Treatment and Care
Dr. Benson and his team welcome all new patients to the practice. We are committed to providing the highest quality of oral health care in the most gentle, efficient and caring manner possible.
 
During your first visit, we will conduct a thorough examination. The examination will include any necessary x-rays; photographs of your teeth and these will help us make an accurate diagnosis of the condition of your teeth and gums. Following your initial visit to us we will ask you to return to the practice when we will provide you with a dental report and proposed plan of treatment.
 
We look forward to meeting you and are always available to answer any questions that you may have. If you want to receive the best possible dental care this is the practice for you! We can help you achieve the dental look you have always dreamed of.
We all look forward to seeing you.

Crowns & Bridges
 
crowns_1.jpg
When a tooth is seriously damaged and unsuitable for a direct placement filling then coverage with a crown or onlay is generally required. All crowns are not the same; there are currently over 20 different materials that dentists can choose from to make a crown. Each with different properties and cost.
 
The selection of the correct material depends on a number of variables:
• Tooth position and size.
• Stability of the bite.
• Desired final appearance.
• Strength required for final restoration.
• Your criteria.
 
 When teeth are missing and those either side of the space are healthy, with well supported foundations, then replacement with fixed bridgework is possible, the procedures are effectively an extension of those used for single crowns. In situations when the potential supporting teeth have no fillings then it can be possible to fabricate bonded bridgework which is cemented onto the supporting teeth with little, or no, preparation being required.
 
The critical factors to successful long-term bridgework, as with all restorative dentistry, are:
• Accurate diagnosis and planning prior to treatment being carried out.
• Attention to detail by both the prosthodontist and technologist, during the operative and manufacturing procedures.
• Instigation of an effective home care regime.
 
 
Composite Restoration
 
Most people have fillings of one sort or another but today, because we are much more conscious of our smile, we can choose a natural looking alternative - the composite or tooth-coloured filling.
 
The main advantage of composite fillings is there aesthetic appeal. The main disadvantage is their life expectancy. White fillings have always been considered less long lasting than silver amalgam fillings or indirect gold restorations but there are now new materials available with properties comparable to these, and these are proving to be very successful. The life expectancy of your composite filling can depend on the depth of cavity and its position in the mouth. composite_2.jpg composite_1.jpg
 
 
 
Dental Implants
 
Losing your teeth or even only one tooth can often be a severe psychological blow. For those people who have teeth missing, wear dentures or are about to lose their teeth, dental implants offer a superb permanent alternative and a highly predictable way to restore missing or failing teeth. A dental implant is essentially an artificial ‘root’ typically made of titanium, which is placed in the jawbone to support a replacement tooth or teeth in the form of a crown (for a single tooth) or bridgework (for multiple teeth and implants).
 
A single missing or failing tooth, or any number of teeth up to a complete dentition can be restored with dental implants, providing a highly predictable restoration that will actually preserve and strengthen the bone as well as look and feel completely natural.
For failing teeth that need to be removed, we place the implant or implants directly into the extraction sockets whenever possible as the tooth or teeth are removed (i.e. immediate implants). In addition, an immediate ‘provisional’ or interim restoration of the tooth or teeth is provided so you can still function and smile whilst the implant or implants stabilise in the jawbone.
 
implants_1.jpg
Advantages of dental implant solutions:
• Eliminate the need for dentures and denture fixative so that there is nothing 'moving about' when you chew
• You can bite and chew food just as well as with your natural teeth
• Eat comfortably again
• Enjoy socialising and eating out again
• Be able to eat food that you have avoided for years
• Achieve natural looking teeth and the smile you have always wanted
• No damage to remaining teeth
• No need for a plate to cover the roof of your mouth
• Restorations that last longer than anything else conventional dentistry can offer you
• Implants stop your bone from shrinking and face from changing shape
• Reduces the 'aging' effect from tooth loss
• Opportunity to restore and rebuild lost tissue predictably
• Less complicated and easier to look after and maintain than conventional bridges or dentures
 
 
implants.jpg implants.jpg implants.jpg
Replacing a Single Tooth
Replacing several teeth
with cemented bridge
Replacing several teeth
with screw retained bridge
implants.jpg implants.jpg implants.jpg
Replacing All Your Teeth
with a removable full arch solution
with Locators
Replacing All Your Teeth
with a removable full arch solution
on fixed implant-bar
Replacing All Your Teeth
with a fixed bridge that is permanently
screwed on the implants
 
 
All-on-Four - No more dentures.
 
Achieve A Set of Fixed Teeth in One Appointment.
In the mid 1990's an extraordinary procedure was developed that permits the placement of 4 dental implants and a fixed bridge in as little as one appointment. In its most extraordinary application an entire mouthful of teeth may be replaced with implants and non-removable set of new teeth in as little as a few hours. In most cases there is no bone grafting, no sinus grafting and only minimal healing time required. This procedure is called "All-on-four". It was developed as a way to more efficiently use implants in both jaws. It is an especially effective treatment for upper arch restoration because longer, stronger implants can be used in the back part of the jaw without complicated surgery or grafting. “All-on-Four” can change your life and give you back 90% of your chewing function, your confidence and your smile. Patients who benefits most from this revolutionary and highly sophisticated system are those with dentures or with teeth so compromised, they have no option but to lose their remaining teeth and then select from several less-than-desirable scenarios.
 
 
  Benefits of “All-on-four”:
• Ease of the procedure
• Potential of immediate loading at the
• Surgical appointment
• Decreased cost to the patient
• Drastically improved aesthetics
• Ease of maintenance
implants_8.jpg
 
 
 
Endodontic Dental Treatment
 
Endodontic dental treatments or ‘root canal treatments’ involve the treatment of disease or injury to the dental pulp or ‘nerve in the tooth’. The dental pulp exists in the root canal of the tooth – the area inside the centre of each tooth that contains nerves and blood vessels that help nourish the tooth. If the ‘pulp’ is injured or diseased then it can die and this often leads to sensitivity, toothache or a dental abscess. It can also lead to the tooth discolouring – going grey or virtually black in extreme cases.
 
  endodontic_1.jpg endodontic_2.jpg
  Before the treatment After the treatment
 
The most frequent causes of disease or injury to the dental pulp are through tooth decay, subsequent deep fillings or heavy restorations, leaking restorations such as defective fillings, crowns, bridges or veneers, trauma (such as a blow to the tooth), cracks in teeth or fillings, and gum disease. Essentially the dental pulp can be infected by bacteria in tooth decay, under leaking fillings or through cracks that leads to de-vitalisation of the pulp, i.e. the ‘nerve in the tooth dies’ and the root canal fills with pus. If left untreated, this infection can build up at the tip of the root, forming an abscess. In an acute case, this causes acute pain and swelling and can lead to the destruction of the bone supporting the tooth. However, the process can also occur slowly over time and patients can be unaware of a problem until it is spotted on an X-ray, i.e. a chronic abscess which silently destroys the bone at the tip of the root and can also resorb or ‘eat’ the root of the tooth and create a cyst in the bone.
 
What does the treatment involve?
Root canal treatment saves teeth that would otherwise need to be extracted. It involves removing the damaged or dead pulp tissues and pus in the root canals of teeth that have become infected. The infected or dead tissue in the dental pulp is cleaned away, the inside of the roots are also cleaned and disinfected, and the root canal is prepared so that it can be sealed with a root filling. The tooth can then be restored and can remain in function for many years provided there is sufficient sound tooth structure to support a new filling or crown.
 
In some cases a surgical procedure called an ‘apicectomy’ is also necessary. This is when the problem is not solved by a conventional root treatment alone. A small surgical procedure is performed to remove the infected root tip, clean and remove any infection or cyst in the bone.
 
In most cases a root treatment or re-treatment can be performed in one visit, but more visits may be necessary in trickier cases or where there is a more severe infection.
Finally, if endodontic treatment or re-treatment cannot be successfully carried out on a particular tooth, or if the tooth is too structurally compromised to be successfully or predictably restored, then it may be better to remove the tooth and restore it with a dental implant and crown.
 
 
 
Customised Designer Dentures
 
Since Dr. Benson has extensive experience in dental technology one of his expertise is fabricating removable dentures. Integral to the success of these restorations are the skills of the dental technologist team that works with the guidance of Dr. Benson.
 
Often seen as the despairing end point of a lifetime of dental problems - dentures will for some individuals be the realisation of a healthy, trouble free mouth. The advent of improved denture resins, stains and artificial teeth, make it possible to recreate a beautiful natural smile.
Many people have problems with removable dentures either because of a poor appearance or confidence destroying and embarrassing mobility. This does not have to be the case. In the fabrication of these restorations, our guarantee to you is that once treatment has begun we will work with you to resolve your problems to the best of our abilities.
 
dentures_1.jpg
 
dentures_2.jpg
 
dentures_3.jpg
Complete Dentures
Unlike conventional techniques, our complete denture bespoke service prescribes craftsmanship during which each tooth is chosen and positioned to conform with your natural symmetry and aesthetic goals. Prior to initiation, as much information as possible is sought not only on your previous denture experiences - good and bad - but also those aspects of your natural dentition, which you would like to reproduce. All complete dentures are fabricated using the latest resins, which produce a very accurately fitting denture base, requiring less adjustment and offering the greatest strength.
 
Partial Dentures
When too many teeth are missing for fixed bridgework, and implant supported restorations are not viable, then partial dentures are the solution of choice. Every partial denture is unique; each is carefully planned and constructed to meet the criteria set out on the initial treatment-planning visit. The majority of our partial dentures are reinforced with cobalt chromium - a very strong alloy which allows the denture to be made as small as possible.
Considerations
 
 
The critical factors that must be addressed for successful partial dentures are:
• Appearance
• Function
• Comfort
• Strength
• Adaptability
 
 
In many situations there are teeth still present, which may not last as long as the prosthesis is provided. In these cases every attempt is made to design their loss into the denture, such that it can be adapted rather than having to be remade. The adaptability of partial dentures to future tooth loss is rarely considered at the outset, however it is of primary importance in patients that are suffering from periodontal disease. Historically a simple plastic denture has been the mainstay of tooth replacement in this type of situation as it is easily adjusted, however not only are these prostheses unstable and poor in appearance they can accelerate the further loss of teeth. We have developed a system of partial denture design specifically for these patients, which involve minimal preparation of the teeth for a precision fit metal base - which the replacement teeth are attached to. The metal base is not visible during normal function and yet locks all the teeth in an arch together for the stability normally only attained with fixed bridgework.
 
This can indeed be seen as removable bridgework with the advantages of:
• Future additions can be carried out if required.
• Reduced cost over fixed bridgework and implants.
• The ability to eat most types of food again.
• The confidence of a solid bite position.
• Excellent appearance - missing gum and bone tissue can be incorporated into the design.
• Improves the prognosis of teeth affected by gum disease.
 
Be it complete or partial dentures the service offered is designed to provide all the options for achieving the criteria set out by each patient, together with examples of realistic results from similar cases
 
 
 
Wisdom Tooth Treatment
 
Wisdom teeth are the last teeth at each end of the upper and lower gums, at the very back of the mouth.
 
Wisdom teeth usually grow through the gums during your late teens or early twenties. There are normally four wisdom teeth. Often, there is not enough room in the mouth for the wisdom teeth to grow through in a straight line and they will emerge in an angle to fill the available space. Wisdom teeth that grow through in this way are known as 'impacted'. There are different types of impacted wisdom teeth, depending on the way the tooth has grown through. The most common type is mesial impaction, which means teeth that have grown at an angle facing towards the front of the mouth.
 
Other types of impaction are:
• vertical (when the tooth grows straight down but gets stuck against the tooth next to it)
• horizontal (when the tooth grows horizontally and pushes against the tooth next to it)
• distal (when the wisdom tooth turns away from the tooth next to it and becomes lodged in that position).
 
Just because the tooth has not grown through straight does not mean that it needs to be removed.
 
The indications for removal are:
• it has caused repeated episodes of pain from gum inflammation
• it has a cavity that is unrestorable
• its position is making cleaning of the tooth in front impossible, which is developing a cavity
• there is a cyst (bone cavity) developing round it
 
Your careful examination using x-ray information from a CT scan, will be able to diagnose the problem you are having and how best to manage it.
 
If a tooth needs to be removed various options are available:
• The skills of the oral surgeons are such that most of the time teeth can be removed using a local
anaesthetic injection.
• If you would prefer a general anaesthetic this can be arranged in a private hospital.
• A third alternative is intravenous sedation, where a sedative is injected in to the back of your hand. This
has the effect of not only calming you considerably, but the procedure itself is not remembered.
 
wisdom_1.jpgwisdom_2.jpg
 
 
Periodontal Treatments
 
Periodontics is one of the youngest branches of dentistry primarily focusing on the health of the gums and bone, which support the teeth.
 
Healthy gums and underlying bone are vital to the retention of teeth. Gum disease may be superficial gingivitis or more extensive periodontitis, periodontal disease. Periodontal diseases are infections that are caused by microorganisms that colonize the tooth surface at or below the gum margin; periodontitis may also be linked with several general health conditions.
 
Symptoms of Periodontal Disease:
In many cases patients are unaware that they have gum disease, as gingivitis and periodontitis can be pain-free.
 
Some of the symptoms may include:
• Swollen gums
• Bleeding gums
• Bad breath (halitosis)
• Loose or mobile teeth
• Drifting teeth
• Tartar build-up
• Painful swelling around individual teeth
 
Occasionally gum disease is so severe that a dental referral must be made to a periodontist, or the patient may be in danger of losing a tooth or multiple teeth. The periodontist works with the patient to restore their mouth to health, and thereafter in most cases the patient is returned to the care of their regular dentist and dental hygienist.
 
Extensive information about periodontal diseases and periodontic treatments is available at the website of the American Academy of Periodontology: www.perio.org
 
 
The Periodental Disease
 
periodental_1.jpgperiodental_2.jpgperiodental_3.jpg
 
periodental_4.jpgperiodental_5.jpgperiodental_6.jpg
 
 
Periodental Maintenance
 
periodental_7.jpg
 
 
 
Nervous Patient
 
There have been some exciting technological advances and innovations, which can really help with specific fears. The most common fear in patients is the fear from local anaesthesia; the wand has been a real blessing for people with needle phobia, who in the past might have opted for sedation.
 
nervous_1.jpgWe know that some patients get more nervous than others at the mere sight of a needle and syringe. That's where the CompuDent system comes in, featuring the Wand - a small lightweight handpiece that resembles a pen. The computer-controlled system allows for an even-flow delivery of anesthetic in a very comfortable, non-threatening manner. It eliminates the "bee sting" effect - the painful consequence from a surge of fluid into a confined tissue area. Even more, certain injections made possible with the Wand minimize the unnecessary numbness of the tongue, cheek, and face. Imagine leaving the dentist's office without a "fat lip!"
 
Handpieces (“drills”) have become quieter, and there is even a device now, which allows people to literally stop the handpiece at the press of a button (although it isn’t widely available yet) – ideal for the many people who fear loss of control. Minimally invasive methods such as air abrasion hold much promise for delivering gentle care and ensuring that children do not grow up to develop dental fears.