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Dental Services at Whitstable

Children
Cosmetic - composite bonding
Cosmetic - teeth whitening
Cosmetic - veneers
Cosmetic - white fillings
Crowns and Bridges
Fillings
Hygienist Care
Implants
Orthodontics for Children
Referrals
Root Canal Treatment
Snoring solutions


Children

Visiting the dentist from a young age is very important. We welcome all children at Kelvin House Dental Practice. Since most dental disease is preventable, we care passionately about the dental health of our youngest patients.

We provide a full range of NHS preventive services for children, including dietary advice, oral hygiene instruction, fluoride application and fissure sealants.

We have two dental nurses who are also qualified Oral Health Educators. They provide a free service to local children by visiting nurseries, play groups and schools, teaching them about the importance of healthy teeth for life.

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Cosmetic Dentistry

If you are unhappy with the appearance of your smile, just ask your dentist what he could do to improve the appearance of your teeth. You may be pleasantly surprised to find out what is now available to correct crocked, worn, heavily filled or discoloured teeth. Cosmetic dentistry can provide an answer for anyone looking to improve their smile and their self-confidence.

Click here to download a Cosmetic self-evaluation form.

Click here to download an information leaflet about Cosmetic options.

Over the last 5-10 years, lots of new ways of cosmetically improving smiles have been developed, many of which are simpler, quicker and less expensive than the traditional methods. Here is a list of today's most popular cosmetic dental treatment options:

Composite bonding

Teeth sometimes lose their outer enamel surface through chipping, cracks or acid erosion. The tooth appears more yellow because of the darker dentine layer becomes visible. This is easily treated by bonding composite (a natural shaded filling material) onto the tooth surface (without the need for local anaesthetic or drilling). Once sculpted into shape, the composite is hardened, reshaped and then polished for an ideal smile.

Composite bonding before

Composite bonding after

Bonding before and after

Teeth whitening

One of the most popular forms of cosmetic dentistry amongst our patients in the practice is professional teeth whitening, which costs just £295. Only a dentist can safely get your teeth the whitest.

Click here to download an information sheet about teeth whitening.

Whitening - before and after
Whitening - before (top) and after (bottom)

Veneers

An increasingly popular procedure, veneers are ultra-thin, custom-made porcelain laminates that are fixed directly to the teeth. Porcelain veneers require less tooth reduction than crowns and are therefore a popular, less invasive option for closing gaps, straightening crowding or disguising discoloured teeth.

Porcelain veneers after

Veneers after

White fillings

Most people choose to have a white filling placed when an old amalgam (metal) filling requires replacement (provided there is enough sound tissue remaining for bonding on to). Some people electively decide to have all of their old amalgam fillings replaced, either one at a time or by quadrants.

Amalgam filling

Composite filling

White fillings before and after

Click here to download a document explaining about cosmetic dentistry options.

Click here to download a Self-Evaluation Form for Cosmetic Treatment. You can print out and fill in this form to bring with you to your next appointment.

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Crowns and Bridges

Why are teeth crowned?

Crowns can be the ideal restoration for teeth. Click here to download an information leaflet about why it is sometimes necessary to crown teeth.

The main reasons why we use a crown are as follows:

  • To strengthen a tooth that has become weakened by having a large filling
  • To improve the appearance of discoloured teeth or fillings
  • To protect a brittle root filled tooth
  • To restore a tooth damaged by an accident
  • To hold a bridge or denture firmly in place

What is involved?

Crowning a tooth normally requires two visits: the first visit involves reshaping the outer surface of the tooth/filling. An impression is taken to allow the laboratory to construct the crown. The tooth is covered with an acrylic temporary crown. If porcelain is being used, then a shade is also taken to match your existing teeth. At the shorter, second appointment, the finished crown is tried in, any necessary adjustments made and is then cemented to hold it into position.

What are dental bridges?

Bridges are used to replace a missing tooth or teeth. A bridge is made by constructing crowns on the teeth at either side of the space, and then joining these two crowns together by placing a false tooth in the space.

Conventional bridges require the teeth on either side of the gap to be reshaped, whereas the newer type of adhesive bridges require minimal tooth reduction. Providing you have enough strong teeth with good bone support, bridges can be a better long term way of replacing teeth than using dentures.

Stages of making a gold crown
The stages of making a gold crown

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Dental Fillings

Historically, most of our patients have had their dental tooth decay treated by using amalgam fillings.

Amalgam filling material is made of an alloy of different metals, mainly silver and mercury. Current research continues to show no health risks associated with amalgam fillings, and amalgam can still be a very useful filling material in certain clinical situations.

However, its use is now being superseded by more aesthetic composite filling materials.

Natural shade composite filling material is made up of very small quartz-like particles, embedded in a plastic matrix. Since they bond to the tooth, composite fillings restore most of the original strength of the tooth, as well as restoring its natural appearance. Composites often require less removal of tooth structure, especially with new cavities.

Amalgam filling

Amalgam silver filling in back tooth

Amalgam filling in back tooth

This photograph shows an 'ageing' amalgam filling. (Courtesy of www.dentistry2000.com)

Composite white filling

Composite white filling in back tooth
Composite filling in back tooth

This photograph shows the same tooth with the amalgam filling having been replaced with a composite filling. (Courtesy of www.dentistry2000.com)

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Hygienist Care

Dental Hygienists are professionally qualified individuals who work under clinical guidance from the dentist.

Hygienists seek to prevent oral diseases, provide treatment for existing disease and assist patients in maintaining an optimum level of oral health. By motivating patients and promoting an effective home regime of cleaning, it is possible to prevent gum disease and tooth decay from ever starting. Nutritional counseling plays a big part in controlling tooth decay.

In the treatment of both adults and children, the dental hygienist will examine the gums and soft tissues for signs of disease. Meticulously removing all traces of bacterial deposits (plaque and calculus) from the teeth is known as scaling and polishing.

Dental hygiene treatment of a healthy mouth should not cause discomfort. If treatment is not comfortable it is important that you discuss this with the hygienist.

Click here to download an information leaflet about visiting the hygienist.

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Implants

Implants are a replacement for bridges and dentures. Implants can be a stronger, more attractive option for replacing missing or lost teeth. An anchor is placed in the bone of the jaw, and a life-like ceramic restoration is built around it and matched to the colour of the other teeth.

You can find out more about implants by downloading 'A patient's guide to dental implants' from the UK Association of Dental Implantology.

Dental implants before and after

Implant before and after

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Orthodontics for Children

What does orthodontic treatment involve?

We will refer your child to a Specialist Orthodontist for orthodontic treatment if we think that they would be a suitable candidate. The most important part of any orthodontic treatment is to have a full orthodontic assessment and an individual, tailor-made treatment plan. This normally involves taking x-rays, and making plaster models of your teeth. In consultation with the patient and parent(s), a decision is made as to whether or not it is necessary to extract any permanent teeth, and the best type of appliance (or "brace") for their particular situation.

What types of braces are used?

Nowadays, the most common type of braces used are upper and lower fixed braces using small metal brackets. There is often a private option of having clear, aesthetic brackets instead of metal brackets.

Clear aesthetic braces

Clear, aesthetic brackets


When treating a growing child, there are many opportunities for making quite dramatic improvements in the position of the teeth and some influence on how the jaw bones develop. When the upper teeth are very prominent, orthodontists often first use a removable type of brace called a ‘functional’ brace; if worn properly by the patient, it can make a huge difference to the ease of treatment. Once a person stops growing, we would be limited to just taking teeth out to mask the appearance of the prominent front teeth.

Teeth and brace

Teeth and brace

Teetch and brace

Teetch and brace

]Teeth and brace

Teeth and brace

Orthodontic treatment can bring about dramatic improvements


Fixed brace are often referred to by children as “train-tracks”. Routine upper and lower fixed appliance therapy normally takes 18-24 months, with appointments at 4-6 weekly intervals. This is followed by a period of supervised retention.
Most orthodontic treatment requires permanent retention, (either with a clear plastic retainer or a wire fixed to the back of the teeth), as it is impossible to guarantee that the teeth won’t move at some time in the future without holding them in the ideal position.


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Referrals

Occasionally, there is a need to refer patients to other dentists who work either in hospitals or specialist practices. We usually do this for a treatment plan, second opinion or specialised treatment. Examples include:

  • Endodontic specialist: for difficult root canal treatments, especially molar root fillings and redoing existing failed root canal treatments.
  • Orthodontic specialist: for crowded/crooked teeth in children and adults.
  • Periodontal specialist: for advanced gum disease.
  • Restorative/Implant specialist: for dental implants and other advanced restorative cases, such as advanced tooth wear.
  • Surgical/oral medicine specialist: for difficult surgical procedures and diseases that occur in the mouth, head and neck.

We work very closely with the dentists to whom we refer patients, and in doing so we can extend the level of care and expertise that we provide for patients within the practice.

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Root Canal Treatment

Root canal treatment (or "root filling") means removing damaged or dead nerves from inside a tooth and filling the space left. If left untreated, a dead nerve inside a tooth can eventually cause an abscess at the tip of the root.

The procedure for carrying out a root filling is as follows:

An x-ray is taken to show the shape and number of roots present. Front teeth normally have a single root canal while back teeth can have up to four. This first x-ray can be a good guide as to the degree of difficulty and therefore the prognosis for a successful root treatment.

If necessary, the tooth is numbed.

It is normal to stretch a sheet of rubber (called 'rubber dam') over the tooth being worked on; this keeps the root canals dry during the treatment.

A hole is made in the biting surface of the tooth to gain access to the canal(s).

To measure the length of the canal(s), a diagnostic x-ray is taken with a narrow metal instrument placed inside each canal.

The canal or canals are thoroughly cleaned and shaped using a combination of rotary and hand-held files.

Once the canals are washed and dried, they are filled with a rubbery material called gutta percha. This stops new bacteria from entering the canal space.

Another x-ray is taken of the tooth to check the appearance of the root filling and the access cavity is then restored.

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Snoring solutions

We use a very effective anti-snoring device called the 'Sleepwell' appliance to help patients (and their partners!) who suffer with snoring. The fee for this appliance is £350.

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