The NobleDentist Blog

Our dentists have once again put together a paper to assist you. This time on Conscious Sedation.

What is conscious sedation?

Conscious sedation is a very safe, very efficient and very effective way of providing anxiety relief and pain control during dental procedures. There are 2 groups of patients who benefit from this technique:

• Patients undergoing relatively unpleasant or lengthy procedures such as removal of wisdom teeth or other complex procedures.


• Patients who fear most forms of dental treatment and who often avoid going to the dentist.

The drugs we use in sedation are given intravenously – usually into a vein on the forearm or the back of the hand. The injection may cause mild discomfort. These drugs are the same or similar to drugs used in general anaesthesia but given at a slower rate and/or in smaller doses.

As the name implies, conscious sedation is not a general anaesthesia. The aim of conscious sedation is to reach a state of calm relaxation and drowsiness, so that you:

• know very little of what is going on;


• do not care about what is going on; and


• remember very little, if anything, of what goes on.

With conscious sedation, time seems to pass very quickly and before you know it the procedure is completed and it is time to go home.

Other options?

• Conscious sedation is not a replacement for good basic dental care – it simply provides a means of making some procedures less of an ordeal.


• Conscious sedation is not usually for children.


• Hospitalisation and general anaesthesia is also a very safe treatment option. However, with the simplicity of conscious sedation and the excellent drugs we have available today, it is only on rare occasions that we recommend this option for fit, healthy adolescents and adults.

How safe is conscious sedation?

• Modern methods of sedation are low risk and very safe.


• Throughout the procedure you are under the care of 2 clinicians. The first provides the actual dental/surgical treatment. The other (i.e. the sedationist) is fully involved with administering the sedation and monitoring your breathing, blood pressure, heart rate and rhythm, and oxygen saturation with the aid of specialised monitoring devices.

What after effect should I anticipate?

• You will be drowsy for several hours after having conscious sedation. It is therefore important that you follow the postoperative instructions given to you.


• Postoperative nausea and/or vomiting are rare but can occur. If such symptoms persist the day after the procedure, you should contact the dental centre for further advice.


• Tenderness or bruising around the intravenous injection site is also rare. If it does occur, it will normally resolve within a few days.

Does conscious sedation always work? Will I be aware of/remember what is occurring?

• As alluded to above, conscious sedation is not general anaesthesia. You may hear us talking and be vaguely aware that something is being done – but it won’t worry you.


• On very rare occasions a patient may not respond to the drugs/dosage that we use in conscious sedation. On these rare occasions it may be necessary to stop the procedure and resort to alternative treatment methods.


• The most important thing for you to do on the day of your operation is to arrive relaxed, confident and trusting your dentist.

Preoperative Instructions
(Failure to comply with these instructions may result in the cancellation of your procedure)

• Limited solid food may be taken up to 6 hours prior to your procedure. If your appointment is not until the afternoon, you may have light breakfast – but this must be at least 6 hours prior to your appointment.


• Routine medications (e.g. blood pressure tablets) are to be taken as normal but with just a sip of water.


• Otherwise only medications ordered by the sedationist may be taken less than 24 hours prior to your procedure.


• Smoking affects your blood’s ability to transport oxygen. Therefore, to ensure you are in the best physical state to undergo sedation, smoking should be ceased at least one week prior to the procedure.


• As a bare minimum, smoking should cease or be significantly reduced at least 24 hours before your procedure.


• For your own comfort and to allow us to readily attach our monitors, please wear loose fitting clothes. We ask that you wear short sleeves and either long pants or shorts.


• Veins are sometimes harder to find in cold weather – please wear warm clothes if it is cold.


• As our monitoring equipment is very sensitive and subject to interference, please refrain from wearing neck and wrist jewellery/watches and please remove finger nail polish.


• Contact lenses should not be worn.


• You will be unable to drive following your procedure.


• You will need to arrange suitable transport home.


• A responsible adult who can take you home must accompany you.


• To help minimise the risk of postoperative infection, please brush your teeth thoroughly before coming to the dental centre.


• Remember to rinse only – do not swallow the water.


• Upon your arrival, you will be asked to sign a consent form for conscious sedation, confirming that you understood and complied with the preoperative instructions.


• During the procedure, you may be given some fluids intravenously. For your personal comfort in the immediate postoperative period it is recommended that you use the toilet immediately prior to coming through for your procedure.

Postoperative Instructions

It is important that both you and the person accompanying you understand that for at least 12 hours following your conscious sedation:

• No alcohol may be consumed.


• Your concentration and memory will be poor. You should therefore avoid potentially dangerous activities such as driving, operating machinery, climbing ladders, or crossing roads unescorted.


• Avoid making important decisions or commitments.

Please remember to relax and enjoy yourself during the procedure. Be secure in the knowledge that the dentists will be looking after you whilst providing high quality dental treatment.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Australia’s café society may be putting their teeth in danger by drinking too much coffee, according to the Australian Dental Association (ADA). The ADA advises Australians to think twice before ordering that second coffee as caffeine interferes with natural saliva production, resulting in a dry mouth.

Chairman of the ADA’s oral health education committee, Dr Don Wilson said, ‘It’s important to keep a constant flow of saliva in the mouth to ensure re-mineralisation can occur’. Re-mineralisation is essential in order to alleviate the damage caused by acid in the mouth, which contributes directly to tooth decay.

Australians consume more than 55,000 tonnes of coffee each year, ‘That’s a lot of dry mouths’, said Dr Wilson. When you have a cup of coffee, it is preferable to drink a glass of water at the same time. The water will replenish the fluid that is drawn out of the body by the caffeine.

It isn’t only coffee that dries the mouth. Any soft drink containing caffeine, such as cola and some energy drinks, has the same effect.

‘We are not asking Australians to give up caffeine but, for the sake of their teeth, they should limit their intake of coffee and other caffeine-based drinks,’ said Dr Wilson.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Celebrating Australia Day reminds me to consider how tremendously privileged I am to call myself an Australian. I have always felt a sense of pride to be Australian. And for several years now, I have felt a growing sense of responsibility that accompanies the privilege.

In 2003/04, I had the good fortune to travel around the world. During this time I must of said ‘G’day Mate’ to so many foreigners that it would be too numerous to count. So many doors opened for me when I would inform people that I was an Australian (or more often that I was an ‘Aussie’). People would invite me for drinks, into their homes for a meal, and to lodge with them during my stay. On the odd occasion, they even offered their daughters – was sometimes a bit overwhelming.

Foreigners were genuinely fascinated with Australia. They praised our wonderful climate, the scenery, our values, lifestyle, opportunities, and our laid back and friendly character. Some even shared with me their desire to move to Australia. It was an honour to be apart of something that others felt was special. It was also clear to me that I was benefiting from other Australians who had created these wonderful sentiments.

Whilst I enjoyed traveling the globe, I was very happy to be returning home to Australia.

So whether you are participating in a ute competition, the great dummy spitting championship, the great aussie thong throw or simply having a barbeque, have a wonderful Australia Day.

Aussie! Aussie! Aussie! Oi! Oi! Oi!

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

An article titled Too Many Soft and Sports Drinks Can Harm Teeth has appeared in Femail.

The President of the ADAVB, Dr Suzanne Hanlin, commented that whilst it is important to remain adequately hydrated during summer it is also important that the amount of soft and sport drinks consumed should be limited. She goes on to say that a 600ml bottle can contain up to 13 teaspoons of sugar as well as high acid levels – both of which can damage teeth.

The Association recommends limiting consumption and suggests:

• Trying not to hold or ‘swish’ soft drinks or sports drinks around the mouth as this increases the likelihood of dental decay and enamel erosion.
• Using a straw where possible as this minimises exposure of the beverage to teeth.
• Trying to drink chilled soft drinks and sports drinks as cooler temperatures have been shown as less likely to encourage tooth erosion.
• Drinking fluoridated tap water as much as possible. Try to follow consumption of a soft drink or sports drink with a glass of water as it helps with saliva flow and helps wash the sugars and acids from such drinks away. Increased saliva flow can assist with neutralising acid from bacteria and protect teeth.

To read the entire article, simply click on Too Many Soft and Sports Drinks Can Harm Teeth.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

For those of you concerned about the issue of water fluoridation in Queensland, below are a variety of links to information supplied by Queensland Health.

• Reducing tooth decay in Queensland


• Fluoridation of water supplies and your health


• Water fluoridation helps protect teeth throughout life


• Queensland household survey – November 2004


• Water fluoridation – Information for health professionals


• Water fluoridation – Snapshot (for health professionals)


• Code of Practice for the Fluoridation of Public Water Supplies


• Water fluoridation – Information for the consumer

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Our dentists have once again put together a paper to assist you. This time on Bad Breath.

Overview

Bad breath is an awful condition that can cause us to feel self conscious when talking with others. So serious is this condition that it can create social and psychological impediments which affect our relationships. Many sufferers of bad breath are unaware. Others rely on items such as mints and mouthwashes that only assist temporarily.

Thankfully bad breath can in some cases be improved with proper oral hygiene. It is recommended that you visit a dentist in the event that proper oral hygiene does not provide an adequate solution. A dentist can ascertain the cause of your bad breath and advise you on a course of action to end the bad breath. You should comforted by the high rate of success achieved by dentists in managing or eliminating bad breath.

Do I suffer from bad breath?

It is very difficult to tell on your own. Efforts to yield results by cupping your hands over your mouth and smelling your own breath will be ineffective. The most effective method used to determine whether you have bad breath is to ask someone as bad breath becomes apparent when we are talking.

What causes bad breath?

There are several causes of bad breath.

1. Food is the most well known cause of bad breath. Bad breath can be a result of foods containing particular oils such as onions and garlic. Other foods including some vegetables and spices can contribute to bad breath. Another source of bad breath arises when food left in your mouth that is caught between your teeth or stuck to your teeth begins to breakdown.

2. A lack of dental hygiene can be a reason for bad breath. Food particles left within your mouth will emit an odor in the event you do not brush and floss effectively. Plaque will form on your teeth and fill pockets between your teeth affecting your gums. The result will be gum disease and bad breath. It is imperative that proper dental hygiene is maintained.

3. A dry mouth can result in bad breath. This is because dead cells congregating on your tongue, gums and cheeks breakdown and emit an odor. Most people would be familiar with this occurrence as it is the reason for having bad breath when we awake in the morning. Dry mouth can be made worse as a result of smoking, issues with your salivary glands and various medications.

4. Smoking will adversely affect your breath. Smoking dries the mouth resulting in bad breath. Gum disease which causes bad breath is also more prevalent in smokers.

5. Dieting can also be a source of bad breath. The breakdown of body chemicals during dieting can result in bad breath. This bad breath is sometimes described as smelling ‘fruity’.

6. Bad breath can be associated with certain illnesses and conditions. These include diabetes, kidney failure, chronic lung infections and lung abscesses, and chronic reflux of stomach acids from your stomach. Hiatal hernia can also be a source of bad breath.

7. Sinus infections can also result in bad breath. This is because a nasal discharge from your sinuses into the back of your throat can cause bad breath. A throat infection such as tonsillitis, strep throat and mononucleosis can also be the reason for bad breath. Other culprits include some upper respiratory infections and bronchitis due to the coughing up of odorous sputum. Canker sores when in the company of gum disease can also be a source of bad breath.

What can be done about bad breath?

Maintaining good oral hygiene is a critical factor in preventing bad breath. You should brush twice a day using fluoride toothpaste. And clean between your teeth daily with dental floss ensuring to also brush your tongue. Refrain from wearing your dentures at night and clean them well before replacing them the following morning.

Visits to the dentist for a check-up will ensure any issues that cause bad breath may be detected and treated. It is also advisable to receive regular dental cleanings.

How do I find a dentist who treats bad breath?

Identifying the source of your bad breath can be done by a visit to the dentist. A treatment plan can then be developed to manage or eliminate your unpleasant breath.

How is bad breath treated?

Bad breath is generally caused by a problem within the mouth so it is very likely that a dentist can assist you with your problem. It is advisable not to disguise your bad breath when visiting a dentist. This way the dentist can assess the full extent of the problem.

Your dentist will first ascertain whether the source of your bad breath is within your mouth and then propose a treatment plan. You may be referred to a periodontist in the event that you are suffering from gum disease. It may be necessary to visit other health professionals if no oral cause can be identified by the dentist.

How can I help myself?

1. Brush your teeth after you eat. Keep a toothbrush at work to brush after eating.

2. Brush your teeth with a soft-bristled toothbrush and change your toothbrush every three to four months.

3. Brush your tongue. This will remove dead cells, bacteria and food debris. Use a soft-bristled toothbrush and brush your tongue with at least 5 to 15 strokes.

4. Floss at least once a day. This will remove food particles and plaque from between your teeth.

5. Use a mouthwash recommended by your dentist or pharmacist before going to sleep.

6. Consume plenty of water to keep your mouth moist. Chewing sugarless gum or sucking on sugarless candy also stimulates saliva which washes away food particles and bacteria. Resist coffee, soft drinks or alcohol.

7. Clean your bridge or denture thoroughly at least once a day or as directed by your dentist.

8. Visit your dentist at least twice a year to have your teeth or dentures examined and cleaned.

Will mouthwash help with bad breath?

Mouthwashes are only a temporary measure in the fight against bad breath. The alcohol contained in mouthwash dries your mouth which will leads to bad breath. The ideal time to use mouthwash is when going to sleep as the bacteria in your mouth that causes bad breath will be eliminated while you sleep. Your dentist or pharmacist should be able to recommend a suitable mouthwash.

Will sugarless gum help with bad breath?

Bad breath can be assisted by chewing sugarless gum as it encourages saliva flow. Sulfur particles that cause bad breath are dissolved by saliva. Saliva also cleanses the teeth of bacteria and food particles.

Can talking a lot during the day cause bad breath?

Talking excessively can dry your mouth and stimulate bacteria that causes bad breath. The solution is to drink water consistently or place a drop of lemon on your tongue. This will keep you mouth moist and encourage the flow of saliva.

Can my menstrual period cause bad breath?

Women may experience bad breath during their menstrual cycle. The gums become more accommodating for bacteria causing bad breath during this time. Capillaries running through the gums sometimes burst releasing a little blood into the gums. An unpleasant odor is produced as a result of bacteria feeding on this blood.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Our dentists have once again put together a paper to assist you. This time on Dental Phobia.

What is dental phobia?

A fear or anxiety associated with visiting a dentist is often referred to as dental phobia. Dental phobia is often the reason people avoid regular check-ups with a dentist. This naturally has serious consequences for the state of oral health and general well-being for many people.

Neglecting your oral health can have numerous unfavorable effects. One of these could be chronically infected gums which can seriously compromise your ability to chew and digest. You may even lose teeth. Your speech may then be affected. You may also develop consistent bad breath and an unattractive smile. All these things are likely to create social and psychological barriers in your relationships. It is also well documented that poor oral health can have resounding effects on your general health. It is for this reasons and many more that dental phobia must be addressed.

Are you affected by dental phobia?

The questions below will give you some idea as to whether you suffer from dental phobia. It is advisable to continue reading in the event that you answer yes to any of the questions. You should feel encouraged that there are many ways to combat dental phobia and the success rate in managing dental phobia is significantly high.

• Do you recall a previous visit to the dentist that was unpleasant?
• Are you concerned that you will be embarrassed as a result of remarks the dentist will make due to the state of your oral health?
• Do you avoid your appointment with the dentist due to an uneasy feeling prior to your dental visit?
• Do you feel anxious while in the waiting area of the dental practice?
• Do you have feelings of uneasiness or tension whilst in the dental chair?
• Does the sight of dental instruments invoke unpleasant feelings?
• Do you feel ill or anxiety at the thought of an injection?
• Do objects placed in your mouth during the dental visit make you panic and feel like you can not breathe correctly?
• Do you feel that your dentist is unsympathetic only with you?

Why are you affected by dental phobia?

Dental phobia can come about for many different reasons. Below is a list of those reasons described most often by people. You may be familiar with some of these.

• A previously unpleasant visit to a dental practice. This could be for many reasons including careless remarks made to you by a dentist or hygienist that adversely affected your dental experience.
• You have heard concerning stories from friends and family regarding visits to the dentist.
• You have seen or read sensationalized and frightening depictions in the media of dentists.
• You feel a lack of control in the dental chair that makes the situation uncomfortable.
• You feel very self conscious about the poor state of your teeth and as a result are embarrassed to highlight the fact with dental staff.
• You have a negative feeling at the thought of visiting a dentist due to their use of dental gowns, masks, and latex gloves.

How do you put an end to your dental phobia?

1. Dental fear can be overcome.

Understanding that dental phobia can be overcome is a good beginning. You are not destined to suffer from dental phobia for your entire life. The fear you associate with visiting the dentist can be unlearned. Keep in mind when visiting the dentist that you are not simply a set of teeth but a person. A concerted effort to make use of techniques discussed below can put your fear to rest.

2. A suitable dentist.

It is essential to have a dentist and staff that are suitable. Your visit to the dentist can be pleasant with a dentist who is sympathetic towards your dental phobia. Dentists genuinely concerned about your welfare will listen carefully to your needs and proceed accordingly. You should not hesitate to seek out an alternative dentist in the event that this is not the case.

3. Be honest with your dentist.

There are many treatment options that people do not know about. Several of these could assist you greatly. Try to put aside any embarrassment you feel for the current state of your oral health. Your dentist will be able to help you to a greater degree if you communicate openly and honestly about your concerns.

4. Good communication.

Effective communication between you and your dentist can go a long way to making you feel comfortable. You could eliminate the fear of the unknown by communicating to your dentist such pieces of information as lengths of appointments that you can tolerate. Establishing a signaling system to indicate the need for a break or some other message can also give you confidence. Raising a hand while in the dental chair is a commonly used hand signal.

5. Knowledge.

Obtaining knowledge about prospective dental procedures can put to rest any anxiety. Information regarding dental procedures is readily available in brochures in the practice, books and the internet. Any remaining questions can be answered by your dentist. Your dentist is well aware of the seriousness of dental phobia. So do not hesitate to take part in decisions relating to your treatment plan.

6. Relaxation techniques.

Learning to relax when visiting the dentist is imperative. Various physical relaxation techniques can put your mind at ease. It may do you some good to look into books on diaphragmatic breathing, progressive muscle relaxation, or yoga.

7. Distraction techniques.

Distraction techniques can assist you to make dental visits more tolerable. One common method used for distraction is to listen to music while your dentist works. Some dental practices keep on hand Walkmans or Discmans. Keep in mind not to hinder your communication when making use of distraction techniques.

8. Predictable pain control.

Local anesthetics can be utilized to prevent pain. Some people though require more customized techniques in order to attain proper local anesthesia. It is therefore important that your dentist be made aware of your situation.

Nitrous oxide, otherwise known as ‘laughing gas’, can relieve pain. Several oral medications can also assist you with dental phobia. Medication such as valium can make you feel considerably relaxed throughout any dental procedure.

A discussion with your dentist could help you to identify a suitable option.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Dr Joseph Tran of Runcorn Dental has officially become a NobleHealth participating dentist.

Members wanting to make an appointment can simply click on Find a Dentist for contact details.

Dr Joseph Tran is available to see members 7 days a week – Sunday by appointment only.

He can also perform Zoom Teeth Whitening and he can use Penthrox for pain and anxiety relief.

Surrounding suburbs include Eight Mile Plains, Kuraby, Stretton, Sunnybank, Sunnybank Hills, Fruitgrove, Rochedale, and Calamvale.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Our dentists have once again put together a paper to assist you. This time on Cosmetic Dentistry.

Are you happy with your smile?

A smile is a person’s most prominent facial feature. It is an important part of a first impression and often remembered long after you have left the room. There are, however, people that try to hide their smile. This is due largely to imperfections with their teeth. You no longer have to settle for stained, chipped, missing or misshapen teeth. Advances in dentistry have come up with answers to these problems. You now have choices that will help you smile with confidence.

Importance of your smile

A recent American study has found that teeth are the number one facial feature that people would change. 75% of adults think that a nice smile is important to career success. 84% think that an attractive smile is important for meeting Mister or Miss Right.

The study was conducted on a representative sample of 1000 American adults both men and women between 18 and 50 years of age. The poll explored the importance of smiles in relation to business and careers, dating and marriage, the social arena, and the overall value of smiles and self-esteem.

Smiles and the Social Arena

94% of those polled said they are likely to notice a person’s smile when they meet them for the first time. People are less likely to notice someone’s height, eyes or figure. More than one half (71%) believe people with a nice smile make friends more easily. Over one third agree that bad teeth overshadow the rest of a person’s appearance. An overwhelming majority of adults (85%) consider a person’s smile to be very important when meeting someone for the first time.

Smiles and Self Esteem

Almost two-thirds (64%) agree that people with a nice smile are more outgoing. 77% think that having discoloured teeth as an adult makes a person feel self conscious. 87% think a person’s smile is very important to their self esteem. When asked which facial characteristic they would change if they could, one in four adults (25%) would change their teeth/smile. Smaller proportions would change their skin (17%) or nose (13%).

Smiles and Relationships

84% of adults perceive having an attractive smile as important for getting a date with Mister or Miss Right. Over one-third would not be likely to set up their best friend on a blind date with someone with bad teeth. One-third would not be likely to kiss someone with bad teeth. An overwhelming majority of adults (85%) consider a person’s smile to be very or somewhat important when meeting someone for the first time. Almost 9 out of 10 (86%) think people with good teeth are more attractive.

Improve your smile

Even the most subtle change in your smile can make a dramatic difference in the way you look and feel about yourself. Our Brisbane cosmetic dentists can help you show off a bright and wonderful smile using various cosmetic dentistry procedures. Such cosmetic procedures include the use of white fillings, teeth whitening, dental bonding, dental crowns and dental veneers. Our Brisbane cosmetic dentists have helped many individuals gain an attractive smile they have always wanted. We could do the same for you.

White Fillings

1. Are white fillings for you?

If you have a cavity in a tooth, broken fillings, mercury fillings, or amalgam fillings, this type of dental filling is well worth discussing with our Brisbane cosmetic dentists. Mercury fillings or amalgam fillings can be easily removed and replaced with tooth coloured fillings. These fillings actually strengthen your tooth beyond the level it had with the amalgam fillings. Composite resins may also be used to enhance the appearance of any tooth.

2. How white fillings will benefit you?

• They look better and are colour blended to match your natural tooth colour.
• The white fillings add further support to the remaining tooth structure which helps prevent breakage and damage to your tooth.
• Studies and tests show that the allergy potential is reduced considerably with white fillings.
• The modern composition provides white fillings with high stress resistance. Tests confirm that the fillings are more dimensionally stable and more abrasion-proof under chewing stress.
• White fillings last about 6 to 12 years.
• The procedure usually takes only one visit to your dentist.

3. What are composite resin fillings (white fillings)?

Many people have amalgam fillings (silver) or gold filling restorations. Metal fillings are effective but very noticeable and tend to blacken in colour over time. Composite resin fillings were created as an alternative to traditional metal fillings. Composite resin fillings are tooth fillings coloured to look like a natural tooth. Composite resin fillings are strong, durable, and make for a very natural looking smile.

4. How much do composite resin fillings (white fillings) cost?

Composite Resin Fillings (white fillings) – Usual Fees $100-$330 – NobleHealth $80-$160

Joining NobleHealth for 24 months is a total of only $99.95 for an individual or a total of only $149.95 for couples & families.

Teeth Whitening

1. Is teeth whitening for you?

If you drink coffee, tea or red wine, smoke, enjoy curry then teeth whitening is well worth discussing with our Brisbane cosmetic dentists. Whitening of the teeth is performed for you if you desire a brighter smile. Teeth whitening can be performed to reduce discolouration and staining or simply to provide you with whiter, brighter teeth.

2. The benefits for you?

• You will feel more confident especially when talking with others.
• A whiter smile will give you a more youthful and energetic appearance.
• Whiter teeth are associated with beauty and a healthier lifestyle.
• You will smile more often and be less self-conscious with a brighter smile.
• A whiter smile gives you a friendlier appearance.

3. What is teeth whitening?

Teeth whitening is a bleaching process that lightens discolorations and removes stains from the enamel of your teeth. The ‘Custom Trays’ teeth whitening is a straightforward and painless procedure.

4. How the procedure is performed?

Custom made bleaching trays are made from impressions taken of your teeth. These custom made bleaching trays are designed to fit over your teeth. You then place the bleaching gel solution in the trays and it works to remove stains and discoloration from your teeth. The trays can be worn while you sleep. An improvement in the appearance of your teeth is often noticeable after only a few days. Your dentist will help you decide on the duration and intensity of treatment best suited to your needs.

5. How long does teeth whitening last?

Lightness should last from 1 to 5 years. This will depend on your personal habits such as smoking and drinking coffee and tea. At this point you may choose to get a touch up. This procedure may not be as costly because you can probably still use the same custom made trays. Re-treatment time is also much shorter than the original treatment time.

6. How much does teeth whitening (‘Custom Trays’) cost?

Teeth Whitening (Take Home) – Usual Fees $475-$575 – NobleHealth $350

Health insurance does NOT typically cover the cost of the teeth whitening procedures.

Joining NobleHealth for 24 months is only $99.95 for an individual or only $149.95 for couples & families.

Dental Bonding

1. Is dental bonding for you?

If you have small gaps between your front teeth, chipped or cracked teeth, crooked teeth, discolored teeth, uneven teeth, gum recession or tooth decay then it may be well worth discussing dental bonding with our Brisbane cosmetic dentists.

2. How dental bonding benefits you?

• Composites will match the color of your other teeth.
• Composites permit your dentist to remove only the decayed area of your tooth.
• Composite bonding is less likely to cause cracks in your tooth unlike silver fillings.
• Composites bond directly to the tooth providing support.
• Composites can be used to fill in cracks, chips and gaps.

3. What is dental bonding?

Bonding is a procedure in which composite resin is applied to the front surface of a tooth. Composites are the solution for restoring decayed teeth. It can whiten stained teeth, lengthen short or chipped teeth, close minor gaps between teeth and can be used to correct crooked teeth. This method works well with brownish or greyish-tinged teeth which do not always respond to bleaching.

4. How the procedure is performed?

The dentist applies phosphoric acid to the tooth to remove the shine of the enamel. This step is necessary in order for the resin to stick to the tooth. Next, the dentist applies the resin to the tooth. Your dentist sculpts, colors and shapes it to provide a pleasing result. The dentist then flashes a high-intensity light which hardens the resin and the surface is finely polished.

5. How long does dental bonding last?

Dental bonding lasts about five to ten years. At that time, the process may have to be repeated as plaque and other stains may have caused the tooth to lose its shine.

6. How much does dental bonding cost?

Dental Bonding (per tooth) – Usual Fees $300-$395 – NobleHealth $195

Health insurance does NOT typically cover the costs of dental bonding procedures.

Joining NobleHealth for 24 months is only $99.95 for an individual or only $149.95 for couples & families.

Dental Crowns

1. Are dental crowns for you?

If you grind your teeth, have an improper bite, aging teeth, poor chewing patterns, fillings and tooth decay then it may be well worth discussing dental crowns with our Brisbane cosmetic dentists as these can all be contributing factors in the wearing down, cracking or breakage of your teeth. Crowns are a cover or cap that is fitted on your affected tooth to improve its strength, durability and appearance. Crowns are also used to replace a missing tooth.

2. How dental crowns benefit you?

• Dental crowns can dramatically improve the appearance of your teeth.
• Crowns in general add strength to weakened or worn teeth.
• Crowns can replace missing teeth.
• Provides support to misshapen teeth or badly broken teeth.
• Fixes major “smile” and functional chewing problems.
• Looks completely natural. Porcelain crowns or new reinforced resin are considered to be the most aesthetically pleasing as it is easily matched in colour to the surrounding teeth.

3. What are dental crowns?

A dental crown, also known as dental caps, is an artificial material used to replace large parts of a tooth or a whole tooth that has been fractured or decayed. Crowns fit over and cover the outside of teeth starting at the gum line. They are usually made of gold, porcelain or a combination of both.

4. How the procedure is performed?

The “capping” procedure takes place under anaesthetic. As the crown is about two millimetres thick, the dentist first shaves this same amount off your existing tooth to avoid awkward-looking, oversized teeth. The dentist will also re-shape your tooth into a form upon which a cap can easily sit. The dentist will then make a replica of your tooth. Usually, this replica will be a putty mold. This mold is then sent to a laboratory where the crown will be made based on this mold. In the case of a porcelain crown, the dentist will choose a shade close to the colour of the surrounding teeth. You will return about two weeks later to have the crown fitted and once both you and your dentist are satisfied with the “look and feel” of the crown, it will be cemented over your original tooth.

5. How much do dental crowns cost?

Metallic Crown – Usual Fees $1000-$1345 – NobleHealth $800
Metallic & Ceramic Crown – Usual Fees $1100-$1450 – NobleHealth $900
Ceramic Crown – Usual Fees $1400-$1650 – NobleHealth $1050

Health insurance does NOT typically cover the costs of dental crown procedures.

Joining NobleHealth for 24 months is only $99.95 for an individual or only $149.95 for couples & families.

Tooth Veneers

1. Are tooth veneers for you?

If you have teeth that are too small, too big, or have uneven surfaces then it may be well worth discussing tooth veneers with our Brisbane cosmetic dentists. It is very common for people to have imperfect teeth. This includes oddly shaped teeth, chipped teeth, crooked teeth, teeth with small holes in them, an inappropriate sized tooth or unwanted or uneven spaces. Veneers solve such irregularities and create a durable and pleasing smile.

2. How tooth veneers benefit you?

• You can have the smile of your dreams in a very short period of time with porcelain veneers.
• Typically veneers are difficult to stain making veneers a very popular solution for many people seeking that perfect smile.
• Strong and very durable, veneers last from 10 to 15 years, and come in colours that will brighten dark teeth without ever changing colour.
• Veneers are typically done in only two one and a half hour long appointments and can actually strengthen your teeth.
• There is no additional maintenance other than a follow-up visit to your dentist and proper brushing and flossing on a daily basis.
• A whiter smile gives you confidence and a friendlier appearance.

3. What are tooth veneers?

Porcelain veneers are thin, shell-like slices of ceramic bonded to the front of the teeth. They are used to cover gaps, to reshape chipped teeth or whiten stained teeth. They are also one of the most natural-looking and long-lasting whitening options available.

4. How the procedure is performed?

The application of porcelain veneers requires 3 trips to your dentist. You firstly visit your dentist for a diagnosis and treatment-planning session. This is when you and your dentist will discuss your specific needs. Next, return for a preparation session. This time, your dentist will buff about half a millimetre off your teeth to create room for the veneer. The dentist will also create a mold of your teeth and send it to a laboratory. Within two weeks, the laboratory will send back the veneers based on this mold.

You return for the bonding session. Your dentist will first give you a “trial fitting” of your veneers. The dentist will use water or glycerine to attach them to your teeth. This fitting is your chance to comment on the fit and colour of the veneers and to request any final changes or adjustments. Once you are satisfied with the look of the veneers, your dentist will clean your teeth with bond-aiding chemicals and cement the veneers to your teeth. Finally, the dentist will flash a high-intensity light on the veneers to speed up the hardening of the cement.

5. How long do tooth veneers last?

Porcelain veneers are strong and very durable lasting from 10 to 15 years.

6. How much do tooth veneers cost?

Porcelain Veneers (per tooth) – Usual Fees $800-$1125 – NobleHealth $630

Health insurance does NOT typically cover the cost of tooth veneers.

Joining NobleHealth for 24 months is only $99.95 for an individual or only $149.95 for couples & families.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.

Our dentists have once again put together a paper to assist you. This time on Dentures.

Overview

Dentures can replace your missing teeth and your smile. This may be required in the event that you have lost your natural teeth from gum disease, tooth decay or injury.

Replacing missing teeth will benefit your appearance and your health. Facial muscles sag without support from a denture which makes a person look older. You will also be able to eat and speak, things that people often take for granted until they have lost their natural teeth.

What is a denture?

A denture is an appliance which is worn to replace lost or missing teeth. The base of a denture is called a plate and can be made of either acrylic (plastic) or metal. The teeth are normally made of acrylic and can be made to match your natural teeth. A complete or full denture is one which replaces all of the natural teeth in either the upper or lower jaws. A partial denture fills in the spaces created by lost or missing teeth and is attached to your natural teeth with metal clasps or devices called precision attachments.

Who needs a denture?

Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech and provides support for facial muscles. It will greatly enhance the facial appearance and smile.

Why bother with dentures?

Replacing lost or missing teeth has substantial benefits for your health and appearance. A complete or full denture replaces the natural teeth and provides support for cheeks and lips. Without this support, sagging facial muscles can make a person appear older and reduce their ability to eat and speak.

What is the difference between conventional and immediate dentures?

Conventional dentures are made and inserted after teeth have been removed and the tissues have healed. Healing may take several months.

Immediate Dentures are inserted immediately after teeth have been removed. To do this, our participating dentists take measurements and impressions of your mouth during a preliminary visit.

An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bone and gums can shrink over time, especially during the first six months after teeth have been removed. When gums shrink, immediate dentures may require relining or even replacing to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks.

What is an overdenture?

An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture. Our participating dentists can determine if an overdenture would be suitable for you.

What will dentures feel like?

New dentures may feel awkward or even uncomfortable for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. Should this continue, consult our participating dentists.

It is not unusual to experience minor irritation or soreness during this period. You may also find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should diminish. If any problems persist, particularly irritation or soreness, be sure to consult our participating dentists.

Will dentures make me look different?

Dentures can be made to closely resemble your natural teeth so that little change in appearance will be noticeable. Modern dentures may even improve the look of your smile and help fill out the appearance of your face and profile.

Will I be able to eat with dentures?

Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the denture from moving. As you become more used to your denture, add other foods until you return to your normal diet. Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.

Will dentures change how I speak?

Pronouncing certain words may require practice. Reading out loud and repeating difficult words will help. If you find that your dentures occasionally slip when you laugh, cough or smile, reposition the denture by gently biting down and swallowing. If this continues consult our participating dentists.

How long should I wear my dentures?

During the first few days, you may be advised to wear them for most of the time, including while you are asleep. After an initial period of adjustment our participating dentists may advise that you remove them before going to bed. This allows your gums to rest and helps promote oral health. It is not desirable that the tissues be constantly covered by denture material.

Should a denture be worn at night?

While you may be advised to wear your denture almost constantly during the first two weeks including while you sleep, under normal circumstances it is considered best to remove it at night. Research has shown that removing the denture for at least eight hours during either the day or night allows the gum tissue to rest and allows normal stimulation and cleansing by the tongue and saliva. This promotes better long-term health of the gums.

Should I use a denture adhesive?

Denture adhesive can provide additional retention for well-fitting dentures. Denture adhesives are not the solution for old, ill-fitting dentures. A poorly fitting denture which causes constant irritation over a long period may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose or cause pronounced discomfort, consult with our participating dentists immediately.

How do I take care of my dentures?

The general rule is brush, soak, and brush. Always clean your dentures over a bowl of water or a folded towel in case you drop them. Brush your dentures before soaking to help remove any food debris. The use of an effervescent denture cleaner will help remove stubborn stains and leave your denture feeling fresher – always follow the manufacturers’ instructions – then brush the dentures again, as you would your own teeth, being careful not to scrub too hard as this may cause grooves in the surface.

Most dentists advise using a small to medium headed toothbrush and toothpaste. Make sure you clean all the surfaces of the dentures including the surface which comes into contact with your gums. This is especially important if you use any kind of denture fixative. If you notice a build up of stains or scale, have your denture cleaned by our participating dentists or hygienist.

Can I make minor adjustments or repairs to my dentures?

You can seriously damage your dentures and harm your health by trying to adjust or repair your dentures. A denture that is not made to fit properly can cause irritation and sores.

See our participating dentists if your dentures break, crack, chip, or if one of the teeth becomes loose. A dentist can often make the necessary adjustments or repairs on the same day. A person who lacks the proper training will not be able to reconstruct the denture. This can cause greater damage to the denture and may cause problems in your mouth. Glue sold over-the-counter often contains harmful chemicals and should not be used on dentures.

Will my dentures need to be replaced?

Over a period of time, dentures will need to be relined or re-made due to normal wear or a change in the shape of your mouth. Bone and gum ridges can recede or shrink causing jaws to align differently. Loose dentures can cause health problems including sores and infections not to mention discomfort. A loose or ill-fitting denture can also make eating and speaking more difficult. It is important to replace worn or poorly fitting dentures before they cause problems.

Must I do anything special to care for my mouth?

Even with full dentures, you still need to take good care of your mouth. Every morning and evening, brush your gums, tongue and palate (roof of your mouth) with a soft–bristled brush. This removes plaque and stimulates circulation in the mouth. It is vitally important that partial denture wearers brush their teeth thoroughly every day to prevent tooth decay and gum disease that can lead to further teeth being lost. Selecting a balanced diet for proper nutrition is also important for maintaining a healthy mouth.

How often should I see my dentist?

Regular dental check-ups and having your teeth professionally cleaned are vital for maintaining healthy teeth and gums. Most dentists recommend that under normal circumstances this should be done every 6 months. Full denture wearers should consult their dentist as to the frequency of visits. With regular professional care, a positive attitude and persistence, you can become one of the millions of people who wear their dentures with a smile.

Are there any alternatives to dentures?

Dentures are no longer the only way to restore a mouth that has little or no non-restorable teeth. Strategically placed support, or implants, can now be used to support permanently cemented bridges, eliminating the need for a denture. The cost tends to be greater, but the implants and bridges more closely resemble the ‘feel’ of real teeth. Dental implants are becoming the alternative of choice to dentures, but not everyone is a candidate for implants.

Call your dentist for advice.

To learn how to save hundreds and even thousands of dollars at the dentist, click on NobleDentist.