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A joined up approach to Dentistry for an improved patient experience20 October 2015 Categories: Uncategorized
Mark Ambridge: Dental expert discusses ways in which Dental surgeons can get the best from the dental laboratory.
Getting the most from your laboratory & creating a great first impression!
- Information overload
2. Impression taking
6. Work protocol
Like most things in life you get out what you put in, if you take the time to give as much information as possible along with images then this is going to gain the best results for the patient. You can never give the technician enough information don’t forget you have met, and know the patient, you can see the way they talk, smile and visually look and conduct themselves. The technician usually has not met the patient unless we have conducted a smile consultation either at our lab or at the Dentists practice.
Take time to understand the patients’ expectations & what they really want to achieve and what the ideal scenario would “look like” to the patient. Patient consultation around why and what they want to achieve vs the right individual solution for them is critical in order to map and then set their expectation.
Consider sending pre-op and provisional images, full-face smiling, close ups with cheeks retracted, profiles, in fact as many images as you can from every angle.
Complete the lab card fully, i.e. age, sex and finer details of the patient is very important to the way we style the finished product.
Consider a meeting between the patient and your technician, if at all possible, it can make a real difference to the outcome, it also gives the patient a feeling of a joined up approach and an end to end solution. Patients often feel the importance of meeting their Technician and can have a tendency to be more open and honest to the person in the ‘back room’.
We can also look at combining other procedures such as teeth bleaching, implants and additional veneers, crowns etc. procedures that will improve the overall restorative results.
Mark Ambridge featured in Dental Lab Journal20 October 2015 Categories: Uncategorized
Mark Ambridge, Director of Ambridge Ceramics is one of the most highly respected and experienced Dental Technicians in the UK.
Mark is featured in this months Dental Lab Journal for his attendance, feedback and contribution to the lecture evening run by the British Academy of Cosmetic Dentistry (BACD). The lecture took place in February 2015 and was delivered by Dr Mark Willings and it was extremely well received by all who attended. The BACD study club is instrumental in bringing Dentists and Technicians together to cover relevant and interesting topics. The BACD promote a “joined up” approach between all parties involved, to ensure the best possible results for patients, something Ambridge Ceramics is extremely passionate about.
To read the full article click on the link below:
For more information on working with Ambridge Ceramics contact us on 01765 607347 or email: firstname.lastname@example.org
What is Tooth Decay?20 October 2015 Categories: Uncategorized
What is Tooth decay?
Tooth decay happens when the enamel and dentine of a tooth become softened by acid after you have eaten or drunk anything containing sugars. Over time, the acid makes a hole called a cavity in the tooth. ‘Tooth decay’ is also known as ‘dental caries’.
What causes tooth decay?
Tooth decay is caused by plaque acids that build up and gradually dissolve away the out layer of the tooth called the enamel and then dissolve the second layer called the dentine, of the tooth. Decay damages your teeth and if left untreated may lead to the tooth needing to have a filling placed in it to stop food particles and sugar continuing to decay the tooth. In some instances the tooth may ever have to be removed completely.
What is enamel?
Enamel is the hard, protective outer coating of the tooth and is the hardest part of the body. It does not contain any nerves or blood vessels and is not sensitive to pain.
What is dentine?
Dentine lies under the enamel, forming most of the tooth, and it can be very sensitive to pain. Dentine covers and protects the central ‘pulp’ of the tooth.
What is the pulp?
The pulp is a soft tissue which contains blood vessels and nerves and is in the middle of the tooth, this is very sensitive and can be damaged easily.
What is plaque?
Plaque is a thin, sticky film that keeps forming on your teeth constantly, we can remove plaque with brushing, hence why brushing twice a day for at least 2 minutes each time and flossing is crucial to remove plaque. Plaque contains many types of bacteria and can be very detrimental to teeth.
Why do my teeth decay?
Decay happens when sugars in food and drinks react with the bacteria in plaque, forming acids and as we know acids can erode. Every time you eat or drink anything containing sugars, these acids attack the teeth and start to soften, dissolve and break down the enamel. The attacks can last for an hour after eating or drinking, before the natural salts in your saliva cause the enamel to ‘remineralise’ and harden again. It’s not just sugars that are harmful: other types of carbohydrate foods and drinks react with plaque and form acids. (These are the ‘fermentable’ carbohydrates: for example ‘hidden sugars’ in processed food, natural sugars like those in fruit, and cooked starches.) You should always check the ingredients in the food you eat. Generally anything with ‘ose’ such as; glucose, fructose and sucrose in the name is a sugar.
Having sugary snacks and drinks between meals can increase the risk of decay, because your teeth come under constant attack and do not have time to recover. It is therefore important not to keep having sugary snacks or sipping sugary drinks throughout the day.
What are the signs of Tooth decay?
In the early stages of tooth decay there are no symptoms, but your Dentist or Hygienist may be able to spot a damage leading to a cavity in its early stages when they examine or x-ray your teeth. This is why you should visit your dental team regularly, as small cavities are much easier to treat than advanced decay.
What happens if I have a cavity?
Once the cavity has reached the dentine your tooth will generally become sensitive, particularly when you have sweet foods and drinks, and acidic or cold/hot foods. However your tooth can become sensitive and feel uncomfortable without the influence of food or drink.
As the decay increases and starts to creep closer to the dental pulp you may suffer from toothache. If the toothache is brought on by hot or sweet foods this may last for only seconds. As the decay gets closer to the dental pulp the pain may last longer and longer, you may need to take painkillers to control the pain as it can be very severe (always seek the advice of your Doctor or Dentist). If you feel these symptoms you must visit your Dentist straight away as the tooth is actually dying, and you may even develop a dental abscess if it is not treated.
What happens if I don’t get it treated early?
Toothache is a sign that you should visit your Dentist straight away, as it is a warning that something is wrong, once your tooth is hurting there it definitely needs to be seen. If you don’t do anything, this will usually make matters worse and you may lose a tooth that could otherwise have been saved and suffer unnecessary pain and discomfort.
What areas of my teeth are more likely to decay?
The biting surfaces of the teeth and the surfaces between the teeth and at the gum line are most likely to decay, because food and plaque can become stuck in these areas and can be hard to reach when brushing and flossing. But any part of the tooth can decay and be at risk.
What treatment will I need?
If the decay is not too serious, your Dentist will most likely remove all the decay and repair the tooth with a filling. Sometimes however, the nerve in the middle of the tooth can be damaged which is a more serious procedure. If the nerve is damaged the dentist will need to carry out root canal treatment by removing the nerve and then repairing the tooth with a filling or a crown. If the tooth is so badly decayed that it cannot be repaired, the dentist may have to take the tooth out.
Will I always need a filling?
No. In the very early stages of decay, your Dentist may apply a fluoride varnish onto the area. This can help stop more decay and help ‘remineralise’ the tooth. However, it is important to follow the cleaning routine your dental team suggest, using a fluoride toothpaste to prevent decay starting again.
Is there anything I can do to protect my teeth against decay?
As each of the adult molars (back teeth) appears, and if the tooth is free from decay, a ‘pit and fissure sealant’ can be applied to each tooth, this protects the tooth. The sealant is a plastic coating that fills all the little crevices in the tooth surface and acts as a sealant whilst also creating a flat surface that is easier to clean. Adults can also have this treatment if the teeth are free from decay. Your Dentist will discuss whether this is the right treatment for you. Children can also have fluoride varnishes painted onto their teeth twice a year which will help to reduce the chances of decay.
What can I do to prevent decay?
The best way to prevent tooth decay is by brushing your teeth thoroughly last thing at night and at least one other time during the day, with a fluoride toothpaste. Make sure that you brush the inner, outer and biting surfaces of your teeth. Using ‘interdental’ brushes, or dental floss or tape, also helps to remove plaque and food from between your teeth and where they meet the gums. These are areas where plaque can build up as they are harder to reach so it’s important to “floss” as an ordinary toothbrush can’t reach these areas.
Is there anything else I can do?
Visit your dental team regularly, as often as they recommend. Have sugary and acidic food and drinks less often or cut them out of your diet altogether. Avoid having snacks between meals, to limit the number of times your teeth are under attack from acids, remember it’s the sugar from food and drink which reacts in your mouth to form acid.
Chewing sugar-free gum for up to twenty minutes after a meal can help your mouth produce more saliva, which helps to cancel out any acids that have formed.
How can my Dentist and hygienist help me prevent decay?
Your dental team will show you what areas you need to take most care of when cleaning. They will also show you how to brush correctly and clean in between your teeth with ‘interdental’ brushes or floss.
If you wish to know any more about tooth decay, protecting your teeth or the treatments available to you, please contact us on email@example.com we work alongside Dentists around the UK and can also put you in touch with a Dentist to suit you.
Smart Abutments21 August 2015 Categories: Uncategorized
Talented ceramist required14 June 2015 Categories: Uncategorized
We Have Moved12 January 2015 Categories: Uncategorized
We have now moved to the new lab so if you are planning on popping in or sending us anything, you’ll need the new address which is:
All the existing phone numbers etc. are now working as normal.
Thankyou for your patience during our move.
Ambridge Ceramics presents at ADi National Focus Meeting November 201416 December 2014 Categories: Uncategorized
This year the focus was on Digital Dentistry and the growing use of CAD/CAM restorative solutions within implant dentistry.
We’d like to firstly thank everyone for the fantastic feedback and positive comments on the day, but also present a few of the key slides again here as they answer the most common questions that came to us after the presentation.
There is so much information entering the profession regarding the developments of Digital Dentistry and CAD/CAM but unfortunately this does seem to leave some confusion over some key benefits, and exactly why the move to Digital or CAD/CAM can be so beneficial when restoring implants.
Below are a few questions we received and we will try to provide as clear an answer as we can, based upon our years of experience with a very wide range of CAD/CAM system, services and partners out there.
Is CAD/CAM really more accurate?
This recent study again confirms that the fit of CAD/CAM structures (both Zr and Ti tested here) were significantly better than that of cast frameworks, the results of this study are below:-
The microgap between the Zirconia beam and the abutments was between 10-26 μm,
The microgap between the Titanium beam and abutments was between 6-18 μm,
The ‘misfit’ of the Cast metal beam was between 181-301 μm.
The team are supporting Save the Children by sporting their Christmas Jumpers11 December 2014 Categories: Uncategorized
Ambridge Ceramics Christmas 2014 Closure Dates19 November 2014 Categories: Uncategorized
We just want to make sure that all our clients get plenty of notice so we can ensure no patients are left without their smiles for Christmas.
You can also download the pdf to print and put up on your wall by clicking the link below.
Ambridge Ceramics continues to back The British Bite Mark13 October 2014 Categories: Uncategorized
The Dental Laboratories Association are increasing their campaign of The British Bite Mark, a campaign that aims to raise public awareness of where their medical devices are made and as Ambridge Ceramics were one of the earliest members of the scheme we wanted to explain a little more about how we see The British Bite Mark benefitting the public and surgeons that choose to use a high quality lab.
The vast majority of the public are not aware of the different standards of traceability and skill required by each nation that produces dental restorations but in the UK the GDC and MHRA have gone to great lengths to protect patient safety by demanding high levels of traceability, compliance, professionalism and a commitment to quality of care to patients from their members.
Because all this regulation has been laid out by these bodies solely to protect patients, it seems a good idea to ensure your restorations are made by technicians that have to be registered with and answer to these bodies.
However there are many dental restorations that leave the UK and this protective framework to be made in countries which do not have the same standards or traceability requirements, often without the knowledge of the patient who will have the medical device fitted.
This is not a simply case of trying to claim that work from one country is good and that from another is bad, but simply asking why the work is being sent offshore? If it is for economical reasons then is the patient fully aware of the option to have the work made within the protective framework setup by a skilled, GDC registered technician and what they are getting for their money?
Is the patient benefitting financially from the cheaper work being made by a lab in a country that is not regulated by the GDC or MHRA? Or is the decision being made on their behalf and they are not being given the opportunity to make a choice between saving money or having the peace of mind knowing that their restorations were made by a skilled GDC registered professional?
The key to the whole issue is patient information and consent. If the patient is aware of all the information and still prefers to save money on their medical devices then that is fine, it’s simply like the medical tourism which we have seen over the years.
However it’s not maybe as obvious for that when many patients are unaware that their restorations were not made by a GDC registered technician within the protective system setup by the MHRA and GDC.
These people are unfortunately unwitting medical tourists who have not had the opportunity to be presented with the facts and weigh up the cost/benefits for themselves.
We live in a massive global economy and there is undoubtedly a benefit to using cheaper labour to keep production costs low, I think we are all aware that most of the technological devices etc. and many of the things we use every day are made this way?
But when we select medical devices and things we consume maybe we would make different choices if the fact were presented to us? The recent spate of health scares seems to indicate that some of the cost cutting in these areas has not been in the best interests of the consumers.
Although we don’t agree with medical tourism (especially after seeing some of the shocking results that we have had to fix along with our skilled surgeons when some of these patients have come back to them after things have gone wrong) I can see why some people choose the apparent cost savings up front. However, I don’t think it can ever be right that a patient becomes an accidental medical tourist because they are having restorations fitted that they are unaware have been made in an unregulated country.
At Ambridge Ceramics we have ploughed hundreds of thousand of pounds into new technology and technician training to continually improve the service we provide to our surgeons and patients, along with submitting to further voluntary independent inspection by a 3rd party assessor to ensure we meet the DAMAS standard ensuring we meet the highest possible levels of traceability and conformity on all our technician training and materials used.
Joining The British Bite Mark was just another logical step in our commitment at Ambridge Ceramics to providing our surgeons with the highest level of quality, traceability, service and support available in the UK, we passionately believe that the standards required to work as a GDC registered technician in UK labs are among the highest in the world and the work that comes out of our lab is also among the best seen anywhere in the world.
If you are a surgeon that uses a British Bite Mark laboratory then please don’t waste the opportunity to promote this to your patients, it’s a mark of the commitment to excellent quality and service you provide. It may also help to explain to the patient why your service could be slightly more expensive than the practice down the road. Are they offering the same exceptional levels of quality and care?
You are offering a superior level of service, quality and traceability, so why not make that clear to the patient? Be proud to stand out and be known for focussing on offering the very best quality and service you possibly can.
We have patient information booklets available that you can get by giving Sean a call on 01765 607347 or by contacting The Dental Laboratories Association directly by following this link
So when the campaign hits full swing and more patients start to ask “What’s in my mouth?” you will be able to point to The British Bite Mark and demonstrate your commitment to offering restorations that are made in a lab, governed by the MHRA and produced by a GDC registered professional dental technician.
The Dental Laboratories Association have launched a dedicated British Bite Mark website that surgeons can use to find a laboratory but more importantly they have ensures that patients can find a surgeon that can supply them with these British Bite Mark restorations.
Please look at the site and ensure you are listed, this is something we have already started to do this for all clients of Ambridge Ceramics.