personal-care-plan

You have high expectations of us as your dentist, and we have even higher expectations of ourselves and our dental results. With this in mind, we start by making sure you feel as comfortable, relaxed and refreshed as possible. And then you can talk to us about your health, your concerns and your dental dreams.

We will examine your mouth, harnessing the very latest and very gentlest dental technology. We’ll talk you through your options and outcomes and we’ll develop a bespoke dental treatment plan for you. We’ll explain how we will achieve a world-class outcome for you and your teeth. And we will take you through cost and cost-payment options openly and honestly. And because we believe in utter transparency, our dental treatment plans are fully itemised.

Frequently asked questions

I am scared of dentists

Many people are and in fact Andrew Parkman dreaded the dentist as a child so he knows how you feel. It takes a lot of bravery to make a visit, if you’re a dental phobic. We hope that we can reassure you. Please click here for our approach to this very delicate subject.
I haven’t been in years and I am embarrassed

There is no reason to ever feel embarrassment. We are professionals and have been exposed to a wide variety of complaints over our careers. Our responsibility is to help you achieve fantastic results, irrespective of your starting point. We’ll just be delighted that you’re ready to dabble again.

I am scared of pain

As are we.

We are committed to making your time with us pain free. To achieve this, we have a three-fold approach.

Firstly, you’ll be in the hands of experts who are highly-skilled. We know what we are doing.

Secondly, we harness the very latest dental techniques to minimise pain. We also apply a local anaesthetic gel to your gums to painlessly start the numbing process and we can also offer sedation.

Thirdly, stress has a large part of play in pain. We don’t look like your common garden dental practice. We have really thought about how we can make your time with us as pleasant as possible.

The practice has been designed to put you at ease — it’s quite a calm, reflective place. If you click here, you can hear what other people have said about us.

We will also go to great lengths to make you feel valued and listened to and respected.

And we have thought about how we would like to be treated at the dentist — with a warm welcome, by people who remember my name and who genuinely care about me. And with a few of those nice little touches that you’d expect from a boutique hotel.

So, to pain… modern dentistry just doesn’t hurt any more. And we know that if you are relaxed and happy, then you won’t be thinking about nasty things.

Hopefully, you’ll just be thinking sweet thoughts.

What safety measures do you take?

Health and safety and the prevention of cross-contamination are vitally important to us. And to keep us as the forefront of dentistry, we consider our professional development to be paramount.

X-rays
We use digital x-rays which deliver about 90% less radiation dosage than a standard x-ray.
We have 2 separate radiography rooms which are fully lead-lined and radiation protected.
Cross-infection

We have a seamless floor from reception door onwards.It’s made with a poured resin which means that there are no seams or cracks for dirt to collect in. And all our instruments are sterilised and stored in sealed bags. We have a sterilisation room and the instruments are sent to and from the surgeries in vacuum-wrapped, colour-coded sterile trays. Our disposable instruments are thrown away after use. We always wear disposable gloves when working and we obviously wear new ones for each patient.

Barrier protection

We cover surfaces that are touched by the dentist (e.g. handles, buttons in the surgery) in thick selotape-like plastic. This forms a further barrier against germs. These are removed after each patient and then the area underneath is cleaned using sterilising wipes and sprays.

Mercury

All of the dental units have mercury separators and we use high-volume aspiration so that mercury is removed safely. We can reassure you that there can be no mercury leaks.

Amalgam free

We do not place amalgam (mercury) fillings.

Immunisation

Our dentists, nurses and hygienist are immunised against Hepatitis B, Tuberculosis (TB), Tetanus, Poliomyelitis (Polio), Pertussis (whooping cough), Diphtheria, Rubella, Mumps and Varicella. This helps to protect both team members and patients from these diseases.

Professional education

We pride ourselves on our commitment to professional development. All members of the team regularly attend seminars and conferences to stay abreast of the latest thinking. We are registered with the General Dental Council for continuing professional development and Andrew, Janet and Andre, between them, are active members of the relevant dental professional bodies — British Dental Association, Dental Society of London, British Academy of Cosmetic Dentistry, Association of Dental Implantology and the New Zealand Dental Society in London.
 Hayley is an active member of the Dental Hygienist & Therapists Association and the Dental Therapy Association. Farah, our Orthodontist, teaches three days a week and is at the very forefront of new thinking.

If you have any questions or you’d like to have a peek around, please ask.

What is tooth decay and how is it caused?

Tooth decay is the disease known as caries and it affects most people during their life at some stage. The good news is that it is preventable with good oral health.

Tooth decay occurs when teeth are frequently exposed to starchy or sugary foods. E.g. fizzy drinks, juices, sweets, ice cream, cakes, biscuits and even fruit.

Natural bacteria live in your mouth and form plaque. The plaque interacts with deposits left on your teeth from sugary and starchy food to produce acids.

Over time, these acids damage the tooth enamel. They dissolve the mineral structure of teeth, thus weakening the teeth and leading to tooth decay.

How often should I go to the dentist?

The National Institute for Health and Clinical Excellence (NICE) has introduced guidelines on how often you need to go to the dentist.

Your dentist will recommend a date for your next visit based on your individual oral health needs. During a check-up, your dentist will look at the condition of you mouth, teeth and gums and will also ask you questions about your general health and lifestyle to see how this might affect your oral health. For example, smokers may have to visit the dentist more regularly because of stained teeth or higher risk of gum disease.

You should follow your dentist’s advice about how often you need to attend. The time to your next check-up could be as short as three months, or as long as two years.

If you are under 18, you should have a check-up at least once a year.

I have noticed a growth in my mouth

Cancer of the mouth takes several forms and malignancies can grow in any part of the oral cavity including the tongue, lips and throat. Look out for the signs of ulcers and lesions, white or red patches in your mouth or any unusual changes in your mouth.

Any lump or tissue change in your mouth that does not clear up within a month should be reported to a doctor. Getting any changes treated early can often avoid the development of pre-cancerous cells into cancers. Good dental hygiene, frequent checkups and well-fitting dentures will also be helpful. If you are worried, then please talk to your doctor or raise it with us.

Please click here for more information.

I am thinking of getting my tongue or lip pierced. How will it affect my teeth?

It’s important to know what the potential risks are when you are deciding whether it’s for you or not. Most medical professionals are against non-necessary, invasive procedures

The most common problems from oral piercing include excessive bleeding, infection to the tongue and floor of the mouth and injuries to the mouth and teeth. Others include swelling, scarring, nerve damage and periodontal disease.It’s vitally important to follow the aftercare instructions to the letter. A scar is left in the tongue once the post is removed and a hole left in the lip.

There have been several cases of people chipping or cracking teeth with their piercing. One study found that nearly half of people who wore long barbells (about 1.6 cm plus) in their piercings for at least four years had some chipping of their back teeth. Other recent studies have demonstrated that the gums inside the front of the mouth are more likely to recede if the tongue is pierced. This is caused by repeatedly pushing the piercing against the front teeth. Receding gums can result in loose teeth and ultimately could cause them to fall out.
What you should tell us at your first consultation

We need to know everything that will help us diagnose problems and give you the very best treatment.

Tell us your fears

Many people’s fear of the dentist goes back to their childhood. Pain control and treatment techniques are constantly improving and the things you fear most may no longer exist or there may be better ways of dealing with them. Tell us what your particular fear is and together we can find ways to eliminate it or at least help you cope with it. If you fear you have a particular disease or condition, let us know. We can look for signs and either diagnose the problem or set your mind at ease. Often, just talking about your fears will make you feel happier and more in control.

Your overall health

Tell us if you’ve been diagnosed with any diseases or are taking any new medicines. This includes medicines that have been prescribed by your doctor and over-the-counter medicines. Even diseases that seem to be unrelated to the mouth may require a different approach to dental treatments or prevention.

Your dental health

If you think you have a new cavity, if your teeth have become sensitive or if you feel lumps inside your mouth, tell us before we start. By telling us your symptoms, you may help us make an early diagnosis.

How does bulimia affect your teeth?

Bulimia is common and we do treat men and women and we are sensitive in handling it. The effects of bulimia can be quite devastating on the mouth.

During purging, the stomach acid in vomit causes the outer surface of the tooth (the enamel) to erode. This mostly affects the enamel of the inside of the front teeth. This damage makes the teeth highly susceptible to decay and more serious infections of the nerves within the teeth.

The saliva-producing glands in the mouth can also become swollen due to frequent vomiting. This is most commonly seen in the salivary glands on the inside of the cheeks.

It’s common for sufferers to scrub their teeth straight after being sick. Toothpaste is abrasive and the scrubbing action, combined with the stomach acid softening the enamel, can accelerate the loss of tooth surface. We can try to help address some of the problems. But there are things that sufferers can do to minimise any damage.

Rinse out with water: We advise that after being sick, sufferers rinse their mouths out thoroughly with water.

No fizzy drinks: We advise sufferers not to drink acidic drinks e.g. fruit or fizzy drinks.

No immediate brushing: We also suggest not brushing teeth for a couple of hours to allow the saliva to have a neutralising effect on the stomach acid.

Milk and cheese: Recent research shows that the effects of acidity can be minimised by eating cheese or drinking milk. If these foods propel a sufferer into a panic binge, then it’s better to simply rinse out with water after being sick.

Regular check-ups: We recommend regular check-ups to ensure that any additional dental problems are picked up and treated early. We can also custom-make soft trays that can be filled with fluoride and can be used over night, whilst sleeping.

There are many support networks which can start the sufferer on a pathway to recovery.

What is dental erosion (tooth wear)?

Dental erosion is the loss of tooth enamel (the hard, protective coating of the tooth) caused by acid attacks. If it is worn away the dentine underneath is exposed and your teeth can look discoloured and become sensitive.Acidic foods, sugary snacks and fizzy drinks cause dental erosion. Still water and milk are the best things to drink. Drink fruit juice at mealtimes. If you want to drink fruit juices between meals, try diluting them with water. And avoid sugary snacks.
I grind my teeth

Dental erosion is the loss of tooth enamel (the hard, protective coating of the tooth) caused by acid attacks. If it is worn away the dentine underneath is exposed and your teeth can look discoloured and become sensitive.Acidic foods, sugary snacks and fizzy drinks cause dental erosion.

Still water and milk are the best things to drink. Drink fruit juice at mealtimes. If you want to drink fruit juices between meals, try diluting them with water. And avoid sugary snacks. It is really important to treat this as it can lead to flattened, worn, broken and loose teeth, cracked fillings and crowns. You may also wake up in the morning with a stiff jaw or tenderness when you bite together.

Headaches and migraines are also a symptom. We can help you with this:

There is a very simple treatment for this called a NTI device. It is custom-made acrylic mouthpiece that fits snugly over the front two teeth and is worn at night.It can alleviate headaches, migraine pain, shoulder, jaw or neck pain and can also redistributes the stress from grinding. It is very successful and very easy to use. Counselling and relaxation therapy may also help to deal with stressful situations and control tension on a longer-term basis.

Can headaches, neck and shoulder pain be related to the way my teeth meet?

This type of pain, especially stress and tension headaches, could be related to a misaligned bite. Talk to us and we can help to eliminate any headaches that are related to your teeth and mouth.

There is a very simple treatment for this called a NTI device. It is custom-made acrylic mouthpiece that fits snugly over the front two teeth and is worn at night.It can alleviate headaches, migraine pain, shoulder, jaw or neck pain and can also redistributes the stress from grinding.It is very successful and very easy to use. Counselling and relaxation therapy may also help to deal with stress and control tension on a longer-term basis.

I am on the pill. Will this interfere with the antibiotics that you have prescribed me?

Occasionally, the antibiotics may interfere with the way the oral contraceptive pill works and in some cases it can make it less effective.

We advise you to use alternative contraception whilst taking the prescribed course of antibiotics. To be safe, we recommend that you take additional precautions until the end of your cycle.

I have terrible pain. I need root canal therapy but it sounds dreadful.

Our aim is to relieve discomfort rather than create it.It’s a painless treatment that puts an end to often excruciating pain. And with technological advances, we are able to gently save teeth that would previously have been extracted.

The aim of the treatment is to remove all infection from the root canal. The root is cleaned and filled to prevent any further infection. We use a local anaesthetic and it feels no different to having a regular filling.

So, root canal therapy is the good guy.

Why might you need root canal therapy?

Extensive decay or trauma can cause teeth to die. The nerve becomes highly inflamed as it is dying and causes acute pain.Once the tooth has died the nerve endings and blood vessels (the pulp) in the tooth become infected, producing a swelling or abscess. This can cause severe pain.

Root canal therapy will relieve the acute pain and restore the tooth to its normal happy state.

What does root treatment involve?

Root canal treatment is a skilled and time-consuming procedure and is carried out over two or more visits.

At the first appointment, the infected pulp (blood and nerve supply) is removed. Any abscesses can also be drained at this time.

The root canal is then cleaned with special antiseptics and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle.

The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled and restored to its natural-looking normal state.

What about payment options?

We offer 0% finance loans, subject to the usual terms and conditions and status requirements. Please click here for more information

We also offer corporate and personal dental schemes and we are happy to accept personal insurance. E.g. Denplan or BUPA. Please click here for more information.

What do I do next?

If you’d like to book an appointment, you can call us on 020 7638 7100, or email us on bite@dentistry100.co.uk

  • Firstly, we vacuum-sterilise our dental instruments. Then we colour code them. Then we store them in our dedicated sterilisation room. Clean… it’s very important to us.
  • We’ll always agree an itemised dental treatment plan before we start any work
  • Reassuringly, there’s 90% less radiation dosage from our x-rays.
  • You’ll get to see pictures of your mouth onscreen so you can see for yourself. And in seconds, making diagnosis quicker.