It’s important we keep up-to-date information about you, your medical history and general health. To save time when you come into the practice, you can complete your forms online before you attend your appointment in the comfort of your own home. This also enables us to devote your appointment time to your treatment.

Medical and lifestyle information helps assess the suitability of some treatments we may offer. It also helps form a diagnosis, treatment plans and any necessary actions in the event of you having a medical emergency.

These medications should always be brought to all dental appointments in case you need them:

• Inhalers
• Epipens
• Heart medications

If you have a removable appliance or a retainer please also bring this to all dental appointments.

Please note that if you have had a cold sore for less than 2 weeks, we politely ask you to rearrange your hygienist appointment until after this contagious period has passed.

Your first appointment will be for 45 minutes.  If you have not already completed a medical health form prior to arrival, your hygienist will discuss your medical and dental history with you at the start of your appointment in order to provide you with the best possible care.

You may need further appointments depending on how much work is required. This can only be gauged once the hygienist has seen inside your mouth.

At your appointment your hygienist will:

• Perform an oral cancer screening check
• Give you local or topical treatment for pain, discomfort or sensitivity prevention prior to your treatment if necessary.
• Carry out a clinical examination of your gums and the tissues that support your teeth, (not a full dental examination as performed by a dentist)
• Clean your teeth and remove stains with Airflow (a device that sprays warm water, air and powder to brighten your teeth) if suitable
• Conduct above and below the gum surface cleaning with a combination of hand instruments and/or power driven scalers.
• Provide treatments for the care of implants and implant bridges and dentures and treatment of their surrounding tissues
• Apply topical treatment for pain relief, tooth, sensitivity, and tooth surface wear at the end of treatment if necessary.

Your hygienist will discuss with you the suitability of all of the above treatments with regards to your own sensitivities and preferences to provide you with the best outcome in order to help resolve your gum condition.

If you have been referred to the hygienist by your dentist and a hygiene prescription has been provided, your hygienist will focus on the the treatment requested in your prescription.

Your hygienist will also advise you on how to care for your teeth by:

• Devising a tailored care plan for you to follow at home and suggest and demonstrate cleaning techniques and products for you to use. An oral hygiene regime is a dynamic process and what may have worked for you in the past may not be working for you now. Therefore, your hygienist may suggested an updated regime to provide the best outcome.
• Recommending the frequency of hygiene appointments required according to your needs in order to maintain good oral health. With improved oral health and regimes the goal is to have less frequent hygiene appointments.
• Providing you with preventive oral care and liaising with your dentist, so that the whole team involved in your dental well being is kept up-to-date.
• Providing advice on diet, smoking cessation and alcohol reduction and any other information relevant to reducing the risk factors of  periodontal and systemic diseases such as diabetes and heart disease.

Your hygienist may suggest a referral to one of our specialist dentists to ensure you receive the best available care and treatment option. Referrals may include visiting the dentist for overdue check-ups, a referral to our gum specialist (periodontist) Puneet Patel or a referral to a hospital for diagnosis.

Please bear in mind that these treatments are not included in your hygiene appointment and if required, your hygienist will refer you to one of our dentists.

• A full dental examination
• Tooth filling treatment
• Root filling treatment
• Treatment of broken teeth
• Teeth removal

Should you require any of these or any radiographs / x-rays your hygienist will refer you to one of our dentists for advice.