Featured staff member: Richard Lilleker

Richard Lilleker BDS Manchester GDC 85320

Richard went to the University of Manchester graduating in 2005. Richard has considerable experience in both NHS and private dentistry. As your dentist Richard’s goal is to ensure you remain completely comfortable throughout your experience. He always discusses any proposed treatment in plain language, not technical jargon and strives for the highest quality dentistry with the least patient discomfort. He likes to involve patients in treatment planning and decisions, working together as a team to find the solutions to their dental problems that will work best for them. It is a cliché but he really does treat every patient as he would wish to be treated himself.

His particular areas of interest include preventative and ‘minimal intervention’ dentistry which reduce the need for the more invasive treatments and look towards maintaining a healthy mouth for life. He has experience in all areas of general dentistry including orthodontics and implants, and can cater for all ages.

Now living in Old Basing, most of his spare time is spent with the family or renovating the house and garden. He loves the outdoors, especially camping and biking. He is also involved in local politics and is a Parent Governor at Old Basing Infant School.

Sports Mouthguards

Sports Mouthguards – Basingstoke, Hampshire

We provide high quality sports mouthguards made by our top dental technician, Mat Beable. The impression taking is done with care to make sure the process is comfortable. A full range of colours and designs are available from union jacks to neon pink, all made from the strongest high impact material available. High impact material enables us to make them relatively thin but still effective at protecting the teeth. Our mouth guards are often commented on to be extremely comfortable to wear.

We appreciate children can require new mouth guards every year and we aim to keep children’s mouthguard costs as low as possible. Please see our price guide for our current costing.

You don’t need to be an existing patient to book in to have a mouthguard fitted, please ring 01256 321945 for an appointment. The 1st appointment is 15 minutes and it will be ready for collection 1 week later. We can send it to you by post if that’s more convenient.

Nervous Patients

The main reason adults give for putting off visiting the dentist is fear. Approximately one in six patients are nervous about dental appointments and for some that fear is so intense that it is classed as dental phobia which can cause panic attacks and severe anxiety at even the thought of a trip to the surgery.  Many of these anxieties date back to when a visit to the dentist was painful and the school dentist not a positive experience. With new approaches to dentistry and modern techniques and equipment it really is possible to make the visit extremely comfortable and positive. 

At Gwynne Dental we are experienced in successfully treating patients who suffer from dental phobia. We are kind, gentle and empathetic and understand how serious a true fear of the dentist is. Our highly experienced dentists will take the time to talk through your fears in a relaxed and comfortable environment and will expl ain any treatments and ana lgesia requirements. Our building looks out onto a beautiful garden and many comments from patients include how non clinical it feels to be there. Music of your choice can be played. We enable the patient to be in control of the situation by making it clear how any procedure can be stopped by a signal from the patient instantly. All treatment decisions are ultimately made by you as the patient by having had all the options clearly explained to you enabling you to make the best choice.

Needle phobic patients – topical anaesthetic is always used, our techniques are extremely gentle and syringes are always out of sight. We pride ourselves on giving painless injections.

There are many techniques to making dental treatment a pleasant experience. For patients that are too phobic to consider treatment without more specialised help we would of fer a number of options.

  • Oral Diazepam: this is a highly effective and short acting relaxant which has an extremely calming effect. The patient needs to be accompanied to the surgery and kept an eye on for the remainder of the day. They would not be able to operate machinery or drive for the remainder of the day. Patients often don’t remember the treatment they have received and there are no unpleasant side effects. Many patients remember it as a positive experience, and this is our preferred choice.

For those who cannot cope with the thought of oral diazepam we can offer referral out of the practice for Relative analgesia, Intravenous sedation and General Anaesthesia.

Testimonial

Please see a recent testimonial which underlines the work we have already delivered for nervous patients. Please read the following as per below:

Elaine Lewington – “I was very nervous before my procedure. Georgina talked me through the options and prescribed me diazepam. I took this before I went and it made all the difference. Along with the care and consideration by all of the staff at the surgery it took the anxiety away and made me relax enough for the procedure to go smoothly.. it was a positive experience for me.”

Periodontal Disease (Gum Disease)

Periodontal Disease (Gum Disease)

Periodontitis is often known as ‘Gum Disease’ and is a very common condition in which the gums and deeper periodontal structures, those that hold teeth in your jaw bone become inflamed and swollen and left untreated it can lead to tooth loss.

There has been huge developments in the early diagnosis and treatment of periodontal disease and at Gwynne Dental we follow the latest evidence based advice.

Periodontitis is very common and is widely regarded as the second most common dental disease worldwide, after dental decay, and has a prevalence of 30–50% in the population, but only about 10% have severe forms.

Early Periodontal Disease

Periodontitis is caused by certain bacteria known as periodontal bacteria and by the local inflammation triggered by those bacteria. Although these periodontal bacteria are naturally present in the mouth, they are only harmful when the conditions are right for them to increase dramatically in numbers. This happens when a layer of bacteria and food debris, known as plaque, builds up and is left undisturbed on the teeth, commonly in hard-to-reach areas such as between the teeth.

In many people, this is a gradual process that takes place over many years and, if detected and treated, can be halted. However, some young adults have a very active form of the disease which causes early loosening and loss of the teeth.

How can I recognise periodontitis?

Periodontitis always begins with inflammation of the gums, known as gingivitis. This is not always easy to recognize but one of the first signs that you may become aware of is bleeding from the gums when you brush your teeth. The gums may look red and swollen and you might notice a discoloured layer of bacterial plaque on the teeth.

Left untreated, gingivitis may progress to periodontitis, often without any obvious signs to alert you. However, some changes that you might experience over time include:

  • increased bleeding from the gums, which may be provoked by brushing or eating, or even be spontaneous
  • bad breath
  • changes in the positioning of the teeth in the jaws
  • lengthening of the teeth (gum recession); and possibly pain
  • Bleeding from the gums may be less noticeable in smokers, because of the effect of nicotine on blood vessels, and so the disease process may be masked.

Advanced Periodontal disease

If the soft bacterial plaque is not removed by brushing the inflammation progresses deeper, the attachment of the gum to the root is disrupted and a gap or periodontal pocket is formed between them. This pocket is an ideal place for harmful bacteria to multiply, therefore driving the disease process forward. In their new habitat, the bacteria release toxins which further trigger the body’s defence mechanisms causing further damage and increasing the size of the pocket.

What are the causes of periodontitis?

Bacteria in dental plaque. A healthy mouth is colonized by more than 700 different species of bacteria, most of which are completely harmless and live in harmony with their host. However, when tooth cleaning is not thorough enough, the bacterial deposits build up next to the gums, forming a plaque, and the conditions become suitable for more dangerous bacteria to flourish. The natural defences of the body are also compromised.

In all cases, periodontitis is caused by the build-up of bacteria in the form of dental plaque.

If there is no plaque there will be no periodontal disease. There are however different genetic predispositions to periodontal disease and some people need only a very small amount to cause the disease.

The severity and speed of progression of periodontitis depends upon

  • Patients ability to clean their teeth effectively
  • The patient’s genetic predisposition to periodontal disease
  • Whether the patient smokes, this increases the rate of progression of the disease, smokers will have 4 times the bone loss
  • Whether the patient has poorly controlled diabetes, this will lead to a greater rate of progression of the disease
  • Certain medications for heart disease and epilepsy can increase the risk of disease

This graphic shows a healthy gum on the left and periodontal disease with an associated pocket on the right 

What can I do to prevent periodontal disease?

The development of gingivitis and periodontitis can be prevented by adopting thorough oral hygiene habits, alongside regular professional examinations and support. No plaque = no periodontal disease

The basic elements of a good oral hygiene regime are:

  • Use a good quality electric rotary toothbrush such a ‘Professional range Braun Oral B’ using the correct technique. https://www.youtube.com/watch?v=chqjw61B1IM
  • Use a recognised technique to remove plaque in between your teeth such as interdental brushes or floss
  • There is no such thing as the ‘chemical toothbrush’ ie mouthwashes are not effective at the removal of dental plaque, the cause of gum disease. The only way to remove plaque is to disturb it’s adherence to the tooth surface via mechanical action. A tooth brush bristle changing direction is highly effective at this.

Periodontitis is the leading cause of tooth loss

If the progress of periodontal inflammation is not halted, the supporting structures of the teeth, including the surrounding bone, are destroyed. The teeth eventually loosen and are lost, or require extraction. Other problems patients may experience include painful abscesses, drifting of the teeth which may interfere with eating, and unsightly lengthening of the teeth with exposure of the roots, as a result of gum recession.

It is now understood that untreated periodontal disease can have effects on general health; for example, it poses an increased risk for complications during pregnancy (pre-eclampsia, premature birth and low birth weight) and also an increased risk for heart disease and diabetes.

Smoking and periodontitis

Smokers are significantly more likely to develop periodontitis than non-smokers.

Periodontal treatments (such as gum/ bone grafts and implants) are less successful in smokers than non-smokers due to poorer healing.

Periodontitis progresses much faster, with more rapid tooth loss, in smokers.

Of cases of periodontitis which does not respond to treatment, about 90% are in smokers.

Treatment

With careful assessment and treatment, it is usually possible to completely halt the progress of periodontitis. The key to success is to eliminate the bacterial plaque which is triggering the disease process and to establish excellent oral hygiene practices.

  • Oral hygiene instruction and advice

The aim of the oral hygiene phase of treatment is to reduce the number of bacteria in the mouth and therefore reduce the level of inflammation. Your dental practitioner will first explain the causes of your periodontitis and explain exactly how to keep your teeth and gums clean. You will be given individual advice on how to use the various cleaning aids most effectively; for example, the most appropriate tooth brushing technique and the correct use of dental floss and interdental brushes.

  • Professional cleaning, usually 2 sessions under local anaesthetic

All soft deposits will be removed from accessible areas of the teeth and under the gums into the pockets, disinfecting the whole mouth

  • Antibiotic therapy

In some cases antibiotics are prescribed to deal with active or persistent gum infections, which have not responded to oral hygiene measures.

  • Reassessment

After 4 weeks, your dentist or periodontist will make a full assessment of your gums to check the progress of your treatment. A special instrument called a periodontal probe is used to record the depth of any periodontal pockets and check for bleeding from the gums. If periodontal pockets are still present, further treatment options may be suggested.

  • Aftercare – maintenance and monitoring

The long-term success of periodontal treatment depends both on your own efforts with oral hygiene and those of the practice team who provide your regular care and ongoing assessment. The frequency of your follow-up appointments will depend on the severity of disease and your individual risk of disease progression. Usually, follow-up visits are scheduled for every three to six months.

Regular follow-up appointments are vitally important to ensure that the disease process does not recur. Successful periodontal treatment requires your full co-operation regarding daily oral hygiene practices and attendance at regular follow-up appointments.

Dental Fillings

A filling is a way to restore a tooth damaged by decay back to its normal function and shape. Materials used for fillings include gold, porcelain, composite resins (tooth-coloured fillings), and an amalgam (an alloy of mercury, silver, copper, tin and sometimes zinc)

At Gwynne Dental we have an emphasis on both minimal intervention and cosmetic dentistry which leads us to using porcelain and composite ‘invisible’ fillings.

White ‘Invisible’ Composite Fillings

Traditional fillings were made of metal amalgam but in recent years, white fillings have gained increasing popularity. We’re pleased to offer replacements for these in both Composite Resin and Porcelain Ceramics. Our goal is always to create extremely natural results for our patients, almost undetectable from natural teeth.

Highly aesthetic Composite restorations are created by hand, to an extremely high level of colour matching to your own teeth. Different shades are placed in layers enabling our expert cosmetic dentists to carefully match the filling to the natural colour of your tooth so that it blends in seamlessly. This is a very highly skilled discipline.

Porcelain Fillings

Our Master Ceramic technician can also create porcelain Inlay and Onlay restorations when the old fillings being replaced or the tooth cavity is very large. These beautiful works of art are bonded to your remaining tooth structure to create a virtually “invisible” join whilst preserving your natural tooth. This avoids the need for crowns and reinforces the tooth for long term survival.

The Procedure

  1. The area is numbed using a local anaesthetic cream
  2. Local anaesthetic is very gently placed next to the tooth
  3. All the decay is carefully, gently and completely removed leaving strong, sound tooth structure
  4. The new filling is placed either directly (composites) and impressions are taken for the manufacture of a ceramic filling. In this latter case a temporary will be placed until the new ceramic filling is ready for cementation at a 2nd appointment

 

Dental Implants

Dental implants are the best long-term solution to missing teeth for most people. They act as your original tooth did. The implant, which is made of titanium, is fitted in bone where the tooth root would normally be. When fully integrated to the bone, a crown, bridge or denture is then placed over the implant to replace the missing tooth or teeth. This provides not only a strong fixed solution but as with any crown the shape and shade of the tooth can be cosmetically blended into the natural dentition.

They allow people to eat, talk and smile with confidence, knowing that their replacement teeth appear natural, their facial contours are preserved and they are as secure as their natural teeth.

There are various reasons for tooth loss

  • Diseases such as caries and periodontitis
  • Accidents in sports and daily life
  • Congenially missing teeth (teeth that never developed)
  • When you have one or more, the bone that surrounded the root will no longer receive any stimulation from chewing and therefore may shrink.
  • Bone loss is responsible for many of the problems encountered after tooth loss.

Possible consequences of tooth loss

  • Difficulties with biting and chewing
  • Teeth tipping into the space created by the lost tooth
  • Teeth over erupting from the opposite arch into the space created by the lost tooth
  • Changes in facial appearance due to muscle tone reduction and jawbone deterioration
  • Loss of confidence due to poor aesthetic of missing teeth

Traditional Methods

  • Lost teeth can be replaced with traditional methods like bridges, partial dentures or full dentures. These all rely of the remaining teeth or soft tissues that remain.

Dental Implants

  • Are the closest possible replacement to natural teeth
  • Provide a stable foundation for eating and smiling with confidence
  • Remove the need to compromise healthy teeth for a bridge
  • Can eliminate the problems caused by ill- fitting dentures
  • Help to preserve the jaw bone
  • Can help to maintain the shape of your face
  • Have been significantly tested and documented for over 30 years
  • Have a long term success Rate of over 95% as shown in high quality clinical studies

Dental Implant Placement

  • They are small screws that replace the tooth root to support tooth replacements such as a crown or bridge
  • They consist of titanium, a metal that the body easily accepts and is totally bio compatible, the bone grows into the ‘thread’ of the implant and forms a solid union
  • They are inserted into the jaw bone at Gwynne Dental under local anaesthetic via very gentle procedure

After their placement in the jaw dental implants

  • Form a strong bond with the bone called osteointegration, we wait 3 months usually for this to take place
  • Are firmly anchored to the bone
  • Provide a stable foundation for crowns, bridges or dentures

We offer an implant placement service at Gwynne Dental using the Straumann System. Straumann is a Swiss based company and is the European market leader in implants. It has an extensive research and development arm and provides we feel the very best quality implants you can buy. Many cheaper copy cat systems are on the market today. If you would like more information please ask, all our staff are trained to answer your questions and are happy to help. 

Cosmetic Dentistry

 

Very high levels of aesthetics can be achieved with dental implants

Implant Retained Dentures

The ‘Gold’ standard. Dentures are stabilised with implants which are used to securely hold the denture in place. The implants are small titanium screws and are inserted in your jaw bone keeping it strong and healthy. Two implants are usually placed to secure a lower denture and three to four to secure an upper denture. You can remove your denture for cleaning and attach it securely in place with no need for denture adhesive.

Botox and Dermal Fillers

Botox and fillers are increasingly popular techniques that when done well can produce a subtle, non surgical to make you look many years younger. At Gwynne Dental we believe in experienced, professional practitioners and are delighted to have Gaby Jackman on board carrying out these procedures. Gaby has been the deputy lead nurse at St. Michaels Hospice and is now the Macmillan Clinical Nurse Specialist. Alongside this she is an advanced aesthetic practitioner in Botox, dermal fillers, chemical peels and skin tightening fibroblast techniques. She has an emphasis on subtle and gradual changes to slowing and reversing the anti- ageing process with Botox, fillers and chemical peels. We will always under treat our patients initially to give the most natural looking outcome to any treatments we carry out. Top ups can always be carried out. An overall assessment is carried out to ascertain what the desired outcome for each individual patient is. Our service is both professional and discrete with patient confidentiality a top priority.

The Ageing Process

Ageing is inevitable and it comes to all of us. But what does it mean in real terms to our skin and our features? Often wrinkles or lines and a loose appearance of the skin.

Some people show a few or all of these signs but by getting to know our patients and assessing their faces and lifestyles and using an holistic approach we can prescribe bespoke treatments to enhance and treat the things that bother them most.

The way you look affects the way you feel about yourself. The signs of ageing can make us appear tired and stressed.

At Gwynne Dental it’s about reviving the skin and complexion, softening out the lines and wrinkles and restoring volume and firmness, restoring youthfulness and more importantly confidence.

All of the above issues can be treated by Wrinkle Relaxing Injections (BOTOX®), Dermal Fillers (e.g. Juvederm Ultra, Juvederm Voluma) and Chemical Skin Peels.

Botox

Botox Wrinkle Treatment can be used in a number of areas:

  • Glabellar (frown lines)
  • Crow’s feet
  • Forehead area
  • Lift mouth corners
  • Perioral line
  • Chin
  • Masseter muscles
  • Neck bands
  • Gummy smile
  • Peri oral smoker lines
  • Chemical brow lift
  • Axillary Hyperhidrosis (Excess Armpit Sweating)

Botox essentially relaxes a muscle for a 3 month period and will gradually wear off. At this point a new course can be administered.

Dermal filler 

Filler areas we can treat are:

  • Lips
  • Cheeks
  • Marionette lines
  • Nasolabial
  • Other lines upon consultation

The fillers used at Gwynne Dental are non-permanent and are made of Hyaluronic Acid (HA), a naturally-occurring substance found in the body, made of sugar. They help hydrate and add volume to your skin. As you age, the natural replacement of Hyaluronic Acid is reduced and therefore the moisturising and plumping effects decrease. This is when fine lines, wrinkles and loss of volume start to appear. Dermal fillers can be used on the face and neck hands to revitalise and refresh the overall appearance of your skin. This treatment helps improve facial lines, acne scars and other contouring deficiencies instantly. The use of fillers can be referred to as a nonsurgical facelift, the results are very often amazing.

This is both a bespoke and discrete service, private opening by request.

Why Choose Private Dentistry and What Will it Cost?

Why would you see us Privately?

  • The dentist you choose to see every visit – our staff turn-over is very low
  • We take time with our patients, a more personal and involved service, we see only 15 or 20 patients per day
  • Highly experienced dentists with a commitment to providing complete, high level care of their patients
  • The Principal Dentist’s mobile number for out of hours advice and care
  • Clear fee structure with payment plans available
  • To be offered more choice and flexibility, but only what’s needed, what is best for the patient
  • To benefit from investment in the latest technology
  • To benefit from shorter waiting times to get an appointment – appointment available within 7 days for a dentist

What will it cost?

Our aim with all our patients is to enable them to look after their own teeth with minimal intervention from professional dental services. We closely follow the principal of minimal intervention dentistry and will only do work that is absolutely required. The emphasis is always on prevention and repairing teeth when needed in a way that lasts many years.

Once we have got our patients teeth to a healthy state with good preventative habits in place we would aim to see them just once a year for a dental check up and either once or twice a year for a hygienist appointment. We titrate patient’s risk factors for decay, gum disease and diseases of the lining of the mouth against the interval we see them.

The cost of one check up @ £48 and one hygienist appointment @ £60 – £108 for the year.

Wedding Day Smile Makeover

Considering how many times your photographer will be shouting “Smile!” at you on your wedding day, it’s only natural to want to ensure that your teeth look their absolute best. Chipped, cracked, discoloured and stained teeth are some of the most common issues we deal with prior to a bride’s wedding. There are plenty of things you can do throughout your engagement to ensure that a near-perfect smile is possible. Whether you need a few months of at-home following a careful oral hygiene routine or a full professional overhaul, Gwynne Dental can help you achieve that perfect smile. A few tips:

  1. Come in for a Consultation

Go for it and get an appointment booked in. It’s important to get the process started early, so you’re not hurrying right before the wedding. Veneers can take two to three months, and orthodontic treatments like straightening and realignment can take up to a year. Ideally give it about a year before the big day if you can.

  1. A visit to the Hygienist

The first part of brightening your smile is giving them a professional clean. This may be the only treatment you require. Our hygienist will not only give them a thorough clean but give your sound advice on how to keep them super clean at home to prevent dental problems and keep them looking great.

  1. Start Whitening

Don’t leave whitening until the last minute! The whitening process generally takes at least two to three weeks, depending on your desired results, so it’s important not to try to rush it. Our recommended whitening procedure is highly effective and long lasting and has no harmful effects o your teeth. Kits bought in the shops and over the internet have been found to cause harm to teeth and are not recommended.

  1. Maintain Your Oral Health at Home

There’s a lot to think about in the months leading up to your wedding, but treating your teeth the right way should be a priority. At Gwynne Dental we follow the best evidence based advice we can find. Using a good electric tooth brush such as a rechargeable Braun Oral B in the correct way will maintain your oral hygiene to a very good standard. Tooth brush instruction is given at all our consultations.

  1. Use a good Flouride toothpaste for prevention of decay.

Most toothpastes on the market have the recommended concentration of fluoride, 1450ppm.

  1. Keep your sugar intake low to prevent unsightly decay.

Frequency rather than amount is the key to sugar intake, keep sugary snacks and drinks to mealtimes.

How we can save your teeth this year

How we can save your teeth: why root treatment is a painless and predictable treatment option.

When a dental abscess develops the tooth sometimes has to be removed, but in many cases a root filling can save it. At Gwynne Dental we take a great deal of care to root treat teeth to the highest standard to maximise the chances of long term success. Mastering this highly technical procedure takes many years. Our dentists continually update their skills and equipment, auditing their work to ensure their work is continually improving and of a high standard. Ensuring your comfort during all procedures is paramount; but contrary to popular belief, root treatments are often completely painless. Using correct local anaesthetics, giving them time to work and checking they have worked before starting is key to a comfortable experience.

Although we are not specialists in root canal treatment all our dentists have a special interest in this area. We do not place a specialist price tag on our treatments however in a few circumstances we will advise a referral to a specialist.

This X-rays show before and after the root treatment. The abscess is the dark shadow at the tip of the root and the white line is the ‘filling’ within the root. The chances of this treatment ‘saving’ this front tooth in the long term are very high.

Pre-op endo Post-op endo