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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 Category: Cosmetic Dentist Brisbane

Dental implant information

Leila Haywood

A DENTAL IMPLANT is a small titanium fixture (insert) that is placed in the jaw bone to replace one or more missing teeth. Implants and their artificial teeth closely resemble the look and function of real teeth. The implants form a secure base for the replacement of teeth, restoring full function and renewing self-confidence and peace of mind. They are an appealing alternative to dentures and bridges.

A single implant can be used to replace one, or several missing teeth, depending on the circumstance. Multiple implants can be used to bridge spaces and secure full dentures to the jaw bone. Dental implants integrate into the jaw bone and provide a very solid platform to re-create function (chewing ability) and aesthetics, by building and connecting the tooth to the base of the implant, which incorporates the new tooth into the existing bite or smile. 

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WHO IS SUITABLE FOR AN IMPLANT

Nearly everyone who is missing one or more teeth, and is in good health is a candidate for dental implant treatment. Dental implants can last a lifetime, unlike bridges and partial dentures that may need to be replaced several times. They can withstand biting pressures, they prevent collapsed cheeks that can follow tooth extraction, and they are  more comfortable than dentures, because they are fixed in the mouth. Dental implants prevent the bone loss that occurs when teeth are missing, so the natural appearance of the smile is also preserved. With implant treatment, there is no compromise to the adjacent teeth; they are not cut down to place a bridge, or loosened by the hooks on partial dentures. 

Implants can only be placed in adults, because growth must be complete before placement. 

dental implants Brisbane

 

HOW LONG DOES IT TAKE

In most cases, the healing period is between 3 and 6 months before teeth can be attached to the implants. A temporary appliance can be made if aesthetics are absolutely critical during this period.

After initial implant placement, another visit is required to ensure that healing is progressing well and to test how well the implant has integrated. After the implant crown is attached to the implant, regular dental check-ups are needed every 6 months to examine and  ensure that the supporting gum and bone remains healthy, and professionally cleaned with specialised instruments. X-rays are also taken digitally each couple of years to examine the bone structure around the implant and to ensure that it remains healthy.

 

HOW TO CARE FOR AN IMPLANT

Dental implants also do not usually require special cleaning products and just like your natural teeth, you clean them with dental floss and brush with regular toothpaste.

For the implant to function well and to remain healthy, good oral hygiene and home is required on a twice daily basis. Special hygiene appliances  (brushes, and floss) are available and may be helpful if there is any difficulty with routine cleaning techniques.

 

HOW DO THEY WORK?

The implant material, which is usually pure titanium, is extremely biocompatible and the bone treats the implant just as if it was made out of bone. The bone cells attach themselves to the implant in a process called osseointegration. In most cases, implants can be placed using local anaesthesia by your dentist.

 

IMPLANTS FUNCTION LIKE TEETH

Implants are not made to come out, just like teeth.  Implants are not the same as natural teeth but they function and feel virtually the same as natural teeth. For patients who have had dentures or false teeth, the implant will feel much more secure. We use a technique where we are able to remove the attached implant crown if we absolutely must access the implant.

 

IMPLANTS CAN FAIL

Some implants fail because the bone has not integrated correctly with the implant surface. This may occur if the bone is very soft at the time the implant is placed or if the implant is initially unstable.  Infection may also cause an implant to be lost. In most situations, an implant can be replaced if it fails to bond with the bone, provided that adequate bone and gum tissue is present. Most implant systems have success rates of 85-95% over a 5 to 10 year period.

 

SMOKING AND IMPLANTS?

Smoking affects the healing of the bone and soft tissue by reducing the nutrients and minerals in the tissues, and  reducing the blood supply.  Smoking is considered one of the biggest risk factors in the failure of dental implants with the chances of failure increasing 2 to 3 times in a smoker, which are not good odds for a complex and expensive treatment option.

 

What is a root canal treatment?

Leila Haywood

A root canal treatment is a filling that is placed right through the middle of the tooth, to replace a missing pulp (nerve), when it has become infected.  Some reasons that this might happen are because of decay, a crack, trauma, an unbalanced strain on the tooth because of adjacent missing teeth, or a deep filling that is close to the nerve.  The procedure normally involves being numbed up with local anaesthetic, clipping a small rubber mat over the offending tooth, and cleaning and flushing out the infected pulp, and removal of the infected tooth structure.  Antibiotics are placed through the root canal system, and the tooth is sealed in the first stage of treatment, which takes approximately 1 hour. Some teeth are easily attended to because the canals are accessible and straight up and down.  Other times the root system is very complex, with up to five opening inside the tooth, which travel in narrow canals, with hooks etc, which can be extremely difficult to access and clean.  The second appointment, for 1 hour involves flushing the inside of the tooth and the sealing of the canal/s with latex points and a specialised cement, and sealing of the access point. Sometimes a referral to an endodontist (root canal specialist) is required to successfully treat a very complex case.  Root canal treatment is 95% successful, so that most teeth are able to be saved.

dental abscess
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It is important to recognise that discomfort can be associated with root canal treatment, however this can be minimised by attending to a problem earlier rather than later.  The worst case is for someone who presents with a festering tooth, which is already very painful, and has been painful for some time, which is then unpleasant for the patient, and difficult for the dentist to sort out.  Attending to an issue sooner, is likely to result in less pain, and a better outcome.

Winter 2018

Leila Haywood

We've been a team for a long time, from East Brisbane to Spring Hill, for more than a decade.

Porcelain inlays

Leila Haywood

HOW TEETH ARE RESTORED

After the decay is removed, the tooth is ready to receive either a direct restoration or an indirect restoration.

A direct restoration means that the tooth can likely be restored in one visit and that there is enough tooth structure for the filling to go inside of the tooth. Examples of direct restorations are amalgam, which is silver-colored; and composite; which is tooth coloured . Amalgams are not placed in our practice.

COMPOSITE RESIN RESTORATIONS

Composite resins are an approach to repairing broken teeth and cavities caused by tooth decay to look natural, match to the remaining teeth and restore health.  Resin can be a good filling material when there is enough tooth structure to support it, but may wear out after about 5 to 7 years on a back tooth, and is technique sensitive. Our practice uses SonicFill 2 technology to restore the molar and premolar teeth. 

PORCELAIN INLAYS

An indirect filling means that the restoration is made outside of your mouth, either by a lab or by a milling machine. An indirect filling also needs to be cemented into place. Examples are crowns, inlays, and onlays. A crown covers the entire tooth, an inlay fits inside the tooth and can replace a wall of the tooth, and an onlay replaces at least one cusp of the tooth.

Most indirect restorations take two appointments to complete. Cast gold can be made and is the most durable indirect restoration material, however porcelain ceramics are primarily requested and recommended because of their excellent aesthetics and durability. 

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Porcelain is the most natural looking option to restore teeth, and is much stronger than composite resin fillings. It is the strongest way to repair a damaged tooth with high aesthetic demands, and has been used for many years in veneers, inlays, onlays, and crowns. Porcelain restorations require two visits,and once it is completed, it is usually undetectable.

Advantages

  • Matched to other teeth
  • Resistant to surface wear
  • Long lasting
  • Holds up well against chewing forces

Disadvantages

  • Costly due to laboratory and material fees
  • Brittle material may fracture with very heavy forces if not supported correctly 
  • Requires two appointments
porcelain inlays

Why check ups and prevention are so important for children

Leila Haywood

PREVENTION IS STILL THE BEST TREATMENT

It's a common saying that prevention is the cure, and it is by far the best treatment in dentistry. The key focus for preventive strategies is best started for children, so that their first dental experience is a positive one, and by seeing children early on, dental staff can assist the child to practice good oral hygiene to prevent significant problems from occurring. Research indicates that 50% of children and three out of 10 adults have untreated tooth decay in Australia, which is concerning given that 90% of dental disease is preventable, with the severity and prevalence of tooth decay increasing since the mid 1990's. By reducing the sugar consumption in the diet, especially of sugary drinks, and acidic foods, and with healthy oral hygiene habits, such as tooth brushing twice a day, and flossing once a day, tooth decay can be prevented. Early childhood caries (EEC) is the number one chronic disease affecting young children, and is completely preventable. 
  
  Dental decay disease crosses all socioeconomic boundaries with high prevalence and is a significant health burden in Australia and around the world. Decay is an infectious disease that is modified by diet, and is a significant predictor of long term dental health problems and creates problems with speech, eating and poor self esteem, and therefore prevention is identified as a key priority. Healthy teeth and gums are important to a child's general health and well being, and prevention is most definitely superior to the cure. Sugar consumption is steadily rising globally, and the World Health Organisation (WHO) has issued recommendations on sugar consumption to reduce the risk of diseases in adults and children, with a specific focus on obesity and tooth decay.

CHILDRENS+DENTISTRY

Tooth decay is thought to result in dental care costs which are 5-10% of the health budgets of industrialised countries, and with oral diseases related to systemic disease, dental health is recognised as a measure of good overall health. One of the challenges with dental health is that many people believe that cavities are inevitable, with almost 100% of adults having experienced tooth decay. Studies indicate that almost half of adults forget to brush and floss before bed, and the expectation ought to be that people can keep their teeth without fillings, with the right preventive care measures, home care and observance by a dental health care provider each 6 months.