What are veneers?
Veneers are a thin covering over the front surfaces of the teeth that are either made of Porcelain (indirectly) or Composite Resin (directly). Veneers are used to help eliminate staining, aesthetic improvement, lengthening the teeth, correction of a tooth fracture or correct mild crowding. They are not suitable in every case as there are a number of factors to be considered, such as the way the teeth meet together, gum problems, root canal issues, or if the teeth are heavily restored with other filling materials.

Indirect veneers involve reduction of the tooth which can vary depending on the case. It often involves reduction of only the front surface, but may also extend to the sides and the incisal edge of the tooth. It is advised that a full coverage crown or ¾ crown be fabricated if too much reduction is necessary. Once the tooth/teeth are prepared, an impression is taken, the shade of the tooth is recorded and a porcelain veneer is bonded into place.

Direct veneers with composite resin are a more affordable option which involves less tooth reduction and the composite resin is bonded in place. This procedure is completed in one dental visit. There are many shades of composite resin, and these are used to try and match existing colours and shades. However, one of the disadvantages of direct composite veneers is the need to replace the composite after many years due to discolouration. Nevertheless, it is a more conservative treatment approach as it retains a healthier tooth structure.

How much does teeth whitening in Perth cost?
Teeth whitening is a popular request at Perth City Dental. We are always happy to consult with our patients and determine the best strategy to address any issues they have with the colour of their teeth.

At Perth City Dental, we offer two types of teeth whitening in Perth, they are;
Zoom Whitening (performed in the dental chair). This is for a more instant whitening effect. There are marked variations in responses depending on a number of factors which can be discussed prior to whitening. There can be some transient sensitivity caused by Zoom whitening which disappears after about 24 hours. The cost for Zoom Whitening will be discussed at your consultation/examination appointment. The fee includes complimentary take home whitening trays, a syringe of whitening gel and a desensitising gel if there is sensitivity.

Take home whitening is another alternative. Customised impression trays are fabricated and a take home whitening kit with instructions given to you. This is done over about 2 weeks for about 30 minutes each day. Again, costs can be discussed at your consultation/examination appointment.

What is a dental implant?
Are you missing a tooth? A dental implant in Perth is often the best solution to replace a missing tooth and eliminate any gaps created by this missing tooth/teeth.

A dental implant is used to replace a missing tooth or multiple missing teeth. If a tooth is missing, years ago before the introduction to dental implants, the most common way to replace this is a fixed bridge which involves the reduction of the teeth either side (like crowns/caps) and a bridge fabricated and cemented in place. This is not a conservative form of treatment especially if the teeth either side are healthy.

A single tooth replacement by means of an implant involves the placement of a titanium fixture screw in the jaw bone which integrates and becomes fixed to the jaw bone. An abutment and crown is then placed on top, matching the colour/shades of surrounding teeth and conforming to the correct shape and contour. It is a highly successful modality of treatment to replace missing teeth. In larger spaces, an implant supported bridge is also an option whereby three or four teeth can be attached to two implant fixtures placed at each end. There is no reduction of any surrounding teeth which appeals to most patients. Contact Perth City Dental today to find out if a dental implant in Perth is right for you.

What is the cost of cosmetic dentistry in Perth?
For those who want to improve the aesthetic of a dental situation, we recommend cosmetic dentistry. This may involve the correction of crowding, old fillings, gum problems, wear of the teeth or any other situation that troubles an individual. Everybody has a different perception of good aesthetics, and this is always considered when dealing with cosmetic or aesthetic dental treatment.

The cost of cosmetic dentistry in Perth can vary extremely depending on not only the dental situation, but a patient’s perception of the situation and the desire to correct it. This may involve very subtle adjustment of lengths or shapes of teeth, to complex complete oral rehabilitation. This means treatment could cost as little as $100 or up to tens of thousands of dollars for complex full arch dental rehabilitation cases. When dealing with a cosmetic/aesthetic case, treatment planning and dental work-ups are always done thoroughly so patients are aware of what treatment is expected and the costs associated with it before any work commences.

How much does a dentist cost?
The cost for dental treatment varies enormously. A clinical examination which allows the dentist to look closely and chart all of the teeth, as well as, an inspection all of the soft tissues in the mouth have a starting cost of around $60. During the first visit, x-rays are normally taken. The reason for this is the x-rays can pick up many underlying conditions that cannot be seen by simply looking in the mouth. There are normally two taken initially at around $45 each x-ray. This is the absolute minimum required in order to try and diagnose and formulate a treatment plan. Treatment planning may require further investigations with simple tests, further x-rays or other types of imaging, photos, or obtaining diagnostic casts (models of the teeth).

If a cost is required for treatment, the only way to accurately obtain this is to have the initial examination and x-rays taken. At a minimal cost, it certainly helps our patients understand their dental problems and the options available to correct them. Alternate options are always discussed, as well as the advantages and disadvantages of different treatment modalities.

Why should I brush my teeth?
In order to keep your teeth and gums healthy and to avoid a build-up of biofilm, brushing your teeth daily is highly recommended. Biofilm is a naturally occurring layer of bacteria which coats the teeth. After a professional clean, biofilm is removed but can regenerate within 24 hours if teeth aren’t brushed regularly. A build-up of biofilm will form into plaque, which then becomes visible on the teeth which can lead to cavities, tooth decay and in severe cases, gum disease.

Cavities are caused by diets which consists largely of sugar (simple carbohydrates that can be found in soft drinks, lollies, fruit juice, chocolate, sports drinks). Cavities, which are holes in the teeth, occur when the bacteria that feed on sugar releases an acidic byproduct that causes the enamel to break down and penetrates through the tooth.

Initially, the area of tooth decay may be very small and not noticeable, though it is usually always picked up on x-rays. However, once the acids break down the surface of the tooth (enamel), it then enters the dentine which is softer, sensitive and more vulnerable and that’s when tooth sensitivity starts to occur. If the decay continues without treatment, it can reach the pulp, causing a more severe toothache, resulting in the tooth requiring a root canal treatment or tooth extraction. By brushing and flossing regularly, the plaque is removed and this decreases the chances of developing tooth decay. It’s very important to understand that there are many foods consumed with ‘hidden sugars’ which can cause as much damage.

Failure to brush regularly or using poor brushing techniques, will often lead to gum inflammation. Plaque left around the gum line of teeth will cause the gums to become inflamed and bleed easily. If this is left untreated, the bacteria will penetrate further along the root surface, causing bone loss around the tooth (Periodontal or Gum Disease). This affects all of the supporting structures for the tooth and in advanced cases of Gum Disease, it can result in tooth loss.

Where can I find an emergency dentist in Perth?
An emergency dentist in Perth is a general dental practitioner that will see patients outside of normal business hours in order to treat time sensitive cases i.e. a broken tooth, extreme tooth/teeth pain or tooth infections. Dental emergencies are a common occurrence as both tooth pain and sensitivity can be very uncomfortable and in some instances, debilitating.

An emergency dental appointment will address the patient’s primary concern with the aim to eliminate the discomfort. Whether the cause of the pain is due to decay in a tooth, a cracked or fractured tooth, impacted teeth (usually wisdom teeth), tooth infections, gum infections or other soft tissue pathology. Once the pain is settled, it is then time to discuss the options available for any treatment required and the costs. It is important to discuss this with the dentist once pain has been managed, as often too many irrational decisions can be made when a patient is in distress. Often, medication for pain management is required or if an infection is present, antibiotics may need to be prescribed.