Covid-19 update July 2020

Dear Patients,

With the outbreak of the novel corona virus pandemic, Smile Store – The Dental Specialists have postponed ongoing courses of treatments and have cancelled hundreds of appointments in the interest of safety of patients and staff. Since mid-March appointments were strictly limited to extreme emergencies only.

We have since closely monitored guidance from health authorities and have developed our road map to reopening our clinic for patients in need of dental care.

Smile Store are now open for specialist treatments (implant surgeries, periodontal treatments and orthodontics), as well as for general and urgent dental care. While we are happy to be able to resume planned and postponed treatments at this stage, we are also cautious about the pandemic that is still not over.

May we suggest and urge our patients to make an appointment now to be seen by our dentists or hygienist soon, before the country goes again into a complete lock-down due to a possible second wave.

In the interest of public and staff safety, following rules apply until further notice:

  1. No walk-ins are allowed; only patients who have an appointment will be let into the practice.
  2. Anybody entering the practice must wear a mask while outside of the treatment rooms (while waiting, on reception, etc.) so make sure to bring your own mask. You might have recently heard about supply bottlenecks around PPE and we can only source limited quantities; the limited stock we have we’ll need to use in the treatment areas. Secondly, you’ll need to wear your mask before you enter the practice.
  3. Hands must be sanitised and temperatures measured when entering the practice.
  4. Covid questionnaire has to be completed to check present/previous symptoms
  5. Not every treatment type is available at this stage

While prices for PPE have gone through the roof recently, we have sourced an adequate stock and continue to source more of same. We have also implemented a set of measures to ensure patient and staff health and safety: increased diary blocks to minimize patient contact in waiting areas, installed plasma air purifiers for treatment areas, added single use and autoclavable protective equipment to our treatment protocols to name but a few.

Smile Store – The Dental Specialists are renowned for offering high quality dentistry at very reasonable fees. Unfortunately, the consequences of this pandemic, and the added safety measures to ensure that patients have a safe environment while being treated, all come at an additional cost. A cost that was not foreseen or calculated when developing our affordable fees schedule; a cost that we have no choice but to share with our patients. Therefore, a €20 Covid–19 emergency fee will be added to each and every appointment going forward.
Alternatively, to avoid this extra costs, patients are more then welcome to continue pausing their treatment and wait until this charge can be removed again; as this fee is a temporary one and will only be applied while necessary. We will be in a position to remove this fee entirely once the pandemic is over and life as well as PPE prices go back to normal.

In the event of an extreme emergency, where you are experiencing a lot of pain, heavy bleeding that does not stop, or have swellings, please phone the practice on 021-4320004 (outside of business hours on our emergency number which you can find on your treatment plan and leave a message) or email us at reception@smilestore.ie. If needed, we will get back to you as soon as possible.

Covid-19 update May 2020

Dear Patients,

With the outbreak of the novel corona virus pandemic, Smile Store – The Dental Specialists have postponed ongoing courses of treatments and have cancelled hundreds of appointments in the interest of safety of patients and staff. Since mid-March appointments were strictly limited to extreme emergencies only.

We have since closely monitored guidance from health authorities and have developed our roadmap to reopening our clinic for patients in need of dental care.

Smile Store are now open for urgent general dental care, offering emergency appointments on a case by case basis.

In the interest of public and staff safety, following rules apply until further notice:

  1. No walk-ins are allowed; only patients who have an appointment will be let into the practice.
  2. Anybody entering the practice must wear a mask while outside of the treatment rooms (while waiting, on reception, etc.) so make sure to bring your own mask.
  3. Hands must be sanitized and temperatures measured when entering the practice.
  4. Covid questionnaire has to be completed to check present/previous symptoms
  5. Not every treatment type is available at this stage

While prices for PPE have gone through the roof recently, we have sourced an adequate stock and continue to source more of same. We have also implemented a set of measures to ensure patient and staff health and safety: increased diary blocks to minimize patient contact in waiting areas, ordered plasma air purifiers for treatment areas, added single use and autoclavable protective equipment to our treatment protocols to name but a few.

Smile Store – The Dental Specialists are renowned for offering high quality dentistry at very reasonable fees. Unfortunately, the consequences of this pandemic, and the added safety measures to ensure that patients have a safe environment while being treated, all come at an additional cost. A cost that was not foreseen or calculated when developing our affordable fees schedule; a cost that we have no choice but to share with our patients. Therefore, a €20 Covid–19 emergency fee will be added to each and every appointment going forward.

Specialist treatments (implant surgeries, periodontal treatments and orthodontics) are still on hold for now. We expect to resume these treatments early July.

In the event of an extreme emergency, where you are experiencing a lot of pain, heavy bleeding that does not stop, or have swellings, please phone the practice on 021-4320004 (outside of business hours on our emergency number which you can find on your treatment plan and leave a message) or email us at reception@smilestore.ie. If needed, we will get back to you as soon as possible.

FAQ for orthodontic patients during COVID19

What-Exactly-Can-An-Orthodontist-Do-For-My-Teeth-woman-with-removable-appliance

Dear Patients,

Due to the COVID19 pandemic, your orthodontist will not be able to see you for a prolonged period.

Also, while to public is instructed to stay home and only leave home for limited purposes, most of the problems you might face with your orthodontic devices, will not classify as an extreme urgency that would require to be seen by a dentist.

Many of these issues are minor and will not compromise the progression of your treatment and can be addressed at your next appointment with your orthodontic clinician.

In the first instance, if you experience a problem with your brace, you are advised to follow the instructions to manage breakages/irritation/ discomfort that were provided by their orthodontic clinician when you had your brace fitted. If however, you are experiencing pain and a high level of discomfort, we would advise you to contact us for further advise via email.

When doing so, please include a precise description of your issue. It will also immensely help the orthodontist to respond, if you take sharp photos and/or shoot a video. The British Orthodontist Society has prepared a video how to create such a video. Please note our email is first accessed by admin staff, so if you are worried about GDPR, do not send us an email, but make an appointment with your orthodontist once the pandemic is over.

Will my orthodontic treatment be prolonged due to COVID19?

You can almost be certain so. To minimize the increase of your treatment time, we’d advise you to maintain an exceptional oral hygiene and meticulously follow instructions in relation to care and maintenance of your device given by the orthodontist and available online.

Please refer to the British Orthodontic Society Patient Information leaflets for further advice relating to the care of your braces. To reduce the need for emergency appointments and a potential increase in the duration of your treatment, it is very important that you

  • Avoid hard, sticky and chewy sweets and foods. Remember to cut up foods such apples, carrots and crusty bread before eating them.
  • Avoid sticky, chewy or hard sweets, mints and sugared chewing gum
  • Preventing damage to the tooth enamel and gums
  • Avoid sugary snacks/drinks between meals and at bedtime
  • Avoid fizzy drinks (including diet drinks and sports drinks) and large amounts of fruit juice
  • Brush your teeth for 2 minutes at least twice a day with a fluoride toothpaste, and remember to floss / use interproximal brush
  • Rinse your teeth at a separate time to tooth brushing with an alcohol-free fluoride mouthwash on a daily basis

The British Orthodontic Society has also created some videos to help you while you can’t call to the practice.

Further to the videos, they recommend below home cures for the time being.

Wires digging in

  • If a thin wire, it may be possible for the patient or family member touse tweezers to replace wire in the tube/band or tweezers and a nail clipper/scissors to shorten the long end
  • It may be that a thin wire is the correct size but may have rotated round the teeth so that it is short on one side and long on the other. Using tweezers a pencil with a rubber on the end or a teaspoon, it may be possible to push the wire back round to prevent the long end digging in.
  • If the wire is very thick and stiff (discuss with your HCP) it may not be possible to cut the wire with home instruments. If this is the case it may be necessary to cover the wire to prevent it being sharp. Relief wax/silicone may be sent to you or you can buy it online (Orthodontic Wax) Failing that using a wax covering from hard cheese (baby-bell, cheddar), Blue tack or even chewing gum may help

Broken bonded retainers

  • Push wire back down towards the tooth as much as possible. (Fingers or tweezers)
  • Cover with best medium available (Ortho wax, Cheese wax, Blu tack, chewing gum)
  • Cut the exposed unbonded wire using tweezers and nail clippers/scissors
  • Gently pull the wire to remove the whole retainer
  • Advise greater use of removable retainers if present

Lost Retainers

  • Contact us – it may be that we have access to your final moulds and can make a new retainer remotely which can be posted out to you
  • If it is not possible to get a replacement retainer you could consider ordering online a ‘boil in the bag’ (heat mouldable) gumshield to use and wear at night to reduce the risk of relapse (unwanted tooth movement). It should be noted that these appliances aren’t specifically designed to hold teeth in position so the manufacturer cannot be held responsible for any relapse. Please contact us before investing in this strategy to ensure all aspects of this compromise for retention are understood

Gold Chains

  • If the gold chain was recently place and is now dangling down, it may be possible to cut it short. Gold is quite a soft metal and it may be possible to cut the chain using some nail scissors or nail clippers. Always hold the loose end with tweezers or similar item. If possible leave at least 5 links through the gum so it can used later by your orthodontic team
  • If you have a none dissolvable coloured stitch discuss with your HPC about the feasibility of removing it at home using nail scissors to prevent a minor infection in the gum.

Aligner therapy

  • If your current aligner is in good order keep wearing it as much as possible
  • If your current aligner is broken or ill fitting, step back to your previous aligner
  • If neither option is open to you, ring you HPC for advice – It may be possible to have a new aligner at the correct stage made for you and sent out to you
  • Or with advice from your HPC a ‘boil in the bag’ (heat mouldable) gumshield to use and wear at night to reduce the risk of relapse (unwanted tooth movement). It should be noted that these appliances aren’t specifically designed to hold teeth in position so the manufacturer cannot be held responsible for any relapse. Please contact your HCP before investing in this strategy to ensure all aspects of this compromise for retention are understood

Bracket off

This is not urgent unless it is causing trauma to the soft tissues.

  • It may be possible your HPC can guide the you on how to remove the bracket from the wire via video if it is causing trauma.
  • It may be the possible to leave the bracket if it is not causing any problems at present. Consider contacting your HPC for advice.

Elastic Bands

At this time if you run low or out of elastics your HPC may either send you some more out via the post or advice cessation of wear

Band off

  • If band is very loose your HPC may be able to talk you through removal of the band and trimming of the wire depending upon your stage of treatment.
  • It may also be also be the case your HPC advises you to leave the band in place. If this occurs please ensure you adhere to good oral hygiene and a low sugar diet to prevent decay under the band and around your tooth.

Band off Quadhelixes, RME, TPA +/- Nance

  • Discuss with your HPC about the nature of the looseness and take advice accordingly.
  • Push band back onto tooth if it will locate and ensure you adhere to good  oral hygiene and a low sugar diet to prevent decay under the band and around your tooth.

Removable/Functional appliances

  • Check for comfort and retention
  • If unsure about how much to continue to wear the appliance discuss with your HPC
  • If fractured or ill fitting do not wear the appliance

Separators

  • These should be removed at the earliest opportunity – Attempt removal with end of safety pin, small paper clip or wooden tooth pick

Lost module(s)

  • No action required – try and make wire where the module has been lost secure with dental wax, cheese wax or blu tack and chewing gum

Temporary anchorage Devices TADS

  • HPC may assist you in removing and springs or elastic chain moving the teeth

Headgear

  • Stop wear

Lost spring

  • No treatment required

Fractured/Frayed power chain

  • Accept situation– most powerchain will denature in 4-6 weeks and become passive
  • Remove powerchain with tweezers if necessary
  • Cut fayed end as short as possible to improve comfort

Exposed end of wire tie – long ligature or short ligature.

  • Re-tuck sharp end under wire/bracket using tea spoon or tweezers
  • Remove wire if broken with tweezers if possible
  • Cut fayed end as short as possible to improve comfort with nail cutters or scissors
  • Cover for comfort using Ortho wax, Cheese wax, Blu tack, chewing gum

Source: British Orthodontic Society

Your Next Dental Check-Up Appointment

GOING TO THE DENTIST is something we should all be doing twice a year every year. If you’re already in the habit of coming in for regular cleanings, that’s wonderful! If not, here’s what you can expect from a typical cleaning appointment.

Your Check-Up

When visiting the dentist for a check-up, there are a few things that will typically happen. If you don’t have any existing dental concerns or conditions, the first step is usually dental X-rays. Your medical and dental history, your age, and your current oral health will determine how often you need these. Dental X-rays help dentists to find and diagnose tooth decay hiding between the teeth and other places hard to see with the naked eye. They also identify dental and orthodontic issues beneath the gums.

The dentist will review your X-rays, check your teeth and gums for signs of decay and gum disease, measure the depth of your gingival pockets, check for swelling and redness, test how well your teeth come together when you bite down, and examine your neck, lymph glands, and mouth for signs of oral cancer. When they finish, they’ll discuss treatment for any dental work you need and give you tips on improving your daily dental care routine.

In a separate appointment – which is usually the same day – the hygienist will begin cleaning the teeth. They use a small metal tool called a scaler to scrape away any tartar in between the teeth and around the gumline. Then they’ll polish the teeth using a lightly abrasive paste and a polishing tool. This gives your teeth a nice, deep clean and removes any remaining tartar. They finish the cleaning off with flossing.

Why Visiting The Dentist Is Important

Even for people with great oral health habits like brushing twice a day for two minutes and flossing daily, visiting the dentist every six months is crucial to maintaining good oral health. The reason for this is that dental problems don’t go away on their own and tend to get worse, which also makes them more difficult (and expensive) to fix. Regular dental checkups catch problems early so that more intense treatment doesn’t become necessary.

We Can’t Wait To See You!

Whether it’s been six months or longer since the last time we saw you, we’re looking forward to seeing you again! Schedule your next appointment right away, and we can make sure everything in your mouth is healthy and clean!

 

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Getting Your Smile Back With Dental Implants

SPORTS INJURIES, ACCIDENTS, and tooth decay are just a few of the reasons we might lose a tooth. Thanks to modern dentistry, however, we don’t need to settle for having a gap in our smiles for the rest of our lives. There are a few ways to fill that gap, and one of them is with dental implants.

Implants Or False Teeth?

Partial and full dentures have been a common solution for missing teeth for many years, but they have their disadvantages. They are prone to slipping and falling out if not properly secured, and they can lead to jaw pain and soreness in the gums. They also do not stimulate the jaw bones, so patients with dentures tend to suffer bone loss.

Implants, on the other hand, are metal posts surgically placed in the jawbone under the gums and are basically a new root for a replacement tooth that looks and acts like a natural tooth. The only advantage dentures have over implants is that they are cheaper. It’s important to fill in the gap with an implant as soon as possible so the bone doesn’t erode and the surrounding teeth don’t collapse into the hole causing alignment and bite issues.

Types Of Implants

The health of the underlying jaw bone will determine a patient’s eligibility for implants and which type they will receive. In a patient with healthy bone, an endosteal implant will be used. This is simply a titanium post surgically placed into the jawbone. After a healing period, the patient will have a second surgery in which a crown is placed on top of the post.

For patients with bone that can’t support an endosteal implant, there are bone augmentation and grafting procedures available which allow for the subsequent placement of an implant.

Check out this video to see how implants are made: 

Implants And Braces?

In most cases where a patient needs orthodontic treatment as well as implants, the braces come first, because once an implant is in the jaw, it won’t move. On rare occasions, if the braces only need to shift the front teeth and the missing teeth are located in the back, the implant can be placed before or during orthodontic treatment!

Come Talk To Us About Implants!

Getting dental implants is nothing to be worried about! 3,000,000 people in the United States alone have at least one dental implant and that number continues to grow. Implants are now available in Ireland making ill-fitting and loose dentures obsolete. If you need a dental implant, just talk to us! We’ll evaluate your situation and develop the perfect plan to get you the smile you deserve.

Keep taking care of those teeth!

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Congenitally Missing Teeth

Congenitally missing teeth are best replaced with dental implants

Congenitally missing teeth are best replaced with dental implants

 IT’S ONE THING TO lose a tooth, whether through poor oral hygiene, accident, or oral surgery. A tooth not growing in where it should is something else. Between 2-4 percent of the population will have at least one tooth missing from their adult set. This condition is called congenitally missing teeth or hypodontia. In the much rarer event that the full set of teeth is missing, it’s called anodontia.

It’s All About Genes
The most common teeth to be affected by this condition are wisdom teeth, upper lateral incisors, and lower second premolars. Since wisdom teeth are often removed anyway, not having them in the first place can save you a lot of hassle, but those incisors and premolars are more necessary.

Genetics are almost always the culprit behind hypodontia, which is why it tends to run in families. Missing teeth could be the only issue, or they could be the result of a broader genetic disorder, such as ectodermal dysplasia or Down syndrome. Whatever the cause, there are many treatment options available for hypodontia.

Filling In The Gaps
Having these missing teeth can cause a few problems, such as difficulty chewing, the existing teeth shifting, and poor jaw support that could lead to the loss of additional teeth. This is why it’s important to get the issue taken care of as soon as possible, but there is no one-size-fits-all solution. Different options will be preferable depending on the age and sex of the patient and the length of time the tooth has been missing.

In some cases, orthodontic treatment will be the first step. Because missing teeth can cause the existing teeth to shift, braces might be necessary to correct the problem and open the gap wide enough to fit a replacement tooth. Replacements can come in a few different forms:

  1. Removable partial dentures. These are the simplest solution in many cases. They use the surrounding teeth to anchor them in place, or might be attached to a retainer. These are however not very comfortable and have a number of other cons.
  2. Dental bridges. As the name implies, a dental bridge “bridges” gaps by anchoring to the neighbouring teeth. Unlike dentures, bridges are cemented in place.
  3. Dental implants. These will function like normal teeth, with a post fixed in the jaw bone and a crown on top that matches the natural teeth. If multiple teeth are missing, implants can be used as support for bridges.If you have questions about implants, check out this FAQ video by a woman who just got hers!

What Treatment Is Right For You?
Having congenitally missing teeth can be a struggle, but our practice is here for you. We can answer any questions you have and help you find the ideal treatment option so that your smile can be complete! Just give us a ring today at 021-4320004 to start your journey!