Posts Tagged ‘fillings’

The miracle of Rubber Dam

Thursday, July 22nd, 2010

I must say, it was a first when one of our patients told me that Rubber Dam was “the best thing to happen to dentistry”. There is a lot of fantastic gizmo’s and gadgets in the dental field, but Rubber Dam does not usually come up top trumps. The patient in particular, was having some composite fillings placed in a couple of lower molar teeth. In order to get the best filling possible, the bonding agentswe use need to have a completely dry field. Any moisture can inhibit the white composite filling from sticking to tooth enamel as best it can. This is why, sometimes, rubber dam is used to protect the tooth and filling from moisture.

Rubber Dam is a latex sheet (also made non latex for allergy sufferers) that is held in position over a tooth in particular. This isolates the tooth, ensuring that no moisture can make contact when treating the tooth. Rubber Dam has many uses and is not just used for moisture control:

It is used when Root Canal Treatment is performed to ensure that no bacteria enters the canals of the tooth. The whole procedure, during Root canal, is to ensure the tooth is completely clean, and no infection or bacteria is left in the tooth. Everybody’s saliva contains bacteria, so using Rubber Dam ensures that no saliva can make contact with the tooth.

During some procedures in dentistry we use small instruments, such as files and burs. We do not want our patients to inhale or swallow these, so Rubber Dam ensures this does not happen.

As you may know, we use lots of solutions and strange tasting agents during treatments. Rubber Dam ensures you do not swallow anything.

The tongue can be very hard to control, during dental treatment, and when using fast drills we do not want you tongue “investigating”. Isolating the tooth that the dentist is working on makes this much safer.

We do use a lot of water during dental procedures, in order to keep the tooth cool while using the drill. Some patients finds swallowing very difficult and stressful while being treating. The use of Rubber Dam stops water from collecting in the back of the throat, making it easier for the patient to swallow.

There are so many uses, and I don’t want to bore my bloggers, but as you can see the use of Rubber dam can be very beneficial to our patients. At first it can be a bit daunting, when the dentist comes at you with a whooping great Rubber sheet that covers your mouth, but trust me, you will be surprised how easy it is to adjust to. Its not always possible to use, but the dentist will try to use whenever possible. Of course, if you don’t like it, we won’t use it. Just let the dentist know :-)

Blast off!

Thursday, May 27th, 2010

It was all about air abrasion today in Sarah’s surgery! Me and Sarah saw a lovely young man, who comes to see us regularly here at WH. Like me, he is quite geeky about all our dental materials and treatments, so he was more than pleased when we told him we were going to use our air abrasion unit on his tooth. This patient had deminiralisation on a molar tooth which needed to be filled. Deminralisation weakens the tooth enamel and it is essential to fill the tooth as it can lead to destruction of the tooth tissue.

This air abrasion gizmo is awesome! Not only does it mean that the dentist does not have to use that high pitched, awful sounding, high speed drill, but it also means that we don’t always have to use anesthetic. No needles!!  We all would like a bit of that. It is great to use on kids, as drilling and needles can be quite traumatic for them, but its also fab for our older patients. You can actually go home without slurping your dinner through a straw. No more numb lips.

Well, our patient was extremely pleased with this, and after a few blasts, we were able to put a white composite filling in the tooth. As Gorden Ramsey would say………Job done!

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 :-)

Welcome back Sen!

Friday, May 14th, 2010

We have all missed his presence at WH, and he was back this week after spending 2 weeks in Thailand with his new wife.Sen’s patients will be happy to see him wondering around the practice again. He hasn’t come back to a quiet surgery either. He was back into the swing of things Tuesday, with a full day of tooth aches, fillings and check ups. Theres no rest for the wicked! Maybe he is now wishing he got stuck on the beach in Thailand due to the volcanic ash, rather than listen to me barking orders at him again (hee hee).

When you are next in to see Sen, I am sure he will tell you all about his travels around Thailand and his wedding day. On behalf of Sen I’d like to thank all his patients that wished him well on the big day :-)

The Big Debate

Friday, April 16th, 2010

As we are all currently being bombarded by talk about the current elections and the “big debate”, as dental professionals we quite often have debates of our own with our patients. The subject being………..fluoride. Unfortunately, like many areas in the country, Berkshire does not have fluoride in the water supply. This can cause many problems for our children, and ourselves. We need small doses in our water, toothpaste and mouthwashes to help combat tooth decay. It has been highlighted recently in the media, that children of this generation suffer severely from premature tooth loss. Obviously sugar, sweets and diet plays a major role in whether children develop tooth decay or not, but with small amounts of fluoride introduced, this could help prevent early decay. Please obtain advice from dental professionals about fluoride and which toothpastes/mouthwashes are best for your children, as too much fluoride can can cause fluorosis (brown mottling of the teeth) and may be harmful in excessive amounts. As a dental nurse, it is sad too see children having fillings at such a young age, and especially telling mum and dad that they need teeth removed. We want to do all we can for them, and ourselves, to help combat tooth decay and tooth loss.

Getting our children into the habit of brushing teeth, avoiding sugary foods and sweets, and visting the dentist is just one of the ways we can educate them. I may not be the next David Cameron and I may not be best candidate for running the country, but I can say that we need to change the way we think about our childrens dental health. We need to stop and think in regards to feeding our children those fizzy pops and bribing them with a packet of sweets.

If you would like any advice about diet, flouride and tooth decay please talk to our dental professionals. We can help :-)

Goodbye to our Dinner Lady

Wednesday, April 14th, 2010

Me and Sarah waved goodbye to one of our favourite patients today, as she is moving away due to work commitments. She has always wanted to act, and as a mature student she did just that! We have watched her flourish into a budding actress. All the girls at WH even went to see her in theatre in her play “Dinner ladies” and she was fab!! It has been lovely treating her, and seeing her at her dental exams. She will be very much missed here at WH. I did tell her that she needs to sign up to Twitter and Facebook so we can “Tweet” her and follow her through her career. We can also find out then, if our fillings are holding out!!

All of us at Woodborough House want to wish her the best of luck for the future, and I am sure we will see her on stage and screen many times to come ;-)

Food Trap

Monday, March 29th, 2010

Today seems to be the day when every patient we see are suffering from the same problem………….food traps. We all know how annoying it is when food always gets trapped in the same place every time we eat. Whether it is between a filling and a tooth, by a crown, bridge or even just between two teeth, this area will be a great hang out place for the plaque and bacteria that can cause tooth decay and gum problems. The particular patients we saw today with food traps, had existing fillings which did not have great margins around them. The fillings needed to be adjusted so the space between the two teeth had just enough space to get a piece of floss between (and we all know you should be flossing daily). Hopefully these areas will not be a problem for them anymore.

If you are suffering with problems from existing fillings, or areas where food traps, then please talk to your dentist. They will be able to fix that problem for you

Later Evenings just for you

Thursday, March 25th, 2010

Today was the launch day of our later evening. As mentioned in a previous blog, we will be doing a late evening, until 8pm, on the last Thursday of every month. I am pleased to say that today’s evening has been a success! We decided, as a practice, that opening for longer will be beneficial for our patients as it makes coming here a little easier. Getting time off work, and fitting in dental appointments around the school run is always tricky, so we hope that this small change will keep all our patients happy and attending the dentist regularly. We have been busy seeing children for their routine check ups, tooth aches, and patients having fillings. We also have had our Hygienist Helen working her magic.I must say, it is very strange being here at this time of the day, seeing as I’m usually watching Eastenders right now :-)

If you are interested in seeing your dentist or hygienist later in the day, please contact our reception team. They will be more than willing to help

Scrub, scrub away

Tuesday, March 23rd, 2010

After writing on our blog last week about tooth erosion, today we have been bombarded with patients suffering from tooth abrasion. The culprit for these small lesions are………….the humble toothbrush. We all like to give our teeth a good old scrub morning, noon and night, but this simple action with the toothbrush can cause the enamel on our teeth to wear away. The areas that are mainly affected by this action, is the neck of the tooth. This areas can be filled by the dentist using a white composite filling, but I can give you some simple tips to help stop this…..

Using a soft toothbrush is the first way of tackling the problem. The bristles on a toothbrush can be very hard on some toothbrushes and this can cause a great deal of damage to the tooth surface. For some patients, using an electric toothbrush is ideal, as you can let the brush do the work. The Phillips Sonicare range is great as the sonic action uses less of a “scrubbing” action. Another tip for you, when brushing, is to hold your toothbrush with just your thumb and index finger. This means you are not holding the toothbrush firmly, making the scrubbing action less hard and less forceful. A simple post it note on the bathroom mirror saying “Remember not to scrub!” can also encourage you to change habits, and the way you brush your teeth.

If you have any questions regarding tooth abrasion, or you would like any more advice on the matter, speak with our dentists, hygienists and nurses. They will be more than willing to help you

Root decay and marathon runs

Thursday, March 4th, 2010

One of the big problems, that we quite often see at WH, is patients suffering from decay on root surfaces. We saw one of our lovely patients today, who had this exact problem. The roots of our teeth are more susceptible to decay, as the root surface is much more softer than the enamel covering our teeth. As we age, (and that’s the one thing we all have in common) our gums may start to receed slightly. As the root of the tooth is exposed, plaque and tartar are much more likely to stick to this surface of the tooth. Without regular Hygiene appointments, this plaque and bacteria is hard to remove. Eventually this causes tooth decay. After cleaning the tooth surface, we managed to apply a filling material which releases fluoride. Fluoride is great for our little knashers, and will help reduce the rate of decay in our mouths. He left happy, but only agreed to come back for his dental exam if we agreed to run for his charity. 10k!! We might have to start training for next year.

 

If you have similar problems, or would like to speak to one of our dentists or hygienist about flouride then please let us know. We want to keep hold of tose pearly whites.