1. Precision in implant dentistry at The Courtyard Clinic: 3D cone beam scans

    30th April 2014 by thecourtyardclinic


    The key to success in every part of dentistry is accuracy and precision, the more accurate a dentist can be in the treatment they provide the more likely the treatment will be a success. At The Courtyard Clinic we are one of the few practices in the area to have a 3D Xray unit – also know as a cone beam CT scan (CBCT). We utilise this modern technology to bring the utmost accuracy to more complicated procedures such as dental implants.

    The difficulty with traditional Xrays are that they show everything in two dimensions, the problem with this is that people are 3-dimensional! Thus where it is appropriate we utilise this 3-dimensional scan to give us the maximum amount of information on the anatomy of a patient. This is particuarily important when dealing with the placement of dental implants to replace teeth.

    Dr Philip Mc Cauley (BSc, BDS, MFDS RCS ED, FICOI) is an extremely talented and experienced surgeon who places our dental implants at TCC. He will take a 3D scan of the teeth when necessary and it is a tool which allows him to be incredibly accurate with his treatment thus leading to the best results for our patients.

    If you are missing teeth and would like a free consultation for dental implants please give us a call on 01932582949

  2. Are you grinding your teeth?

    27th April 2014 by thecourtyardclinic


    If modern life leaves you grinding your teeth in frustration, you are not alone. Dentists are recording increasing cases of involuntary teeth-grinding, known as bruxism. The problem is thought to affect one in 10 of us.

    Dental surgeon Dr Nigel Carter, head of the British Dental Health Foundation, explains: “There’s no doubt that teeth-grinding is an increasing problem – and a feature of the stress brought on by modern lifestyles.”

    Most cases occur during sleep, although bruxism can also affect people when they are awake, with some clenching the jaw at the same time. Although cases of bruxism are mostly seen among women in their twenties and thirties, when the pressures of combining a career with marriage and family may be greatest, dentists are noticing a rise in adolescents, too.
    Our teeth are built up of layers: on the inside is pulp – soft tissue that houses nerves and blood vessels. This is the part that hurts when teeth become decayed. Protecting the pulp is dentine, calcified tissue that supports the outer layer of enamel.When dentine becomes damaged, it can lead to faster tooth decay and even destroy the shape of the mouth. Faces can become visibly shorter, by which time there is little that can be done to reverse the process. Other problems, according to the Bruxism Association, range from headaches, aching jaw and facial muscles (myalgia), earache, tightness/stiffness of the shoulders, sleep disruption and inflamed and receding gums.

    In severe cases, temporomandibular joint disorder occurs (TMJ), causing clicking or popping noises as you move your mouth, muscle spasms around the jaw, and a feeling that the jaw is “stuck”. This can make eating difficult, resulting in pain around the ear, cheek or temple.

  3. White spots on teeth and early decay treated without drills or injections!

    24th April 2014 by thecourtyardclinic


    Here at The Courtyard Clinic we always like to be at the forefront of modern techniques in dentistry. One of the latest advances in the profession is the use of a product called Icon. This innovative product allows the dentists at The Courtyard Clinic to minimise the appearance of white spots from trauma, fluorosis and discolouration sometimes left after orthodontic braces. The advances in technology allow the dentist to reinforce demineralized enamel, without drilling or injections.

    Prior to this the only really effective treatment would be to drill away the white spot and replace it will white filling material, thus sacrificing healthy tooth. As a minimally invasive practice this was not good enough fro us- the new
    procedure involves roughening the surface with an acidic gel, which opens the pore system of the lesion. The pore system is then dried and Icon is infiltrated into the lesion. The chemistry of the novel Icon resin enables it to penetrate into the lesion pores and brings back the normal tooth color. Excess material is then removed, and the material is light cured. The total treatment time is about 30 minutes per tooth.

    This quick and easy procedure can make a massive difference to patients who are self conscious of unaesthetic white patches on their front teeth. The technique can also be used for early decay in between teeth, if the lesion is caught early enough no filling will be required- prevention is better than the cure!

    If you have a white patch you are concerned about or are interested in this no drills, no injections technique call Alison on 01932582949

  4. Helping the nervous patients of Surrey

    21st April 2014 by thecourtyardclinic


    Fear of the dentist is an extremely common phobia and, thankfully for the nervious patients of Surrey, one that the team at The Courtyard Clinic have a lot of experience dealing with. From the first time you speak to Alison on the phone through to meeting our fantastic team of dental nurses and hygienists to meeting our gentle and caring dentists, every member of the team at TCC is trained to look after nervous and anxious patients.

    When you do come to the clinic you will notice that the whole experience is very different to the traditional idea of a dental practice. In addition to advanced equipment, we have introduced a fresh concept in patient care. Instead of a waiting room, we have a luxurious lounge with leather chairs, up to date magazines and a choice of refreshments. The three high tech clinics are light and airy and even scented to not smell like a clinical area, whilst still retaining the highest standards of cleanliness.

    We allow a generous amount of time for each patient, so we can run to schedule without keeping you waiting. This allows us to listen to your questions, rather than rushing you through an appointment. We aim to provide the best quality dental care to help patients achieve optimum oral health. Our goal is a lifetime of smiles with natural teeth!

    We encourage our patients to bring someone with you for moral support during your treatment. You can bring in your own music to distract you, choose from our music selection or even enjoy a movie or television programme with our video glasses

    One of the keys to conquering your fear of the dentist in our opinion is understanding of what is happening and giving you as the patient back some control. The team of expert dentists are trained to explain every stage of the treatment so that you understand exactly what is happening at all times. Noises, equipment and materials will be explained in advance, so you know what to expect, when and why.

    Sometimes a patients phobia is so severe that they need some medicinal help in the early stages to help them through the treatment. For this we have a medically trained team of specialist anaesthatists known as Sedation Solutions, who can provide intravenous drugs to provide the patient with a complete sense of relaxation with no memory of the procedure following. We also offer oral Valium to calm patients nerves where appropriate. All of these techniques are carried out in a safe and controlled environment where we moniter the patient every step of the way.

    Lastly our aim at TCC is PAIN FREE INJECTIONS- the way we do this is by using a gel placed on the gum first to numb to top surface- we then use a computerised local anaesthetic device which delivers the anaesthesia at an extremely slow rate. This helps to make the process almost completely pain free and our patients love it!

    Want to know more?
    Contact a member of our team today

  5. Safe Amalgam Removal in Chertsey

    19th April 2014 by thecourtyardclinic


    We have a lot of patients coming to us at The Courtyard Clinic asking for replacement of their silver coloured amalgam/mercury fillings. Many people have concerns over the safety of the material in the dental field, with certain countries in Scandanavia no longer using the material. Here at The Courtyard Clinic we are a mercury free practice, no longer using dental amalgam opting in favour of white filling materials for small cavities or ceramic restorations for larger ones.

    The Mercury content of amalgam fillings is the most concerning aspect of the material, however currently we do not have enough evidence to establish exactly how much mercury is lost from these fillings during normal use in the mouth. For this reason we at The Courtyard Clinic feel that it is in the best interests of our patient’s health to no longer use the material in favour of more modern techniques.

    A further problem with amalgam is that patients with many metal fillings will occasionally feel that they have a metallic taste in their mouth, almost like batteries. The reason for this is that an electric current is being formed between the different metal fillings in the mouth which can be very unpleasant.

    The final problem we find our patients have with amalgam fillings is the cosmetic appearance; here at The Courtyard Clinic we understand that being confident with your smile is very important and for this reason we always try to restore our patients teeth back to the way they looked before they had any problems. Thus we use white composite or ceramic materials which match the colour of your natural teeth and our skilled dentists shape these materials so as to provide “invisible” fillings

    For all of these reasons we will frequently have patients asking for removal of their amalgam fillings. However the final difficulty with dental amalgam is that the removal of it can release vapours which can also be harmful. It is for this reason that we work with very powerful air suction. We will also often remove the amalgams under isolation with a rubber sheet in order to keep the amalgam out of the airways.

    If you are unhappy with your amalgam fillings or would like to know more call 01932582949 to book an appointment or just have a chat about your concerns.

  6. Non-Surgical Anti-ageing Treatments

    12th April 2014 by thecourtyardclinic


    The Courtyard Clinic now offers a new tier of treatment. Alongside our sophisticated dental treatments where we address some of the most complex cosmetic cases, we now have the expertise to improve your confidence?by enhancing the features of your face, using new, innovative and virtually pain-free treatment modalities. We pride ourselves on providing our patients with a more youthful appearance whilst still maintaining that natural look.

    Lines and wrinkles
    Improve the look of those tired eyes and sagging skin; our cosmetic injectable treatments help to re-tighten the skin and maintain that natural glow for longer.

    Lip Enhancement
    The ageing process causes lips to become thin and less full, losing their definition. Whether you are just looking to improve the contour of your lips or bring back that fuller look, we can help you achieve the results you desire with subtle changes that can make your lips look healthier, softer and more hydrated.

    Dermal fillers
    Improve and enhance facial contouring. Replace the lost volume in your face by replenishing your skin with natural hyaluronic acid, leaving your skin smoother and looking younger.

    Hyperdidrosis – excessive perspiration
    This condition can be very embarrassing?and uncomfortable for sufferers, and a huge concern when making daily decisions.?We offer a safe and virtually 100% effective solution, a life changing procedure for sufferers.


  7. Sensitive teeth? The team at The Courtyard Clinic can help!

    10th April 2014 by thecourtyardclinic



    Sensitive teeth is a very common reason for our patients to come and see us. There are many reasons behind sensitive teeth, here are some of the most common:

    • Brushing injuries: usually on the outer surfaces of the teeth facing the lips and the cheeks. Brushing hard can damage the gums and make them recede, exposing the sensitive root surface. The root surface is not covered with the hard enamel, which makes it vulnerable to hard brushing and more damage.
    • Grinding/clenching: If you grind/clench your teeth, small cracks can develop in the tooth enamel making it sensitive to temperature changes or sweet and sour.
    • Drinking acidic juices or fizzy drinks frequently: Frequent consumption of these beverages dissolves the hard enamel and the sensitive dentine is exposed.
    • Bulimia: a characteristic of this eating disorder is self-induced vomiting. This exposes the teeth to the acidic content of the stomach leading to the dissolving of the enamel and the exposing of the sensitive dentine.
    • Bad habits: such as biting nails or pens.
    • Broken teeth or broken fillings.
    • Gum disease: If you suffer from gum disease, the gums around the teeth will recede and the sensitive part of the teeth is exposed.

    If you experience teeth sensitivity, come and see the team at The Courtyard Clinic for treatment. This may vary depending on the cause.

    There are many products that you can buy over the counter or you can get from your dentist to treat the symptoms of teeth sensitivity.

    Tips to minimise teeth sensitivity:

    • If you are a hard-brusher change to a softer toothbrush
    • Use toothpastes for sensitive teeth
    • Use mouthwashes containing fluoride to strengthen the teeth
    • If you are a grinder/clencher you need to see your dentist who will provide you with a bite guard to protect your teeth from the grinding forces.
    • If you have broken teeth or fillings see your dentist for treatment.

    If you have sensitive teeth and would like to do something about it contact Alison and the team at The Courtyard Clinic on 01932 582 949 or book an appointment on line by clicking the link on our homepage.

  8. Introducing the TMJ and Sleep Therapy Centre of London

    9th April 2014 by thecourtyardclinic

    image family j

    • Craniofacial pain – head and face
    • Headaches & migraines
    • TMJ Disorders
    • Sleep Apnoea/snoring
    • Paediatric sleep breathing disorders and OSA

    There is an answer for adults and children. With proper evaluation and diagnosis, the conditions of craniofacial pain, Sleep Apnoea and snoring can be successfully treated.
    TMJ and Sleep Therapy Centres are dedicated exclusively to the evaluation and treatment of these conditions. Our approach is comprehensive evaluation for proper diagnosis, and non-invasive treatment therapies. We provide successful results using state of the art technology and research based treatment in a caring and friendly environment. We recognize and treat each patient as a unique individual.

    Temporomandibular Disorders

    Temporomandibular Disorder or TMD is a condition caused by disturbances in the action of the jaw. Often jaw problems are?only a symptom, secondary to a greater problem affecting the body, much like a fever is secondary to the common flu. In the absence?of an acute injury to the head or face, the primary cause of jaw problems is frequently an unidentified sleep breathing issue: Sleep Apnoea or Obstructive Sleep Apnoea. Proper diagnosis and emphasis on origin rather than symptoms is key to successfully treating this disorder.

    Symptoms can include:

    Primary headaches – migraine, tension and cluster
    Pain in jaw joint?Facial,
    neck and back pain
    Jaw popping and clicking
    Restricted jaw opening
    Catching or locking of jaw Pain when chewing?
    Ear pain or ringing in the ears

    Woman sleeping on white background

    Sleep Apnoea/snoring

    Sleep Apnoea is defined as the absence of breathing during sleep. A common reason for this medical condition is a poorly positioned jaw and/or tongue, which can lead to a blocked airway. There is a 70% overlap between snoring and Apnoea in adults and children. The American Association of Paediatrics ‘Patient Parameters’ recently stated that all children should be screened for snoring, and all children who snore should have a sleep study for evaluation of Apnoea, because of associated ADD/ADHD (Attention Deficit Hyperactivity Disorder) and cardiovascular risks.

    Symptoms commonly linked to Sleep Apnoea:

    Snoring/frequent night time awakenings
    Excessive daytime sleepiness
    Morning headaches
    Heartburn and Gastro-oesophageal Reflux Disease (GORD)
    Children – ADD/ADHD, learning disabilities, bedwetting, teeth grinding, snoring

    Happy children having fun

    Related risk factors:
    High blood pressure, Heart attack,? Stroke?, Diabetes

  9. Cerec dentistry, white fillings, Courtyard Clinic, Chertsey, Surrey

    7th April 2014 by thecourtyardclinic

  10. Heart saving device installed at The Courtyard Clinic

    4th April 2014 by thecourtyardclinic


    Here at The Courtyard Clinic we like to look after more than just your teeth, we are concerned with the total body health of our patients.

    We have recently invested in a defibrillator (also known as an AED: automated external defibrillator) for the practice. An AED is a portable electronic device that can be used by anyone, it automatically diagnoses the life threatening signs of a heart attack and is able to treat them through defibrillation. Defibrillation is the application of an electrical current which stops the heart attack, allowing the heart to reestablish an effective healthy rhythm.

    It has been proven by the British Heart Foundation that AEDs are considerably more effective than CPR alone and that when someone goes into cardiac arrest (a heart attack), every minute without CPR and defibrillation reduces their chances of survival by 10%. This means that the sooner the AED is applied the higher the persons chance of survival

    AEDs are not compulsory in dental practices yet, however we at The Courtyard Clinic felt that it was in our patients best interests to have one installed incase the worst happens.

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