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Dental Health Practice Dental Practice. Call us now on 02380 473 612.

  • Dental Implant Clinic
  • Dentures
  • Disabled Access
  • Facial Rejuvenation
  • Free Wi-Fi
  • Fully Private Clinic
  • Nervous Patients
  • Parking
  • Smile Makeover
  • Straight Teeth

Dental Health Practice

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Welcome to Dental Health Practice in Southampton, West End

If this is your first visit to our practice we would like to welcome you and your family and we appreciate that you have entrusted us with your dental care. The Dental Health Practice has been established in 1983 and we pride ourselves in being able to offer a high standard of family dentistry across the Southampton area and beyond. In 2019 we joined the Envisage Dental family of private dental practices to ensure our philosophy and ethos of care were carried forward for all our patients. Our cosmetic dental treatments are varied and complement our general dental procedures and hygienist work. We are located on West End High Street in an air-conditioned building for your comfort.  Complimentary cooled water, fresh coffee and a selection of teas are available in our reception area along with a variety of current magazines and daily newspapers.  We also run patient information on our TV in reception - an excellent way to find out just what modern dentistry can offer you.

Our goal

We aim to provide you with the highest quality dental care, tailored to both your needs and expectations within a safe, comfortable environment. We will work with you, adopting a preventive approach to minimise your treatment needs over your lifetime.

Practical benefits

With this preventive approach you can:

  • Minimise the formation of fresh tooth decay
  • Minimise gum disease
  • Keep your remaining natural teeth for a lifetime
  • Minimise visits to the repair man i.e. the dentist
  • Allocated parking space for patients only
  • Dedicated disabled bay

Only wear and tear to the teeth, chipping, staining of teeth and old fillings etc may need attention which occurs much less frequently when things are not being undermined by fresh dental disease.  As well as this you may wish for some cosmetic improvements to your mouth.


Our Dentist Fees in Southampton

We aim to provide you with the highest quality dental care, tailored to both your needs and expectations within a safe, comfortable environment. Our fees are used as a guide only and a full treatment estimate will be given at your Dental Health Check.

Call us on 02380 473 61202380 473 612

email us on[email protected]

Dentist Address: Dental Health Practice, 38 High St, West End, Southampton SO30 3DR | t: 02380 473 612

envisage Dental Health Practice is open:

  • Monday .......................................... 9am to 5.30pm
  • Tuesday ......................................... 9am to 5.30pm
  • Wednesday .................................. 9am to 5.30pm
  • Thursday ....................................... 9am to 5.30pm
  • Friday ............................................. 9am to 1.30pm
  • Saturday ....................................... Upon request
  • Sunday & Bank Holidays ........ Closed

Dr Ingrid Elliott BDS, Dentist | GDC Number 66052

Ingrid qualified from Liverpool Dental School in 1990. She gained experience in both NHS and Private Practices, before joining us in 2014, and enjoys a wide variety of general dentistry. In 2007 Ingrid attended an advanced course in facial aesthetics which enabled her to branch out and offer a range of non-surgical cosmetic facial treatments.

Dr Kia Papagalani DipDS Athens 1986, GDC No: 228487

Dr. Kia Papagalani has been delivering premium orthodontic care for more than 27 years. Her extensive experience and enthusiasm enable her to excel at the orthodontic treatments with Invisalign aligners and Insignia Advanced Smile design Custom made braces.

She focuses as a specialist Orthodontist on providing the highest quality of orthodontic care and successfully manages challenging, complex and multidisciplinary cases by using and combining the latest and most advanced orthodontic techniques with special Invisalign methods for teens and adults.

Her commitment to providing the best orthodontic treatment is supported by her ongoing professional development and training and keeping up-to-date with the latest technologies and methods.

Dr. Kia is also an experienced and Premier Provider of a wide range of modern and custom-made braces besides Invisalign clear aligners for teens and adults. Her special interests include smile architecture and aesthetics, non-extraction treatments and facial-driven orthodontics.

Dr Johann Havenga tbc, GDC No: 67743

Johann is very passionate about dental education and has spent hundreds of hours over the last 27 years with some of the best dental educators in the world.

Nothing makes him happier than seeing a smile transformed. When you’re investing in something as important as your smile, you want to know that the team you choose values it as much as you do.

Restoring or enhancing your smile needs to pay off over the long run. Balancing this with your personal desires is his top focus as you work together to help you achieve your dreams.

Dr David Lewis tbc, GDC No: 244644

David grew up in Namibia and then went on to discover his passion for dentistry and study at the University of Witwatersrand, in Johannesburg.
After qualifying in 1987 he went on to own a private practice in Cape Town.

He left South Africa and moved to England in 1993, where he established a private, mercury free, dental practice in Marlow. He ran a very successful, well regarded practice in Marlow for 18 years before the call of the south coast beckoned.

Having studied a post-graduate diploma in dental implants, David has considerable experience and enjoys carrying out cosmetic dentistry. Knowing the difference you can make to a patient is something that continues to inspire David.

He has been involved in digital dentistry (CEREC) since 2005 and a member of the British Society of Occlusal Studies.

Janet Heyworth Hygienist, GDC Number 1272

Qualified as a hygienist in the Royal Navy in 1975 and has been with the practice since 1990.  She is a past chairman of the Southern Regional group of the British hygienists association. 

Corinne Williams Hygienist, GDC Number 160786

I have 15 years of experience working in the dental field in various roles, including a Dental Nurse Lecturer at Eastleigh College. I gained my qualification as a Dental Hygiene Therapist from Portsmouth University and have a calm and very caring approach, which helps to put my patients at ease during treatments.

As a Hygiene Therapist my skills are not limited to hygiene appointments only. I’m also able to carry out all dental treatment for children, most restorations in adults and emergency treatments such as re-cementing temporary crowns and placing provisional dressings, taking impressions, whitening treatment and taking x-rays as required. I am also qualified to provide facial aesthetic treatments and look forward to welcoming you at our clinic.

Southampton Fees
Diagnosis from
New patient exam (inclusive of panoral and two small Xrays)
Recall Exam
Child Exam (Under 5's free)
Small digital X ray
Panoral digital X ray
Further assessment for more complex treatment (30 mins)
Hygiene Services  
Hygiene 30 minutes
Hygiene 60 minutes
Gum Detox
Tooth coloured filling regular (back tooth)
Tooth coloured filling large (back tooth)
Tooth coloured filling (front tooth)
Crowns and Veneers  
Zirconia/Emax Tooth Coloured Crown
Porcelain bonded to gold crown
CEREC Ceramic crown/Inlay/Onlay (same-day crowns)
All gold crown
Post/core to reinforce root treated tooth prior to crowning
Porcelain veneer per tooth
Fixed bridge per tooth unit (usually need at least three units)
Root Canal  
First stage root treatment
Extra root treatment to control persistent infection before root filling (each visit)
Surgical root treatment (apicectomy)
Upper or Lower partial chrome
Upper or Lower partial acrylic
Upper or lower full acrylic
Normal tooth extraction
Surgical tooth extraction
Surgical removal of Wisdom Teeth
Single crown on one implant
Three unit bridge on two implants
Bone generating granules plus membrane
Intravenous Hypnovel
Gaseous Relative Analgesia - adults
Gaseous Relative Analgesia – children
Orthodontic assessment including x-rays (New Patient)
Clear Braces Systems
Upper & Lower Vacuum-Formed Retainers (post treatment)
Tooth Whitening
Facial Aesthetics (anti-wrinkle injections)
1st Side
Southampton - 3D CEREC

What is CEREC 3D?

CEREC is a state-of-the-art CAD/CAM system which enables the design and manufacture of inlays, onlays, crowns and veneers in just one visit using ceramic materials cleverly bonded to the remaining healthy tooth structure.


  • Protects and preserves as much as possible of your own tooth.
  • Ceramics are bio-compatible, the best dentistry has to offer and as close as we can get, at the moment, to tooth enamel/dentine.
  • Excellent quality.
  • Unquestionably the most cost effective restoration we have available today.
  • Only one appointment needed.
  • Looks toothlike and natural.
  • Long lasting and durable.

Ceramic reconstruction step by step

  • The defective filling and decay is removed. A reflective powder layer prepares the tooth for imaging.
  • An optical 3D image is acquired with a small camera, directly in your mouth.
  • The restoration is created on the screen using the image data.
  • Diamond coated instruments mill a ceramic block to reproduce the design. This is accomplished during a single appointment using Computer Aided Design/ Computer Aided Manufacture (CAD/ CAM).
  • After polishing and glazing, the new restoration fits precisely.
  • A unique light hardens the bonding material, uniting porcelain and tooth. Polishing or glazing ensures a pleasantly smooth and natural feel. The colour and appearance make the special ceramic material blend with your tooth. Perfectly bonded porcelain ensures an extremely long life for your teeth.
  • Maximum strength, great looks!

Fillings (inlays/ onlays)

After decay and old filling material is removed the individually manufactured ceramic will be fitted exactly. Depending on severity, the whole procedure will last between one and two hours.


For more heavily compromised teeth, a traditional treatment has been a crown restoration, which can take several separate appointments. Using the CEREC method, crown restoration is completed in a single appointment. No impressions, no temporary crowns – no need for a second injection. A treatment time of one to two hours is normal.


Malpositioned and discoloured teeth can be restored with porcelain veneers. Your tooth is adjusted and a thin layer of porcelain is bonded securely to your tooth. Perfect looks, perfect fit make a wonderful, natural smile – all in a single appointment.

Southampton - Bridges

Bridges are generally made from porcelain bonded to metal (metal substructure with porcelain bonded over it) or all ceramic (hard ceramic substructure with porcelain bonded over). A bridge will give many years of good service but you need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. Your dentist or hygienist will show you how to care for your bridge.

Southampton - Composite Fillings

Most people have fillings of one sort or another but today, because we are much more conscious of our smile, we can choose a natural looking alternative - the composite or tooth-coloured filling.

A composite resin is a tooth-coloured plastic mixture filled with glass (silicon dioxide) first introduced in the 1960s. Originally only used for front teeth because of their softer nature, modern improvements to their composition make them generically suitable today.

The main advantage of composite fillings is their aesthetic appeal. The main disadvantage is their life expectancy. White fillings have always been considered less long lasting than silver amalgam fillings but there are now new materials available with properties comparable to silver amalgam, and these are proving to be very successful. The life expectancy of your composite filling can depend on the depth of cavity and its position in the mouth; your dentist is best positioned to advise you. With large cavities composite is not appropriate and these are best restored with inlays or onlays in a ceramic material using a CEREC cad/cam technique.

Southampton - Cosmetic Smiles

Today, how you look is more a matter of choice than genes and it is no different when considering your choice of smile.

We all want healthy teeth and gums, fresh breath and the confidence and comfort to choose whatever we would like to eat. But we also want to smile freely, with poise and the assurance that our smile does what it is meant to do: to present and represent us; to be an attractive and welcoming feature.

We are now able to determine the very best cosmetic solutions, show you the potential results and allow you to choose your ideal smile. You can discuss what you don't like about your teeth, learn about your options and receive an accurate quote for the treatment involved.

The smile you deserve is only a call away.

Southampton - Crowns

A crown is a cap that is placed over a tooth and held in place by dental adhesive or cement.

Crowns are used for several reasons:

  • as a protective cover for heavily filled or fractured teeth
  • to correct minor problems in natural teeth like spacing and irregular shape or severe discolouration.

What are crowns made from?

Crowns can be made from a variety of materials. They can be made from plastic, ceramic or metal alloys. A combination of metal and ceramic is also possible to maximise strength and simulate the appearance of natural teeth.

How are crowns made?

Firstly, a thorough clinical examination is conducted with radiographs, by the dentist. The suitability for crowns is assessed and any preparatory work is carried out. Your dentist will also be able to advise on material choices, treatment sequence and any other concerns you may have.

At the Dental Health Practice, Cerec CAD/CAM technology is usually used to create your crown in only one visit of about 1½ hours

The traditional method involves two visits. At the first visit, the teeth to be crowned are prepared. This involves reduction of the tooth size (usually under local anaesthesia) followed by an impression or mould of the prepared tooth. This trimming of the tooth is required to create space for the crown to be fitted. The mould taken is then sent to a laboratory where skilled technicians will fabricate the crown. In the meantime, a temporary crown is made and fitted onto the trimmed tooth.

At the second visit, the temporary crown is removed and the tooth surfaces cleaned. The completed crown is tried on the tooth for fit, harmony with the bite, and appearance. Finally, the crown is cemented onto the prepared tooth with dental cement.

How long do crowns last and how do I care for them?

'Crowns are made from metal and/or ceramic materials that will deteriorate over time, albeit slowly. However, the underlying tooth can still be affected by dental decay and gum disease if good oral hygiene is not maintained

Ceramic on the surface may chip or fracture. Avoid chewing excessively-hard substances like ice or bones. Daily brushing and flossing are essential for maintaining good oral health as well as keeping the crown trouble-free. The most vulnerable portion of the crown is the margin or the junction between tooth and crown so keep it clean!

Regular check-ups will enable your dentist to detect any problems with your crown and recommend necessary treatment.

Southampton - Dental Implants

Implants are one way of replacing missing teeth. An implant is planted in the jaw bone to support a replacement tooth. This acts like the root of a natural tooth. Implants can also be used to support fixed bridges or dentures.

Implant treatment normally has two stages. First, the implant is placed in the jaw. Then, when the jaw has healed, replacement teeth are attached to the implant.

Would implants be right for me?

First, you should decide whether implants could be right for you. Contact us to arrange an implant consultation and discussion and we will let you know the possibilities. Our team will be only too happy to help you with any questions you may have.

If you decide to go ahead, this is what will happen.

  • Implants are put into holes in the jaw with a local anaesthetic. Intravaenous sedation is usually used for this procedure.
  • The implant is screwed or pushed in and the gum is stitched so that it heals over the implant.
  • Under the gum, the bone then grows around the implant to hold it firm.  4-6 months later, once the implant (artificial root) has taken, it is uncovered and a post is placed in it.  On this post a crown, bridge retainer or denture attachment can be placed depending on your needs. You may need more than one implant.

Implants usually have two sections - the implant in the jaw and an extension (POST/TME) that is added later when the implant is secure. Attaching the extension needs a small cut in the gum above the implant. You might have more than one implant. The replacement teeth might be fixed permanently (like a crown or bridge) or attached in a way which lets you remove them for cleaning (like a denture).

Dr Peter Watt is a founder member of the A.D.I. (Association of Dental Implantology) and has been successfully placing implants since 1988.

Southampton - Dentures

A denture is a removable prosthesis used to replace missing teeth. Commonly referred to as 'false teeth', a denture is usually made of acrylic or a combination of acrylic and metal. A partial denture is fitted to replace some missing teeth whilst a complete denture is indicated when all natural teeth are missing. A good set of dentures helps you to eat, speak, function, and often improves a person's appearance.

How long does it take to make dentures?

Depending on the complexity of each case, the duration of the treatment will vary. After the initial visit of examination and diagnosis, the subsequent visits will include taking impressions of the mouth, bite registration, try-in of the denture, fitting and review.

What to expect?

New dentures always feel strange when first placed in your mouth. Several days or weeks will be required before you get accustomed to them. Adaptation varies from person to person and quite some time and experience must be expected before dentures can be worn comfortably and function effectively.

Useful suggestions to help you to adapt to the new dentures:

Eating: Eating will take a little practice. Start with soft foods and foods cut into small pieces will help. Chew slowly using both sides of your mouth at the same time to prevent dentures from tipping. Once you become accustomed to chewing, include other foods until you return to your normal diet.

Increased salivary flow: You may experience an increase in salivary flow when the dentures are first inserted. This is a natural response of the salivary glands that will return to normal after a few weeks. You can improve the situation by swallowing more often.

Speech: New dentures may alter your speech initially. Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will speed up the adaptation process. This problem rarely persists beyond two weeks.

Sore spots: Minor irritation caused by surface irregularities or pressure spots on the denture-bearing areas are quite common. Your dentist will relieve the discomfort by adjusting the denture surface. Stop wearing the denture if the irritation is very painful. Consult your dentist immediately.

Care of your dentures

Like natural teeth, dentures can accumulate plaque and food debris, particularly in areas where the denture is in contact with the remaining teeth and gum. In addition to the usual oral hygiene measures like tooth brushing, dentures should be cleaned regularly. Poor denture hygiene can result in stains on the denture and a bad odour. It is especially important to clean your remaining natural teeth well, especially those in contact with a partial denture.

If possible, dentures should be removed and cleaned after every meal. When cleaning, remember the following:

  • Use a soft hand brush or a special denture brush.
  • Avoid very hot water as it may distort the denture.
  • Use mild detergent to clean dentures. Avoid using abrasive cleaners that can roughen the polished surface of the denture. Do not use bleach as this may whiten the pink acrylic.
  • Hold the denture firmly while cleaning. Accidentally dropping the denture may result in chipped or broken dentures. Always wash your denture over a basin of water.
  • Soak the dentures in denture cleanser once a week to remove stains and always rinse them thoroughly before using the dentures again.
  • When you are not wearing the dentures, store them in water. Dentures may lose their shape if left to dry out.

How long should you wear your dentures?

During the first few days you are advised to wear them most of the time except when sleeping. Always remove the dentures before going to bed. This will allow your gum tissues to rest and promote oral health. Gentle massaging of the gums with a soft toothbrush is encouraged. Remember to soak the dentures in water to prevent them from drying out.

The next denture review

Your jawbones and gums naturally shrink over time and this can cause the dentures to fit less securely. Ill-fitting dentures can give rise to chewing difficulties, soreness, infections and changes in facial support. It is important that you visit your dentist to have your dentures and oral tissues evaluated yearly. Your dentures may need to be adjusted, relieved or even relined from time to time to ensure an optimal fit. Do not attempt to adjust the denture yourself - seek professional help.

With time and practice you will soon learn to eat, talk and smile with your dentures as you would with your natural teeth.

Implant Retained Dentures

The placing of two or more dental implants can make a troublsome loose denture (especially the lower denture) secure and comfortable. The difference is amazing. It is often possible to place implants in such a way as to 'give you your teeth back', by means of implant supported crown & bridgework.

Southampton - Facial Aesthetics


With age, your face will naturally lose its strength and elasticity. Laughing, smiling, frowning and lifestyle factors all contribute to the development of facial lines and wrinkles. The anti-wrinkle treatment we offer temporarily relaxes the muscles underlying areas such as frown lines, forehead lines and 'crowsfeet', softening facial expressions for a younger, more rejuvenated appearance.

This treatment can only be prescribed after a consultation with Dr Ingrid Elliott to ensure your suitability.


An ultra-fine needle is used to precisely deliver small amounts of a purified protein. This prevents certain facial muscles from contracting, which stops the skin from creasing.

These injections are most often used in the upper part of the face to correct forehead lines, frown lines and crow’s feet.


The treatment normally takes an average of 2-3 days to become visible, although the maximum effects are usually reached in about 2-3 weeks. The speed of action will depend on the strength of your facial muscles and your individual response.


Prior to treatment your make-up will be removed and the skin disinfected. Your visit will last around 15 minutes and you can return to your usual daily activities immediately afterwards. You will be given aftercare tips and advice on how to look after your skin following treatment. The effects of all such treatment are temporary and Ingrid will recommend when you should return for re-treatment.

Southampton - Hygiene

Periodontal disease is the Number One cause of tooth loss amongst adults. This is because some people overreact to certain bacteria in their mouths. When this overreaction occurs, the immune system attacks and breaks down the bone and tissue that surround the tooth. This destruction is not predictable and can occur sporadically. None of us knows if we are part of this 15-20% because we can't usually feel or notice the onset of gum and bone (periodontal) disease. Both adults and children should be routinely checked for gum disease.

Keeping your gums in shape

Keep in mind that healthy gums DON'T BLEED. You are the key player on the hygiene team. If you don't do the essential daily brushing and flossing, the rest of your dental team (the dentist and hygienist) is playing short-handed. And sometimes with everyone fighting the good fight, stubborn plaque and bacteria will require some new maintenance techniques for battling gum infection.

If you are in the at-risk 15-20% then your gum (periodontal) disease is not curable by one single treatment, but it is treatable, and in most cases, controllable.

Are you living at high risk for gum disease?

Smoking: Numerous studies have shown that smokers have more gum disease. Smokers have increased levels of tartar in the mouth, and experience more tissue irritation, which makes their gums more susceptible to disease. Smokers have more bone loss and heal less quickly than non-smokers.

Stress: When our immune system is stressed it is difficult to fight off the bacteria that cause gum infections.

Dental neglect: Avoiding the dentist is a lifestyle choice that puts you at risk of contracting diseases of the mouth, teeth and gums.

Diabetics: This group of people are more likely to have gum disease than most people and gum disease makes it more difficult for diabetics to control their blood sugar.

Floss and/or interdental cleaning! Your hygienist or dentist works to prevent infection in your mouth from entering the bloodstream and reaching vital organs.

Heart disease: Gum inflammation products and bacteria in gum disease can cause heart disease, and in some cases, double the risk of a fatal heart attack. In addition, bacteria from your mouth may combine with blood-clotting cells called platelets, forming heart-stopping blood clots.

Stroke: New studies show that 70% of the fatty deposits of stroke sufferers contain bacteria, of which 40% comes from the mouth.

Premature birth: Pregnant women who have periodontal disease may be as much as seven times more likely to have a baby born early. Some research suggests that gum disease may increase the level of hormones that induce labour.

Southampton - Inlays / Onlays

Porcelain (tooth coloured) inlays and onlays are restorations placed usually on the chewing surfaces of the back teeth.

An inlay fits within the confines of the teeth. An onlay covers the entire chewing surface of the tooth. These can be made of either plastic resin or porcelain.

'The procedure involves removing the decayed tooth structure or old fillings and preparing the tooth cavity. An impression is then taken of the cavity to fabricate a custom-fit inlay or onlay. Conventionally, two visits are required to complete the treatment but, using our CEREC machine at The Dental Health Practice, we can produce excellent inalys/onlays in only ONE VISIT.

Southampton - Nervous Patients

Can I alleviate my fear of the dentist? - Yes!

Some people are so frightened of the dentist that they avoid dental treatment altogether but today's dentists are sympathetic and in recognising that some patients experience real anxiety, they have developed new techniques and approaches to help. In fact if you check the Yellow Pages or dental websites you will find dentists who specifically mention treatment for anxious patients.

Modern dentistry is very customer focused and as such, a range of sedation and relaxation techniques have been developed to help anxious patients overcome their fears.

What is sedation?

An effective way to treat the most nervous of patients is via intravenous sedation (injection). The drugs have a relaxing and calming effect but don't prevent communication between dentist and patient so treatment can still be carried out easily. Weight, age and medical condition must be assessed before suitability for this kind of sedation is determined but this would all be discussed during the consultation with the dentist.

How will IV sedation in the surgery affect me?

Whilst IV sedation will make you drowsy and unaware of the treatment you are undergoing, you will remain lucid enough to communicate and cooperate with the dental team. The effects of the sedative will take time to wear off and you won't be able to drink alcohol, drive or work machinery during this time so it is important that someone can help you home after treatment and keep a careful eye on you for sometime afterwards. Your dentist will tell you how long it will be before the drugs are completely clear from your body.

What else can help?

You can be helped to feel relaxed by 'relative analgesia' sometimes known as inhalation sedation. This means breathing in a mixture of nitrous oxide and oxygen ('laughing gas') which quickly leads to a pleasant, relaxed feeling. At the same time, your dentist puts you at ease through calming speech. Although you may feel a little drowsy, you remain conscious throughout but any treatment given causes you no discomfort. You breathe in the mixture through a nosepiece which is very comfortable. You can't overdose on the gas as the mixture quickly leaves your body if you breathe in one or two breaths of ordinary air. There are no after-effects and you are able to drive a car about 15 minutes later. Many dentists use this safe and effective technique.

Peter Watt is a member of SAAD (Society for Anaesthesia and Analgesia in Dentistry) and has over 30 years experience using both intravenous and inhalation sedation.  Peter has treated thousands of patients successfully using both techniques.  All our nursing staff are also fully trained by SAAD.

Will I ever feel differently about visiting the dentist?

It is highly likely! As you get to know and trust your dentist, hygienist and other members of the dental team at your practice, your fears will dampen. In time you will come to see your regular visit to the dentist as just another part of your normal life.

Southampton - Preventative Dentistry

Preventive dentistry is the modern approach to reducing the amount of dental treatment required to maintain a healthy mouth and help keep your teeth for life.

'Tooth loss primarily results from gum disease and tooth decay. A proactive approach to the management of these causes therefore increases the opportunity for prevention.

Whilst it is the ideal way to manage the oral healthcare of children and young adults, it is the recommended approach for everyone - including people with false teeth who can benefit through the early identification of conditions like mouth cancer and denture stomatitis.

Through recommended treatment and a maintenance plan, the combined efforts of the dentist, hygienist and patient can help prevent the need for treatment and so avoid the historical pattern of fillings and extractions.

At The Dental Health Practice our goal is to eliminate disease, both tooth decay and gum disease, from your mouth. This dramatically lowers your treatment requirements as only unavoidable wear and tear takes place.

Southampton - Root Canal Treatment

The crown of the tooth is made up of the hard, white, enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp. The dental pulp contains blood vessels and nerves within and extends from the crown to the tips of the root or roots.

Root canal treatment involves the removal of the pulp tissues from the tooth in the event that it gets infected or inflamed. The pulp can be infected or inflamed due to either deep decay or an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp, and sometimes as a result of severe gum disease.

Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, swelling, tenderness of the overlying gums or a bad taste in the mouth. On the other hand, there may be no symptoms at all. If pulp inflammation or infection is left untreated, it can eventually cause pain, swelling and loss of the supporting bone.

What Are The Advantages Of Root Canal Treatment?

Root canal treatment saves teeth that would otherwise have been extracted.

After root canal treatment the tooth is pulp-less i.e. it has no vital tissues within. However, there are vital tissues surrounding the root e.g. the gum, periodontal membrane and supporting bone. A root canal treated tooth can function normally and can be maintained with routine dental care and oral hygiene measures. It generally needs to be protected by a full coverage crown to maintain it in the long term.

Is Root Canal Treatment Painful?

Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetised during treatment. After treatment, the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues. This discomfort can be relieved by taking mild analgesics or painkillers available over the counter at the pharmacy. However, if the pain persists and is severe, or a swelling occurs, you should contact your dentist.

How Is Root Canal Treatment Carried Out?

Root canal treatment is usually carried out in two stages.

First Visit:

    • Removal of the infected or inflamed pulp is the first step in saving the tooth. Under local anaesthetic an opening is made in the crown of the tooth to get access to the infected or inflamed pulp within.
    • Using small, specially designed hand or rotary files, the root canals are cleaned and shaped to a form that can be sealed. Debris within the canals is removed by flushing with an anti-bacterial solution.
    • In between treatment appointments, medicaments may be placed within the canals and the tooth is covered with a temporary filling.

Second Visit:

  • The root canals are cleaned out again and measured using a special device. The canals are finally filled or sealed with an inert material, called gutta-percha, in combination with a root canal cement. The tooth should be restored to full shape and function, usually by crowning it on a separate visit. This is, in effect, armour plating the weakened tooth structure and should be done as soon as possible as there could be a risk of tooth fracture due to biting forces.
  • All root canal treatment procedures are performed by isolating the tooth with a rubber dam to provide a safe, clean and saliva- free environment.'

Care Of The Root-Treated Tooth

As far as possible, avoid chewing or biting on the tooth being treated until you have it permanently restored with a crown. Excessive pressure at this stage may crack or fracture the tooth. Therefore, it is very important to restore the tooth properly as soon as possible. Most endodontically treated teeth last as long as natural teeth following permanent restoration.

Practise good oral hygiene, including brushing and flossing at all times, as root-filled teeth are as prone to decay as natural teeth. It is also important to have your treated tooth reviewed regularly by your dentist.

Southampton - Smile Makeovers

Just because we're all grown up doesn't mean we should miss out on the endless benefits of a sensational smile. Television makeover programmes have shown that an attractive, bright and confident smile is now a matter of choice and not just a right of birth.

Modern dentistry has a solution for all of your oral imperfections; real or imagined. We can now transform a mouth filled with broken, missing, discoloured or uneven teeth and replace silver fillings with a more natural white finish. Everything is possible; it all begins with you seeking your dentist's advice.

Studies agree that the smile is usually the most important and best-remembered feature when we meet a new person. A smile makeover doesn't just transform your mouth, it changes your life!

Southampton - Straight Teeth

Before placing braces on your teeth you will need a check-up for decay or gum problems. Do visit your dentist regularly, even when you are in braces.

Braces can be fixed or removable.

Removable / functional braces are sometimes used when you are still growing or if you still have baby teeth left. Functional removable braces are used to change jaw growth to normalise your bite. Functional appliances adjust the relative size and position of the upper and lower jaws.  This must be done before and sometimes during fixed brace treatment.

Fixed braces level and align the teeth and consist of brackets bonded to your teeth (to get a hold of them) and very thin metal arch wires that gently push your teeth into their right positions.

The wire is tied into the brackets with a rubber or plastic ring. Some brackets have clips to hold the wires and no ties are needed. Brackets can be made of metal or tooth-coloured ceramic or plastic. Ordinary fixed braces are bonded to the front of your teeth.

Steps in Fixed Braces Treatment

First Visit: X-rays, photos and impressions for plaster study models of your teeth are taken. Your orthodontist will plan your treatment using these records. (Only rarely will extractions be necessary to create space. The extractions are done just before or just after the fitting of your braces. Your orthodontist will explain the treatment plan and the braces suitable for your condition.

Second Visit: Brackets are bonded to the front of your teeth.

Subsequent Visits: (Every 4 to 8 weeks) Adjustments are made to the braces by way of wire-changes, adding springs, elastics or other accessories.

NOTE: Accessories are necessary to make your braces work. Elastics are often used to get your upper and lower teeth to bite together properly. Facemasks, headgear or biteplates are sometimes used with fixed braces. It is very important to use all accessories exactly as you have been told, if not, progress of the treatment stops and may in some cases, reverse.

When treatment is completed: Your fixed braces will be removed at a debonding appointment, followed by removal of cement and the polishing of your teeth. Moulds of your teeth in their new positions are taken to make retainers. After your braces are removed, you will need retainers to hold your teeth in their new positions. This is a lifetime commitment to night time wear of retainers.

It is essential to wear retainers.  All studies show that teeth will relapse, i.e. partially recrowd, if these are not worn.

How long does treatment take?

The period of treatment is very variable and depends totally on the individual circumstances.  The range is from 6 months to 3 years. You will need to make time every 4 - 8 weeks to visit your orthodontist regularly if you wish your treatment to finish well and on time. 

How will braces affect my daily life?

Speech: With regular fixed braces, speech is normally not affected at all. However, if your condition requires a palatal expander appliance to be fitted at the roof of your mouth, this may interfere with your speech. If you have tongue side braces, you will take some time to learn to speak properly with the braces.

Eating and diet restrictions: Eating hard food or biting on large pieces of food may dislodge the brackets or bands and damage the wires. Avoid eating nuts and biting on nails or pencils. Do cut hard fruits into small and thin pieces before eating them. Avoid food and drinks with high sugar content such as sweets and soft drinks.

Playing musical instruments: If you play a musical instrument with a mouthpiece, it will take you one to two weeks before you become as skilful as before.

Brushing with braces: With braces on, your teeth are more difficult to clean. Do not leave food on your braces. Brushing your teeth properly after every snack and meal will reduce the risk of decay and gum disease. In addition, five minutes of brushing is needed every morning and night. Have your toothbrush available to brush after meals as well as at your orthodontic visits. You can use disclosing solution to check if your teeth are clean. You will need to replace your toothbrush more often as it will wear out faster.

Southampton - Tooth Whitening

Whitening is a process where the tooth discolouration is 'whitened' to a lighter shade. It removes the staining agent through chemical means. It is a safe procedure when carried out under professional supervision. Treatment results usually depend on the severity of the discolouration. Both vital (i.e. live) and non-vital teeth (e.g. tooth with root removed) can be bleached and may take several visits to complete. It is not effective on dental restorations such as amalgam fillings, metal or porcelain crowns, etc.

Teeth can discolour for various reasons. The dentist will recommend the most ideal method based on your oral condition after an in-office examination to establish the cause and nature of your tooth discolouration, as well as provide you with more information on the various types of whitening procedures available, duration & frequency of treatment. He will also advise you on any cosmetic fillings which you may need replacing once the teeth that contain them are whitened.  Remember that your existing fillings will not whiten and will look darker once you have had your teeth whitened.

All whitening techniques produce temporary increased sensitivity.  Your Dentist will help you manage and minimise this.

Southampton - Veneers

Veneers are thin, custom-made shells crafted of tooth-coloured materials designed to cover the front side of teeth to improve the overall appearance of teeth. They are made of either thin plastic resin or porcelain and can be placed to:

  • correct poorly formed or mildly mal-positioned teeth
  • close gaps between teeth
  • mask internal stains
  • restore partially broken-down teeth

A veneer is a good looking and well fitting restoration. The veneer is bonded to the tooth structure with tooth-coloured resin cement. Several visits are necessary to complete treatment.

Patients should be aware that this is usually an irreversible process because it's necessary to remove a small amount of enamel from your teeth to accommodate the shell. We find that when a number of crowns and/or veneers are needed then it is often better to use a conventional impression technique rather than the Cerec method.

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Our GOLD Members enjoy 10% off all treatment as well as complimentary 2 x Dental Health Checks and 2 x Hygiene cleans each year. Members also benefit from nationwide emergency cover, redundancy cover, implant cover, worldwide cover and supplementary insurance.



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