Teeth Whitening

Why consider teeth whitening?

Your smile is the way you greet the world, but if it’s not as healthy or as white as you would like it to be you may not want to smile.

By choosing a whitening treatment from us, you can be assured of guaranteed results.

What can I expect to happen when I choose ENLIGHTEN with us?

  • Using ENLIGHTEN Whitening involves an initial dental appointment with one of our dentists. At this appointment we will assess your oral health to make sure you are dentally fit to have tooth whitening.
  • We will then have a chat with you about what you hope to achieve from tooth whitening and check what products are suitable for your needs.
  • If dentally fit we will then take impressions of your upper and lower teeth in order to produce your customised whitening trays. The trays will can typically take up to 2 weeks to arrive.
  • You’ll have another appointment with us where we will check that the trays fit and are comfortable for you before showing you how to apply the whitening gel to the trays correctly as well as advice on the usage.
  • There is then a “power boost” with us in surgery at the end.

Why ENLIGHTEN?

ENLIGHTEN is clinically proven to:

  • Minimise sensitivity and aid in the re-mineralisation process after whitening
  • Minimise post treatment fade back
  • Give teeth a lustrous, glossy sheen

Enlighten Products

FAQs

Is teeth whitening safe?

Yes. Clinical studies have shown that whitening your teeth under the supervision of a dental professional is safe for teeth and gums and always ensure that products are EU compliant.

I have sensitive teeth: can I whiten?

Sensitive teeth can be a common side effect of tooth whitening. To help prevent this, the ENLIGHTEN whitening gel contain special ingredients which are proven to help reduce sensitivity, protect enamel and improve the lustre of teeth for a brighter smile.

What are the side effects of whitening?

The most common side effect is tooth and gum sensitivity. Your dentist will be able to advise you on whether you are a good candidate for whitening and they can also ensure that you are using the right concentration of whitening formula.

How long will my ENLIGHTEN whitening results last?

Whitening treatments help to reduce existing stain, but through consumption of tea/coffee. soft drinks or through natural ageing, your teeth may become discoloured again. Maintenance whitening at home can help combat recurring discolouration.

What causes teeth to discolour?

There are many causes of tooth discolouration. Some of the most common include the consumption of highly coloured foods and drinks such as red wine, tea and coffee. Some medications, ageing, smoking and trauma can also cause tooth discolouration.

Invisible braces

Why choose Invisible Braces?

Invisible Braces (Secret Smile®) are specifically designed to straighten your front six teeth. Rather than treat how your teeth bite together we focus on improving your smile. This means treatment is much quicker than traditional orthodontics.

Secret Smile

How do they work?

They exert light forces onto your teeth to gently encourage them into their new positions and uses a series of traditional and modified techniques.

Am I Suitable?

Due to the invisible appearance of the braces, this technique has become popular with celebrities looking for special orthodontic treatment that does not interfere with work or socialising.

We have treated many cases where patients main concerns were:

  • Straightening crooked teeth
  • Alignment of the gum line
  • Closing spaces between teeth
  • Alignment of flared teeth
  • Time of treatment
  • Complexity of treatment required

How much do they cost?

Treatment fees are determined by your dentist after assessment, but if your teeth only need minor corrections, prices could even start as low as £3,250.

Need more information?

Why not book a consultation with one of our approved providers of Secret Smile, where one of our specially trained dentists will be able to listen to your concerns about your teeth and assess you for suitability.

Labial Braces

Why Choose Labial Braces?

Labial braces (Simply Smile®) are specifically designed to straighten your front six teeth. Rather than treat how your back teeth bite together we focus on improving your smile. This means treatment is much quicker than traditional orthodontics.

Simply Smile

How does it work?

Labial braces exert light forces onto your teeth to gently encourage them into their new positions and uses a series of traditional and modified techniques

Am I Suitable?

Due to the discreet appearance and shorter treatment times of the braces, this technique has become popular with adults and people working in the public eye as it does not interfere with their work or socialising.

We have treated many cases where patients main concerns were:

  • Straightening crooked teeth
  • Alignment of the gum line
  • Closing spaces between teeth
  • Correcting flared teeth
  • Time of treatment
  • Complexity of treatment

How much do they cost?

Treatment fees are determined by your dentist after assessment, but if your teeth only need minor corrections, prices could even start as low as £3,250.

Need more information?

Why not book a consultation with one of our approved providers of Secret Smile, where one of our specially trained dentists will be able to listen to your concerns about your teeth and assess you for suitability.

Teeth Grinding / Clenching

Temporomandibular Joint Dysfunction (TMD)

What is TMD?

Temporomandibular Joint Dysfunction (TMD or TMJD) is a range of painful conditions which can affect the jaw joint, surrounding muscles and sometimes nerves. It is important to note that it is not life threatening but can have a large impact on quality of life as the symptoms can become chronic and difficult to manage.

Symptoms can include:

  • Pain in the muscles around the joint
  • Stiffness in the muscles around the jaw joint
  • Reduced jaw movements
  • Clicking or popping sounds around the jaw joint
  • Pain radiating to the ear, face, jaw or neck
  • Teeth grinding; with signs of excess wear on the teeth
  • Chronic headaches or migraines
  • A change in the way the teeth meet together

It is important to note that some people may have one, several or none of the symptoms listed above and that having one does not instantly imply a diagnosis of TMD.

What options are available?

Traditional options for TMD include the use of jaw exercises, pain killers, heat therapy and trying to avoid placing excess strain on the jaw joints, for example eating a soft diet and avoiding opening the mouth too wide.

The next line of treatment includes the manufacture of a custom made bite splint which is designed to prevent the teeth from contacting. Bite splints have been shown to reduce the pain associated with TMD but will not stop any teeth grinding or clenching from occurring (instead one will continue to grind the teeth into the bite splint; and will over time wear through the bite splint). Bite splints offer a simple treatment option but are associated with downsides; including that the bite splint cannot be worn whilst eating, they can affect the speech and can cause changes in the bite.

Cerezen – the new treatment option

What is it?

This new device offers a revolutionary new way to manage TMD. The Cerezen device is a hollow custom made insert which fits into the ear canal, being almost invisible from the outside.
How does it work?

The temporomandibular joint (TMJ) is located near to the ear canal, and so as the jaw opens and closes the shape of the ear canal changes.
As shown in the diagram the Cerezen device fits into the ear canal and when the teeth are clenched together subtle pressure is applied to the walls of the canal which encourage the clenching to stop.

Cerezen

How are the devices made?

Once a diagnosis of TMD has been confirmed, a certified audiologist will made impressions of your ear canals, approximately two weeks after this theCerezen device will be ready for you to insert.

Important information

  • The Cerezen device should not be worn whilst showering, swimming or when using a sauna, additionally they should not be worn when playing contact sports.
  • Significant weight loss or weight gain can affect the fit of the device.
  • Some initial discomfort is to be expected as the ear adapts to the Cerezen device.
  • If soreness, swelling, itchiness or pus discharge occurs from either ear then you should remove the Cerezen device.
  • The effectiveness of the Cerezen device has not yet been confirmed for people who have had ear or Temporomandibular Joint surgery; those who have had direct trauma to the jaw and those with rheumatoid arthritis, osteoarthritis, osteoarthrosis or other connective tissue disorders.
  • The following groups are not suitable for the Cerezen device; those with active ear drainage, swelling or redness, those with unresolved ear pain and those whose ear anatomy does not allow fitting of the device (for example – previous ear surgery)Further information can be found at www.cerezen.eu

Anti Snoring Device

Background to snoring

During sleep the throat narrows due to a reduction in muscle tone. Snoring is simply the vibratory noise generated by the back of the relaxed tongue, palate and throat. Further narrowing produces louder snoring but also laboured inspiration (breathing in). Extreme narrowing can cause complete airflow obstruction otherwise known as obstructive sleep apnoea.

There comes a point where the increased inspiratory effort is sensed by the sleeping brain and a transient arousal is provoked (brief awakening to breathe before returning to sleep). A few of these arousals do not really matter.

However, when there are many (sometimes hundreds), sleep becomes seriously fragmented, resulting in daytime symptoms of excessive sleepiness. Snoring and sleep apnoea are part of a spectrum extending from ‘benign’ or ‘simple’ snoring with no sleep disturbance, through to obstructive sleep apnoea with severe daytime sleepiness symptoms and the physiological consequences of recurrent asphyxia (insufficient oxygen).

Is treatment really necessary?

Benign snoring can be far from benign. The social consequences can be extremely distressing: banishment from the bedroom, marital disharmony, no holidays because of enforced sleep disruption when sharing a hotel room, fear of travelling – falling asleep during long journeys on public transport and the consequent ridicule and embarrassment. Many of the stories we hear are very sad and not worthy of the all too common joking approach to snoring.

There is no doubt that treatment is essential for obstructive sleep apnoea and extremely appropriate for snorers. Obstructive sleep apnoea, resulting in serious sleep disruption, can produce greatly impaired performance at work, at home, and on the road. Car accidents are statistically much more common in those with sleep apnoea. The response to appropriate therapy can be extraordinarily dramatic with commonly, a return to a state of alertness and vitality often not previously experienced for years or even decades.

There is evidence that so called ‘simple snoring’ is also linked with persistent daytime hypertension (high blood pressure), insulin resistant diabetes and carotid artery atherosclerosis. Many now believe that ‘simple snoring’ may be a precursor to obstructive sleep apnoea.

Please note DVLA guidelines on those who have or are being investigated for obstructive sleep apnoea. (https://www.gov.uk/obstructive-sleep-apnoea-and-driving)

What risk factors are there for snoring and sleep apnoea?

The following are known risk factors for obstructive sleep apnoea. You may find that simple lifestyle modifications may help to reduce your risk.

  • Overweight
  • Nasal Stuffiness
  • Late evening alcohol
  • Use of night time sedatives
  • Large tonsils
  • Smoking
  • Hypothyroidism
  • Menopause
  • Sleeping on your back

Appliance information & fee guide

A variety of appliances are available in the management of snoring, please read this section for information regarding the pros and cons of each appliance in addition to the charges.

There is good evidence to show that custom made intra oral appliances (mandibular repositioning devices) worn in the mouth at night can greatly help reduce snoring. All of the appliances work by altering the position of the lower jaw such that the tongue is lifted forwards increasing the area available for air flow, thus reducing snoring through the improvement of muscle tone. It must be remembered that the amount of advancement of the lower jaw varies from person to person and that adjustable devices offer greater flexibility.

Mandibular Repositioning Devices are primarily used for the management of simple, non apnoeic snoring as well as for mild to moderate obstructive sleep apnoea when prescribed and mentored as part of a multidisciplinary team. If symptoms of obstructive sleep apnoea are found then you will need to be referred to a respiratory or sleep physician for further investigations before treatment can be started. If you have poorly controlled epilepsy you will not be suitable for a mandibular advancement device.

MRDs consist of close fitting, custom made ‘rims’ that fit around the upper and lower teeth. These rims are connected in various ways to allow the lower jaw to be postured and held in a forward position. Many of these appliances will allow some horizontal and vertical lower jaw movement.

MRDs impose significant forces to the teeth and jaw joints and therefore it is important that these structures are healthy and able to withstand these forces, at least 8 healthy teeth are needed in each of the upper and lower jaw to provide adequate support. Additionally you must be able to maintain a good standard of oral hygiene – that is being able to keep your teeth spotlessly clean. When teeth are not kept clean when an anti snoring appliance is worn overnight an increased risk of tooth decay and gum disease is seen.

Side effects of treatment may include excess salivation (sometimes a dry mouth), jaw joint ache and tooth sensitivity. These are short-term side effects and usually disappear once you become accustomed to the appliance. Evidence of long-term side effects include minor tooth movements and bite changes. These side effects must be balanced against the benefits of treatment. Most patients do not find these side effects sufficiently intrusive to discontinue treatment. Some time may be required for the device to work and it is important that you are aware of this, in some instances no improvement will be achieved – it is impossible to predict in whom this will occur and so it is vital that you are prepared to accept this risk before embarking on treatment. Long term problems are rare, however jaw joint problems and unwanted teeth movement have been reported, therefore it is important that you do not suffer from any untreated dental disease.

When the mouldings of your mouth are taken we will take a special registration with your lower jaw pushed forwards. This will be used to make the anti snoring device. On occasions the initial measurement which is taken will not produce the exact desired outcome, this is where an adjustable device is advantageous. Being able to make adjustments means we can achieve a more bespoke outcome.

It is important to note that other options are available for the management of snoring and sleep apnoea; these include:

  • no treatment
  • ‘boil and bite’ devices which are often available commercially. It is important to note that there is no evidence base for the effectiveness of these devices in the management of snoring and sleep apnoea.
  • CPAP treatment
  • Surgical options – via an Ear Nose and Throat Surgeon

Appliance Options

Typical appliance lifespan is two years

Sleepeezzee FixedSleepeezzee Fixed

This is a simple one piece intraoral appliance which can often be used as a first line treatment in the management of snoring. This design is less complex and is thus the cheapest appliance that we offer. The appliance is made an accurate fitting latex free material which fits comfortably around the teeth.

Unfortunately this appliance cannot be adjusted once made so it is important to note that this does not offer as much flexibility compared to adjustable designs. We will endeavour to provide the optimal level of advancement but cannot guarantee that this can be achieved with this appliance. Thus if you decide that this is the appliance for you it must be accepted that you understand this risk. Additionally the relative bulk can reduce airflow which may prove uncomfortable

Fee: £295

OrthoApnea

OrthoApnea

This patented device consists of upper and lower splints which are held together by a titanium screw which allows for precise adjustments to be made. The thinner material used in the construction makes this device less intrusive and more comfortable compared with many of the other available options. This device has a good track record and has been successfully used in the management of snoring and sleep apnoea in the UK and across Europe.

The upper and lower jaws are held together by the screw linked to the upper and lower jaws, you are able to move the jaws in a lateral direction and are able open your mouth to some degree. This makes the device far more user friendly that fixed appliances.

This appliance also has a one year warranty from the date of manufacture.

Available in clear or blue

Fee: £595

SomnoDent Flex

SomnoDent Flex

This custom fitted device provides is one of the least restrictive available allowing for a vastly increased range of movement and comfort. A flexible inner soft lining provides a good fit and a comfortable feel. Unlike other devices it can fit over short teeth and those which have been crowned or bridged.

The screws present on either side allow for precise adjustment of this device, enabling great flexibility in the management of snoring and sleep apnoea.
This device comes with a three year warranty against manufacturing defects and has been used in over 200,000 cases worldwide.

Fee: £695

Likely appointment structure and payment guide:

Assessment following completion of questionnaire £0
Impression for appliance and bite registration 50% of chosen appliance fee
Fit of appliance Remaining 50% of chosen appliance fee
Review two weeks post fitting £0
Review four weeks post fitting £0
Reviews every six months £45

(NB 10% discount applies to Denplan Essentials patients).

Regular reviews are required to assess the success of the appliance and to ensure that the appliance is in good order and that there are no negative effects on the teeth, gums, bite and jaw joint. A new snoring/sleep apnoea history will be retaken. The attendance for reviews is a vital part of the process and patients are reminded that if they do not attend for reviews they increase the risk of problems.

For further information on snoring and sleep apnoea look on the British Society of Dental Sleep Medicine website at www.dentalsleepmed.org.uk.

Why have treatment at Llandeilo Dental Practice?

Not all dentists have undergone training to provide anti snoring mandibular repositioning devices, and therefore it is important that patients only see those dentists who have undertaken the appropriate training.

Tom has undertaken training run by the British Society for Dental Sleep Medicine and adheres to the Association for Respiratory Technology and Physiology Standards of Care for Mandibular Repositioning Devices and as such is well placed to provide mandibular repositioning devices for the management of snoring.

Dr Tom Bysouth is a member of the British Society of Dental Sleep Medicine; a society for Dentists who have an interest in the management of snoring and sleep apnoea.

For more information, or to book an appointment call us on 01558 823658 or contact us.

SkinPen

SkinPen Precision is the next generation Micro-Needling device. This class 11 device was engineered in the USA by Bellus Medical to enhance reliability, safety and performance.

Smart Wireless inductive charging allows the device to constantly operate at full strength, recognising the battery level and accelerating the battery charging if required and avoids long trailing wires, which can impede the treatment process.

SkinPen Precision

SkinPen Precisions NEW Patented Micro-Needle Cartridge offers unsurpassed safety. The only 100% completely sealed cartridge on the market to prevent fluid intake. It has as a single use lock
out feature, so removing any possibility of cross contamination. This unique cartridge design houses the reciprocating mechanism, this feature ensures precise depth settings from 0.25mm-2.5mm, and completes 7000rpm so producing 98,000 micro-channels per minute. The whole unit is protected with a disposable Bio-Sleeve, so reducing contamination during the treatment process.

Typically requires 3-6 procedures for optimal results. Effective on the face, neck and body.

Safe for all skin types.

SkinPen Info Sheet

SkinPen is a Medical Class 11 Mechanical Micro-Needling device for the treatment of FINE LINES, WRINKLES and SCARS.

As the skin ages the natural architecture of our skin deteriorates. This deterioration leads to fine lines, wrinkles large pores and uneven skin texture. SkinPen comfortably creates thousands of
micro-injuries in the skin to trigger the body’s natural wound healing process. This process results in skin remodelling, including the formation of collagen and elastin, the two proteins predominantly responsible for the structure of the skin. Any product applied to the skin during or immediately after a SkinPen Treatment is absorbed into the basal layers of the skin.

RESULTS using SkinPen® Micro-Needling Procedure

SkinPen Before & After

Can be used any time of the year. A short procedure time, approximately 30 minutes. Mild post-procedure effects, similar to a mild to moderate sunburn, with a quick 24 hour recovery
time.

SkinPen Procedure Expecations

Suitable for most people but there are certain medications and medical conditions which mean that you would not be able to receive a micro-needling treatment. These include pregnancy, trying to get pregnant and breast feeding but these can be discussed further at your consultation so contact us to arrange your free 15 minute no obligation initial consultation.

 

The Essential Plan

This plan is only suitable for patients who have little to no existing dental work and who already have healthy gums and teeth.

Includes

  • 2 examinations
  • 2 scale and polish treatments with the dentist
  • All necessary x-rays
  • Worldwide dental accident and emergency insurance

Costs

The cost of this plan is £12.75 per month.

This represents a £33/year saving plus 10% off treatment, plus the worldwide accident and emergency cover.

The Prevention Plan

The Prevention Plan is suitable for the vast majority of our adult patients, unless advised otherwise by one of our dentists.

Includes

  • 2 examinations
  • 2 hygienist appointments (including scale and polishes)
  • All necessary x-rays
  • Worldwide dental accident and emergency insurance

Costs

The cost of this plan is £17.00 per month.

This represents a £32/year saving plus 10% off treatment, plus the worldwide accident and emergency cover.

The Perio Plan

The Perio Plan is specifically designed for patients who have been diagnosed with periodontal disease. Quarterly hygienist appointments will provide you with thorough scaling and oral hygiene advice specific to your mouth, all aimed at helping you maintain healthy gums at home and slow the progression of periodontal disease.

Includes

  • 2 examinations
  • 4 hygienist appointments (including scale and polishes)
  • All necessary x-rays
  • Worldwide dental accident and emergency insurance

Cost

The cost of this plan is £21.75 per month.

This represents a £93/year saving plus 10% off treatment, plus the worldwide accident and emergency cover.

The Complete Denture Plan

This plan is designed for patients who wear complete dentures. It will provide you with everything you need to give you complete piece of mind about your dentures.

Includes

  • Annual routine check-up/ oral cancer screening
  • Free denture repairs (where still possible)
  • Free denture adjustments
  • Worldwide dental accident and emergency insurance

Cost

The cost of this plan is £6.75 per month

Children at Llandeilo Dental Practice

We are occasionally able to take on new NHS patients, but not at this time.

It is possible to register children under 18 on Denplan for Children at this practice; fees start as little as £6.28 per month per child.

  • Please contact reception for more details.

Emergency Cover

All Denplan patients have emergency cover for dental accidents and emergencies, for full details please see Denplan Terms and Conditions.

If you are not a registered Denplan patient, in-hours emergency treatment is £105, while out of hours emergency treatment is £165