Dr David Paredes B.A. B.Dent. Sc.
Dr Joanna Sikorska O'Brien B.D.S.
Dr Sue Ramesh B.A. B.Dent. Sc.
Martina Whelan R.D.N
Emily Murphy R.D.N
Here at Newpark Clinic, we understand that a trip to the dentist isn't exactly everyone's favourite idea of spending a half an hour, so we strive to make your visit as comfortable as possible. We believe in minimally invasive dentistry with a strong emphasis on prevention. Unfortunately, prevention alone sometimes isn't enough and if this happens to be the case, we will tailor a treatment plan to each individual patient's needs, expectations and financial capabilities. Our goal is to provide a high quality, reasonably priced and inclusive dental service. Our surgeries are fitted to suit patients with special needs. A flexible range of payments options are available. We cater for every type of patient, and on the off chance there is a particular treatment we can't provide, we have a range of specialised colleagues who we would be happy to provide referrals to. Private, PRSI and Medical Card patients are welcome. We also provide services of a dental hygienist at a very competitive fee of 50€ per session endodontist - root canal specialist in brackets – and oral durgeon. Our modern and well-equipped premises are located within Newpark Shopping Centre which provides easy access from anywhere in the City, free car park as well as a number of other services and shops you may found useful when visiting us.
For more information on our range of dental procedures or to book an appointment get in contact with Newpark Clinic today.
What is it?
During your dental check up your dentist will:
Evaluate your overall health and oral hygiene
Evaluate your risk of tooth decay, root decay, and gum / periodontal disease
Evaluate your need for tooth restoration or tooth replacements
Check for signs and symptoms of Oral Cancer
Check your bite and jaw for orthodontic or occlusal problems
Demonstrate proper cleaning techniques
Assess your dental caries (tooth decay) risk
Assess your need for Fluoride application
Take Digital Dental X-rays and Digital Intra-Oral Photos if necessary
Before the dental examination you will be asked to complete a Medical History and Consent Form. On this you must inform the dentist of any health problems you have or medications you are taking. The dentist will discuss how these health problems or medications can affect your oral health. For example, if you are diabetic you are much more likely to develop severe gum disease. If you are taking depression medications you are much more likely to suffer from Bruxism (tooth grinding). It is vital that you discuss your full medical history with the dentist.
What is a filling?
A filling is a way to restore a tooth damaged by decay back to its normal function and shape. When a dentist gives you a filling, he or she first removes the decayed tooth material, cleans the affected area, and then fills the cleaned out cavity with a filling material. By closing off spaces where bacteria can enter, a filling also helps prevent further decay. Materials used for fillings include gold, porcelain, a composite resin (tooth-coloured fillings), and an amalgam (an alloy of mercury, silver, copper, tin and sometimes zinc).If decay or a fracture has damaged a large portion of the tooth, a crown, or cap, may be recommended. Decay that has reached the nerve may be treated in two ways: through root canal therapy (in which nerve damaged nerve is removed) or through a procedure called pulp capping (which attempts to keep the nerve alive).
How do I know if I need a filling?
Only your dentist can detect whether you have a cavity that needs to be filled. During a check-up, your dentist will use a small mirror to examine the surfaces of each tooth. Anything that looks abnormal will then be closely checked with special instruments. Your dentist may also X-ray your entire mouth or a section of it. The type of treatment your dentist chooses will depend on the extent of damage caused by decay.
What is it?
Tooth extraction is the removal of a tooth from its socket in the bone.
What it's used for
If a tooth has been broken or damaged by decay, your dentist will try to fix it with a filling, crown or other treatment. Sometimes, though, there's too much damage for the tooth to be repaired. In this case, the tooth needs to be extracted. A very loose tooth also will require extraction if it can't be saved, even with bone replacement surgery (bone graft).
Here are other reasons:
Some people have extra teeth that block other teeth from coming in.
Sometimes baby teeth don't fall out in time to allow the permanent teeth to come in.
People getting braces may need teeth extracted to create room for the teeth that are being moved into place.
People receiving cancer drugs may develop infected teeth because these drugs weaken the immune system. Infected teeth may need to be extracted.
Some teeth may need to be extracted if they could become a source of infection after an organ transplant. People with organ transplants have a high risk of infection because they must take drugs that decrease or suppress the immune system.
Wisdom teeth, also called third molars, are often extracted either before or after they come in. They commonly come in during the late teens or early 20s. They need to be removed if they are decayed, cause pain or have a cyst or infection. These teeth often get stuck in the jaw (impacted) and do not come in. This can irritate the gum, causing pain and swelling. In this case, the tooth must be removed. If you need all four wisdom teeth removed, they are usually taken out at the same time. If you expect to have treatment with intravenous drugs called bisphosphonates for a medical condition, be sure to see your dentist first. If any teeth need to be extracted, this should be done before your drug treatment begins. Having a tooth extraction after bisphosphonate treatment increases the risk of osteonecrosis (death of bone) in the jaw.
Your dentist or oral surgeon will take an X-ray of the area to help plan the best way to remove the tooth. Be sure to provide your full medical and dental history and a list of all medicines you take. This should include both prescription and over-the-counter drugs, vitamins and supplements. If you are having wisdom teeth removed, you may have a panoramic X-ray. This X-ray takes a picture of all of your teeth at once. It can show several things that help to guide an extraction:
The relationship of your wisdom teeth to your other teeth.
The upper teeth's relationship to your sinuses.
The lower teeth's relationship to a nerve in the jawbone that gives feeling to your lower jaw, lower teeth, lower lip and chin. This nerve is called the inferior alveolar nerve.
Any infections, tumours or bone disease that may be present Some doctors prescribe antibiotics to be taken before and after surgery. This practice varies by the dentist or oral surgeon. Antibiotics are more likely to be given if:
You have infection at the time of surgery.
You have a weakened immune system.
You will have a long surgery.
You have specific medical conditions.
You may have intravenous (IV) anaesthesia, which can range from conscious sedation to general aesthesia. If so, your doctor will give you instructions to follow. You should wear clothing with short sleeves or sleeves that can be rolled up easily. This allows access for an IV line to be placed in a vein. Don't eat or drink anything for six or eight hours before the procedure.
If you have a cough, stuffy nose or cold up to a week before the surgery, call your doctor. He or she may want to avoid aesthesia until you are over the cold. If you had nausea and vomiting the night before the procedure, call the doctor's office first thing in the morning. You may need a change in the planned aesthesia or the extraction may have to be rescheduled. Do not smoke on the day of surgery. This can increase the risk of a painful problem called dry socket. After the extraction, someone will need to drive you home and stay there with you. You will be given post-surgery instructions. It is very important that you follow them.
How it's done
There are two types of extractions:
A simple extraction is performed on a tooth that can be seen in the mouth. General dentists commonly do simple extractions. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.
A surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not come into the mouth yet. Surgical extractions commonly are done by oral surgeons. However, in certain cases they can be done by general dentists. The doctor makes a small incision (cut) into your gum. Sometimes it's necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it. Most simple extractions can be done using just an injection (a local anaesthetic). You may or may not receive drugs to help you relax. For a surgical extraction, you will receive a local anaesthetic, and you may also have anaesthesia through a vein (intravenous). Some people may need general anaesthesia. They include patients with specific medical or behavioural conditions and young children. If you are receiving conscious sedation, you may be given steroids as well as other medicines in your IV line. The steroids help to reduce swelling and keep you pain-free after the procedure. During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your doctor.
Your doctor will give you detailed instructions on what to do and what to expect after your surgery. If you have any questions, make sure to ask them before you leave the office. Having a tooth taken out is surgery. You can expect some discomfort after even simple extractions. Usually it is mild. Research has shown that taking non steroidal anti-inflammatory drugs (NSAIDs) can greatly decrease pain after a tooth extraction. These drugs include ibuprofen, such as Advil, Motrin and others. Take the dose your doctor recommends, 3 to 4 times a day. Take the first pills before the local anaesthesia wears off. Continue taking them for 3 days. Ask your doctor for complete instructions.
Surgical extractions generally cause more pain after the procedure than simple extractions. The level of discomfort and how long it lasts will depend on how difficult it was to remove the tooth. Your dentist may prescribe pain medicine for a few days. Most pain disappears after a couple of days.
A cut in the mouth tends to bleed more than a cut on the skin because it cannot dry out and form a scab. After an extraction, you'll be asked to bite on a piece of gauze for 20 to 30 minutes. This pressure will allow the blood to clot. You will still have a small amount of bleeding for the next 24 hours or so. It should taper off after that. Don't disturb the clot that forms on the wound. You can put ice packs on your face to reduce swelling. Typically, they are left on for 20 minutes at a time and removed for 20 minutes. If your jaw is sore and stiff after the swelling goes away, try warm compresses. Eat soft and cool foods for a few days. Then try other food as you feel comfortable. A gentle rinse with warm salt water, started 24 hours after the surgery, can help to keep the area clean. Use one-half teaspoon of salt in a cup of water. Most swelling and bleeding end within a day or two after the surgery. Initial healing takes at least two weeks.
If you need stitches, your doctor may use the kind that dissolve on their own. This usually takes one to two weeks. Rinsing with warm salt water will help the stitches to dissolve. Some stitches need to be removed by the dentist or surgeon. You should not smoke, use a straw or spit after surgery. These actions can pull the blood clot out of the hole where the tooth was. Do not smoke on the day of surgery. Do not smoke for 24 to 72 hours after having a tooth extracted.
A problem called a dry socket develops in about 3% to 4% of all extractions. This occurs when a blood clot doesn't form in the hole or the blood clot breaks off or breaks down too early.
In a dry socket, the underlying bone is exposed to air and food. This can be very painful and can cause a bad odour or taste. Typically dry sockets begin to cause pain the third day after surgery. Dry socket occurs up to 30% of the time when impacted teeth are removed. It is also more likely after difficult extractions. Smokers and women who take birth control pills are more likely to have a dry socket. Smoking on the day of surgery further increases the risk. A dry socket needs to be treated with a medicated dressing to stop the pain and encourage the area to heal. Infection can set in after an extraction. However, you probably won't get an infection if you have a healthy immune system.
Other potential problems include:
Accidental damage to nearby teeth, such as fracture of fillings or teeth.
An incomplete extraction, in which a tooth root remains in the jaw — your dentist usually removes the root to prevent infection, but occasionally it is less risky to leave a small root tip in place.
A fractured jaw caused by the pressure put on the jaw during extraction — this occurs more often in older people with osteoporosis (thinning) of the jaw bone.
A hole in the sinus during removal of an upper back tooth (molar) — a small hole usually will close up by itself in a few weeks. If not, more surgery may be required.
Soreness in the jaw muscles and/or jaw joint — it may be tough for you to open your mouth wide. This can happen because of the injections, keeping your mouth open and/or lots of pushing on your jaw.
Long-lasting numbness in the lower lip and chin — this is an uncommon problem. It is caused by injury to the inferior alveolar nerve in your lower jaw. Complete healing may take three to six months. In rare cases, the numbness may be permanent.
When to call a dentist
Call your dentist or oral surgeon if:
The swelling gets worse instead of better.
You have fever, chills or redness.
You have trouble swallowing.
You have uncontrolled bleeding in the area.
The area continues to ooze or bleed after the first 24 hours.
Your tongue, chin or lip feels numb more than 3 to 4 hours after the procedure.
The extraction site becomes very painful -- This may be a sign that you have developed a dry socket.
If you have an infection, your dentist usually will prescribe antibiotics.
What is it?
These are an effective way of preventing decay on the surfaces of your molar teeth. It is a simple procedure where a tooth coloured acrylic coating is “painted” onto the surface of your tooth. This seals the deep grooves (fissure) in your teeth, forms a barrier and protects the tooth from plaque and dietary acids. Both children and adults can benefit from the application of fissure sealants. Sealants generally last for many years. The dentist can easily add to worn or chipped sealants at your dental check-up if needed.
What is it?
A denture (“False Teeth”) is an appliance that is placed in the mouth which replaces the natural teeth, but also supports the lips and cheeks providing improvement in facial aesthetics. Dentures were in the past made of plastic. Nowadays, high quality precision dentures are constructed using flexible acrylic and metal alloys. This results in accurately fitted, comfortable and lightweight dentures that are very natural and indistinguishable from your original teeth.
Crowns and bridges
What is it?
Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.
How do crowns work?
A crown is used to entirely cover or "cap" a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.
Your dentist may recommend a crown to:
Replace a large filling when there isn't enough tooth remaining.
Protect a weak tooth from fracturing.
Restore a fractured tooth.
Attach a bridge.
Cover a dental implant.
Cover a discoloured or poorly shaped tooth.
Cover a tooth that has had root canal treatment.
How do bridges work?
A bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the colour of your natural teeth.
How are crowns and bridges made?
Before either a crown or a bridge can be made, the tooth (or teeth) must be reduced in size so that the crown or bridge will fit over it properly. After reducing the tooth/teeth, your dentist will take an impression to provide an exact mould for the crown or bridge. If porcelain is to be used, your dentist will determine the correct shade for the crown or bridge to match the colour of your existing teeth. Using this impression, a dental lab then makes your crown or bridge, in the material your dentist specifies. A temporary crown or bridge will be put in place to cover the prepared tooth while the permanent crown or bridge is being made. When the permanent crown or bridge is ready, the temporary crown or bridge is removed, and the new crown or bridge is cemented over your prepared tooth or teeth.
How long do crowns and bridges last?
While crowns and bridges can last a lifetime, they do sometimes come loose or fall out. The most important step you can take to ensure the longevity of your crown or bridge is to practice good oral hygiene. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease. Keep your gums and teeth healthy by Brushing with fluoride toothpaste twice a day and flossing daily. Also see your dentist and hygienist regularly for check-ups and professional cleanings. To prevent damage to your new crown or bridge, avoid chewing hard foods, ice or other hard objects.
What is it?
Porcelain veneers, are thin pieces of porcelain shaped to fit over the front side of your teeth. Veneers are strong, look natural and are made to match the shape and colour of your own teeth. To prepare your teeth for veneers, the dentist will remove about one millimetre of enamel from each tooth's surface. Next, your dentist will take an impression of the inside of your mouth, form a mould, and send it to a dental laboratory where your veneers are custom made by a dental technician.When finally ready, your dentist will bond the product to your teeth with a special cement.
Are veneers a good option for me?
Teeth that are discoloured, chipped, decayed or poorly shaped are good candidates for veneers. They're also beneficial in situations involving a slight gap between two teeth, as well as for minor crowding and bite-related problems. Discuss porcelain veneers with your dentist. If they can work for you, be part of the design process. Let your dentist know what you want corrected and what you're looking for in your new smile. With cosmetic imaging, you may even be able to see a preview of the new you.
Advantages and disadvantages
Aside from having the best teeth in the house, one of the greatest values in porcelain veneers is that very little tooth structure is lost, and you may need little to no anaesthesia for some treatments. The materials used to make them also provide resistance to stains from coffee, tea and other foods that natural teeth don't protect against as easily. Because some enamel is removed, however, the procedure is irreversible. Also keep in mind that once cemented, the colour cannot be corrected. You may have some temperature sensitivity for a few days, as well. Veneers are strong, but they can be damaged by chewing ice and biting your fingernails, so you'll need to kick those habits, should you have them.
How to take care of them
You will want to treat your veneers as you do your own teeth. Keep your normal oral hygiene routine, but use nonabrasive fluoride toothpaste, which keeps you free of decay without aggravating the veneers themselves. Your dentist or dental hygienist should also use a nonabrasive polish during regular cleaning appointments. If you clench or grind your teeth, your dentist may also suggest a night-guard to protect your veneers from damage while you sleep. Even those who are the most self-conscious about their teeth can see a big change from porcelain veneers. As author and spiritualist Thich Nhat Hanh said, "Sometimes your joy is the source of your smile, but sometimes your smile can be the source of your joy."