If you ask an adult to list what their biggest fear is, usually a “fear of the dentist” will feature highly within that list. Children quite often express a similar fear of the dentist, and bizarrely, this is often without having had any experience of dentists or dental treatment. Maybe it’s because of what they hear from us adults, and also the fact that dentists are usually associated with having a drill and sharp instruments!

This fear, and how we manage it, is what prompted us to introduce a treatment called Inhalation Sedation to the practice.

What is Inhalation Sedation?

Inhalation Sedation (or “happy air” as its also known) in dental treatment helps alleviate dental anxiety in children.

How it wor3ks….. 

The process involves the child breathing in a special “happy air” (nitrous oxide and oxygen) through a small nose piece. This in turn leads to a pleasant, relaxed floating feeling- much like day dreaming. Most children become less aware of their surroundings making the dental treatment easy and comfortable for them.
If your child is having a filling or a tooth removed under local anaesthetic ( tooth numbing solution also known as the “injection” ),  the breathing of the “happy air” will take most of the anxiety associated with this away for the child, thus making it more tolerable. It is important to note that we will still need to use local anesthetic in most situations.

Who would benefit from Inhalation Sedation?

Inhalation sedation works very well with children who have a mild to moderate dental anxiety. It also works well for children who have a gag reflex that interferes with dental care. Children with certain special needs have benefited greatly from the process. In all instances, your child must be willing to co-operate for inhalation sedation to be useful for them.

How will my child feel after the treatment?

Once the gas is turned off, the effects wear off quickly. By the time your child leaves the practice at the end of their treatment the “happy air” should be out of their system.

Is the treatment safe?

Inhalation sedation is very safe. It works quickly, is reversible, can be adjusted in various concentrations and is non allergenic. While sounds and noises will seem more distant, your child will not go asleep and will be aware of their surroundings throughout the dental treatment.

How will it help my child in the long term?

We strongly believe in the use of inhalation sedation treatment when appropriate to improve a child’s comfort during treatment and to allow treatment to be carried out as easily as possible in order to build a child’s1 confidence in the dental surgery until such a point that they can have treatment without it.

 

 

 

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Dr Daisy McCarthy is our dentist with a special interest in children’s dentistry who is highly trained and experienced in treating children under inhalation sedation. You can read all about her here. If you would like further information on inhalation sedation for your child please contact us on T: 01 4542022 or alternatively if you would like to book an appointment with Dr. McCarthy you can book online here.

 

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Patient: Male in his mid 20’s wasn’t thrilled with the gaps in his front teeth and also with the front two teeth overlapping

Treatment: Fixed Bracket Orthodontics with Dr Helen Walsh at Portobello Dental Clinic.

Cost: € 2995 including upper and lower fixed and removable retainers, as well as professional tooth whitening.

No re-touching of photographs has been done.

For further information on the orthodontic treatment we provide see here. To book an appointment for an orthodontic assessment contact us on T: 01 4542022 or E: info@portobellodental.com

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Patient: Male, in his 20’s was unhappy with the appearance of his teeth

Treatment: Fixed Bracket Orthodontics with Dr Helen Walsh

Duration of treatment: 5 months

Cost: € 2995 including upper and lower fixed and removable retainers, as well as professional tooth whitening.

No re-touching of photographs has been done.

For further information on our orthodontic treatments visit here. To book an appointment for an orthodontic assessment contact us on T: 01 4542022 or E: info@portobellodental.com

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Registering as a new dental patient at Portobello Dental Clinic, Dublin is a simple enough matter. When booking that new patient check up and consult, a surprising number of people worry that they need to do something, bring something or chase up old dental records and X-rays. Rest assured, there is no need to supply previous records except in very specific circumstances. All that we need to get you started are a few basic details.

If you are registering someone else, please know we do ask new patients for

*full name

*date of birth

*contact number

*PPS (optional)

A mobile number is preferable for contact if you wish us to send handy text reminders.

If a PPS number is provided at the time of booking we can check in advance if there is any PRSI to offset against the appointment. A comprehensive, new patient check up and consult, including X-rays if required, is currently €95 for private patients and €60 if you have PRSI cover (current on 24.11.14.) If we know in advance that you qualify, we’ll automatically apply the lower fee and do the claiming for you.

We don’t require anything else, but we do love to learn about YOU! If you are a nervous dental patient, whether or not you are interested in sedation, or if you have a concern about the health or appearance of your teeth and gums, do please tell our Clinic Coordinators who will listen, inform and help make your visit as smooth as possible.


If you would like a call from one of our two Treatment Coordinators for a chat about your teeth, treatments or fears, Sinead or Anne-Marie will be glad to help prior to your check up and at any stage in your treatment.

To register and/or book an appointment you can talk to us on 01 454 2022. Alternatively you can use our handy online booking system by clicking the orange button (also at top of page:)

Online Booking

Almost on a weekly basis, we get asked whether it’s ok to have dental treatment while there is a cold sore present.

Before I answer this question, I will explain the causes and current treatments available for the common cold sore (which is caused by the Herpes Simplex type 1virus).

What causes them to occur?

Cold sores are caused by the HS virus (Usually type 1 for oral cold sores)-this virus is generally transmitted during early childhood via saliva i.e. kissing your baby, children sharing eating utensils, although the virus can lie dormant in the nervous system until triggered, which can be many years later.

Cold sores can be brought on by stress, menstruation, bright sunlight, wind damage, sunburn, fever, or local skin trauma. Even kissing someone with stubble! Surgical procedures such as dental or neural surgery lip tattooing, or microdermabrasion or facial resurfacing are also common triggers.

How will I know if I am getting a cold sore??

When you are about to get a cold sore, you will generally experience some or all of the following at the site where the cold sore will appear:

a)      Tingling (prodromal) stage: Itching, burning, tingling, and/or pain signal the start of a cold sore.

b)      Redness (erythema) stage: Swelling, redness, and soreness begin.

Then after this phase has passed we see:

c)      Small bumps (papule) stage: Small bumps develop and swelling may continue.

d)     Blister (vesicle) stage: One or more fluid-filled blisters form.

e)      Soft crust (ulcer) stage: Blisters break open and form an ulcer

Finally we see:

f)       Hard crust stage: Drying of the ulcer results in a scab and the hard crust disappears

g)      Remaining symptoms stage: Swelling, dry skin flakes, and/or redness remain after loss of the hard crust, and returning to the…….

h)       Normal skin stage: Cold sore disappears and normal skin returns

 

How can I treat/get rid of my cold core(s)?

Treatments available depend on what stage you start treatment:

Acyclivor topical cream is available in Ireland as Zovirax. This anti -viral topical cream which works by stopping the virus from copying itself, causing shorter outbreaks. It is a treatment for cold sores, not a cure.

Compeed Cold Sore Patch-this patch covers and protects the cold sore lesion, creating the optimal germ-free healing environment for faster healing and prevention of scab formation.

Plenty of other types of treatments exist for treatment for cold sores, but most centre around drying out the blister (applying alcohol Perfumes, Red wine sediment). Moisturizing the soft or hard crusts aids healing.

If you suffer from repeated severe episodes of cold sores, see your G.P., as a systemic course of anti viral medication could see you cold sore free for up to six months.

After your cold sore has healed, you may feel the area is still slightly raised. If this is the case, the root of the cold sore is living just under the skin. as such mild triggers can bring about another cold sore. Using a really rich moisturizer or vaseline for 3-4 weeks at night time can allow skin layers to shed evenly, and this will shed the root.

Finally Can I have dental treatment whilst I have a cold sore?

Technically, yes you can—but we consider it best to avoid all non-emergency dental treatments if possible, as the healing of the cold sore may be delayed due to the aggravation of the lips being stretched during treatment. Equally, it is ok to have dental treatment once you have passed the infectious stage—which is just after the vesicles have started to heal over and form the soft crust stage.

  • 8 out of 10 Irish adults entitled to free annual dental exam
  • But new figures show that of the 3.3 million people covered, less than 20% have availed of offer
  • Funding for PRSI scheme falls 87% in 3 years

Although 3.3 million Irish adults are entitled to a free oral examination once a year, fewer than 600,000 of them availed of the offer in 2011, whilst at the same time expenditure on both the Medical Card Scheme and the PRSI Dental Scheme have declined rapidly.

Know your entitlements, and take advantage of your free examination!

At Portobello Dental Clinic, your examination includes:

  • Comprehensive consultation and discussion
  • Detailed Dental Examination (Teeth)
  • Detailed Periodontal Assessment (Gums)
  • Oral Cancer Screening
  • No-obligation treatment plan and estimate if treatment needed

 

Dentists have found “striking” levels of bad teeth in athletes who competed at the London 2012 Olympic Games.

A fifth of athletes surveyed said their oral health actually damaged their training and performance. The study, published in the British Journal of Sports Medicine, suggested cavities, tooth erosion and gum disease were common in professional athletes.

Researchers said athletes, as a group, had worse dental health than other people of a similar age.

The beaming smiles of gold-medal winners Usain Bolt, Jessica Ennis-Hill and Mo Farah are some of the defining memories of London 2012. But a team at University College London says many competitors had dental problems.

“Our data and other studies suggest that, for a similar age profile, the oral health of athletes is poor. It’s quite striking,” said lead researcher Prof Ian Needleman. He said eating large amounts of carbohydrates regularly, including sugary energy drinks, was damaging teeth.

The study looked at those visiting the dental clinic at the London Games, which offered free check-ups and mouth guards.

Of the 302 athletes examined, from 25 sports, 55% had evidence of cavities, 45% had tooth erosion and 76% had gum disease. One in three said their oral health affected their quality of life and one in five said it affected training or athletic performance.

Teeth and Training….

Oral health is already a suspect in other seemingly unrelated conditions such as heart disease. People who do not brush twice a day are at higher risk of a heart attack and inflammation is common to both. The researchers suggest inflammation elsewhere in the body may also affect recovery time and susceptibility to injury. They added that tooth pain and the resulting impact on diet and sleep may also damage performance.

Prof Needleman, who is also director of the International Centre for Evidence-Based Oral Health, told the BBC: “We know the differences at the high end of elite sport are small, it would not be surprising if oral health was having an impact on those differences.

“Many sports medics have anecdotes about athletes missing medals at major competitions as a result of oral health problems.”

For the full article follow the link below

http://www.bbc.co.uk/news/health-24298109

 

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