Category Archives: Blog

mouth ulcers

What causes mouth ulcers?

Most minor, single mouth ulcers are often caused through mechanical injury for example biting your cheek, not brushing correctly or could be caused through a sharp tooth or filling.  Re-current mouth ulcers can be a sign of an underlying medical problems such as iron or vitamin B12 defiency, crohns disease. Hormonal flucuations and not so good oral hygiene can all cause re-current mouth ulcers.

 

What are mouth ulcers?

Ulcers normally appear as small lesions that are painful they may be pink or white in colour. Mouth ulcers often cause pain and discomfort whilst eating, drinking and even talking. Although ulcers are uncomfortable they are usually harmless and will go after 1-2 weeks but if they take longer to heal then you must seek medical attention.

 

Types of ulcers

There are 3 main types of ulcers

 

1.Minor aphthous ulcer

These are the most common mouth ulcer. They are small, round or oval shaped less than 10mm in size and heal within 1-2 weeks.

  1. Major aphthous ulcer

This type of ulcer is larger in size, generally 10mm or larger, they usually appear 1 or 2 at a time and are deeper than minor ones. They can be very painful and take up to 6 weeks to heal.

  1. Herpetiform ulcer

This type of ulcer is when multiple ulcers occur at one time and join together which forms irregular shapes. Each ulcer can take 1 week to 2 months to heal.

 

Mouth ulcer symptoms

  • Redness, soreness tenderness, or burning sensation in the mouth
  • Swelling in the mouth around the sores
  • Pain whilst eating, drinking or speaking
  • Irritation by hot or spicy food or drinks

Causes of mouth ulcers

1.General causes

Mouth ulcers can be caused due to a variety of reasons such as poor oral hygiene, stress and anxiety, lack of sleep, hormonal changes such as menstruation, food allergies or sensitivities, family history of ulcers, deficiencies in vitamin B12, iron or folic acid and smoking

  1. Mechanical causes

Mouth ulcers can be caused from biting the inside of your cheek or tongue whilst chewing hard and/or hot food, improper brushing techniques (injury from a toothbrush), sharp teeth or tooth or poorly fitting dentures.

  1. Systemic causes
  • Microbial diseases

Herpetic stomatitis, chicken pox, TB (tuberculosis), HIV, hand, foot and mouth.

  • Gastrointestinal disease

Celiacs disease, crohns disease, ulcerative colitis.

  • Blood disorders

Anemia, Leukemia and neutropenia.  

  • Rheumatoid diseases

Lupus erythematosus, reiters disease and Bechets disease.

  • Cutaneous diseases

Pemphigus, chronic ulcerative stomatitus, licher planus erythem.

Some drugs and medications can also cause mouth ulcers such as ibuprofen, medication for treating angina, high blood pressure and abnormal heart rhythm. Ulcer can also be a side effect of chemotherapy and radiotherapy.

Self care tips

The majority of ulcers tend to clear up by themselves within a few weeks. You can help ease the pain by using a soft toothbrush to brush teeth, avoiding hot, spicy and acidic food, using a straw to drink through, using lozengers, mouthwashes to ease the pain and aid healing. If self care tips do not help to aid the healing process then seek medical attention.

 

Dental implants (what are they)

A dental implant is an artificial tooth root made from aluminium, cone shaped screw. This is placed into the jawbone to support one or more teeth.

Dental implants have been dated back to 600 AD Mayan civilisation, where tooth shaped pieces of shell was used.  

 

Dental implants can restore dental aesthetics, restore lost dental function such as chewing and speech, convenient and comfortable.

 

We offer 0% interest free credit over 12 months for treatments over £2000, why not book in with our treatment coordinator. All your questions and queries will be answered.

Book an appointment online

 

We have made it even easier for you to make an appointment. You can now book online, just follow the steps and you can see what appointments we have available for you. This can be done in the comfort of your own home, on your lunch break or in between watching your favourite television programme!

 

 

https://s186.fmp12-hosting.co.uk/fmi/webd/#dhsdentisthosted2

If you click above on the link it will take you to our online system, just a few details and a few clicks and you will have your appointment.

 

Damon Q braces

What are Damon Q braces?

Damon Q braces are self ligating appliances, they are fitted like traditional metal braces. The  brackets do not need to be tightened and adjusted they use a slide mechanism which attaches to the wires and moves naturally with the teeth to re-position them – low friction mechanics. This type of brace is fast, precise and effective at moving teeth.

We offer metal Damon Q braces which is the picture on the left or we can also offer the ceramic Damon Q braces as shown in the picture on the right. The ceramic braces are less noticeable as the brackets are tooth coloured rather than  metal.

How long do they take to work?

Damon Q braces offer roughly 6 months shorter treatment time (as studies show) and fewer visits for appointments than traditional metal braces.

Who can have Damon Q braces?

Damon Q braces are available to virtually all candidates. Come along for a free consultation

 

We offer 0% interest free credit* on treatments £2000 or above!

Come along for your free consultation and ask at reception for details about our finance option!

 

* Interest free credit is subject to terms and conditions.

 

Study case – 6 unit bridge!

A 6 unit PFM (porcelain fused metal) bridge.

 

This patient came into the surgery for an examination. During the examination Dr Dhody’s findings was not great the patient had 2 retained roots which were unrestorable and a veneer that was missing.

 

The patient wasn’t happy with his teeth or his smile. He asked Dr Dhody what options he had for replacing the teeth and improving his smile. Dr Dhody discussed various options to replace these teeth with the patient, such as: dentures either plastic or metal, a bridge either a PFM (porcelain fused metal) bridge or zirconia bridge, or dental implants were all discussed. All the pros, cons and any questions or queries the patient had were answered. After much consideration the patient opted for a PFM bridge.

The retained roots were extracted and as advised by Dr Dhody, patient was asked to wait for 3-4 weeks to allow the gums to heal properly before commencing any further treatment.

The patient came into surgery to start the process of his bridge, Dr Dhody shaped the patient’s teeth into pegs and then an impression was taken. An impression is taken of the teeth so the bridge can be made it fit perfectly onto the patient’s existing teeth.

This is a mould that has been made from the patient’s impressions taken. It is used at the lab to work on the patient’s bridge for a perfect fit.  

The patient had temporary crowns fitted until the final bridge was attached.

 

This is the patient’s bridge before being fitted.

 

This is the view of the bridge from above, you can see the parts of the bridge that will be cemented onto the patient’s pegs and then the 2 teeth that will be filling in the gaps. The patient came back to the surgery and had the bridge cemented into place and he was very happy with the end result.

 

 

 

What a transformation in less than 2 weeks.

Ancient dental implants

Ancient Dental Implants

 

Dental implants have been tried in all different cultures over many, many years with varying designs and materials used. Dental implants are a little more advanced nowadays but they can be dated back to Ancient Chinese civilisation around 4000 years ago. Ancient Chinese used bamboo which they shaped into pegs to replace missing teeth. Dental Implants can also be linked to Mayan civilisation around 1350 years ago where they had implants embedded into the jawbone and used pieces of carved shell which appeared as teeth.

Chinese bamboo implant.

Titanium is the material that is used for implants nowadays.

Titanium, which was originally named Gregorite after a British chemist in 1791, titanium independently was also discovered in 1793 by a German chemist and he named it titanium after the Titans of Greek mythology “the incarnation of natural strength”. In 1797 the German chemist discovered that his titanium was the same as the British chemists Gregorite.

Titanium is silver in colour, low density but has high strength. It has a high level of corrosion resistance to many mineral acids,sea water and chlorides. Titanium is also nontoxic and its biologically compatible with human tissue and bone.
Titanium dental implant

A Swedish physician Dr Per-Ingvar Branemark, who was an Orthopaedic surgeon was interested in studying bone healing aswell bone regeneration. Whilst studying Dr Branemark observed that bone had grown into such close proximity with titanium and that it effectively adhered to the metal. Studies were carried out on animals and humans which confirmed titanium’s unique property. Dr Branemark termed the adhering of bone to metal as “Osseointegration”. The first dental implant that he carried out in 1965.

The oral health education doesn’t just stop in The Dentist in Walsall !

Went to India for a week… But this is no reason for the Oral Health Education to stop ! Away from the dental practice, in Walsall….

Your international dentist Rikki Dhody teaches flossing technique to relatives in India – it’s first time that they have ever flossed their teeth !

dentist in walsall teaches flossing technique

Learn more about how to floss here: http://www.colgate.com/en/us/oc/oral-health/basics/brushing-and-flossing/article/how-to-floss

 

After dental bridge pfm

Case study – replacing a front missing tooth with a bridge

Case study: replacing a front missing tooth with a bridge

This patient had a tooth which had been damaged after an accident / trauma which could not be saved. We discussed options to replace the missing tooth and the patient opted for a bridge as it was the most comfortable and aesthetic option that suited her budget.

The tooth adjacent to the missing tooth was used as a ‘retainer’ i.e. a support for the bridge. This tooth had to be shaped in order to make space for the bridge.

This photo shows the tooth having been extracted and the tooth next door to it having been trimmed back for a bridge.

Before dental bridge pfm2
After this, the bridge was cemented on. The photos show the final result.

 

After dental bridge pfm

After dental bridge pfm2

Discussion

The effects of removing a tooth

Removing teeth causes gum shrinkage/receding gums the bone shrinkage too. The time it takes for the bone and gum to shrink varies between 3 and 12 months.

As the gum shrinks the patient may notice a gap between the top of the pontic (the fake denture tooth) and the gum. This maybe unnoticeable or noticeable. The patient, if she is unhappy with the aesthetics with the bridge over time might need to have a new bridge made and fitted.

The other option was to have a cheaper option, such as a denture to replace the missing teeth for the first 3-12 months whilst the gum heals, and once it has all settled, to make a permanent bridge.

Other options

The patient was also given other options to replace the missing tooth:

Removable dentures:

Advantages:

Completed in a few weeks

Unlikely to need surgery

Low cost

Disadvantages:

Maybe unstable

Sometimes cannot be tolerated

Needs to be removed every night and reinserted every morning

Accumulates plaque or food more easily

Does not prevent bone loss.

 

Fixed bridges:

Advantages:

Completed in a few visits

Unlikely to need surgery

Teeth are fixed and immovable

Disadvantages:

May require cutting healthy teeth

If the supporting tooth is compromised the entire bridge will need to be discarded.

Does not prevent bone loss

Implants:

Advantages:

Teeth are fixed and do not move

No chance of further dental decay

Does not require cutting into healthy teeth

Prevents bone loss

Disadvantages:

Prolonged treatment time

Requires surgery

What is a dental bridge?

A dental bridge is fitted when you have a gap made by one or more missing teeth. A bridge is made up of a crown and a false tooth attached to ‘fill’ the gap.

The patients supporting tooth was prepared and will shaped into a peg and then an impression was taken so your bridge can be made using this.

Aesthetics whilst having the bridge made:

The patient was not left with a gap and a peg, The Dentist placed a temporary in its place, so that the patient can still work and socialise without embarrassment.

Options of materials:

Our patient opted for a PFM (porcelain fused metal) bridge which is porcelain over metal.

PFM bridge – Porcelain Fused to Metal

PFM bridges can be more bulky, metal margins can show, they can be more opaque.

Zirconia bridge

Zirconia bridges are thinner yet stronger (so require less drilling of the supporting tooth), more aesthetic (they do not contain metal and have more translucent properties to match natural teeth), but more expensive.

Maintenance of your bridge

A bridge should be looked after the same way as your natural teeth, brush your teeth twice a day with fluoride toothpaste and visit your dentist or hygienist regularly.

Cleaning under the bridge is best done with superfloss which requires a special technique: Here is how to floss your teeth using super floss.

Pain

As always our top priority is to make treatment as safe, comfortable and pain free as possible. This dental treatment was carried out in such a way.