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Our  goal is to lastingly get rid of our patient’s dental phobia and at the same time to achieve a healthy and attractive dental condition. Nervous Patients? Looking for dentist for nervous patients? Our dental clinic is focussed to deliver gentle dentistry Dentist for the Fearful. Our practive have been highly recommended who work well with extemely fearful patients. Winner of Best dentist in Melbourne 2011 As one of the leading Cosmetic & General Dentistry practice in Melbourne City, we’re committed to clinical excellence in a gentle,caring and relaxed environment

Best Dentist Melbourne | Dentist Melbourne | Dentist in Melbourne |Seriously dentist phobic. We work well with extremely fearful patients. 

VOGUE SMILES MELBOURNE
Where beautiful smiles are designed to be remembered

Hate going to the Dentist? Nervous, anxious or scared of the dentist? We can help you get rid of your fear of the dentist. Based on Best Dentist reviews and recommendations in Melbourne for phobic-friendly dentists, Our practice won the Best dentist in Melbourne who are good with very nervous or phobic patients. Experience worry-free, painless dental procedures with sedation dentistry.

MANAGING DENTAL FEAR AND PHOBIA


MANAGING DENTAL EMERGENCIES


DENTAL CONDITIONS


PREVENTATIVE DENTISTRY


TIPS FOR MUM AND DAD


RESTORATIVE DENTISTRY

DENTAL JOKES

 

The information contained on this web site is for educational purpose only and is not meant to serve as delivery of professional care. The information in this Resource Page should not be relied upon to make decisions about your health that is Dental health. It is not a substitute for medical or dental advice.

Always consult your dentist about your individual condition(s) and/or circumstances.

RESTORATIVE DENTISTRY

Fillings

To treat a cavity your dentist will remove the decayed portion of the tooth and then "fill" the area on the tooth where the decayed material once lived.

Fillings are also used to repair cracked or broken teeth and teeth that have been worn down from misuse (such as from nail-biting or tooth grinding).

What Steps Are Involved in Filling a Tooth?

First, the dentist will numb the area around the tooth to be worked on with a local anesthetic. Next, a drill, air abrasion instrument or laser will be used to remove the decayed area. The choice of instrument depends on the individual dentist's comfort level, training, and investment in the particular piece of equipment as well as location and extent of the decay.

Next, your dentist will probe or test the area during the decay removal process to determine if all the decay has been removed. Once the decay has been removed, your dentist will prepare the space for the filling by cleaning the cavity of bacteria and debris. If the decay is near the root, your dentist may first put in a liner made of glass ionomer, composite resin, or other material to protect the nerve. Generally, after the filling is in, your dentist will finish and polish it.

Several additional steps are required for tooth-colored fillings and are as follows. After your dentist has removed the decay and cleaned the area, the tooth-colored material is applied in layers. Next, a special light that "cures" or hardens each layer is applied. When the multilayering process is completed, your dentist will shape the composite material to the desired result, trim off any excess material and polish the final restoration.

What Types of Filling Materials Are Available?

Today, several dental filling materials are available. Teeth can be filled with gold; porcelain; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-colored, plastic and glass materials called composite resin fillings. The location and extent of the decay, cost of filling material, patients' insurance coverage and your dentist's recommendation assist in determining the type of filling that will best address your needs.

Cast gold

Advantages:

1.    Durability – lasts at least 10 to 15 years, usually longer; doesn't corrode

2.    Strength – can withstand chewing forces

3.    Aesthetics – some patients find gold more pleasing to the eye than silver, amalgam fillings

Disadvantages:

1.    Expense – more than other materials; up to 10 times higher than cost of amalgam filings

2.    Additional office visits – requires at least two office visits to place

3.    Galvanic shock – a gold filling placed immediately next to a silver, amalgam filling can cause a sharp pain (galvanic shock) to occur. The interaction between the metals and saliva causes an electric current to occur – it's a rare occurrence, however

4.    Aesthetics – most patients don't find any "colored" fillings to be an "eye-pleasing" advantage

Silver-fillings (Amalgams)

Advantages:

1.    Durability – lasts at least 10 to 15 years and usually outlasts composite fillings

2.    Strength – can withstand chewing forces

3.    Expense – is less expensive than composite fillings

Disadvantages:

1.    Poor aesthetics – fillings don't match the color of your natural teeth

2.    Destruction of more tooth structure – healthy parts of the tooth must often be removed to make a space large enough to hold the amalgam filling

3.    Discoloration – amalgam fillings can create a grayish hue to the surrounding tooth structure

4.    Cracks and fractures – although all teeth expand and contract in the presence of hot and cold liquids, which ultimately can cause the tooth to crack or fracture, amalgam material – in comparison with other filling materials–may experience a wider degree of expansion and contraction and lead to a higher incidence of cracks and fractures

5.    Allergic reactions – a small percentage of people, approximately 1%, are allergic to the mercury present in amalgam restorations

Tooth-colored composite fillings

Advantages:

1.    Aesthetics – the shade/color of the composites can be closely matched to the color of existing teeth; is particularly well suited for use in front teeth or visible parts of teeth

2.    Bonding to tooth structure – composite fillings actually chemically bond to tooth structure, providing further support to the tooth

3.    Versatility in uses – in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken or worn teeth

4.    Tooth-sparing preparation – sometimes less tooth structure needs to be removed compared with amalgams when removing decay and preparing for the filling

Disadvantages:

1.    Lack of durability – composite fillings wear out sooner than amalgams (lasting at least 5 years compared with at least 10 to 15 for amalgams); in addition, they may not last as long as amalgams under the pressure of chewing and particularly if used as the filling material for large cavities

2.    Increased chair time – because of the process to apply the composite material, these fillings can take up to 20 minutes longer than amalgams to place

3.    Additional visits – if composites are used for inlays or onlays, more than one office visit may be required

4.    Chipping – depending on location, composite materials can chip off the tooth

5.    Expense – composite fillings can cost up to twice the cost of amalgams

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In addition to tooth-colored, composite resin fillings, two other tooth-colored fillings exist–ceramics and glass ionomer.

Other

1.    Ceramics, which are made most often of porcelain, are more resistant to staining than composite resin material but are also more abrasive. This material generally lasts more than 15 years and can cost as much as gold.

2.    Glass ionomer is made of acrylic and a specific type of glass material. This material is most commonly used for fillings below the gum line and for fillings in young children (drilling is still required). Glass ionomers release fluoride, which can help protect the tooth from further decay. However, this material is weaker than composite resin and is more susceptible to wear and prone to fracture. Glass ionomer generally lasts 5 years or less with costs comparable to composite resin.

What Are Indirect Fillings?

Indirect fillings are similar to composite or tooth-colored fillings except that they are made in a dental laboratory and require two visits before being placed. Indirect fillings are considered when not enough tooth structure remains to support a filling but the tooth is not so severely damaged that it needs a crown.

During the first visit, decay or an old filling is removed. An impression is taken to record the shape of the tooth being repaired and the teeth around it. The impression is sent to a dental laboratory that will make the indirect filling. A temporary filling (described below) is placed to protect the tooth while your restoration is being made. During the second visit, the temporary filling is removed, and the dentist will check the fit of the indirect restoration. Provided the fit is acceptable, it will be permanently cemented into place.

There are two types of indirect fillings – inlays and onlays.

  • Inlays are similar to fillings but the entire work lies within the cusps (bumps) on the chewing surface of the tooth.

  • Onlays are more extensive than inlays, covering one or more cusps. Onlays are sometimes called partial crowns.

Inlays and onlays are more durable and last much longer than traditional fillings – up to 30 years. They can be made of tooth-colored composite resin, porcelain or gold. Inlays and onlays weaken the tooth structure, but do so to a much lower extent than traditional fillings.

Another type of inlay and onlay - direct inlays and onlays - follow the same processes and procedures as the indirect, the difference is that direct inlays and onlays are made in the dental office and can be placed in one visit. The type of inlay or onlay used depends on how much sound tooth structure remains and consideration of any cosmetic concerns.

What's a Temporary Filling and Why Would I Need One?

Temporary fillings are used under the following circumstances:

1.    For fillings that require more than one appointment – for example, before placement of gold fillings and for certain filling procedures (called indirect fillings) that use composite materials

2.    Following a root canal

3.    To allow a tooth's nerve to "settle down" if the pulp became irritated

4.    If emergency dental treatment is needed (such as to address a toothache)

Temporary fillings are just that; they are not meant to last. They usually fall out, fracture, or wear out within 1 month. Be sure to contact your dentist to have your temporary filling replaced with a permanent one. If you don't, your tooth could become infected or you could have other complications.

Are Amalgam-Type Fillings Safe?

Over the past several years, concerns have been raised about silver-colored fillings, otherwise called amalgams. Because amalgams contain the toxic substance mercury, some people think that amalgams are responsible for causing a number of diseases, including autism, Alzheimer's disease, and multiple sclerosis.

The American Dental Association (ADA), the FDA, and numerous public health agencies say amalgams are safe, and that any link between mercury-based fillings and disease is unfounded. The causes of autism, Alzheimer's disease, and multiple sclerosis remain unknown. Additionally, there is no solid, scientific evidence to back up the claim that if a person has amalgam fillings removed, he or she will be cured of these or any other diseases.

As recently as March of 2002, the FDA reconfirmed the safety of amalgams. Although amalgams do contain mercury, when they are mixed with other metals, such as silver, copper, tin, and zinc, they form a stable alloy that dentists have used for more than 100 years to fill and preserve hundreds of millions of decayed teeth. The National Institutes of Health has several large-scale studies currently under way to ultimately answer many of the questions raised about silver-colored amalgams. Results of these studies are expected to be released.

In addition, there has been concern over the release of a small amount of mercury vapor from these fillings, but according to the ADA, there is no scientific evidence that this small amount results in adverse health effects.

How Should I Care for My Teeth With Fillings?

To maintain your fillings, you should follow good oral hygiene practices – visiting your dentist regularly for cleanings, brushing with a fluoride-containing toothpaste, and flossing at least once daily. If your dentist suspects that a filling might be cracked or is "leaking" (when the sides of the filling don't fit tightly against the tooth, this allows debris and saliva to seep down between the filling and the tooth, which can lead to decay), he or she will take X-rays to assess the situation. If your tooth is extremely sensitive, if you feel a sharp edge, if you notice a crack in the filling, or if a piece of the filling is missing, call your dentist for an appointment.

Problems With Dental Fillings

Pain and Sensitivity

Tooth sensitivity following placement of a filling is fairly common. A tooth may be sensitive to pressure, air, sweet foods, or temperature. Usually, the sensitivity resolves on its own within a few weeks. During this time, avoid those things that are causing the sensitivity. Pain relievers are generally not required.

Contact your dentist if the sensitivity does not subside within 2 to 4 weeks or if your tooth is extremely sensitive. He or she may recommend you use a desensitizing toothpaste, may apply a desensitizing agent to the tooth, or possibly suggest a root canal procedure.

Pain around the fillings can also occur. If you experience pain when you bite, the filling is interfering with your bite. You will need to return to your dentist and have the filling reshaped. If you experience pain when your teeth touch, the pain The pain is likely caused by the touching of two different metal surfaces (for example, the silver amalgam in a newly filled tooth and a gold crown on another tooth with which it touches). This pain should resolve on its own within a short period of time.

If the decay was very deep to the pulp of the tooth, you may experience a "toothache-type" pain. This "toothache" response may indicate this tissue is no longer healthy. If this is the case, "root canal" treatment will be required.

Sometimes people experience what is known as referred pain -- pain or sensitivity in other teeth besides the one that received the filling. With this particular pain, there is likely nothing wrong with your teeth. The filled tooth is simply passing along "pain signals" it's receiving to other teeth. This pain should decrease on its own over 1 to 2 weeks.

Allergies

Allergic reactions to silver fillings are rare. Fewer than 100 cases have ever been reported, according to the ADA. In these rare circumstances, mercury or one of the metals used in an amalgam restoration is thought to trigger the allergic response. Symptoms of amalgam allergy are similar to those experienced in a typical skin allergy and include skin rashes and itching. Patients who suffer amalgam allergies typically have a medical or family history of allergies to metals. Once an allergy is confirmed, another restorative material can be used.

Deteriorating Fillings

Constant pressure from chewing, grinding or clenching can cause dental fillings to wear away, chip or crack. Although you may not be able to tell that your filling is wearing down, your dentist can identify weaknesses in your restorations during a regular check-up.

If the seal between the tooth enamel and the filling breaks down, food particles and decay-causing bacteria can work their way under the filling. You then run the risk of developing additional decay in that tooth. Decay that is left untreated can progress to infect the dental pulp and may cause an abscessed tooth.

If the filling is large or the recurrent decay is extensive, there may not be enough tooth structure remaining to support a replacement filling. In these cases, your dentist may need to replace the filling with a crown.

New fillings that fall out are probably the result of improper cavity preparation, contamination of the preparation prior to placement of the restoration or a fracture of the restoration from bite or chewing trauma. Older restorations will generally be lost due to decay or fracturing of the remaining tooth.

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Recontouring Teeth

Recontouring or reshaping the teeth (also called odontoplasty, enameloplasty, stripping or slenderizing) is a procedure in which small amounts of tooth enamel are removed to change a tooth's length, shape or surface. The procedure is usually done to improve appearance by creating more harmony or balance in the look of the smile.

Recontouring is the most conservative cosmetic treatment. It is a quick and painless procedure whose results can be seen immediately.

Who Should Consider Recontoruing

Recontouring is an effective method to correct minor imperfections, such as:

1.    Fixing small chips

2.    Smoothing out bulges or pits in a tooth's enamel

3.    Adjusting slight irregular tooth shapes caused by too many or uneven teeth

4.    Adjusting the length of the canines (the pointed teeth on the side of your mouth)

Recontouring can also improve overall dental health by removing crevices or overlaps between teeth in which plaque or tartar can accumulate.

Recontouring is not recommended if your teeth have substantial imperfections, such as a substantial chip or deep fracture. Recontouring is not a substitute for veneers or bonding, however, it is often used in combination with these procedures.

Talk to your doctor to see if recontouring is right for you.

What Does Recontouring Involve?

Initial exam

To determine if you are an appropriate candidate for recontouring, your dentist may first take an X-ray of your teeth to determine the size and location of the tooth's pulp (the center of the tooth that contains the nerves and blood vessels). If the tooth's enamel layer is too thin or if the pulp lies too close to the tooth's surface, recontouring may not be possible and another procedure – such as bonding or veneers – might need to be considered instead.

The procedure

At your appointment, your dentist will use a sanding disc or a fine diamond bur to remove small amounts of tooth enamel. To reach imperfections between teeth, your dentist may use a strip of sandpaper to shape and smooth the sides. Once shaped, your dentist will finish the process by polishing your tooth or teeth.

Since recontouring does not affect the pulp of the tooth, an anesthetic is not usually needed.

Follow up

A recontouring procedure that is not combined with other cosmetic procedures (such as bonding or veneer placement) does not require special care or follow up.

What Risks Are Associated With Teeth Recontouring?

Because enamel cannot be replaced, this procedure should be carefully considered. The only risk involves the thickness of the enamel. If the enamel of the tooth that has been recontoured becomes too thin or exposes the dentin layer (the layer beneath the enamel), tooth sensitivity to heat, cold, and sweets could result.

DENTAL JOKES

Laugh all you want

A woman and her husband interrupted their vacation to go to the dentist. "I want a tooth pulled, and I don't want Novacaine because I'm in a big hurry," the woman said. "Just extract the tooth as quickly as possible, and we'll be on our way." The dentist was quite impressed. "You're certainly a courageous woman," he said. "Which tooth is it?" The woman turned to her husband and said, "Show him your tooth, dear."

A woman goes to the dentist. When he bows to begin to work, she grabs his balls. The dentist says,
"Madam, I believe you have taken my private zone."
The woman answers, "Yes. We're going to be careful not to hurt each other, aren't we."

Dentists are incapable of asking questions that require a simple yes or no answer.

Did you hear about the dentist who planted a garden?...
A month later he was picking his teeth

What does the dentist of the year get?...A little plaque

What game did the dentist play when she was a child?...Caps and robbers

What does a dentist do on a roller coaster?...He braces himself

What did the dentist see at the North Pole?...A molar bear

What was the dentist doing in Panama?...Looking for the Root Canal

Where does the dentist get his gas?...At the filling station

Why didn't the dentist ask his secretary out?...He was already taking out a tooth

What did the dentist say to the computer?...This won't hurt a byte

Mother: Has your tooth stopped hurting yet?...Son: I don't know. The dentist kept it

What did the tooth say to the departing dentist?...Fill me in when you get back

Anyone know the six most frightening words in the world ??? "The Dentist will see you now."

"Open wider." requested the dentist, as he began his examination of the patient. "Good God !" he said startled. "You've got the biggest cavity I've ever seen - the biggest cavity I've ever seen." "OK Doc !" replied the patient. "I'm scared enough without you saying something like that twice." "I didn't !" said the dentist. "That was the echo."

While I was waiting to see the dentist, a woman came out of his inner office smiling. Nodding to me, she said, "Thank goodness my work is completed. I'm so glad to have found a painless dentist and one who's so gentle and understanding too." When seated in the dentist chair, I related the incident to the doctor. He laughed and explained, "Oh, that was just my Mother."

"I came in to make an appointment with the dentist." said the man to the receptionist." "I'm sorry sir." she replied. "He's out right now, but..." "Thank you." interrupted the obviously nervous prospective patient. "When will he be out again ?"

A patient sits in the dental chair with severely fractured front teeth. After discussing how they will be restored and what the fee would be the patient says, " Before we begin, Doc, I gotta know: Will I be able to play the trumpet when you are finished? "
The dentist replies " Sure you will! "
The patient replies " Great, I couldn't play a note before! "

Patient: Doctor, I am very nervous. You know, this is my first extraction.
Young dentist: Don’t worry, it's my first extraction too.

Dentist: There goes the only woman I ever loved.
Assistant: Why don't you marry her?
Dentist: I can't afford to. She's my best patient.

Dentist: Just let me finish and you will be another man after these cosmetic procedures.
Patient: Okay doc, but don't forget to send your bill to the other man.

When a new dentist set up in a small town he quickly acquired a reputation of being the latest kind of "Painless" dentist. But a local lad quickly disputed this. "He's a fake ! " he told his mates. "He's not painless at all. When he stuck his finger in my mouth I bit him - and he yelled like anyone else."

Dentist to parsimonious patient "No, we give no discount for empty spaces when cleaning and polishing teeth Mrs. Borde!"

Young Charlie to dentist's sexy chariside assistant "Aha ! Are you the lady orthodontist ?".
The lady replied "No, but I'll straighten anyone's teeth "
A guy and a girl met at a bar. They started getting along really well and they decide to go to the girl's place for a drink.
A few drinks later, the guy took off his shirt and washed his hands.
He then took off his socks and washed his hands.
The girl looked at him and said, "You must be a dentist!"
Flabbergasted, the guy responded, "Why yes. That's amazing. How did you determine that?"
The woman replied, "Easy... you keep washing your hands."
Well, one thing led to another, and they migrated to the bed. Things became more and more passionate and... (*snip*)
After their passionate deed was done the woman remarked, "You must be a GREAT dentist!"
The guy was very surprised, and said 'Yes! Yes! I sure am a great dentist... You amaze me! And how did you know THAT, my dear?
' His lover said, "That's easy. I didn't feel a thing."

Stammering Charlie to dentist's sexy secretary: "I have an appointment to get my morals - er molars checked."

Young lady to father "Daddy, when I grow up shall I become a heart-doctor or a tooth-doctor "
"Dentist" "Why father ?" "We have only one heart, but 32 teeth!"

Patient to Dentist: "How much to get my teeth straightened?"
"Twenty thousand bucks" Patient heads for the door.

Dentist to patient: "Where are you going?"
"To a plastic surgeon to get my mouth bent."

A particularly voluptuous lady entered the dentists surgery in an obvious state of agitation. The dentist tried to calm her down assuring her that he would do nothing to hurt her. She sat down in the chair and started fidgeting nervously as the dentist began sterilizing all the required equipment. When he asked her to open her mouth, she screamed.
So he tried to calm her down again even though he was losing patience.
Almost immediately the lady threw a hysterical fit, then realizing that the dentist had begun glaring at her, she said, "Oh doctor, I'm so nervous. I hate dentists. Why, I think I'd rather have a baby than have a tooth drilled."
Replied the dentist " Well Miss, better make up your mind fast so that I can accordingly adjust the chair."

A dinner speaker was in such a hurry to get to the hotel that when he arrived and sat down at the head table, he suddenly realized that he had forgotten to get his false teeth. Turning to the man next to him he said, "I forgot my teeth." The man said, "No problem." With that he reached into his pocket and pulled out a pair of false teeth. "Try these," he said. The speaker tried them. "Too loose," he said. The man then said, "I have another pair...try these." The speaker tried them and responded, "Too tight." The man was not taken back at all. He then said, "I have one more pair...try them." The speaker said, "They fit perfectly." With that he ate his meal and gave his address. After the dinner meeting was over, the speaker went over to thank the man who had helped him. "I want to thank you for coming to my aid. Where is your office? I've been looking for a good dentist." The man replied, "I'm not a dentist. I'm the local undertaker."

A guy goes to visit his grandmother and he brings his friend with him. While he's talking to his grandmother, his friend starts eating the peanuts on the coffee table, and finishes them off.
As they're leaving, his friend says to his grandmother, "Thanks for the peanuts." She says, "Yeah, since I lost my dentures I can only suck the chocolate off 'em."

Patient: How much to have this tooth pulled?
Dentist: With pain $200 and without pain $100.
Patient: Well, without pain it's cheaper. Pull it WITHOUT pain.
Without anesthesia neither anything, the dentist begins to extract the tooth, when the patient outcry: Aaaahhhhhhhh !!!!!
Hey, WITH pain it costs $200 !!!, replies the dentist.

Patient: How much to have this tooth pulled?
Dentist: $200
Patient: $200 for just a few minutes work???
Dentist: I can extract it very slowly, if you like.

What's worse than having your doctor tell you that you have VD?
Having your dentist tell you.

Dentist says to the patient: Could you help me? Could you give out a few of your loudest, most painful screams?
Patient: Why? Doc, it isn't all that bad this time.
Dentist: There are so many people in the waiting room right now and I don't want to miss the 4 o'clock cricket day-night game.

Patient: Doctor, I have yellow teeth, what do I do?
Dentist: Wear a brown tie...

A patient asked the dentist, if it wasn’t nasty to be all the day with the hands in someone's mouth.
The dentist answered "I just think of it as having my hands in their wallet."

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