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Vincent House,
Queen Street
Horbury, West Yorkshire WF4 6LP
Tel: 01924 211234 Fax: 01924 210339 |
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James works very closely with Mark in the Implant Clinic, for patients who require advanced restorative treatment and/or periodontal therapy. He has interests in all aspects of restorative care and aesthetic treatments, especially at the periodontal interface. He is registered with the British Association of Cosmetic Dentists and British Society of Periodontology. |
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James has joined us after 14 years in his last practice, spending the last 7 years as principal dentist. He has completed numerous advanced restorative courses. He also has experience of teaching undergraduates at Sheffield University, teaching postgraduate students on privately run aesthetic/restorative courses and has been involved with Vocational Training at the Sheffield Deanery.
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| ADVANCED RESTORATIVE TREATMENT |
| Our range of restorative treatment options cover all dental concerns:
These options can be discussed at your dental examination. If required the relevant options would be included in a written treatment plan. |
This is the most common form of periodontal disease. It affects almost everyone at some time during their lives.
Gingivitis is inflammation of the gum caused by plaque. The micro-organisms and toxins found in plaque induces our bodies inflammatory response making the gums appear red and swollen. Inflamed gums will bleed when stimulated. This is often seen as blood when rinsing after brushing. |
As gingivitis is an inflammatory response caused by plaque, its treatment involves the removal of the plaque and tartar which is irritating the gums.
It is vital to have your gums checked by your dentist to confirm that gingivitis is present and not a more serious cause of bleeding. Once a consultation is completed and a positive diagnosis made, treatment consists of professional cleaning and debridment of the plaque and tartar that has collected. This is often completed by our hygienists. You will also be given instructions on how best to maintain your teeth to prevent re-occurrence of the problem. If oral hygiene is of a consistent good standard further gingivitis will be prevented. |
This term refers to a range of diseases with health and stability of the gum at one end and bone destruction and infection of the periodontal tissues at the other.
We now know that periodontal disease has genetic patterns and an increased risk in patients who smoke or have certain medical conditions e.g. diabetes.
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What causes periodontal disease?
Micro-organisms that live in our mouth accumulate at the gum margins, with food particles and other proteins they produce a sticky substance called plaque. As plaque accumulates and matures, the host’s immune response is initiated, by the bacteria and toxins they produce. This activation of the immune response leads to irreversible damage to the bone around our teeth and the attachment of how our teeth are attached to the supporting bone.
Signs & Symptoms
In many cases, especially in the early stages, there are no signs or symptoms of periodontal disease. The disease process can follow a very variable pathway. In some cases it can be widespread and in others localised, often it affects both sides of the jaw.
The process follows an irregular pathway and often patients are completely unaware until the final stages of the disease process. Regular visits with your dentist will pick up the early changes by probing your gums with a special gum probe, your dentist can find areas of periodontal disease before you may be aware of any problems.
In the late stages of periodontal disease, teeth can become loose, drift (causing spaces or crossing over of teeth) and gum recession.
Treatment
Our treatment of periodontal disease starts with the diagnosis and assessment of risk factors, such as smoking habits, general health and family associated risks.
We would then modify or control risk factors that are possible. Stopping smoking is important and liaising with your GP if medical risk factors exist e.g. diabetes.
Dental treatment consists of measuring the distance between the gum support and the bone support and the remaining teeth (pockets). We would also assess the response of the gums to the pocket measurements.
Normally the teeth affected are scaled and debrided under local anaesthetic. This is usually one side of the mouth (upper and lower) per visit. These 2 visits are completed in close succession and measurements are repeated 8 weeks later.
Excellent oral hygiene is required to prevent new plaque and tartar build ups returning.
If the scores have improved or stabilised, then follow up usually consists of further reviews.
If the scores have deteriorated then other treatment options are usually required. This can involve surgical debridement, splinting mobile teeth, bony regeneration, and furcation opening to aid cleaning.
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Before Treatment |
After Treatment |
Note the heavy deposits of tartar at the gum lines with associated gingivitis. Periodontal breakdown has begun with the flattening of the inter-dental papillae (pink triangles). |
Following routine non-surgical treatment under local anaesthetic, all the deposits were removed, oral hygiene improved and full recovery at the gum-lines can be seen. Note: inter-dental papillae are now pink with normal shape. |
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Cosmetic Dentist Wakefield. Teeth whitening, veneer, crown, white filling, porcelain veneers, porcelain crowns
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