For over 150 years standard fillings have been made out of a silvery-grey material called ‘amalgam’. This is considered one of the strongest and longest-lasting materials for fillings. However, many people find it unattractive and some are concerned about possible health risks.

White fillings are now a popular alternative to amalgam fillings. The new dental materials mean it is much easier to find a perfect match for the shade of a particular tooth. In most cases, it is quite impossible to see that the tooth even has a filling. Sometimes white filling material can be used to cover unsightly marks on teeth, in a similar way to veneers.

Why should I replace missing teeth?

Your appearance is one reason. Another is that the gap left by a missing tooth can mean greater strain is put on the teeth at either side. A gap can also mean your ‘bite’ is affected, because the teeth next to the space can lean into the gap and alter the way the upper and lower teeth bite together. This can then lead to food getting packed into the gap, which causes both decayand gum disease.

How are missing teeth replaced?

This depends on the number of teeth missing and on where they are in the mouth. The condition of the other teeth also affects the decision.

There are two main ways to replace the missing teeth. The first is with a removable false tooth or teeth - a partial denture. The second is with a fixed bridge. A bridge is usually used where there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth.

How do I look after my bridge?

You need to clean your bridge every day, to prevent problems such as bad breath and gum disease. You also have to clean under the false tooth every day. Your dentist or hygienist will show you how to use a bridge needle or special floss, as a normal toothbrush cannot reach.

What will a bridge cost?

Costs will vary according to the size and type of bridge you need. Always get a written estimate and treatment plan before beginning any dental treatment. Although a bridge may seem expensive it should last many years. Please see our Fee’s page or contact us for more information.

Why should I replace missing teeth?

Your appearance is one reason. Another is that the gap left by a missing tooth can mean greater strain is put on the teeth at either side. A gap can also mean your ‘bite’ is affected, because the teeth next to the space can lean into the gap and alter the way the upper and lower teeth bite together. This can then lead to food getting packed into the gap, which causes both decayand gum disease.

How are missing teeth replaced?

This depends on the number of teeth missing and on where they are in the mouth. The condition of the other teeth also affects the decision.

There are two main ways to replace the missing teeth. The first is with a removable false tooth or teeth - a partial denture. The second is with a fixed bridge. A bridge is usually used where there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth.

What is a partial denture?

This is a plate with a number of false teeth on it. It may be all plastic or a mixture of metal and plastic. Both types may have clips (clasps), to help keep the denture in place in the mouth. Depending on where they are, some of these clips may show when you smile or open your mouth.

What is root canal treatment?

Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury. You may not feel any pain in the early stages of the infection. In some cases, your tooth could darken in colour, which may mean that the nerve of the tooth has died (or is dying). This would need root canal treatment.

Why is root canal treatment needed?

If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess (gumboil). An abscess is an inflamed area in which pus collects and can cause swelling of the tissues around the tooth. The symptoms of an abscess can range from a dull ache to severe pain and the tooth may be tender when you bite. If root canal treatment is not carried out, the infection will spread and the tooth may need to be taken out.

What does it involve?

The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection.

Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist.

At the first appointment, the infected pulp is removed, and any abscesses can be drained. The root canal is then cleaned 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.

What if I don’t have the treatment?

The alternative is to have the tooth out. Once the pulp is destroyed it can’t heal, and it is not recommended to leave an infected tooth in the mouth.

Although some people would prefer to have the tooth out, it is usually best to keep as many natural teeth as possible.

What about aftercare?

Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth for two minutes, twice a day with a fluoride toothpaste. Cut down on sugary foods and drinks, and keep them only to mealtimes if possible. See your dentist as often as they recommend for regular check-ups.

What will it cost?

Costs will vary from person to person. It is a good idea to get a written estimate and treatment plan before beginning any dental treatment, see our Fee’spage or Contact us for more information.

Can implants be used to replace missing teeth?

‘Implants’ are an alternative to dentures or bridgework, but they are more expensive. Implants are titanium rods, which are surgically placed into the jawbone and act as anchors for fastening dentures or crowns onto.

Why would I need an x-ray?

Early tooth decay does not tend to show many physical signs. Sometimes the tooth looks healthy, but your dentist will be able to see from an x-ray (radiograph) whether you have any decay present under the enamel, any possible infections in the roots, or any bone loss around the tooth. X-rays can help the dentist to see in between your teeth or under the edge of your fillings. Finding and treating dental problems at an early stage can save both time and money.

In children, x-rays can be used to show where the second teeth are and when they will come through. This also applies to adults when the wisdom teeth start to come throug

How often should I have x-rays taken?

If you are a new patient, unless you have had dental x-rays very recently, the dentist will probably suggest having x-rays. This helps them assess the condition of your mouth and to check for any hidden problems. After that, x-rays are usually recommended every 6 to 24 months depending on the person, their history of decay, age and the current condition of their mouth.

What will an x-ray show?

X-rays can show decay that may not normally be seen directly in the mouth, for example: under a filling, or between teeth. They can show whether you have an infection in the root of your tooth and how severe the infection is.

In children an x-ray can show any teeth which haven’t come through yet, and let the dentist see whether there is enough space for the teeth to come through. It can show any impacted wisdom teeth in adults that may need to be removed, before they cause any problems.

Are x-rays dangerous?

The amount of radiation received from a dental x-ray is extremely small. We get more radiation from natural sources, including minerals in the soil, and from our general environment.

With modern techniques and equipment, risks are kept to a minimum. However, your dentist will always take care to use X-rays only when they need to.

What if I’m pregnant?

You should always tell your dentist if you are pregnant. They will take extra care and will probably not use X-rays unless they really have to, particularly during the first three months.