Treatments

Make Me Smile!

Making your smile come true is not created by chance, but by meticulous attention to detail, using carefully selected materials and experience of the clinician performing the procedures. At The Ridgeway Dental Surgery, we have a skill mix of experienced clinicians, technicians and a dental team dedicated to providing exceptional results that are recognized and respected throughout the world.

Furthermore, we pride ourselves by offering you choices and ensuring the results meet your expectations. The consultation and treatment is performed in a relaxed atmosphere to make your dental care an enjoyable experience. Being private allows us to spend time with you discussing various options for your dental problems suited to your specific needs.

If would like to make your smile come true, we hope we can help by providing you with superlative aesthetic, functional dental care for lasting oral health. Please see the examples below of the type of dentistry we offer for various dental predicaments.

 

Treatment ethos

Our therapeutic ethos is synoptic and minimally invasive, incorporating health, function and aesthetics and treating you as a unique individual, rather than just your teeth. In addition, our approach is prevention and minimal intervention, to ward off future diseases for safeguarding your dentition.

Examples of treatment

Below are some treatments carried out at our practice. This is a small sample from our extensive library, and we are happy to show you case studies that relate to your specific treatment needs, enabling you to visualise the quality of care we offer.


Dental implants

Since their introduction in the late 60s, dental implants have revolutionised dental treatment for replacing missing teeth. Made of titanium, dental implants are cylinders placed below the gums for replacing single & multiple missing teeth, as well as supporting loose dentures for improving retention and function. Furthermore, this discipline of dentistry is rapidly evolving, and newer materials and techniques are making this treatment modality more predictable and accessible. Below are some case studies showing how dental implants are utilised for enhancing both function and appearance.

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Missing central incisor replaced with an implant supported, all-ceramic crown.

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Congenital missing lateral incisors and canines replaced with dental implants, and the central incisors with porcelain laminate veneers for improving aesthetics.

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Implant supported crown to replace a molar tooth with hopeless prognosis.


Treatment utilising technological advances

The last few decades have witnessed innumerable scientific and technological achievements, which are helping with precise diagnosis, exacting treatment protocols, and predictability for long-term success. Whilst traditional methods, e.g. wax simulations, are invaluable diagnostic adjuncts, newer technologies, such as cone beam computed tomography (CBCT) scans, computer aided design (CAD), computer aided manufacturing (CAM), 3D printing, to name a few, are revolutionising the present and future of dental care. Furthermore, since specialisation in various dental branches in increasing, working with fellow colleagues for a multi-disciplinary approach, is essential for offering the best possible care.

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White fillings

In the past, the dark grey amalgam restorations, with which we are all too familiar, were regarded as the norm. However, advances in dental materials science, combined with sophisticated techniques are making amalgam fillings a thing of the past. White fillings can either be direct resins (placed in the surgery), or indirect ceramics (e.g. inlays/onlay/veneerlays fabricated beforehand in a dental laboratory) and subsequently cemented at the surgery. Both varieties enhance the structural integrity of teeth, mimicking their properties, and are virtually indistinguishable from the surrounding tooth substrate. In addition, if placed meticulously, white fillings boast performance & survival rates that are comparable to conventional amalgam restorations.

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Direct resin based composite ‘white’ fillings in the upper premolars

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Direct resin based composite ‘white’ fillings replacing unsightly restorations in the lower anterior teeth

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Indirect ceramic (porcelain) inlay in a molar

Usually, two methods are available for providing ‘white’ or tooth coloured fillings in posterior teeth (as shown above). To reduce clinical time and expense for the clinician and patient, respectively, there is now the third way…

Recently, the introduction of bulk-fill composites has expedited the provision of ‘white’ or tooth coloured fillings. Rather than layering a filling or using pre-fabricated inlays, the entire cavity is filled with a single increment. The benefits are reduced cost, improved efficiency, and possibly a viable alternative for replacing defective amalgam fillings, which are gradually being phased out in many countries.

The video below shows the SonicFill method, which elegantly delivers a specially formulated resin composite through a handpiece using sonic energy. The initial low viscosity (flowability) allows precise adaptation to cavity crevices & walls for a hermetic seal, and later when the material reverts to its high viscosity (stiffer), carving is expedited to shape the filling to the desired morphology and ensure the bite or occlusion is satisfactory.

SonicFill video kindly sponsored by Kavo Kerr


Porcelain laminate veneers (PLV)

Porcelain laminate veneers or PLV, are most the used (and abused) restorations for smile makeovers and cosmetic rehabilitation. PLV are thin ‘strips’ of veneering porcelain, fabricated in the dental laboratory, after the teeth are prepared in the surgery. If placed correctly with attention to detail, PLV are one of the most successful aesthetic restorations currently available. However, if placed without careful treatment planning, with poor technique and inferior materials, result in disappointment and irreversible damage to teeth.

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PLVs on the upper anterior teeth for restitution of aesthetics.


Fractured teeth

The prevalence of acute dental trauma of anterior teeth is a common occurrence in children under the age of 12 years, as well as accidents in adults. Any of the front teeth may be involved, and besides relieving symptoms, appearance is of paramount concern. The initial ideal solution is repairing the teeth using direct composite fillings.

 

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 Re-attaching fractured tooth fragment on right central incisors, and building up left central incisor with resin based composite ‘white’ filling

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 Establishing natural aesthetics by repairing the fractured central and lateral incisors with resin based composite ‘white’ fillings

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Building up fractured incisors with resin based composite ‘white’ fillings

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Restoring anterior aesthetics with porcelain laminate veneers (PLV) on central incisors


Tooth wear

Tooth wear is an insidious condition, affecting all of us at some time in our lives. Unlike decay or gum disease, tooth wear is a non-infectious ‘disease’ caused by lifestyle choices such as a high intake of acidic drinks and food, stress induced tooth grinding or improper tooth brushing techniques. The result is loss of enamel and dentine causing sensitivity, discolouration, unsightly appearance, and in extreme cases, fracture of the affected teeth. Early detection, diagnosis, counselling, instigating preventative measures and replacing the lost tooth substrate are essential for the structural integrity of the teeth.

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 Unsightly tooth surface loss (tooth wear),  replaced with porcelain laminate veneers to improve appearance of upper incisors

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 Serrated incisal edges of anterior teeth corrected by addition of resin based composite ‘white’ fillings for improved comfort and appearance

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Closure of median diastema (space) between central incisors, due to tooth surface loss, using resin based composite ‘white’ fillings for enhancing anterior dental aesthetics


Replacing defective restorations

Defective restorations may compromise health, function and aesthetics. On many occasions, the offending restoration(s) can be monitored, repaired, and not necessarily require replacement. However, if replacement is the only option, careful treatment planning, combined with meticulous clinical and laboratory techniques, are mandatory to mitigate damage to teeth that are already compromised.

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Improving an unaesthetic smile by replacing defective restorations

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Defective, imbricated crowns on the central incisors replaced with re-aligned, highly aesthetic, all-ceramic crowns


Gum disease

Gum disease, or periodontitis, presents in many guises and has a profound impact on the health, function and appearance of teeth. Since it is a chronic condition, the disease process frequently goes unnoticed until acute symptom develop such as loose teeth, gum recession, halitosis (bad breath), or abscesses & pain, often at the terminal stages. In addition, periodontitis is also associated with systematic illnesses such as diabetes and cardiac disorders. Diagnosis at an early stage is essential for prevention, monitoring and ensuring the longevity of the dentition. Below are some examples of gum disease, which is multi-factorial in aetiology and compounds many dental modalities.

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Some clinical presentations & effects of gum disease (periodontitis)

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