Children's Dentistry

Children need to be educated how to brush their teeth, which is the beginning of dental care. The best way to remove plaque is by brushing and cleaning between your teeth every day. 
This is where dental health starts. There is just no substitute for physically removing disease causing dental plaque and calculus, especially in the hard to reach areas near the gum-line. 
In the clinic, professional cleaning removes accumulated plaque and calculus that has formed. Also, it can easy to spot early gum disease. Early detection is the key to reversing damage to gums, underlying bone, preventing tooth loss, and avoiding the need for more extensive treatment.

BRUSHING

Place your toothbrush at a 45-degree angle against the gums. Move the brush back and forth gently in short (tooth-wide) strokes. Brush the outer tooth surfaces, the inner tooth surfaces, and the chewing surfaces of the teeth. Use the tip of the brush to clean the inside surfaces of the front teeth, using a gentle up-and-down stroke.
Brush your tongue to remove bacteria and freshen your breath.

 

Dental Check-up

PATIENT EDUCATION

Brochures are available for patients’ education and Dr Vera always provides in-chair patient’s education as well as group classes.

ORAL HYGIENE EDUCATION

If you take good care of your teeth you can help prevent oral disease. In our clinic, we advise you how to improve your oral hygiene by better understanding the techniques of brushing and flossing. We educate our patients on the use of mouthwash, diet changes, cessation of smoking, and other bad oral hygiene habits.


REGULAR DENTAL CHECK-UPS

It is imperative to have a dental check up every 6 months. Dental check-ups are the cornerstone of good dental health. Maintaining good oral health is the best way to avoid the need for restorative procedures in the future.
 

Dentures

Millions of people worldwide wear dentures. Adults of all ages can enjoy the advantages of the partial, full and over-dentures due to the advanced techniques in modern prosthodontics. Dentures look natural and they fit better than ever before.
There is a learning curve, however the dentist will discuss fitting, cleaning and maintenance of the dentures in detail.
For many people denture vastly improves their oral health, function and appearance.

Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Digital X-ray

Digital X- Ray is used in the practice. It helps to evaluate and diagnose many oral conditions and diseases with minimal radiation exposure.
Patients are carefully examined in accordance with their general health and dental condition. Digital X-ray is a form of radiography where a sensor is used instead traditional photographic film. This is a big advantage in terms of time efficiency for our patients. It also possible to digitally transfer and enhance the image, which are immediately available to preview reducing patient waiting time.
 

Extraction - Including Wisdom Tooth Removal

Our aim in North Shore cosmetic is to keep your own teeth as long possible. There are certain instances where removal of the tooth is inevitable and it is only done after careful consideration and discussion with the patients.
Some of the reasons for taking the tooth out are:
•    Loose primary teeth
•    Badly decayed, damaged or broken teeth which are beyond repair.
•    Periodontally involved teeth with severe infection and damage to the bone.
•    As part of orthodontic treatment to improve the position and aesthetics of the teeth.
•    Wisdom teeth causing discomfort to patients.
Extractions are done under local anaesthesia.
Post-operative instructions are always given to patients.
Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Fissure Sealants

Sealants are invisible plastic coatings which fill the tiny grooves in back teeth so they do not become havens for bacteria. They prevent cavities from forming and the needs for fillings later on. Sealants protect the enamel of the teeth, and take only a few minutes to apply. They are beneficial for children and adults in the fight against tooth decay.

 

Periodontal (Gum) Disease

Gum disease is the inflammation of the gums caused by plaque. When plaque hardens, it becomes calculus. Formation of plaque is due to poor oral hygiene. It starts as gingivitis (inflammation of gums) and if untreated can progress to advance stage Periodontitis.

As a result, symptoms will progress from bleeding gums, pockets, abscess between the teeth and gums, bad breath, bad taste, loose teeth, drifting apart of teeth, and gaps between the teeth. Eventually, teeth can become loose and may have to be removed.

According the American Academy of Periodontology (AAP), factors that may contribute to gingivitis include, diabetes, smoking, ageing, genetic predisposition, systemic diseases and conditions, stress, inadequate nutrition, puberty, hormonal fluctuations, pregnancy, substance abuse, HIV infection, and certain medication use.

There are many forms of Periodontitis. Luckily, Periodontal disease can be preventable. Dr Vera recommends the patient receives treatment as early as possible.


 

Inlays and Onlays

A inlay is a filling which is made outside of the mouth, in a dental laboratory or in the surgery. The cavity has to have a particular shape that enables the inlay to slide in when it is cemented to the tooth. An inlay usually gives excellent aesthetic results.
A Onlay is an inlay with an extension over one or more cusp.
 

Intra-oral Digital Camera

Today’s dentistry uses intra-oral cameras to give the dentist and patients the best view of the situation inside the mouth. Sometimes it is difficult for patients to fully understand the condition of their teeth in the same way the dentist does. 
Using an intra-oral camera, a state of the art dental device; helps the patient to see what is happening in their mouth. This helps the patient to clearly understand the problem before discussing the possible treatment options with the dentist.
 

Laser Dentistry

Lasers in dentistry are used as an aid in treating the hard and the soft tissue.

Hard Tissue

•    Final cleaning of the cavities while removing decay
•    Final adjustment of crown preparations.
•    Additional sterilisation of root canal while doing RCT.

Soft Tissue

•    Gum re-contouring
•    Removal of fibromas from the oral cavity
•    Treatment of Herpes, aphthae and any other ulcers in the mouth.
•    As pain relief-LLLST (Low Level Laser Stimulation Therapy)
•    Post extractions, Dry socket and post-surgery.


Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Micro-dentistry

Micro-dentistry is the practice of finding and treating the decay as early as possible. It is removing as little tooth structure as possible and making the smallest possible restoration and fillings, and ensuring the restoration is aesthetically pleasing and long lasting.

Micro-dentistry is the science based multi-disciplinary approach to prevent and treat oral diseases, by use of minimally invasive treatment and accurate early diagnosis.

Modern dentistry is based on prevention. Prevention is far better than cure. The dentist, working together with the patients uses her/his understanding of oral disease to benefit the patient by pre-empting any likely complication.

Caries is the scientific term for tooth decay or cavities. It is a complex dental disease that requires careful and highly competent consultation. In instances when prevention cannot be achieved, early detection of caries is very important. 

We use the newest methods and tools for detection of caries.

When carious lesions are evident those lesions need to be restored. Waiting longer requires the cutting away of more tooth structure, weakening the remaining tooth. Care always needs to be taken to conserve as much tooth structure as possible. That is minimally invasive treatment. The key to micro-dentistry is making sure that your dental experience is comfortable so it is easier for you to maintain healthy teeth for your life.

The wide range of our general micro-dentistry services include:
•    Providing regular dental check-ups, x-rays and treatment for tooth decay & gum disease
•    Professionally cleaning and polishing your teeth
•    Sealing tooth cavities with white or tooth-coloured fillings
•    Checking the condition of your dental restorations
•    Crowns, bridges and dentures
•    Root canal treatment
•    Dental treatment for children
•    Night splints and mouth-guards
•    Tooth extractions
•    Giving you helpful advice about how you can best look after your teeth at home

Some of the dental technology and techniques we use in our clinic are:
•    A specialised dental camera to detect the earliest signs of tooth decay
•    The wand - Computer assisted anaesthesia system to deliver local anaesthetics

Let us help you preserve as much of your natural tooth structure as possible via early detection and treatment. We aim to treat cavities and gum disease before they cause toothaches, chewing difficulty, or turn into complicated and expensive dental problems.
 

Mouth Guards

For Adults or children who participate in contact sport, it is vitally important to wear an athletic mouthguard to protect the teeth. Failure to wear a properly fitting mouthguard will put the person at risk for tooth traumas, injuries, and even tooth loss.
Athletic mouth guards are comfortable to wear, are made to last, and are highly effective in protecting the teeth from trauma.
All our mouthguards are expertly fabricated in a dental laboratory using high quality materials.
 

Occlusal - Night splints

Bruxism, or tooth grinding, commonly occurs at night and can lead to headaches and jaw discomfort. Extreme bruxism can, if untreated, result in tooth damage or teeth loss. To correct the problem, we can make a custom night-guard to prevent the grinding.

 

Pain Relief Sedation

In some cases the clinic can use Pentrox or IV Sedation to reduce pain. 

Penthrox ‘The Green Whistle’

Penthrox Inhaler is a hand-held single use device for the self-administration of Penthrox (methoxyflurane) to aid in the relief of pain. It is a clear, colourless liquid with a characteristic fruity smell that becomes a gas once poured into Penthrox inhaler.
Since first used by Dr Vera & Dr Joseph Georghy in August 2002, the indications are expanding. It is increasingly used for Dental & Cosmetic procedures. 

IV Sedation

‘Twilight light’ sedation is the use of intravenous sedation, administered and monitored by a qualified and experienced Medical Doctor.

Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Scaling, Cleaning and Fluoride

This is where dental health starts. There is just no substitute for physically removing disease causing dental plaque and calculus, especially in the hard to reach area near the gum-line. Professional cleaning removes accumulated plaque and calculus that has formed. Also, it can easily spot early gum disease. Early detection is the key to reversing damage to gums, damage to underlying bone, preventing tooth loss, and avoiding the need for more extensive treatment.

Fluoride is the mineral which is incorporated into the teeth’s mineral structure making them stronger and decay resistant. Fluorides can even reverse tiny cavities that are starting to form. We are getting fluoride from toothpaste and drinking water. In the surgery we apply directly on the teeth in much higher concentration for more effective results.

 

Sealants

Sealants are invisible plastic coatings which fill the tiny grooves in back teeth so they do not become havens for bacteria. They prevent cavities from forming and the needs for fillings later on. Sealants protect the enamel of the teeth, and take only a few minutes to apply. They are beneficial for children and adults in the fight against tooth decay.

Snoring and Sleep Apnea

Snoring, Obstructive Sleep Apnea (OSA) and some sleep disorders are caused by partial or complete obstruction of the upper airway during sleep. This results in the interruption of breathing and lowered oxygen levels in the blood. OSA has been linked to high blood pressure, heart attacks and excessive day time sleepiness.
Fatigue from OSA is now recognized as an important cause of motor vehicle and work related accidents.
Dentists, working together with a sleep specialist, play an important role in screening and identifying the sleep apnoea.

TREATMENT

Losing weight can help overcome snoring and OSA but it is difficult to achieve in the short term. Dental appliances such as Mandibular plates can be fitted by the dentist to adjust the jaw position during sleep. It can be an effective treatment for snoring and OSA.
 

Temporomandibular disease (TMD)

Temporomandibular joints (TMJ) are the hinge that connects the lower jaw to the skull. With their movement, we can perform everyday activities such as speaking and chewing. Wear and tear, injury (whiplash injury), grinding or clenching the teeth, osteoarthritis, erosions, small displacement to the TMJ, even stress may result in TMD. This causes a chronic inflammatory reaction, creating problems not only to the jaw but also to the surrounding tissues (muscles and tendons).

Symptoms include:

  • Clicking, popping, or grating sounds in the TMJ
  • Pain in the teeth
  • Pain or tenderness in the face, jaw joint area, neck, shoulders
  • Pain around the ear when chewing or speaking
  • Problems or pain when opening the mouth wide
  • Difficulty in chewing, and sometimes locking the jaw
  • Swelling and tenderness in the affected TMJ
  • A tired feeling in the face

You may also experience: toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus).

Treatment options vary according to the cause of the problem:
•    Occlusal or night splint is the most common treatment and is proven to be highly effective.
•    Botox injections (muscle relaxant) can help as it relaxes the muscles and relieves the pain. The treatment is administered by Dr Joseph Georghy.
•    LLLrST (low level laser stimulation therapy) Here at North Shore Cosmetic, we have been using LLLrST since the early 1990’s.
•     Since 2013 the clinic is equipped with the latest in PRP technology. Using the Angel Whole Blood Separation System gives Dr Joseph Georghy the ability to tailor each treatment according to the patient’s needs. Research indicates the use of Platelet-Rich Plasma (PRP) in the treatment of Temporomandibular Joint (TMJ) Osteoarthritis (TMJ-OA) may enhance the regeneration of bone in TMJ-OA (*1,2,3).

References

1.    X.D. Wang, J.N. Zhang, Y.H. Gan, and Y.H. Zhou (2015). ‘Current Understanding of Pathogenesis and Treatment of TMJ Osteoarthritis.’ J Dent Res. 94(5):666-73.
2.    Machon V, Rehorová M, Šedý J, Foltán R (2013). ‘Platelet-Rich Plasma in Temporomandibular Joint Osteoarthritis Therapy: A 3-Month Follow-Up Pilot Study’. J Arthritis 2:112. doi:10.4172/2167-7921.1000112In conclusion, the use of PRP is an effective treatment option for early TMJ OA.
3.    Ayman F. Hegab, Hossam Eldin Ali, PhD, Mohamed Elmasry, PhD, Mustafa G. Khallaf (2015). ‘Platelet-Rich Plasma Injection as an Effective Treatment for Temporomandibular Joint Osteoarthritis’. Journal of Oral and Maxillofacial Surgery 73(9).
Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Full mouth reconstruction

When the whole dentition is broken down there is considerable tooth surface loss and/or multiple missing teeth, then a full mouth reconstruction may be recommended. This will normally require every tooth to be restored often with a combination of veneers, crowns, bridgework and implants.

Please note: ‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’