Treatments

At Crabbs Cross Dental Surgery we offer a wide range of dental treatments
Begin by selecting a treatment from our treatments list...

Anti-ageing facial rejuvenation

Modern advances in non-surgical techniques now allow us to help reverse some of the signs of aging.

Our dentist and facial aesthetics practitioner, Mrs Sobia Butt, is trained to administer controlled amounts of specially formulated injections to partially relax some of the facial muscles. As a result, some of skin skin surface characteristics caused by the activity of such muscles moving normally can become less obvious or even disappear completely.

We can also offer other treatments including dermal fillers and for further details please contact reception.

A consultation currently costs £20 but the charge is waived if any treatment is undertaken.

Bridges

A bridge serves to replace a missing tooth or even multiple teeth. There are many different designs and applications for bridges and it still remains a very common way to replace missing teeth with a fixed solution - unlike removable dentures.

A simple bridge consists of a porcelain tooth which is attached to an adjacent tooth. Such designs are relatively affordable, low risk and easy to deliver. Your dentist will discuss the limits of such designs and whether this is appropriate for you.

More complex bridges can incorporate and crown your own teeth for support.

All bridges are typically made from different types of porcelain and metal can be added to give the structure more strength and adaptability in purpose.

Bruxism

We are frequently seeing adult patients who may grip their teeth together during the day or even when sleeping. This can be driven by habit or stress and over long period can place significant strain on the jaw joints and surrounding muscles.

The clenching of teeth or grinding them at any other time than during eating is referred to as Bruxism. And in contrast, to use teeth for any other activities other than eating, is referred to as Parafunction. Such activities may include gripping pen lids, biting nails, opening containers etc

The common signs and symptoms of this include:-

  • Facial pain
  • Tooth ache
  • Clicking jaw joint
  • Restricted mouth opening
  • Fracturing of teeth and fillings
  • Worn teeth with shortened height
  • Sleep Disruption
  • Earache

We can fabricate bespoke mouth guards to protect teeth from damage and also limit the habit of grinding teeth together. In some cases we may opt to refer you to specialist centres for more detailed investigation and advanced treatment options.

Further details about Bruxism
Softguard Retainer

Children and Dental Health

All children under the age of 18 can receive NHS dental care for free. If you have reached the age of 18 and remain in full time education, you can continue to receive free care until your 19th birthday.

All Children will normally be seen every 6 months. This allows us to give timely preventive advice, dietary tips and also monitor for normal dental development. We also keep children regularly monitored so that any referral for free NHS orthodontic treatment can be started at the right age.

Please ensure contact details of a parent or guardian are kept updated so that the practice can send SMS and E-mail reminders for regular examinations.

Crowns, Inlays & Onlays

Any teeth that have been damaged through the effects of extensive decay or trauma may require rebuilding with precision engineered fittings.

A crown is a structure similar to a helmet that fully encloses all of the tooth structure. People may often refer to these as "caps" and may have seen them made from gold, porcelain or other metals.

The dentist will take a mould of the tooth and designated laboratories will craft a bespoke fitting for the tooth. This manufacturing process can take around a week and therefore 2 visits are usually needed to complete the treatment.

A dental Onlay is very similar but covers less of the tooth and is therefore a more conservative option, usually more suitable for back teeth.

A dental inlay, typically made from hard plastic or porcelain, is constructed to restore the tooth to its original pattern after decay or fracture. It's normally provided instead of a filling, to create better contacts between teeth and achieve a level of brilliance hard to attain in the mouth directly.

Many options are available for NHS and private patients and your dentist will discuss costs and risks of treatment. We encourage patients to floss regularly and brush at least twice a day to maintain the health of all teeth, including those with such fittings.

Dentures

A denture is commonly referred to as "false teeth" and used typically to replace any number of missing teeth. This can improve eating and appearance.

An acrylic denture is the simplest and cheapest type of denture. The entire denture is made from plastic and remains easy to modify or repair. After multiple extractions, this denture is normally fitted during the healing period.

We can provide immediate same-day dentures for up to six teeth. This unique service is provided over 2 visits on the same day and minimizes disruption to the patient.

A cobalt chrome denture is a precision engineered denture, these are very light, discreet, strong and thin. Your dentist can discuss whether this is the right option for you.

Other types of dentures can also be provided and we will gladly of course recommend these where appropriate. A range of private cosmetic dentures can be made with features such as shading, textures and tooth characterisation added to dispel any obvious signs of teeth looking fake.

Broken Denture?

Please call reception and ask about the various services available to repair you denture.

It's important to look after your denture and keep it clean. We recommend using proprietary dentures cleaning products available from most chemists and supermarkets.

Further details about Dentures

Examinations & Consultations

Dental Examinations form a key part of the national strategy to prevent oral disease and maintain good health.

During a typical and routine examination, the dentist will check for any signs of dental decay or gum problems and sometimes this will be further investigated by X-Rays.

New Patients will normally have a more comprehensive examination completed and also more detail of social and family history taken to ensure that future care is tailored to specific needs.

Our existing patients are more than welcome discuss specifically treatments such as Tooth Whitening, facial rejuvenation and teeth straightening.

We will also routinely offer advice about smoking cessation, diet, tooth brushing techniques and other oral hygiene measures. Such advice forms the basis for good and stable future dental health.

Extractions

Teeth can unfortunately require safe removal for many reasons and this may include severe decay, gum disease, trauma or for orthodontics (braces).

We use the latest Local Anesthetic agents to ensure the procedure is as comfortable as possible. Most teeth can be safely removed intact and very quickly but on rare occasions some surrounding gum and/or bone may also require reduction to give better access.

Your dentist will discuss with you any appropriate options for replacing any extracted teeth.

We may also opt to refer you to specialist units in local hospitals for treatment due to underlying medical conditions, sedation or general anesthesia requests.

Fillings

A tooth which has been damaged by trauma or decay will normally require the placement of a filling material. Our techniques to repair teeth are very conservative and sometimes treatments can be provided without injections.

It is important to treat dental decay quickly and before it causes symptoms. Larger fillings or the surrounding tooth structure can sometimes break and if the nerve areas of the tooth are also affected, then Root Canal Treatment may also be required.

A variety of filling materials can be provided based on the patient’s need, expectation and cost:

Dental Amalgam - this is typically a grey and dull metal alloy filling successfully used for decades and with strong record of endurance and function. Many patients are opting against such materials due to appearance of grey metal against natural tooth colour. This type of filling is often provided under the NHS arrangements and in certain case can offer advantages over other materials.

Composite - This is a highly aesthetic material and can restore teeth very successfully with minimal drilling. We use a range of material from industry leaders and can match colours to ensure that fillings blend in well with the colour of the surrounding tooth structure.

Other materials are available and often used in certain situations. Your dentist will discuss all available options and costs of such treatments.

Decay is caused by the build of plaque around teeth and so it remains essential that together with any treatment, efforts are in place to ensure good oral hygiene and low sugar consumption.

Further details about Tooth Decay

Gum (Periodontal) Care

We can provide a range of treatments to manage inflammation and bleeding of the gums due to plaque accumulation. This condition is referred to as Gingivitis and is best managed by good oral hygiene care at home.

The latest techniques to identify and remove plaque and tartar deposits from teeth are available for use by dentists.

If you are suffering from Gum Disease (periodontitis), initial management aims to clean the teeth and gums. In some cases, we may opt to refer you to local specialists for more advanced care.

In contrast to Gingivitis, periodontitis also affects the supporting bone and tissue around teeth and therefore can result in tooth loss and painful infections.

It is very important to manage Gum Disease and to at least decrease the rate of progression. More lately, untreated gum disease is a known risk factor for Cardiovascular Disease and will also lead to

  • Loose Teeth
  • Bad Breath
  • Loss of Teeth
  • Abscesses
  • Recession of the Gums
  • Recession of the Gums

Access to NHS specialist care is currently very restricted and therefore we will normally also offer referral to Private specialist working in the Midlands.

Hygiene & Oral Health

Your Oral Health will be best maintained by brushing twice a day. We would also normally advise good flossing practice and your dentist can demonstrate this to you.

The advances in electric toothbrushes allows for effective cleaning without any adverse effects of brushing too hard.

We also advice patients to use other interdental cleaning aids such as Tepe Brushes.

Tepe Interdental Brushes

For the identification and marking of plaque, patients can use disclosing tablets to direct brushing towards any areas that might be missed.

To help you maintain clean teeth we can provide the following services:-

  • If you are an NHS patient and need scaling, this is normally done to remove plaque and tartar deposits from teeth. This is normally included under the Band 1 charge unless more intensive cleaning is needed.
  • If Gingivitis or Periodontitis treatment is needed, deep cleaning may be required and this will fall under the NHS Band 2 charge.
  • Private and Deplane patient can have scaling done as many time as needed throughout the year and your dentist will discuss the charges of this with you. The teeth are normally also polished and freshened at the end.
  • Air Polishing is new method of safely cleaning off stains from teeth. A high pressure jet of water is used, containing various cleaning ingredients, which effortlessly removes all surface stains from diet, smoking etc. This service currently costs £49.50 for all patients and is only available privately.

Implants

We can refer to specialist centres for all types of dental implant treatment.

A dental implant is normally placed in the jaw bone and left to heal. Some weeks later, a crown is then attached to the implant to provide a replacement for any missing tooth. Depending on the case, multiple implants can be placed to allow for the stabilisation or fixing of dentures or bridges.

Dental Implants are not usually available under NHS arrangements. The Birmingham Dental Hospital can under certain circumstances provide dental implants for those patients who are missing teeth from birth/early age, trauma and cancer.

Implant treatment can take many months to complete and will first involve an assessment and usually x-rays.

Please speak to your dentist for further details.

Retainers

When orthodontic treatment has been completed, the final position of the teeth will normally require support to avoid any unwanted movement. Patients will be provided with some form of retention and this can either be fixed or removable.

significant number of patients will have clear, plastic retainers that can slide over the teeth to secure them in the current position. This remains a very popular method of retention, very discreet and such devices can be worn overnight. The treating dentist will normally advise how long to wear retainers and it is very important to comply otherwise teeth may move quickly.

Retainers usually will require replacement every 3-4 years and NHS regulations currently provide for only the first set. Any further retainers are chargeable per retainer. Teeth will move with time and therefore occasional use of retainers is advisable to wear a retainer on a part-time basis for life. Please discuss with your dentist for further details.

Further details about NHS orthodontics

If you have recently lost your retainer, please immediately make an appointment for assessment with any of dentists here.

Essix Plastic Retainers

Root Canal Treatment

The central chamber of a tooth contains the pulp, where blood vessels and nerves normally reside and function during good health. If this space is breached by trauma or decay, the pulp may become infected and die. This will often lead to severe pain, swelling and even infection.

Using state-of-the art minimally invasive technologies we can remove the infected pulp, prepare and seal the old pulp area and the canals emerging from it. Later the tooth may be protected by the fitting of a crown or similar structure as such teeth often become weak. The patient X-rays below show preparation and sealing of the root canal system.

Root Canal Illustration

Your dentist will judge the complexity of the case and in some cases detailed 3D scanning of the tooth may be necessary. Some complex canal structures can be difficult to treat without microscopy and other special techniques. For these reasons, we may opt to refer you to a dentist with special interest in this area or a GDC registered specialist.

Your dentist will fully discuss all options when considered appropriate.

Further information can be viewed on

NHS - Root Canal Treament
Common patient FAQ's Root Canal - Information Leaflet

Teeth Straightening

The process of straightening teeth is called Orthodontics. This can be important to maintain the health of the teeth, gums and jaw joints. And of course, many patients show an interest having such treatments to improve their smiles.

For Children

At our practice children under the age of 18 are constantly monitored to check for suitability for free NHS Orthodontics. A referral is normally sent to a local practice where formal assessment is undertaken prior to a final decision to accept for treatment. The waiting list for such treatments is about 12-18 months, the average age for referral is 12-13 years and treatment can last for up 2 years or more.

NHS - Orthodontics For Children

For Adults

We note a growing popularity for orthodontic treatment for adults. Ms Sobia Butt can offer a variety of tooth straightening treatments including discreet and cosmetic braces to make treatment less obvious.

Affordable and modern treatment systems are available for many types of common cases. If you are interested in such treatments please speak to reception to book an appointment with Ms Sobia Butt.

Important information for Adult Orthodontics in the UK

Invisalign

Invisalign remains the market leader for providing solutions to straighten teeth without unsightly brackets and wires used in conventional treatments.

In a typical case, a consultation is booked, moulds are taken of your teeth, and these are submitted to Invisalign HQ for assessment. If the case and treatment plan is approved, the patient receives a series of discreet clear aligners to progress through.

The dentist will supervise all your treatment and carry out any minor modifications that may be needed to your existing teeth.

Further information about Invisalign

Veneers

A Veneer is a thin layer, typically made of porcelain, fitted to the front surface of a tooth. This is usually done to alter the shape, size or colour of the tooth. Sometimes, multiple veneers may be done to create a new smile or conceal any genetic deformity of the enamel surface e.g. pitting.

So that veneers can be accommodated correctly, the frontal surface of the tooth will usually require preparation and so we will always discuss the the advantages and risks of treatment.

Veneers do require regular examination by a dentist and good oral hygiene.

Please also note NHS England maintains that veneers can only be provided where there is a clear clinical need for them.

More Information: NHS Veneers

Teeth Whitening

We understand that many patients desire to have clean and white teeth. The colour of teeth is genetically determined but can be alter with age, wear, medications or even illness. The top layer of the tooth called enamel, can let stains through to deeper layers that change the colour of tooth.

A variety of simple, low-risk and affordable treatments can be provided to achieve this and we would firstly recommend that a full examination be completed. We offer two levels of basic oral hygiene care:-

  • Regular Scaling - all plaque and tartar is removed from teeth using the latest ultrasonic equipment. This leaves tooth surfaces smooth and much easier to clean at home.
  • Air Polishing - a jet stream of water with various cleaning agents is used to wash the surfaces of teeth removing all surface stains from dietary products such as tea or coffee. A fruit flavored polish is used leaving teeth fresh, reinvigorated and clean. This treatment is available from £47.50 and usually will need to be repeated every 6-12 months.

If you wish to change the colour of your teeth to make them brighter and whiter, we can now offer the latest market leading solution from Phillips Zoom Whitening.

The home treatment systems cost starts from £375 and we supply you with customized trays to wear either during the day for 30 mins or overnight. For more dramatic and quicker results we can also offer bolt-on power bleaching sessions conducted by a dentist.

Philips Zoom! Day White

Philips Zoom! DayWhite

6% Hydrogen Peroxide concentration

Ideal for:

  • Patients who grind their teeth
  • Patients who prefer to wear their bleaching trays for shorter periods of time.

Shade results: optimal results within 2 weeks
Wear time: 30 minutes twice daily

Philips Zoom! Night White

Philips Zoom! NiteWhite

Available in a choice of formulations

Best for:

  • Patients with grey or tetracycline staining
  • Patients who prefer to wear their bleaching trays overnight

Shade results: optimal results within 1-2 weeks
Wear time: overnight or minimum of 4-6 hours

Teeth Whitening gels suppled by dental professionals are backed by decades of research and are able to change the colour of tooth internally. They work by safely breaking down certain compounds that give teeth a yellower appearance.

We cannot endorse or provide any support for any products purchased over-the-counter or internet. In some cases, patients may suffer from short term temperature sensitivity foods & drinks and gum irritation. Treatments generally take 2-6 weeks to complete in the vast majority of cases but sometimes may take longer.

If you wish to arrange a consultation or need further details please do no hesitate to contact the practice.

Further information can be viewed on

More About Tooth Whitening
Philips Teeth Whitening

Wisdom Teeth

Wisdom teeth are the last and 3rd set of molars to erupt usually during late teens but this can often happen much later. Up to 4 wisdom teeth can erupt in each corner of the mouth and very often they can be hard to clean or not fully erupt. This can sometimes lead to repeated infections, decay or pain.

We will normally X-ray wisdom teeth causing any symptoms to help us diagnose any problem and also judge the risk of removal.

When removing lower wisdom teeth, a small risk of nerve damage can result in pain or loss of sensation in the lower lip, tongue, cheek and gums. Other more common complications can include pain, infection and swelling.

The vast majority of wisdom teeth can be removed easily and safely at our practice. However, a small percentage of cases may be referred locally to specialist units for advanced care.

Further details on Wisdom Tooth Removal

Book your treatment today

If you'd like to book an appointment with us please use the button below to send us a quick email with your details and a desired date and time. We'll then be in touch to confirm an available appointment. Alternatively, feel free to call us on 01527 402 440

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