Northborough Dental Surgery Treatments, Services & Fees
We provide an extensive range of treatments from simple fillings and advice on oral hygiene to the provision of complex restorations such as crowns and bridges. Here are some of the things we can do to help you…
- Preventive Dentistry
- Routine Treatments including fillings, crowns and bridges and dentures
- Children’s Dentistry
- Emergency Appointments
- Periodontal Screening and Treatment (for gum disease)
- Root Canal Treatment
- Tooth Whitening
- Invisalign orthodontics
- Minor Oral Surgery
- Oral Cancer Screening
- Facial Aesthetics: dermal fillers and muscle relaxing injections
- Arrange referral to a suitable specialist practitioner for treatments we are not able to perform
In line with current thinking, our philosophy is to help our patients become dentally fit with minimal intervention. As there is often more than one approach to treatment, we will discuss with you all available options in detail to ensure every treatment plan is personalised for you. For every course of treatment we will provide you with a written treatment plan giving details of anticipated costs. We always aim to make your dental experience with us one that exceeds your expectations.
For more information on our dental fees – Click Here
To promote good Dental Health, we place a strong emphasis on Prevention – what you do at home is an important part of your dental care, and your compliance and involvement is crucial. We encourage you to have regular check-ups to maintain a good level of dental health not only for the benefit of your mouth, but also as an investment in your overall health as well.
We will explain how you can do your part in keeping your teeth for life and will provide instruction in the most appropriate oral hygiene techniques, advise you about preventing tooth decay and gum disease, and inform you of the best products to help you. At every examination we will screen your mouth thoroughly for signs of oral cancer and other diseases which might show up in the mouth. We will also offer other preventive health advice including dietary information and help for giving up smoking.
Dental Prevention strategies include:
- Professional cleaning and oral hygiene instruction to maintain oral and especially gum health,
- Decay prevention through dietary advice to help reduce the incidence of decay, using Fluoride varnish applications or provision of high-fluoride toothpastes,
- The diagnosis and prevention and timely intervention of tooth wear,
- The prevention of dental injuries from sports activities by providing bespoke sports mouth-guards,
Preventitive Dentistry Oral hygiene instruction with interdental brushes Probing to measure periodontal (gum) disease activity Sports mouth-guard
CROWNS, VENEERS AND BRIDGES
When a tooth is broken down or weakened, we can restore them with a crown
. This is a permanent structure and can be made of different materials depending on the situation. The tooth is shaped and an impression is taken using a putty-like material. We will choose a shade with you to match the surrounding teeth so the crown will blend in perfectly. This impression is sent off to a Dental Technician who will then make the crown individually for you. A temporary crown will be placed on the tooth to protect it whilst the crown is being made. A few days later, you will return to the surgery, we will carefully remove the temporary crown and cement on the finished crown having checked it fits properly.
A veneer is made in the same way as a crown but involves preparing the front surface of a tooth to improve the cosmetic appearance of a tooth. The fabricated veneer looks like a false fingernail, made of porcelain which is then cemented onto the tooth.
A bridge is a fixed structure to replace one or more missing teeth, to improve the cosmetic appearance or to provide better chewing function. They usually incorporate a crown at either end to attach it. The process is similar to having a crown made.
All these complex treatments will be tailored for each individual patient and will be explained in further detail so that you understand exactly what your treatment involves. If you have any further questions, please feel free to ask any of our team.
This is what a crown looks like: This is how crowning teeth can improve your smile! This is how a bridge works: This is how a bridge works:
When plaque bacteria on tooth surfaces are exposed to sugar in our diet, they produce acids which begin to dissolve tooth tissue. If repeated frequently, this continues until a cavity develops, requiring filling.
If you require a filling, we will discuss the most appropriate material for each particular situation. In line with modern dentistry, we try to avoid wherever possible using silver amalgam fillings as we think tooth-coloured fillings look much more natural and the latest developments are much longer lasting than some early materials.
White fillings are significantly more complicated to place since they need to be kept free of saliva and require extra stages to clean the prepared tooth surface and bond the filling to the cleaned surface.
It is important to get our children used to coming to the dentist so that it becomes a normal and non-threatening experience. We will start off gently, possibly with a ride in the chair and a look in the mirror and progress from there at your child’s pace.
We all want our children to grow up with Teeth for Life.
Prevention is the key to this…
Practically all decay is caused by sugar in our diets so if this is minimised from an early age, your child will have the best chance of staying cavity-free. However, much of the sugar we consume is “hidden” and you might think a particular food is safe but it may contain high levels of sugar nonetheless…for example fresh apple juice, crisps.
It is our experience that children are quite content drinking water rather than fizzy drinks if they are not exposed to them from an early age.
It is important to monitor your child’s toothbrushing up to about 8 years old. Make it a fun activity and try brushing your teeth with them so they see it as a normal part of daily life.
We will monitor your child’s teeth as they grow and develop, watching out for early signs of decay or gum problems. We may apply fluoride varnish or fissure sealant restorations (a thin layer of resin applied over any especially deep grooves / fissure on the biting surface of a tooth) to help reduce decay and we will watch out for crowding or delayed eruption of the permanent teeth in order to intervene with orthodontic treatment at the most appropriate stage.
We all want our children to grow up with Teeth for Life. Make it a fun activity and try brushing your teeth with them so they see it as a normal part of daily life. We will monitor your child’s teeth as they grow and develop, watching out for early signs of decay or gum problems.
We leave spaces in our appointment book to see patients who may require an emergency appointment with tooth pain or broken teeth.
If you have a problem, please call us first thing in the morning and we can make arrangements to help you. We may need to make further appointments to complete complex treatments or to review healing.
At weekends and bank holidays, we participate in an emergency rota system with other local private practices. Please call the practice number 01733 253241 first thing in the morning and follow the instructions on the answerphone message.
PERIODONTAL SCREENING AND TREATMENT
Periodontal disease affects up to 85% of the population and is usually painless in the early stages so often not noticed.
Early signs (referred to as gingivitis) include bleeding from areas of the mouth, commonly seen when rinsing after brushing.
It is a response to plaque left on the tooth, missed during brushing. Left untreated, it can result in the gum receding from the tooth, the build up of calculus (scale), with the tooth becoming increasingly loose and ultimately being lost, as well as associated bad breath (halitosis).
We screen for periodontal disease at each visit, measuring the “pocket” between the tooth and gum and checking for signs of activity.
We will discuss our findings and carry out appropriate cleaning and instruction in techniques you can perform at home to ensure optimum plaque removal, such as inter-dental cleaning tools, use of electric toothbrush etc.
As periodontal disease is caused by plaque, what you do at home on a daily basis to remove plaque, following our advice, will ultimately determine the success of periodontal treatment.
Calculus (also known as Tartar or Scale) behind lower front teeth Signs of periodontal (gum) disease Periodontal (gum) probing to measure disease. Oral hygiene instruction with interdental brushes. Polishing teeth Diagram of root canal treatment – Click Image To Enlarge
Also known as root fillings, endodontics etc
If a tooth is badly decayed or suffers trauma, then the living nerve in the centre of the tooth can die off and develop into an abscess. This can be extremely painful as it consists of a swelling within the jaw bone with an associated build up of pressure. Occasionally, they can develop un-noticed and be found on an X-ray taken before performing treatment on a tooth.
To treat a dental abscess, the infected nerve tissue within the tooth must be removed (using very fine files) and the nerve canal disinfected before being filled to the tip of the root.
The process is not especially painful but is a long treatment, often done over more than one session and there is often some pain after the treatment as the tissues around the tooth recover. You can think of it as being similar to having an operation on your tooth!
After the tooth has settled, it will usually require crowning to strengthen and protect the tooth.
We may advise referring you to a endodontic specialist for the best results in more complex cases.
Teeth do darken as part of the natural ageing process. Other things can cause teeth to discolour such as smoking, excessive tea and coffee drinking, following trauma. In the past, treatment for discoloured or darkened teeth involved involved and fairly destructive procedures, however, these days we can usually improve tooth colour with whitening.
We note the original shade of the teeth, take impressions and have made bespoke “bleaching trays” which are like very thin mouth-guards. We use a gel based on hydrogen peroxide which is syringed into the trays and then inserted into the mouth and worn for a few hours daily until the required whiter shade is achieved.
It is fairly usual for teeth to become a little sensitive following whitening but this can be managed using desensitising toothpastes and varnish.
Checking tooth shade Bleaching tray Filling the tray
Orthodontics, the process of aligning teeth is individually tailored for each patient. There are various methods used, often involving referral to an orthodontist, but in some cases we can use “invisible braces” [eg Invisalign] which involves making a series of clear plastic braces (which resemble thin mouth-guards) specifically engineered to move teeth into position a little at a time.
Ask for further details.
Dental treatment should be seen as a long term investment in your health and if you follow the prevention advice of your dentist, your treatment needs should be kept to a minimum.
Our fees are based on the surgery time required to complete your treatment and to ensure that:
We are able to use the highest quality materials and laboratories
We comply with the rigorous Care Quality Commission and General Dental Council regulations, protocols and decontamination measures
We as clinicians are able to invest in advanced training to ensure our clinical skills are at the forefront of modern dentistry.
We pride ourselves on our high quality of care and individually tailored service and we think that you will find our charges broadly in line with other fully private practices.
Dental Treatment fee guide
Initial Full Assessment – £150
(to include up to 4 X-rays if clinically appropriate)
(for new patients or patients who haven’t had an inspection for over 18 months)
Six month recall £45
9 to 12 month recall £60
Intra-oral X-ray – £15 each
Scaling and Gum (periodontal) Treatments
Simple fine scale and polish – £50
Extensive scaling and polish – £75
Periodontal treatment appointment – £120
Extractions – £120- 300 +
(depending on complexity I surgical)
Root Canal Treatment
£400 – 700 +
(depending on complexity, number of canals etc)
Fillings – £85 – 240 +
(depending on complexity, size and materials)
Crowns / Bridges
From £550 + per crown or per tooth unit on bridge (depending on materials used)
Dentures – £800 – 2000 +
(depending on materials used and number of teeth being replaced)
Facial Aesthetics Consultation – £60
(taken at time of booking, set against fees if treatment provided)
Failed Appointment/ Late Cancellation Charges
£1 per minute of surgery time
(unless we are able to fill the appointment)