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Dental Marketing &
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Dental Practice Description for Accessibility About Us The Latchford and Latchford dental practice was started over twenty years ago and has now grown into a large private specialist centre. We have a dedicated team of professionals who have a wide range of specialist skills and formidable reputation. The large Victorian house has been sympathetically converted into a modern dental clinic whilst retaining its original character. The practice is close to The Embankment and a few minutes walk from Bedford Town centre. There is both 'pay and display' parking and our own small car park at the side. We aim to provide the highest standards of dental care in a professional and relaxed atmosphere. Patients' opinions and considerations are very important and all treatments are planned and provided only after full discussion when all options are reviewed. Patients are recommended to us from over three hundred dentists and other professionals and we are principally a referral practice, although we also maintain our own patient base and are pleased to accept self referrals and new patients for second opinions. We are happy to accept people for specific items of treatment, working closely with our referring dentists. Practitioners Richard Latchford BDS BSc LDS RCS Eng MFGDP(UK) MSc (Specialist in Prosthodontics) Richard is a highly experienced restorative practitioner and Specialist in Prosthodontics. Richard now specialises in implantology and the reconstruction of complex cases. The number of cases and the need to simplify the procedures while maximising the appearance, has involved Richard undertaking both surgical and restorative phases of implant treatment. This has meant an increase in single stage cases, often with immediate replacement of natural teeth. This reduces the number of surgical procedures and bone loss with a concomitant improvement in appearance. Richard has a wide experience in the rehabilitation of complex trauma and osteotomy cases working with several Consultant Oral Maxillo-Facial Surgeons. Andrew T Hyatt LDS RCS Eng BSc PhD FDS RCS Edin (Specialist in Endodontics, Specialist in Restorative Dentistry) Andrew has been in full time practice, dedicated to referral endondontics for eighteen years, and is on the Specialist Register lists for Endodontics and Restorative Dentistry. He was formerly a Senior Lecturer and Honorary Consultant in Restorative Dentistry at University College Hospital in the University of London and continues to lecture widely to postgraduate endodontic audiences. He is a past President of the British Endodontic Society and was a former partner at the prestigious Lister House Endodontic Practice in Wimpole Street W1. Sunil Hirani BSc BDS MSc FDSRCS Eng MOrthRCS Eng FDS(Orth) (Specialist in Orthodontics) Until recently Sunil worked as a Consultant Orthodontist in Bedfordshire before deciding to concentrate fully in specialist private practice. He qualified in 1996 from Guy's Hospital and worked in a number of hospital posts before developing an interest in orthodontics. Sunil is a Specialist in Orthodontics with a Master's Degree in Orthodontics, Fellowship of Dental Surgery of the Royal College of Surgeon's (RCS) and holds a Membership in Orthodontics from the RCS which was awarded in 2003. In 2005, he obtained FDS (Ortho). Sunil treats all types of dental irregularity and his specialist interests are hypodontia (missing teeth), lingual (hidden braces fitted on the inside of the teeth) and adult orthodontics. Sunil has wide experience working with different specialists to achieve the results that patients deserve. A good sense of humour and attention to detail ensure that children and adults will receive the highest standard of care in a multi-disciplinary environment. Sunil is a member of the British Orthodontic Society, committee member of the British Lingual Orthodontic Society, European Orthodontic Society, World Federation of Orthodontists and American Association of Orthodontists. Malcolm Riley BDS LDS FDS RCS Eng MRD FDS RCS Edin (Specialist in Periodontics) Malcolm is a Specialist in Periodontics. He graduated from King’s college Dental School in 1971. After several years in general practice, he undertook his specialist periodontal training at Tuft’s Dental School in Boston USA between 1979-1981. He was Consultant Periodontist at Riyadh AL-Kharg Hospital in Saudi Arabia from 1993-1997. He is now in specialist periodontal practice and also a Clinical Lecturer at the Department of Continuing Education at the Eastman Dental Institute in London.Malcolm has a special interest in implant aesthetics and periodontal regeneration. Jocelyn Miller BDS MSc in Implant Dentistry (Dental Surgeon) Jocelyn graduated from Guy’s Hospital in 1990, followed by hospital appointments in Oral and Maxillofacial Surgery rising to Registrar level in the management of complex trauma and reconstructive cases. In 1993, Jocelyn went into general practice developing an interest in the management of the compromised dentition and subsequently went on to study Restorative Dentistry at the Eastman Dental Hospital. This was followed by further study and research at Guy’s Hospital leading to the award of an MSc in Implant Dentistry in 2001. Jocelyn maintains and develops a special interest in aesthetic, restorative and implant dentistry. Isabelle Holroyd BDS BSc FDS (Paed Dent) RCS Eng (Specialist in Paediatric Dentistry) Isabelle obtained her BDS in 1989. She entered the Specialist list in 1999 and qualified as a Consultant in Paediatric Dentistry in 2000, completing her training at the Eastman Dental Hospital (UCLH Foundation Trust). Following Consultant posts for Beds and Luton Primary Care Trust and Guys and St Thomas' NHS Trust (since renamed Kings NHS Trust) she returned to the Eastman in 2003. Isabelle also worked for Latchford and Latchford treating children between 2000 and January 2006. Following a career break in 2007, Isabelle remains a part-time Consultant at the Eastman and is a lecturer for University College London participating in two postgraduate certificate courses in sedation and paediatric dentistry. Isabelle has a special interest in the management of inherited dental anomalies and treating anxious children and adolescents. She lectures and has published regarding the use of inhalation sedation. In 2009 Isabelle also provided locum Consultant sessions at Great Ormond Street Hospital for Sick Children. Isabelle is at Latchford and Latchford on a Wednesday afternoons. Julia Tillott EDH (Dental Hygienist) Julia started her career as a Dental Nurse and qualified at University College Hospital. She then studied dental hygiene at Guy’s Dental Hospital in 1987. She held the position of Company Hygienist at Unilever Head Office for five years before dividing her time with their research site in Colmworth. Julia has worked at Latchford and Latchford for the last fifteen years, now taking a special interest in the treatment of complex restorative cases. Julia acts as treatment co-ordinator for complex cases within the Practice. Lucy Denton DCR (R) Pg Cert (Radiographer) Lucy is an experienced radiographer, having trained in Sheffield she moved to St James’s Hospital, Leeds in 1997 to specialise in vascular radiography. Lucy has most recently been Radiology Team Leader for plain film radiography at St James’s. Lucy now specialises in cone beam CT, her role is to develop and promote the service within the practice and to referring practitioners. Specialities And Treatments All of our dentists are widely experienced and respected professionals with at least one post-graduate qualification. Most are recognised as Specialists by the General Dental Council. Working in a fully equipped environment with close support, we are able to offer all aspects of modern dentistry including prevention, white fillings, and cosmetic dentistry as well as specialist dental services. Dental Implants Dental implants offer a permanent solution for your missing teeth. A dental implant is essentially a substitute for a natural root and commonly it is screw or cylinder shaped. Each implant is placed into a socket carefully drilled at the precise location of the intended tooth. Often the implant can be placed at the same time as removal of the tooth. Each implant has a screw-thread on its outer surface and is screwed into position so that immediate close contact is achieved with the surrounding bone. This creates an initial stability which is enhanced by further natural growth of bone into microscopic roughness on the implant surface. This process is known as Osseo-integration. In order to support replacement teeth, dental implants have some form of internal screw thread that allows a variety of components to be fitted. Once fitted, these components provide the foundation for long-term support of crowns or bridges. Post operative instructions following implant surgery You have just had one or more implant fixtures placed. This has been done very carefully using the best materials and the most advanced techniques. Implant placement is now usually carried out in a single surgical stage. The fixture is protected with a metal cap which allows the gum to heal in a predictable way that mimics the natural situation. Arrangements are made to replace this with a temporary and eventually a permanent crown. Full healing takes up to six months and it is essential that no load is placed on the implant in the first six weeks. Your specialist will advise how to progressively start to use the tooth to stimulate physiological bone healing. If this advice is exceeded the implant will fail. We find that most of our patients heal without any discomfort or complications. However, we must warn you that you may experience pain after the injection wears off. There may be some swelling, and later the face or neck may show some bruising. Success of the treatment depends on how well you look after yourself from now on. Please read these notes carefully and keep them for future reference during the healing period. For the next 24 hours Do not disturb the wound by rinsing or brushing vigorously. Avoid eating and drinking on that side. Avoid exercise and excitement as these tend to increase blood pressure and possibility of bleeding. If bleeding occurs apply slight pressure with finger and thumb each side of the implant for 30 minutes. Repeat this for longer periods if necessary. From the next day Keep the wound clean by rinsing with Corsodyl mouthwash. After the first day do this several times a day. This can be reduced over the next few days and you should stop after one week. Brush twice daily with an extra soft toothbrush applying Corsodyl gel around the healing wound but every where else brush as normal with your usual toothbrush and toothpaste. Again stop using the Corsodyl gel after one week. For the first 4-6 weeks You must not put any pressure on a new implant. You must not eat on that side; if necessary liquidise your food, consuming soups and mashes. You must carefully keep the site clean. After 6 weeks You will be given advice about cleaning and how to gradually introduce soft food on the implant to stimulate but not overload the healing bone. Analgesics We usually discharge our patients with some strong painkillers. We will advise you when to take these. It is up to you to decide whether you need to repeat these four hourly. Antibiotics You will probably have been given antibiotics before the operation. Sometimes we ask our patients to continue these for up to five days. Stitches Although we usually use dissolving stitches, we prefer to remove them after seven days as patients are more comfortable and heal better. Questions? If you are uncertain about any part of your care, or if you are worried that something does not feel right or does not appear to be progressing well, please do not hesitate to ask. Endodontics What is Root Canal Treatment? Root canal treatment involves removing the inflamed or infected ‘nerves’ from teeth so the health of the supporting bone can be assured. This provides a sound foundation for the aesthetic and functional restoration of severely damaged teeth. What is the 'nerve' of the tooth and why would it need to be removed? Every healthy tooth contains a pulp chamber and root canal system filled with the connective tissue which is responsible for forming the dentine of the tooth. This tissue serves a protective function. It is often referred to as the nerve. If decay reaches this tissue or if a tooth fractures, bacteria can cause inflammation. This will make the tooth very sensitive to hot and cold and may cause spontaneous radiating pain. Severe inflammation may cause the nerve to die and then infection can spread, causing an abscess in the underlying bone. How is the root canal treatment carried out? The purpose of the treatment is to treat or prevent infection by elimination of bacteria from the root canals. This is done by making a hole through the top of the tooth into the pulp chamber. The root canals are located and measured. They are then cleaned, disinfected and widened with very fine files. The canals are the filled to prevent any recurrence. Is it painful? No! Local anaesthesia is used throughout the procedure and every possible step is taken to ensure that you are comfortable while the work is being carried out. Following treatment there is a possibility of discomfort. This is usually minor, doesn’t last long and responds to mild analgesics. How long does treatment take? This will vary according to the complexity of the root canals. Sometimes treatment can be carried out in one session lasting 60 to 90 minutes. On other occasions it may be necessary to place a dressing in the tooth and arrange further treatment at another appointment. Is success guaranteed? Root canal treatment does enjoy a high level of success. However it should be remembered that it is impossible to guarantee the success of any medical procedure. Even with the very best treatment healing may not occur and further steps may need to be taken to eradicate the infection. In any circumstances where the success rate might be significantly compromised – a full discussion of options would be advised. What happens after root canal treatment? Treatment may weaken the tooth and it is essential that the tooth is properly protected. A crown is often necessary. Once restored the tooth can be used normally, but until then it is wise not to bite to hard. Dental Hygiene The aim of a visit to the hygienist at Latchford and Latchford is to help you achieve a healthy mouth and the knowledge to maintain this health for the rest of your life. Appointment times may vary so that we have time to discuss your personal needs. A full assessment of your mouth may be carried out at the beginning. This involves taking a number of measurements of your gum to give us a full picture of where we need to work. We will assess how well you currently clean your mouth and assess the level of bleeding. It is a good idea to bring your own toothbrush to this first appointment. A programme of care will be agreed which may involve a number of appointments. Your teeth will be thoroughly cleaned (scaled) to remove hard deposits and stain. Your tooth brushing will be assessed so that together we can find the most effective way for you to achieve and maintain health. Some of these scaling appointments may be done with a local anaesthetic (a small injection to numb the teeth and gum). We can then offer a maintenance programme tailor made for you. We also provide prevention advice for children to include tooth brush instruction, diet advice and provision of fluoride as advised by the dentist. We are happy to discuss any aspect of your whole dental treatment and liaise closely with your dentist. Periodontal Treatment Periodontics is the specialty of dentistry dealing with gums and gum diseases. Gum disease is the most common infection throughout the world. Some gingival inflammation is present in most individuals although we are usually unaware there are problems until the infection is fairly advanced. Things to look out for are bleeding gums, sensitive gums, bad breath, and receding gums as these are the earlier signs of gum disease. As the disease progresses there is loss of bone supporting the teeth so that the teeth become loose. There are many types of gum disease, and contrary to popular belief, they affect young as well as older people. Heredity does play a part in gum disease so if members of your family have gum disease then you may also be susceptible and a thorough examination is advisable. Lifestyle does impact how severely you can be affected by gum disease. So a good nutritious diet, and particularly vitamin C, is a good starting point. Smoking is one of the most significant factors in the initiation and progression of gum disease. Not only do smokers get more severe gum disease, they also lose teeth much earlier. Gum disease can be prevented with good oral hygiene and regular visits to our dental hygienist. Once gum disease is established and bone loss has occurred the effects cannot be reversed. Special treatment will be required to arrest the disease and maintenance becomes more difficult. Early stages of gum disease are treated with root debridement; often called deep cleaning, and usually carried out with the gum numbed. More advanced gum disease requires more specialized techniques for treatment. This usually involves gum surgery and it is sometimes possible to restore some of damage that has taken place with regeneration techniques. In addition to treating gum disease, Periodontists also carry out cosmetic treatments, from covering recessions to improving the shape and contour of gums to improve your smile. If you suspect gum problems, the starting point is a consultation with our Periodontist. Post operative instructions following Periodontal Surgery You have just had surgery carried out on part of your mouth. This has been done with great skill and care. We hope that you heal without any discomfort or complication. However, the success of the treatment now depends on how well you look after yourself and your mouth from now on. ANALGESICS. Please take the analgesics provided. This will be either Iburprofen or Paracetamol. Take 400mg of Iburprofen or 1000mg of Paracetamol every 4-6 hours for at least the first 24 hours. SUTURES. There may be some 'stitches' keeping the gum in place round the teeth. Do not attempt to remove these yourself. They will be removed at your next appointment. CORSODYL. A bottle of chlorexidine mouthwash has been provided it is important to use this for at least the next two weeks at least 1 hour before or after brushing at night and in the morning. Some staining of the teeth may occur and this will be removed by polishing later. TOOTHBRUSHES. Continue brushing, flossing and bottle brushing your teeth as normal avoiding the teeth involved in the surgery during the time the stitches are in place. DIET. It would be wise to adopt a soft diet in the early stages and also to avoid very hot or very cold food and drink during the first 24 hours. DAILY ROUTINE. Exertion should be avoided in the first few days and sensibly a light schedule should be arranged in your diary for the first 48 hours. SWELLING. Some swelling may occur. This usually starts to subside after 4-5 days. NEXT APPOINTMENT. You will have a further appointment booked in about a week for us to remove sutures and packs and check your progress. DOUBT. If you are concerned that healing is not going well, please contact the practice for appropriate advice. Do not smoke. Paediatric Dentistry The speciality of paediatric dentistry involves the management of child patients from birth to 16-18 years. As well as treating decay that may affect children’s teeth specialists are trained to treat many other conditions that could affect children’s teeth and oral soft tissues. This includes the management of traumatised baby or adult teeth, and the treatment of inherited anomalies such as missing or misplaced teeth, discoloured teeth with enamel and dentine defects. Specialists are also trained to look after children with various medical conditions and syndromes; we are also very aware of the difficulties of treating very small or anxious children and are trained to cope with this. Latchford and Latchford are able to offer comprehensive care of the child patient from routine check ups and management of caries to complex trauma or acute infection as well as orthodontics. Sedation Many patients are afraid of dental treatment. There are several different methods available to help people cope with their fear and anxiety. This leaflet lists the most common methods for helping patients with their anxiety and allowing them to have dental treatment in the most comfortable way. At your assessment visit the dentist will discuss these options with you and help you decide which method is best for you. If you have any questions not answered here please speak to a member of the dental team. Local Anaesthesia (injection in the gum) This is the simplest way to control dental discomfort and pain. Anaesthetic cream can be placed onto the gum to make the injection more comfortable. Then, a small injection is placed in the gum. This temporarily anaesthetises or numbs the area allowing painless dental treatment to be carried out. The numbness can last up to 4 hours and care should be taken not to damage the numb area (e.g. by biting it) during this time. Inhalation Sedation (gas and air) This technique involves breathing a mixture of nitrous oxide (laughing gas) and oxygen through a small nasal mask that you wear for the whole appointment. The gas usually makes patients feel warm, floating, tingly and relaxed; you will not go to sleep. In addition to the sedation, local anaesthetic is used as required. The effects wear off rapidly but you must bring someone with you to escort you home. This method is suitable for patients who can breathe through their nose and who have mild or moderate anxiety. It is especially good for children Oral Sedation With this method patients are given a tablet or drink which helps them feel relaxed. The sedative medicine can be taken at the dental surgery or, in some cases, at home. This method is usually only used for adult patients. In addition to the sedation, local anaesthetic is used as required. The sedative effect can take a long time to work and recovery may also take longer. For this reason this method is not used very often. You must bring someone with you who can take you home and stay with you for the rest of the day. Intravenous sedation A sedative medicine is injected into a vein in the patient’s hand or arm. This makes patients feel relaxed and drowsy. Many patients remember little about the treatment they receive whilst sedated in this way. Patients are awake and can talk to the dental staff at all times. In addition to the sedation, local anaesthetic is used as required. This method works well for all types of anxiety and patients who have difficulty with muscle spasms or muscle relaxation. This method is usually used for patients over 16 years of age. Oral Surgery Oral surgery involves small operations carried out inside the mouth and lips and may involve the hard and soft tissues. These include extractions of buried roots and wisdom teeth where some bone removal may be required. Soft tissue lesions such as cysts and polyps can be easily removed with simple surgery under local anaesthetic. Soft tissues may need to be reshaped surgically in order to facilitate specialist treatment such as orthodontics. Often if implants are to be placed following extraction, teeth may need to be removed using special sensitive and atraumatic techniques to preserve bone. In areas where there is insufficient bone available for implant placement, simple grafting procedures may be used to increase bone volume, for example to the sinuses in order to increase bone volume in the upper jaw. In cases of extreme complexity patients may occasionally need to be referred to a Consultant Maxillofacial Surgeon for specialised bone grafting procedures and nerve repositioning prior to implant placement. All operations are carried out under local anaesthesia together with some form of sedation as necessary. Wounds are usually closed with sutures which are normally removed after about seven days. Some post-operative discomfort is usual but is controlled with analgesics such as paracetamol and ibuprofen. A full instruction sheet can be downloaded. There is a dedicated operating suite at Latchford and Latchford, fully equipped for oral surgery and implant treatments. Post operative instructions following Dental Extractions You have just had one or more teeth extracted. This has been done with great skill and care. We hope that you heal without any discomfort or complication. However, the success of the treatment depends on how well you look after yourself and your mouth from now on. Please read these notes carefully and keep them for future reference during the healing period. Immediately after extraction, the wound fills with blood. You have been asked to bite on a pack to help stop the bleeding. A clot forms and slowly grows into new tissue. In the early stages this can easily be lost, delaying healing and introducing infection. Care is required not to disturb it. For the next 24 hours Do not disturb the clot by rinsing or brushing. Avoid eating and drinking on that side. Take it easy for a while. Avoid exercise and excitement as these tend to increase blood pressure and the possibility of bleeding. Smoking and alcohol delay healing and should be avoided, especially in the first day. From the Next Day Keep the socket clean by rinsing well with hot salt water (1 teaspoon of salt in a tumbler of hot water). Start brushing around the socket when it is not painful to do so. Sutures Sometimes we use stitches or sutures to close the wound and keep the edges together. If we have done this we will have told you, we usually use dissolving sutures but often make arrangements for these to be removed between five and ten days later. Bleeding The wound may start to bleed again. If it does, make up a pack from a tissue or handkerchief that fits closely to the socket. Bite on this for at least 30 minutes. Remove the pack very carefully taking care not to pull the clot from the socket. If the bleeding starts again then repeat the process but for at least twice as long. You may need to repeat this several times. Analgesics Pain and swelling are occasional problems but it is impossible to anticipate in which situations these will occur. It is not necessarily associated with the complexity of the procedure. If you do experience discomfort as the injection wears off then you can take Ibuprofen or Aspirin. This will also help to reduce any swelling. Orthodontics Orthodontics is the branch of dentistry specialising in the diagnosis, prevention and treatment of dental and facial irregularities in children and adults in order to achieve improved appearance and better function. The technical term for orthodontic problems is malocclusion, which simply means bad bite. The science of orthodontics is concerned with genetic variation, development and growth of the facial tissues, and the manner in which these factors influence the bite and alignment of the teeth, as well as the health of their associated organs. The practice of orthodontics requires professional skill in the diagnosis and identification of facial disharmony and dental abnormality; as well as the design, application and control of a wide range of corrective appliances or braces that can bring teeth, lips and jaws into proper alignment and achieve facial balance for a lifetime of beautiful healthy smiles. It has been proven that improvements in personal appearance contribute to greater mental and physical well-being. Creating a beautiful smile through orthodontics is a reliable way of improving the health of your teeth as well as your self-esteem. In this way, orthodontic treatment can benefit social and career success, as well as improve one's general attitude toward life. If left untreated, crooked teeth could lead to an improper bite, tooth wear, tooth injury and even tooth decay and gum disease. Crooked teeth can also lead to a decrease in one's personal self-confidence. Treatment by a specialist orthodontist to correct the original problem is often less costly than the additional dental care required to treat more serious problems that can develop in later years. In many cases, your orthodontist will need an opportunity for a careful and meticulous study of the records he has taken in order to arrive at a considered decision regarding your treatment plan. Prosthodontics Strictly speaking Prosthodontics is the replacement of missing natural teeth. Traditionally this was carried out with the provision of removable dentures. Modern techniques provide fixed solutions including bridges and implants. Conventional Bridges This treatment involves the preparation or reduction of natural teeth so that a series of crowns can be used to support the artificial tooth or "pontic". Minimal preparation or "sticky" bridges With the advent of modern adhesive technology preparation or reduction of natural teeth can be avoided by the use of glues to bond the artificial tooth or pontic directly to natural teeth. Implants "Implants "exploit the natural healing of the body called "osseo-integration" around titanium. This allows a cylindrical or tapered post to be directly inserted into the bone to become an artificial root which can be used to support crowns and bridges. Implants can be used to replace single and multiple teeth in each jaw. Digital Radiography Digital radiograpphy is an important and invaluable tool for all dentists. At Latchford & Latchford, we offer 3 different types of radiography: 1) Intra Oral x-rays Intra oral films have traditionally been used as part of normal dental practice. The film is similar to photographic film and is sensitive to x-rays. These films require chemical development (which takes about 3-4 minutes), and produce a single hard copy image. The digital system uses small sensor plates instead of film (they are the same size as a standard x-ray film). These plates detect the x-rays and are read by a computer. The image is displayed, almost instantaneously, on the computer screen. The image can then be viewed on the computer in any Surgery, or over the internet. The data is digitally archived at the Practice. 2) OPG (Orthopantography) This technique has been an important diagnostic tool for dentists for a long time. Digital acquisition of this type of x-ray image has a number of advantages:-lower radiation dose; improved resolution with large amounts of information, and digital archiving. 3) CT Scans CT scanners were developed in the 1970’s and have become a cornerstone in diagnostic medical imaging. Cone beam CT scanners use the latest technology to produce a high quality images at a relatively low radiation dose. Dental CT Scans produce detailed 2D and 3D images using advanced computer software to analyse the x-ray data. This enables the Dentist to effectively plan implant surgery or other interventional treatments. The radiation dose for a CT scan varies from patient to patient but is typically in the range of 0.1 to 0.5mSv. The natural background dose in the UK is approximately 2.2mSv annually. So a cone beam CT scan represents usually only 8 to 12 weeks of normal background radiation. Aesthetic Dentistry The term Aesthetic Dentistry is used to suggest treatment designed to improve appearance of the teeth and gums. We believe that the basis of an attractive smile is healthy teeth and gums in the absence disease. All our restorative treatment is designed with appearance in mind; .this includes simple white fillings and tooth whitening to more complex procedures such as veneers, crowns, bridges and implants, often involving a multidisciplinary approach. All our practitioners are pleased to discuss treatments to improve appearance. |