Dentists Wirral, Liverpool: Cosmetic Dentistry, Dental Implant Wirral

Dental Practice Description for Accessibility

Why Choose Us

12 Reasons

Reason 1 - Highest level of dentistry
Buckle & McGrath pride themselves in creating a first class dental experience for all patients.
Dr Ian Buckle and Dr Liam McGrath have trained at some of the world's leading dental practices and are qualified in some of the most advanced dental procedures. During their training, Liam and Ian experienced some of the most outstanding patient care and they wanted to launch a practice which offered patients a level of care which is sometimes difficult to find in the UK.

Reason 2 - The world's most advanced treatments
Dr Ian Buckle and Dr Liam McGrath work with world renowned specialists in their fields and are trained in the most advanced dental procedures. In addition to this, Buckle and McGrath work with internationally renowned dental technicians to ensure all work is of the highest quality. All porcelain crowns, veneers and bridges are created at Jason Kim Dental Laboratory in New York.

Reason 3 - Radical results which are kind to teeth
Successful dentistry is not just about making teeth look good. At Buckle and McGrath the health of the teeth is an absolute priority. The condition of the teeth and gums are paramount and will not only change how your smile looks, but more importantly, will affect how it feels and how long it lasts.

Reason 4 - Comprehensive introductory consultation
How we feel about our teeth impacts our own self esteem. Buckle and McGrath offers all new patients a full comprehensive consultation, during which x-ways will be taken to establish the health of our teeth. The dentists will spend time talking to patients to get a full understanding of how they feel about their teeth. The initial consultation will result in a treatment plan being drawn up and an action plan being agreed.

Reason 5 - Comprehensive list of cosmetic procedures
The team at Buckle and McGrath have trained at some of the most renowned dental centres. This training has enabled Buckle and McGrath to offer patients a comprehensive list of treatments, which include cosmetic gum lifts, Invisalign and natural looking dentures.

Reason 6 - Caring, friendly professional team
Not many people look forward to visiting their dentist. At Buckle and McGrath, we believe that it is the people who treat you who can make the difference between having a good experience and a bad experience. Buckle and McGrath has recruited a team of the highest calibre dental health professionals. Our practice manager, receptionist, nurses and hygienists are on hand to ensure all patients receive the very best in patient care.

Reason 7 - Nervous patients
Maintaining our dental health is crucial to our overall health. However, fear of the dentist, fear of needles or treatment can be a major obstacle to receiving proper dental care.
Buckle and McGrath has massive experience is treating patients who have not visited their dentist for long periods of time and who are now suffering from neglecting their teeth. These patients turn to us to help them overcome their fear to ensure they receive the treatment they so desperately need.
If you are a nervous patient, please do not feel embarrassed to mention this to our receptionist when telephoning the practice. Our practice manager will talk you through your initial consultation and will ensure you are equipped with all the information to make your first visit as stress free as possible.
During your first appointment, the dentists will talk to you about your feelings and about your overall dental health. We will ensure that you are entirely at ease with our practice and trust us before any treatment is carried out. Both oral sedation and IV sedation are available at the practice. All IV sedation will be carried out by our consultant anaesthetist.

Reason 8 - Outstanding patient care
Buckle and McGrath is committed to providing patients with the best possible patient care. Our dental team consists of a practice manager, receptionists, dental nurses and hygienists, who work to ensure the highest level of care.

Reason 9 - Word of mouth recommendation
Read our patients' testimonials.

Reason 10 - Five year guarantee
All of the materials, including porcelain veneers, crowns and bridges are guaranteed for a period of five years. Our implant components are secured with a ten year guarantee.

Reason 11 - Training
Dr Ian Buckle is the first European fellow of the renowned institute the Dawson Academy. Lunch and Learn Initiative Buckle and McGrath offer implantology training sessions to dental practices and their staff.

Reason 12 - Referral centre
Our dental services are available to all general dental practitioners who wish to refer patients for a specific treatment. Buckle & McGrath will provide the highest level of patient care and will work with the referring practitioners to create a shared treatment plan. Buckle & McGrath will always refer the patient back for ongoing care

Dr Buckle

Ian Buckle
Registered Member of American Academy of Cosmetic Dentistry (AACD); British Academy of Cosmetic Dentistry (BACD); British Dental Association (BDA) and Association of Dental Implantology (ADI).
Liverpool born Ian, Ian qualified from Liverpool University in 1985 and has also achieved masters level in Aesthetic Dentistry with Aesthetic Advantage based in New York University.
A world renowned expert in the field of Aesthetic Dentistry, Ian now devotes some of his time to work as an instructor in Aesthetic Advantage in New York, Virginia and Palm Beach, Florida.
He also works closely with the Dawson Centre for Advanced Occlusal Study in St Petersberg, Florida and has studied with Dr Frank Spear at the Seattle Institute for Advanced Dental Education. He has a special interest in Aesthetic and Restorative Dentistry and has gained over 20 years experience in General Practice.

Dr McGrath

Liam McGrath
Registered Member of American Academy of Cosmetic Dentistry (AACD); British Academy of Cosmetic Dentistry (BACD); British Dental Association (BDA) and Association of Dental Implantology (ADI).
Originally from Oamgh, County Tyrone, Liam graduated from Liverpool University in 1999 and has since developed a reputation as a gifted practitioner in the fields of aesthetic and implant dentistry.
His initial training was with Dr Cemal Ucer in Manchester Trafford Hospital before travelling to New York to learn advanced implant techniques from Dr Dean Vafiadis, a world renowned prosthodontist and Dr Richard Nejat, the much celebrated specialist periodontist.
He completed “Ultimate Aesthetics” with Dr Tidu Mankoo and has also trained with leading London based practitioner John Beresford.

Dr Levi

Maurice Levi
Dr Levi graduated from the Liverpool Dental School in 1972, and had been qualified for thirteen years before deciding to develop his special interest in endodontics. He has followed numerous postgraduate training courses in Endodontics in this country and abroad, most notably at the august Eastman Dental Hospital in London. He was one of the first Dental Surgeons in the north of England to use an operating microscope in endodontics. He is an active member of the British Endodontic Society.
He has wide experience in all aspects of General Dental Practice to the highest clinical standards over the last thirty-four years and has practiced exclusively on a private basis since 1997. A special interest in Endodontics has developed over the past twenty years and he routinely uses an operating microscope. He has been accepting Endodontic referrals from colleagues since 1997 and all his referrals at Buckle and McGrath are limited to Endodontics.
He was a clinical assistant in Oral & Maxillo-Facial Surgery at Harrogate District Hospital between 1978 & 1983 only relinquishing it to concentrate on the development of my then new practice.

The Team

Allison Huntriss - Dental Hygienist
Allison joined Ian and Liam in November 2003 based at their previous practice in Bebington and has been based at Hilltop Court since August 2005.
She has gained a wealth of experience in general dental practice in both London and on the Wirral since qualifying from Liverpool Dental Hospital in March 1989.
She has attended several professional training courses in Manchester, London and New York as part of her ongoing post-qualification training.
A true professional – Allison possesses a caring and dedicated attitude and works extremely hard to ensure all patients are treated with the utmost care and attention.

Vikki Russell - Senior Dental Nurse
Vikki is a highly experienced in the field of dental nursing, having worked with Dr Buckle for 8 years prior to joining the team at Buckle & McGrath when the joint practice was opened in March 2005.
The most senior member of the nursing staff, Vikki’s role is to ensure that the highest possible standards of dental nursing care and adhered to at all times.
As part of her continual professional development, Vikki has attended a number of specialised courses including Aesthetic Advantage and Implant training.

Practice History

Buckle and McGrath launched the practice in December 2004. The practice lies in the heart of the Wirral peninsular, in one of the North West's most picturesque locations.
Dr Ian Buckle and Dr Liam McGrath opened the practice to offer patients a standard of dentistry which is sometimes hard to find in the UK.
Buckle and McGrath offers patients a unique dental experience. Located in a converted barn, the practice offers patients luxurious surroundings and some of the most advanced dental technology.

Press Releases

Cosmetic

Introduction

Everyday more and more people choose to improve the look, feel and function of their smile. At Buckle & mcgrath our goal is to give you the smile of your dreams. We listen carefully to your aspirations and devise treatment options to match. From simple tooth whitening to a full smile makeover using porcelain laminate veneers – the choice will be yours.

Porcelain Veneers

A veneer is a thin layer of porcelain that we will bond to your tooth to give it a whole new appearance.
They are the most elegant and versatile way to improve your smile producing a natural result with both strength and beauty.
They can change the colour, spacing, alignment, length or shape of your teeth and are commonly used for a smile makeover.
At Buckle & McGrath our aesthetic veneers are made in New York by Master Ceramists at Jason Kim Dental Laboratory

Crowns & Caps

A crown (often called a cap) is needed when a tooth is badly broken down, either a cusp has broken off, or there are large old fillings or a large portion of decay.
With older methods, crowns always needed to be made with a metal foundation. This has left many people with dark lines around their crowns. Today we can make them out of pure porcelain, ceramic or aesthetic reinforced resins that blend beautifully with the existing tooth and surrounding gum.
There are still occasions, usually in relation to the back teeth when the durability of a metal crown makes it the restoration of choice. But for crowns that show, wouldn’t you rather have one that looks as natural as possible?

White Fillings

White fillings are fillings for teeth that look natural and discreet.
Given the opportunity to make a fully informed choice, our experience is that the vast majority of today’s dental patients will choose tooth coloured fillings.
Since they bond to the tooth, tooth-coloured fillings restore more of the original strength of the tooth. Silver weakens the teeth, making them more susceptible of breaking.
Tooth coloured fillings restore the natural appearance of the tooth and are mercury free as mercury is viewed by some as being toxic.
Tooth coloured fillings require less removal of tooth structure, especially with new cavities, as the size of the hole made for the filling can be dramatically smaller with tooth coloured fillings.

Invisible Braces

Invisalign® - show off your smile, not your braces Nothing is as important as a genuine and heartfelt smile. Whether in your professional life or when you are out socialising, an attractive smile can make you feel happier and more relaxed – as well as making the right impression!
If you’ve ever thought about how improving your smile could help you to feel more confident, Invisalign® might be for you. With the Invisalign® technique you can have the smile you always wanted, without traditional, metal braces.
Invisalign® - the clear choice Invisalign® can help to treat a variety of orthodontic concerns and studies have shown it can be better for your dental hygiene during treatment as well.
Your treatment is nearly invisible, almost no-one will be able to tell you are wearing Invisalign®. You can smile more during as well as after your treatment and because you can remove Invisalign® you can eat and drink what you like.

In addition to the aesthetic and comfort advantages, Invisalign® offers a number of significant clinical benefits including:
Predictable treatment, as Invisalign® is planned in advance your dentist can more accurately predict when your treatment will be finished
Improved periodontal health through better dental hygiene during treatment
No metal allergies due to brackets and wires
Greater treatment visibility and easier planning with our treatment software
Custom manufacture means a tailored match to your teeth, for reduced irritation and fewer scratches

Conventional Braces

Fixed braces (often called ‘train tracks’ These are individual metal or ceramic blocks (brackets) and metal rings (bands) glued to the teeth and give a very precise guidance of the teeth into a planned position.
They’re all linked together with a fine wire (usually altered at each appointment) held against these brackets by elastic or wires. Treatment with fixed braces can takes an average of 18 months.
Adjustment appointments are usually 8 weeks apart.

Ceramic (clear) fixed braces
These are very aesthetic tooth-coloured brackets fixed to the front of teeth.

Lingual Braces

A perfect smile represents confidence and success in both your private and professional life. You feel great knowing not only do you look amazing but that your smile is a healthy smile. With straight teeth keeping them clean is easier so both your teeth and gums will be healthy for longer.

Incognito is a high-tech appliance for patients with all kinds of different malocclusions. It is completely invisible as the braces are attached straight to the back of your teeth. It is easy to keep clean and the only one who knows you are having orthodontic treatment is you. It is designed only for your teeth so not only does this mean it is a perfect fit but that you will get perfect results. Both the brackets and the wires of the Incognito appliance are manufactured individually with the latest state of the art CAD/CAM technology. The remarkable flat design of the gold alloy brackets (anti-allergic) provides maximum patient comfort and rapid adaptation to speech.

What are the benefits of Incognito Lingual Braces?
Incognito Lingual Braces do not distort lip contours and are virtually unnoticeable in normal social situations. Lingual Braces provide the same results as conventional Braces, in the same amount of time. Unlike the therapy with the conventional braces, particularly the tongue will be affected. However, with the vast majority of patients the adaptation process takes less than a fortnight, especially due to the fact that the Incognito braces are made-to-measure.

Gum Contouring

Introduction

At Buckle and McGrath we provide a range of gum treatments from all forms of gum disease to cosmetic gum lifts. Many patients presenting with gum recession can be easily treated with some simple gum grafts.

Gum Lift

Laser gum remodelling is a painless and simple technique that can be used to address a low or uneven gum line by reshaping and corrected the tissue. The treatment works by removing excess gum tissue, sealing the gum as treatment progresses so no stitches are required.
Dramatic results revealing more teeth than gum for an instant smile lift can be achieved relatively painlessly in a short period of time.
Used in conjunction with porcelain veneers, gum reshaping is an ideal treatment choice to correct small, crooked or misshapen teeth to create a beautiful and balanced smile.

Soft Tissue "Gum" Graft

This patient presented with localised gum recession after orthodontic treatment (braces). This can cause extreme sensitive teeth. Root covering graft (also called connective tissue graft) is placed over the root to cover the already exposed root surface.
The aim is to increase the amounted of attached tissue and stop the progression of gum recession.
Occasionally, the quality of the gums surrounding the tooth is inadequate to resist normal function. When this occurs, another type of periodontal plastic surgery may be necessary. This procedure is called a gingival graft where the donor tissue is obtained and then transplanted to the area around the tooth. The result is an improvement in the quality of new tissue which would now be more resistant to future recession
The success rate of this procedure is variable depending on the shape and extent of the recession. Healing will be compromised with smokers.

Periodontal Disease

What is periodontal disease?
Periodontal or gum disease is an infection affecting the tissues surrounding the teeth. These tissues include the gums and bone supporting the teeth. Periodontal disease is usually a slow, painless, progressive condition. Most adults with this disease are unaware they have it but if diagnosed and treated early the teeth can be saved.
In it’s early stages it affects the gum only and is called gingivitis, this is reversible but if it progresses it begins to attack the bone which holds the tooth in it’s socket and is called periodontitis. This can be treated to stop further bone loss but if left untreated can result in loss of the tooth.

What causes periodontal disease?
The main cause of periodontal disease is plaque. This is a white mass of bacteria which adheres to teeth, crowns, bridges, dentures and soft tissues. When plaque is not removed it irritates the gums causing them to become red, tender and bleed easily. Over time it hardens and is then known as tartar which requires removal by professional intervention. The constant irritation from tartar results in gums becoming detached from the roots allowing ‘pockets’ to form around the teeth. Bacteria in these pockets begin to destroy bone that holds the tooth in place which may result in the tooth becoming loose and eventually lost.

The main cause of plaque accumulation is poor oral hygiene and inadequate tooth brushing technique. Other plaque retaining factors that exacerbate the condition are:
Badly designed dentures (false teeth). These can attract plaque and may lead to further bone loss
Faulty restorations e.g. fillings with ledges that act as a plaque trap
Tooth decay
Crowded teeth. Poorly contoured crowns will act as a plaque trap
Tobacco smoking. Oral hygiene appears to be worse in smokers compared to non-smokers. A study of periodontal disease in women smokers of 20-29 years old and non smokers of 30-59 years show a level of about twice that found in non smokers
Food packing between teeth
Orthodontic appliances (braces)
Grooves on root surfaces
Loose teeth can accumulate plaque and make the periodontal condition worse. Loose teeth may require extraction in order to save other teeth
There are also a number of host factors that can worsen periodontal disease such as diabetes mellitus, puberty, pregnancy, and menopause. The underlying cause is still plaque but these conditions can worsen your periodontal condition

What are the signs and symptoms of periodontal disease?
Do your gums bleed when you brush or floss your teeth?
Are your gums swollen, red or tender?
Does pus appear when you press your gums?
Do your teeth seem to be getting longer?
Can you wiggle one or more of your teeth with your tongue or finger?
Are there spaces between your teeth that have not always been there?
Do you have bad breath or a bad taste in your mouth?
Has there been a change in how your partial denture fits?

Treating Gum Disease

How is periodontal disease measured?
Periodontal disease is measured using a periodontal probe. This is a blunt ended instrument used to assess the depth and width of any pockets between your gum and tooth. Periodontal disease is diagnosed if:

1. Pockets are 5mm or deeper.
2. Pockets bleed during careful assessment. This is a sign of active infection.

How is periodontal disease treated?
Treatment of gingivitis is usually completed by scaling your teeth, oral hygiene advice and tooth brushing instructions. Regular appointments to ensure effective plaque removal and healthy gums will follow this appointment. These appointments are typically between 2-6 months apart and are usually one hour in length.

Once periodontitis has begun to progress the treatment is as follows:
Full mouth root planing and removal of plaque retaining factors. This involves scaling the roots of all your teeth, usually completed using local anaesthetic. Your dentist and hygienist may also decide to use antibiotics in any infected pockets at this stage. Any obvious plaque retaining factors are removed to allow easier plaque removal. Tooth brushing instruction and interdental cleaning are demonstrated. This usually involves 4-5 one hour visits with your hygienist.

6 week review appointment. After full mouth root planning your teeth and gums are reassessed six weeks after full mouth root planing. If there is any persistent bleeding, either with tooth brushing or probing, or any pockets 5mm or deeper, further treatment will be recommended.
If the results are satisfactory you will then enter a hygiene maintenance programme. This involves 2-3 monthly one hour appointments with your hygienist. Every year a very detailed assessment is made of your remaining teeth and gums both clinically and radiographically. This appointment will also be an opportunity to discuss any future treatment with your dentist.

Further treatment for more severe cases can include:
1. Antimicrobials- Antibiotic gel can be inserted into deep pockets
2. Surgery- Gum removal to reduce pocket depths
3. Extractions- Removal of infected teeth
4. Dental implants- Replace missing teeth and dentures

Cosmetic Bonding

Cosmetic Bonding is a technique that can transform your smile and restore your confidence using materials that match the natural shade and translucency of your healthy teeth.
Tooth bonding refers to a direct technique where the cosmetic dentist applied and enamel-like material to your tooth, bonds it to the surface and shapes it to mimic the natural tooth.
Tooth bonding can correct a gap, cover spots, chips, discolourations, repair fractures and re-shape teeth.

Implants

Introduction

People lose teeth all the time, either through trauma when teeth are knocked out or due to decay, gum disease or old age. Whatever the reason for loosing your teeth they need to be replaced both for aesthetic and functional reasons. Dental implants are now becoming the preferred option to replace missing teeth as they provide a longer-term solution, slow down bone loss and preserve nearby healthy tooth tissue. Dental implants are also commonly used to securely fix a denture in place, avoiding embarrassing denture slippage or denture fixatives.

Single Tooth

Often, the ideal permanent tooth replacement is to use a dental implant to replace the root of the tooth. This solution both looks and functions just like a natural tooth.

In these cases, a dental implant, which resembles a small screw, replaces the root of the tooth. A small connector is placed onto the top of the implant and a crown is cemented in place. This option gives:

Excellent aesthetic results
Life long, stable solution
Adjacent teeth are not compromised
Patients do not need to wear dentures
Unlike a conventional three-unit bridge used to replace a single tooth, healthy adjacent teeth do not have to be modified to support the bridge.

Multiple Teeth

When replacing three teeth in the far back of the mouth, a fixed bridge anchored to dental implants is the only fixed alternative. Traditional dentures can't offer the same stability or function.
Having dental implants replacing your lost back teeth will give you new, unparalleled strength and stability that allows you to eat what you want. It will also preserve your jawbone and facial appearance and provide you with a stable, secure solution that lets you eat what you want.

Full Arch Bridge Work

When all teeth are missing or in such condition that they need to be replaced, a fixed bridge anchored to dental implants is the ideal permanent solution. However, there are other alternative options which can be offered to secure a denture. These options will be discussed at consultation.

The Solution
Before dental implants, there was no fixed solution available for people who lost all their teeth. Today, it is possible to replace a full jaw with dental implants and a fixed bridge that results in a permanent, stable and high aesthetic solution.
Lets you eat and function like having natural teeth.
A solid and stable solution.
Preserves your facial appearance and prevents bone loss.
All Missing Teeth - Treatment Procedure

The course of treatment described here is one of several options available. Your dentist will advise as to what the best solution is for you, given your specific condition.

Step 1 - Before procedure:
Having obtained the necessary information to establish the treatment options available, the dentist can create individual treatment plans. The patient will then have the opportunity to discuss the treatment options with the Implant Co-Ordinator, to help make an informed decision.

Step 2 - Installing the implants:
The first step is installing dental implants to replace the lost tooth roots. In this case, five implants are used. Temporary teeth are attached that enable you to eat and function as normal while waiting for the permanent bridge to be installed.

Step 3 - Attaching the bridge:
The final bridge is securely installed on top of the implants. With a full jaw replacement like this, it normally takes 2-3 visits to have the bridge completely attached.

Step 4 - End result:
Your new teeth should be hard to tell from natural – both for you and others. People who have had traditional dentures before getting a fixed bridge often describe this as an overwhelming and very positive experience.

Teeth In A Hour

With conventional treatment you have to wait for your implants to heal before teeth are placed, which can take months. This latest technology allows our patient to have implants placed and their permanent or temporary bridges or crowns to be fitted, all in less than 1 hour!
NobelGuide is a unique system that has lots of advantages over traditional implant treatment. Not only does it reduce the number of visits to your dentist, you also spend less time there. Best of all, there is little or no recovery time after treatment.
Teeth-in-an-hour is the perfect solution for people that have no teeth (or need to have the remaining teeth removed) in either jaw. The process is cutting edge as a CT scan is used with COMPUTER GUIDED software to plan the implant placement and fabricate the final bridge before the surgery is even performed. This computer guided implant surgery allows for minimal intervention, a high degree of safety, and unprecedented predictability.

Securing Loose Dentures

2 dental implants used to secure a loose fitting denture An aesthetic denture was also selected to create a natural appearance
By using dental implants we can eliminate the problems associated with traditional dentures. These include looseness, sore spots, trapped food and embarrassing denture slippages. In addition the biting force is increased resulting in a more natural bite.
Implant supported dentures can provide a long-lasting, reliable and stable replacement when cared for properly and will increase your confidence in eating and smiling.
Individuals with complete dentures can complete dentures can benefit from the placement of 2-4 dental implants to stabilise or eliminate their dentures.

What Are Implants?

An Introduction to Implants
A beautiful smile not only enhances your overall appearance but can also have an impact on your health, as your ability to chew helps to determine what you eat. Speech is also affected by the condition of your teeth. Functional and attractive teeth contribute to a better quality of life.
Your teeth shape the character of your face your facial structure. Strong, healthy teeth are vital as tooth roots stimulate continuous regeneration of the bone that surrounds your face.

Tooth Loss
Teeth are lost for many reasons, including gum disease, cavities, cracked roots and even accidents. When a tooth is lost, the bone that previously surrounded the tooth root deteriorates. Missing teeth can compromise your eating habits, speech and appearance.
Tooth loss in the front of your mouth can result in visible bone defect that is difficult to disguise, affecting the appearance of your smile. Over time missing teeth in the back of your mouth may lead to the collapse of your bite. This affects the appearance of your face, your ability to eat and even the health of your remaining teeth.

What is a dental implant?
Dental implants are screw-shaped or cylindrical root-form titanium posts that act as artificial tooth roots. These are carefully placed in the jawbone and allowed to heal. During the healing phase, your bone is growing right up to the implant surface in order to lock it in place.
Shortly thereafter, a crown is made to fit on top of the implant so as to replace a missing tooth or teeth with a "brand-new" tooth. In many cases, you can be functioning on your "new" tooth on the same day as you surgery!
Dental implant treatment is the preferred method of tooth replacement. These implants replace missing tooth roots, and form a stable foundation for replacement teeth that look, feel and function like your natural teeth. Dental implants also preserve the remaining bone by providing the stimulation previously provided by the natural tooth roots.
Dental implants offer several advantages to the patient. Unlike traditional false teeth, it isn’t necessary to grind down the adjacent teeth for a bridge or secure a partial denture to adjacent teeth with clasps.
In addition to supporting crowns and bridges, implants can also be used to secure poorly fitting dentures. By using dental implants we can eliminate the problems associated with traditional dentures. These include looseness, sore spots, trapped food and embarrassing denture slippage. In addition the biting force is increased in a more natural bite.

Benefits Of Dental Implants

What are the benefits of dental implants?
They look and feel just like your own teeth. Dental implants restore your confidence to talk, laugh, and chew with comfort and without worries.
Implants preserve the integrity of facial structures. Implants prevent the hard and soft tissue collapse that can occur under conventional bridges and removable partial dentures. In patients who have lost all of their teeth, the lower one-third of the face is prone to collapse if implants are not placed to preserve the bone and the facial profile. Implants form a strong bond to the surrounding bone to provide support and anchorage for biting and chewing as well as stimulation for the bone to hold it in place.

Implant-supported crowns and bridges do not require neighbouring teeth for support. When teeth are replaced using traditional tooth-supported bridges, the teeth on either side of the missing tooth are ground down so that the bridge can be cemented onto them. This tooth structure can never be replaced. Removable partial dentures use clasps and rests which have to be carved onto adjacent teeth. As the partial rocks back and forth, it can loosen the teeth it depends on for anchorage, causing them to be lost.
Implants replace the entire tooth and the missing root so it is a free-standing restoration. This leaves more of your natural teeth untouched and free of restorations which save your natural teeth.

Better health and nutrition because you can eat what you want. Patients with dentures often find themselves unable to eat certain foods, such as fruits and vegetables, which can compromise their nutrition. With dental implants, it is much easier to bite into and chew your favorite foods.
Ease of cleansing. An implant supported crown can be cleaned like your other natural teeth, i.e. brushing and flossing. Cleaning under a bridge, however, requires the use of floss threaders for proper cleaning, while a partial must be taken out several times a day and scrubbed clean.
Enjoy your food. Patients who wear an upper denture often have trouble really tasting food because the roof of the mouth is covered. With implant supported replacement teeth, it is not necessary to cover the roof of the mouth, so it is possible to enjoy the taste of all your favorite foods.
Eliminates the pain of ill-fitting dentures. Loose fitting dentures can be securely fastened using dental implants. This avoids embarrassing slippage of dental and removes the need for denture fixatives.

Immediate Temporaries

This incisor was removed, an implant was placed and an immediate tooth was placed. There was no need for any stitches
We are able to place a dental implant on the day of the extraction of your tooth and fabricate an immediate temporary restoration so that you do not have to wear a removable restoration during the healing period of three to four months. We can use the existing crown or make a matrix in order to fabricate a composite restoration which we place on a temporary post. After the implant integrates (heals) the temporary restoration is removed and an impression is made. By supporting the gums during healing, the aesthetics of the final restoration is more predictable.
If we are unable to complete this other options include using a temporary “sticky” bridge or an invisible mouthguard that contains the missing teeth.

Tooth Site Preservation

It is vital we carefully manage extraction sockets after tooth extraction as this will avoid unsightly bone loss and provide a better foundation and much improved aesthetic outcome. Bone grafting following tooth extraction can preserve the socket and minimise gum and bone collapse. There is less shrinkage and a more aesthetic tooth replacement for either an implant crown or fixed bridge around the replacement teeth.

Bone Grafting

This procedure involves the use of bone (obtained from a bone bank), the patient’s own bone, or a synthetic source of bone to help build up lost bone due to periodontal disease or trauma. This bone acts only as a scaffold for the newly developing patient’s bone. It is used extensively with dental implant procedures to ensure a good functional and cosmetic result. Often times, a special membrane may be used to protect the bone graft and encourage bone regeneration. Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease or injuries.

Sinus Lifts

The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone.
There is a solution: it’s called a sinus graft or sinus lift. The sinus membrane is carefully lifted upward and donor bone is inserted into the floor of the sinus. After a few months the bone becomes part of the patients jaw and dental implants can be placed in the newly grown bone
The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.

Dentures

As general health improves, more patients feel embarrassed about wearing dentures and wish to keep the fact a secret. Often the dentures that are chosen are too light for the patient’s age, are too small for their face or are set up in unnaturally perfect alignment.
Another giveaway are those teeth that look artificial or dead through either a lack of translucency, lack of colour change or with the absence of small imperfections. Even if the teeth are set up correctly, often the gum can look artificial as natural gum is not uniform in colour.
These factors can make denture wearers’ feel unattractive. They loose confidence and smile and laugh less with friends, family and work colleagues: for instance many cover their mouths with a hand while talking or smiling. This is why lifelike denture teeth and gums, personalised tooth positioning and the resulting improved lip support are all essential for improved denture appearance.

Tooth Whitening

Introduction

A whiter, brighter smile is beautiful - it can help you feel better about yourself and make a memorable impression.
Your lifestyle and the aging process can stain and darken your teeth. Many things we do on a regular basis can contribute to stained teeth, such as drinking coffee, tea, cola and red wine or smoking.

Whitening can get your smile looking its best. You should look for a whitening procedure that is:-
Fast and convenient
Long lasting
Low sensitivity
Proven to be safe and effective
Performed by a Dental Professional

External Whitening

There are several different ways that we can whiten your teeth. These are separated into external techniques (where gel is placed on the outside of the tooth) and internal techniques (where gel is placed inside the tooth).

External whitening
This means that the colour of the teeth is lightened by placing a gel on the outer surfaces of the teeth. Once again, using bleaching gels in this way may not work for certain types of discolouration, such as that caused by metal fillings or damaged blood vessels inside a tooth. There are three ways to do whiten teeth.

"Home" bleaching - this is similar to the over-the-counter kits, but with two main differences. Firstly, we make a custom trays so that they fit your teeth precisely, and secondly, the bleaching gel is stronger so it tends to be more effective. We will give you tubes of bleaching gel and instructions on how to use the trays. You will need to wear the trays for at least a few hours each day. It may take a few weeks to achieve the colour that you want.

In the dental surgery - "power" or "laser" bleaching. Your dentist may put a rubber seal around your teeth to protect your gums. Then gel is placed onto your teeth and a special, bright light is used. This light enhances the whitening process. The appointment may take approximately one hour.

Combined bleaching - this may also be known as "power" bleaching - both the home and surgery bleaching are used in combination to obtain the desired result. The home bleaching stage may occur before or after surgery treatment - this depends on the type of product used.

Internal Whitening

Internal bleaching
This means that the colour of a tooth is lightened by placing a bleaching product inside the tooth. Internal bleaching can only be done on teeth that have been successfully root treated. This means that the blood vessels and nerves inside the tooth have been replaced with a rubber filling.

To bleach a tooth in this way, the dentist will drill a hole and put the bleaching product into it (if it's a front tooth, the hole will be on the back so that you can't see it). The hole will be sealed with a temporary filling, leaving the bleach inside the tooth. The procedure won't hurt because the tooth has no nerve inside it.

You'll have to go back to your dentist about a week later to have the temporary filling and bleach taken out. If you are satisfied with the new shade, your dentist will fill the hole with a tooth coloured filling. Sometimes, the colour doesn't lighten enough, and the process needs to be repeated. Occasionally, internal bleaching needs to be combined with other whitening techniques to achieve the desired effect.

General

Buckle & McGrath offers the full range of general dental treatments combined with outstanding patient care. General patients are invited to attend regular consultations with Buckle & McGrath associates and receive the best level of hygiene care available. Children of Buckle & McGrath are also welcome at the practice. Buckle & McGrath has joined forces with Denplan to offer patients an affordable monthly dental plan.

Hygiene
More teeth are lost to gum disease than tooth decay. Regular visits to the hygienist will help to improve dental health and prevent Periodontal (gum) disease, bleeding gums and dental decay.
Our fully qualified hygienists will clean and polish your teeth and advise you on how to care for your teeth and gums on a routine day to day basis. Advice will be given on diet and fluoride application. Advice is also available for the care of your children’s teeth.
Buckle & McGrath hygiene consultations are available in 30 minute and 60 minute appointments.

Denplan

Buckle & McGrath has joined forces with Denpan Denplan is the UK’s leading dental payment specialist and manages the health of over 1.8 million patients across the UK. Denplan enables patients to budget for routine dental care and treatments which removes the worry of unexpected bills.

Buckle & McGrath and DenPlan have created three separate options:

Option 1
£14.56 – includes six monthly 20 minute hygiene appointments, six monthly dental checks with an associate, 10 % discount on future treatment, worldwide trauma and emergency callout service.

Option 2
£28.38 – includes quarterly 30 minute hygiene appointments, six monthly dental checks, 10 % discount on future treatment, worldwide trauma and emergency callout service.

Root Canal

What is root canal treatment?
Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury.

Why is root canal treatment needed?
If the pulp becomes infected, the infection may spread through the root canal system of the tooth.
This may eventually lead to an abscess. If root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.

Does it hurt?
No. A local anaesthetic is used and it should feel no different to having an ordinary filling done.

What does it involve?
The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection. Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist.
At the first appointment, the infected pulp is removed. Any abscesses, which may be present, can also be drained at this time. The root canal is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle.
The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.

What will my tooth look like after treatment?
In the past, a root filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.

What if it happens again?
Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated.

What if I don’t have the treatment?
The alternative is to have the tooth out. Once the pulp is destroyed, it can’t heal and it is not recommended to leave an infected tooth in the mouth. Although some people would prefer an extraction, it is usually best to keep as many natural teeth as possible.

Will the tooth be safe after treatment?
Yes. However, it is better to restore the tooth with a crown to provide extra support and strength to the tooth.

Where can this treatment be carried out?
Root canal treatment is a routine dental procedure, which your dentist will be happy to do for you.

What about aftercare?
Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth at least once a day, preferably with a fluoride toothpaste. Cut down on sugary snacks, and keep them only to mealtimes if possible. See your dentist for regular check-ups.
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