Services


Check-Up and Clean

A check-up involves a thorough evaluation of your current dentition, mouth and associated structures. A clean involves removing tartar build-up and extrinsic staining of teeth.

Fillings

A filling involves restoring a decayed or chipped tooth back to its normal shape and function. Materials used for fillings include composite resin, glass ionomers, amalgam, gold and porcelain.

Cosmetic

We understand that the appearance of a patient’s teeth can affect their smile and confidence. A combination of personal and lifestyle factors can result in irregularities, stains, cracks or blemishes of teeth. We offer a variety of treatments to improve the appearance of your teeth and smile including veneers, crowns, dental implants, teeth whitening and orthodontics.

Implants & Missing Teeth

When teeth are severely affected by decay, gum disease, wear or trauma, an extraction may be the best treatment option. To replace missing teeth, we offer various treatments including implants, bridges and dentures.

Wisdom Tooth Removal

Wisdom teeth usually push through the gum in a person’s late teens to twenties. While many wisdom teeth may not cause any trouble, it is important for us to monitor them to avoid any potential problems including infection, crowding, pain or the formation of a cyst.

Anxious Patients

We understand many people fear the dentist and dental treatment, and subsequently avoid going. If you experience anxiety with dental treatment we encourage you to come by and become acquainted with our team and treatment philosophy. We don’t believe in placing teeth at the centre of our attention – we practice on getting to know our patients – and each patient comes with a complex personal, medical and dental history.

Sleep Apnoea

Obstructive sleep apnoea can cause interruptions (apnoea) to breathing many times during sleep. We offer screening for obstructive sleep apnoea and can provide dental devices to prevent the airways from collapsing during sleep.

Jaw Clicking or Pain

Orofacial pain is general pain felt in the mouth, jaws, face, sides of the head, ears or behind the eyes. This also includes pain in teeth that are not decayed or in poor form. We can provide a full oral and facial examination to help diagnose and treat you according to your symptoms.

Root Canal Treatment

Root canal therapy is one of the treatment options when a tooth has very deep decay, an exposed nerve or severe and irreversible tooth pain. It involves removing the nerve within the tooth because it has an infection or is inflamed.

Kids Dentistry

Developing good dental hygiene habits is essential to your child’s oral health. It is best to monitor your child’s oral health as soon as possible to prevent, detect and treat potential problems before they become serious. Other children’s services we offer include tongue/lip tie assessments, fissure sealants, mouthguards, space maintainers and orthodontics.

Braces or Invisalign

There are many reasons why our patients discuss straightening their teeth with the use of braces or Invisalign. Orthodontics is the practice of straightening out crowding in teeth and can improve the way you chew your food, clean your teeth, bite, smile and your overall self-esteem.

Check-Up and Clean

The number one reason why most of our patients come in to see us is for assessing the overall health of their teeth and gums.  This involves assessing the attachment levels between the gums and the underlying bony structures, as well as assessing the teeth themselves for signs of decay and/or wear.  

In addition to this, there are several other things we look out for in our check-up appointments. As your dentists, we are the first line of defence when it comes to screening for white patches and other discolourations in the mouth. When these sort of lesions present in the mouth, it could be associated with oral cancers or the signs of a poorly controlled systemic disease like diabetes. 

If you only visit the dentist when you have a toothache or whenever you need treatment, then you may miss this type or screening process as we would be more concerned about relieving you of your immediate concern. If during your exam we find something that is suspicious we will investigate further, and let you know what factors may be involved in this ‘abnormal’ appearance. We will take initial records such as measurements and/or intra-oral photographs, and x-rays for comparative purposes to see if the area is changing in colour, shape, size, firmness or texture.

We also love to address how you can maintain a good oral hygiene regimen as we believe prevention is better than cure and prevention starts with good oral care at home. We take an individualised approach to oral hygiene when we discuss correct brushing and flossing techniques, as one size does not fit all patients. Some frequently asked questions during consultations include; how diet influences oral health, techniques for overcoming tooth sensitivity, dry mouth, bleeding gums, or bad breath (to name a few of the common ailments some patients face). Aside from function we also discuss any aesthetic concerns you may have.

Fillings

The aim of filling teeth is to close off spaces where bacteria can enter to prevent further decay from occurring. When you require a filling, the dentist will remove the decayed tooth, clean the affected area, and then fill the cavity with a filling material. Materials used for fillings include gold, porcelain, composite resin (tooth-coloured fillings), glass ionomers and amalgam (an alloy of mercury, silver, copper, tin and sometimes zinc).

At your initial consultation appointments we like to discuss the treatment options for your tooth. The choice of material is based on a number of things:

  • the size and depth of the space to be filled, 
  • the area is going to face a high amount of biting forces (especially those located at the back of the mouth or if you’re a grinder) and requires a stronger material, 
  • the restoration is in your smile line and aesthetics is a concern
  • if the tooth needs to be monitored or restored in the near future and needs to be temporised

The most common restoration we place are composite fillings. Composite fillings are tooth-coloured fillings and are placed in layers within the cavity being repaired. Each layer of the composite material is hardened by exposure to a special light. After the cavity is filled, we will trim it so it does not obstruct your bite and polish it for smoothness and prevention of discolouration. 

The major advantages of composite materials are that they bond directly to the tooth, they are more attractive than amalgam restorations, and they can be fitted into very small cavities so less drilling is required in order to retain the filling. The most common reasons for why we replace restorations include; new or recurring decay as seen in leaking restorations that appear with stained margins, missing restorations, cracked amalgam fillings and cracked teeth. 

Sometimes a filling is not sufficient to restore the tooth to full function or aesthetics and further restorative measures need to be taken such as posts, crowns, bridges and implants.

Cosmetic

If you are concerned about your smile, chances are that there is a simple solution. First and foremost, we believe that each person comes with a unique smile. Our aim is not to turn your smile into a picketfence smile (although some patients want this, and that’s ok!). Rather, we enjoy discussing options of how to accentuate your smile. 

We can repair chipped, stained, crooked or blemishes on your teeth.  We offer treatments such as veneers, tooth-coloured fillings and tooth whitening to improve the colour, shape and length of your teeth.


Veneers

Veneers are tooth-coloured porcelain or composite shells that cover the outer surface of your front teeth to improve their appearance. Compared to a crown, veneers are much more conservative because they utilise your otherwise strong and healthy teeth. Veneers are excellent for treating discoloured, chipped, slightly misaligned teeth or gaps between the front teeth. Pending assessment of your bite, it is a great option for those who would like to correct crowded front teeth and do not wish to go through lengthy treatment with braces. 

Crowns

Crowns are artificial teeth made from strong materials such as porcelain or in combination with metals. Porcelain can be closely matched to the colour of existing natural teeth, and is resistant to staining. When used in combination with metals, crowns can be very strong and durable, particularly when it must endure the forces of grinding and crushing in the back molar teeth. Crowns involve reshaping the natural tooth to allow for the artificial crown to replace the natural crown.

Teeth Whitening

Teeth whitening is a procedure which can lighten the colour of stained or discoloured teeth that have not otherwise responded to professional dental cleaning. We take an impression of your teeth so that a custom-made mouth tray can be made. This tray is used to hold the bleaching gel. The procedure can be carried out at home until you are happy with the appearance of your teeth.  

Implants & Missing Teeth

Patients often present with missing spaces they may want restored for functional or aesthetic reasons. Treatment options are assessed in a case-by-case scenario. It is important to replace missing teeth for reasons other than the appearance of your smile. Missing teeth can cause the adjacent teeth to move out of alignment and cause a disruption in the way you bite. It can also lead to bone loss in the jaw which can cause the adjacent teeth to become loose.


Dental Implants

Dental implants are artificial metal tooth roots that integrate into the jawbone and anchor the artificial tooth (crown) into the jaw. They are commonly used to replace missing natural teeth and closely resemble their look, feel and function. 

Dental implants are an alternative to dentures and bridges and do not require the cutting and reshaping of adjacent healthy teeth (bridges), and are more comfortable than conventional dentures. 

The option to have an implant placed is dependant upon your medical and dental history, remaining bone levels and density in addition to sufficient restorative space. We also need to check we aren’t near any nerves or sinuses!

Bridges

Bridges are another option when it comes to replacing one or more missing teeth. They are also an option if a tooth is too badly decayed to save with a crown. A bridge is an artificial tooth that is anchored to one or two adjacent natural teeth via crowns. Its preparation is similar to that of a crown whereby the natural teeth on either side are reshaped to allow for the artificial crown to be placed. Bridges are also made from porcelain or in combination with metal.

Dentures

Dentures are artificial teeth placed onto a acrylic or metal framework that is removable from the mouth and aren’t fixed like dental implants or bridges. They enable you to retain your normal chewing ability, speech and general appearance but must be removed and cleaned of an evening. We offer two types of dentures; partial and full dentures. Partial dentures are used where there are a few missing teeth. They are held in position by using a clasp to secure the denture to a nearby natural tooth. Full dentures are used to replace all of the upper and/or lower teeth. 

Wisdom Tooth Removal

Oftentimes wisdom teeth remain in place and cause no trouble. Sometimes, there is not enough room in the jaw for the wisdom tooth to come through so the tooth will become wedged or ‘impacted’. Impacted wisdom teeth can cause a number of potential issues including infections as they begin to push through the gums, crowding by pushing the adjacent teeth out of their normal alignment, pain, a food trap site or can lead to the formation of a cyst (a sac of fluid).

At times, we may recommend early removal of one or more wisdom teeth if we perceive that there is not enough room in the jaw for it to come through, if orthodontic treatment is required, or if the tooth has started to cause trouble. Furthermore, early removal of the tooth while the patient is young allows for easier removal of the tooth due to the incomplete formation of its roots and the soft bone surrounding the tooth at this age. 

Wisdom tooth removal can either be done in our treatment rooms either under local anaesthesia or with the assistance of IV sedation. 

Anxious Patients

We understand that visiting the dentist can be a daunting experience for many. As a result of this, some may avoid visiting their dentist and therefore their oral health is neglected. In order to overcome this anxiety, we recommend pre-treatment consultations. These consultations offer our patients the ability to come in, meet-and-greet our team and get acquainted with our practice philosophy. We don’t believe in placing teeth at the centre of our attention – we practice on getting to know our patients – and each patient comes with a complex personal, medical and dental history. It is at these appointments our patients often ask us about options pertaining to medicinal options for anxiety relief. 

We offer three modes of sedation to help decrease and remove the anxiety associated with dental treatment should you feel that you require additional assistance to help cope with treatment.


1. Oral Sedation

Before treatment, we prescribe an oral sedative to reduce pre appointment nervousness. This also improves comfort levels during the treatment. 

2. Nitrous Sedation (“happy gas” or “laughing gas”)

This method of sedation has been used for many years, and is referred to by many in popular culture as treatment for anxiety control. A small nose mask is placed, and a mix of nitrous oxide with oxygen is inhaled by the patient. Upon inhalation, the patient becomes very relaxed and even perhaps sleepy. 

In addition to the generally anxious patient, it is very effective for young children, whom have difficulty understanding what is going on, are in a lot of pain, maybe physically or intellectually disabled.

3. Intravenous Sedation

This mode of sedation is very effective and requires a travelling specialist to attend the surgery to administer. The medication is directly and painlessly placed into a vein and provides profound anaesthesia as well as anxiety relief. The patient transitions into a state of lethargy and relaxation. Not necessarily suitable for very young kids. A consultation with the specialist may be required prior to the sedation appointment. 

Sleep Apnoea

Obstructive sleep apnoea is an interruption (called ‘apnoea’) to breathing many times during sleep. These episodes are often not known to the individual, but may be mentioned by their partner. It is caused by the loss of muscle activity in the airway during sleep. This loss of activity leads to a collapse of the airway, and hence an obstruction of breathing during sleep. Dental appliances can be made to prevent these muscles from collapsing during sleep, usually achieved by holding the jaw forward.  

Signs and symptoms of obstructive sleep apnoea include, tiredness on waking, excessive day time sleepiness, awaking abruptly during sleep gasping for breath, nocturnal grinding, poor concentration and memory, the need to sleep and constant need to go to the bathroom at night. It is sometimes present in children as well as adults, and needs to be discussed especially if your child is snoring at night.

Over the years we have established a great team of sleep diagnosticians that we work with to help treat our patients. Our team includes medical professionals including ear nose and throat specialists, sleep physicians, dieticians and orthodontists. A sleep study will be used to diagnose obstructive sleep apnoea and its severity, after which many treatment modes are available, including: weight loss motivation and management, mandibular advancement splints, and in more severe cases surgery or the use of a CPAP machine. Our most common treatments are splints which are minimally invasive and comfortably worn during sleep.

Jaw Clicking or Pain


Orofacial pain is the term used to describe a general pain felt in the mouth, jaws, face, sides of the head, ears or behind the eyes. This also includes tooth pain that is not associated with decay. 

The common causes of orofacial pain include grinding; trauma; diseases of the soft tissue structures of the mouth; jaw muscle pain due to inflammation, overuse or fatigue; and jaw clicking. Orofacial pain can also be a result of referred pain (where pain from one area of the body is felt in a different area). 

There are many descriptions we hear from our patients that alert us to consider the possibility of orofacial pain – symptoms such as tingling, throbbing or burning sensations that may come and go, or be constant. Orofacial pain can range from mild to severe and can impact on work, family and social life. 

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Jaw Clicking

Jaw joint pain can vary from mild discomfort to severe pain. While the cause is often unknown, there are a number of factors such as the grinding or clenching of teeth, missing teeth, jaw damage, a bad bite or emotional/physical stress that can aggravate the condition.

At our surgery, we can provide a full oral and facial examination to help diagnose and treat you according to your symptoms. Potential treatment options include custom-made splints or the adjustment of your teeth and bite to ensure that they fit together correctly. 

Splints

Occlusal splints are hard acrylic appliances that are custom-fitted to your upper jaw to cover the biting surfaces of the teeth. They are designed to be worn at night. While an occlusal splint will not stop you from grinding or clenching, it aims to take the pressure off the jaw joints and teeth by guiding the jaw into a neutral position. Furthermore, a splint will protect your teeth against the destructive forces of grinding.

Adjustments

Occlusal adjustments involve adjusting the biting surfaces of the teeth so that the upper and lower teeth are in harmony with each other. This form of treatment will often be enough to relieve the pressure on the jaw joints. 

In more severe cases, we work with a team of orofacial pain specialists to help diagnose and alleviate symptoms. The aim of treatment is to identify and correct the cause of pain, although this is not always possible.

Root Canal Treatment

The purpose of root canal therapy is to retain your natural tooth and to avoid a missing space due to extraction. We commonly hear from patients, “Why don’t you just extract and place an implant?” While this is a great question and plausible treatment option – retention of natural teeth should always be paramount. 

The aim of any dental treatment is to extend the life cycle of a natural tooth as much as possible.

Root canal therapy often requires multiple appointments in order to remove the dying/dead nerve tissue/s (pulp), disinfecting the chamber/s in which it lies with medicaments, filling the empty chamber/s with a filling material, and then placing a final restoration on the tooth. Depending on the tooth that requires the root canal therapy, there may be one to four nerves to be cleaned out. 

In the first ‘relief of pain’ appointment, the tooth will be tested to confirm that the nerve is dead and then we will proceed to numb you with a numbing cream and dental anaesthetic. To reach the nerve chamber, we make a conservative opening through the tooth and using special instruments called files, we remove the inflamed and infected pulp. We then place a medicine in the chamber to alleviate the pain you were experiencing and close the access cavity with a temporary filling material. In some cases, such as a severe abscess forming at the root tip, we may prescribe antibiotics to help treat the infection.

At the next visit, often within a fortnight of the first appointment, we aim to thoroughly disinfect, enlarge and shape the canals. We use anti-bacterial and anti-inflammatory medicines inside the root canal in order to thoroughly cleanse the inside of the tooth. We then place a material to fill and completely seal the canals. Adequate sealing is critically important to prevent them from become reinfected with bacteria. Again, a temporary filling material may be placed to allow the tooth to settle before replacing this restoration with a permanent one. 

Often times we will discuss restorative options in the form of a crown, especially prior to beginning the root canal treatment. The reason for this is due to the nature of removing the pulp tissue from the tooth causing the tooth to have insufficient structure to withstand natural biting forces (despite our best conservative efforts). We may encourage you to proceed with root canal therapy with the condition of final restoration with crown in order to gain the best long-term outcome for your tooth. The most common reason for failure root canal treated teeth is not due to decay but due to fracture of the tooth! This would be a shame after all of those appointments dedicated to saving your tooth.

Kids Dentistry

You may be wondering the appropriate age to bring your child in for an appointment. We usually recommend a meet-and-greet appointment within the first six months of life. The earlier we monitor your children’s soft tissue and teeth the easier it becomes to prevent, detect and treat potential problems before they become serious. The services we offer for children include checking for tongue/lip ties in babies, assessing timely teeth eruption and dental development, discussing brushing techniques, placement of preventative fissure sealants, making mouthguards, space maintainers and assessment for early intervention orthodontics.


Tongue and Lip Tie 

Tongue/lip tie is a short string-like attachment of the tongue to the floor of the mouth or the lip to the gum. Such presentations affect breastfeeding and the ability of the baby to latch, speech development, tooth alignment (such as gaps between front teeth). 
 

Fissure Sealants

Fissure sealants are coatings of thin varnish material over the pits and grooves of posterior teeth. They provide a barrier against dental decay and can give your children’s teeth added protection for years. 
 

Mouthguards

If your children play sports where tooth/mouth injuries are likely, a mouth guard is recommended for protection. A mouth guard is a thick shield that fits over your child’s teeth while they play sports that involve a high risk of facial impact. A mould is taken of your child’s teeth to construct a custom-fitted mouth guard suited to the shape and contours of your child’s teeth.

We do not advocate pharmacy-bought, boil-n-bite mouth guards as these are poorly-fitted moulds that offer limited safety in impact situations and can in some cases worsen injury.
Space maintainers
Losing a baby tooth prematurely can cause problems with the eruption of your child’s adult tooth. It may cause the adjacent teeth to move out of alignment so there isn’t enough room for the adult tooth to come through, or the underlying adult tooth may drift and erupt in the wrong position. To avoid this problem, we are able to fit your child with a space maintainer, which act to fill the space left by missing teeth. 


Orthodontics

A very common concern for many of our parents’ is whether their children will require braces. Our preliminary screening for kids include a thorough assessment for teeth crowding, bite, snoring, palate shape and airway space. These factors allow us to determine if early intervention is required either in our treatment rooms or in conjunction with an orthodontist.

Braces or Invisalign

Prior to any orthodontic appointment, it is essential for you to be cleared of any dental decay or gum disease through an initial check-up and clean appointment. There is no point in proceeding with orthodontics if the teeth you are moving have large holes or your gums cannot withstand movement and thus your treatment would be compromised.


Braces – the fixed-to-the-teeth option

Braces are appliances that are bonded to your teeth in order to move or tilt the teeth to their desired position over a course of time. Braces can not be removed by the patient and remain fixed to the teeth throughout the duration of the treatment. The braces we use are clear and more aesthetic than metallic braces. Often the treatment time with braces is less than that of Invisalign. Most commonly patients like using braces to fix lower dental crowding in the anterior (front) region of the mouth. 

You must maintain good oral hygiene practices by using alternative methods of flossing between and under wires as normal flossing becomes difficult with the wire banding across the teeth (for example, using super floss). During your follow up appointments, we will monitor your dental health and ensure that you are maintaining a good oral hygiene.

Invisalign - the removable option

Invisalign is the company name for a type of removable orthodontic appliance used to correct dental alignment issues. In your initial Invisalign consultation, photographs of your teeth and facial profile will be taken, as well as dental x-rays and tooth models. This is important to formulate a three-dimensional computer simulation of your Invisalign treatment plan which suits what your lifestyle and offers you a way to see the result at the end of treatment. Subsequent appointments include placement of clear buttons on your teeth that will allow for the plastic aligners to click on and this is how movement of the teeth occurs. Every fortnight you will be required to change aligners and you must be reviewed every 6-8 weeks to track the progress of your treatment. 

One advantage of using Invisalign is that the plastic aligners are nearly invisible in appearance making it almost impossible for others to see you are having orthodontic treatment, while your teeth are being moved over time. Another advantage is that you will find it easier to brush and floss your teeth because there is no wire banding the teeth together. However, you will need to remove the plastic aligners each time you eat or drink as they can distort and break. It is also essential to wear the aligners for 22 hours a day in order to achieve the desired outcome.