Orthodontics

When a person’s teeth or jaw structures do not function properly, the body compensates in order to survive. However this leads to many other potential problems such as increase risk of injury to jaws and teeth, chronic head aches, sore jaws, malocclusion (bad bite) and excessive and premature wear of your teeth.

Orthodontic treatment addresses many of these issues and aids in treatment of;
  • Tempromandibular joints (Jaw joints) dysfunction.
  • Chronic head/ neck pain.
  • Improves intraoral volume to ease breathing and tongue posture.
  • Reconstructing the bite.
  • Improves aesthetics of your smile.
Orthodontic treatment can be achieved through many different ways to suite your lifestyle. Please feel free to Ask Dr. Ancell any questions that you may have if you think you experience any of above.







Braces


Ceramic Braces


Ceramic braces are made of translucent (Clear) glass material. They are also popular with adult patients, due to their cosmetic appeal. Ceramic braces utilize less noticeable brackets for patients concerned about aesthetic appearances. The arch wires used in conjunction with the ceramic braces are unfortunately not translucent.

Metallic Braces


We use modern “Friction Free” brackets. These are a newer generations of brackets that can dramatically reduce the friction on the wire which leads to better biological responses and quicker treatment times.







Filling

Even with very good oral hygiene many people will experience tooth decay or cracks at some stage of their life. If left untreated, these will compromise the teeth structure and will lead to major dental work. Regular dental check-ups allow your dentist to identify and treat these issues at early stage.

Direct Filling


At Woollahra dental practice we use tooth coloured resin composite fillings. This allows us to create more natural and aesthetically pleasing smiles which can really enhance your personal presentation and aesthetics. The material is long lasting and unlike old metal fillings does not contain mercury. Your dental operator will choose the shade of material that suites your current teeth at the beginning of the appointment. The procedure takes between 20 to 60 minute per tooth according to access, size and shape required.


Indirect Filling


Inlay/Onlays are used as an indirect restoration and are stronger than other types of fillings. These are used in situations where the tooth being restored is

  • Already heavily restored.
  • Accepts heavy load when chewing and biting.
  • Needs a large filling.






Crowns

Crown is basically a cap that encloses the natural tooth structure. There are a variety of different types of material that can be used to make a crown. Crowns can be from ceramic, gold or partial ceramic and gold depending on different situations. This technique is used if there is not adequate tooth structure remaining for the filling material to be effective. The procedure includes initial appointments which consist of;

  • Taking impression for the technician to make the crown to the precise shape required.
  • Shape the tooth as required
  • Issuing temporary crown
  • Record the shade of all teeth

There is a two week gap between initial and final appointment to allow the technician to create the ceramic crown.
The final appointment consists of;

  • Allowing the patient to check and approve the final crown
  • Taking the temporary crown off
  • Cementing the permanent crown and checking the bite.







Root Canal Therapy

Root Canal Therapy (RCT) is performed when the vital part of a tooth, the pulp, or also known as the nerve of the tooth is compromised.

At Woollahra Dental Practice we encourage our patients to make informed decisions as each individual case is unique. An initial x-ray is taken and treatment options are discussed with the patient, risks, cost and advantages, etc. are explained.

RCT is an option when the patient wants to keep the tooth, opposed to the other option of extracting the tooth. Root canal or endodontic treatment is the process in which a diseased, decayed or traumatized tooth is treated to restore health.

If infection is left untreated severe consequences may occur including; destruction and infection of the underlying jaw bone, severe facial swelling, and possible septicaemia.

Nowadays, RCT is a pain free procedure, with a very high success rate.

The procedure itself involves: access cavity (opening of the tooth), debridement and irrigation of the canals (cleaning and flushing the canals), use of topical medication, x-rays for length confirmation of the canals, clean and shape internal walls of the canals and obturation (internal filling of the root canals).

Your teeth can have 1 to 4 canals. The price and time for the whole treatment depends on: number of canals, shape of the roots, and existing inflammation or infection.

A referral is made in complex cases to our trusted specialist to ensure the best result for our patients.







Bridge/Implants

For those patients with one or more missing teeth, we can offer bridge treatment as an option. A Bridge is a prosthetic device that is anchored to neighbouring teeth, which replaces the missing tooth or teeth. The procedure consists of preparation of the teeth on either side of missing tooth for crowns.

The bridge not only fixes the aesthetic problem of having a gap due to missing teeth but fixes chewing issues. The bridge work is almost identical to the natural teeth and is very easy to maintain and clean.

Often these days, implant supported crowns are offered as an alternative.







Dentures

A denture can replace a few missing teeth or it can replace a full set of teeth. Types of denture:
  • Immediate:
    The teeth are removed, and then the Dentist will insert the pre-made denture. The bone will change and the denture will become loose over time and so the dentist needs to reline it within a few months. As usual, planning carefully is the secret.

  • Conventional:
    The denture is made after the teeth are removed. Usually the dentist will wait for 2 to 3 months to allow the bone to heal.

  • Partial denture:
    Patients who have some of their natural teeth remaining. They can be made in acrylic or with a metal frame.
The advancement in technology has made dentures more aesthetically pleasing and comfortable as ever.

Caring for your dentures:
Dentures should be removed before going to bed to avoid infections. They should be cleaned carefully and stored in a container of cold water. A soft toothbrush should be used.

Cleaning your dentures:
Clean the plaque and the food debris from the denture. Use a soft toothbrush and soapy water or denture paste. Do not use toothpaste.

How much does a denture cost?
Firstly check with your health fund to see how much they cover. The cost can vary between $700 and $3000. The base of the denture will change overtime. The denture will need to be relined regularly.