Everything else, under the same roof

Everything else your teeth need

Eight things we do besides straightening teeth. What each one is for, in a line - and underneath, what actually happens, for anyone who wants to know before they sit down.

On this page

  1. Root canal treatment
  2. Crowns, bridges and implants
  3. Gum therapy
  4. Laser treatment
  5. Children
  6. Smile makeover
  7. Oral surgery

At a glance

  • Root canal treatment

    Saving a badly decayed or abscessed tooth instead of taking it out.

  • Crowns and bridges

    Rebuilding a broken tooth, or spanning the gap where one has gone.

  • Implants and dentures

    A fixed replacement rooted in the jaw, or a denture where one will not hold.

  • Gum therapy

    Bleeding, receding or inflamed gums, treated before they cost you teeth.

  • Laser treatment

    Soft-tissue work with less bleeding and a quicker recovery.

  • Children

    Sealants, fluoride, space maintainers and habit-breaking.

  • Smile makeover

    Veneers, white fillings and whitening, planned as one result.

  • Oral surgery

    Wisdom teeth, extractions, and jaw surgery with the hospital team.

Root canal treatment

A root canal treatment saves a tooth whose pulp, the living tissue inside it, has been infected or damaged, instead of taking the tooth out. It is the procedure patients fear most and understand least, so here it is in four stages.

The four stages of a root canal treatment A line drawing of the same tooth at four stages: an access opening made in the crown, the canals cleaned and shaped, the canals filled, and a crown sealing the tooth. 01 02 03 04 Accessing the pulp Cleaning and shaping Filling the canal Sealing the tooth The four stages of a root canal treatment A line drawing of the same tooth at four stages: an access opening made in the crown, the canals cleaned and shaped, the canals filled, and a crown sealing the tooth. 01 Accessing the pulp 02 Cleaning and shaping 03 Filling the canal 04 Sealing the tooth
The four stages of a root canal treatment.

01 Accessing the pulp

A small opening is made in the tooth so that the infected or damaged pulp can be reached.

02 Cleaning and shaping

The pulp is removed, and the space inside is cleaned and shaped ready for the filling.

03 Filling the canal

The canal is filled with a biocompatible material, usually gutta-percha, which seals it against bacteria.

04 Sealing the tooth

A permanent filling or a crown goes on top, restoring the tooth.

A close radiograph of two molar teeth before root canal treatment. Before
A radiograph of the same two molar teeth after root canal treatment, the filled canals visible as bright lines running down each root. After
Root canal treatment. Our own radiographs of the same two teeth, before and after.

Crowns, bridges and implants

Crowns

A full cover placed over a tooth that is cracked, broken or heavily filled, to protect it against fracture. Some people call them caps.

We fit all-ceramic crowns, all-zirconium crowns and metal crowns.

Bridges

A bridge replaces a missing tooth by anchoring to the teeth beside it. It is the alternative to an implant for a patient who would rather not have surgery.

Implants

A titanium rod placed into the jawbone in place of a missing tooth, carrying one false tooth or several, long term. The bone is examined first, and that examination is what decides whether an implant will hold.

Dentures

Where an implant or a bridge is not the answer, dentures replace missing teeth. We fit flexible dentures, metal dentures and immediate dentures.

I visited after a very long time.From their records maintenance, I was shocked to know that two teeth bridge fixed by Dr. Srinivas in 2005 are now also in very good condition.

Komal, verified patient
A full-mouth rehabilitation on implants, start to finish →

Gum therapy

Scaling

After an examination, tartar, plaque and biofilm are removed from the tooth surface and from below the gum line, by hand, ultrasonically, or both.

Reshaping the gum

Where a smile shows more gum than the patient wants, the tissue is sculpted with a soft tissue laser, and where necessary the bone underneath is reduced too, which is called crown lengthening. More tooth shows, and less gum.

A close view of the gum margins around the upper front teeth, reddened and swollen. Before
The same gum margins after treatment, pale pink and firm. After
Gum therapy. Inflamed gum margins around the upper front teeth returned to health.

Laser treatment

Tongue tie

A small procedure to release excess frenum tissue under the tongue, which restricts how freely it moves. It also keeps a gap between the front teeth from reopening after braces.

Mucocele removal

A new lump in the mouth is often a mucocele, a harmless cyst. It is still worth having looked at.

Reshaping the gum

The soft tissue laser is also what we use to sculpt gum contour, described in the section above.

Children

Preventing decay

Fluoride varnish adds protection on top of brushing rather than instead of it. Sealants keep food and bacteria out of the grooves in the biting surface, where decay usually starts, and go on the permanent molars as soon as they come through.

Stopping a habit early

Appliances that stop thumb sucking and tongue thrusting, both of which affect how a child’s face grows if they carry on.

Holding a space

Space maintainers hold, or win back, the room a tooth still to come through needs, so it arrives in the right place.

A boy smiling in the surgery, his adult front teeth partly through. The same boy smiling in the surgery on another visit.
Two photographs of the same young patient, from our own records.

Smile makeover

Veneers

Veneers are thin custom-made shells of tooth-coloured material that cover the front face of a tooth. They are used for staining, chips, gaps and mild misalignment.

White fillings

A white composite filling looks natural, bonds well to what is left of the tooth, and is done in one visit. A larger cavity takes an inlay or onlay instead, and two visits, because a technician makes it in the laboratory.

Whitening

Bleaching lightens the colour the teeth already are, by several shades. It will not make them brilliant white.

Dimple creation

A minor procedure under local anaesthetic, as a day case. The result is usually permanent, and the position and the size are the patient’s choice.

Six smile makeover records →

Oral surgery

Some jaw work belongs in an operating theatre rather than a dental chair.

Impacted wisdom teeth

A wisdom tooth often has to come out for want of room at the back of the mouth, or because it is only partly through and trapping food against the molar in front. It is not always necessary, which is exactly why it is worth a consultation rather than a guess.

Extractions

A tooth comes out for gum disease that has damaged the bone under it, decay that has killed the nerve, or a break beyond repair. Teeth are also removed to reduce crowding.

Orthognathic surgery

Where the jaw itself is out of position, it is repositioned surgically, with orthodontic treatment before and after.

A panoramic radiograph of the upper and lower jaws showing the full set of teeth, including the wisdom teeth at the back.
A panoramic radiograph from our own records. This is the picture a surgical plan starts from.

Not sure which of these you need

That is what a consultation is for. Monday to Saturday, 10:00 to 13:30 and 16:00 to 20:30.

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