Prosthodontic Weybridge

The goal of Prosthodontic treatment is to map out, rebuild and restore your mouth, through methodical and holistic processes, and with a multidisciplinary strategy. Every patient’s Prosthodontic treatment experience differs depending on the health of their mouth.

Our approach to Prosthodontics can be likened to how an architect diligently plans work before the building takes place. An excellent degree of planning is of the essence and ensures the successful outcomes we’ve consistently delivered for our patients over the years. Dr Neil Paryani possesses a wealth of experience and has undertaken advanced training in the field of Prosthodontics. In every instance, he applies his expertise and eye for detail to analyse and meticulously plan cases of varying complexities; from simple procedures like creating a crown for a damaged tooth, to full mouth rehabilitation for edentulous patients and for patients who have past dental work that is now failing.

There are several reasons why a single tooth or multiple teeth sustain wear. As we age, it’s inevitable to have some degree of tooth wear, though there are issues that can accelerate its progression.

• Bruxism: This is the dental term for severe teeth clenching ot grinding, which often is exacerbated when a person’s teeth don’t bite together correctly. Correcting the bite is extremely beneficial to patients who grind their teeth and can help eliminate any associated jaw pain and headaches.
• Erosion: One of the most avoidable manifestations of tooth wear is erosion. This is when tooth enamel (your teeth’s protective coating) wears down due to consistent and frequent chemical contact; typically due to fizzy drinks and acidic foods like lemons. Tooth erosion can also occur when naturally occurring acids in the body find their way to the mouth and attack your teeth. Those who regularly suffer from acid reflex or an eating disorder often present with moderate to severe tooth wear.
• Attrition: The most common form of tooth wear is attrition (when excessively come into contact with each other). The most common cause is bruxism.
• Abrasion: This occurs when ‘abrasive’ substances come into contact with tooth surfaces excessively. They typically leave ‘V’ shaped notches in the teeth by the gum lines.

• Restorations: Once a complete assessment of your mouth has been completed, Dr Paryani will be able to suggest the best course of action for your individual needs, and begin planning accordingly. This often involves a multi-disciplinary approach with treatments ranging from orthodontics, composite bonding, veneers or onlays/crowns depending on how much tooth is lost. Meanwhile, dental implants, dentures and bridges can be created for patients who require tooth replacement treatment.
• Diet: We will ask you about your diet and lifestyle habits and carry out a full examination of your mouth to establish if problems like excess acidic food or drink consumption, a dry mouth or acid reflux could be contributing to tooth wear. We will offer you advice on changes you can make to prolong the life of your existing teeth.
• Splints: Custom made occlusal splints can be prescribed to help reposition your jaw muscles and reduce tooth grinding and the associated symptoms such as jaw, neck and head pain. Splints are generally worn only during sleep (as this is the time most tooth grinding occurs) and work well for patients who require mouth corrections; they fit between and over the upper and lower teeth. Whilst splints don’t result in any permanent changes to your bite and jaw, when worn they protect your teeth from the threat of wear.
• Muscle relaxation: Meanwhile, one of the lesser well-known uses of botulinum toxin is to relieve tension in the jaw muscles. Toxin can be carefully and safely injected to help the muscle relax and prevent the clenching movements associated with bruxism. The effects of toxin wear off after a period or months, and we recommend repeat treatments with Dr Poonam Paryani to maintain a healthy teeth and bite, and to stop unpleasant symptoms returning.

Seeking treatment from a dental professional who is highly proficient in planning and performing Prosthodontic treatment can bring lifelong benefits.

• Streamlined and calculated treatment: Dr Paryani’s experience means very few if any adjustments are necessary post-treatment. Every eventuality is planned for at each stage of treatment, bringing about an end result that’s pleasing and predictable.
• High-quality restorations: Dentists with advanced Prosthodontic experience and training possess an in-depth understanding and know-how of how to plan the creation and fitting of restoration, and how it will affect your mouth and fit in with neighbouring teeth.
• Keeping you informed every step of the way: From the planning stages, right through to the finished result, we like to keep you in the know. Dr Paryani will talk you through what to expect in clear layman’s terms, and outline the options available to you, so you can make an informed decision based on the findings from the thorough assessment.