mercoledì 26 dicembre 2007
Dental Treatment Pain - Book review
Therapeutic Guidelines: Endocrinology. Version 2. North Melbourne: Therapeutic Guidelines Limited; 2001. 227 pages. Price (postage not included): $31.90 (2001), $33 (2002); students $25.30. David Mills, General Practitioner, Port Lincoln, South Australia This latest version of Therapeutic Guidelines: Endocrinology is an excellent reference source for busy general practitioners. Given the rise in many endocrine-related conditions, this is timely. The layout is simple and easy to follow with more space devoted to common conditions such as diabetes and osteoporosis, although a large number of conditions are still covered. There is a concise and succinct drug summary at the start of the book called ‘Getting to know your drugs’ allowing easy cross-referencing from the text. There are also some brief appendices on endocrine emergencies, pregnancy and breastfeeding, and for those interested in searching further, related web sites. The diabetes sections are well set out and reinforce the current diagnostic criteria based on American Diabetes Association/ World Health Organization guidelines. Treatment targets are up to date as is the advice on treating difficult complications such as neuropathy. Current drug therapies are outlined logically, but some drugs such as the ‘glitazones’ are not available on the Pharmaceutical Benefits Scheme. Osteoporosis is now high on the agenda of many general practitioners and this section is excellent with clear, current principles on diagnosis, prevention and management. All of the drugs described are available and well known to general practitioners, making the reading very practical. Under the sections on contraception there is good coverage of topical issues such as depot medroxyprogesterone, the etonogestrel implant and the levonorgestrel intrauterine devices. Similarly there is a comprehensive and easy to read discussion on hormone replacement therapy addressing most of the well-known controversies. Overall this book reads extremely well and fulfils the general practitioner’s need for evidence-based guidelines, in a short but easily understood form. It compares well with other general practice guidelines such as Evidence Based Medicine. David Mills has been in rural general practice for 15 years. He is a clinical lecturer at the Department of General Practice at the University of Adelaide and sits on the South Australian Diabetes Advisory Group.
domenica 16 dicembre 2007
What should I look for when choosing a dentist?
You may wish to consider several dentists before making your decision. During your first visit, you should be able to determine if this is the right dentist for you. Consider the following:
- Is the appointment schedule convenient for you?
- Is the office easy to get to from your home or job?
- Does the office appear to be clean, neat and orderly?
- Was your medical and dental history recorded and placed in a permanent file?
- Does the dentist explain techniques that will help you prevent dental health problems? Is dental health instruction provided?
- Are special arrangements made for handling emergencies outside of office hours? (Most dentists make arrangements with a colleague or emergency referral service if they are unable to tend to emergencies.)
- Is information provided about fees and payment plans before treatment is scheduled?
- Is your dentist a member of the ADA? All ADA member dentists voluntarily agree to abide by the high ethical standards reflected in the ADA Principles of Ethics and Code of Professional Conduct as a condition of their membership.
You and your dentist are partners in maintaining your oral health. Take time to ask questions and take notes if that will help you remember your dentist's advice.
sabato 14 aprile 2007
Caring for my teeth
Question:
Why are my teeth so important?
Answer:
Your teeth vary in shape and size depending on their position within your mouth. These differences allow the teeth to do many different jobs. Teeth help us to chew and digest food. They help us to talk, and to pronounce different sounds clearly. Finally, teeth help to give our face its shape. A healthy smile can be a great asset and because this is so important, it makes sense to give your teeth the best care possible.
Back to top
Question:
What can go wrong?
Answer:
Tooth decay can lead to fillings, crowns or inlays. If tooth decay is not treated, the nerve of the tooth can become infected and die, causing an abscess. This may then need root canal treatment. Gum disease is the largest cause of tooth loss in adults. Gum disease is a treatable, preventable condition and can be kept under control with regular check-ups, preventing further problems. If teeth are lost, it may be necessary to fill the gaps with bridges, dentures or implants.
Back to top
Question:
How do I keep my teeth and gums healthy?
Answer:
It is easy to get your mouth clean and healthy, and keep it that way. A simple routine of brushing and cleaning between the teeth, good eating habits and regular dental check-ups can help prevent most dental problems. Although most people brush regularly, many don’t clean between their teeth and some people don’t have dental check-ups. A few small changes in your daily routine can make a big difference in the long run. Your dentist or dental hygienist can remove any build-up on your teeth and treat any gum disease that has already appeared. But daily dental care is up to you, and the main weapons are the toothbrush and interdental cleaning. (Cleaning between the teeth).
Back to top
Question:
What is plaque?
Answer:
Plaque is a thin, sticky film of bacteria that constantly forms on your teeth. The plaque reacts with food, turning sugar into acid, which then dissolves the enamel on your teeth.
Back to top
Question:
How can plaque cause decay?
Answer:
When you eat foods containing sugars and starches, the bacteria in plaque produce acids, which attack tooth enamel. The stickiness of the plaque keeps these acids in contact with teeth. After the teeth are attacked in this way many times, the tooth enamel breaks down forming a hole or cavity.
Back to top
Question:
How can plaque cause gum disease?
Answer:
Plaque can harden into something called calculus (another name for it is ‘tartar’). As calculus forms near the gumline, the plaque underneath releases poisons causing the gums to become irritated and inflamed. The gums begin to pull away from the teeth and the gaps become infected. If gum disease is not treated promptly, the bone supporting the teeth is destroyed and healthy teeth may be lost. Gum disease is the biggest cause of tooth loss in adults and can lead to dentures, bridges or implants.
Back to top
Question:
How can I prevent gum disease?
Answer:
It is important to remove plaque and food debris from around your teeth as this will stop your gums from swelling and becoming infected. If you leave plaque on your teeth it can develop into tartar, which can only be removed by the dentist or hygienist. It is important to keep up your regular appointments so that your teeth can have a thorough cleaning if they need it.
Back to top
Question:
How do I know if I have gum disease?
Answer:
Gum disease (gingivitis) will show itself as red, swollen gums that bleed when brushed or flossed. Many people are alarmed when they notice this bleeding and will then brush more gently, if at all. It is important that you continue to clean regularly and firmly in order to fight the condition.
Back to top
Question:
Why is brushing important?
Answer:
Daily brushing and cleaning between your teeth is important because it removes plaque. If the plaque isn’t removed, it continues to build up, feeding on the food debris left behind and causing tooth decay and gum disease
Back to top
Question:
Which type of toothbrush should I use?
Answer:
Your dentist or dental hygienist will be able to recommend a toothbrush to you. However, adults should choose a small to medium size brush with soft to medium multi-tufted, round-ended nylon bristles or ‘filaments’. The head should be small enough to get into all parts of the mouth: especially the back of the mouth where cleaning can be difficult. Children need to use smaller brushes but with the same type of filaments.
You can now get more specialised toothbrushes. For instance, people with sensitive teeth can now use softer bristled brushes. There are also smaller headed toothbrushes for those people with crooked or irregular teeth.
Some people find it difficult to hold a toothbrush, for example because they have Parkinson’s disease or a physical disability. There are now toothbrushes, which have large handles and angled heads to make them easier to use.
Back to top
Question:
How should I brush?
Answer:
Brushing removes plaque and food particles from the inner, outer and biting surfaces of your teeth.
Here is one method of removing plaque:
1. Place the head of your toothbrush against your teeth, then tilt the bristle tips to a 45 degree angle against the gumline. Move the brush in small circular movements, several times, on all the surfaces of every tooth.
2. Brush the outer surfaces of each tooth, upper and lower, keeping the bristles angled against the gumline.
3. Use the same method on the inside surfaces of all your teeth.
4. Brush the chewing surfaces of the teeth.
5. To clean the inside surfaces of the front teeth, tilt the brush vertically and make several small circular strokes with the toe (the front part) of the brush.
6. Brushing your tongue will help freshen your breath and will clean your mouth by removing bacteria.
Back to top
Hold the brush at a 45 degree angle
Question:
How often should I brush my teeth?
Answer:
Be sure to brush thoroughly with a fluoride toothpaste at least twice a day, more often if your dentist recommends it. If you keep getting discomfort or bleeding after brushing go to see your dentist about it.
Back to top
Question:
How often should I change my toothbrush?
Answer:
Worn-out toothbrushes cannot clean your teeth properly and may damage your gums. It is important to change your toothbrush every two to three months, or sooner if the filaments become worn. When bristles become splayed, they do not clean properly.
Back to top
Question:
How do electric toothbrushes work?
Answer:
An electric brush often has rotating or vibrating head, which provides a large amount of cleaning action with very little movement needed from the user.
Back to top
Question:
Do electric toothbrushes clean better?
Answer:
Tests have proved that certain electric toothbrushes are better at removing plaque. They are particularly useful for people with limited movement, such as disabled or elderly people, who often find that using a normal toothbrush does not allow them to clean thoroughly. Electric toothbrushes can also be better for children as they may be more inclined to brush regularly because of the novelty of using an electric toothbrush. Discuss the idea with your dentist or hygienist to find out if you would benefit from using an electric toothbrush.
Back to top
Question:
What sort of toothpaste should I use?
Answer:
As well as regular family toothpastes, there are many specialist toothpastes. These include tartar control for people who are prone to tartar build-up, and ones for people with sensitive teeth. Total care toothpastes include ingredients to help fight gum disease, freshen breath and help reduce plaque build-up. Whitening toothpastes are good at removing staining, but are not strong enough to change the natural shade of the teeth.
Children’s toothpastes have about half the level of fluoride that adult toothpastes have. They still provide extra protection for the teeth, but as children have a tendency to ‘eat’ their toothpaste, there is less risk of them taking in too much fluoride.
To have a clean and healthy mouth you need to use the correct dental care products. Ask your dentist or hygienist to tell you the options and give their recommendations.
Back to top
Question:
Should I use a fluoride toothpaste?
Answer:
Yes. Fluoride helps to strengthen and protect teeth, which can reduce tooth decay in adults and children.
Back to top
Question:
How much toothpaste should I use?
Answer:
You do not need to cover the head of your brush in toothpaste. A pea-sized amount is enough. Children should use a small scraping of toothpaste
Back to top
Question:
How should I clean between my teeth?
Answer:
One way to clean between your teeth is with dental floss or tape. Flossing removes plaque and food particles from between your teeth and under the gumline, areas a toothbrush can’t reach. Your dentist or hygienist can show you proper flossing techniques.
The following suggestions may help:
1. Break off about 18 inches of floss, and wind most of it around one of your middle fingers. Wind the remaining floss around the same finger of the other hand. As you use the floss, you will take up the used section with this finger.
2. Hold the floss tightly between your thumb and forefingers, with about an inch of floss between them, leaving no slack. Use a gentle ‘rocking’ motion to guide the floss between your teeth. Do not jerk the floss or snap the floss into the gums.
3. When the floss reaches the gumline, curve it into a C-shape against one tooth until you feel resistance.
4. Hold the floss against the tooth. Gently scrape the side of the tooth, moving the floss away from the gum. Repeat on the other side of the gap, along the side of the next tooth.
5. Don’t forget the back of your last tooth.
When flossing, keep to a regular pattern. Start at the top and work from left to right, then move to the bottom and again work from the left to right. This way you’re less likely to miss any teeth.
It is also very important to clean around the edges of any crowns, bridges or implants. This can be difficult to do effectively using traditional floss and there are now specialist flosses to do the job thoroughly (such as super floss and specialist floss threaders). Ask your dentist or hygienist on how to use these properly and which method you should use.
Back to top
Floss between all of your teeth
Question:
Should my gums bleed when I floss?
Answer:
Your gums may bleed or be sore for the first five or six days that you floss. This should stop once the plaque is broken up and the bacteria has gone. If the bleeding does not stop, tell your dentist. It may be that you are not flossing correctly or your teeth and gums need a more thorough clean by your dentist or hygienist.
Back to top
Question:
What do I do if I have difficulty using floss?
Answer:
If you have trouble using floss you can use a floss holder or an interdental cleaning aid. Interdental cleaning aids include woodsticks or small interdental brushes used to remove plaque from between the teeth. Your dentist or hygienist can explain how to use these properly.
Back to top
Question:
Are oral irrigators useful?
Answer:
Oral irrigation devices use a stream of water to remove food particles from around the teeth. These devices can be particularly helpful for people wearing orthodontic appliances or fixed bridges.
Back to top
Question:
Should I use a mouthwash?
Answer:
Mouthwashes are mainly used to freshen breath. If you have to keep using a breath freshener to hide any bad breath, see your dentist. Bad breath can be a sign of poor general health as well as unhealthy teeth and gums. A fluoride mouthwash can help prevent tooth decay. Your dentist may recommend an antibacterial mouthwash to help control plaque and reduce gingivitis (gum disease).
Back to top
Question:
Can watching my diet help?
Answer:
Many people think that it is a high level of sugar in your diet that causes decay, but this is not so. It is how often you have sugar in your diet, not the amount, that causes problems. It takes an average of 40 minutes for the mouth to cancel out the acid caused by eating and drinking sugar. It is therefore important to limit the number of attacks by keeping sugary foods and drinks to mealtimes.
Back to top
Question:
What do I do if I have dentures?
Answer:
It is just as important to clean dentures as it is to clean your natural teeth. Food can become caught around the edges of dentures and clasps, and can rot if not cleaned thoroughly.
Clean your dentures using a denture brush and plain soap. Always clean dentures over a bowl of water or folded towel to stop them breaking if you drop them.
Back to top
Question:
I have implants, do I have to do anything special?
Answer:
Your dentist or oral surgeon will tell you how to care for your implants after surgery. It is very important to make sure you clean them regularly and thoroughly to prevent gum disease and possible infection.
Back to top
Question:
Why should I visit the dentist regularly?
Answer:
Prevention is always better than cure. If you visit your dentist regularly, you will need less and your dentist will spot any problems earlier. It will also be easier to put these problems right.
Back to top
Question:
Are accredited products better?
Answer:
Look for products carrying the British Dental Health Foundation 'Approved' symbol on the packet. These products have been clinically and scientifically proven to the satisfaction of a panel of experts. The claims made on the labels must be accurate in what they say and what they imply.
Back to top
Question:
What should I do regularly to care for my teeth?
Answer:
Good dental health begins with you. By following this simple routine, you can keep your mouth clean and healthy:
· Brush your teeth twice a day using fluoride toothpaste.
· Have sugary drinks and snacks less often.
· Use a small to medium size toothbrush.
· Use a toothbrush with soft to medium multi-tufted, round-ended nylon bristles.
· Use a pea-sized amount of toothpaste.
· Use small circular movements to clean your teeth.
· Change your toothbrush regularly.
· Clean between your teeth using dental floss or wood sticks.
· Visit your dentist at least once a year.
· Look out for products with the 'British Dental Health Foundation Approved' symbol.
Why are my teeth so important?
Answer:
Your teeth vary in shape and size depending on their position within your mouth. These differences allow the teeth to do many different jobs. Teeth help us to chew and digest food. They help us to talk, and to pronounce different sounds clearly. Finally, teeth help to give our face its shape. A healthy smile can be a great asset and because this is so important, it makes sense to give your teeth the best care possible.
Back to top
Question:
What can go wrong?
Answer:
Tooth decay can lead to fillings, crowns or inlays. If tooth decay is not treated, the nerve of the tooth can become infected and die, causing an abscess. This may then need root canal treatment. Gum disease is the largest cause of tooth loss in adults. Gum disease is a treatable, preventable condition and can be kept under control with regular check-ups, preventing further problems. If teeth are lost, it may be necessary to fill the gaps with bridges, dentures or implants.
Back to top
Question:
How do I keep my teeth and gums healthy?
Answer:
It is easy to get your mouth clean and healthy, and keep it that way. A simple routine of brushing and cleaning between the teeth, good eating habits and regular dental check-ups can help prevent most dental problems. Although most people brush regularly, many don’t clean between their teeth and some people don’t have dental check-ups. A few small changes in your daily routine can make a big difference in the long run. Your dentist or dental hygienist can remove any build-up on your teeth and treat any gum disease that has already appeared. But daily dental care is up to you, and the main weapons are the toothbrush and interdental cleaning. (Cleaning between the teeth).
Back to top
Question:
What is plaque?
Answer:
Plaque is a thin, sticky film of bacteria that constantly forms on your teeth. The plaque reacts with food, turning sugar into acid, which then dissolves the enamel on your teeth.
Back to top
Question:
How can plaque cause decay?
Answer:
When you eat foods containing sugars and starches, the bacteria in plaque produce acids, which attack tooth enamel. The stickiness of the plaque keeps these acids in contact with teeth. After the teeth are attacked in this way many times, the tooth enamel breaks down forming a hole or cavity.
Back to top
Question:
How can plaque cause gum disease?
Answer:
Plaque can harden into something called calculus (another name for it is ‘tartar’). As calculus forms near the gumline, the plaque underneath releases poisons causing the gums to become irritated and inflamed. The gums begin to pull away from the teeth and the gaps become infected. If gum disease is not treated promptly, the bone supporting the teeth is destroyed and healthy teeth may be lost. Gum disease is the biggest cause of tooth loss in adults and can lead to dentures, bridges or implants.
Back to top
Question:
How can I prevent gum disease?
Answer:
It is important to remove plaque and food debris from around your teeth as this will stop your gums from swelling and becoming infected. If you leave plaque on your teeth it can develop into tartar, which can only be removed by the dentist or hygienist. It is important to keep up your regular appointments so that your teeth can have a thorough cleaning if they need it.
Back to top
Question:
How do I know if I have gum disease?
Answer:
Gum disease (gingivitis) will show itself as red, swollen gums that bleed when brushed or flossed. Many people are alarmed when they notice this bleeding and will then brush more gently, if at all. It is important that you continue to clean regularly and firmly in order to fight the condition.
Back to top
Question:
Why is brushing important?
Answer:
Daily brushing and cleaning between your teeth is important because it removes plaque. If the plaque isn’t removed, it continues to build up, feeding on the food debris left behind and causing tooth decay and gum disease
Back to top
Question:
Which type of toothbrush should I use?
Answer:
Your dentist or dental hygienist will be able to recommend a toothbrush to you. However, adults should choose a small to medium size brush with soft to medium multi-tufted, round-ended nylon bristles or ‘filaments’. The head should be small enough to get into all parts of the mouth: especially the back of the mouth where cleaning can be difficult. Children need to use smaller brushes but with the same type of filaments.
You can now get more specialised toothbrushes. For instance, people with sensitive teeth can now use softer bristled brushes. There are also smaller headed toothbrushes for those people with crooked or irregular teeth.
Some people find it difficult to hold a toothbrush, for example because they have Parkinson’s disease or a physical disability. There are now toothbrushes, which have large handles and angled heads to make them easier to use.
Back to top
Question:
How should I brush?
Answer:
Brushing removes plaque and food particles from the inner, outer and biting surfaces of your teeth.
Here is one method of removing plaque:
1. Place the head of your toothbrush against your teeth, then tilt the bristle tips to a 45 degree angle against the gumline. Move the brush in small circular movements, several times, on all the surfaces of every tooth.
2. Brush the outer surfaces of each tooth, upper and lower, keeping the bristles angled against the gumline.
3. Use the same method on the inside surfaces of all your teeth.
4. Brush the chewing surfaces of the teeth.
5. To clean the inside surfaces of the front teeth, tilt the brush vertically and make several small circular strokes with the toe (the front part) of the brush.
6. Brushing your tongue will help freshen your breath and will clean your mouth by removing bacteria.
Back to top
Hold the brush at a 45 degree angle
Question:
How often should I brush my teeth?
Answer:
Be sure to brush thoroughly with a fluoride toothpaste at least twice a day, more often if your dentist recommends it. If you keep getting discomfort or bleeding after brushing go to see your dentist about it.
Back to top
Question:
How often should I change my toothbrush?
Answer:
Worn-out toothbrushes cannot clean your teeth properly and may damage your gums. It is important to change your toothbrush every two to three months, or sooner if the filaments become worn. When bristles become splayed, they do not clean properly.
Back to top
Question:
How do electric toothbrushes work?
Answer:
An electric brush often has rotating or vibrating head, which provides a large amount of cleaning action with very little movement needed from the user.
Back to top
Question:
Do electric toothbrushes clean better?
Answer:
Tests have proved that certain electric toothbrushes are better at removing plaque. They are particularly useful for people with limited movement, such as disabled or elderly people, who often find that using a normal toothbrush does not allow them to clean thoroughly. Electric toothbrushes can also be better for children as they may be more inclined to brush regularly because of the novelty of using an electric toothbrush. Discuss the idea with your dentist or hygienist to find out if you would benefit from using an electric toothbrush.
Back to top
Question:
What sort of toothpaste should I use?
Answer:
As well as regular family toothpastes, there are many specialist toothpastes. These include tartar control for people who are prone to tartar build-up, and ones for people with sensitive teeth. Total care toothpastes include ingredients to help fight gum disease, freshen breath and help reduce plaque build-up. Whitening toothpastes are good at removing staining, but are not strong enough to change the natural shade of the teeth.
Children’s toothpastes have about half the level of fluoride that adult toothpastes have. They still provide extra protection for the teeth, but as children have a tendency to ‘eat’ their toothpaste, there is less risk of them taking in too much fluoride.
To have a clean and healthy mouth you need to use the correct dental care products. Ask your dentist or hygienist to tell you the options and give their recommendations.
Back to top
Question:
Should I use a fluoride toothpaste?
Answer:
Yes. Fluoride helps to strengthen and protect teeth, which can reduce tooth decay in adults and children.
Back to top
Question:
How much toothpaste should I use?
Answer:
You do not need to cover the head of your brush in toothpaste. A pea-sized amount is enough. Children should use a small scraping of toothpaste
Back to top
Question:
How should I clean between my teeth?
Answer:
One way to clean between your teeth is with dental floss or tape. Flossing removes plaque and food particles from between your teeth and under the gumline, areas a toothbrush can’t reach. Your dentist or hygienist can show you proper flossing techniques.
The following suggestions may help:
1. Break off about 18 inches of floss, and wind most of it around one of your middle fingers. Wind the remaining floss around the same finger of the other hand. As you use the floss, you will take up the used section with this finger.
2. Hold the floss tightly between your thumb and forefingers, with about an inch of floss between them, leaving no slack. Use a gentle ‘rocking’ motion to guide the floss between your teeth. Do not jerk the floss or snap the floss into the gums.
3. When the floss reaches the gumline, curve it into a C-shape against one tooth until you feel resistance.
4. Hold the floss against the tooth. Gently scrape the side of the tooth, moving the floss away from the gum. Repeat on the other side of the gap, along the side of the next tooth.
5. Don’t forget the back of your last tooth.
When flossing, keep to a regular pattern. Start at the top and work from left to right, then move to the bottom and again work from the left to right. This way you’re less likely to miss any teeth.
It is also very important to clean around the edges of any crowns, bridges or implants. This can be difficult to do effectively using traditional floss and there are now specialist flosses to do the job thoroughly (such as super floss and specialist floss threaders). Ask your dentist or hygienist on how to use these properly and which method you should use.
Back to top
Floss between all of your teeth
Question:
Should my gums bleed when I floss?
Answer:
Your gums may bleed or be sore for the first five or six days that you floss. This should stop once the plaque is broken up and the bacteria has gone. If the bleeding does not stop, tell your dentist. It may be that you are not flossing correctly or your teeth and gums need a more thorough clean by your dentist or hygienist.
Back to top
Question:
What do I do if I have difficulty using floss?
Answer:
If you have trouble using floss you can use a floss holder or an interdental cleaning aid. Interdental cleaning aids include woodsticks or small interdental brushes used to remove plaque from between the teeth. Your dentist or hygienist can explain how to use these properly.
Back to top
Question:
Are oral irrigators useful?
Answer:
Oral irrigation devices use a stream of water to remove food particles from around the teeth. These devices can be particularly helpful for people wearing orthodontic appliances or fixed bridges.
Back to top
Question:
Should I use a mouthwash?
Answer:
Mouthwashes are mainly used to freshen breath. If you have to keep using a breath freshener to hide any bad breath, see your dentist. Bad breath can be a sign of poor general health as well as unhealthy teeth and gums. A fluoride mouthwash can help prevent tooth decay. Your dentist may recommend an antibacterial mouthwash to help control plaque and reduce gingivitis (gum disease).
Back to top
Question:
Can watching my diet help?
Answer:
Many people think that it is a high level of sugar in your diet that causes decay, but this is not so. It is how often you have sugar in your diet, not the amount, that causes problems. It takes an average of 40 minutes for the mouth to cancel out the acid caused by eating and drinking sugar. It is therefore important to limit the number of attacks by keeping sugary foods and drinks to mealtimes.
Back to top
Question:
What do I do if I have dentures?
Answer:
It is just as important to clean dentures as it is to clean your natural teeth. Food can become caught around the edges of dentures and clasps, and can rot if not cleaned thoroughly.
Clean your dentures using a denture brush and plain soap. Always clean dentures over a bowl of water or folded towel to stop them breaking if you drop them.
Back to top
Question:
I have implants, do I have to do anything special?
Answer:
Your dentist or oral surgeon will tell you how to care for your implants after surgery. It is very important to make sure you clean them regularly and thoroughly to prevent gum disease and possible infection.
Back to top
Question:
Why should I visit the dentist regularly?
Answer:
Prevention is always better than cure. If you visit your dentist regularly, you will need less and your dentist will spot any problems earlier. It will also be easier to put these problems right.
Back to top
Question:
Are accredited products better?
Answer:
Look for products carrying the British Dental Health Foundation 'Approved' symbol on the packet. These products have been clinically and scientifically proven to the satisfaction of a panel of experts. The claims made on the labels must be accurate in what they say and what they imply.
Back to top
Question:
What should I do regularly to care for my teeth?
Answer:
Good dental health begins with you. By following this simple routine, you can keep your mouth clean and healthy:
· Brush your teeth twice a day using fluoride toothpaste.
· Have sugary drinks and snacks less often.
· Use a small to medium size toothbrush.
· Use a toothbrush with soft to medium multi-tufted, round-ended nylon bristles.
· Use a pea-sized amount of toothpaste.
· Use small circular movements to clean your teeth.
· Change your toothbrush regularly.
· Clean between your teeth using dental floss or wood sticks.
· Visit your dentist at least once a year.
· Look out for products with the 'British Dental Health Foundation Approved' symbol.
domenica 1 aprile 2007
What is tooth whitening - Common Questions
What is tooth whitening?
Answer:
Tooth whitening can be a highly effective way of lightening the natural colour of your teeth without removing any of the tooth surface. It cannot make a complete colour change; but it will lighten the existing shade.
Question:
Why would I need my teeth whitened?
Answer:
There are a number of reasons why you might get your teeth whitened. Everyone is different; and just as our hair and skin colour vary, so do our teeth. Very few people have brilliant-white teeth, and our teeth can also become more discoloured as we get older.
Your teeth can also be stained on the surface through food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth.
Calculus or tartar can also affect the colour of teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or tiny cracks in the teeth which take up stains.
Question:
What does tooth whitening involve?
Answer:
Professional bleaching is the most common form of tooth whitening. Your dentist will be able to tell you if you are suitable for the treatment, and will supervise it if you are. First the dentist will put a rubber shield or a gel on your gums to protect the soft tissue. They will then apply the whitening product to your teeth, using a specially made tray which fits into your mouth like a gum-shield.
The ‘active ingredient’ in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.
Back to top
After tooth whitening treatment
Question:
How long does this take?
Answer:
The total treatment can usually be done within three to four weeks. First, you will need two or three visits to the dentist. Your dentist will need to make a mouthguard and will take impressions for this at the first appointment. Once your dentist has started the treatment, you will need to continue the treatment at home. This means regularly applying the whitening product over two to four weeks, for 30 minutes to one hour at a time.
However, there are now some new products which can be applied for up to eight hours at a time. This means a satisfactory result can be achieved in as little as one week.
Question:
What other procedures are there?
Answer:
There is now laser whitening or ‘power whitening’. During this procedure a rubber dam is put over your teeth to protect the gums, and a bleaching product is painted onto your teeth. Then a light or laser is shone on the teeth to activate the chemical. The light speeds up the chemical reaction of the whitening product and the colour change can be achieved more quickly using this procedure. Laser whitening can make teeth up to five or six shades lighter.
Question:
How long does this take?
Answer:
Your dentist will need to assess your teeth to make sure that you are suitable for the treatment. Once it has been agreed, this procedure usually takes about one hour.
Question:
How much does tooth whitening cost?
Answer:
You cannot get whitening treatments on the NHS. Private charges will vary from practice to practice and region to region. Laser or power whitening will be more expensive than professional bleaching. We recommend you get a written estimate of the cost before you start any treatment.
Question:
How long will my teeth stay whiter?
Answer:
The effects of whitening can last up to three years. However, this will vary from person to person. The effect is less likely to last as long if you smoke, or eat or drink products that can stain your teeth. Ask your dentist for their opinion before you start the treatment.
Question:
What are the side effects?
Answer:
Some people may find that their teeth become sensitive to cold during or after the treatment. Others report discomfort in the gums, a sore throat or white patches on the gum line. These symptoms are usually temporary and should disappear within a few days of the treatment finishing.
If any of these side effects continue you should go to your dentist.
Question:
What about home kits?
Answer:
Home kits are cheaper. But because tooth whitening is a complicated procedure you should only have it done by a dentist, after a thorough examination and assessment of your teeth.
Over-the-counter kits sold in the UK are not recommended as they usually contain only a small concentration of hydrogen peroxide (the whitening product). The legal limit in the UK is 0.1% of hydrogen peroxide and effective bleaching products need to have about 3.6%. So home kits will not be able to lighten your teeth noticeably. Also, some contain mild acids and others are abrasive. This can cause ulcers and damage to the gums if the product is not used properly
Question:
What about whitening toothpastes?
Answer:
There are several whitening toothpastes on the market. Although they do not affect the natural colour of your teeth, they may be effective at removing staining and therefore may improve the overall appearance of your teeth. Whitening toothpaste may also help the effect last, once your teeth have been professionally whitened.
We recommend that you look for our accreditation symbol on the packaging of oral care products. This is a guarantee that the claims made about the product have been scientifically and clinically checked by an independent panel of experts.
Question:
Can a single tooth which has been root filled be whitened?
Answer:
Yes. Many dead teeth go discoloured after a root filling. If the tooth has been root treated, the canal (which previously contained the nerve) may be reopened. The whitening product is applied working from the inside to whiten the tooth.
Question:
When might tooth whitening not work?
Answer:
Tooth whitening can only lighten your existing tooth colour. Also it only works on natural teeth. It will not work on any types of ‘false’ teeth such as dentures, crowns and veneers.
If your dentures are stained or discoloured visit your dentist and ask for them to be cleaned. Stained veneers, crowns or dentures may need replacing; again ask your dentist.
Question:
How can I look after my teeth once they have been whitened?
Answer:
You can help to keep your teeth white by cutting down on the amount of food and drink you have that can stain teeth. Don’t forget, stopping smoking can also help prevent discolouring and staining.
We recommend the following tips to care for your teeth:
· brush your teeth twice a day with a fluoride toothpaste
· cut down on how often you have sugary snacks and drinks
· visit your dentist at least once a year.
Answer:
Tooth whitening can be a highly effective way of lightening the natural colour of your teeth without removing any of the tooth surface. It cannot make a complete colour change; but it will lighten the existing shade.
Question:
Why would I need my teeth whitened?
Answer:
There are a number of reasons why you might get your teeth whitened. Everyone is different; and just as our hair and skin colour vary, so do our teeth. Very few people have brilliant-white teeth, and our teeth can also become more discoloured as we get older.
Your teeth can also be stained on the surface through food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth.
Calculus or tartar can also affect the colour of teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or tiny cracks in the teeth which take up stains.
Question:
What does tooth whitening involve?
Answer:
Professional bleaching is the most common form of tooth whitening. Your dentist will be able to tell you if you are suitable for the treatment, and will supervise it if you are. First the dentist will put a rubber shield or a gel on your gums to protect the soft tissue. They will then apply the whitening product to your teeth, using a specially made tray which fits into your mouth like a gum-shield.
The ‘active ingredient’ in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.
Back to top
After tooth whitening treatment
Question:
How long does this take?
Answer:
The total treatment can usually be done within three to four weeks. First, you will need two or three visits to the dentist. Your dentist will need to make a mouthguard and will take impressions for this at the first appointment. Once your dentist has started the treatment, you will need to continue the treatment at home. This means regularly applying the whitening product over two to four weeks, for 30 minutes to one hour at a time.
However, there are now some new products which can be applied for up to eight hours at a time. This means a satisfactory result can be achieved in as little as one week.
Question:
What other procedures are there?
Answer:
There is now laser whitening or ‘power whitening’. During this procedure a rubber dam is put over your teeth to protect the gums, and a bleaching product is painted onto your teeth. Then a light or laser is shone on the teeth to activate the chemical. The light speeds up the chemical reaction of the whitening product and the colour change can be achieved more quickly using this procedure. Laser whitening can make teeth up to five or six shades lighter.
Question:
How long does this take?
Answer:
Your dentist will need to assess your teeth to make sure that you are suitable for the treatment. Once it has been agreed, this procedure usually takes about one hour.
Question:
How much does tooth whitening cost?
Answer:
You cannot get whitening treatments on the NHS. Private charges will vary from practice to practice and region to region. Laser or power whitening will be more expensive than professional bleaching. We recommend you get a written estimate of the cost before you start any treatment.
Question:
How long will my teeth stay whiter?
Answer:
The effects of whitening can last up to three years. However, this will vary from person to person. The effect is less likely to last as long if you smoke, or eat or drink products that can stain your teeth. Ask your dentist for their opinion before you start the treatment.
Question:
What are the side effects?
Answer:
Some people may find that their teeth become sensitive to cold during or after the treatment. Others report discomfort in the gums, a sore throat or white patches on the gum line. These symptoms are usually temporary and should disappear within a few days of the treatment finishing.
If any of these side effects continue you should go to your dentist.
Question:
What about home kits?
Answer:
Home kits are cheaper. But because tooth whitening is a complicated procedure you should only have it done by a dentist, after a thorough examination and assessment of your teeth.
Over-the-counter kits sold in the UK are not recommended as they usually contain only a small concentration of hydrogen peroxide (the whitening product). The legal limit in the UK is 0.1% of hydrogen peroxide and effective bleaching products need to have about 3.6%. So home kits will not be able to lighten your teeth noticeably. Also, some contain mild acids and others are abrasive. This can cause ulcers and damage to the gums if the product is not used properly
Question:
What about whitening toothpastes?
Answer:
There are several whitening toothpastes on the market. Although they do not affect the natural colour of your teeth, they may be effective at removing staining and therefore may improve the overall appearance of your teeth. Whitening toothpaste may also help the effect last, once your teeth have been professionally whitened.
We recommend that you look for our accreditation symbol on the packaging of oral care products. This is a guarantee that the claims made about the product have been scientifically and clinically checked by an independent panel of experts.
Question:
Can a single tooth which has been root filled be whitened?
Answer:
Yes. Many dead teeth go discoloured after a root filling. If the tooth has been root treated, the canal (which previously contained the nerve) may be reopened. The whitening product is applied working from the inside to whiten the tooth.
Question:
When might tooth whitening not work?
Answer:
Tooth whitening can only lighten your existing tooth colour. Also it only works on natural teeth. It will not work on any types of ‘false’ teeth such as dentures, crowns and veneers.
If your dentures are stained or discoloured visit your dentist and ask for them to be cleaned. Stained veneers, crowns or dentures may need replacing; again ask your dentist.
Question:
How can I look after my teeth once they have been whitened?
Answer:
You can help to keep your teeth white by cutting down on the amount of food and drink you have that can stain teeth. Don’t forget, stopping smoking can also help prevent discolouring and staining.
We recommend the following tips to care for your teeth:
· brush your teeth twice a day with a fluoride toothpaste
· cut down on how often you have sugary snacks and drinks
· visit your dentist at least once a year.
martedì 20 marzo 2007
Where can people with special needs obtain dental care?
The ADA Council on Access, Prevention and Interprofessional Relations suggests the following tips:
* Inform the dentist about your special health or financial conditions.
* Ask if the dentist has training and/or experience in treating patients with your specific condition.
* Ask if the dentist has an interest in treating patients with your specific condition.
* Find out if the dentist participates in your dental benefit plan (dental insurance program.)
* Ask if the dental facility is accessible to the disabled.
In addition, the Council suggests that patients with special needs
* Call or write the dental director at your state department of public health.
* Contact the nearest dental school clinic or hospital dental department, especially if it is affiliated with a major university.
* Contact the Special Care Dentistry (Formerly Federation of Special Care Organizations in Dentistry, the Academy of General Dentistry and the American Academy of Pediatric Dentistry for a referral.
* Also, the National Oral Health Information Clearinghouse may have useful information.
* Contact the National Foundation of Dentistry for the Handicapped (NFDH), a charitable affiliate of the American Dental Association since 1988. The NFDH, via several programs, facilitates the provision of comprehensive dental care for needy disabled, elderly, and medically compromised individuals.
* Dentists and dental institutions organizing or participating in voluntary projects that care for uninsured and underserved patients will find information, and grant opportunities through Volunteers in Health Care (VIH). VIH Program staff are available to assist you at the toll-free number 1-877-844-8442.
* Inform the dentist about your special health or financial conditions.
* Ask if the dentist has training and/or experience in treating patients with your specific condition.
* Ask if the dentist has an interest in treating patients with your specific condition.
* Find out if the dentist participates in your dental benefit plan (dental insurance program.)
* Ask if the dental facility is accessible to the disabled.
In addition, the Council suggests that patients with special needs
* Call or write the dental director at your state department of public health.
* Contact the nearest dental school clinic or hospital dental department, especially if it is affiliated with a major university.
* Contact the Special Care Dentistry (Formerly Federation of Special Care Organizations in Dentistry, the Academy of General Dentistry and the American Academy of Pediatric Dentistry for a referral.
* Also, the National Oral Health Information Clearinghouse may have useful information.
* Contact the National Foundation of Dentistry for the Handicapped (NFDH), a charitable affiliate of the American Dental Association since 1988. The NFDH, via several programs, facilitates the provision of comprehensive dental care for needy disabled, elderly, and medically compromised individuals.
* Dentists and dental institutions organizing or participating in voluntary projects that care for uninsured and underserved patients will find information, and grant opportunities through Volunteers in Health Care (VIH). VIH Program staff are available to assist you at the toll-free number 1-877-844-8442.
lunedì 19 marzo 2007
Paying for dental treatment
Paying for dental treatment
Question:
How do I pay for my dental treatment under the National Health Service?
Answer:
Many people are concerned about the cost of their dental treatment and how they will pay for it. There are several different ways of paying for dental treatment today.
NHS charges are set by the government and are standard for all NHS patients. The charges are assessed each year and usually change every April. Some people do not have to pay, including those receiving benefit, children, pregnant women and nursing mothers.
Back to top
Question:
How do I pay for my dental treatment privately?
Answer:
Private fees are set by the dentist or practice concerned and can therefore vary quite a lot from practice to practice. The dentist will either charge a fee based on the work being done or on the time taken.
Back to top
Question:
When will I have to pay?
Answer:
Your dentist is entitled to ask for full payment at any time, including at the start, during the treatment or when it is finished. Many people still pay this way, but in some cases the practice will accept instalments as they go.
Back to top
Question:
What types of payment plans are there?
Answer:
There are several different types of payment plans, ranging from cash payment plans to individual practice plans. Some allow you to spread your payment over a period of time, while others offer fixed cash payments depending on the treatment. Others allow you to make a monthly payment depending on your dental health and treatment needs.
Some practices offer membership to a particular company plan which they are part of. These are usually run by a separate organisation that will process your payments and pay the dentist for any treatment you need. Your dentist will be able to tell you which plan the practice uses.
Back to top
Question:
How do cash payment plans work?
Answer:
Cash payment plans are the most popular health care plans in the country with plans covering several million people. Many organisations offer these plans to their employees, who have their payment stopped from their pay. These plans will pay you cash towards a range of health benefits including NHS and private dental charges. These cash plans are specifically tailored to the lifestyles of individuals and their families.
Back to top
Question:
How do other payment plans operate?
Answer:
Different company and practice plans work in different ways and cover various treatment options. It is important to find out what is covered by your particular plan.
Some plans cover treatment up to a yearly limit, based on the amount of the monthly payment. Routine treatment is often covered, and allowances may be made for certain treatments including check ups, scale and polishes and a number of small fillings. Other schemes pay for all the treatment needed throughout the year in return for a monthly fee.
Some plans also cover emergency treatment, hospital in-patient treatment and worldwide emergency cover.
Back to top
Question:
Will there be anything else to pay?
Answer:
Some plans charge separately for any treatment that involves laboratory costs. For example: you may have to pay the laboratory fee for a crown, or you may have to pay for the entire crown. This should be explained when you join the plan to avoid confusion.
Back to top
Question:
How can I join a payment plan?
Answer:
Some companies offer employee-based plans. These are usually offered as part of a staff benefits package and may either be partly or fully paid for by the employer.
Or you can join a plan as an individual, just as if you were taking out any other kind of insurance plan. These plans can often be tailored to your needs and you can choose which areas of treatment to cover and the amount of monthly payment to make. If your dentist is linked to a particular plan they will be able to help you join.
Back to top
Question:
How much will it cost me?
Answer:
Costs usually depend on the level of cover you want. Some plans will base the costs on the condition of your mouth. Your dentist will assess you and set your monthly fee dependent on, for example, the number of fillings you have, the condition of your gums and how many natural teeth you have. In some cases it may be cheaper to join as a family or with a partner.
Back to top
Question:
Can I join at any time?
Answer:
With many payment plans you have to be dentally healthy before they will accept you as a client. Your dentist will usually be responsible for making sure your teeth and gums are healthy. Preventive care is aimed at keeping teeth for life. To be in some plans you have to go for regular check ups and preventive care. A payment plan is really a way of maintaining your mouth, not repairing it.
Back to top
Question:
Can I get a loan for expensive dental treatment?
Answer:
Yes. In some cases it is possible for your bank or building society to offer special rates on loans for dental treatment. It is worth checking with several banks to find the best rate for you personally.
Back to top
Question:
What if I’m not happy?
Answer:
As is the case with most dental complaints, the ideal solution is to talk to your dentist and try to solve the problem there and then. However, if you feel that you are unable to discuss the problem, or if it is more serious, you will probably find that the plan you have joined will have its own complaints procedure and will have a department you can contact to complain. Most plans work like a credit card and include a kind of insurance as part of your premium.
If your plan does not offer this service, you will need to follow up the problem in the same way you would as a private patient. First discuss the matter with your dentist to see if it can be easily solved. If this doesn’t work, write to the practice asking them to investigate the matter. If this still does not solve the problem, you may consider legal advice.
Back to top
Question:
What if I want to change dentists?
Answer:
Each type of plan will work differently. Under most dental plans you have to tell them if you change your dentist. If you join a plan run by your dentist and need to change for some reason, your dentist should be able to tell the company and have your records and treatment transferred to another dentist, as long as they are running the same kind of plan.
If you change dentists under the NHS, you will need to re-register with another dentist. If you are under an individual plan, again you should be able to take it with you when you go.
In some cases, you may need to tell the company why you are changing dentists. If you have started treatment with a particular dentist, you may have to complete the treatment with them, unless there are very strong reasons not to.
Back to top
Question:
What if I have two different opinions?
Answer:
If you decide to change dentists, it may be an idea to have a final appointment and ask if there is still any treatment you need. Under some plans your treatment will have to be finished, and you must be ‘dentally fit’, before you can join. This may be difficult in some cases, as what one dentist may see as being dentally fit may not be the same as another. It does not mean that one of the dentists is wrong, just that their opinions differ.
Back to top
Question:
Which plan should I choose?
Answer:
Payment plans are often tailored to the individual as much as possible, so it is difficult to recommend any one plan. Discuss the matter with your dentist, who may be able to provide one for you. Or compare one or two different plans to see which would suit you best. Your dentist may be able to help you make a decision.
Back to top
Question:
Does my private medical insurance cover me?
Answer:
Some medical insurance covers certain dental surgical treatments. It is important to check your insurance documents, or ask the company concerned, to see exactly what you are entitled to. It is also important to remember that medical insurance covers only oral surgical procedures which are carried out by a consultant oral surgeon, usually in hospital, and not routine dental treatment.
Back to top
Question:
Is anything else covered?
Answer:
Almost all NHS treatment is guaranteed for one year, and should be replaced free of charge during that period if needed. Privately, it is worth checking with the dentist before committing to treatment. Ask your dentist for a written guarantee if possible, which some practices are happy to supply with their work. Some plans will also offer specific treatment guarantees.
Back to top
Question:
What if I have a dental emergency?
Answer:
Many private plans include an emergency service for registered patients. If you have toothache and are not able to visit your dentist it may be possible for another practice within your plan to be able to see you. You may be given a card, which will include a free phone number to call if you have an emergency out of your area. Some plans even cover you for foreign countries. Again check these details with your chosen plan.
Question:
How do I pay for my dental treatment under the National Health Service?
Answer:
Many people are concerned about the cost of their dental treatment and how they will pay for it. There are several different ways of paying for dental treatment today.
NHS charges are set by the government and are standard for all NHS patients. The charges are assessed each year and usually change every April. Some people do not have to pay, including those receiving benefit, children, pregnant women and nursing mothers.
Back to top
Question:
How do I pay for my dental treatment privately?
Answer:
Private fees are set by the dentist or practice concerned and can therefore vary quite a lot from practice to practice. The dentist will either charge a fee based on the work being done or on the time taken.
Back to top
Question:
When will I have to pay?
Answer:
Your dentist is entitled to ask for full payment at any time, including at the start, during the treatment or when it is finished. Many people still pay this way, but in some cases the practice will accept instalments as they go.
Back to top
Question:
What types of payment plans are there?
Answer:
There are several different types of payment plans, ranging from cash payment plans to individual practice plans. Some allow you to spread your payment over a period of time, while others offer fixed cash payments depending on the treatment. Others allow you to make a monthly payment depending on your dental health and treatment needs.
Some practices offer membership to a particular company plan which they are part of. These are usually run by a separate organisation that will process your payments and pay the dentist for any treatment you need. Your dentist will be able to tell you which plan the practice uses.
Back to top
Question:
How do cash payment plans work?
Answer:
Cash payment plans are the most popular health care plans in the country with plans covering several million people. Many organisations offer these plans to their employees, who have their payment stopped from their pay. These plans will pay you cash towards a range of health benefits including NHS and private dental charges. These cash plans are specifically tailored to the lifestyles of individuals and their families.
Back to top
Question:
How do other payment plans operate?
Answer:
Different company and practice plans work in different ways and cover various treatment options. It is important to find out what is covered by your particular plan.
Some plans cover treatment up to a yearly limit, based on the amount of the monthly payment. Routine treatment is often covered, and allowances may be made for certain treatments including check ups, scale and polishes and a number of small fillings. Other schemes pay for all the treatment needed throughout the year in return for a monthly fee.
Some plans also cover emergency treatment, hospital in-patient treatment and worldwide emergency cover.
Back to top
Question:
Will there be anything else to pay?
Answer:
Some plans charge separately for any treatment that involves laboratory costs. For example: you may have to pay the laboratory fee for a crown, or you may have to pay for the entire crown. This should be explained when you join the plan to avoid confusion.
Back to top
Question:
How can I join a payment plan?
Answer:
Some companies offer employee-based plans. These are usually offered as part of a staff benefits package and may either be partly or fully paid for by the employer.
Or you can join a plan as an individual, just as if you were taking out any other kind of insurance plan. These plans can often be tailored to your needs and you can choose which areas of treatment to cover and the amount of monthly payment to make. If your dentist is linked to a particular plan they will be able to help you join.
Back to top
Question:
How much will it cost me?
Answer:
Costs usually depend on the level of cover you want. Some plans will base the costs on the condition of your mouth. Your dentist will assess you and set your monthly fee dependent on, for example, the number of fillings you have, the condition of your gums and how many natural teeth you have. In some cases it may be cheaper to join as a family or with a partner.
Back to top
Question:
Can I join at any time?
Answer:
With many payment plans you have to be dentally healthy before they will accept you as a client. Your dentist will usually be responsible for making sure your teeth and gums are healthy. Preventive care is aimed at keeping teeth for life. To be in some plans you have to go for regular check ups and preventive care. A payment plan is really a way of maintaining your mouth, not repairing it.
Back to top
Question:
Can I get a loan for expensive dental treatment?
Answer:
Yes. In some cases it is possible for your bank or building society to offer special rates on loans for dental treatment. It is worth checking with several banks to find the best rate for you personally.
Back to top
Question:
What if I’m not happy?
Answer:
As is the case with most dental complaints, the ideal solution is to talk to your dentist and try to solve the problem there and then. However, if you feel that you are unable to discuss the problem, or if it is more serious, you will probably find that the plan you have joined will have its own complaints procedure and will have a department you can contact to complain. Most plans work like a credit card and include a kind of insurance as part of your premium.
If your plan does not offer this service, you will need to follow up the problem in the same way you would as a private patient. First discuss the matter with your dentist to see if it can be easily solved. If this doesn’t work, write to the practice asking them to investigate the matter. If this still does not solve the problem, you may consider legal advice.
Back to top
Question:
What if I want to change dentists?
Answer:
Each type of plan will work differently. Under most dental plans you have to tell them if you change your dentist. If you join a plan run by your dentist and need to change for some reason, your dentist should be able to tell the company and have your records and treatment transferred to another dentist, as long as they are running the same kind of plan.
If you change dentists under the NHS, you will need to re-register with another dentist. If you are under an individual plan, again you should be able to take it with you when you go.
In some cases, you may need to tell the company why you are changing dentists. If you have started treatment with a particular dentist, you may have to complete the treatment with them, unless there are very strong reasons not to.
Back to top
Question:
What if I have two different opinions?
Answer:
If you decide to change dentists, it may be an idea to have a final appointment and ask if there is still any treatment you need. Under some plans your treatment will have to be finished, and you must be ‘dentally fit’, before you can join. This may be difficult in some cases, as what one dentist may see as being dentally fit may not be the same as another. It does not mean that one of the dentists is wrong, just that their opinions differ.
Back to top
Question:
Which plan should I choose?
Answer:
Payment plans are often tailored to the individual as much as possible, so it is difficult to recommend any one plan. Discuss the matter with your dentist, who may be able to provide one for you. Or compare one or two different plans to see which would suit you best. Your dentist may be able to help you make a decision.
Back to top
Question:
Does my private medical insurance cover me?
Answer:
Some medical insurance covers certain dental surgical treatments. It is important to check your insurance documents, or ask the company concerned, to see exactly what you are entitled to. It is also important to remember that medical insurance covers only oral surgical procedures which are carried out by a consultant oral surgeon, usually in hospital, and not routine dental treatment.
Back to top
Question:
Is anything else covered?
Answer:
Almost all NHS treatment is guaranteed for one year, and should be replaced free of charge during that period if needed. Privately, it is worth checking with the dentist before committing to treatment. Ask your dentist for a written guarantee if possible, which some practices are happy to supply with their work. Some plans will also offer specific treatment guarantees.
Back to top
Question:
What if I have a dental emergency?
Answer:
Many private plans include an emergency service for registered patients. If you have toothache and are not able to visit your dentist it may be possible for another practice within your plan to be able to see you. You may be given a card, which will include a free phone number to call if you have an emergency out of your area. Some plans even cover you for foreign countries. Again check these details with your chosen plan.
NHS dentistry
NHS dentistry
On 1 April 2006, the most significant reforms to NHS dentistry (since its inception in 1948) were introduced.
These changes are benefitting patients by commissioning better access to local services and a new, simpler charging system.
These pages have information about what the changes mean for you and answer some common questions about NHS dentistry.
Simpler charging
There are now three standard charges for all National Health Service (NHS) dental treatment. This makes it easier to know how much you may need to pay and also helps ensure that you are being charged for NHS care (rather than private care).
The maximum charge for a complex course of treatment has been reduced from £384 to £189. Most courses of treatment cost £15.50 or £42.40.
You still receive free NHS dental treatment if you meet the exemption criteria.
Find out more about the new patient charges.
Better access to local services
Your Primary Care Trust (PCT) is now responsible for local NHS dental services and:
* has money that must be used for local dental services
* agrees contracts with NHS dentists for services that best meet local needs
* can influence where new practices are established
* is responsible for urgent and out-of-hours care in your area
If a dentist moves, closes down a practice or reduces the amount of NHS dentistry he or she provides, the money to provide this service now remains with your PCT for reinvestment in NHS dentistry for the local community.
Over time this is helping PCTs ensure that NHS dental services better meet the needs of people in your area.
On 1 April 2006, the most significant reforms to NHS dentistry (since its inception in 1948) were introduced.
These changes are benefitting patients by commissioning better access to local services and a new, simpler charging system.
These pages have information about what the changes mean for you and answer some common questions about NHS dentistry.
Simpler charging
There are now three standard charges for all National Health Service (NHS) dental treatment. This makes it easier to know how much you may need to pay and also helps ensure that you are being charged for NHS care (rather than private care).
The maximum charge for a complex course of treatment has been reduced from £384 to £189. Most courses of treatment cost £15.50 or £42.40.
You still receive free NHS dental treatment if you meet the exemption criteria.
Find out more about the new patient charges.
Better access to local services
Your Primary Care Trust (PCT) is now responsible for local NHS dental services and:
* has money that must be used for local dental services
* agrees contracts with NHS dentists for services that best meet local needs
* can influence where new practices are established
* is responsible for urgent and out-of-hours care in your area
If a dentist moves, closes down a practice or reduces the amount of NHS dentistry he or she provides, the money to provide this service now remains with your PCT for reinvestment in NHS dentistry for the local community.
Over time this is helping PCTs ensure that NHS dental services better meet the needs of people in your area.
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