Dental Treatment

Dental Treatment

Bone One Session Treatment (B.O.S.T)
Oral health and dentistry have their place in the overall health of patients.
The Hale Clinic has established a dental service based on treating periodontal gum disease, that represents the most direct connection between oral and general health.
Aggressive bacteria from the mouth can become localized in critical areas of the body - such as the coronary arteries - affecting the normal functioning of other bodily systems, and as a consequence general health.

Modern periodontal treatment starts by determining which bacteria are present in a periodontal gum infection. The Hale Clinic has chosen the BOST treatment system, which corresponds most closely with the current state of dental scientific research.

Access at The Hale Clinic
At The Hale Clinic, we have a lift to the first floor. For Dental patients, there are a further 9 steps to access the dental treatment room. As The Hale Clinic is a listed building, we are unable to adapt the building any further; however every effort will be made to assist patients.

What is B.O.S.T?
The Bone One Session Treatment (B.O.S.T), is an aerobic treatment that eliminates periodontal disease at its source: under the gums and in the bone supporting the teeth. Performed without invasive surgery, the B.O.S.T treatment is fast, comfortable, and reliable.

A typical B.O.S.T full mouth treatment is performed in 4-5 hours during a one day period. Due to the length of the appointment, a specially designed treatment bed is used for added comfort, in favour of a traditional dental chair. After a single B.O.S.T treatment, the bone is able to heal and the pockets can fill with healthy tissue.

The basic ideas for BOST began over 20 years ago with Dr. William Hoisington of Seattle, Washington, USA. Years of research and continual improvement led to several publications in professional journals and articles in the popular press. Some 3000 cases treated with the technique by Dr. Hoisington and dentists he trained in several countries have provided a solid base of evidence of success measured by patient satisfaction, referral of their friends and the end, in most cases of tooth loss and further serious problems and expenses for replacements like implants.

Healthy Gums
Gum Disease
Bacteria DNA testing
Mainstream Treatment
B.O.S.T Treatment in the Press

Practice policies (available on request)
- Infection control policy

- Confidentiality policy

Cancellation policy
If you have to cancel your appointment, please give us as much notice as possible, so someone else can be seen. We might have to charge a fee for the missed appointment if you do not give us 24 hours notice.

Suggestions
If you would like to share your thoughts with us there is a suggestion box available in the reception of the Hale Clinic.

Other information
We would strongly encourage our patients to attend the practice regularly in order to achieve or maintain good oral health. We will undertake an Extensive Initial Examination during your first appointment in order to ascertain and agree your treatment needs.

Our practice is gum treatment only, please contact the General Dental Council, if you would like to have details of dental practices close by offering general dentistry.

The following languages are spoken at the practice: English, Dutch, Suzanne also has an understanding of French and German.

We are dedicated to you and we pay attention to the individual. We understand the needs of our patients, and ensure your treatment is done in complete confidence, and that you are involved in decisions about your care. We work as environmentally friendly as possible to benefit your body and the environment we live in.

Cosmetic bonding

Cosmetic bonding for minimally invasive Smile Makeovers

One of the easiest and least expensive ways to restore broken or discoloured teeth to full beauty and function is with cosmetic tooth bonding. Cosmetic Tooth Bonding is the application of a tooth-coloured resin material (composite) using adhesives. The composite is bonded to the surfaces of teeth that show when you smile, for minimally invasive smile makeovers. In the dental world these are called direct composite veneers but generally known as cosmetic tooth bonding.

We can use Cosmetic Tooth Bonding to fix the following dental issues:
• changing the shape of teeth
• improving the appearance of discoloured teeth
• closing spaces between teeth
• make teeth look longer
• repair decayed teeth
• build up the worn-down edges of teeth.
• repair chipped or cracked teeth
• protect a portion of the tooth's root that has been exposed when gums recede / erode / ’abfraction’ leasions

Cosmetic Tooth Bonding uses tooth-coloured materials to replace missing tooth structure or hide aesthetically unappealing minor defects in a tooth like discolouration, chips, shape differences, cracks, spacing and uneven spaces. Composite resins come in a variety of tooth colours.

Cosmetic tooth bonding can make teeth look truly lifelike. Because it does not involve dental laboratory work, tooth bonding can usually be accomplished in a single visit to the dental office. Very often it can be done without drilling of the tooth.

Cosmetic tooth bonding is typically used for aesthetic purposes to improve the appearance of discoloured or chipped teeth. It is also used to close spaces between teeth, to make teeth look longer or to change the shape or colour of teeth. It can be used to fill-up the tooth's root surface that has been exposed when gums recede, to fill-in eroded surfaces or do smile makeovers.

Your Smile Makeover

Tell the dentist what you don’t like about the colour, size, shape and spacing of your teeth.

Dental Cosmetic Bonding Procedure

First, the surface of the tooth to be bonded will be cleaned so it is plaque-free. The surface will then need to be ‘etched’ with an acidic gel that opens up tiny pores in the surface. After the etching gel is rinsed off, the liquid composite resin is applied, filling these tiny pores to create a strong micro-mechanical bond. A special curing light is used to harden this bonding material. Once the first layer is cured, a layer of composite in a well-matched shade is placed on the surface and light cured. Layers can continue to be built up until the restoration has the necessary thickness. The composite material is then shaped using a dental drill to give it just the right form. Once the tooth not only looks great and fits in with your bite, it will receive a final polishing.

Dental bonding takes little to no preparation, and the use of anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth. Your dentist will match the shade of your existing teeth to select a composite resin colour that will closely match the colour of your tooth.

Advantages and disadvantages of Cosmetic Tooth Bonding

The great thing about Aesthetic Tooth Bonding is that this procedure is one of the least expensive of cosmetic dentistry procedures. It can usually be done in one short office visit unless many teeth are involved. Another advantage to Cosmetic Tooth Bonding is that compared to veneers and crowns made by the lab, it requires little to no or very minute amounts of removal of tooth enamel. Most procedures involving dental bonding do not require anaesthesia. It doesn’t involve a laboratory so it can often be done in a single visit. However the material used in Cosmetic Tooth Bonding is not as strong as your real teeth, and is not as strong as other restorations such as crowns, veneers, made of porcelain. It is also not as stain resistant as porcelain. At the same time if you look after the bonded teeth well they can last a long time. Cosmetic Tooth Bonding can be used in many areas and is very versatile. Also the price of Cosmetic Tooth Bonding per tooth is typically about 8 times less expensive than having a crown or veneer placed.

Cosmetic Tooth Bonding consultation

A consultation with your dentist will determine what dental problems can be solved with bonding. Your dentist will conduct a thorough examination of your teeth that may involve x-rays and an evaluation of your teeth and gums. During your consultation, your dentist will discuss if you are a candidate for the cosmetic problems that bonding can resolve.

Caring for Bonded Teeth

Bonded teeth should be brushed and flossed daily, and professionally cleaned at the dental practice minimally twice a year. The most important thing to keep in mind about caring for your bonded teeth is that composite can absorb stain, just as natural teeth can. Therefore, you will want to avoid staining foods / drinks / tobacco products to the extent possible. Also, while composite can darken, it cannot be lightened. So if you are thinking about having your teeth whitened, it should be done before your tooth is bonded so that a composite shade can be selected to match the lighter colour of your whitened teeth. If you whiten your teeth after Cosmetic Tooth Bonding, the bonded tooth will not change colour. Finally, try not to bite your nails or use your teeth as tools or in other ways that could put excessive force on the bonding material and chip it. If the tooth feels differently than when you had your procedure, you may have chipped the bond. Consult your dentist if this happens.With proper care, a bonded tooth should stay beautiful for 3 to 10 years.

Cost of dental aesthetic bonding

Costs of dental bonding vary depending on your specific dental conditions, amount of teeth that need cosmetic repair, additional procedures performed in conjunction, and the dentist performing the operation. On average a dental bonding can cost between £150 and £200.- per tooth. Check with your dental insurance provider to see if you are eligible for coverage.

Dental Hygiene
In a healthy condition, the gums have a strong attachment to the root and underlying bone. Naturally there is a small space between the gum and the tooth called the sulcus. Every person has many different micro-organisms in the mouth. According to microbiologists we have around 400 different types of bacteria in the oral cavity. In a healthy condition, these bacteria are not destructive to our tissues, but live in harmony with us and help our digestive system. The gums are light pink, strong and don’t bleed with brushing.

Gingivitis is an inflammation of the gums where they become red, swollen and bleed easily when brushed. Gingivitis can lead to periodontal disease. Periodontal disease is an infection of the periodontal tissues, that is, everything around the tooth: the gums, the ligaments, the bone. This happens when the balance between the 'good' bacteria and the destructive bacteria is disturbed. There are many reasons for this disruption like smoking, illness, diabetes, and especially stress. Pockets of infection form between the teeth and gums, out of reach of normal dental hygiene. Buried deep under the gums, aggressive bacteria produce chemicals that attack tissue and bone and they initiate an immune response and erode the connection between gum and the roots of teeth. The aggressive bacteria involved are mostly ‘anaerobic’, meaning they live in low-oxygen environments away from air. The immune system tries to attack these bacteria but it isn’t always able to fight back completely. As the gums, ligaments and bone detach from the teeth, the infection can spread and goes deeper, creating more pockets and the condition worsens. Gum disease has been related to other health problems like heart disease, strokes, infertility and osteoporosis.

Periodontal disease can be a slow process, which may accelerate from time to time. It is important to get it checked out by a dentist who can tell you if you have periodontal disease or not and how advanced it is.

Good oral health and hygiene is beneficial for general health. Gingivitis is reversible when treated promptly. Regular hygiene visits can help keep gums and teeth healthy.

Suzanne Roelofs has been a dentist for over 10 years and is also a nutritional therapist. She offers deep cleaning with hand instrumentation. The treatment is done on a relaxing waterbed for extra comfort. The teeth are left very smooth to prevent bacterial adherence and tartar formation.

Local anaesthetics can be used where required.

Information about beneficial foods is given where needed.

Extensive gum problems might need further investigation with a DNA bacterial test. This can be discussed at the time of the visit.

Dental Hygiene
In a healthy condition, the gums have a strong attachment to the root and underlying bone. Naturally there is a small space between the gum and the tooth called the sulcus. Every person has many different micro-organisms in the mouth. According to microbiologists we have around 400 different types of bacteria in the oral cavity. In a healthy condition, these bacteria are not destructive to our tissues, but live in harmony with us and help our digestive system. The gums are light pink, strong and don’t bleed with brushing.

Gingivitis is an inflammation of the gums where they become red, swollen and bleed easily when brushed. Gingivitis can lead to periodontal disease. Periodontal disease is an infection of the periodontal tissues, that is, everything around the tooth: the gums, the ligaments, the bone. This happens when the balance between the 'good' bacteria and the destructive bacteria is disturbed. There are many reasons for this disruption like smoking, illness, diabetes, and especially stress. Pockets of infection form between the teeth and gums, out of reach of normal dental hygiene. Buried deep under the gums, aggressive bacteria produce chemicals that attack tissue and bone and they initiate an immune response and erode the connection between gum and the roots of teeth. The aggressive bacteria involved are mostly ‘anaerobic’, meaning they live in low-oxygen environments away from air. The immune system tries to attack these bacteria but it isn’t always able to fight back completely. As the gums, ligaments and bone detach from the teeth, the infection can spread and goes deeper, creating more pockets and the condition worsens. Gum disease has been related to other health problems like heart disease, strokes, infertility and osteoporosis.

Periodontal disease can be a slow process, which may accelerate from time to time. It is important to get it checked out by a dentist who can tell you if you have periodontal disease or not and how advanced it is.

Good oral health and hygiene is beneficial for general health. Gingivitis is reversible when treated promptly. Regular hygiene visits can help keep gums and teeth healthy.

Suzanne Roelofs has been a dentist for over 10 years and is also a nutritional therapist. She offers deep cleaning with hand instrumentation. The treatment is done on a relaxing waterbed for extra comfort. The teeth are left very smooth to prevent bacterial adherence and tartar formation.

Local anaesthetics can be used where required.

Information about beneficial foods is given where needed.

Extensive gum problems might need further investigation with a DNA bacterial test. This can be discussed at the time of the visit.

Practitioners Offering Dental Treatment