Mr. Gerard Kilfeather  |  B.D.S Dip Clin Dentistry

Ms. Gina Kilfeather | B.D.S MFDS RCSEd

Ph : 01 2875133   Fax : 01 2017235

Treatments

Children’s Dentistry

Family dentistry is a main focus of Kilfeather Dental and we have been treating children for well over 30 years. Children and parents are encouraged to attend together.

We consistently provide current, up to date information on oral hygiene instruction, diet and tooth development. Maintenance and treatment of a child’s ‘baby’ teeth is important for the development of their adult teeth and this is the prime focus of our care.

Prevention:

  • Fissure sealants
    A safe and painless way of protecting your children’s teeth from tooth decay. It is a plastic coating that covers the chewing surfaces of the back adult teeth. The sealant forms a hard shield that keeps food and bacteria from getting into the tiny grooves in the teeth. Most tooth decay in children occurs in the back teeth. They are generally placed when the child is 6-7 years old.
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    Gum shields Children and adults who play contact sport are at risk of damaging their teeth if they do not wear a sports guard. To prevent serious injury we recommend custom made mouth guards which can be made specific to your child including their choice of colour.

     

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    Effective Tooth brushing Research shows if a child has dental decay at a young age that they are likely to have dental decay as an adult. Children under the age of 7 should be supervised by an adult when brushing and should be encouraged to spit and not rinse after brushing. Brush twice a day with age appropriate fluoride toothpaste.

     

Emergency Patients

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Emergency patients are always welcome and we have emergency appointments available daily. Do not hesitate to call us.If you have an accident and knock your tooth out call us immediately

 

What to do:

  • Hold the tooth by the crown (the top part). Avoid touching the root
  • If the tooth is dirty wash it lightly for 10 seconds in milk, saline or cold running water
  • If you can, replace the tooth using the shape of the teeth on either side of the gap as a guide. The injured person should bite on a hanker chief for 15-20 minutes
  • If the tooth cannot be re-implanted carry it to the clinic either inside the injured person’s cheek or store it in milk.

Fillings/Restorations

Dental restorations are placed on teeth to restore lost tooth structure due to decay, leakage or fracture.

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Amalgam Restorations

These fillings are silver in colour and are usually placed in teeth at the back of the mouth. Amalgam fillings have, in the past, lasted longer than white fillings, however the technology used in white fillings has improved enormously in recent years.

Composite (white) restorations:

White fillings are made mostly from glass particles, synthetic resins and a setting ingredient. They have previously been considered inferior in the back teeth but there have been significant advancements in the composition of white fillings, which makes their properties mostly comparable with amalgam fillings.

  • Are they as good as silver amalgam fillings?Composite is strong but not as hard wearing as amalgam. The life expectancy of a composite filling will depend greatly on its size, location in the mouth and how heavily your teeth come together when you bite.
  • Do I need to replace all my silver filings with white ones?It is usually only recommended to change your fillings when an old filling needs to be replaced. At this point they can be replaced with composite if clinically suitable.

Root Canal Treatment

Also known as Endodontics, Root canal Treatment (RCT) is required when the blood supply or nerve supply of the tooth is infected from decay or injury. You do not always feel pain in the early stages of infection and in some cases the tooth can discolour which indicates the nerve has died or is dying.

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  • What does it involve?
    The purpose of RCT is to remove all the infected tissue from inside the root canal system. The root canal is then cleaned and filled to prevent further infection.
  • Does it hurt?
    No. Usually local anesthetic is used and it feels similar to having a filling done. However RCT is a skilled and time-consuming procedure and most cases will require 2 or more visits to the dentist.
  • Can I have RCT at Kilfeather Dental?
    All dentists are trained and highly skilled at root canal treatment and we are happy to complete the treatment for you. However, in some instances, particularly difficult cases we may need to refer you to an Endodontist who is a specialist in root canal treatment.
  • What if I don’t have RCT?
    The alternative treatment option is to have the tooth taken out. Once the nerve/blood supply is infected it cannot heal and we do not advise leaving an infected tooth in the mouth.
  • Will the tooth be safe after treatment?
    Yes, however a root canal treated tooth is more brittle and it may be necessary to restore the tooth with a crown especially in molars.

Dental Bridges

A fixed bridge is made when the teeth on either side of a gap are crowned and these two crowns are joined together by placing a false tooth in the space.

  • Can I always have a space restored with a bridge?Bridges are a very effective way of filling a gap in the mouth but their success depends on a few factors. The teeth on either side of the space must be strong enough to support the bridge and they must have good surrounding bone. We will always discuss all options for replacing your missing teeth and decide, with you, the best option for your case specifically.
  • How would I benefit from a bridge?Bridges can fill a space and thus maintain the shape of your face, restore your ability to properly chew, prevent remaining teeth from moving out of position and distribute your biting forces evenly.
  • What is involved in making a bridge?Following the consultation appointment for treatment planning your bridge you will need at least 2 more appointments. At the first visit your teeth will be prepared for the bridge and a mold taken which will be sent to the laboratory where your bridge will be fabricated. This normally takes 2-3 weeks and you will have a temporary bridge in place for this timeperiod. At the second visit your bridge will be checked and fitted with a permanent cement.
  • Are bridges expensive?Although a bridge may seem expensive it will last many years. It will also cosmetically enhance your appearance and improve your bite and function. The fabrication of a dental bridge involves considerable amount of skill by the dentist and laboratory technician and there is a significant cost for the materials involved.
  • How do I look after my bridge?To prevent bad breath, gum disease and new decay beneath the bridge you will need to clean your bridge daily. You will need to clean beneath the false tooth every day also. At you final appointment when the bridge is fitted we will show you in detail how to clean your bridge effectively with floss and interdental brushes.

Dentures

Dentures, also known as false teeth are prosthetic devices used to replace a few or all missing teeth

Partial Dentures

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    This is a ‘plate’ with a number of teeth on it. It can be fabricated from a plastic- acrylic material or have a cobalt/chrome base which allows clasps to be used on your existing teeth to aid the retention of the denture. Both types are available at Kilfeather Dental and following a detailed examination we will advise you which is most suitable for you.

     

Full/Complete Dentures

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    These types of dentures aim to replace all your missing teeth. These are generally made from an acrylic material but can be reinforced with a metal framework for durability.

    Conventional dentures as above are removable devices and rely on the existing teeth (if present) and hard and soft tissues in the mouth for stability and retention.

     

Implant-retained dentures

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    With advancements in the use of dental implants, fixed dentures can be placed over implants, which can provide a very comfortable, non-removable way of replacing missing teeth. These are known as implant-retained dentures and are suitable in certain cases.

     

How do I look after my denture?

  • The denture should be removed every night. The dentist will show you and explain in detail how to clean your denture. There are many denture cleaning agents on the market that you can soak you denture in overnight although some are not suitable for metal based dentures so it is best to check with your dentist first.

Dental Implants

A dental implant is a titanium rod that is placed into the jawbone. It is used to support one or more false teeth.

  • Is everyone suitable for implants?You can still have implants if you have some of your own teeth remaining but it does depend on the condition of your bone in your jaw. A number of test will need to be completed prior to placement of the implants. If there is not enough bone present or if it is not healthy enough if may not be possible to place implants without grafting bone into the area first.
  • How long does the treatment take?We will give you a rough idea of the duration of your treatment for your specific case. Usually permanent teeth are fitted 6 to 9 months after the implants are placed although new implant systems allow this time to be as short as 3 months
  • Do implants hurt?Placing the implants does involve a short operation usually under local anesthetic and sometime sedation if you are nervous. You will not feel pain during the procedure but you may have some discomfort in the following days as the healing process continues.
  • Are implants expensive?Treatment planning for implants is done on a case-by-case basis as every patient is different and unfortunately they are a relatively expensive treatment option. However studies show that over 95% of modern implants should last for many years with the right care.

Dental Veneers

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    A veneer is a thin layer of material placed over a tooth, either to improve the aesthetics of a tooth or to protect a damage that that has occurred to a tooth’s surface.Veneers can be direct composite or fabricated from porcelain. Many dentists think of veneers as what fake acrylic nails are to your nails.

     

Why would I need a veneer?

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  • Veneers can to be used to treat badly discolored teeth and improve the aesthetics of a patients smile
  • Small gaps between teeth can easily be improved or closed with dental veneers
  • A damaged tooth that has been fractured may also require a veneer

What types of veneers are there?

  • In modern dentistry there are many different types of laboratory veneers but the basic discrimination between the types is either composite veneers or porcelain veneers.
  • The most popular type is porcelain as they last longer and so do not stain as easily as composite veneers. They also tend to give a better aesthetic result although therefore they are more expensive.
  • Porcelain veneers will typically last between five and ten years, while composite veneers can become stained within a year or two.

Crowns

A crown is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are often needed when a large cavity threatens the ongoing health of a tooth. They are typically bonded to the tooth using a dental cement. Crowns can be made from many material and are often used to improve the strength or appearance of teeth.

Why would I need a crown?

Crowns are an ideal restoration for teeth that have been broken, or have been weakened by decay or a very large filling.
A crown may be recommended if:

  • You may have discolouredfillings and you would like to improve their appearance
  • You may have had a root filling which will need a crown to protect what is left of the tooth
  • It may help hold a bridge or denture firmly in place.

Bad Breath

Bad breath is a very common problem and there can be many different causes. Although persistent bad breath is usually caused by the gases released by the bacteria that coat you teeth and gums.

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What causes bad breath?

  • Food can get caught in the teeth and on the tongue can release a bad smell so correct brushing and losing is very important
    However strong smelling foods such as garlic, onions and coffee can worsen the problem.
  • The bacteria on you teeth and gums also cause gum disease and dental decay. One warning sign of gum disease is a persistent bad taste in you mouth or long lasting bad breath. This is why regular dental and hygiene visits are important to screen for any gum disease. Obviously the earliest any dental problem is found the better the treatment outcome will be.
  • Smoking causes its own form of bad breath and the only solution to this is to stop smoking. We can help you with smoking cessation advice and refer you top your GP where they can recommend an appropriate replacement therapy if required.

What health problems are associated with bad breath?

  • Dry mouth (xerstomia) is a condition that’s affects the flow of saliva. This can cause a build up of bacteria in the mouth and thus bad breath. Dry mouth can be caused by medicines, post chemotherapy and radiotherapy and mouthbreathing at night.
  • Infections in the throat, nose or lungs, diabetes or occasionally liver and kidney disease can cause bad breath and if we think it is appropriate we will refer you to you GP for further investigations

How can I treat bad breath?

  • The most important first step is to discuss it with your dentist. We will complete a full gum or periodontal assessment and treat any underlying gum disease if this is the problem.
    Mouthwashes can help in the short term but some mouthwashes recommended for gum disease can cause teeth staining and taste disturbances so always consult your dentist first.

Oral Cancer

Oral Cancer is cancer that affects the lips, tongue, cheeks and throat. At every examination appointment at Kilfeather Dental we will complete a full cancer screening and have been doing this, probably without you noticing! Unfortunately the incidence of oral cancer is increasing which is why it is even more important to attend for you regular dental check-up, even if you are not experiencing any problems

What causes mouth cancer?

  • The biggest risk factors are smoking and alcohol. If consumed together the risk is even greater
  • Over exposure to sunlight can also increase the risk of caner to the lips.

What does mouth cancer look like?

  • It can present in all different forms and can affect any part of the oral cavity.
  • It can occur in people who have their own teeth or who have false teeth
  • If you are worried about a particular area in your mouth that does not disappear/improve in 2 week then consult your dentist.

Very often lesions or areas in the mouth that appear abnormal are not cancer but it is always very important to have them checked by the dentist.

At Kilfeather Dental we will refer you for a second opinion from a consultant immediately. This is usually through the Oral Medicine department in the Dublin Dental Hospital.

Whitening

There are different techniques available to whiten teeth including ‘in office bleaching’/ laser whitening and the ‘take home’ system. At Kilfeather Dental we offer the ‘in office bleaching’ and the ‘take home’ system.

Research has shown the ‘take home’ system to be the most effective method of whitening teeth. It has been found that the ‘in office bleaching’ relapses and does not last as long as the ‘take home’ system. For this reason most cases we treat at Kilfeather Dental will be with the ‘take home’ method but we will always discuss, with you, what is right for you.

Teeth whitening is a highly effective way of lightening the natural colour of your teeth without removing any tooth surface..

What is the procedure?

Take home system

  • Impressions are taken to make custom fitted delivery trays which will fit you mouth like a small gum shields
  • Whitening trays are fitted and checked for comfort.
  • We will give you detailed instructions about how to use the product and where to store it and all the whitening solution you will need to complete your treatment
  • Over a 3-4 week period the trays are worn every night with the whitening product on the teeth
  • We will arrange a review appointment to check you progress

Some results from Kilfeather Dental

 

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