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Patient unhappy with overlapping on front teeth
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After ortho treatment – massive difference in only a few months
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Massive smile from this patient – just in time for her wedding too!

 

Patient: Female in her late 20’s and obviously wanted her teeth to look better for her forthcoming wedding…..no pressure then at all….?

Treatment: Short term Orthodontics wit Dr Helen Walsh

Duration of treatment: 7 months approx.

Cost of treatment : € 2995, which includes a hygienist visit  and full mouth whitening after orthodontic treatment complete, as well as upper and lower fixed and removable retainers.

No re-touching of photos has been done.

 

 

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Before ortho- patient unhappy with the gap in her front teeth

 

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After ortho – patient delighted with her new smile!

 

 

Patient : CK in her 20’s didn’t like the space between her 2 front teeth.

Treatment: Orthodontics done by Dr Helen Walsh.

Cost of treatment: € 2995 which included a hygienist appointment at the end of the orthodontic treatment, as well as upper and lower fixed and removable retainers.

No re-touching of photos has been done.

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.

 

 

 

dr-daisy
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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Pre ortho treatment                                        Post ortho treatment
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Pre ortho treatment                                     Post ortho treatment

 

 

 

 

 

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Pre ortho treatment                                          Post ortho treatment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

At Halloween dentists might see a rise in emergencies such as broken teeth or loosened crowns. This may be because people tend to eat harder or stickier foods than usual or do things they don’t normally do such as cracking nutshells with their teeth or playing boisterous games. What’s more, at this time of year, more subtle damage can occur with the onslaught of sugary goodies and sticky treats which can lead to cavities down the line. However, you can take a few simple steps to avoid your own Halloween nightmare and protect your family’s teeth.

PREPARE FOR COMBAT

Tooth decay is caused by acid eating away the protective enamel. Acid is produced when bacteria in the mouth feeds on sugar. We don’t suggest you spoil Halloween for the kids and stop them enjoying a few sweet treats on the day, but if you have them brush their teeth just before the Halloween party you get ahead in the battle by reducing much of the bacteria. Brushing immediately after eating just spreads the acid around the mouth.

NIGHTMARE ON ENAMEL STREET

From twenty minutes to an hour after you stop eating, saliva, which is alkaline, neutralises the acid. Avoiding snacks between meals helps limit the number of times tooth enamel is exposed to acid. If the kids dip into their spoils while out Trick or Treating the temptation is there to graze all afternoon and evening, prolonging the acid bath. How about awarding spooky stickers or toys for keeping the goodie bags intact until after a substantial dinner? Make a game of it by covering the bags in fake cobwebs and spiders until the plates are (magically) cleared.

SWAMP OF GOO

The worst treats for your teeth are the gooey ones like toffee and caramel as they stick to the surfaces and in between teeth. If possible, switch them out for fast dissolving sweets such as chocolate, which doesn’t linger as long in the mouth.

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Squirrel eating a peanut courtesy, Mariappan Jawaharlal

NUTS, TRICK OR TREAT?

If your household is free from nut allergies, though they are a hard food, there is no reason why reasonably healthy teeth cannot have this traditional Halloween fare. Dentally speaking, crunchy is better than sticky. Nuts are packed with nutrients including calcium, zinc and magnesium and are good for teeth. Some nuts, such as cashews and walnuts, are softer than others and easier for small teeth to handle.

Adults who have crowns or bridges etc should go very carefully with very hard foods and certainly avoid sticky toffee. Those who wear braces for straighter smiles are also reminded to avoid both types of foods.

 VAMPIRES SUCK

If you are serving your vampire guests cranberry juice, or for adults, Bloody Marys, provide straws to help keep the acidic juice away from teeth. The celery served with a Bloody Mary is low in acid but also a good, crunchy and saliva-inducing tooth cleanser.

FRIGHT BITE

Teeth are meant for biting and chewing food. It can be too easy to forget when you are having fun, but they are not designed to be nut crackers or bottle openers. Though healthy teeth are strong, improper use can easily lead to chips, fractures or loss of a filling.

 

THE END IS NIGH…

Sugar free gum helps produce extra saliva which will neutralise acid faster and also wash out the mouth. Gum containing the sugar free sweetener, xylitol, has also been linked with remineralisation of tooth enamel.  For adults and kids old enough for gum make sugarless chewing gum containing xylitol the last treat of the party.

Have a happy, healthy Halloween!

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.

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Wednesday 16th September is Mouth Cancer Awareness day, and as part of our commitment to promoting dental health in Ireland, we are offering FREE oral cancer checks on the day to anybody who would like a professional screening. You do not have to be a patient at Portobello Dental Clinic to attend, and the screening process only takes 10 minutes of your time. If you would like to attend, please call us on 01 4542022 to schedule your appointment.
For more information on mouth cancer please read our previous blog post, Oral (Mouth) Cancer – Incidence, Diagnosis and Treatment.

How do I help my children look after their teeth?

Teaching your child, good oral care at a young age is an investment in their health that will stay with them for life. You can start by setting an example, taking good care of your own teeth sends a message that oral health is very important and anything that makes taking care of teeth fun, like brushing along with your child or letting them choose their own toothbrush, encourages good oral care.

To help your children protect their teeth and gums and greatly reduce their risk of getting cavities, teach them to follow these simple steps:

  1. Brush twice a day with fluoride toothpaste to remove plaque-the sticky film on teeth that’s the main cause of tooth decay.
  2. Floss daily to remove plaque from between your teeth and under the gum line, before it can harden into tartar. Once tartar has formed, it can only be removed by a professional cleaning.
  3. Eat a well-balanced diet that limits starchy or sugary foods, which produce plaque acids that cause tooth decay. When you do eat these foods, try to eat them with your meal instead of as a snack-the extra saliva produced during a meal helps rinse food from the mouth.
  4. Use dental products that contain fluoride, including toothpaste.
  5. Take your child to our dentist for regular check-ups.

What Brushing Techniques Can I Show My Child?

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You may want to supervise your children until they get the hang of these simple steps:

  1. Use a pea-sized amount of fluoride toothpaste. Take care that your child does not swallow the toothpaste(this is difficult with very young children-so we recommend using a children’s toothpaste which contains lower levels of fluoride).
  2. Using a soft-bristled toothbrush, brush the inside surface of each tooth first, where plaque may accumulate most. Brush gently back and forth.
  3. Clean the outer surfaces of each tooth. Angle the brush along the outer gum line. Gently brush back and forth.
  4. Brush the chewing surface of each tooth. Gently brush back and forth.
  5. Use the tip of the brush to clean behind each front tooth, both top and bottom.
  6. It’s always fun to brush the tongue!