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Monday 9am - 3pm Tuesday 9am - 5pm Wednesday 9am - 7pm Thursday 9am - 5pm Friday 8:30am - 4:30pm Saturday 8am - 12pm

Dr.stuart.goddard

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United Kingdom
Queen Street
Dr.stuart.goddard

My aim is to help you need as little dentistry as possible through education, careful planning and predictable, aesthetic dentistry.

01/03/2022

Composite bonding is a fantastic way to assess the appearance, but also to establish if there will be any changes to patients speech patterns, or if the teeth will be damaged by any type of tooth grinding.

In this case we wanted to assess everything.... the patient just wanted a nicer smile, and who can blame them?

Our worry was the way these teeth have worn. The angled edges to the two front teeth was not due to trauma but nocturnal bruxism (tooth grinding), and our worry was simple: Will she grind the teeth down again if we built them up?

The broken down tooth had snapped at near gum level, partly because it was heavily filled, and partly because of the grinding.

In 60-90 days we will review the patient and assess how things are going. If she is happy we may leave things as they are. If the composites are chipping we know something is awry.

Sadly there are two (maybe three) clear flaws with this bond up.... can you spot them?

Hopefully she will forgive me 🤞

21/02/2022

Jo's teeth were rather straight other than that one in-standing tooth which really bothered her. 😥⠀
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Although Invisalign may have worked we always recommend fixed braces for teenagers because they deliver the ideal end result and more importantly because the patient cannot remove them. Fixed braces are almost guaranteed to work.... even for a 15 year old 👍⠀
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All we need now is to hope she wears her retainers 🙏🤞⠀
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Treatment type- Fixed braces.⠀
Treatment time- 14 months⠀
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10/02/2022

This young man had absolutely beautiful teeth but he didn't think they looked very 'straight', and I could see what he meant.⠀
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The lateral incisors were a little set back and not in proportion with the central incisors (the very front ones) so we decided to build up the teeth with Composite Bonding to try and get the teeth more in proportion. Alongside this we smoothed the rough edges on his two front teeth to create a more harmonious outline.⠀
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We did discuss brace treatment (please note how the lower front teeth are too high compared to the lower back teeth) but the patient wasn't convinced a full course of brace treatment was worth the effort. TBH we agreed 😁 ⠀
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04/02/2022

Do you think this case is worthy of presenting tomorrow at the annual meeting of the British Orthodontic Society Practitioners Group?

I certainly hope so.....😕

Wish me luck tomorrow. 🤞 . I reckon I'll need it.

P.s. A HUGE thank you to a great patient who not only let me treat her over 22 months but also allowed me to present her case in full to a room of dentists. I think she knows who she is 😁

24/01/2022

Veneers can fail in a number of was but the two most common are either debonding (the veneer falls off) or porcelain fracture (as above).

Porcelain, as well as composite, mainly fractures due to clenching or grinding of your teeth, especially when you are asleep at night. If you look carefully you can see chips in this patients enamel, another clear sign of grinding of teeth.

In this case we decided to repair the veneer with composite whilst we are considering our options; will the patient wear a guard at night to protect her teeth? Does the patient want braces or tooth whitening prior to new veneer? OR is she happy with what we have achieved and is she willing to leave things for now?

We try not to rush into treatment without weighing up all the options first.

23/01/2022

Jo's teeth were rather straight other than that one in-standing tooth which really bothered her. 😥

Although Invisalign may have worked we always recommend fixed braces for teenagers because they deliver the ideal end result and more importantly because the patient cannot remove them. Fixed braces are almost guaranteed to work.... even for a 15 year old 👍

All we need now is to hope she wears her retainers 🙏🤞

Treatment type- Fixed braces.
Treatment time- 14 months

15/01/2022

A bang to a front tooth in childhood can lead to it's loss later on in life and this tooth was no exception. The tooth had been root filled in the past, leading to a greyish discolouration, and failed due to a vertical fracture going up the root of the tooth. Sadly there was nothing we could do other than remove the tooth.

Rather than replacing the tooth with a plastic denture, or spending money on a temporary bridge, we decided to cut the root of the tooth off and glue the crown back in place. It will last around 3-12 months during which time the gum can heal.

Once the gum has healed we will be able to replace the composites in the adjacent teeth, and replace the missing tooth with a glued in bridge or a dental implant.

13/01/2022

Black Triangles are a relatively common problem that can detract from a nice smile.
They occur because the relationship between the jaw bone and contact point in between the teeth is slightly off, usually because gum disease has eaten away some of the bone itself 😟 .

Thankfully there are three ways to mask black triangles, this being one such technique. Here we have added Composite Bonding to change the shape of the teeth from a Triangular to a more rectangular shape- there was no need to adjust the teeth at all. Alongside a little levelling of the incisal edges of the teeth we created a nice end result and a very happy patient 😉

LESSON TO LEARN: Please make sure you clean in between your teeth to keep gum disease at bay 👍

14/01/2021

Sometimes small teeth can make everything look so uneven- your canine teeth look too pointy 👹and the very front teeth look too big 🤓. People rarely notice its the small lateral incisor that's causing the aesthetic problem 😉.

Some simple composite bonding can build up the small incisor and make everything look more harmonious. As always we aim for a natural, timeless look.

Remember, we love this type of work BUT we cannot justify cosmetic treatment at this time, but we would be more than happy to chat with you over ZOOM about your options.

Take care all 👍

dentistry

06/11/2020

Tooth decay=dentistry=weakened tooth.

Thankfully these days we have dental materials that can restore not only the appearance but some of the strength of the tooth.

Earlier in the week, we bonded this fractured tooth back together with a composite restoration in one visit. Don't worry, even though COVID has hit dentistry hard we are still sorting things out.

To be honest we just don't see the point of metal fillings anymore and rarely place them 😬

02/11/2020

Having a clear plan is so important in dentistry so that every decision you make should take you closer to that end goal.

This case demonstrates some composite bonding, removing the decay and replacing what has been lost. An outcome that fits into the overall plan between stabilising the patients health and providing braces to align the teeth.

To find out more about James and his treatment you can read our blog at:
https://buff.ly/3jNb7cm

19/08/2020

Restoring worn lower teeth is always very difficult. Personally i always prefer to add composite resin to teeth rather than removing tooth structure to place crowns- drilling tooth away to restore teeth that are already worn seems counter intuitive to me 🤔⠀
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This technique also allows us to test the appearance, function and phonetics.....any issues and we can adjust fairly easily.⠀
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dentistry @ Spires Dental Clinic

Address

7 Queen Street
Queen Street
WS136QD

Opening Hours

Monday	9am - 3pm
Tuesday	9am - 5pm
Wednesday	9am - 7pm
Thursday	9am - 5pm
Friday	8:30am - 4:30pm
Saturday	8am - 12pm

Website

http://www.SpiresDental.co.uk/

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