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Fissue sealing teeth.

Fissure Sealing teeth.

The adult first permanent molar teeth tend to come into the mouth at just six years old. This is a critical period for protecting them because the diet between 6-12 tends to have higher levels of sugar. We often find that when people need to have more extensive dental treatment later in life, e.g root canal treatments or crowns, it can be linked back to damage that started soon after these particular teeth erupted in to the mouth.

We can protect the molar teeth from decay by putting a white plastic coating on the tooth soon after it comes into the mouth, called a fissure sealant. The coating plugs the natural depressions and grooves on the tooth’s biting surface called pits and fissures. This helps to protect the teeth from acid attack after eating sugar (dental decay). This procedure is a particularly good idea if there has been any problems with decay in the baby teeth or if the molar teeth have deep grooves.

The procedure is very straightforward- we dry the tooth, place a conditioning agent on it which we then wash off soon after and then apply the sealant and shine the curing light on the area to set it. Placing fissure sealants is a very straight forward and painless process and can often help to boost the child’s confidence if they are nervous about visiting the dentist. Sealants can also be placed by Dental Hygienists.

We generally fissure seal the four first molar teeth at the back of the mouth which come at around age 6 so this is a good age to consider this procedure.

To make an appointment give us a call at  www.swords-dental.ie  on  01 8401001.

First visit to the dentist

First visit to the dentist:

Opinions vary on the recommended age for a first visit to a dentist. At Swords Dental  we recommend parents bring their child along for their first visit before the age of three. Before this, I also encourage parents to bring their child along when having their own routine check-ups or with their older siblings. This helps to normalise the experience, so the child knows what to expect and lets me have a quick look to screen for any problems.

It is very important to see the child’s teeth before the adult teeth start to erupt around 6. If there is decay in the baby teeth before this age we need to consider any changes that should be made to reduce sugar in the diet. It is also worth planning to fissure seal the adult first molar teeth, to protect them,  if this is the case.

A first dental visit should fun. Tell the child that they will get a ride in the magic chair and that they will have their teeth counted. Bringing a favourite soft toy along can be very helpful. I often examine a teddy or dolls mouth first before I look at the child’s. Seeing what will happen beforehand can help the child prepare them for  what is involved. Sitting on a parent’s knee can also help relax a nervous child.

It is important to be as positive as you can in advance of the visit. There are several books about visiting the dentist that can also be helpful. We have copies of ‘Topsy and Tim Go to the Dentist’ in the waiting room. The first visit to the dentist episode of Peppa pig is also mentioned on a regular basis. Giving young children an idea of what’s to come helps to reduce any anxiety that they may have. We give young children stickers at the end of the appointment to reinforce that the appointment has been a positive experience.

I am happy to see most children once a year for a check-up unless there is a specific problem or issue that needs urgent attention.

www.swords-dental.ie

Tel 01 8401001

Implants

Durable, long-lasting and natural in their appearance, dental implants are the most modern method of replacing missing teeth.

The procedure involves fitting an implant which is usually made of titanium, into the bone of the jaw. It is important that we have enough bone in the area and that this bone is of good quality. If this is not the case, a procedure called bone augmentation can be used, to help build up the bone levels prior to the implant procedure.

We then allow time for the bone to heal and grow in around the implant. The implant can now hold a single false tooth called an implant crown in place. This is generally the best way of replacing a missing tooth. Implants can also be used to hold multiple false teeth (an implant bridge) or to fix a full denture in place. An implant supported denture has advantages over a standard denture in that it can greatly increase the biting force. Also it won’t cover the roof of the mouth in the way that a traditional denture would.

Procedure time will depend on how many implants you’re having. It’s possible to have several implants fitted in the same procedure.

Dental implants are usually fitted under local anaesthesia. If you’re feeling nervous about the procedure we can arrange for you to have some sedation. Both nitrous oxide and intravenous sedation options are available.

At Swords Dental  our implants are fitted by our specialist oral surgeon Dr Eimear McHugh. If you’re interested in making an appointment to discuss implants or for an implant assessment give us a call on 016903464.

www.swords-dental.ie

Toothpaste

Which toothpaste should you use?

The basic answer is that most of the popular toothpastes are very similar. Fluoride is the key ingredient, which strengthens the enamel and helps remineralise areas damaged by tooth decay. Avoid fluoride free toothpaste e.g Euthymol – the burning sensation does not make it more effective, its just the type of flavoring agent that’s used (the same can be said about most mouthwashes).

Colgate Total and Oral B Pro-expert are good general toothpastes which most dentists and hygienists recommend.

Sensitivity toothpastes e.g Sensodyne and Colgate Pro-Relief are good options if you have a sensitivity problem. This is often caused by areas of gum recession. Standard toothpaste options are better if you don’t suffer from sensitivity.

Care should be taken with whitening toothpastes, many are very abrasive and can cause damage longterm to the enamel coating covering your teeth. Dr Lyndsey McTavish recommends Sensodyne Pronamel Gentle Whitening or Kin Whitening Toothpaste for people looking to minimise stains.

Pronamel toothpaste is designed for use on teeth that are at risk from acid erosion (wearing away of the outer layer by acid in food and drinks).

Duraphat toothpaste can be used for patients with high rates of decay, it has a much increased fluoride content but is only available by prescription from a dentist.

For patients with Dry mouth (xerostomia) Again there are lots of brands but I find that Biotene, BioXtra and Curaprox enzycal toothpaste are great options.

Charlotte Quinn, our hygienist, recommends Colgate total for mild gum disease along with Kin products such as perio kin gel, Corsodyl products and some Curasept products. Please be aware that apart for the Colgate total the other products are not for long-term use and patients are all treated on an individual basis when recommending these products.

www.swords-dental.ie

Bad Breath

Bad Breath is a common condition that can cause much embarrassment. About 90% of the time the mouth is the source of this problem. The good news is that by taking a few simple steps, to improve oral health, it can often be resolved.

There are a number of possible risk factors that can contribute to bad breath.
Smoking: As well as inducing halitosis smoking can also stain the teeth, induce gum disease and is catastrophic for general health.
Dry Mouth: Saliva is important help clean the mouth and prevent bad breath. It can be caused as a side effect to many common medicines. It is important to clean the teeth before going to bed as salivary rates fall during the night.
Food: Certain foods such as garlic and onions can affect the breath.
Health Problems: Sometimes these can have an effect. Diabetes, , Sinus problems, Liver, Kidney or Gastric problems have all been shown to contribute to bad breath. If the more common causes have been excluded we often advise the parent to follow up with their GP to look into these areas.

It is important to start by improving the overall health of the mouth. This will include brushing twice a day (including the top part of the tongue) for two minutes with a fluoridated toothpaste and flossing on a daily basis. Regular trips to the dentist or Hygienist will help improve the health of the mouth. Dentures should be left out at night. Stop smoking: www.quit.ie have a range of support material to help with this.
Mouthwashes that contain Chlorhexidine e.g Corsodyl should help but be careful about using them on a longterm basis as they can stain the teeth.

If you have this problem and would like to make an appointment at Swords Dental  you can call us on 8401001.

www.swords-dental.ie

Dentistry during pregnancy

Dentistry during pregnancy

I’d imagine, while pregnant, most mothers to be tend to fixate on the health of their babies. Its important to remember your own health too. Unfortunately, the changes in your hormone levels and immune system can leave you, and particularly your gums, open to problems. So I thought I’d go through some of these and suggest some tips to help:

Morning Sickness: If your struggling with regular morning sickness its likely that the enamel of your teeth is being worn down by acid and this may be causing sensitivity. Try to counteract the acidity by eating alkaline foods like cheese and drinking milk. Avoid brushing your teeth soon after vomiting as they will still be soft and this can make the problem worse. You can also try toothpastes such as Sensodyne pro-enamel to help.

Gum Problems: Most pregnant mothers will suffer from Pregnancy Gingivitis at some stage, especially the first trimester.This is indicated by red, inflamed and bleeding gums and may cause discomfort. Its important to maintain good oral hygiene by brushing and flossing well and attending the dentist or hygienist for a cleaning. Mouth washes such as Listerine can also help. Often to keep on top of these problems, you will need to spend more time on them than had been the case prior to your pregnancy.
Some studies have linked more extensive gum problems such as periodontal disease in the mother with premature and low birth weight babies, so keeping on top of your oral health will be of benefit for your baby too.

General Dentistry: It is safe to have dentistry done when your pregnant. We don’t tend to take x-rays but can do so with the help of a lead apron if necessary. We also tend to avoid prescribing antibiotics, if possible. Often more routine treatment, that isn’t urgent, can be postponed until after you’ve had your baby if you prefer.

Enjoy this exciting time!

www.swords-dental.ie

Flossing

Flossing

After tooth-brushing, flossing once a day is the next most important way of keeping your teeth and gums healthy. Brushing the teeth is great for cleaning the tooth surfaces but about 40% of the the bacteria that cause dental decay and gum problems are in the area where the teeth meet. Flossing is a great way of removing these bacteria (plaque). It is particularly good where the teeth are tight together as inter-dental brushes such as tepes won’t be able to get into these spaces.

How to do it:
Break off a piece about 18 inches long.
Wrap most of the floss around the middle finger of one hand, and a small amount onto the middle finger of the other.
Gently slide the floss between the teeth and be careful not to let the floss snap between teeth, cutting the gum.
Make a C shape with the floss as you wrap it around the tooth. Then carefully pull the floss upward from the gum line to the top of the tooth.
As you move from one tooth to the next, unroll a fresh section of floss from the finger of one hand while rolling the used floss onto the finger of the other hand.Don’t forget to floss the back side of each tooth.As long as you use the correct technique the type of floss isn’t super important, but we recommend Satin Oral-B floss.

If you’re having problems with the gum or would like some more information on oral hygiene you might want to consider making an appointment with our hygienist, Charlotte Quinn.

To make an appointment give us a call on 018401001

www.swords-dental.ie

Dental Hygienist

Dental Hygienist

Our Dental Hygienist is here to help 
 
Did you know? 
  • An estimated 75% of Irish people suffer from some form of periodontal disease or gum disease. 
  • The mouth can be a major source of chronic release of bacteria into the bloodstream, so your oral health also affects your general health. 
 
Studies have linked the presence of gum disease to: 
  • Heart Disease 
  • Diabetes 
  • Low birth weight and pre-term babies 
  • Stroke 
 
What is a Dental Hygienist 
A dental hygienist is a dental professional, registered with the Irish Dental Council. They work alongside dentists to provide oral health care. They have training that specialises in the prevention and treatment of oral disease. 
 
What to expect from a Dental Hygienist Appointment 
           An Initial Exam 
Our Dental Hygienist will review your medical history. After an initial examination of your oral health and level of plaque controlsome measurements are taken to diagnose and identify areas of gum disease (Periodontitis)We may take a full mouth x-ray to consider the bone levels around the teeth. 
Education 
The main focus of a Dental Hygienist is to provide preventative education. We will discuss your current oral health and highlight any areaof concern; from this we can tailor a homecare regime specific to your needs. We will also discuss the best plaque control techniques and aids to use. Finally, we consider any diet or lifestyle factors which might impact on your oral health. 
 
 
Treatment 
Our hygienist will suggest a treatment plan to meet your needs and discuss this with you prior to commencing treatment. To clean your teeth ourhygienist uses an ultrasonic scaler, which combines high frequency vibrations and water spray to flush deposits from your teeth. Most patients tolerate this treatment comfortably. However if you are prone to sensitive teeth there are a number of measures we could take to make your teeth less sensitive e.g. applying a numbing gel. After scaling, your teeth will also be polished to remove any residual stains. This is done using a powered polishing hand piece, a bit like an electric toothbrush and a gritty polishing paste. 
 
Protracted Periodontal Gum Treatment or Deep Cleaning 
In certain cases, patients require a deeper cleaning to remove tartar from under the gumline We numb the area with a local anaesthetic and the area is then cleaned using an ultrasonic scaler and smoothed with hand scaling instruments. 
 
Maintenance 
Patients with little or no gum disease will only need one Dental Hygienist  session with sixmonthly maintenance visits. However patient’s with Periodontal disease treatment might need to attend as often as three-monthly to slow down and manage the progression of disease. 
 
PRSI Subsidy towards your Dental Hygiene 
Patients who are qualified on PRSI are entitled to a subsidy of 42 euros towards the cost of gum treatment. This benefit can be used once per calendar year. 
Gum treatment is also tax deductible at 20%. This is done through the Med 2 form which we can organise for you. 
www.swords-dental.ie

Dental Cleaning for PRSI Patients for 15 euros!

Dental Cleaning for PRSI Patients for 15 euros!

Patients who are covered by PRSI ( including the self-employed) are now entitled to a free check up and subsidised dental cleaning each year. Alternatively, a contribution of 42 euros will go towards advanced gum treatment sessions.

The plans will see 2.5 million people have access to dental cleaning and payments towards glasses.

Social Protection Minister Leo Varadkar said that the plan would bring 380,000 self-employed people into the PSRI net for the first time.

‘They will have new benefits extended to them, including treatment benefit such as free eye and dental tests for the first time.’

 

These dental benefits are run once per calendar year so to make use of your entitlement for 2017 it would be a good idea to make an appointment in the near future.

Its great to finally see some of the benefits that we pay insurance for being reinstated- hopefully there’ll be more to come!
To make an appointment for a cleaning or gum treatment appointment give us a call on 01 8401001.
www.swords-dental.ie

When should you bring your child to the dentist?

Opinions vary on the recommended age for a first dental check-up. Within my own practice, I recommend parents bring their child along for their first visit before the age of three. Before this, I also encourage parents to bring their child along when having their own routine check-ups or with their older siblings. This helps to normalise the experience, so the child knows what to expect and lets me have a quick look to screen for any problems.

It is very important to see the child’s teeth before the adult teeth start to erupt around 6. If there is decay in the baby teeth before this age we need to consider any changes that should be made to reduce sugar in the diet. It is also worth planning to fissure seal the adult first molar teeth, to protect them,  if this is the case.

A first dental visit should fun. Tell the child that they will get a ride in the magic chair and that they will have their teeth counted. Bringing a favourite soft toy along can be very helpful. I often examine a teddy or dolls mouth first before I look at the child’s. Seeing what will happen beforehand can help the child prepare them for  what is involved. Sitting on a parent’s knee can also help relax a nervous child.

It is important to be as positive as you can in advance of the visit. There are several books about visiting the dentist that can also be helpful. We have copies of ‘Topsy and Tim Go to the Dentist’ in the waiting room. The first visit to the dentist episode of Peppa pig is also mentioned on a regular basis. Giving young children an idea of what’s to come helps to reduce any anxiety that they may have. We give young children stickers at the end of the appointment to reinforce that the appointment has been a positive experience.

I am happy to see most children once a year for a check-up unless there is a specific problem or issue which I would like to review sooner.

Swords-dental Tel 8401001

www.swords-dental.ie