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4 Rogers Street
Spring Hill, QLD, 4000
Australia

+61 7 3391 2504

Brisbane Dentist - excellence in general and aesthetic dentistry with Drs Amy Daley, Leila Haywood, UQ graduates with 20 years of experience in Spring Hill, Brisbane

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dentistry life at Brisbane Smile Boutique

The life and times of our dental practice, up to date news in dentistry and celebrations, happy moments in dentistry. Our blog outlines dentistry life at Brisbane Smile Boutique in Spring Hill in inner city Brisbane

Filtering by Tag: DENTISTS

WHAT IS A BRIDGE?

Leila Haywood

It is a precision made and now usually computer generated section of porcelain that looks exactly like teeth that replaces missing or lost teeth by suspending a false tooth from the natural teeth on either side of the space. A bridge can restore lost teeth, support remaining teeth and help keep your teeth in their proper position and bite. If a tooth is lost and not replaced, the teeth each side of the gap can drift, and the tooth below may grow up and move out of the correct bite. Older styles of bridges have a metal framework that supports the porcelain. 

 

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A bridge uses a framework which is attached to healthy teeth either side of the gap where the new crown spans or ‘bridges’ the area completing the smile. The adjacent teeth need to be re-shaped and the bridge is bonded to these. 

Advantages:

  1. Usually a straight forward process 
  2. Completed in 2 appointments
  3. Non-surgical solution for a missing tooth
  4. Usually made out of zirconia, they are all ceramic and metal free, and extremely strong
  5. They look just like real teeth
  6. Warranty against fracture for 5 years 

 

Disadvantages:

  1. Adjacent teeth need to be altered, which may make healthy teeth susceptible to problems in the future
  2. Cost of replacement in 10-15 years. 
  3. Costly, they are made with a master ceramist for  2 weeks and require temporary crowns while this is being made in the laboratory 
  4. They require diligent home care, and cleaning daily underneath them with superfloss or floss threaders, and regular checks ups and professional cleans to monitor them

 

Tooth grinding solutions and muscle relaxant injections

Leila Haywood

What is bruxism?

Excessive clenching or grinding of the teeth, is called bruxism, and is thought to be caused by physical or psychological stress, or a sleep disorder. If untreated, bruxism can cause excessive wear of the teeth leading to permanent damage of the teeth and sometimes of the jaw joints. Treatments involve repairing worn or damaged teeth with restorations, crowns or inlays, to replace the damaged tooth surface, and making an occlusal splint, or night guard, custom made from hard plastic that fits over the top teeth, and is worn at night to prevent further wear of the tooth surfaces, and to allow the jaw joint and muscles to relax. 

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TMJ disorders and muscle relaxant therapy

Disorders of the jaw joint, or TMJ (temporomandibular joint) are not uncommon and may lead to symptoms of pain and discomfort in the jaw called temporomandibular dysfunction (TMD) . Patients may complain of earaches, headaches and a limited ability to open their mouth.  Other symptoms can include clicking, popping or grating sounds in the jaw joint,  pain when opening and closing the mouth,  a general tightness and pain in the muscles of the jaw, or broken teeth due to the excessive forces.

Muscle relaxant injection treatments are available for jaw pain caused by excessive tooth grinding. These can reduce the muscle activity of the jaw and provide relief from wear in the joint system, and can prevent the teeth grinding excessively.

Dentists will try to determine the cause of tooth grinding and associated symptoms, and offer a range of treatment options to reduce the discomfort and intervention before the excessive forces damage your teeth. There are several treatment options that can be used to immediately stop  clenching or tooth grinding , and hopefully relieve the jaw pain.   

People who clench or grind their teeth are able to relieve the pain in the jaw joints and muscles with physiotherapy treatments, pain relief, prescribed sedatives, occlusal splint therapy or therapeutic use of muscle relaxant injections into the jaw muscles. 

Current management for bruxism

Current management by dentists for jaw muscle pain caused by grinding or clenching is with occlusal splint therapy or night guards made by the dentist, orthodontics, pain relief, full mouth rehabilitation,  muscle relaxant injections, and very rarely, surgery. 

Muscle relaxant injections with Botulinism Toxin A can decrease the destructive effects of tooth grinding. A diluted form of the muscle relaxant is injected in the jaw muscle to partially weaken muscles for a period of 4 to 6 months.  

Bruxism is a disorder of repetitive and unconscious contraction of the masseter muscle, the large muscle that moves the jaw.  Muscle relaxant injections weaken the jaw muscles enough to reduce the effects of teeth grinding and clenching, but not so much as to prevent proper use of the jaw muscle for eating and normal facial movements. A muscle relaxant treatment typically involves injections into the masseter muscles. It takes a few minutes per side, and you can start to expect feeling the effects after 5 days.

What is the muscle relaxant injection? 

The muscle relaxant injection is Botulinism Toxin A, a prescription medicine which contains 100 units of muscle relaxant liquid and is a natural, purified protein that is used therapeutically in medicine to relax facial muscles, and is approved by the FDA (US) and TGA to treat medical conditions such as cerebral palsy. It is widely known for its uses in cosmetic work, as anti wrinkle injections.  

How are muscle relaxant injections used in  dentistry? 

Dentists who have undergone appropriate training can use muscle relaxant injections to treat muscular pain and headaches due to muscle contractions in the head and face, focusing on the jaw area.

Severe and undiagnosed tooth grinding and clenching can lead to headaches, pain in the jaw joint, muscles of the jaw, enlarged masseter muscles, tooth wear and broken teeth, and is thought to be cause by fatigue, stress and emotional extremes. 

How does the muscle relaxant injection work?

Approximately 90% of all headaches are thought to be caused by muscle contraction. Pain is minimised with muscle relaxant injections into the muscles of the jaws so that they cannot be contracted fully, therefore the pain is minimised.   

What does the treatment involve?

Muscle relaxant injections are usually administered by a very fine needle into the muscles that are causing the pain (eg. masseters, temporalis, frontalis) with a selected appropriate dose. The rest of the muscles still can function normally therefore chewing is mostly unaffected. No anaesthetic is required since the procedure has minimal discomfort, with just a slight sting at the injection site.  The treatment generally takes around 15 minutes for a full treatment. The muscle relaxant treatment takes around 5 days to begin taking effect and up to 7 days for the full effect to be felt.   

How long does it last? 

This varies from individual to individual but usually 3-6 months.  Repeat injections may result in the effects being prolonged.   

Contraindications to using muscle relaxant

  • Pregnancy or breastfeeding
  • Allergy to albumin
  • an infection, skin condition or muscle weakness 
  • Have Eaton-Lambert syndrome, Lou Gehrig’s disease or myasthenia gravis.

Risks

Any surgical or invasive procedure carries risks. Before proceeding, we recommend that you ask any questions that you wish, advise of any associated issues and seek a second opinion from another qualified health practitioner.   

What are the Side Effects? 

The amounts are carefully measured appropriately for your case and the injection site is very localized therefore the side effects are minimised.

Possible side effects include but are not limited to discomfort, burning/stinging, swelling, redness or  bruising around the injection site. Side effects are minimised by using a trained professional and usually minimal.   

    WINTER SOLSTICE

    Leila Haywood

    Spring Hill has been a lovely change in venue for us, with the building completion finally coming to a close on our new facility. The practice in East Brisbane was knocked down in place of progress for the Lytton Road, Wynnum Road widening project by the Brisbane City Council. We have found Spring Hill to have a nice community feel with the primary school close by, cool cafes, and the mix of character houses and fig tree lined streets, within our elevated purpose built fit out, makes for a lovely vista. Being able to see the sunset from the rooms is lovely, and a welcome view given that we are no longer looking over the river. It has been 3 months in our new location, and we have had a wonderful response with patients loving the modern feel of the fit out with all glass rooms allowing the light to fall beautifully from room to room. We have decorated with flowers in every room, and have loved being able to put a touch on each room that makes for a lovely ambience.

    Leila Haywood is away in July this year. Dr Amy Daley will be available to see patients on Tuesday, Thursday and Friday from 7.30am, and Christine our hygienist will be providing dental hygiene services during this time. We have an offer for the July on Mondays and Wednesdays for $490 for Zoom teeth whitening technology, for the winter white teeth. Please call Sonia on 07 3391 2504 to assess suitability. 

    Bring Spring 🌼

    Leila Haywood

    Traditionally spring is new beginnings and a time to bloom, which is exactly apt in these parts. Expansion of our knowledge base is underway with Derma Medical advanced clinical skills training this weekend with an international team in facial aesthetics, as an adjunct to digital smile design for Dr Amy Daley. Clinical photography technique in macro detail and photo art has been another focus for our professionals, as well as Invisalign the leading invisible orthodontic system with cases sent to the central assessment team in America, and training of our auxiliary staff in-house in latest techniques and tips with the national coach and the clin check software. We now 3D print dental restorations for our patients with porcelain, which is scanned for digital design with our master ceramist here in Brisbane. Scanning cameras are on the horizon for our team, in order to stay ahead of advances that present, which are fascinating times for us, given that our studies at the University of Queensland in the 90's were focused on restorations for molar teeth primarily in metal amalgam, comprised of a tin, silver and mercury preparation. To see such advances in restorative dentistry which are biological, durable, seamless and aesthetically excellent are in an era which has created a wonderful journey over the last 25 years in dentistry for our dentists.  Our base extension to inner city Spring Hill at 4 Rogers Street, with an architect designed facility in a heritage listed house, will place us in a first class location with wonderful facilities and surrounds.

    May your spring bring dreams and times that bloom also.

    Sonia, our dental practice coordinator

    Sonia, our dental practice coordinator

    A moment at the dental clinic reception with Holly and Sonia, dental treatment coordinators

    A moment at the dental clinic reception with Holly and Sonia, dental treatment coordinators

    A new smile was created for this glamorous patient with a little tooth bonding, with no anaesthetic.

    A new smile was created for this glamorous patient with a little tooth bonding, with no anaesthetic.

    Before photo of a smile

    Before photo of a smile

    A little bonding with this patient.   The teeth have natural white flecks in them, and this lovely woman was pleased with the natural appearing improvement to her smile. She didn't wish for them be too perfect, or drastically altered. None of the natural tooth structure was removed, with small amounts of composite resin used to reshape the teeth for a more balanced smile. No anaesthetic was used for this tooth bonding procedure and it took around 2 hours to reshape the teeth, and to create natural appearing contours.

    A little bonding with this patient. 

    The teeth have natural white flecks in them, and this lovely woman was pleased with the natural appearing improvement to her smile. She didn't wish for them be too perfect, or drastically altered. None of the natural tooth structure was removed, with small amounts of composite resin used to reshape the teeth for a more balanced smile. No anaesthetic was used for this tooth bonding procedure and it took around 2 hours to reshape the teeth, and to create natural appearing contours.

    Holly is a treatment coordinator at our dental practice for one day a week and works the rest of the week as an aesthetic tattoo specialist on James Street in the Valley. She has been with our dental practice for 8 years.

    Holly is a treatment coordinator at our dental practice for one day a week and works the rest of the week as an aesthetic tattoo specialist on James Street in the Valley. She has been with our dental practice for 8 years.

    Dr Amy Daley at the Endodontic Group evening lecture on Professional Dental photography techniques and advances at Victoria Park

    Dr Amy Daley at the Endodontic Group evening lecture on Professional Dental photography techniques and advances at Victoria Park

    Dr Amy Daley

    Dr Amy Daley

    Sonia is the dental practice coordinator

    Sonia is the dental practice coordinator

    The stunning greenery that creates the scenery at our East Brisbane dental practice, with views over parkland and the Brisbane River will be very missed. Looking out onto the War Memorial, beautiful Moreton Bay Fig trees, the Churchie Rowing Club, and all of the activity within the park each day is set to end in January when our dental practice moves to Spring Hill.

    The stunning greenery that creates the scenery at our East Brisbane dental practice, with views over parkland and the Brisbane River will be very missed. Looking out onto the War Memorial, beautiful Moreton Bay Fig trees, the Churchie Rowing Club, and all of the activity within the park each day is set to end in January when our dental practice moves to Spring Hill.

    The beautiful view over the historical Mowbray Park, with flowering Jacaranda trees will be very missed, with our relocation to 4 Rogers Street, Spring Hill looming.

    The beautiful view over the historical Mowbray Park, with flowering Jacaranda trees will be very missed, with our relocation to 4 Rogers Street, Spring Hill looming.

    The fit out of our dental practice at 4 Rogers St, Spring Hill is underway, and we should be practicing from this location as of the 7th of February 2018

    The fit out of our dental practice at 4 Rogers St, Spring Hill is underway, and we should be practicing from this location as of the 7th of February 2018

    Our new dental practice is being set up in this beautiful heritage listed house at 4 Rogers St, Spring Hill

    Our new dental practice is being set up in this beautiful heritage listed house at 4 Rogers St, Spring Hill

    Hello Christmas

    Leila Haywood

    End of year is always incredibly busy for our practice, and it continues like this into the new year until February. 

    Dr Leila Haywood is taking leave from the 16th December to the 9th of January. Dr Amy Daley is on holidays from the 23rd December until the 2nd of January.

    Please let us know if you need an appointment prior to Christmas. The time limit for porcelain prior to the end of year is approaching. There are 2 more weeks that allow porcelain restorations to be made by our ceramist, and inserted prior to the end of 2016.

    Wishing everyone the best

    Best Regards 

    Leila Haywood | Dentist | Brisbane Smile Boutique