Implants

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TYPES OF DENTAL IMPLANTS

  • Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.
  • Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework’s posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

ARE YOU A CANDIDATE FOR DENTAL IMPLANTS?

The ideal candidate for a dental implant is in good general and oral health. Adequate bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal disease.

Dental implants are intimately connected with the gum tissues and underlying bone in the mouth. Since periodontists are the dental experts who specialize in precisely these areas, they are ideal members of your dental implant team. Not only do periodontists have experience working with other dental professionals, they also have the special knowledge, training and facilities that you need to have teeth that look and feel just like your own. Your dentist and periodontist will work together to make your dreams come true.

WHAT IS A DENTAL IMPLANT PROCEDURE LIKE?

This procedure is a team effort between you and Firswood Dental. Your periodontist and dentist will consult with you to determine where and how your implant should be placed. Depending on your specific condition and the type of implant chosen, your periodontist will create a treatment plan tailored to meet your needs.

  • Replacing a Single Tooth – If you are missing a single tooth, one implant and a crown can replace it.
  • Replacing Several Teeth – If you are missing several teeth, implant-supported bridges can replace them.
  • Replacing All of Your Teeth – If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them.
  • Sinus Augmentation – A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants.
  • Ridge Modification – Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.

WHAT CAN I EXPECT AFTER RECEIVING A DENTAL IMPLANT?

As you know, your own teeth require conscientious at-home oral care and regular dental visits. Dental implants are like your own teeth and will require the same care. In order to keep your implant clean and plaque-free, brushing and flossing still apply!

After treatment, your periodontist will work closely with you and your dentist to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.

Porcelain veneers

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Porcelain veneers are engineered from a high quality material, and can be used to improve the appearance of the front teeth. That might be due to discoloration, damage, misalignment or by closing the gap between two teeth which is known as a “diastema”. They are usually made out of one of two materials porcelain, however at Firswood we also offer the option for the composite material. The procedure for preparing and making a veneer is similar to that of a crown; however, less of the tooth is removed during the preparation compared to a crown.

Componeers veneers

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Make a brilliant smile your trademark. COMPONEER can help you correct natural imperfections easily and economically. You’re unhappy smiling because of a gap in your teeth? Or crooked teeth make you feel self-conscious? You can leave this behind you and look forward to new pleasure in life with your attractive appearance.

What is COMPONEER? COMPONEER is specially manufactured, very thin shells that can be fixed to the front of the front teeth to conceal aesthetic imperfections. COMPONEER can be compared with artificial fingernails, but there is one very big difference: COMPONEER restorations ensure an attractive appearance for many years.

You’ll adore the new Componeer:

  • Attractive teeth and a new smile after only one visit
  • Very little removal of healthy tooth structure
  • Individual, customised shaping of the front teeth
  • High quality permanent veneering material
  • Shine can be refreshed by polishing at any time
  • An economically attractive solution

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Porcelain Crowns

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Porcelain crowns are custom-made crowns bonded to your teeth in just two or three visits. They are the perfect restoration when a tooth is severely damaged,decayed or compromised aesthetically. To fit a porcelain crown, a one to two millimeter dimension all around the tooth and on top is removed while strengthening and preserving the remaining natural tooth structure. With the proper care porcelain crowns will last long into the future as they have a very strong structure and look and feel like your own tooth. Porcelian crowns can used by a restoration of a single tooth and also as a dental bridge in case of missing a tooth or more teeth. Unlike veneers, porcelain crowns cover all surfaces of the tooth and are used only when the tooth is fractured or very broken down. The porcelain used is the same as that used for veneers so they are strong and also offer an aesthetic natural look. Porcelain Crowns are made to improve your overall smile or to blend in with your own teeth. Porcelain Crowns are also used to support a large filling when there isn’t enough of the tooth remaining, attach a bridge, protect weak teeth from fracturing, restore fractured teeth, or cover badly shaped or discoloured teeth. Sometimes an underlying metal shell is used under the porcelain if additional strength is needed.

Replacing teeth

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Dental Bridges are used to span, or bridge a gap (missing teeth) between healthy teeth. The teeth on either side of the empty space are reshaped and reduced in size. The two shaped teeth then act as anchors or abutments. The bridge is attached to the living healthy teeth and fills the missing tooth space. If you have one or more adjacent missing teeth, then using dental bridging crowns offers the translucency of a natural tooth and a permanent restoration along with functional and aesthetically looking teeth / tooth.

Smile transformation

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The Firswood smile transformation does what it says. We take away the stress of regular dental treatments; allowing you to relax while our team of experienced dental professionals take over, restoring & enhancing your smile to a standard that you are guaranteed to be happy with. Whether your teeth are broken, damaged, worn away, misshaped, misaligned or missing, we have a solution that can benefit you. Our smile transformation will involve your top 8 teeth and quite possibly your bottom 8 teeth. The most common treatments under the smile transformation include Invisalign, porcelain veneers and porcelain crowns. Furthermore, we allow you to lay back, relax and overcome long treatment times with our free movie service.

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Enjoy using our video glasses. A big-screen colour TV the size of a pair of glasses. This portable little wonder fits like a pair of glasses, and provides impressive video and sound quality. On the inside of the glasses, are two concave mirrors that reflect the tiny LCD picture to each eye and using the wonders of binocular vision, combines the two pictures into a single visual image. Looking into the device gives the feeling of being in a movie theater. These glasses not only make your visits enjoyable and relaxing, but you can also watch you treatment being carried out with our live tooth cam. (Feel free to select a movie from our large library of DVD’s. Our video glasses can also hook up to your iPod.)

Teeth whitening

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Firswood tooth whitening

At Firswood we have a range of the latest teeth whitening products that you can benefit from. Let our team of dental professionals advise you on how to achieve the best results. Our in house whitening and home whitening kits include zoom, wy10 and Colgate products.

What causes tooth discoloration?

As we get older our teeth become discoloured through smoking, coffee, red wine and many other foods and drinks. Regardless, of how well we brush our teeth loose their whiteness. Teeth whitening, also called Dental bleaching is a common procedure in general dentistry but most especially in the field of cosmetic dentistry. A child’s baby teeth are generally whiter than the adult teeth that follow. As a person ages the adult teeth often become darker due to changes in the mineral structure of the tooth, as the enamel becomes less porous.

Who may benefit from tooth whitening?

The vast majority of people will benefit from tooth whitening. However, alternative treatment options are also available; giving patients a well informed choice of which teeth whitening products will get the best results. The degree of whiteness will vary from patient to patient, depending on the structure of the teeth, the number of applications, and/or the duration of time that the system is used.

Is the process safe?

YES! Research and clinical studies indicate that whitening teeth under the supervision of your dentist is safe for teeth and gums. Some people experience temporary increased tooth sensitivity to cold during the treatment. These symptoms disappear within 1-3 days after interruption or completion of the treatment.

ZOOM whitening pen

The ZOOM whitening pen is a great gift idea. It is easy to use and can have great results. Use 2 times a day, and see a noticeable difference in the whiteness of your teeth within the following months.

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White fillings

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A white filling is placed when a tooth requires restoration to prevent further damage. The initial damage may have occurred from caries (decay) or physical trauma. If left un-restored, the tooth would become very painful and may eventually lead to an abscess forming below the gum level. There are two main types of filling materials—Amalgam (metal) and composite (tooth colored). Amalgam has been used for over 180 years and is still used today due to its strength and permeability despite its controversy due to its mercury content. However, Composite fillings are being used more and more not just because of their aesthetics but also because less of the tooth is destroyed during the preparation compared to amalgam fillings, they set immediately and can be as hard wearing as amalgam fillings. The NHS only permits dentists to place composite fillings on front teeth, hence why most composite fillings on back teeth are done privately. With a composite filling, a shade is selected to match that of your own teeth and the filling is carved in a way that makes it look just like a real tooth.

Cosmetic dentures

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What are Dentures?

Dentures are replacements for missing teeth that can be taken out and put back into your mouth. While dentures take some getting used to, and will never feel exactly the same as one’s natural teeth, today’s dentures are natural looking and more comfortable than ever. There are two main types of dentures: full and partial. The dental professionals at Firswood will help you choose the type of denture that’s best for you based on whether some or all of your teeth are going to be replaced and the cost involved.

How do Dentures Work?

With full dentures, a flesh-colored acrylic base fits over your gums. The base of the upper denture covers the palate (the roof of your mouth), while that of the lower denture is shaped like a horseshoe to accommodate your tongue. Dentures are custom-made in a dental laboratory from impressions taken of your mouth. Your dentist will determine which of the three types of dentures described below is best for you.

Conventional Full Denture

A conventional full denture is placed in your mouth after any remaining teeth are removed and tissues have healed. Healing may take several months, during which time you are without teeth.

Immediate Full Denture

An immediate full denture is inserted immediately after the remaining teeth are removed. (Your dentist takes measurements and makes models of your jaw during a prior visit.) While immediate dentures offer the benefit of never having to be without your teeth, they must be relined several months after being inserted. The reason is that the bone supporting the teeth reshapes as it heals, causing the denture to become loose.

Partial Denture

A partial denture rests on a metal framework that attaches to your natural teeth. Sometimes crowns are placed on some of your natural teeth and serve as anchors for the denture. Partial dentures offer a removable alternative to bridges. How Long Before I Get Used to My Dentures? New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow or feelings that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, please contact the Firswood dental team.

How Long do Dentures Last?

Over a period of time, your denture will need to be relined, remade, or rebased due to normal wear. Rebasing means making a new base while keeping the existing denture teeth. Also, as you age, your mouth naturally changes. These changes cause your dentures to loosen, making chewing difficult and irritating your gums. At a minimum, you should visit Firswood dental practice regularly for a checkup.

Here are tips for caring for your dentures:
  • When handling your dentures, stand over a folded towel or basin of water. Dentures are delicate and may break if dropped.
  • Don’t let your dentures dry out. Place them in a denture cleanser soaking solution or in plain water when you’re not wearing them. Never use hot water, which can cause them to warp.
  • Brushing your dentures daily will remove food deposits and plaque, and help prevent them from becoming stained. An ultrasonic cleaner may be used to care for your dentures, but it does not replace a thorough daily brushing.
  • Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures. This stimulates circulation in your tissues and helps remove plaque.

Please contact Firswood dental if your dentures break, chip, crack or become loose. Don’t be tempted to adjust them yourself this can damage them beyond repair.

Root canal treatment

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Root canal treatment is a dental procedure to treat infection at the centre of a tooth (the root canal system). Root canal treatment is also called endodontics. The infection is caused by bacteria that live in the mouth and invade the tooth when tooth decay occurs, fillings leak or teeth are damaged by trauma. The root canal system contains the dental pulp and extends from the crown of the tooth to the end of the root. A single tooth can have more than one root canal. The pulp is made up of soft tissue that includes nerves and blood vessels. If bacteria infect the pulp, it will begin to die. After this, the bacteria can increase in number. The bacteria and the substances they release will eventually pass out of the end of the root canal through the small hole where the blood vessels and nerves enter (dental abscess). This process continues as there is nothing to stop more bacteria passing down the root canal, which causes the tissues around the end of the tooth to become red and swollen. This can cause your tooth to become painful and, in extreme circumstances, your face may become swollen. Although root canal treatment is available on the NHS, the constraints on budgets mean that the success rate is less than private endodontic treatment. Much more time and better equipment and materials are used in private endodontics, giving a higher success rate meaning you can keep your tooth for longer. In most cases, the best option is to place a crown on a root filled tooth, however this is not always the necessary.

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Teeth straightening

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Firswood dental has many options that can help enhance your smile. The most modern form of teeth straightening is the orthodontic treatment called Invisalign. The orthodontic treatment called Invisalign is provided to re-align teeth that may have moved, become rotated or naturally mal-aligned. Traditional teeth straightening is usually done as a child with the traditional method of fixed metal brackets cemented to the front of the teeth with a metal wire running across them. Invisalign treatment allows the patient to reap the benefits of traditional orthodontic treatments in terms of results; however the appliances are removable and completely clear so they can barely be seen whilst using them. The fact that they are removable allows all teeth to be cleaned thoroughly as well as the appliance itself which is excellent for maintaining oral hygiene.

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Invisalign

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What is Invisalign??

Your Invisalign treatment consists of a series of nearly invisible, removable aligners that you change every two weeks for the next set of aligners. Each aligner is individually manufactured for your teeth, and your teeth only. As you replace each aligner, your teeth will move – little by little, week by week – until they have straightened to the final position prescribed by your dental practitioner.

What’s more, a virtual 3D treatment plan (ClinCheck© treatment plan) shows the series of movements your teeth will go through over the course of the treatment. This allows you to see upfront what your teeth are expected to look like at the end of the treatment. From the results of the ClinCheck treatment plan, your custom-made, clear aligners are produced especially for you. If you’re ready for a smile that transforms your appearance, Invisalign is your answer. Although there are many choices out there, no other treatment works as comfortably as Invisalign. Invisalign is the best way to transform your smile without interfering with your day-to-day life. Check out the benefits below

What can Invisalign help with?

Overcrowded teeth occur when there is simply a lack of room within your jaw for all of your teeth to fit normally. When left untreated, overly crowded teeth can cause an increased chance of gum disease as your teeth are harder to clean and can prevent the normal function of teeth.

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Widely spaced teeth occur when you have extra space within your jaw. This could be due to small sized teeth, abnormal growth of jaw bones, genetics, missing teeth and/or tongue protrusion. When teeth are missing, this can also be caused by the other teeth shifting due to extra space. Spacing issues can cause some perio-dontal diseases including gingivitis and periodontitis, that, left untreated, can lead to tooth loss.

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Crossbites occur when the upper and lower jaws are both misaligned. It usually causes one or more upper teeth to bite on the inside of the lower teeth, and can happen on both the front and/or the sides of the mouth. This issue can cause wear of the teeth, gum disease and bone loss.

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Overbites occur when the upper teeth overlap significantly with the lower teeth. It’s typically caused by either genetics, bad oral habits, or over development of the bone that supports the teeth. This issue can lead to gum problems or irritation, and/or wear on the lower teeth and can cause painful jaw and joint problems.

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Underbites occur when the lower teeth protrude past the front teeth, usually caused by undergrowth of the upper jaw, overgrowth of the lower jaw, or both. It can also be caused by missing upper teeth. This issue can prevent the normal function of front teeth or molars which can lead to tooth wear. It can also cause painful jaw and joint problems.

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Will Invisalign fit my life?

The Invisalign treatment can slot simply and easily into your daily routine, without any fuss or embarrassment. There are no metal wires or brackets, so no need to worry about mouth irritations, as the aligners are comfortable to wear and can be easily removed for eating, drinking, brushing and flossing as normal.

If it weren’t for the remarkable way Invisalign transforms smiles, you’d hardly even notice you’re having treatment. As the Invisalign aligners are transparent and difficult to detect when worn, they allow you to straighten your teeth without feeling self-conscious – and should you have an important meeting or event coming up that’s causing concern, you can always remove the aligners for that short space of time.

Oral hygiene

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Firswood dental recommends regular dental hygiene treatments to all patients. Even the best brushing and flossing routines cannot eliminate all traces of plaque left on your teeth.

Plaque eventually becomes hard tartar, which cannot be brushed off. This then traps more plaque and the cycle repeats, causing gum disease and frequently bad breath.

The Firswood dental professionals remove plaque and calculus from your teeth in order to prevent the onset or progression of gum disease. Hence leaving your mouth sparkling clean.

For patients with more advanced periodontal disease, we have a specialist periodontist at Firswood who can analyse your specific situation and provide more intensive treatment to target your treatment needs. The best way to help avoid gum disease and protect against your gums from receding is to practice good oral hygiene.

Let Firswood dental advise you on the best way to keep your teeth and gums healthy and clean.

Antibiotic therapy

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Antibiotic therapy is the use of antibiotics to kill or slow down the growth of bacteria that cause periodontal (gum) disease. The two most common forms of this therapy are antiseptics and antibiotics.

Antiseptics are found in mouth rinses. They usually are used to help prevent periodontal disease.

Antibiotics are used to kill specific bacteria. They are placed under the gums or given as pills to treat gum disease. Antibiotic pills typically are given only for acute (sudden and short-term) infections. Acute and long-term (chronic) gum infections require a procedure called scaling and root planning. Some people also need periodontal surgery.

One of the newest ways to kill bacteria is laser therapy. Dentists now use lasers to kill bacteria in the gum pockets around teeth. This treatment also seems to stimulate healing.

Full mouth detox

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The Firswood dental full mouth detox experience is a highly satisfying way to kick start your oral hygiene. Sit back, relax and watch a movie, while our team of highly experienced dental professionals get to work on enhancing your oral hygiene.

Please contact the Firswood dental team for more information on this uniquely satisfying treatment that leaves your teeth feeling fresh and clean.

Firswood dental practice are able to offer any necessary treatment required to maintain your oral health. You only pay one fee depending on the treatment you require unless you are exempt from paying NHS dental charges or you are entitled to reduced cost NHS dental treatment.

You do not have to pay for NHS dental charges if you
  • Receive income support
  • Receive income based job seekers allowance
  • Receive Income based employment support allowance
  • Receive Pension credit guarantee credit
  • Have an HC2 exemption certificate
  • Are pregnant or have had a baby in the last 12 months
  • Under 18
  • Under 19 and in full time education
  • Have an NHS tax credit exemption card
  • Are a prisoner or in a young offenders institute

If you have an HC3 certificate, you may be entitled to reduced cost treatment. Your entitlement will be detailed on the certificate. If you do not pay for your dental treatment or pay a reduced amount towards your NHS dental treatment, you will be required to show proof of this when you attend the surgery.

Band 1

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  • Clinical examination, case assessment and report
  • Orthodontic case assessment and report
  • Advice, dental charting, diagnosis and treatment planning
  • Radiographic examination, including pan-oral and lateral headplates, and radiological report
  • Study casts including in association with occlusal analysis
  • Colour photographs
  • Instruction in the prevention of dental and oral disease including dietary advice and dental hygiene instruction
  • Surface application as primary preventive measures of sealants and topical fluoride preparations
  • Scaling, polishing and marginal correction of fillings
  • Taking material for pathological examination
  • Adjustments to and easing of dentures or orthodontic appliances
  • Treatment of sensitive cementum

Band 2

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  • non-surgical periodontal treatment including root-planing, deep scaling, irrigation of periodontal pockets and sub gingival curettage and all necessary scaling and polishing
  • surgical periodontal treatment, including gingivectomy, gingivoplasty or removal of an operculum
  • surgical periodontal treatment, including raising and replacement of a mucoperiostal flap, curettage, root planning and bone resection
  • free gingival grafts
  • permanent fillings in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate, including acid etch retention
  • sealant restorations
  • endodontic treatment of permanent or retained deciduous teeth
  • pulpotomy
  • apicectomy
  • extraction of teeth
  • transplantation of teeth
  • oral surgery including surgical removal of cyst, buried root, unerupted tooth, impacted tooth or exostosed tooth and alveolectomy
  • soft tissue surgery in relation to the buccal cavity and lips
  • frenectomy, frenoplasty, frenotomy
  • relining and rebasing dentures including soft linings
  • addition of tooth, clasp, labial or buccal flange to dentures
  • splints (other than laboratory fabricated splints) in relation to periodontally compromised teeth and in connection with external trauma
  • Bite raising appliances (other than laboratory fabricated appliances)

Band 3

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  • laboratory fabricated porcelain or composite veneers, including acid etch retention
  • inlays, pinlays, onlays and palatal veneers, in alloys containing 60% or more fine gold, porcelain, composite resin and ceramics
  • crowns including any pin or post aids to retention: – full or three-quarter crown cast in alloys containing not less than 33⅓% fine gold or platinum or palladium- full or jacket crown cast in alloys containing stainless steel or cobalt chromium or nickel chromium- crown in porcelain, synthetic resin and other non-metallic crowns- full or jacket crowns in alloys containing not less than 33⅓% fine gold or platinum or palladium, or alloys containing stainless steel or cobalt chromium or nickel chromium, with thermally bonded porcelain- jacket crown thermally bonded to wrought platinum coping- prefabricated full or jacket crown, including any pin or post retention
  • bridges including any pin or post aids to retention:
    • bridges in alloys containing 60% or more fine gold with or without thermally bonded facings
    • bridges cast in alloys containing stainless steel, cobalt chromium or nickel chromium, with or without thermally bonded facings
    • acid etch retained bridges- bridges in other materials
    • provision of full (completed) or partial dentures, overdentures and obturators in synthetic resin or metal or both synthetic resin and metal, including any cast or wrought metal components or aids to retention
    • orthodontic treatment and appliances- other custom made applications excluding sports guards

Urgent

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  • examination, assessment and advice of your complaint(s) only.
  • radiographic examination and radiological report
  • dressing of teeth and palliative treatment
  • pulpectomy or vital pulpotomy
  • re-implantation of a luxated or subluxated permanent tooth following trauma including any necessary endodontic treatment
  • repair and refixing of inlays and crowns
  • refixing a bridge
  • temporary bridges
  • extraction of not more than 2 teeth
  • provision of post-operative care including treatment of infected sockets
  • adjustment and alteration of dentures or orthodontic appliances
  • urgent treatment for acute conditions of the gingivae or oral mucosa, including treatment for pericoronitis or for ulcers and herpetic lesions, and any necessary oral hygiene instruction in connection with such treatment
  • treatment of sensitive cementum or dentine
  • incising an abscess
  • other treatment immediately necessary as a result of trauma
  • not more than 1 permanent filling in amalgam, composite resin, synthetic resin, glass ionomer, compomers, silicate or silico-phosphate including acid etch retention

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