General Dentistry

General dentistry

We offer a full range of dentistry which is delivered in the best possible way by dentists who are experienced and have additional skills and qualifications.  As such, the treatments we offer are based on the best available evidence to ensure we can offer predictable outcomes.

Metal fillings

These are good value, functional fillings that are very strong.  The disadvantage is that the cavity needs to be a retentive shape so that the filling won’t fall out.  This can mean drilling healthy tissue to create undercuts, etc.  Metal fillings also look dark and the metallic elements can seep into the tooth and cause a grey discoloration.

White fillings (bonded composite resin)

These are the most conservative type of filling as they bond to the tooth and therefore the cavity does not need to be inherently retentive.  As the bond is very strong, it also serves to seal the cavity to prevent bacteria spreading. We must also mention that they also look fantastic and often very like naturally healthy teeth.

Inlays and onlays

Some teeth benefit from ‘lab made’ restorations to restore them back to full function.  These restorations are very strong, and replicate the original tooth form so that they have a very natural appearance.  They are also known to last a very long time; greater than 10 years.  An inlay is a lab made filling which is more durable (and aesthetic); onlays replace the ‘biting’ surface of the back tooth (thereby protecting it from potential fracture).

Crowns

A crown replaces most of the outside surface of the tooth.  Some badly damaged or heavily filled front teeth may benefit from having crowns to protect the underlying tooth from breaking as well as improving their appearance.  Crowns can be made from a range of different materials, from gold to ceramic (the most naturally looking).

Tooth wear

Teeth can become worn due to an acidic diet or sometimes if patients are prone to acid reflux.  Other habits such as grinding can compound the effects of this.  These worn teeth can be built up by bonding composite (tooth coloured restorative material) to the surface of the teeth, or in more severe cases, by bonding composite veneers to both the inside or outside of teeth.  Following this, we may need to protect the teeth from further damage by making a type of therapeutic tray for night time wear or a Michigan splint for patients that grind.

Bridge

A bridge is a lab-made ‘fake tooth’ which is bonded onto an adjacent tooth or teeth to replace missing teeth.  There are different types of bridges which can be made out of different materials.  We prefer to use a minimal (conservative) design wherever possible to preserve as much healthy tooth as possible.

Dentures

These can be a comfortable option when there are a few missing teeth and can be made to look very natural.  Dentures are not fixed to the teeth and it is recommended that they are removed occasionally, or ideally overnight.

Mouth guards (gum shields)

A mouth guard is a dental appliance worn during the participation of contact sports.  It protects the teeth and other oral structures against any damage or trauma which may be sustained during these activities.  They are custom made from an impression and can come in a large variety of different colours.  If you are worried about it being lost, the name can be inserted (at a small additional fee).

Implants

Our implant referral practice, Vermilion is opening a Scottish Borders branch of their Edinburgh practice in Kelso and as such is extremely convenient for our patients.  We work very closely with Vermilion and we restore the implants with crowns made at Vision dental lab.  We are very fortunate to have a referral practice of their stature based within walking distance.