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West Moors - Moorlands Dental Practice. Call us now on 01202 872614.

  • Dental Implant Clinic
  • Dentures
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  • Hygiene Care
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West Moors - Moorlands

Welcome to Envisage Dental in West Moors (formerly Moorlands Road Dental Practice)

Our Dental Practice in West Moors near Ferndown and Bournemouth in Dorset, has been established since 1962. It has grown from being a single handed practice to have 3 Dentists and 2 Hygienist Therapists. We provide comprehensive dental care and are able to provide advanced treatments, such as orthodontics and replacing missing teeth or stabilising dentures via dental implants.

Ours is a ground floor practice, making access easy for pushchairs, elderly and disabled patients, including those in wheelchairs. There is also a reserved parking space in our car park for disabled patients. For other patients there is ample parking close by in Moorlands Road. Please respect our neighbours and ensure that you do not block their access when you park.

We believe in working as a team with all members of our staff and our patients, which gives our practice a friendly and relaxed atmosphere, reducing the stresses and anxieties which are often associated with dental treatment. Prevention is better than cure, and our aim is to help you look after your teeth and gums at home, as well as within the practice.

Our practice is mainly for private and Denplan patients. We do have a small NHS list for children, which is almost full. Please contact us if you would like to book your family with our practice.

Call us on 01202 87261401202 872614

email us on moorlands@envisage-dental.co.uk[email protected]

Dentist Address : 30 Moorlands Road, West Moors, Dorset BH22 0JW | t: 01202 872614

envisage West Moors - Moorlands is open:

  • Monday .......................................... 8.30am to 5pm
  • Tuesday ......................................... 8.30am to 5.30pm
  • Wednesday .................................. 8.30am to 5pm
  • Thursday ....................................... 8.30am to 5pm
  • Friday ............................................. 8.30am to 4pm
  • Saturday ....................................... Upon Request
  • Sunday & Bank Holidays ........ Closed

Dr Andrew Hawker MGDSRCS Eng 1992 | GDC Registration No. 53097, Dentist

Andrew Hawker qualified from Cardiff Dental Hospital in 1979, and has worked in multiple aspects of general practice. He gained a further qualification in 1992 from the Royal College of Surgeons, reflecting his high experience in general practice dentistry. He has worked at the practice for over 30 years and has special interests in orthodontic treatment and cosmetic dentistry, including the provision of dental implants. He is able to provide most of the orthodontic care within the practice. He is a member of the British Dental Association, Faculty of General Dental Practice of the Royal College of Surgeons, British Orthodontic Society and also the Association of Dental Implantology.

He enjoys being a strong team leader and helping his team members realise their full potential. He is happily married with three grown up sons, and is a keen kayaker and tennis player in his free time.

Dr Catherine Farrant BDS London 1998 | GDC Registration No. 74989, Dentist

Catherine qualified from the University of London UMDS in 1998 and moved to Dorset, first working in Bournemouth. She has continued to work in the Bournemouth and Poole area until joining Moorlands Road in 2009.

She is committed to providing excellent quailty dental care in all areas.

Mrs Farrant works part time (Tuesdays, Thursdays and Fridays). She has 2 boys who keep her busy when she’s not at work.

Catherine enjoys spending time reading and when feeling energetic does gym classes.

Dr John Edward BDS | GDC Registration No. 82101, Dentist

John qualified from the University of Bristol in 2003 and started his first job in Swanage in the same year. Having spent two enjoyable years working there and learning about life in general practice he then took up a job as a Senior House Officer in Oral and Maxillofacial surgery at Southampton Hospital. This job involved carrying out oral surgery on a day-to-day basis as well as looking after in-patients on the ward. It gave an excellent grounding in surgical technique and enabled him to sit the exams to become a Member of the Faculty of Dental Surgeons of the Royal College of Surgeons (England).

John is trained in using the Cfast cosmetic orthodontic system. This a discreet system for use in adults which can improve the appearance of crowded or crooked teeth for a more even smile.

After the time spent working in hospital John wanted to return to general practice and settled into a private clinic in Shaftesbury. He enjoys being able to provide good quality dental care and though able to provide general dental services he is particularly interested in root-fillings and aesthetic restorative solutions. Through clear communication and a gentle approach patients feel at ease and involved in their care at all times.

Away from dentistry John enjoys getting away with his young family and exploring in their campervan. When time allows you may find him hacking through the undergrowth on a local golf course or cycling through the lanes.

Naomi Farrell BSc (Hons) | GDC Registration No. 192881, Hygienist

Naomi Farrell is one of our Dental Hygienist Therapists who has a BSc (Hons) degree from Portsmouth University 2010.

“I have been working at Moorlands Road Dental practice since July 2010. I pride myself in providing patients with treatment and education to keep their mouth and teeth in a stable condition”

Her hobbies include walks in the forest with my family, CrossFit, golf and recently had her first baby in December 15!

Tina GDC Registration No. 4429, Dental Hygienist & Therapist

Tina entered the world of dentistry in 1987 as a student Dental Nurse in her home town Weymouth.

She gained her Dental Nursing qualification at Cardiff Dental School in 1991, and then in 1993 she qualified as a Dental Hygienist Therapist after training at King’s College Hospital London and settled in Pembrokeshire, West Wales. In 2001 she then went on to study at Liverpool University and qualified as a Dental Therapist, which enables her to carry out additional procedures such as extractions and fillings.

She has been working in her home county of Dorset since 2003, where she married and had her daughter Kitty in 2010.

Tina continues with her professional development and extended duties, and has significant experience in working in NHS, Private and Corporate Dentistry.

Tina works here on Mondays and Fridays.

Trina GDC Registration No. 134998, Business Manager

Trina has worked at the practice since 1988. She started as a receptionist, qualified as a Dental Nurse in 1994 and then took on the role of Practice Manager in 2001.

She has had the privilege over the years of seeing Moorlands Road flourish from a small village practice into a thriving, well respected business.

In her spare time Trina enjoys yoga and spending time with her friends and family.

Gemma Main GDC Registration No. 232220, Dental Nurse

Gemma qualified as a DSA in 2011 and joined us in April 2017 after recently relocating from Scotland.
She had a little boy in June 2016 and her hobbies are going to the beach and cinema and she likes reading.

Kay GDC Registration No. 134703, Dental Nurse

Kay has been a Dental Nurse at Moorlands Road Dental Practice for many years and started Nursing when she was 16 at a practice in Canford Heath with Dr Andrew Hawker.

Kay work closely with the Dental Hygienist Therapists on Mondays and Wednesday. Kay has a certificate in Oral Health Education.

Kay enjoys her job and the people she works with are a great team.

Her hobbies include fitness and motor cycling.

Sarah GDC Registration Number: 246456, Treatment Co-Ordinator

Hi my name is Sarah and I joined Moorlands Road dental Practice in Jan 2016. I started Dental Nursing in Feb 2011 and qualified Sept 2013. I live locally and enjoy keeping fit and spending time with friends and family, especially quality time with my young daughter. My favourite thing about being a Dental Nurse is helping give the patient a pleasant visit and I find it very rewarding what a patient goes away happy with their smile.

Zara GDC Registration No. 137726, Lead Dental Nurse

Zara has been a Dental Nurse at the practice since 2003 and was promoted to Head Dental Nurse in March 2015

Zara has 2 horses and a springer spaniel, Lilly who keep her busy whilst she is not at work. Zara also enjoys seeing her friends and family at the weekend.

Elena Front Desk, Receptionist

Elena has been at Moorlands Road Dental Practice since July 2009 as our Receptionist. Elena is here Monday, Tuesday and Thursday.

Elena has 3 children. She enjoys watching them play football at the weekends and spending time with them.

Karen GDC Registration No. 204223, Dental Nurse

I qualified as a dental nurse in 2009. I currently work on reception enjoying interaction with patients and also nurse when required. I enjoy cake baking and spending time with my family

Natasha Stanley Treatment Co-Ordinator, Receptionist

Natasha has been with the practice since February 2008 and is our Head Receptionist and Treatment Coordinator. Tasha qualified for the Treatment Coordinator role in 2014.

Tasha enjoys working at Moorlands Road Dental Practice with her colleagues and and likes to help patients understand their dental needs. Tasha enjoy playing netball twice week, seeing family and friends and chilling on the sofa

Victoria GDC Registration No. 208793, Dental Nurse

My name is Victoria and I joined Moorlands Road originally in 2008 ,passing my dental nurse exam in 2010. I then moved away but have recently moved back to the area and have taken up another nursing post within the the practice. I enjoy socialising and days out with my children.

Georgie Trainee, Dental Nurse

Georgie has recently started with us as a trainee dental nurse.

She also is our decontamination technician.

Her hobbies include horse riding and walking


Dentistry with clear results

West Moors Fees - Moorlands Road
 

prices from

 

New Patient ULTIMATE Dental Health Check

£90

 
     

GENERAL DENTISTRY

 from  

Dental Health Check

£36

 

Hygienist (30 mins)

£64

 

Small x-ray

£11.50

 

Full mouth x-ray

£55

 

Extraction

£109 - £230

 
     

RESTORATIVE DENTISTRY

 from  

Root Filling Incisor

£535

 

Molar

£660

 

Bridges

£746 - £1,140

 

Fillings (Amalgam)

£69

 

Fillings (White)

£92

 
     

DENTURES

 from  

Full Acrylic Denture (per arch)

£505 - £606

 

Partial Chrome Denture (per arch)

£866

 

     

IMPLANTS

from   

Implant and tooth

£2,293

 

Sinus Lift

£350

 

Bone Graft

£500

 
     

SMILE MAKEOVER

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Tooth Whitening (Premium - Enlighten)

£650

 

Tooth Coloured Crown

£525

 

Cosmetic Fillings

£125

 

Bridges

£746 - £1,140

 

Veneer

£554

 
     

STRAIGHT TEETH

 from  

Six Month Smiles

£2,600

 

Invisalign

£3,000

 

Cfast

£1,800

 

Inman Aligner

£2,800

 
     

NERVOUS PATIENTS

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Sedation

£350

 
     

FACIAL AESTHETICS

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Botox

£200

 

Fillers

£200

 

Lip Plumping

£200

 

Wrinkle Reduction

£200

 
     

EMERGENCY GET OUT OF PAIN

from   

Existing Patients

£75

 

New Patients

£120

 
     
 

GOLD

PLATINUM

ADULT MEMBERSHIP (18 +)

£15.54

A: £16.70
B: £25.53
C: £31.03
D: £41.53
E: £49.43

TEEN MEMBERSHIP (13-17)

£10

A: £15
B: £20

KIDS MEMBERSHIP (0-12)

£5

A: £10
B: £15

Moorlands - Anti Snoring

It is possible for us to construct an anti-snoring device for you, if you suffer from obstructive sleep apnoea (OSA). These devices position your lower jaw forwards, with a minimal increase in your jaw opening. This helps to keep your airway open during sleep, preventing its collapse from loss of muscle tone.

If you would like us to provide an appliance, we will need a signed letter from a doctor with experience in sleep and breathing disorders.

Moorlands - Bridges

Bridges are fixed prosthetic devices that are cemented onto existing teeth or implants. Unlike removable devices such as dentures, which you can take out and clean daily, bridges are a semi permanent solution if you have missing teeth. They are cemented to natural teeth or implants adjacent to the gap where the tooth/teeth once stood.

A bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth may cause the remaining teeth to rotate or shift into the empty spaces, resulting in a poor bite. Placing a bridge can prevent this from happening. They can be made of porcelain bonded to metal, or all porcelain, carefully colour matched to your other teeth.

Bridges can help:

  • Restore your smile
  • Restore your ability to properly chew and speak
  • Maintain the shape of your face
  • Distribute the forces in your bite properly by replacing missing teeth
  • Prevent remaining teeth from drifting out of position

What types of dental bridges are available?

There are three main types of dental bridges:

  • Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic (replacement tooth) in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
  • Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.
  • Maryland bonded bridges (also called a Maryland bridge) are made of plastic teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

What is the process for getting a dental bridge?

During the first visit for getting a dental bridge, the abutment teeth are prepared. Preparation involves recontouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, impressions of your teeth are made, which serve as a model from which the bridge, pontic, and crowns will be made by a dental laboratory. Your dentist will make a temporary bridge for you to wear to protect the exposed teeth and gums while your bridge is being made.

During the second visit, your temporary bridge will be removed and the new permanent bridge will be placed, checked and adjusted, as necessary, to achieve a proper fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case. If the dental bridge is a fixed (permanent) bridge, your dentist may temporarily cement it in place for a couple of weeks to make sure it is fitting properly. After a couple weeks, the bridge is permanently cemented into place.

How long do dental bridges last?

Dental bridges can last between 5 and 15 years or even longer. With good oral hygiene and regular checkups, it is not unusual for the life span of a fixed bridge to be well over 10 years.

Will it be difficult to eat with a dental bridge?

Replacing missing teeth with a dental bridge should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.

Will the dental bridge change how I speak?

It can be difficult to speak clearly when teeth are missing in the front or anterior areas. Wearing a dental bridge with the anterior teeth in their proper relationship will help you speak properly.

How do I care for a bridge?

It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Your dentist or dental hygienist can demonstrate how to properly brush and floss your teeth, paying particular attention to the bridge area. Having regular dental check-ups as recommended enables problems to be diagnosed at an early stage when treatment has a better prognosis. Selecting a balanced diet for proper nutrition is also important.

Moorlands - Children Patients

We are happy to accept new child patients in families who attend our practice for regular care. At this point in time, the practice does not have any further capacity to accept new children under the NHS. Children under 5 will be seen free of charge, when attending with a parent. For children 5  years old and over, we provide a private quality service at 50% of our normal adult prices.

Moorlands - 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.

Composite fillings are more difficult to place than silver fillings so may take your Dentist 15-20 minutes longer to complete and because they are considered to be a cosmetic treatment, they are not available on the NHS and must be paid for.

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.

Moorlands - Crowns

What is a crown?

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 badly decayed teeth or fractured teeth
  • as a permanent restoration for teeth with large fillings
  • 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 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 oral health assessment 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 second appointment, 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 third appointment, 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 of inert materials that do not deteriorate over time. However, the underlying tooth is still prone to decay and gum disease.

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.

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

Moorlands - Dental Implants

Implants are one way of replacing missing teeth. They feel like normal teeth but are not subject to tooth decay.

A post 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. In some situations it is possible for temporary teeth to be attached to an implant at the time of fitting.

Would implants be right for me?

First, you should decide whether implants could be right for you. See the Bicon web site for further details (this is the main implant system used by Andrew Hawker at the practice.) Have a look at the Bicon patient video. Andrew Hawker also uses the mini implant system from 3M/Espe to stabilise loose or ill fitting dentures. See the 3M mini-implant website for patient testimonials and further information.

Contact us to arrange an implant consultation and discussion and we will let you know the possibilities. You can do this by e-mailing us or phoning 01202 872614. 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. You can opt to have sedation for this procedure also.
  • 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 round the implant to hold it firm. This takes several months.

Implants usually have two sections – the post in the jaw and an extension that is added later when the post 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).

Moorlands - 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 oral health assessment and diagnosis, the subsequent visits will include taking impressions of the mouth, bite registration, try-in of the denture, fitting and review. The Enigma Cosmetic Denture site is a good further source of information about dentures.

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 with different persons and often time and experience are essential 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.

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.

 

Moorlands - Endodontics

When Is Root Canal Treatment Needed?

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.

How Is Root Canal Treatment Carried Out?

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.

The canals are finally filled or sealed with an inert material called gutta-percha. The tooth should be restored to full shape and function by either a permanent filling or a crown, depending on how much of the tooth is left. This 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 clean and saliva-free environment. Root canal treatment may be done in single or multiple visits depending on the complexity of the tooth. In between treatment appointments, medicaments may be placed within the canals and the tooth is covered with a temporary filling.

Often, X-rays are taken to determine the length of the root and to monitor the various treatment stages.

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.

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 either a filling or 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.

Moorlands - Fissure Sealants

Fissure Sealants

Deep pits and grooves can be found on the chewing surfaces of the back teeth. Such pits and grooves are termed ‘fissures’ and are usually so narrow that toothbrush bristles and streams of water are not able to clean them effectively. These form a favourable environment for bacteria to flourish, often resulting in tooth decay.

What can be done?

Fissure sealants can be applied to the teeth. Fissure sealants are special materials used by dentists to seal off pits and fissures from the oral environment. Sealing the tooth surface protects fissures from bacteria and fermentable foods like sugar and starches to prevent decay from starting deep within the fissures. Any tooth with pits and fissures can be treated, provided the surface to be filled is sound and has not been previously filled. The most commonly treated teeth are the molars and premolars.

How are sealants applied?

Sealants are applied easily and painlessly. No drilling is required. The tooth is properly cleaned, treated, dried, and the sealant applied. It then hardens to form a protective coating over the tooth.

When should sealants be put on the teeth?

Sealants are most effective when applied after the eruption of the tooth. Early application ensures pits and fissures are sealed before the decay process begins.

How effective are sealants and how long can they last?

Many studies show sealants to be very effective in preventing decay in fissures. They do, however, require regular maintenance by your dentist. This can be performed with your six- monthly check-up. Recent studies show that a properly placed sealant will last as long as a typical amalgam filling. Even if a sealant is damaged or lost, it is easily repaired and replaced. Regular maintenance by your dentist will help them last. This can be done with your six-monthly check-up.

Moorlands - Gum Disease

Periodontal disease is the Number One cause of tooth loss amongst adults. This is because a certain number of people (15-20%) have immune systems that overreact to the bad 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 Therapist) 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.

GUM DISEASE IS NOT CURABLE, 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.

Floss or die! Your Hygienist Therapist 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.

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.

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.

Moorlands - Hygienist Therapy

The primary role of a Dental Hygienist is to help every patient achieve optimum oral health which is essential for the success of orthodontic work, restorative and cosmetic dentistry.

Hygienist Therapists assess and treat periodontal disease (disease of surrounding tooth structures) and are highly skilled at removing calculus (hardened plaque) from above and below the gum line.

Calculus is a contributory factor for periodontal disease because it produces a rough surface which harbours plaque.

Oral hygiene advice best suited to each patient is offered and the combined result of improved home care and regular visits for scaling and polishing results in a cleaner and healthier mouth.

Moorlands - Inlays

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 decayed tooth structure or old fillings, preparing the tooth cavity, taking an impression of the cavity to fabricate a custom-fit inlay or onlay. Two visits are required to complete the treatment.

Moorlands - Mouth Cancer

What is Mouth Cancer?

Most people have heard of cancer affecting parts of the body such as the lungs or breasts. However, cancer can also occur in the mouth, where the disease can affect the lips, tongue, cheeks and throat.

Anyone can be affected by mouth cancer, whether they have their own teeth or not. Mouth cancers are more common in people over 40, particularly men. However, research has shown that mouth cancer is becoming more common in younger patients and in women. In the last year 6,767 have been diagnosed with mouth cancer in the UK – an increase of more than a third compared to a decade ago.

Sadly, more than 1,800 people in the UK lose their life to mouth cancer every year. Many of these deaths could be prevented if the cancer was caught early enough. As it is, people with mouth cancer are more likely to die than those having cervical cancer or melanoma skin cancer.

What can cause Cancer?

Most cases of mouth cancer are linked to tobacco and alcohol. Cigarette, cigar and pipe smoking are the main forms of tobacco use in the UK. However, the traditional ethnic habits of chewing tobacco, betel quid, gutkha and paan are particularly dangerous.

Alcohol increases the risk of mouth cancer, and if tobacco and alcohol are consumed together the risk is even greater. Over-exposure to sunlight can also increase the risk of cancer of the lips.

Many recent reports have linked mouth cancer to the human papillomavirus (HPV). HPV is the major cause of cervical cancer and affects the skin that lines the moist areas of the body. HPV can be spread through oral sex, and research now suggests that it could soon rival smoking and drinking as one of the main causes of mouth cancer. Practicing safe sex and limiting the number of partners you have may help reduce your chances of contracting HPV.

What are the signs of Mouth Cancer?

Mouth cancer can appear in different forms and can affect all parts of the mouth, tongue and lips.

Mouth cancer can appear as a painless mouth ulcer that does not heal normally. A white or red patch in the mouth can also develop into a cancer. It is important to visit your dentist if these areas do not heal within three weeks.

How can mouth cancer be detected early?

Mouth cancer can often be spotted in its early stages by your dentist during a thorough mouth examination. If mouth cancer is recognised early, then the chances of a cure are good. Many people with mouth cancer go to their dentist or doctor too late.

The dentist examines the inside of your mouth and your tongue with the help of a small mirror. Remember, your dentist is able to see parts of your mouth that you cannot see easily yourself.
If your dentist finds something unusual they will refer you to a consultant at the local hospital, who will carry out a thorough examination of your mouth and throat. A small sample of the cells may be gathered from the area (a biopsy), and these cells will be examined under the microscope to see what is wrong.

If the cells are cancerous, more tests will be carried out. These may include overall health checks, blood tests, x-rays or scans. These tests will decide what course of treatment is needed.
If mouth cancer is spotted early, the chances of a complete cure are good, and the smaller the area or ulcer the better the chance of a cure.

However, too many people come forward too late, because they do not visit their dentist for regular examinations.

How do I keep a healthy mouth?

It is important to visit your dentist regularly, as often as they recommend, even if you wear dentures. This is especially important if you smoke and drink alcohol.

When brushing your teeth, look out for any changes in your mouth, and report any red or white patches, or ulcers, that have not cleared up within three weeks.

When exposed to the sun, be sure to use a good protective sun cream, and put the correct type of barrier cream on your lips.

A good diet, rich in vitamins A, C and E, provides protection against the development of mouth cancer. Plenty of fruit and vegetables help the body to protect itself, in general, from most cancers.

Cut down on your smoking and drinking.

See this site for further information.

Moorlands - Mouthguards

Mouthguards are an important dental health measure for those participating in active sports. In the USA it has been reported that participants in active sports had up to 10% chance of oral injury each season and 33-56% chance of an injury during their playing lifetime.

We recommend Custom Formed mouthguards.

Moorlands - Nervous Patients

I have been scared of the dentist for a long time – what is it like now?

Dental techniques have improved so much over the last few years that modern dental treatment can now be completely painless. Despite this, most people still feel a little nervous at the thought of going to the dentist. If you have not been to see a dentist for some time, you will probably find that things have improved a lot since your last visit. The general attitude is likely to be more relaxed, the dental techniques and safety procedures will be much better, and the equipment will be more up to date.

How do I choose a dentist?

Many dentists today offer special treatment for nervous patients. The first fear to deal with is the fear of telling other people that you are afraid of dental treatment. If you can discuss it with your friends or colleagues you are likely to find someone else who has similar problems. They may be able to recommend a dentist to you. A dentist who is personally recommended by another nervous person is usually a very good choice.

Do some practices specialise in treating nervous patients?

Yes. This means that they should be used to dealing with nervous patients regularly.

If you are nervous about dental treatment, you need to be looked after by a dental practice that will take special care of you. You may need to travel some distance, but it will be worth the effort when you are no longer afraid.

I haven’t been to the dentist in a long time, will I need a lot of treatment?

Years ago it was normal for people to need fillings every time they went to their dentist, but things have changed for the better now. The dental team will now want to help you have, and keep, a healthy mouth and healthy teeth. Using a fluoride toothpaste will help to strengthen your teeth and prevent decay. Therefore, you may be surprised at how little treatment you need.

Teeth are for life and can last a lifetime if they are looked after properly. If you can get your mouth healthy, with the help of the dental team, you should need less treatment and there will be less for them to do in the future. It is important to keep up your regular visits to the dental team. The team will not just check for tooth decay, but will also help you prevent gum disease. Once your mouth is healthy, your visits to the practice will often just be easy sessions for checking and cleaning.

What will happen at the first appointment?

Your first appointment should just be for a consultation. See it as an opportunity for you to ‘interview’ the dentist, receptionist and other members of the team, and have a chat about what to expect next.

Should I tell the dental team that I am nervous?

Yes. Make sure that the team know you are nervous, so that they can help you.

Tell your dental team what it is that you particularly dislike about dental treatment. If you think you know the reason, tell your dental team what may have caused your fear.

I am afraid of injections, what can I do?

Many people are scared of the local anaesthetic injection needed to numb the tooth. Again, be sure to tell the dental team that this is something that bothers you. There are anaesthetic gels that can be applied to the area of the gum before the injection. This gel numbs the gum so that you cannot feel the needle.

What is the best time of day to visit the dentist?

Book appointments at a time of day when you feel at your best, and when you do not have any other commitments to worry about. Allow plenty of time so that you can get to the practice in a relaxed frame of mind – arriving in a rush will only make you feel more nervous. It is usually best to have something to eat before you go, so there is no chance of you feeling faint while you are in the chair.

Can I go to sleep for treatment?

General anaesthetics are now only rarely available for routine treatment. If a general anaesthetic is needed, patients are referred to a hospital where the necessary safety equipment is available.

Can I ask the dental team to stop if I need to?

Before the treatment is started, agree with your dental team a sign that means ‘stop now – I need a break’. Usually you can just raise your hand, and the treatment can be stopped for a few minutes until you are ready to start again. Once you know that you can control the situation you will feel more confident.

Can I take a friend with me?

People often feel better if a friend comes with them to the practice. Think about what would suit you best. A reassuring and capable friend is often a great help.

Can I take anything with me?

Listening to music is a good way to help you relax. Some practices have it playing in the treatment rooms, but the best way is to take headphones and your phone or MP3 player so that you can have your own choice of music.

I have gone for a check-up, what do I do next?

Take things one step at a time. Discuss any proposed treatment with your dentist, and decide what you feel you can cope with. This may be no more than an examination with a dental mirror first. If you succeed with that, you may feel you could have your teeth polished next, perhaps by the dental hygienist. Don’t be afraid to say when you have had enough – there is usually no reason to hurry through the dental treatment.

What else can I do to help me relax during treatment?

Thinking hard about something other than the treatment is a good distraction. Try to solve a puzzle in your mind, or perhaps work out a plan for each day of next year’s holiday. Or give yourself something tricky to do – try to wiggle each toe in turn, without moving any of the others.

What techniques can the practice use to help me?

This will depend on which techniques the practice is experienced in, and which you feel would help you most. Many practices offer several types of sedation, including inhalation (‘gas and air’) and intravenous (an injection). Other practices offer hypnosis and relaxation techniques. You would learn these techniques yourself, which would allow you to gain control over your feelings of distress or fear. You can also learn relaxation techniques from specialist teachers or at home. They can be very useful in controlling anxiety (see our leaflet ‘Tell me about Relaxation and sedation’).

Counselling is another way of dealing with feelings of anxiety. This is usually carried out by a member of the practice team, in a room away from the surgery. You would be encouraged to discuss your fears so that you can deal with them and overcome them.

Will things get better with time?

As you get to know and trust your dentist and other members of the dental team, you will find your fears start to lessen. In time you will gain control over your fears, and dental care can become a normal part of your life.

What will it cost me?

There may be an extra charge for some sedation and relaxation techniques on top of the normal cost of treatment. It is always recommended that you get a written estimate before starting treatment.

Moorlands - Oral Health Tips

1. Brush twice daily. Being thorough is far better than several short ineffective sessions.

2. Brush and floss properly. Brush your teeth on the outside and inside surfaces, and floss between all of your teeth. Ask your dentist for advice.

3. Use fluoride. Use fluoride toothpaste twice a day because it protects you teeth. Leave a trace of fluoride on your teeth by not rinsing with water after brushing.

4. Deal with bleeding gums. If you improve your tooth cleaning technique, you may find you get bleeding from your gums. Usually after a week or two the bleeding will cease. If it persists, see your dentist.

5. Stop snacking. Sugary snacks especially increase plaque activity. Plaque activity continues up to an hour after a meal.

6. Drink Fewer fizzy drinks and juices. The acids in these drinks can erode tooth surfaces. However, fruit juices and fruit are a healthy part of our diet so we need them. After drinking, leave brushing your teeth for an hour to give saliva time to overcome the erosion.

7. Avoid food or drink at Night. Saliva production nearly stops at night, so harmful effects of food may continue all night long.

8. End your meals sensibly. Cheese, nuts, and a swish of water all help counter the effects of sugar, and are an ideal way of ending a meal.

9. Chew Gum. Chewing gum helps stimulate saliva flow, and is beneficial after a meal.

10. Stop Smoking. Smoking is harmful in respect of gum disease and more serious oral conditions.

These tips are by Professor Richard Elderton and are taken from the Denplan newsletter Smile 2003.

Smoking and Dental Health

The detrimental effects of smoking and tobacco use on oral health are well recognised. Oral cancers and pre-cancers, periodontal diseases and poor wound healing are the most significant and serious effects of smoking on the mouth. In addition, staining of the teeth, soft tissue changes and halitosis are aesthetic and social impacts of smoking directly related to oral health. At Moorlands Road Dental Practice we respect patients right to smoke if they wish. However if you would like support from us to stop smoking, we are happy to give it.

Moorlands - Orthodontics

Orthodontics is the branch of dentistry that deals with poorly aligned teeth (tooth straightening).

Andrew Hawker has completed the South West Orthodontic training scheme, and is able to provide orthodontic care within the practice. He started providing orthodontic care in 1984, and has completed over 500 orthodontic cases. Where necessary, we also use referral to the excellent local hospital orthodontic consultant service, for help with treatment planning and the more difficult cases.

Braces – Fixed Appliance

Before placing braces on your teeth you will need a check-up for decay or gum problems. It is especially important to continue to see your normal dentist for regular check-ups when you have fixed appliances fitted in your mouth.

Braces can be fixed or removable.

Fixed braces consist of brackets and bands bonded or cemented to your teeth and very thin metal wires that gently push your teeth into their right positions.

The wire is tied into the brackets with a steel ligature or a coloured 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.

Removable 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. In some cases we can also provide invisible tooth aligner removable braces.

 

Steps in Fixed Braces Treatment

First Visit: X-rays, photos and impressions for plaster study models of your teeth are taken. We will plan your treatment using these records. Very often, permanent teeth are removed when they are crowded and there is not enough space in the jaws for all of them. The extractions are done just before the fitting of your braces.

Second Visit: We will explain the treatment plan and the braces suitable for your condition. Before braces are fitted, separators (small plastic ‘rings’) may be placed between your molars for a week to create spaces for the molar bands.

Third and Fourth Visits: Bands are cemented and 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. Headgear is 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.

How long does treatment take?

The normal period of treatment with fixed braces is 18 months to 2 years. You will need to make time every 4 – 8 weeks to visit us 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.

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.

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.

Moorlands - 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 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 Therapist and patient can help prevent the need for treatment and so avoid the historical pattern of fillings and extractions.

Moorlands - Smile Design

For Patients who are unhappy with the appearance of their teeth we are able to offer smile design. This is a predictable way to produce a new smile that has been designed to look better in many ways.

This is usually done by placing multiple porcelain veneers on your upper teeth, and sometimes your lower teeth also. Porcelain veneers are the most conservative restoration and are very strong and life like. Sometimes we can also use whitening, crowns, bridges, implant retained teeth or orthodontic treatment to help in producing your better smile. Using this technique it is possible to change both the shape and colour of your teeth.

At your first smile analysis appointment we will ask you about exactly what you would like changed about your smile. We will also take photos of your teeth and impressions to make models of your teeth.

After careful analysis, we then send your models to a specialist laboratory. The laboratory produces revised models of your teeth shaped in wax, so that we can show you what improvement is possible to achieve for you. We can also then let you know the cost of your smile makeover.

Once we have agreed a plan of treatment, we then carry out your smile makeover. Sometimes this may only require two appointments. We use your waxed up models as a template at your first treatment appointment in order to design your new smile, so that you will get an instant transformation.

If you would like more information about this, then please book a complimentary consultation with our Treatment Co-ordinator.

Moorlands - Teeth Whitening

Teeth 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. dead tooth that has had root canal treatment) can be whitened 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-practice oral health assessment 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.

Moorlands - 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

Tooth preparation is minimal and confined to the enamel structure. 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.

Become a GOLD member & save 10%

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.

 

PLATINUM Membership

Our PLATINUM Members can join our plan upon assessment. Based on the condition of your oral health, membership and insurance plans vary from £20 to £60 per month. Members receive full dental care under the plan so you have peace of mind you are covered for all your dental needs.

 

 

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