Q & A with Professor Heraclio Barbosa

COSMETIC DENTISTRY

What exactly is Cosmetic Dentistry?

Cosmetic dentistry includes both dental and cosmetic treatments, with the overall aim being to improve dental function, health and smile aesthetics. A holistic approach to aesthetics and overall health is at the heart of cosmetic dentistry.

People with dental conditions can sometimes feel insecure, and this can affect their interactions with others and life opportunities. Cosmetic dentists provide individuals with general and cosmetic dentistry treatment options that build self-image and esteem, leading to positive relationships with others and an improved quality of life.

The difference between cosmetic dentistry and traditional dentistry is treatment focus. Traditional dentistry places emphasis on improving oral hygiene, by the prevention and treatment of tooth decay and oral diseases, such as Periodontal Disease, Oral Cancer and Caries. These general dentistry treatments are required to maintain good oral health and prevent overall illness.

What is involved in tooth whitening?

TOOTH WHITENING

 
 

 

 

 

 

Teeth can stain and become discoloured as a result of age, drinking tea and coffee, smoking and other negative behavioural traits. Tooth whitening restores teeth to their natural white shade by removing yellow unsightly stains from tooth grooves, similar to how a facial removes debris from blocked pores.

White teeth give a good, clean feel and youthful appearance that lasts. There are different ways to whiten teeth, which may involve replacing fillings or crowns to match the whiter tooth shade or using tooth whitening treatment.

What are the advantages of White Composite Fillings?

White Composite Fillings / Mercury-Free Fillings

A White Composite Filling is:

  • Free from toxicity-causing mercury.
  • A tooth coloured blend of plastic and glass substances.
  • Used to restore decayed and damaged teeth.
  • Ideal for enhancing smile aesthetics.

The benefits of White Fillings include:

  • Ability to merge with natural tooth structure for stronger, healthier teeth.
  • Being used to replace silver fillings that may otherwise weaken tooth structure.
  • Giving a natural, appealing and aesthetically pleasing look.
  • Variability and flow in use to fill smaller cavities.
  • Maximising preservation and strength of existing tooth structure.
  • Visibility of secondary decay under tooth coloured fillings for treatment.
  • Ease of restoration if damaged.
  • Composite insulation, protecting teeth from excessive temperatures and reducing sensitivity.
  • Environmentally-friendly composition, mercury-free and safe to use.
  • Composite bond support that reinforces existing tooth structure and prevents fractures or breaks.
  • Durability, having a lifespan of between 7 and 10 years.

What is the treatment for a filling?

WHITE FILLINGS

Teeth damaged by decay or trauma may be restored with white fillings. White fillings fill teeth cavities and rebuild the tooth’s structure at the front and back of the teeth.

White fillings bond to tooth structure easier than silver amalgam fillings. They particularly enhance visible front teeth that are decayed, worn, chipped or fractured. Broken and damaged teeth, whether at the front or back of the mouth, can be restored with white fillings for healthy function and appearance.

Dentists often refer to white fillings as ‘composite’ or ‘glass lonomer’ – this is because there are different types of white fillings that can be used in dental restorations.

What will the dentist do?

  • Provide local anaesthesia to numb the treatment site for a pain-free experience.
  • Clean the teeth and remove any tooth decay.
  • Take out part or the entire old tooth filling.
  • Rinse the tooth with ‘water-blow pistol’ then dry the tooth with ‘air-blow pistol’.
  • Insert the white filling composite in or on the tooth, then reshape to natural healthy tooth contours.
  • Secure and harden the white composite filling through the use of a curing light.
  • Smooth and polish the finished white filling.

Our goal is to replace lost or worn fillings and restore damaged teeth, with composite white fillings used where possible to preserve existing tooth structure. Metal or silver amalgam fillings that may contain mercury are best replaced with tooth coloured white fillings for healthy smiles. Dr. Dwyer will discuss any concerns you have about your fillings and teeth at an initial appointment.

Cosmetic Dentistry

Cosmetic dentistry is focused on improving the aesthetics of patients’ smiles. People choose cosmetic dentistry for smile enhancement and restorative advantages, not necessarily to prevent tooth decay and oral disease. However, cosmetic dentistry treatments can simultaneously provide oral health benefits, such as composite white dental fillings which can be used to replace mercury fillings or silver fillings that weaken tooth structure.

We strive to give patients the best quality in cosmetic dentistry care through affordable payment options.

TREATMENT FEES

ORTHODONTICS

Orthodontics for Adults

The aim of orthodontic treatment is to guide teeth into the desired alignment. We are able to straighten misaligned, uneven, prominent and crooked teeth, for patients with both mild and complex orthodontic problems.

At The Frederick Dental Clinic we provide patients with choices in orthodontic treatments, such as aligners and retainers. These orthodontic choices include ‘invisible’ brace options for discreet teeth straightening treatment. ‘Invisible’ braces allow individuals to have their teeth aligned without it being obvious to others.

Advantages of orthodontic treatment:

  • They are available for both teens and adults.
  • They deliver straight, symmetrical teeth for life.
  • The neat stunning smile you have always desired.
  • Healthy teeth structure and gum tissue.
  • The ease of maintaining oral hygiene.
  • The preservation of existing tooth structure.
  • A proper bite and healthy jawbone.
  • Good oral and overall health.
  • Increased confidence and quality of life.

More about Orthodontic Treatments?

Common questions on Orthodontics. Many different types of appliances, both fixed and removable, are used to help move teeth, retrain muscles and affect the growth of the jaws. These appliances work by placing gentle pressure on the teeth and jaws. The severity of your problem will determine which orthodontic approach is likely to be the most effective.

Fixed appliances include:

Braces — the most common fixed appliances, braces consist of bands, wires and/or brackets. Bands are fixed around the teeth or tooth and used as anchors for the appliance, while brackets are most often bonded to the front of the tooth. Arch wires are passed through the brackets and attached to the bands. Tightening the arch wire puts tension on the teeth, gradually moving them to their proper position. Braces are usually adjusted monthly to bring about the desired results, which may be achieved within a few months to a few years. Today’s braces are smaller, lighter and show far less metal than in the past. They come in bright colors for kids as well as clear styles preferred by many adults.
Special fixed appliances — used to control thumb sucking or tongue thrusting, these appliances are attached to the teeth by bands. Because they are very uncomfortable during meals, they should be used only as a last resort.
Fixed space maintainers — if a baby tooth is lost prematurely, a space maintainer is used to keep the space open until the permanent tooth erupts. A band is attached to the tooth next to the empty space, and a wire is extended to the tooth on the other side of the space.
Removable appliances include:

Aligners — an alternative to traditional braces for adults, serial aligners are being used by an increasing number of orthodontists to move teeth in the same way that fixed appliances work, only without metal wires and brackets. Aligners are virtually invisible and are removed for eating, brushing and flossing.
Removable space maintainers — these devices serve the same function as fixed space maintainers. They’re made with an acrylic base that fits over the jaw, and have plastic or wire branches between specific teeth to keep the space between them open.
Jaw repositioning appliances — also called splints, these devices are worn on either the top or lower jaw, and help train the jaw to close in a more favorable position. They may be used for temporomandibular joint disorders (TMJ).
Lip and cheek bumpers — these are designed to keep the lips or cheeks away from the teeth. Lip and cheek muscles can exert pressure on the teeth, and these bumpers help relieve that pressure.
Palatal expander — a device used to widen the arch of the upper jaw. It is a plastic plate that fits over the roof of the mouth. Outward pressure applied to the plate by screws force the joints in the bones of the palate to open lengthwise, widening the palatal area.
Removable retainers — worn on the roof of the mouth, these devices prevent shifting of the teeth to their previous position. They can also be modified and used to prevent thumb sucking.
Headgear — with this device, a strap is placed around the back of the head and attached to a metal wire in front, or face bow. Headgear slows the growth of the upper jaw, and holds the back teeth where they are while the front teeth are pulled back.

Why should I choose Invisalign?

Why should I choose Invisalign?

  • Invisalign treatment is a near-invisible treatment, which allows you to have orthodontic work without others knowing.
  • Designed for utmost comfort and ease of removal for eating, drinking and maintaining good oral hygiene.
  • Individuals can enjoy life activities as normal during treatment.
  • No wires or metal brackets mean fewer dental visits and no mouth irritation.
  • Patients can view their Invisalign virtual treatment plan for before and after results prior to the actual treatment.
  • See our Invisalign section for further information about the treatment.

What is Invisalign?

We provide patients who have orthodontic treatment needs with ‘invisible’ and discreet care solutions at The Frederick Dental Clinic in Dublin.

Invisalign orthodontics allows patients to receive teeth straightening treatment with custom-made ‘invisible’ aligners, which are unseen by others, preserve self-image and create confidence.

A series of aligners are provided and replaced every two weeks during the treatment correction period, in order to gradually align teeth into their final position.

  • Manageable payment plan
  • 20% Tax Refund
  • Very reasonable deposit to start treatment

People of all ages throughout the world choose Invisalign orthodontics for its advantages, which include:

  • Invisalign is an ‘invisible’ aligner solution offering the utmost discretion in teeth straightening treatment.
  • The aligners are easily removed for the normal daily activities of eating, drinking and oral hygiene maintenance.
  • The Invisalign system offers convenience and comfort without mouth irritation, because no metal wires or brackets are present. Fewer dental appointments are necessary.
  • Patients are involved in a before and after virtual treatment plan, so that they know what to expect before their Invisalign treatment begins.

Call our team on 01 878 6999 to learn more about Invisalign treatment. We can schedule a consultation to assess your needs and suitability for treatment.

Orthodontics

Orthodontics is the branch of dentistry that corrects teeth and jaws that are positioned improperly. Crooked teeth and teeth that do not fit together correctly are harder to keep clean, are at risk of being lost early due to tooth decay and periodontal disease, and cause extra stress on the chewing muscles that can lead to headaches, TMJ syndrome and neck, shoulder and back pain. Teeth that are crooked or not in the right place can also detract from one’s appearance.

How do I Know if I Need Orthodontics?

Only your dentist or orthodontist can determine whether you can benefit from orthodontics. Based on diagnostic tools that include a full medical and dental health history, a clinical exam, plaster models of your teeth, and special X-rays and photographs, an orthodontist or dentist can decide whether orthodontics are recommended, and develop a treatment plan that’s right for you. If you have more questions on Orthodontics, contact us.

TREATMENT FEES

ROOT CANAL TREATMENT

What exactly is Root Canal Treatment?

Inner tooth pulp, sometimes referred to as “the nerve”, is at risk of becoming inflamed and infected due to:

  • Tooth decay
  • Deep or large teeth fillings
  • Over-filled teeth
  • Crown or filling leakage
  • Dental trauma caused by accidents or injuries
  • Tooth fractures, cracks or breaks

The inner tooth pulp cells may die and infection can spread through the root canals. To prevent such pulp inflammation and remove infection, root canal treatment, filling and sealing is necessary. If left untreated nerve damage may occur, resulting in tooth and bone loss.

Do I Need a Root Canal?

What are the symptoms of inner tooth pulp inflammation or infection?

Inflamed or infected tooth pulp may present as tooth sensitivity, tooth pain or discomfort. These symptoms may occur when experiencing hot or cold temperatures, while eating or breathing, when eating sweets, or when biting the upper and lower teeth together.

This can be an indicator of potential tooth decay near the dental nerve, which may accelerate into painful toothache. Early intervention prevents oral pain, the spread of infection and disease, and may actually save a tooth in the long run.

Root Canal Treatment- what's involved?

Root canal treatment involves providing:

  • Local anaesthetic to numb the treatment site.
  • Rubber dam placement where inflammation or infection is present.
  • Tooth dimensions and measurements from X-rays and imaging.
  • Cleansing for infection-free reshaping of the root canal.
  • Rubber root canal filler and sealer into the reshaped root canal.

How long does root canal treatment take?

Treatment time can vary according to the number of root canals needing treatment. Treatment duration may extend from one to two hours. Individuals requiring root canal treatment need to be committed to saving their tooth for the preservation of existing tooth structure. Tax allowable root canal treatment fees range between €400 and €700.

Is root canal treatment painful?

Patients experience some tenderness and discomfort around the treatment site as healing progresses. The discomfort gradually subsides and so does the pain initially felt prior to treatment. You may be prescribed with anti-inflammatory medication to reduce post-treatment discomfort. Patients should immediately contact the clinic if symptoms continue or become severe.

What can be expected after root canal treatment?

Tooth sensitivity, discomfort and pain subside once the inflamed or infected dental pulp is removed. Temperature changes while eating or breathing should no longer cause tooth sensitivity. Root canal treatment replaces the pulp with filler and seals the treatment site, protecting the tooth structure and existing dental health.

Teeth located at the rear of the mouth may require a dental crown for stronger tooth structure, particularly for normal chewing activity. Tax allowable fees for dental crowns range between €600 and €900.

Front teeth may be restored with white composite fillings or a dental crown after root canal treatment. Discoloured or stained front teeth may also be whitened.

Get in touch with our team for further information about root canal treatment, dental crowns, white fillings and teeth whitening. We can book a consultation to provide you with details and assess your oral health needs.

What is the treatment for a filling?

WHITE FILLINGS

Teeth damaged by decay or trauma may be restored with white fillings. White fillings fill teeth cavities and rebuild the tooth’s structure at the front and back of the teeth.

White fillings bond to tooth structure easier than silver amalgam fillings. They particularly enhance visible front teeth that are decayed, worn, chipped or fractured. Broken and damaged teeth, whether at the front or back of the mouth, can be restored with white fillings for healthy function and appearance.

Dentists often refer to white fillings as ‘composite’ or ‘glass lonomer’ – this is because there are different types of white fillings that can be used in dental restorations.

What will the dentist do?

  • Provide local anaesthesia to numb the treatment site for a pain-free experience.
  • Clean the teeth and remove any tooth decay.
  • Take out part or the entire old tooth filling.
  • Rinse the tooth with ‘water-blow pistol’ then dry the tooth with ‘air-blow pistol’.
  • Insert the white filling composite in or on the tooth, then reshape to natural healthy tooth contours.
  • Secure and harden the white composite filling through the use of a curing light.
  • Smooth and polish the finished white filling.

Our goal is to replace lost or worn fillings and restore damaged teeth, with composite white fillings used where possible to preserve existing tooth structure. Metal or silver amalgam fillings that may contain mercury are best replaced with tooth coloured white fillings for healthy smiles. Dr. Dwyer will discuss any concerns you have about your fillings and teeth at an initial appointment.

Root Canal

A root canal is a treatment to repair and save a badly damaged or infected tooth. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma. The term “root canal” comes from cleaning of the canals inside the tooth’s root.

What to Expect During a ROOT CANAL
If you think you need a root canal, consult your dentist. There are a number of steps that occur over a few office visits.

  1. X-ray – if a dentist suspects you may need a root canal, he will first take X-rays or examine existing X-rays to show where the decay is located.
  2. Anesthesia – local anesthesia is administered to the affected tooth. Contrary to popular belief, a root canal is no more painful than a filling.
  3. Pulpectomy – an opening is made and the diseased tooth pulp is removed.
  4. Filling – the roots that have been opened (to get rid of the disease pulp) are filled with gutta-percha material and sealed off with cement.
TREATMENT FEES

DENTAL VENEERS

What is a dental Veneer?

 

A veneer can be used to treat a range of cosmetic problems such as reshaping or straightening crooked teeth, repairing damaged teeth, masking or whitening stained and discoloured teeth, in addition to closing gaps and filling spaces.

Veneers can be made of porcelain or EMPRESS composite.

Should I use EMPRESS composite veneers or porcelain veneers?

Do you…

  • Want to improve the colour, shape, size of your teeth to make them more attractive?
  • Have you always wanted to fix that chipped tooth? Remove stains or hide discolourations?
  • Do you have the desire to close the gap between teeth? Straighten that crooked tooth?

If you answered yes to any of these then an EMPRESS direct composite Veneer is the ideal perfect treatment for you!

Do you want a less costly veneer with no delay, a pleasant procedure that requires less tooth reduction than porcelain veneers, crowns and orthodontic treatment?

EMPRESS direct composite veneers can be completed in a single visit in the dental chair, there is no delay and no lab bills making it more cost effective.

EMPRESS direct veneers provide the offer the highest level of aesthetics in the reproduction of a tooth’s natural characteristics.

Its ‘true to natural’ shades are used to replicate the shape, texture and characteristics of teeth. This lifelike glossy composite veneer system is truly state of the art dentistry.

Dental Veneers

Dental veneers are thin shells of porcelain or composite resin that are custom made to fit over teeth, providing a natural, attractive look. They can be used to fix chipped, stained, misaligned, worn down, uneven or abnormally spaced teeth.

Why VENEERS?

For teeth that are severely discolored, chipped or misshapen, veneers create a durable and pleasing smile. Plus, veneers are difficult to stain, making them popular for people seeking a perfect smile.

Remember: 20% Tax Refund on Veneers!

TREATMENT FEES

DENTAL HYGIENE

Dental Hygiene Basics

Good dental hygiene and oral care habits are important at any age. You might find yourself wondering if your dental routine needs some tweaking, or if certain life changes have also caused changes in your mouth. Whether you have all of your original teeth, some of them or a full set of dentures, diligently caring for your mouth is just as important when you get older as it was when you were a kid.

We have two experienced dental hygienists in our dental team. They play a pivotal role in our practice, advising patients on oral hygiene and the prevention of dental problems. We recommend patients visit the dental hygienist every six months for oral care.

Gum Disease

Gum disease starts as gingivitis, which is the inflammation of the soft gum tissues supporting teethattached to the jawbone. As the gingivitis progresses, periodontal disease develops in the underlying oral tissues.

Individuals may not notice symptoms of periodontal disease until it is quite advanced. Visits to the dental hygienist help identify gum inflammation and oral disease for treatment.

How Do You Get Bad Breath?

Bad breath is also called “halitosis” and is quite common. Those with bad breath may not realise they have the condition, but others they interact with may be aware of it. Our dental hygienists provide advice about bad breath, the causes and how to ensure fresh breath.

Poor Oral Care: Improper teeth cleaning, flossing or mouth rinsing may lead to excess bacterial growth, causing bad breath.

Smoking: Smoking causes dry mouth with tar and nicotine build-up in the mouth, which accentuates bad breath and discolours or stains teeth.

Diet: Certain food substances cause transient bad breath, such as garlic. Mouth rinses and mints help to remove the odour. Food debris trapped between teeth may cause smelly breath and be harmful to health.

Good Dental Hygiene

As an adult, you are not immune to dental problems. In addition to maintaining a good home care routine, the best thing you can do is to schedule regular dental checkups and professional cleanings. You also have a variety of cosmetic options available, including orthodontics (braces), whitening (both in-office and at-home) and bonding (veneers).

TREATMENT FEES

What Are Crowns & Bridges?

What Are Crowns?

Bridges and crowns are fixed prosthetic restorations used to restore missing or damaged teeth. These are either fixed to existing teeth on either side or on one side of the missing tooth gap, or are screwed to dental implants.

Crowns are artificial teeth restorations made of porcelain and/or palladium, which are used to replace missing or damaged teeth. When teeth become severely worn, decayed or have large cavities, crowns may be used to cover or cap part of the tooth. Crowns or caps restore the tooth to a natural look and function.

When is a Crown necessary?

When is a Crown necessary?

Crowns are recommended in a number of cases to restore and strengthen tooth structure. These include:

  • When large existing fillings may have weakened the tooth or reduced its structure.
  • Teeth at risk of fracture due to weakened structure.
  • Teeth fractured and require restoration.
  • Teeth damaged due to accident or injury.
  • To provide added support for a prosthetic device, such as denture or bridge.
  • To screw to a dental implant as a substitute artificial tooth.
  • To cover and protect a tooth after root canal treatment and/or root filling.
  • To improve tooth appearance by replacing discoloured fillings.

What are Crowns made of?

 

Before

After

They are usually made of restorative materials such as porcelain and/or palladium. Most crowns consist of porcelain layers bonded to a precious metal base. The metal base serves as a platform to mount the porcelain artificial tooth.

Restorative material, such as porcelain, may be used without the metal base, but will not be as durable as bonded palladium or metal crowns.

Non-metal porcelain crowns are ideal to improve the cosmetic appearance of front teeth, and for treating young people because of their natural, white-tooth look. Metal or palladium may be used without porcelain to create strong, hard and durable crowns. These types of crowns are usually placed on the rear teeth so they are less visible and secure healthy chewing function.

More Information on Crowns

What is involved in preparing a tooth for a Crown?

Crowns replace part or whole teeth with damaged tooth structure. If the tooth is missing a crown may be used as a whole replacement tooth. The missing tooth gap and surrounding teeth are checked to ensure they are infection-free and clean, before the crown is fixed in place.

Where existing damaged tooth structure is still present, the outer tooth surface may be removed and the inner core tooth structure shaped. A dental impression is taken and the crown is custom-made to fit over the reshaped tooth. A temporary plastic crown is fitted until the final crown or cap is ready for fixture. Crowns may be fixed on either side of the jaw for healthy bite function.

How are Crowns made?

Once the dentist has assessed the treatment site to receive a crown and the dental impression is made, the dimensions are handed to a Dental Technician. They will make a precise model of the teeth and gums. Crowns are then custom-made in a laboratory to provide perfect fit as an artificial tooth replacement or restoration.

Are Crowns noticeable?

Crowns are not noticeable to others because they are designed to look just like normal teeth and are made to match the tooth-shade of surrounding teeth. Temporary plastic crowns may be noticeable, though they are soon replaced with discreet, permanent crowns.

If located at the front of the mouth crowns are usually made of porcelain or porcelain bonded to metal base. The metal base is not obvious to others. Metal or porcelain and metal bonded crowns may be placed at the rear of the mouth. In this position they are discreet and provide added strength for chewing.

What is the duration of Crown and Bridge treatment?

Crown and bridge treatment varies in treatment time depending on what is involved, if one or more teeth are being replaced or if partial tooth structure requires restoration. Time is taken to prepare the treatment site, make a dental impression, obtain accurate measurements of size, shape and shade, and for placing the temporary crown – followed by the final crown being attached. In some cases two dental visits may suffice. However, more may be necessary depending on the level of care required. Our dentist will discuss the duration of treatment. Get in touch with us for further information about crown and bridge restorations.

What are Bridges?

Before

After

Dental bridges are an artificial tooth replacement option for missing teeth of one or more. They are fixed to the existing tooth structure on either side or one side of the tooth gap. Dental crowns can be placed on each side of the tooth gap to anchor the dental bridge in place. Bridge teeth restorations may be made of porcelain or a combination of porcelain and metal.

How do dental bridges work?

Dental bridges are artificial teeth restorations that fill tooth gaps to replace missing teeth. When securely cemented to existing tooth structure or fixed to dental implants, bridges are a safe and effective tooth replacement.

This form of restorative treatment restores healthy structure and function. Dental bridges act to prevent bone loss or shrinkage and oral trauma resulting from missing teeth. They also preserve facial expression for a beautiful smile.

Crown and Bridge Treatment

Crown and bridge treatment varies in treatment time depending on what is involved, if one or more teeth are being replaced or if partial tooth structure requires restoration.

Time is taken to prepare the treatment site, make a dental impression, obtain accurate measurements of size, shape and shade, and for placing the temporary crown – followed by the final crown being attached.

In some cases two dental visits may suffice. However, more may be necessary depending on the level of care required. Our dentist will discuss the duration of treatment. Get in touch with us for further information about crown and bridge restorations.

TREATMENT FEES