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Archive for the ‘dental sedation’ Category

The Wand STA System by Lo!

Tuesday, July 29th, 2014

The Wand

Woodborough House is committed to providing quality treatment for patients by using the latest technology.

If you are a nervous patient or just hate injections, why not find out how the Wand STA system will benefit you during dental treatment?

The Wand is a pain free way of applying local anaesthetic when being numbed before treatment.

The Wand STA System works by using a mechanical pump to administer the local anaesthetic very slowly. Although it may seem strange that you would want to be numbed slowly, the Wand has great benefits! The speed of an injection is normally the determining factor on how painful the injection actually is. By using the Wand STA System it allows the local anaesthetic to disperse gently into the area needed.

We all hate that numb feeling after visiting the dentist when your whole face is numb for a few hours. This is yet another benefit of the Wand STA system. You are probably wondering what the STA stands for and this is Single Tooth Anaesthesia. This means that the dentist is able to numb just the tooth/teeth that need to be numb. I know this is one of my favourite things about the Wand! This is particularly useful when you are having a small procedure done but still need to be numbed. You sometimes feel you were only in the chair a few minutes, yet you have to be numb for hours. No-one wants that if they can help it.

The Wand is also great if you are a nervous patient or if you just hate injections, because the Wand does not look like your average local anaesthetic syringe. It looks just like a fancy pen and can be made smaller if needed. The Wand’s computer system talks whilst the anaesthetic is being administered. This is just to inform the dentist that it is being used.

Some of our patients will already have come into contact with this fabulous piece of equipment including Cathy Hickey, our Treatment Co-ordinator here at the practice. I believe her words were “It’s fantastic, not painful at all and the best part is you can have a cup of tea straight after!”

As you can see, the Wand STA system is yet another brilliant piece of technology that we can provide for our patients in order to give them the most relaxed dental treatment possible.

A Different Type of Dentistry by Lo (Trainee Dental Nurse)

Tuesday, October 1st, 2013


As I’m sure many of you have already read I spend most of my spare time doing things with my horse Ru and one of those things involves arranging for a dentist to come out and check his teeth every 6 months / 1 year.

There are specialist horse dentists that can be sought for this job, and they have to go through training at university much like our own dentists. Teeth checks can also be done by a vet which is how Ru has his teeth checked, so I thought I would just write a bit about Ru’s experience with the dentist.

On the 10th of September the vet was due out for Ru’s annual flu and Tetanus vaccinations and I decided that as it had been a year since his last check he would have his teeth looked at too, especially as he is just getting some new teeth through. I would describe Ru as a very nervous patient, he lacks confidence with the dentist and normally has sedation.

Horses’ molar teeth are set a long way back in their mouths and most of the time you cannot see them or get to them. However, over a period of time they get sharp edges and build-up of tartar which needs to be cleaned off. To do this you put what is called a mouth gag over their front teeth. It is not as mean as it sounds! It acts like a mouth prop keeping the mouth open a little, enough for the vet to be able to get her arm in. After all, you can’t ask a horse to stay open for a few minutes! :) They then file the sharp bits of teeth down with some instruments and chip off any tartar. This usually only takes 10 minutes if the horse is standing still and they are filed regularly. This doesn’t hurt in any way, it is just like filing a nail.

So back to Ru, as I mentioned above normally he usually requires sedation which is given intravenously (straight into the blood stream) so it works instantly and to make matters worse he is needle phobic too. Seems strange for a horse doesn’t it! He has never had a bad experience he just doesn’t like them! However this time around I had been doing lots of preparation. He likes to chew on things so that’s a good start, and as he chews on things he tends to suck them in towards the back of his mouth. When he does this I just pretend to file his teeth with the object. To start with he spat it out a lot, with a look on his face like eugh what was that! Then slowly he became less and less reactive and started to be more accepting, lowering his head instead of flinging it up in the air.

This preparation meant that when the vet came he was much more relaxed and this time he had it done without sedation, what a brave pony!!! The vet was very kind to him and as it turned out he only had a couple of sharp places, which was super. :)

Needless to say he got spoilt with carrots and scratches afterwards – both of his favourite things!!

Notes from a Dental Nurse

Tuesday, June 25th, 2013

Mandy is Nick’s nurse here at Woodborough House. They have been working together for the last two years. They have become a friendly and efficient team providing their patients with ground breaking dentistry.

We have asked Mandy to write a blog about the implant work that they provide for their patients and explain how the latest technology works and benefits our patients. Here’s what she had to say.

mandy on computer

“Nick is very well known for placing his dental implants using the latest computer guided surgery technology. He is in fact a leading specialist in this area of technology and is asked to speak in many countries about this exciting and ground breaking treatment.

Computer guided surgery is used here at Woodborough House to place dental implants. Digital imaging and CBCT scan images (3D x-rays) are used by Nick to ensure smooth treatment planning and the precise fitting of dental restorations.

The images generated by 3D imaging software and CBCT scans enables Nick to visualise the placement process. Nick is able to see where the optimum sites in the jaw bone are and this ensures that the implants are placed in areas of high bone density wherever possible. Imaging software allows Nick to plan out the procedure completely, which eliminates any guesswork and contributes to better standards for our patients. This can be very reassuring for our patients, especially those who feel nervous or anxious about having dental treatment, and it also leads to less complications and post-operative pain, with healing time greatly reduced due to the dental work being key hole procedures rather than procedures in which it is required to lift a full surgical flap.

At the start of treatment, patients will come in for a consultation with all relevant x-rays (usually taken by me) to go through their treatment options. After this appointment they are given time to think about what they would like to achieve from their treatment. If they wish to go ahead with dental implants the patient is then booked in for a work up appointment.

The work up appointment consists of taking photos, a digital impression using our iTero scanner and a CBCT scan (3D x-ray).

I will then talk the patient through how the digital scanner works before taking the digital image:- patient understanding is an essential part of making any dental procedure as stress free and pleasurable as possible.

iTero technology has been developed by Cadent, and uses a digital scanner to generate perfect replica images of the mouth. The images and measurements can then be used by dental technicians to create and manufacture a dental surgical stent to be worn during surgery. This does also mean that no dreaded impressions are taken!

The iTero scanner makes everyone’s lives easier, from the team here at Woodborough House to dental technicians and most of all our patients. A CBCT scan (which is a 3D x-ray) is also taken by myself so that Nick is able to meticulously plan the final surgery. We’re really proud to be the first dental practice in the whole of the UK to pioneer the Pax-Reve3D scanner. Our CBCT scanner is a high-tech and modern scanning machine, that is capable of producing incredibly detailed images. Simply, a CBCT scanner uses very low doses of radiation to produce amazing 3D images of the teeth and the surrounding structures. Unlike traditional X-rays, CBCT scanners can distinguish between different types of tissue and this enables Nick to see structures in and around the mouth in greater detail.

Once we have the iTero digital scan and the CBCT scan it’s all systems go for the planning stage.

Nick will then use the Straumann coDiagnostix technology to virtually place the Straumann implants in the relevant sites.

The next stage is the surgery. Single implant placement is generally a one hour appointment. The implant is placed using the Straumann guided surgery kit and patients surgical stent that has been made from Nick’s planned co-ordinates. The patient will arrive one hour before their surgery time. At this time all post-operative instructions are given, such as our patients are encouraged to toothbrush and mouth rinse for six minutes. Complimentary oral sedation is given to help relax the patient, it also helps the time to go quickly for them.

After surgery the patient is accompanied home by a family member or friend. Nick will review the patient approximately ten days after surgery.

The patient can be left to heal to six weeks after simple dental implant placement or up to twelve weeks if the surgery has involved sinus lifts or bone grafting.

After the period of recommended healing the final restoration can be made by our technicians and fitted as a trial so that the patient can make sure that they are happy with the shape, fit and shade. Once the patient is happy the restoration can be fitted and the patient is finished.

Nick will recommend for all patients to see their hygienist within the first three months for cleaning advice, and to have the implant reviewed on a yearly basis by himself or the patients referring dentist.

As you can see implant placement is very straight forward and can be a simple procedure if the planning is provided at the beginning of treatment. There is now talk that implants placed like this at Woodborough house will be offered to patients in their lunch breaks (without sedation).

I have been totally amazed by the treatments and the patient care I have seen since working with Nick. I feel truly honoured to be part of this incredible team and look forward to an even more successful 2013.”

Mandy Morris

Dental anxiety drilling deep? Sedation soothes straight to sleep!

Friday, February 24th, 2012


Are you feeling anxious about your next dental visit? Perhaps you’re looking for an excuse not to turn up or have your important dental work carried out.  However, avoiding dental check-ups could be dangerous and is not recommended.

Here at Woodborough House we understand that people may be nervous or frightened of visits to the dental chair, and our team is very experienced in treating anxious patients. This is why one of the most important parts of our job is to ensure that we listen to you carefully to understand your needs and concerns.  We feel that this is one of the most important elements in solving dental phobia.

Dental sedation techniques

We offer a number of approaches to help you overcome any fears you may have. The main techniques we offer in the field of dental sedation include oral and IV sedation.

Oral sedation is our preferred method as it’s the easiest for most patients, usually lasting for around 16-24 hours.  We also use a liquid sedative, which we administer once before treatment.

The medication you will be given will help you to feel more relaxed and calm, but this does not prevent you from communicating with our dentists and nurses.

Most patients report feeling very sleepy and not being aware of the concept of time, which can prove useful when undergoing lengthier treatments.

Almost everybody is suitable for oral sedation and if it’s administered correctly and in a clinical environment, it is completely safe to use.

Many of our patients love the fact we offer dental sedation as it makes the dental procedure less daunting overall.

Patients have even told us they had been so nervous about dentistry their whole life, but after coming to us for dental sedation, they can safely say that their fear has been conquered!

Dental sedation really is the way forward for nervous patients who are feeling scared, yet looking to relax whilst they undergo important dental work.

For more information, or to book a consultation about any treatments or to enquire about dental sedation, please give us a call at our office on 0118 984 3108 where one of our friendly members of staff will be happy to help.

Dental drugs? Just ask for some oral sedation

Friday, November 25th, 2011


Feeling nervous about visiting the dentist for your next appointment? Maybe you feel uncertain of what will happen and are thinking twice about actually attending. Don’t worry, visiting the dentist isn’t as draconian as it used to be! Infact there are more reasons than ever to visit the dentist.

Nervous patients can now be offered dental sedation to help them feel completely relaxed and at ease, so they’re not aware of anything that’s going on during the procedure. There are many benefits to this, some of which include that it allows the patient to relax. It also allows their treatment to be tailor made to each individual so that over time less and less sedative needs to be given until the patient becomes completely comfortable with the treatment. There is also another benefit to this which is that it’s quick and easy to administer and can help patients to overcome their fear of undertaking complex dental treatments.

At Woodborough House, we offer dental sedation in the form of an oral sedative or intravenous injection where necessary. This kind of sedation is ideal for nervous patients as it instantly helps them to relax and feel better able to cope with the dental treatment with which they are about to receive.


There are virtually no risks if dental sedation is managed and administered appropriately. It simply helps the patient to feel relaxed and overcome their fears, so you should feel as relaxed as any non-nervous patients do. We understand that some patients understandably feel nervous and need time to think about coming for a dental appointment. If you’re thinking about dental sedation then you should make sure you see a dentist who is prepared to give you the time you need, who will listen to all your fears and put a plan together to get you dentally fit and to alleviate your fears so that you can go forward with dental treatment.

What kind of sedative do you use at Woodborough House?

Oral sedation is the preferred alternative here at Woodborough House because it involves taking a sedative pill with some water around one hour before the procedure. This form of sedation is the easiest for most patients and lasts for around 16-24 hours.  There are many forms of dental sedation but there are very few cases where sedation is not suitable. It is really just a case of administering the right one according to the patient’s needs.

Many of our patients love the fact we offer dental sedation as it makes the dental procedure less daunting overall. It also means that patients are more likely to return to the practice and recommend Woodbrough House to their friends and family. For some patients it gets to a point where they feel so comfortable at the practice no sedation is required at all!

For more information about dental sedation, why not give us a call on 0118 984 3108 and one of our team will be happy to assist you.

Dental fear keeping you awake?

Thursday, August 18th, 2011

Are you feeling nervous about your upcoming dental visit? You have nothing to fear. Here at Woodborough House we can help you to overcome your dental phobia by offering a range of advice and procedures to help to calm your nerves.

Fear of the Dentist

Every patient who comes into the practice will have a degree of nervousness or anxiety about sitting down in the dental chair. According to the website Dental Fear Central, recent studies have shown that 80-85% of dental phobias are caused by previous bad experiences with dentists. So there’s no need to feel alone – it’s a lot more common than you think!

Addressing your Fear

One way of addressing these issues about your fear of the dentist, is to look at the root cause. If you listen to other people’s worries and fears for example, it can create a biased and negative view of dental treatment. Many patients may have a long-standing fear of dentists as a result of previous bad experiences, usually from a young age.

It is important to be realistic and realise that dentistry has evolved dramatically in recent years, so if you have that feeling about the ‘fear of the unknown’, simply ask your dentist to explain the procedure in full prior to the treatment and he or she will be more than happy to help. This can be a powerful and effective way of reducing this fear.

Other calming methods you might like to try including bringing someone with you to your dental appointment, building up a good relationship with your dentist and remembering to take deep breaths! It also helps to let your dental team know in advance that you are nervous, so they can do all they can to ensure you have an anxiety-free visit.

The dentist performing your procedure can provide you with a full explanation of the treatment involved and will be completely honest with you regarding your expectations and the desired results, so you’ll know exactly what to expect.

Dental Sedation

Should you require it, we can offer you dental sedation. Sedation is a relaxed pharmaceutical agent which is used to help reduce any feelings of anxiety and to give you a more relaxed experience at the dentist. It is perfectly safe to use and extremely effective if it’s conducted with the correct setup and aftercare.

At Woodborough House, we usually offer this in the form of an oral sedative (i.e a pill) or the intravenous sedation (an injection) as part of a safe and predictable routine. Our Patient Co-ordinator Cathy Hickey can administer a sedative to calm your nerves, monitoring your reaction to it and adjusting the dose as necessary.

Am I suitable for a sedative?

Most patients make suitable sedative candidates. However, there are a few medical conditions which may affect suitability, so the decision will be made by your dentist.

Overcoming Dental Phobia

Thursday, March 3rd, 2011

Many are so frightened of the dentist that they avoid dental treatment altogether. We offer a number of approaches to help you overcome your fear of the dentist so that we can give you a healthy smile. One of the most important parts of our job is to ensure that we listen to you carefully and understand your needs and concerns we are very experienced in treating nervous patients and feel that this is one of the most important elements in solving your dental phobia. We also offer sedation dentistry for patients who are particularly nervous.

An effective way to treat the most nervous of patients is via intravenous sedation (injection). The medications that we use 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 your consultation.

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 our team. The feelings of relaxation will be intense enough for you not to remember much about what happened under treatment. This is because the kind of drugs that are used can bring about amnesia, either in part or in full, from the time you begin to feel the effects of the sedation, to the time the effect wears off.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.

If you are nervous about consulting dentist, we can help you overcome your fears of the dentistry and make treatment an enjoyable experience.

iTero gives you the perfect fit: No refitting , No adjustments

Monday, January 10th, 2011

iTero enables a perfect fit and therefore  the  possibility of soreness and swelling associated with a probable  poor fitting is eleminated. A perfect fit will also increase the efficacy of the restoration which would in turn, improves the overall aesthetics.  A restoration will not function as effectively as it could if it doesn’t fit properly.  iTero helps to improve efficacy and also increases patient comfort. iTero also helps to prevent mistakes and patients can benefit from their new restoration  from day one and don’t have to  come back to dentist re-fitting / adjustments . Treatment time is also shorter using iTero.

Many patients also find it very uncomfortable having a mould created, as the sensation of having dental putty in your mouth can be very unpleasant. For some people, this process can stimulate their gag reflex, which may be unpleasant and embarrassing. The process can also be messy and time consuming.

Using iTero can be particularly beneficial for nervous patients and those who suffer from dental phobia, as the feeling of having dental putty in the mouth can be rather uncomfortable and time consuming. iTero simply uses a scanner, which produces images of the mouth within seconds.

Woodboroughhouse Dental practice is one of the pioneer cosmetic dentistry  in UK and making a difference in people’s lives. Contact us to know more about iTero.

Not his cup of tea.

Thursday, May 20th, 2010

Coming to the dentist is not everyone’s cup of tea, and at WH we understand that for some people it can be scary and distressing.

Me and Sen recently saw a lovely lady who has been coming to the practice for many years now, but has always been unable to get her young son to come with her. Children are often influenced by how their parents behave at the dentist, or by what they say about visiting the practice. This child had picked up on that vibe.

We don’t want to pressure and push children in to doing things they don’twant to do. That doesn’t help anyone. Instead we invited this young 8 year old to just come in, have a hot chocolate, and to meet me and Sen. We didn’t do any treatment. We didn’t even ask him to sit in the dental chair. We just wanted him to feel more comfortable about being in surgery and being with us. A few days later he came back in to see us. This time for a dental check up. He was so brave. We explained everything to him, showed him all the instruments and materials we use and he was fine. He even managed to have a small filling done!

After over coming his fear of the dentist, and realising that we are not here to hurt or scare him, he promised us that he will always come to his check up appointment. On one condition though…………that I would make him a hot chocolate! I’m sure I can manage that. Its the least we can do.

If you child, or yourself, is afraid or nervous about treatment, then please let our team know. We can do all we can to make your experience less daunting, and make it one that is more relaxed and comfortable. We want to keep you smiling :-)

Investment in an Implant

Friday, May 7th, 2010

Phew. Busy day at WH today! Nick and Steph have been in surgery placing a dental implant for one of our dear patients. The patient has had one before, and swears by it! She had to have a tooth extracted, and to replace the space she decided to invest in another implant. The case was a complex one, as Nick had to do a bone graft. With the use of CT Scans and radiographs Nick is able to place the implant in exactly the correct position. It was a busy few hours, but the time flew for our patient as she had some of our oral sedation (and my IPod). We look forward to seeing the end result.

Well I am off now to enjoy the weekend. I will be back next week for more blogging. Hope you aren’t getting bored of my ranting yet. The stories will continue……

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21 Reading Road, Pangbourne,
Reading, Berkshire RG8 7LR
0118 984 3108