Should I be concerned about canker sores or mouth ulcers?

Mouth ulcers are a common irritation, often linked to stress or being overworked, springing up in the wake of exams and during the build-up to presentations. The Americans prefer calling them canker sores but either way, when should you come in to our dentist in Wrexham to see us about an outbreak of ulcers?

The yellowish whitish sores typically occur on the inside of cheeks, lips and sometimes the underside of the tongue and roof of the mouth, stinging on contact with heat or acid. Popping up alone or in small clusters, almost everyone has had them. As much as we wish we could resolve them for you in our surgery, the truth is that they will often self-resolve in a few weeks.

You don’t have to worry about them being contagious, but some people seem genetically prone to them. There seems to be a wide family of normal commensal mouth bacteria which can end up forming an ulcer after the lining of the mouth has been disrupted by something, usually trauma or abrasion against jagged teeth. Some of our patients report them being triggered by acidic foods.

Chronic ulcers occurring in a similar place should not be ignored, as they are an important indication that something is going wrong. Perhaps a brace needs adjusting or a denture. It may also be a symptom of food intolerance. You should systematically explore your diet and eliminate potential allergens, like dairy, to see if it impacts on the formation of mouth ulcers.

Ulcers for more than 10 days

If your mouth ulcers are spreading or persistent for more the 10 days, our dentist in Wrexham

can intervene. An oral steroid ointment can relieve the inflammation and permit the healing to begin. If your ulcers are growing in size beyond the size of a 5 pence piece, contact us immediately and we will try to book you in for an appointment on the same day.

If your chronic mouth ulcers are also accompanied by joint stiffness, gas/diarrhoea and fatigue, you should talk to your GP about them as there is a good chance they are a part of a larger auto-immune disorder. 

Prevention

If you’ve just got your mouth ulcers under control and are not looking to go through that again, there are steps you can take to avoid reoccurrence.

If your ulcers are along your checks in line with where your teeth meet the cheek, they may be due to excessive chewing. You should reduce the use of chewing gum and be cautious when eating.

If they are on the inside of your lips and are also accompanied by receding gums, you may be brushing too hard causing gum erosion and abrasion on the inside of your lips.

Brushing after meals and flossing daily could help to control the build-up of commensal bacteria to stop them from becoming a future problem. But for a more in-depth look at your specific case, you have to talk to our dentist in Wrexham who will be able to advise you and book you in for a check-up if required.

The dental services you may not associate with a dentist!

The bread and butter of a dental clinic may be incisors and molars, but we do more than just drill teeth; the skill set of our dentist in Wrexham with a well-stocked clinic can do more, like dermal fillers and tooth whitening. You have probably heard of such procedures but having them performed at a dental surgery can easily be misunderstood, due to the marketing strategies of some questionable providers. It’s time to sort out the wheat from the chaff and answer your questions along the way.

Dermal fillers permanently change your face

No, they do not. This is not true but there is some swelling in the first hour after receiving a filler. Then, it is slowly broken down and fully absorbed into the body within 6 months with many patients opting to then have their fillers replaced

Fillers are always safe

In general, correctly applied fillers are very safe, there are times where it may be best to avoid them or delay your treatment until a later date. If you have an active cold sore, it could be spread across the injection site by the dermal filler needle or if you are going to have a facial massage or any dental work performed within a few hours of receiving a filler.

Fillers are made from acid

Well, they are not made from acid, but hyaluronic acid is the primary ingredient in the most pedantic way. Yes, it lacks clarity and doesn’t really tell us much; both ketchup and battery acid are acidic but that does not make them comparable. Hyaluronic acid is a normal component of tissue, with the average human having about 11% hyaluronic acid. It is considered biologically inert and allergic reactions to it are extremely rare.

The beauty salon does dermal fillers, why should I go to a dental surgery?

There are many outlets which will provide dermal fillers. Fillers are not regulated in the UK, which means they can be performed by anyone without training. Our dentist in Wrexham can not only provide fillers but our experience with facial anatomy training, patient care and medicine allows for a safer and more regulated service.

Home bleaching teeth is the same as having it performed in a clinic

They are similar in method but the concentration of the agent used and the treatment time is very different. The bleaching component used in both is hydrogen peroxide but the kits approved for home use contain less than 1% of it. This makes it a lot safer, especially on the gums. The treatment in-clinic is more exact and can be more concentrated.

Home kits can be purchased through your local dentist

This is true and has several advantages. The bleaching gel is held in a bleaching tray which keeps it in place; in the clinic, we will form a tray around your teeth to ensure the gel remains in contact with the teeth and only the teeth. The trays that come in home kits are not personalised and are often ill-fitting. Also, by sourcing the products from our dentist in Wrexham, you avoid the risks of counterfeit medical goods that can come from online purchasing.

Dental implants; what’s all the fuss about?

There is a reason why dental implants get spoken about a lot online and in dental surgeries, but why? Dentists are excited because for the first time we can completely restore a tooth with no remaining fragments or even a vacant gum socket. Our implantologist at Gwersyllt Dental Practice is Mr Guest, who’s advanced training allows us to provide dental implants in our clinic, with the highest standards of care and an above-average success rate. There are limitations to dental implants and here our dentist inWrexham will break down the implant process.

How do they work?

We implement the modern 3-part implant. A titanium implant and a connector, topped with the ceramic porcelain prosthetic.

Titanium implant

The implant sits in the jawbone when installed and looks like a short titanium rod. It is kept in place by new bone growing around it and fusing to it.

The connector is fixed to the top of the implant and allows the implant to be placed independently of the prosthetic. This is done to give the implant time to set into the jawbone without the daily pressures it would have to endure if it was inserted with the dental prosthetic attached.

Although a single tooth is the most common prosthetic that we use, there are others like an implanted bridge or an anchor for a set of dentures.

The dental implant treatment pathway

A full assessment has to be carried out with our dentist in Wrexham, exploring your medical history and taking X-rays to confirm that you are suitable and that the implants are likely to be successful. The implanting of the titanium component is performed with a 4-6 month recovery period before a further assessment is made to ensure that they are fully set, allowing the prosthetics to be attached via the connector.

How do they compare to other forms of restorative dentistry?

The lifespan of an implant after successful integration is unmatched, even compared to endodontics, and has a longer lifespan than crowns or veneers.

There is also the capacity to remove the prosthetic component and replace it without having to extract the whole implant, making any future work much easier to perform for our team.

How would an implant affect my everyday life?

There are dental procedures with long-term consequences, like the hot and cold sensitivity that may accompany veneers or the gradual darkening of root canalled teeth. But the dental implant is as close to natural teeth as you can achieve with the same bushing requirements and twice-yearly check-ups. The artificial tooth enamel used on most prosthetics is much more stain-resistant than natural enamel, so even if your new tooth was colour matched at the time of fitting your natural teeth will darken faster leading to the implant standing out. However, this can usually be resolved with a scale and polish or tooth whitening.

Are there age restrictions on getting dental implants?

 Yes; you need all your adult teeth and need to be healthy with normal bone density. But there are no upper age restrictions on oral implants with our dentist in Wrexham.

When are sensitive teeth a good reason to go to the dentist?

Sensitive teeth aren’t exactly rare and if you never experience them, you almost certainly know someone who does. In reality, dental sensitivity is more common in 20 to 40-year-old women than any other group. Most of the time, it’s not a big issue but if you’ve tried to treat it yourself at home for the last 2 weeks and it is not getting better or has got worse, it is time to come see us, your friendly dentist inWrexham.

What causes temperature sensitivity?

Your teeth have a hard outer layer called enamel, it’s milky white and is largely opaque. Beneath it is the softer, yellowish spongy material dentine. Unlike enamel, dentine is porous and when exposed, teeth become sensitive, The enamel only extends to the gum line, with the root of a tooth made entirely of dentine. If the gum starts to recede, the dentine becomes exposed. But there are many reasons why the enamel may have been disrupted without receding gums.

Tooth whitening

The two most common methods of whitening teeth are abrasion, which can wear away the enamel, or bleaching which can chemically alter it, making it much more permeable.

Cracked tooth or filling

If the sensitivity is severe and came on suddenly, a cracked tooth or filling could well be the cause and you should book yourself in to see our team.

Tooth grinding

If it is the tips of your teeth which are sensitive, you could be grinding them in your sleep.

Over brushing

Yes, it can be caused by too much of a good thing! If you habitually brush your teeth too hard, you will eventually thin out your enamel and expose the dentine.

Dental erosion

The hardness of enamel comes from a lattice of calcium compounds. Unfortunately, it is chemically vulnerable to acids either from foods or acid reflux, which can break it down and once again expose the dentine.

What should I do to stop sensitivity?

If you haven’t tried already, you should first attempt to treat it yourself for 2 weeks. Get a high concentration fluoride-based toothpaste; it must be at least 1350ppm. There are many brands available from your local pharmacy or supermarket, and make the necessary lifestyle changes to prevent it progressing.

If tooth whitening has triggered your sensitivity, talk to us about strengthening the tooth. If you are self-whitening at home you should stop.

If the sensitivity is at the tip of your teeth, and you wake with muscle stiffness in your jaw you could be grinding your teeth during the night. Our dentist in Wrexham can help you with a custom mouthguard, but tooth grinding is a side-effect of some prescription medications so you should talk to your doctor first

Switching to a softer toothbrush and being more cautious when you brush will help prevent over-brushing and will allow the enamel to heal.

If there is no improvement in two weeks call us and we will book you in for a check-up with our dentist in Wrexham. Based on the pattern of the enamel thinning, it will not take long for us to see the causes of the sensitivity For many patients, a fluoride varnish or sealant should resolve the dental sensitivity.

How are orthodontic conditions treated?

Orthodontics

The term orthodontics refers to a special type of dentistry that has a main focus on the treatment of misaligned teeth and jaws. These conditions have been with us since prehistoric times: even 50,000 years old human remains have been found to have crooked teeth. The first author to describe these conditions was the famous ancient Greek doctor, Hippocrates. Another Roman writer hundreds of years ago, Celsus, recommended newly appearing teeth to be pushed into their correct position by exerting pressure on them with the owner’s fingers. Even ancient Egyptian mummies have been shown to have a very early form of today’s braces in their mouths: they consisted of metal bands wrapped around each tooth, which were bound together with a material that is currently thought to be catgut. The biggest developments in dentistry and particularly in orthodontics however happened during the past 200-300 years. With the invention of dental adhesives and the more widespread use of stainless steel instead of precious metals, orthodontic treatments have become more available to the wider public than before. If you are looking for a dentist in Wrexham to treat orthodontic conditions, why not book an appointment with us to get those teeth straighter! .

Metal braces

Metal braces are still one of the most common orthodontic treatment methods. These braces consist of brackets and archwires. The brackets are fixed onto the surface of the teeth using special dental adhesives. After this, they are bound together using the metal archwire. The archwire’s tension determines the amount of pressure exerted on the teeth. As the treatment progresses your dentist will progressively increase the pressure exerted on your teeth in order to get the desired results. Metal braces are still popular, probably down to the broad spectrum of orthodontic conditions they can treat and their relatively low cost. Metal braces with brackets are not removable and they require special oral health habits for the time they are used. Usually you will need a special type of toothbrush with a narrow end that allows you to clean some of the area under the brackets. If you are looking for a dentist in Wrexham to treat orthodontic conditions, visit us or book an appointment with us via our phone number or email.

Alternatives to metal braces

Many patients with orthodontic conditions really require treatment, but are reluctant to get it because of their aesthetic or comfort concerns associated with metal braces. Luckily these are not the only treatment options today. For example Invisalign is a transparent plastic aligner that fits on a patient’s dental arches perfectly. These aligners are removable therefore you do not need special toothbrushes or oral health habits. Another popular alternative is to use lingual braces. These are custom made metal braces, but they are almost invisible to external eyes, due to their brackets being attached to the inner side of the teeth rather than the outside. Clear braces work on the exact same principles as the traditional metal braces with brackets. The only significant difference is that clear braces are made out of tooth coloured brackets and transparent plastic archwires, which makes them blend into your smile perfectly. If you would like to find a dentist in Wrexham to treat orthodontic conditions, book a consultation with us, so that we can find the perfect solution for you.

Prevalent dental conditions, their treatments and prevention

Dental injuries

Dental injury can include numerous different conditions. It can refer to traumatic damage occurring to the teeth, the gum tissue or the inside of the cheeks. Dental injuries can range in severity from mild scratches to a whole tooth or teeth getting knocked out, to even more severe orofacial injury. The treatment also varies depending on the severity of the injury. Chipped teeth or broken teeth are often treated with veneers. Veneers are small shells of a tooth coloured material, which are inserted upon damaged teeth to improve both their aesthetic appearance and their function. If an entire tooth gets knocked out, you may try reinserting it into the hole it is missing from, after gently cleaning it by really softly biting on a sterile handkerchief. See your dentist immediately if this occurs. Rinse or lick off any impurities from the knocked out tooth and store it in milk (but not water) while you get to your dentist. In case the original tooth cannot be reimplanted, a dental implant might be a good option. If you are looking for a dentist in Wrexham to treat injured teeth do not hesitate to get in touch with us.

Caries

Tooth caries are very common and a condition that affects a lot of us throughout our lifetimes at least once. They are caused by diets high in sugar and by poor oral hygiene. These two factors can result in our oral microbiota to overgrow. Our oral bacteria secrete waste products, such as organic acids while feeding on the sugar residues found in our mouth. These acids can contribute to the dissolution of our teeth’s calcium phosphate content, which gives it rigidity and durability. This can result in tooth decay and the subsequent formation of cavities. Tooth decay and cavities are primarily treated by fillings. Traditionally fillings were made out of amalgam, which is a type of mercury alloy. Due to both health and aesthetic concerns, today’s white fillings are made out of a composite material. While fillings do not cure the cavity, they can prevent further decay and they can significantly improve your quality of life. If you are looking for a dentist in Wrexham to treat tooth decay or caries, book an appointment with us, so that our dedicated and experienced dental team can address any problems you have quickly and smoothly.

Tooth loss

Tooth loss can be extremely distressing. Numerous causes can be behind tooth loss. The leading causes of tooth loss are tooth decay, periodontal disease and dental trauma. Tooth decay and periodontal disease are both primarily caused by oral microbial overgrowth and the resulting increased rate of organic acid production. If the decay reaches the pulp tissue it can infect it and result in tooth loss. The bacteria also cause inflammation in the gum tissue, which if left untreated can cause severe and permanent damage of the gum tissues. This can result in tooth loss. Tooth loss can be treated by dental implants. These are screw-like metal appliances surgically inserted into the jawbone, with which they integrate to provide a reliable and strong fixing point for the replacement teeth. If you would like to find a dentist in Wrexham to treat tooth loss with dental implants, we can soon have you enjoying full functionality of your teeth once more.

How do some common dental treatments work?

Veneers

Veneers were invented in the 1930s by a Californian dentist, who intended to change the appearance of actors’ smiles prior to film shoots and acting performances. At this stage veneers were a very temporary solution, they only stayed on for the time of the performance, for a few hours at most. Luckily nowadays thanks to the advancement in dental technology, veneers can last for many years if looked after and prepared well. Veneers are used to improve the appearance and function of the teeth. They are small shells attached on the surface of the teeth made out of a certain tooth coloured material. There are numerous materials veneers can be made out of, however today composite veneers are used most often. The advantage of veneers in comparison to dental crowns is that they come with a smaller amount of preparatory work, they are less invasive and spare more of the original natural tooth. The only preparatory work that often has to be carried out is grinding a small part of the tooth upon which the veneer will be placed in order to make it stick easier. If you are looking for a dentist in Wrexham to get veneers, we will soon have your smile sparkling with confidence again!

Teeth whitening

Tooth discolouration is a very common condition that affects most of the population to varying degrees. It is generally not pathological and is not a cause for serious concern, therefore teeth whitening is classified as a cosmetic dental treatment. Numerous reasons can be behind tooth discolouration. These include the frequent consumption of staining foods and beverages, e.g. coffee, tea and red wine. Also smoking, poor oral hygiene, dental plaque, ageing associated dentine exposure, certain antibiotic drugs, and the frequent use of certain types of antibacterial mouthwashes can cause staining. There are various types of teeth whitening treatments. Unfortunately most of the DIY methods available on the internet are not sufficient, and can even cause harm by damaging your enamel. Make sure you get professional help if you would like to whiten your teeth. Some teeth whitening treatments are carried out in the clinic using a special whitening gel and a light source, while others are carried out at home using custom made bleaching trays and a whitening agent. If you are looking for a dentist in Wrexham to treat tooth discolouration, and regain the look of healthy white teeth, do not hesitate to book an appointment with us at the Future Health Partnership Practices.

Braces

Orthodontic conditions affect a large part of the population. The most popular treatment method for orthodontic conditions is the use of braces. The metal braces with brackets we know today have existed since the 1970s, when dental adhesives were invented. Nowadays there are numerous alternatives to metal braces for patients who would prefer not to get them. Invisible aligners, such as those manufactured by Invisalign are excellent for the treatment of conditions ranging in severity from cosmetic/mild to moderate. More severe orthodontic conditions can be treated with invisible braces, which work based on the same principle as metal braces, with the only difference being the transparent and tooth-coloured materials used during their manufacture. If you would like to find a dentist in  Wrexham to treat orthodontic conditions, book a consultation with us to determine how we can get you on the path to a straighter, beautiful smile.

What is tooth decay and what can it cause?

Tooth decay

Tooth decay is one of the most prevalent of dental conditions, almost all of us experience it at least once throughout our lifetime. While it is a very common condition, it is very important to know that you can avoid it by introducing a few small changes into your lifestyle and oral health habits. Tooth decay is caused by large dietary sugar intakes causing oral microbial overgrowth. These bacteria produce organic acids as a byproduct. These acids can contribute to the degradation of our teeth’s mineral content if they are at a fairly high concentration. By reducing your dietary sugar intake and by practising appropriate oral hygiene habits you can keep these microorganisms under control. Brush your teeth at least twice a day, use dental floss and occasionally use some type of antibacterial mouthwash to keep your oral microbiome under control. It is very important to know that tooth decay usually starts with just a small, very bright and white patch on the surface of a tooth. At this stage you can reverse the process by changing some of your habits. If you are looking for a dentist in Wrexham to treat tooth decay or any other condition, get in touch with us for quality dental treatment.

Cavities and their treatments

Cavities occur when the tooth decay causing bacteria have progressed through the enamel and reached the dentine. At this stage a hole or cavity is formed in the structure of the tooth. This is caused by the organic acids produced by the oral microbes mentioned above. At this stage the tooth decay process is unfortunately not reversible. It is important to know however, that tooth decay is treatable even at this stage. The treatments most commonly used for cavities are fillings. Fillings are inserted into the cavity after it has been cleaned out and sterilised to prevent further bacterial decay and colonisation or infection. Fillings can be made out of different materials. Historically, primarily amalgam, i.e. mercury alloys were used to manufacture fillings. However, as health concerns arose due to mercury leaking into the saliva alongside the aesthetic concerns associated with the metallic colour, amalgam fillings have slowly been replaced with white fillings. If you are looking for a dentist in Wrexham to treat cavities, contact us, as soon as you can, to preserve your teeth and have them at their healthiest.

Tooth loss

Tooth loss can occur as a result of dental injuries, advanced tooth decay or advanced periodontal disease. Tooth decay and gum disease both mainly occur due to microbial overgrowth in the oral cavity. The increased acid production can degrade your teeth’s mineral content, while the increased bacterial presence can trigger an inflammatory response in the gum tissue. If the tooth decay has reached the pulp tissue and infected it, tooth loss will almost always occur. The chronic inflammation can also damage the gum tissue permanently, which consequently results in tooth loss. Tooth loss can be treated with dental implants, which are small titanium screws surgically introduced into the jawbone, resulting in their integration into the bone. Dental implants are very durable, some patients even perceive them as stronger than their natural teeth. If you would like a dentist in Wrexham to treat your tooth loss, get in touch with us via our phone number or email as soon as possible to preserve the integrity of your teeth and their function.

Been told you need to have a crown fitted? A brief guide to this procedure by our dentist in Wrexham

When attending your dental surgery for a check-up, and after having your mouth assessed, your dentist may tell you that you need a crown.

If you need to have a crown fitted, you will probably have had a clear indication when you attend your dental check-up to begin with, as a dentist will see obvious signs of damage or decay to your teeth immediately. A crown is a common type of restorative procedure, offered to patients who have a tooth (or teeth) that are damaged extensively by either decay or impact. And as it is the job of every dental professional to try and save every tooth in your mouth, a crown is a suitable way to restore the strength and functionality to your mouth, without needing to undergo a painful extraction.

And at Future Health Partnership Practices, we are able to offer all of our patients such restorative options, should their teeth succumb to decay or damage. Our dentist in Wrexham has helped to restore the strength and functionality of many damaged teeth by using a crown and can assure you that the process will be comfortable, straight-forward and long-lasting.

So what exactly is involved in fitting a crown to a damaged tooth? Our dentist in Wrexham offers a jargon-free, short guide to crowns and their fitting below.

Diagnostic appointment

Unlike a filling which can be fitted then and there, a crown will typically need 2 trips to our dentist in Wrexham to complete.

The first appointment will require our team to take a mould of the damaged tooth, in order to build a perfect crown. During the visit, our team will also prepare your tooth for the fitting, which will require removing any debris and/or decay. As a crown also requires your tooth to be shaped, we will use a slow drill to reshape the enamel. This can be a slightly longer process, but it is required to ensure a long-term successful fit of your new crown.

The fitting

As we will need to send the mould of your tooth away to a dental laboratory for the crown to be created, there can be a delay of 3-4 weeks between your first and second visit.

The crown will be fitted and then using dental cement, we will be able to colour match it to your surrounding teeth.

As there are a variety of materials with which we can make your crown, your new fitting may be made from either ceramics, resin, porcelain or metal. You can even have a gold crown fitted!

Aftercare

There is no specific aftercare required once a crown has been fitted.

In order to prolong its longevity, you will need to maintain a high level of dental hygiene, so we will need to see you every 6 months for a check-up.

Be advised that if you begin grinding your teeth at night, this may shorten the life of your crown, and our team will be able to discuss a more suitable solution to repairing your tooth.

Not sure if you should have braces as an adult? 5 benefits of aligners from our dentist in Wrexham

It sounds odd, doesn’t it?

The idea of undertaking braces as an adult when you fought so desperately as a child to avoid having them fitted.

But, as is often the way, with age many people realise that there may have been unforeseen advantages to wearing braces as a child, which they may now be concerned are no longer available. Luckily, this is not the case; you can still get that straighter smile you want and you may not even have to wear metal braces!

At Future Health Partnership, our dentist in Wrexham has helped hundreds of adults to obtain a straighter smile. Using traditional braces, clear or invisible (or a combination of the 3) we can guarantee that we will be able to get that smile realigned, and you feeling great when you flash your teeth. Brilliant!

So, why should you undertake orthodontics as an adult? Are there any advantages to be gained? Read on to find out!

Straighter smile

This is the most obvious benefit, and while our dentist in Wrexham can attest to this benefit, you may not be convinced!

Studies have shown that when you have a straight smile, people are more likely to notice you, take you seriously and listen to your ideas. This has obvious advantages in the workplace, but in daily life too. And, as a result of having your ideas listened to, your confidence will bloom.

Better dental health

While you may remember your friend at school having to go to multiple hygienist appointments to keep their dental health in check, this may not be the case with adult aligners.

While it is ultimately the decision of our dentist in Wrexham which brace is the best for you, many are removable, allowing you to maintain better oral health. Long-term, you will find it easier to clean your teeth too, minimising issues like gum disease and tooth decay. A straighter smile is an easier smile to clean!

Better general health

As your teeth will be easier to clean, there will be less plaque and bacteria present in your mouth. As innumerable studies have shown, having excess amounts of plaque in your mouth is a bad thing, as it can seep into your body through your saliva and gums, which is not very desirable.

And so, simple by straightening your teeth, you will have reduced your likelihood of developing cardiovascular disease, diabetes and even cancer.

TMD reduction

TMD (temporomandibular joint disorder) is an often degenerative condition of the jaw joint, which can lead to things like nocturnal grinding of teeth, alongside pain when eating or yawning.

While TMD may require a different orthodontic treatment to correct, a brace will realign your upper and lower jaw, reducing TMD and its associated symptoms.

Better sleep

And with no nocturnal grinding worsened by TMD, you can expect to notice an improvement in your sleep pattern. No more waking up with a stiff neck, no more headaches or disabling migraines to keep you awake, wearing a brace can truly change your life.