Filling

The main treatment for cavities today is white tooth filling. The infected, softened parts are removed using a special drill, naturally along anesthetics if needed, so that one can sit through the treatment without experiencing any pain.

Fillings are today (against earlier times when amalgam was used for metal fillings) made of composite, a high-quality dental plastic. This material is being applied in a soft condition and it strengthens when receiving light effect and grants a stable, aesthetic high-quality solution while solving the cavity problem. Very important is the quality of the used filling material as this is crucial with regards of duration and look. When placing the composite material in the cavity with a special filling technique we remake the original, anatomical form of the tooth and restore its function.

You might need a filling if your teeth have become chipped only to an extent that can be restored using the filling substance.

Also many patients are looking for safe removal of amalgam fillings in order to replace the metal fillings with white fillings. For this purpose we isolate the area to make sure none of the amalgam gets into the body when being removed.

How much does a white filling cost?

The white filling price depends on the amount of surfaces that net to be restored. Depending on the situation this can be something between 1 and 4 surfaces, however most of the times one or two surfaces are affected. White filling costs £72 at Evergreen Dental up to 2 surfaces. 

Inlay

An inlay needed when the cavity is spread-out in a way that a regular filling is not sufficient and a more extensive filling produced in the dental lab, is needed. Inlays are a very good possibility for saving a tooth with strong cavity. The materials used for inlays are gold, composite or ceramic.

In fact, inlays are a kind of filling, that are made by a technician based on an imprint made previously then fixed in the tooth with an adhesive. Similarly to the steps of making a filling, we remove the decayed parts of the tooth. After that we drill the hole to a shape – naturally making sure to sacrifice as little tooth matter as possible – that is most appropriate for the proper fixing of the inlay.

Next, we make an imprint. Based on that, the technician creates the inlay, using premium quality composite or ceramic materials, whereas ceramic usually lasts longer. Finally, we fix it in the tooth with a special adhesive.

With an inlay we can completely restore the anatomical shape, function and aesthetic appearance of your teeth.

“Inlays” are small supplements that do not require the replacement of tooth cusps, only filling the “inside”. 

Onlay

Contrary with inlays are “onlays” that replace cusps and have a volume. Onlays refer to the outside area of the teeth when the filling includes the replacement of the tooth edge as well. 

Also onlays can be made of gold, composite or ceramic however inlays and onlays of gold are not that popular any more as they don’t look natural and also weigh more. Also in addition to the lab costs the price of gold has to be considered, for an inlay 3-6 grams of gold are needed.

When is an inlay or onlay needed instead of a filling?

  • In case of larger cavity
  • To secure a root canal treatment
  • To adjust the bite height
  • For replacing big old amalgam fillings
  • To restore the chewing function
  • For filling gaps in molar region
  • If a bridge pillar is needed for a dental work

How much does a dental Inlay cost?

Depending on the material a dental inlay costs £216 – £261.
Same applies for onlays. If the chosen material is gold, the price of gold is to be added.

Periodontology

The treatment of gum problems is a complex process

  • Hygenic preparation

    Every treatment of periodontal illnesses starts with a very thorough dental hygienic preparation. Tartar and hardened plaque above gum surface can be removed by a dental hygienist. The buildup of hardened plaque underneath the gum is difficult to access and must be removed by a periodontist.

  • Curettage

    During this process, the subcutaneous bags around the teeth are being cleaned under local anaesthetic. This way not only the plaque will be removed but also all the infected tissue in the surrounding area.  We differentiate between closed and open curettage.  During closed curettage, the gum is not opened only the equipment is being inserted.  When doing an open curettage the gum is being opened in order to reach the affected tissue for a better cleaning.

  • Checkup

    After a curettage, a checkup is always needed 3-4 weeks later.  During the checkup, the results of the curettage and the current status of the teeth are being checked in order to determine whether the treatment has to be continued.  Our periodontist always gives extensive advise during every session so the patient can maintain the achieved level of dental health.  Several repeats of the process might be necessary; in the worst case, up to three treatments could be needed.  In case of periodontal disease, one should pursue these steps in order to achieve longterm dental health and create a good oral environment for a stable, long-term solution like dental implants.

In case the gum disease is very advanced, additional treatments might be necessary.  The type of treatment varies from individual to individual and can require a number of different actions, like gum plastic surgery.  We always offer an individual solution to resolve any dental problems, including periodontal issues.  In case there is a periodontal problem when one would like to have dental implants, we always start with resolving the original problem.  Oral hygiene has to be optimal before tooth replacement can take place, because if the foundations are not good, then we can’t build on them.  If you have periodontal problems, please go and see a periodontologist as soon as possible!  Our periodontists can be seen here.

Removable solutions

A removable solution always means a denture that can be used in case a patient has lost so many teeth and the bone situation doesn’t allow a fixed work or the patient prefers to have removable teeth due to one or more of the advantages as listed below.

A denture can be removed for cleaning. Even though one has to get used to wearing a denture, nowadays they have a very high aesthetic effect and look almost like natural teeth. A removable solution is a high-quality alternative in case a fixed dental work is not possible or desired.

We talk about a partial denture in case some teeth have to be replaced and we talk about a full denture if the prostheses is covering the full jaw. The still existing teeth remain and the prostheses always adjusts to the given situation.

Non removable dentures refer to fixed bridges. You can read about them more in the section permanent solutions.

Please be aware that a removable solution especially a full or partial denture in many cases has to be adjusted after the treatment as the gum changes anatomically after the treatment, for instance as the wound of extracted teeth heal.

What types are there and how much does a removable denture or removable bridge cost?

See below the most common removable denture types and all the removable denture and bridge costs:

  • Premium Full denture made of composite

    This type of denture is made of composite, composite teeth are fixed onto a prostheses plate. The fixation is being done on the gum by adhesion crème.

    A premium removable denture costs 690 €.

  • Removable denture on 2 or 4 implants

    Also known as click prostheses. Two or four implants are being placed ensuring a strong hold for the prostheses and leaving the gum area free. Between implants and prostheses locators are being fixed. When placing the denture on the implants it mounts (clicks) at the right position.

    A premium removable denture on 2 or 4 implants costs 1050-1450 €.

  • Bar-supported denture

    these type of prostheses is usually fixed on 4 implants and it has an additional metal bar ensuring additional hold and stability. The metal parts go along the back of the teeth so none of them is visible therefore a high aesthetic result can be achieved.

    A bar-supported removable bridge costs 2490 €.

  • Model-cast denture or clamp prostheses

    these solution is always used in order to connect existing teeth with a prostheses. Small, hidden clamps are anchored to the last existing tooth on both sides ensuring additional stability.

  • Telescopic denture

    This type of removable denture is applied on telescopic crowns ensuring the primary stability.  The telescopic crowns are applied on natural teeth in rare cases on implants. The telescopic crown always consists of two parts: the primary crown part is put on the teeth, the secondary crown part is within the denture. A denture is replacing all the teeth and is being stabilized through the telescopic crowns.  The denture is many times galvanized, meaning that the inner part is alloyed with gold in order to slow down the amortization of the telescopic part caused by permanent insertion and takeout. 

    A telescopic denture costs 290 € per telescopic crown and 1290 € for the telescopic denture.

The advantages of a removable solution are the following:

  • Low priced
  • Less invasive
  • Easily repairable

Endodontology

Root canal treatments – if the tooth is chronically inflamed, very sensitive and can’t be saved any more but its root is strong at the same time dentists can remove the dentist removed the vital pulpa and inserts a root canal filling instead. This way the tooth can be saved even if it doesn’t stay alive.

The root canal treated tooth can also be used as a root for a crown in this cases usually a pin has to be inserted into the root canal to give additional strength to the root to be able to carry the crown. This pin is made of metal or glass fibre. 

A tooth usually has 1-4 canals. The front teeth have 1 canal the molars usually have 3 canals but can even have 5 root canals. 

Dentists at Evergreen Dental are usually using a microscope for the root canal treatment as it is very important that root is filled all the way. If the root canal filling is not proper leaving gaps the risk of inflammation through bacteria attack can cause big problems leading to the loss of the tooth. 

Duration of the treatment 

It is not possible to determine how long a root canal treatment will last as it might need to be repeated several times. The reason for that is that inflamed teeth first need to get the pulpa removed then medically cleaned out very thoroughly. Depending on the situation the dentist then decides whether it can be permanently filled right away or whether it needs more rounds of cleaning before it can be permanently sealed.

Oral surgery

Oral surgery or more precisely oral maxillofacial surgery is a collective term for dental treatments involving surgical intervention, usually performed by an oral surgeon. This covers many things from extractions to complex bone transplantations.

The oral surgery procedures in dentistry are typically surgical tooth extractions, sinus lifts, bone grafts, lateral bone augmentations, bone transplantations and dental implantation. Thanks to the latest technologies almost everyone with missing teeth or even fully toothless patients can get permanent teeth with the help of oral maxillofacial surgery.     

Complicated tooth removal

A complicated root situation can also occur with normal teeth requiring a surgical treatment to be able to be removed.

Surgical extractions – Wisdom teeth removal

Wisdom teeth are usually strongly anchored, have 3-4 roots and require a surgical treatment to be able to be removed. Further we experience many times wisdom teeth growing in as they can frown in the jaw in various ways and most of the time their position diverges from the normal. This can be explained by the fact that over the millennia the facial skeleton, especially the jaws, got smaller, therefore there’s less space available for the same number of teeth. It is becoming more and more common that wisdom teeth don’t form at all hence the lucky patient has no problems with them as the wisdom teeth are coming through and do have the necessary space.

What wisdom teeth symptoms can occur and why?

It cannot erupt fully, part of it (or the whole wisdom tooth) stays under the gums, which swells painfully and an inflammation occurs.
Partly erupted wisdom teeth are harder to clean and the part under the gums cannot be cleaned at all. This can cause bad breath and cavities with time.

If it is aligned wrongly, e.g. horizontally in the jawbone, then it can cause the piling of other teeth. In some cases it may result in cavities or root resorption of the neighboring tooth.

In conclusion, we can say that most of the time it is justified to remove the wisdom teeth.

There are two ways of wisdom tooth removal

The first is simple extraction, if the crown of the tooth is erupted and can be removed with simple dental pliers.

The other method is removal of the tooth via surgery, when it is not at all, or only partially, grown into the mouth. This case requires a more complex procedure: cutting the gums, drilling the bone and extracting the tooth from the bone. Based on the situation it might only be possible to extract the tooth in parts.

A wisdom tooth removal costs £135 at our clinic. We also do wisdom tooth removals in general anesthesia.

Learn more about our dental services!

Inlay, Onlay

Inlay, Onlay

Inlays are made in dental laboratories to restore the original shape and contour of the tooth. The smaller extension is called Inlay, Onlay has a larger dental insert that surrounds the tooth surface.

About wisdom teeth

About wisdom teeth

The eighth tooth is the last in the series, this is the wisdom tooth. He got this name because he breaks through the gums between the ages of 18 and 25, when one has the most common knowledge according to common belief.

Why is toothache so nagging?

Why is toothache so nagging?

A toothache can have several reasons. Our guide outlines the main indicators, symptoms and the solutions of those dental problems.