the process, so you know what to expect each step on the way.dentist-chester

We will try to be as accurate as possible, but there are a lot of features which will have an impact on how each given extraction may be carried out, so we can only give a general guide here.

Pre-extraction

There are many reasons why an extraction may be warranted. Unless it is something very trivial like a baby tooth removal, the first clinical step would be a dental X-ray to get a better understanding of the root structure of the tooth and if the extraction will be a more simple or specialist task.

Discussing the extraction

This is where each step will be explained before the procedure, so there are no surprises and you are fully informed. We will ask about your medical history and any allergies or pre-existing conditions you may have. Then, a non-verbal method of communication will be agreed upon, usually raising a hand, so if there are any issues during the procedure you can signal to our dentist to stop and address the issue.

Anaesthetics and sedations for extractions

There are a few options at our dentist in Chester, but full or general anaesthetic is not one of them. To safely maintain unconsciousness, an anaesthesiologist is required and for most dental procedures, this is excessive. If a patient insists on being fully anaesthetised, we can refer you to a specialist with access to an operating theatre.

For most patients, local anaesthesia is acceptable. It allows the numbing of all discomfort, but still allows you to feel pressure and will not suppress your breathing. If the idea of being conscious during extraction is disturbing to you, a benzodiazepine can be used with the local anaesthetic to help you say calm and tranquil throughout the procedure.

Tooth extractions; how do you do it?

The art of tooth extraction is to remove the tooth in one piece while minimising the disruption to other teeth and the surrounding gum. The complexity comes with pathology; it’s very unlikely we would be pulling a healthy tooth, so the method of extraction must be tailored to the situation. For instance, a cavity damaged tooth may have become too fragile to grasp with forceps or the root is compacted and possibly intertwined with a neighbouring root system. The tooth will be progressively loosened until fully liberated from the gum. A stitch may be used to close the gap left in the gum to help with healing if the gum is heavily disrupted by the extraction.

Aftercare

After the extraction, a few minutes of bleeding should be expected; we would prefer it if you stayed in the surgery until the bleeding is stemmed. After local anaesthetics, you are free to drive and go about your day as usual. Over the next three to four days you should treat any discomfort with over-the-counter medications. The gum should settle and return to normal over the next week and a half. If you are in discomfort after 10 days please book a check-up at our dentist in Chester, so we can assess progress.

How we approach extractions

Here at the Future Health Partnership Practices, our dentist in Chester has a forward-facing ethos on dentistry, but that does not mean we don’t value the perfection of one of the oldest dental treatments; tooth extraction. dentist-in-chester

The process

All work must start with a conversation. You’ll have some questions posed to you by our dental team; we’ll need to know about your medical history, past allergic reactions and address any concerns you may have. It’s important to inform us of any medication you are taking at this point.

Pain relief options

It is normal for an anaesthetic to be used, this is a local numbing agent which is administered by injection into the jaw and gum. This will stop all painful sensations, but you will still feel pressure on your mouth. This can be disconcerting if you are unprepared or this is your first extraction. You will be conscious or awake for the whole of the treatment and capable of communicating.

In modern dentistry, full sedation is avoided whenever possible. You can take sedative anti-anxiety medication which can keep you relaxed while still conscious.

The option for full sedation is reserved for adults with severe learning disabilities and young children who may not be compliant. Full sedation is carried out in the hospital with the assistance of an anaesthesiologist in these cases, so we would have to refer you.

How a tooth is extracted

After the application of a numbing agent, you’ll be encouraged to talk by answering a few questions. As the numbing takes effect, your speech will slur which is the sign that our team is waiting for, to start with the procedure.

Our dentist in Chester will widen the tooth socket by pushing and pulling the tooth, gently loosening it before pulling it away from the gum and extracting it fully. Depending on the condition of the tooth, different tools will be used during and after the extraction. Depending on the presence of an infection or gum disease, the extraction hole may need cleaning and stitching.

If you feel any pain at all during the procedure, you must immediately tell our team; this is usually done by raising your hand or ‘tapping out’ on their arm. We will stop and reapply the local anaesthetic.

Bleeding should be expected; a piece of soft gauze and cotton wool will be provided to allow you to bite down and stop the bleeding. We strongly recommend patients don’t leave our surgery until all bleeding has stopped.

Post-extraction

Your post-extraction care will vary significantly, depending on the nature of the extraction and the reasons why it was performed. It is no longer standard procedure to provide antibiotics prophylactically, but if an infection is present antibiotics will be prescribed.

Mouthwash is not always required but if gum disease was a feature in the extraction, a medicated mouthwash is recommended. There may be some post-extraction discomfort; this should be expected as the anaesthetic wears off. Usually, over-the-counter painkillers are appropriate, but if the discomfort becomes excruciating or the bleeding doesn’t stop, you will need to call our dentist in Chester.

Why does our dentist in Chester recommend regular check-ups?

Having a healthy, happy smile without an unpleasant odour is the kind of smile that everyone wants. Whether in the early stages of life or the older stages, dental hygiene is paramount and therefore our dentist encourages all our patients to have regular appointments.dentist-in-chester

What can regular dental appointments potentially help to prevent?

When our dental team refers to routine appointments, we mean every 6 months or as close to that as possible. This will not be the same for every patient as some may require more frequent visits or potentially less visits, but this will always be discussed with you. It may seem a lot when you are not suffering from any discomfort or noticeable issues, but the earlier we spot any potential problems in your mouth the better chance we have of reducing and potentially eliminating the problem. Preventive dentistry is what our dentist in Chester thrives on and if all our patients follow this ethos our more severe cases would be reduced dramatically. The way forward to a healthy mouth is to use preventive dentistry as much as possible.

What does a standard routine appointment entail?

To begin with our dentists will take an in-depth examination of your teeth, gums and mouth. This may include X-rays depending on what the physical assessment of your mouth shows.

Talking to you, our patient, is of course paramount during any appointment, as only you are able to tell us if any issues or discomfort has occurred since your last appointment. Therefore we will discuss any dental problems that may have arisen with you.

Believe it or not your general health and dietary issues can have a mild to severe effect on the health of your teeth and gums. For instance smoking. We therefore will also discuss this with you so as to provide you with all the possible information to make healthy choices.

A potentially obvious part of the appointment is to talk about your overall dental cleaning habits. Brushing technique is paramount in keeping the teeth, gums and mouth healthy, therefore once this has been discussed, our dentist in Chester will further advise on any beneficial improvements that can be made such as flossing.

Once an understanding of potential improvements in dental hygiene has been made we will discuss and explain any further treatments that may be needed, and discuss making hygienist appointments.

A detailed treatment plan will then be agreed and provided to you.

Whether providing a new dental plan or continuing with a current plan we are happy to answer any questions that you may have and provide you with information on all the options available. Our dentist in Chester wants you to be as comfortable as possible with your treatment plan.

If there is no treatment required and all your questions have been answered, we will inform you of your next recommended appointment.

Regular check-ups make preventive dentistry possible.

We always recommend discussing any of the treatments and procedures that you think you may need with your dentist, to gain more information before making any decisions.

Emergency dental care – a priority at our dentist in Chester

More often than not, when someone knocks their teeth so they are chipped, broken or completely avulsed, it is an afterthought to go to the dentist and get them thoroughly checked. Our dentist in Chester wants to encourage you to contact your dental practice as soon as possible. This is because the sooner we are aware of the injury, the higher the chances are to re-implant the tooth or teeth depending entirely on the nature of the damage. At our practice we offer a variety of appointments for dental emergencies, these range from toothache to broken crowns and face trauma. Our job is to ensure that we are as effective as possible with your emergency dental treatment, to avoid additional complications further down the line. Our dentist wants to get you healed and comfortable as quickly as possible.emergency-dental-care

What is covered during a routine emergency appointment?

The appointment has been made and our dentist in Chester has been informed of what has happened. Our first step is to assess the injured area which will not only be by a physical examination, but potentially include X-rays to gain a more in depth insight into the damage which may have occurred.

The second step we will take is to relieve any discomfort that may be occurring as a result of the injury, depending on the severity of the pain, we will numb the area with a local anaesthetic.

As with any injury there is the possibility of infection and therefore our third step is to reduce this risk by sterilising the injured area.

Whether a temporary or permanent restoration, our fourth step is to restore the damaged tooth or teeth. The nature of the restoration will be entirely dependent on the severity of the damage. If we believe the damage to be severe our dentist in Chester will discuss the possibility of tooth extraction followed by implants or other restoration treatments.

Is it necessary to consult the dentist if I am only having minimal discomfort from the injury?

We understand that not all knocks or injuries to the mouth cause pain immediately, however, the long-term effects may cause discomfort. Therefore we encourage you to visit our dentist to avoid any future complications. We want to preserve the remaining tooth structure and the best way to do this is to get to the injury early on. Other benefits of getting the damage sorted immediately is that it reduces the risk of infection, which in the long term would affect your overall oral hygiene.

What if I am concerned about the cost of the appointment or treatment?

We understand that sometimes finances can play on your mind when it comes to booking an appointment, as the cost of treatment at that time will be uncertain. We are currently working on possible finance plans, so please feel free to discuss this with us when booking your appointment as we would rather help where we can.

Please note that with all dental treatments and procedures there is a potential risk. Therefore please talk to your local dentist to get more information on any mentioned in this article.

Root canal issues but afraid to visit your dentist? Our dentist in Chester can help!

First of all, rest assured, we have you covered. We know that walking into a dental surgery for an appointment can be daunting and even more so in these uncertain times. Sometimes even picking up the phone to make the appointment can be something that is repeatedly put off. Our dentist in Chester is fully aware of the impact of nerves and therefore when you pick up the phone let us know that you are nervous and we will take extra measures to ensure your experience is as pleasant and comfortable as possible.dentist-chester

What happens during a standard root canal therapy procedure?

Once our dentist has talked you through everything and ensured you have everything you need to engender a positive experience, we will begin to address your root canal discomfort.

In order to begin this process let us talk you through the standard procedure.

Step 1. In order to ensure there is minimal discomfort during the treatment we will administer a local anaesthetic.

Step 2. Using a drill, we prepare the tooth to gain access to the root canal system. Please note, when we mention a drill, it is not as scary as it sounds and is certainly a lot more delicate and precise than you may be expecting.

Step 3. A deep clean out of the root canal system will then occur removing all the pulp and infected parts.

Step 4. This needs to heal slightly and show us that the infection is completely gone, so the root canal system will be filled and sealed with a temporary crown.

Step 5. At your next visit we will check how the root canal system is, if all the infection has cleared we will permanently fill the tooth.

Is it beneficial to have a root canal therapy?

Aside from relieving any discomfort that you may be suffering from, there are lifelong benefits to having this skilled procedure. Our dentist in Chester wants to preserve the remaining healthy tooth structure and hopefully in doing so prevent any further infections spreading across the area. A highly important part of having this procedure done is to aim for complete restoration of the tooth to its natural appearance and feel.

What are the risks to leaving the infection untreated?

If left untreated it is likely that a lot of discomfort will occur as the infection could spread through the root canal leading to an abscess and/or potential tooth loss. Our dentist in Chester understands that as it is a time-consuming procedure you may feel too busy to get the issue sorted. Or perhaps your nerves are preventing you from making an appointment. Whatever it is, please give our dental team a call and we will help in whichever way we can, whether it be with flexible appointment times or by assisting somehow with your nerves.

Always be aware that with all dental procedures there is a potential risk, therefore please contact your local dental office to discuss any of the treatments or procedures mentioned in this article.

Is it worthwhile to visit the dentist in Chester for a hygiene appointment?

Although technology is assisting with everyday dental hygiene by creating new electronic toothbrushes, it is still extremely beneficial to attend a hygienist appointment regularly. Plaque is an unfortunate part of everyday life and affects every single patient. Hard to reach plaque can build up over time, but our dental hygienists can tackle this occurrence and help maintain a healthy mouth.hygiene-appointment

What happens in a hygiene appointment?

Our dentist in Chester may have referred you to one of our hygienists, as the removal of plaque is normally tackled by a specialist in this area. However, this does not mean that a physical examination of your mouth is skipped. No, the first thing to be done is to assess the plaque build-up and ensure that any potential risks that may occur are addressed.

When plaque is being dealt with it isn’t a simple brush and off you go. Our dental hygienists use special equipment and pastes to provide the teeth with a deep clean. We like to refer to this as scaling and polishing. As with all our appointments our ethos is with preventive dentistry as the goal. Therefore during your appointment you will be advised on the best brushing techniques and given clear instructions on how best to floss and use interdental brushes. This information is provided so that going forward the build-up of plaque can be reduced and potentially prevented entirely!

If mouthwash is used on a daily basis surely I won’t need to see a hygienist?

Unfortunately whilst mouthwash is useful to freshen up the breath, plaque build-up can still occur when the use of the extra cleaning measures, such as flossing and regular dental hygienist appointments are ignored. As a result, gum disease and bad breath can become a problem. Therefore our dentist in Chester recommends regular dental hygiene appointments to ensure that your mouth remains clean and healthy. It is also an excellent way to ensure your own personal dental cleaning regime is effective.

If I have dental implants do I need to visit the hygienist?

The short answer to this is yes. If you have had dental implants, a bridge, dentures or any other orthodontic treatment, plaque is still a very present issue. All it means is that you will have a specific cleaning regime provided and explained to you, as your individual needs will be slightly different to those without.

What are the long term benefits of these appointments?

By attending a hygienist appointment regularly the risk of tooth decay and the need for fillings is greatly reduced. There is also a considerable reduction in the potential risk of tooth loss. However, one of the most day to day noticeable differences is the maintained minty freshness of the mouth. So altogether our dentist in Chester believes there to be great short-term and long-term benefits.

As with all dental treatments and procedures there may be potential complications. Please discuss any of the treatments and procedures mentioned in this article in further detail with your local dentist.

Some dental conditions and their treatments

Carieschester-dentist

Caries is a very common condition, which a lot of people go through throughout their lives. Caries or cavities are characterised by the formation of holes and cavities in the structure of the teeth, which are caused by tooth decay. The culprits behind this phenomenon are oral bacteria. These organisms make up our normal healthy microbiome, just like their counterparts, the gut bacteria. They feed on the sugars that can be found in the small food particles remaining in our mouth after a meal. One of the types of waste products they produce is organic acids. These can contribute to the dissolution of our teeth’s mineral content and their subsequent degradation and decay. Under healthy circumstances, the saliva we produce replaces most, if not all of the lost minerals. However, when a diet is high in sugars or someone has poor oral hygiene, the number of these bacteria increases, and proportionally the amount of acid they secrete too. This can cause tooth decay and cavities. Cavities are treated by fillings after they have been sterilised by a dentist. If you are looking to find a dentist in Chester to treat caries, book an appointment with us, the Future Health Partnership Practices in Chester.

Tooth loss

Tooth loss can occur through numerous mechanisms, but its most common causes are tooth decay, advanced gum disease and dental trauma. Both tooth decay and gum disease are at least partly caused by the oral microbial overgrowth. If the decay-causing organisms reach the innermost pulp tissue of the teeth and infect it, tooth loss will occur. The bacterial presence also causes the inflammation of the gum tissue. If this is left untreated, the chronic inflammation can cause persistent damage to the gum tissue and the tissues surrounding the teeth. Dental traumas mostly occur through workplace accidents, dangerous sports and traffic accidents. Prevent tooth loss by practising good oral hygiene, reducing your dietary sugar intake and by wearing a mouthguard when engaging in contact sports or other activities that come with an increased risk of dental trauma. Tooth loss can be treated by dental implants. These devices are made out of titanium and have a similar appearance to a screw. They are surgically inserted into the jawbone, where they integrate into the tissue and behave as an artificial root, upon which the artificial teeth are later placed. If you would like to find a dentist in Chester to treat tooth loss, do not hesitate to book an appointment with us.

Tooth discolouration

Tooth discolouration can occur due to numerous reasons, but generally, besides the aesthetic issue, it is not a cause for serious concern. Tooth discolouration can occur due to consuming staining foods or beverages (e.g. coffee), smoking, ageing, certain antibiotics, frequent mouthwash use and other reasons. Tooth discolouration is treated by teeth whitening, which is performed by cosmetic dentists. Various types are available. Some methods are performed only in the clinic by a short treatment with a whitening gel and light, and some are performed at home by using custom made bleaching trays and a whitening liquid. If you would like to find a dentist in Chester to treat tooth discolouration, book an appointment with us.