Category Archives: Cosmetic Dentistry

Additional Clinics with Dr André Collins

Dr André CollinsThe newest dentist at Pembroke Dental Ballsbridge, Dr André Collins is proving very popular. His clinics have been so busy this year that we’re delighted to announce that we’re now able to offer an additional clinic on Thursdays with André, including more early morning appointments, which are always in high demand. This is in addition to the two late evening clinics Dr Collins already offers each week.

Dr Collins has extensive experience in general dentistry, having worked in both the UK and Australia for many years. He also provides cosmetic dentistry and can complement treatments such as composite bonding and highly aesthetic crown and veneers, with adult cosmetic orthodontics, all conveniently under one roof at Pembroke Dental Ballsbridge.

André is also very experienced at using our new CEREC machine. This fantastic piece of high tech equipment allows him to prepare and fit crowns, bridges and inlays/onlays in just one day. We’ll be posting more information about the CEREC machine in the coming weeks, so check back for updates!

To make an appointment with Dr André Collins, please call the office on 01 668 3242.

New Super Slim Inman Aligner 3 Month Brace

Inman Aligner logo

The Inman aligner is one of the most popular types of braces available here at Pembroke Dental Ballsbridge. While all of the systems provided by Dr David Keenan are short-term, cosmetic braces, the Inman aligner allows most patients to complete their treatment in the quickest time, usually just 3-4 months.

Super Slim Inman Aligner

With any braces, patients have to learn to adapt to speaking while wearing the appliance. Until now, the main disadvantage of the Inman aligner was that it could take patients a while to adapt their speech. However the new Super Slim Inman aligner takes care of this, and it’s lighter, thinner and more discrete than before!

  • The bow is three times thinner than before;
  • The plastic is more transparent and so more ‘invisible’;
  • Patients can adapt their speech faster;
  • There’s no reduction in effectiveness;
  • The new Super Slim Inman aligner can actually improve treatment times, as patients are less likely to remove the device and will wear it for longer each day.

Here’s an example of a patient who has been wearing her new Inman Aligner for just two weeks. Her braces are so discrete it’s hard to either see or hear that she’s wearing them!

You can read much more about the Imnan aligner on the orthodontics section of our website and we regularly add photos of patients before and after treatment to our Instagram feed. If you would like to arrange a free consultation appointment with Dr Keenan to discuss the Inman aligner or any of our orthodontic systems, please call 01 668 3242.

 

Wedding Preparations: Go Dental, Not Mental!

Or how to prepare your smile for your wedding and minimise the stress.

Our Pembroke Dental Ballsbridge practice manager shares what she’s learned about planning your dental treatment before your wedding so that the preparations are spread out and completed in plenty of time for your big day, minimising the stress and hassle.

How many engagements were made on Valentine’s Day just gone? How many girls took the opportunity to propose to their other halves on 29th February? It seems everyone I know is getting married, so I’m learning lots about how to organise weddings! Here’s how my last Sunday just went:

  1. Morning: chat on the phone with a school friend who’s getting married next month about accommodation at the venue so she can try to confirm numbers;
  2. Rest of Morning: spent 3 hours making place settings for my cousin’s daughter’s wedding (‘volunteered’ by my mum, 50 down, 150 to go!);
  3. Lunch: chat with a friend about how her sister’s boyfriend’s cousin was on ‘Don’t Tell The Bride’ the other week;
  4. Evening: exchange frantic Facebook messages with another friend who lives in Spain but who’s trying to organise her July Dublin wedding from Barcelona (can anyone recommend a make-up artist?!).

Let’s face it: there are enough things to stress about when organising a wedding without adding the perfect smile to the list. Especially when a beautiful smile is totally achievable, no matter what your timeline, once you put in a little planning.

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Kudos to One Fab Day for their very clever Wedding Beauty Timeline. They’ve even included teeth whitening at the four-months-to-go stage. But what if your dental treatment needs are a little more involved than whitening? Here’s my suggestion for what your wedding dental timeline should look like.

6 Months Before (at least!)

Both the bride-to-be and groom-to-be should attend the dentist for a full dental exam, x-ray (if one is due) and scale & polish (cleaning). The best way of ensuring a healthy smile is to maintain your dental health.

If your dentist recommends any treatment plan at this stage, whether it’s something as straightforward as fillings or a bit more involved like a root canal treatment or a crown, you have plenty of time to schedule this and get it completed before the big day.

You’ll have more than a few other expenses over the next few months, so it may be helpful to be able to spread out these costs in the quieter ones. Don’t forget, if you have dental insurance (Vhi Dental or DeCare Dental) we can submit your treatment plan to your insurer and you’ll find your costs are reduced further. Plus you can claim back tax relief on some of the bigger treatments.

This is also the best time to discuss with your dentist any cosmetic treatments that you might be considering for the big day. Tell your dentist what you don’t like about your smile and what you’d like to change, and he or she will give you a comprehensive treatment plan with costings so you can decide what you’d like to do. Two of the most common in-surgery cosmetic treatments we get asked about before weddings at Pembroke Dental Ballsbridge are short-term orthodontics and veneers (or componeers).

Many patients dismiss orthodontics before their wedding as they think it will take a year or more to get a good outcome. However, it’s possible to achieve fantastic orthodontic results in as little as three or four months with adult braces. Read more about Inman Aligners, Six Month Smiles and Invisible Aligners on our website. And remember, payments can be spread over the course of the treatment with interest free finance, which can make them more manageable. Our recent blog post with before and after photos shows the fantastic results you can achieve in very little time with short-term braces.

EH Before
Before
EH After
After

Veneers are a very quick solution which result in a dramatically improved appearance in just one or two visits. Again, take a look at some of the before and after photos on our website which show just how dramatic the improvement can be with direct bonding, componeers and porcelain veneers. With the different options available there’s a solution to suit every budget.

4 Months Before

At this stage the stress levels may be rising and you find you don’t have a spare minute in the day. As a result, some of your habits may have changed. Have you been skipping brushing and flossing and just flopping into bed exhausted after a weekend of checking out bands and tasting menus? Have you been waking up with sore jaws, earaches or headaches? Are your gums bleeding more frequently than before? Have your grumbling wisdom teeth flared up into full-blown agony? Ah yes, STRESS!

Say-I-dont-to-wedding-stress

Stress can lead to a number of changes in your mouth and even if you’re normally really good at keeping up with dental care at home and visiting your dentist regularly, it can play havoc! If any of the above symptoms sound familiar, then you should pop back to the dentist for a quick check-up. To minimise the stress, we have early morning, late evening and lunchtime appointments available at Pembroke Dental Ballsbridge so you can pop in before or after work, or on your lunch break. If you live or work in Dublin 4 it couldn’t be handier.

Being run down and missing a few brushings and flossings can allow oral bacteria to multiply, putting you at risk of gingivitis (red, inflamed and sore gums – not a good look!), and infections. Visit our hygienist Lorraine Doyle for a professional cleaning. Get back on top of you dental health – and your glowing smile – with a scale & polish.

Stress may be causing you to clench and grind your teeth at night when you’re asleep. This can result in sore jaws, headaches and even broken teeth. A bite splint is a simple device that fits over your teeth to protect them while you sleep.

While now might not be the best time to consider wisdom tooth extraction, keeping an eye on them in the run-up to the wedding is a good idea and any infection or flare-up can be quickly controlled using antibiotics, so that they don’t ruin the big day.

Now is a good time to begin teeth whitening. It’s a very simple – and at just €295 very cost effective – treatment that can produce quite dramatic results. We don’t recommend leaving it until just before the wedding (as you’ll have enough on your plate at that stage!) but by doing it now, with perhaps a top-up treatment just before the big day, you’ll have a beautiful white smile to match your white dress (or your blushing bride’s white dress!) In one quick visit with the dentist we can prepare bespoke trays which are ready to collect the next day, which you use at home to get the result you want. Everyone is different, so the dentist will advise you on what you need to do to get the effect you desire.

Whitening Smile Image

Whitening is an essential treatment that we provide at Pembroke Dental Ballsbridge before we undertake any cosmetic dental treatment. We can then match the new shade of your teeth to any new restoration that we provide whether that be composite direct bonding, porcelain veneers or componeers.

1 Month Before

If you haven’t already, now is a good time to come and see the dentist or dental hygienist at Pembroke Dental Ballsbridge for that final scale & polish before the big day to remove any staining and have your teeth looking their best.

Any pre-wedding short-term adult orthodontics should be planned to finish up around now as well, so that any retainers needed can be fitted in time to let you get used to them before the main event.

If it’s needed, a whitening top-up should be done around now as well so that you’re not trying to remember to do it in the hectic few days before the wedding.

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So, you can see with a little pre-planning it’s easy to have the perfect smile on your wedding day with Pembroke Dental Ballsbridge. Call 01 668 3242 or email info@pembrokedentist.ie today to schedule a check-up and treatment planning appointment with Dr Keenan to see what can be achieved before your special day.

How and why is bone lost when teeth are lost?

 

 

 

Pembroke Dental Ballsbridge in Dublin are leading the way in innovative techniques to place implants. Bone needs stimulation to maintain its form and density. In the case of alveolar (sac-like) bone that surrounds and supports teeth, the necessary stimulation comes from the teeth themselves. When a tooth is lost, the lack of stimulation causes loss of alveolar bone. There is a 25% decrease in width of bone during the first year after tooth loss and an overall decrease in height over the next few years.
The more teeth lost, the more function lost. This leads to some particularly serious aesthetic and functional problems, particularly in people who have lost all of their teeth. And it doesn’t stop there. After alveolar bone is lost, the bone beneath it, basal bone — the jawbone proper — also begins to resorb (melt away).
How can bone be preserved or re-grown to support dental implants?
Dr.Keenan advises that grafting bone into the extraction sockets at the time of tooth loss or removal can help preserve bone volume needed for implant placement. Surgical techniques are also available to regenerate (re-grow) bone that has been lost, to provide the necessary bone substance for anchoring implants. In fact, a primary reason to consider dental implants to replace missing teeth is the maintenance of jawbone.
Bone needs stimulation to stay healthy. Because dental implants fuse to the bone, they stabilize it and prevent further bone loss. Resorption is a normal and inevitable process in which bone is lost when it is no longer supporting or connected to teeth. Only dental implants can stop this process and preserve the bone.
What are the options for implant tooth replacement?

Dental Implants at Dublin Dentist

Single Tooth Replacement:
Immediately (at the same time an implant is placed) or after a period of healing, Dr.Keenan would place an abutment is attached to the implant. This is a device that “abuts” or joins the implant to a tooth form called a crown, which replaces the tooth part you see in the mouth. It will hold a custom-made crown that the dental laboratory will fabricate and match to your existing teeth. The custom crown is cemented or screwed onto the abutment to permanently keep it in place. Once the crown is in place, it should be indistinguishable from your natural teeth.

Dental Implants at Dublin 4 Dentist

Fixed Multiple Tooth Replacement:
As with single tooth replacement, temporary healing caps or abutments may be placed on multiple implants until the healing phase is complete. After healing, permanent abutments are attached to the implants. They can attach to custom-made crowns or bridgework that a dental laboratory will fabricate to match your existing teeth. In the final step, the custom bridge, which will replace multiple teeth, is cemented or screwed onto the abutments. The teeth have been replaced without disturbing the healthy teeth next to them, and bone loss has been halted.

Dental Implants at D4 Dentist

Removable Implant-Supported Tooth Replacement:
If all of your lower teeth are missing, depending on the design of the removable restoration, two to six implants may be used to support a lower denture. If all of your upper teeth are missing, a minimum of four implants may be used to support an upper denture. Removable dentures are often used to replace extensive tooth, bone and gum-tissue loss, thus providing support for the facial skeleton, lip and cheeks. A new denture can have attachments that snap or clip it into place on the implants or a custom made, milled bar can be fabricated to create additional strength and support for the restoration. Design variations are often related to your bone density and number of implants present; your dentist will discuss these options during your consultation. A significant advantage of a removable denture is facilitating the cleaning of the dental implants.
How do implant tooth replacements differ from teeth?
Natural teeth and dental implants may look the same, feel the same, and even function in a similar way, but they are very different. The most important differences are in the way they attach to the surrounding bone, their response to dental disease, their maintenance, and repair.

Dental Implants at Ballsbridge Dentist

Teeth attach to the surrounding bone by a periodontal ligament (“peri” – around; “dont” – tooth) made up of collagen fibers that join into the tooth on one side and bone on the other. Dental implants fuse directly to the bone.
The gum tissues also attach to the root of a tooth with collagen fibers as described above. However, gum tissues can only stick to the surface of dental implants.
Teeth are susceptible to dental decay as well as the need for root canal therapy; dental implants are metal and do not decay or need root canal. Teeth may also be susceptible to periodontal (gum) disease, while dental implants may be susceptible to peri-implantitis, an inflammatory response to bacterial biofilm of the tissues surrounding the implant, which can result in disintegration of the bone to the implant.
What type of maintenance do dental implants require?
Implant crowns and other prosthetic (false) tooth replacements are made to be remarkably failsafe systems. They are removable and replaceable (only by your dentist), so that if damage or wear necessitates replacement, this can be accomplished without affecting the implant(s) or attachment to the bone.
Nevertheless, implants do require maintenance. It is important to practice good daily oral hygiene, including brushing and flossing to control bacterial biofilm. It is also important to see Dr.Keenan and our dental hygienist at Pembroke Dental Ballsbridge in D4. Special instruments are necessary to clean dental implants that will not damage their metal surface beneath the gum tissues. Dr.Keenan will need to monitor your implants to make sure the integrity of the osseointegration is stable, and that the implant crowns, bridgework or dentures are functioning adequately.

If you are experiencing any difficulties please contact us in our Dublin dentist practice today at 01 668 3242.

Implants – Dublin Dentist

A dental implant is a small titanium screw, that replaces the root portion of a missing natural tooth before being covered with a crown. Due to the biocompatible properties of titanium, the dental implant fuses with the bone and becomes a secure anchor for the replacement tooth. Dental implants can be used to replace either single teeth or all of your teeth in both the upper and lower jaw.
Dental Implants at Dublin Dentist
Dental implants have revolutionized restorative dentistry. They are the most advanced technological treatment option available. They offer permanent replacement to loose and missing teeth and can be a viable alternative to wearing dentures, rebuilding confidence with a functional and secure smile. They are a permanent and fixed solution for missing teeth, providing patients with the nearest possible alternative to their natural dentition.

Will dental implants work for me? If you are missing a tooth or teeth due to injury, disease or tooth decay, you may be a candidate for dental implants. Your dentist will assess your suitability based on the amount of available bone. It might be that other approaches are recommended, such as a crown, a bridge or dentures.

What are the advantages of dental implants?
• Permanent – A secure and permanent solution to missing teeth normally lasting the lifetime of the owner
• Improved appearance – Dental implants can stop the process of jawbone shrinkage due to tooth loss where dentures or bridges cannot.
• Preserve natural teeth – With traditional bridges, adjacent teeth are normally ground down to provide anchors. Dental implants can eliminate the need to modify healthy teeth. Dental implants are a tried and tested method of tooth replacement
• They are the ideal choice for most people who are missing teeth
• Dental implants are the only way to preserve jaw bone which is otherwise lost over time
• Dental implants will help maintain your appearance as they stop facial collapse
• They do not damage neighbouring teeth unlike dentures or bridges can

The Process.
Initially a CT scan is carried out of your jaw to establish if you have sufficient quality and quantity of bone. If you do we can move onto the surgical stage.
Dr.Keenan will surgically place your implants before placing a protective cover over them. The initial implant normally takes approx. 45 minutes and is completed under local anesthetic. The implant integrates with the bone of your jaw over a period of three to six months, as the bone grows around the screw and holds it firmly in place. A crown is then placed over the implant to replace the original natural tooth. Dr.Keenan routinely extracts wisdom teeth and impacted teeth and places dental implants. Patients tell us that having teeth extracted is the harder procedure to have compared to getting dental implants placed, although many people would expect the opposite. With today’s technology and a lot of finesse both of these procedures are surprisingly easy to sit through and to heal comfortably after treatment.

If you are experiencing any difficulties please contact us in our Dublin dentist practice today at 01 668 3242.