GENERAL & COSMETIC DENTISTRY

We’re health providers first.
That means, we’re on your side.

HAVE CONFIDENCE IN YOUR SMILE

Has it been a while since your last checkup? Maybe your previous trip to the dentist left a hole in your pocket and no desire to hurry back.

Visiting the dentist should be a positive experience. No seriously, it should! When you choose the right surgery and a dentist who understands your needs and concerns, there is nothing to be anxious about.

Patients come first at Smile Design Dental. That means your comfort and experience are at the core of every decision we make. From the design of our surgery with its calm and supportive ambiance to the array of services on offer, you receive the ultimate in dental care each visit.

The state of your teeth is our main priority. Whether you have a sweet tooth or don’t floss as regularly as you should, we work to correct defects in your teeth, and most importantly, try to stop any more occurring!

OUR GENERAL AND COSMETIC

DENTISTRY SERVICES

Root Canal Treatment

Root canal is a phrase that strikes fear into most people. Pain and money are the first two things you think of. Correct? With good dentistry we can mitigate this.

Root Canal Treatment – What is it?

Root Canal Treatment involves the disinfection of the pulp or “nerve” inside your tooth. This area is composed of multiple blood vessels and nerves and cells with a similar composition to bone marrow. Unfortunately, due to this nutrient rich area, bacteria flourish rapidly. The immune system is incapable of dealing with the infection here and the tooth subsequently dies.

Another situation where a root canal may be required but without bacterial infection is as a result of trauma, where damage to the pulp cannot be healed by the body and the cells within die. These dead cells attract an inflammatory response and lead to similar outcomes as with an infected pulp.

Symptoms include:

  • Swollen face
  • Swollen gum area where tooth is dying
  • Pain, which can be quite extreme
  • Pimple like area on gum
  • Sensitive or sore due to hot or cold temperatures
  • Sensitive or sore due to pressure, especially tapping or biting

At times there may be no symptoms, where teeth can quietly die, however that is unlikely to remain the case. Eventually symptoms do usually present themselves and can be quite severe when they do. For greater personal comfort and greater chances of success it is recommended to have root canal therapy performed sooner to avoid further problems presenting.

Treatment and Procedure

This procedure may need to be completed over several visits. The dentist will make an opening in the top of the infected tooth where the necrotic pulp and bacteria are flushed out with disinfectant and the root canals are cleaned and shaped with fine files. Between visits anti-inflammatory and anti-bacterial medicines are then put inside the canals, and throughout your treatment X-rays are used to confirm the length of your canals and that the infection has reduced and begun to heal.

On your final visit, to protect the inside of the tooth and prevent any further infection, the canal is packed with gutta-percha, a firm material to prevent re-infection. A  definitive restoration will be placed and if there is more loss of tooth structure, a post will also need to be cemented into one of the worked canals, assisting in supporting the remaining tooth. Afterwards the tooth becomes somewhat brittle and will be more prone to fractures, to prevent this in most cases a crown will be recommended.

What are the alternatives to a root canal treatment?

  • Remove the tooth – Removing the tooth will leave a gap that may need to be replaced by an artificial tooth.
  • Leave the tooth untreated – If left untreated the infection can spread and dead tissue may cause damage to nearby structures. Bone loss and spread of infection may extend to neighbouring teeth. Pus can build up and cysts may also develop and need further treatment. Pain is likely to worsen here.

Is root canal treatment painful?

Thanks to the use of local anaesthetics, we are able to completely numb up the nerves responsible for pain in the area, so you will not feel a thing during treatment. However, when inflammation occurs certain “touch” nerves can elicit pain responses. Unfortunately, these do not numb up as successfully meaning some additional injections may be required, and discomfort may still be partially felt. This usually only occurs in very painful or “hot” teeth where the infection is extreme. This will usually only be the first visit if you presented with a tooth-ache, otherwise you are unlikely to feel anything at all. When you return for the next phase the anaesthetic should work with full proficiency. In fact, you may even fall asleep during the remaining parts of your procedure. This is another reason to state the importance of addressing teeth requiring root canal treatment sooner rather than later.

Are there risks involved in a root canal treatment?

Like any medical procedure, a root canal treatment poses some risk and, on rare occasions, there may be complications. These complications may result in a tooth needing additional treatment, referral to a specialist or may result in the tooth needing to be removed. However, in most cases root canal treatment is very successful.

 

 

 

 

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Crowns & Bridges

“The dentist told me I needed a crown, and I was like, I know, right!”

Dental Crowns

 

A dental crown is used to entirely cover or “cap” a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. It will usually be recommended when the remaining tooth structure is limited or weakened, where a simple filling will not be sufficient to protect it.

You may be advised to have a crown in the following circumstances:

  • Greater natural tooth destruction through decay
  • If you have had a large filling in the past
  • If you have had root canal therapy
  • If your tooth is badly cracked or worn
  • Over the top of a dental implant

Dental crowns are available in wide range of dental materials, including ceramic, precious metals and porcelain fused to metal. Modern crowns are strong, durable and aesthetically pleasing, with most people preferring to choose all-ceramic dental crowns as they look more like natural teeth. These generally last many years longer than a standard filling as they wrap around the tooth and help to hold it together.

Dental Bridges

Dental bridges are used when one or more teeth are missing and a fixed tooth replacement option is desired. Crowns are formed either side of the missing tooth area where false teeth connected to these fill the spaces. The false teeth sit over the top of the gum where chewing forces are distributed to the neighbouring bonded teeth.

As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the colour of your natural teeth.

 

Dental Crown and Bridge Procedure

Fitting a crown or bridge involves two appointments.

  • The first stage is designed to remove any decayed or damaged tissue and prepare the teeth for crowning. The decayed tissue is removed and the teeth is cleaned thoroughly and shaped. An impression is taken which is sent to the lab for the crown to be fabricated. A temporary crown is fitted until the next visit.
  • The completed crown is received from the lab and fitted onto the tooth. The tooth is cleaned and the crown is cemented in place. Some minor adjustments are commonly made. Now you’re able to chew into your steaks without fear of your tooth fracturing.

 

What are the alternatives?

You can opt for fillings instead of crowns, just keep in mind that fractures have a higher chance here and these teeth may need repair quite frequently. In the case of root canal treated teeth, chances of fractures lower into the roots become higher particularly without the support of a crown. If this occurs the tooth may become non-restorable and may require extraction.

Instead of a bridge you can opt for a partial denture, which is a removable plate to replace the missing teeth. This may be ideal if there are multiple missing teeth in different locations, particularly if you are keeping to a budget. Alternatively, you may consider implants, where a screw is inserted into the bone and a crown is constructed over the top. This option is more expensive and time consuming, but preserves the neighbouring teeth as they will not need to be filed down to hold the supporting crowns. Or you could leave the space as is, some people tolerate this quite well, whereas others find the decreased ability to chew and clean more impeding. Whether to go for partial dentures, bridges, implants, or leaving the space, the decision is determined on a case by case basis, where your dentist will provide you with more information to what may suit your circumstance better.

How long do they last?

Whilst crowns provide a much stronger option to fillings, there is nothing stronger than your own natural teeth. They are the next best thing though. A crown should typically last 5 to 10 years, but in many cases they can last decades. There are several factors which determine this: previous damage to the teeth, gum disease, parafunctional habits like grinding and clenching, a heavy bite or missing teeth in other areas leading to increased load on the teeth worked on, the integrity of supporting teeth in bridges, oral hygiene, aesthetic satisfaction with changes in surrounding teeth, quality of materials, execution of crown and bridge preparation, and cements used. The longevity of crowns and bridges cannot always be predicted but with good oral care you should receive a long lasting desirable result.

 

 

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Veneers

Sometimes braces can’t do the job. They may be too slow or don’t cover or correct the issue you are concerned about. This in when veneers are the perfect solution. Veneers can look amazing, straighten crooked teeth, close unwanted spaces and cover darkened root canal treated teeth.

At Smile Design Dental, we take pride in performing art alongside function in every aspect of dentistry. Our veneers are no different.

There are two main types of veneers, direct and indirect, and we specialise in both.

Direct veneers are known as the ‘filling veneer’. They are made of the same white composite resin filling materials are made of. Some amazing structures can be made from this material and the results look uncannily like any corresponding tooth. An artistic dentist can achieve great results using quality materials.

The alternative is an ‘indirect veneer’. This veneer is composed with a porcelain-like, or glass-like, material that highly mimics the outer structure of our teeth, giving it a beautiful, lustrous composition. It never stains and is highly resistant to further wear. It is more costly than the direct form, but by far the superior option.

Am I a good candidate for veneers?

The purpose of veneers is to cover the front of your teeth that people see. Cases where this will be desirable is when the teeth have suffered previous damage or deeper discolouration that does not respond to whitening. Certain antibiotics, for instance, could alter the tooth structure if taken for a long enough period of time whilst the teeth are still developing. When constructing veneers, a thin layer of tooth structure is removed from front, sides and tips of your teeth where the veneer will be cemented into place. All defects become obscured and that ideal consistent Hollywood white smile may be achieved.

Whether veneers are the right option for you is decided on a case by case basis, so best thing is to have a chat with your dentist and discuss your options.

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Fillings

We use only the highest grade filings created from white, tooth-coloured composite resin material. This outcome is a look that’s far superior to the old-fashioned metal fillings.

Decay, fractures, and general wear and tear can be restored to highly aesthetic outcomes.

Make an appointment

Wisdom Tooth Removal

Wisdom teeth can be tricky, particularly the bottom ones. General dentists are often scared of removing them because of the difficulty level. We won’t pretend that we can do them all, but at Smile Design Dental we can sure take on a good number more than the others!

Our lead dentist, Dr, Danielle Bolger, has vast oral surgery experience taking out the teeth other dentists were too afraid to touch. She will happily consult your wisdom teeth for extraction and if possible, take them out chair-side for you.

When do you need your wisdom teeth removed?

Wisdom teeth are the most varied teeth in the mouth. You may have all four, just a couple, or none at all. If they come through all the way, then they are rarely a problem. If they come through at an angle, or there is insufficient room, that’s when problems may occur and extractions may be necessitated.

Many times as the wisdom teeth erupt they can do so quite slowly where the gums are still partially obscuring the teeth. The gums here allow a pocket for food and plaque to become trapped and infection can take place. Minor infections can be managed with good oral hygiene, brushing the area gently but thoroughly, and occasionally doing some salt water rinses. If the infection is more severe, swelling can occur in the tissues around the tooth and antibiotics may be needed to bring this infection down. If this occurs once or twice, the dentist may wish to manage and wait a little longer for the tooth to fully erupt. Once erupted, these problems should cease. If the condition keeps recurring and the tooth does not appear likely to fully erupt, then extraction will likely be the next step here.

 

Other times the wisdom teeth will erupt in a position that is not straight where damage to nearby teeth is more likely. In the case above a pocket may form between the wisdom tooth and the 12 year old molar in front. Food and plaque may get trapped here and cause holes in the 12 year year old molar to form. When wisdom teeth are erupting at irregular angles this would normally necessitate extraction to avoid situations like the above from occurring.

Other situations where you may require your wisdom teeth extracted may be because of lack of space, difficulty to reach when maintaining oral hygiene, requirement for orthodontics, or because of the development of decay. Whether to extract these teeth is determined on a case by case basis, so best thing is to check in with your dentist and get their recommendation.

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Tooth Extractions

“He had his knee up on my chest!”

When it comes to extractions, we’ve all heard the horror stories. Knees on chests and the unnecessary use of brute force. We promise you’ll never have an experience like that with us! A clean tooth extraction relies on good technique and should take little longer than 30 minutes. That’s including time for diagnosis and the anaesthesia to kick in!

Dr. Danielle Bolger is often referred to as the ‘Extraction Queen’. She has ample experience with tooth extractions including wisdom tooth removal. While Danielle is an expert in this area, she sees each tooth as a life and always prefers to save the tooth if possible.

Make an appointment

Dentures

Early tooth loss is decreasing as we all become more aware of how to correctly look after our teeth and smile. But not everyone is in the same situation. Some of us didn’t have the education growing up, some of us suffered dental trauma, some of us have had other circumstances fall our way.  And let’s be honest, some of us just couldn’t afford to save our teeth at the time. At Smile Design Dental, we don’t judge your circumstances, we care about you!

This means caring about what you need and catering for that now, not berating you for whatever happened in the past. If you need tooth replacement at an affordable cost but still want to feel like the best version of yourself, we have you sorted. We use local Brisbane dental technicians who provide dentures and any other removable dental prosthesis at very high standards.

The Process

Constructing a new set of dentures generally takes 4-6 weeks depending on materials used and present demand on the labs. Each visit will be 1-2 weeks apart. Though it is possible to skip steps and have dentures made faster, it is generally not recommended as the quality of fit is likely to decrease. Immediate dentures, and “snap” dentures may be constructed faster as the need arises. For partial and full dentures that are not to be used as an intermediary before other forms of tooth replacement, we recommend not to rush.

Visit 1: Primary impressions are taken and sent to the lab to create specialised impression trays

Visit 2: Secondary impressions are taken using the new trays, measurements are made to give us the correct height and tooth placements, bite is registered, and shades are selected.

Visit 3: You’ll be able to see the basic shape of the denture with the teeth set into pink wax. This allows us the opportunity to make any small chair side adjustments and ensure you’re happy with how the finished product is to look.

Visit 4: The completed dentures are issued, small adjustments are made for correct fitting and bite.

A new set of dentures is like a new set of shoes, there are going to be a few sore spots that will develop straight away, and others over a few days. Soon after your issue we will have you return a few times for adjustments. Normally only two or three are required, sometimes more. We will get you back until you are confident and happy in your new dentures. Then you just need to keep the pup away from them!

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Splints

Do you notice your jaw aching as you clean your teeth? Maybe you are wearing your teeth down. If so, it’s very likely you’re a grinder.

Grinding usually occurs at night whilst you are asleep. But it may also happen when you’re awake, particularly if you are stressed. When grinding or clenching occurs your muscles overwork, sometimes to the point of wearing down your teeth and causing damage to your temporomandibular joints (TMJ). When this occurs, it can be very complicated to treat. That’s why prevention is key.

Splints are the front-line step for nocturnal grinders/clenchers, and for those that have progressed to Temporomandibular Disorder (TMD). Splints consist of a thin piece of custom-made clear plastic fitted snugly to your upper teeth and worn at night and, don’t worry, a well-made splint will not fall off easily while you sleep! Splints may feel odd at first but you will be used to it in just a few weeks.

If this option is not for you, a simple alternative is to inject muscle relaxants into the culpable lower jaw muscles to lessen the grinding/clenching action. You can find more details on our see our injectables page.

Make an appointment

Children's Dentistry

We’re all about smiles here, including the little ones!

Going to the dentist can feel like a scary experience, especially when you’re small. That’s why we take extra time and care with your kids to make sure their visit is as enjoyable as possible.

With a female lead dentist and kind, nurturing supporting staff, you can be sure your children are in safe hands and treated gently.

We offer CDBS services for those who qualify. Deals are also available for a wide range of children’s dentistry including a $99 check-up, clean and toothbrush demonstration for kids under 12. For those under six, we offer a $59 checkup.

Make an appointment

General and cosmetic dentistry services

Fillings

We use only the highest grade filings created from white, tooth-coloured composite resin material. This outcome is a look that’s far superior to the old-fashioned metal fillings.

Make an appointment +

Wisdom Teeth Removal

Wisdom teeth can be tricky, particularly the bottom ones. General dentists are often scared of removing them because of the difficulty level. We won’t pretend that we can do them all, but at Smile Design Dental we can sure take on a good number more than the others! Our lead dentist, Dr, Danielle Bolger, has vast oral surgery experience taking out the teeth other dentists were too afraid to touch. She will happily consult your wisdom teeth for extraction and if possible, take them out chair-side for you.

Make an appointment +

Dentures

Early tooth loss is decreasing as we all become more aware of how to correctly look after our teeth and smile. But not everyone is in the same situation. Some of us didn’t have the education growing up, some of us suffered dental trauma, some of us have had other circumstances fall our way.  And let’s be honest, some of us just couldn’t afford to save our teeth at the time. At Smile Design Dental, we don’t judge your circumstances, we care about you! This means caring about what you need and catering for that now, not berating you for whatever happened in the past. If you need tooth replacement at an affordable cost but still want to feel like the best version of yourself, we have you sorted. We use local Brisbane dental technicians who provide dentures and any other removable dental prosthesis at very high standards.

Make an appointment +

Splints

Do you notice your jaw aching as you clean your teeth? Maybe you are wearing your teeth down. If so, it’s very likely you’re a grinder.

Grinding usually occurs at night whilst you are asleep. But it may also happen when you’re awake, particularly if you are stressed. When grinding or clenching occurs your muscles overwork, sometimes to the point of wearing down your teeth and causing damage to your temporomandibular joints (TMJ). When this occurs, it can be very complicated to treat. That’s why prevention is key.

Splints are the front-line step for nocturnal grinders/clenchers, and for those that have progressed to Temporomandibular Disorder (TMD). Splints consist of a thin piece of custom-made clear plastic fitted snugly to your upper teeth and worn at night and, don’t worry, a well-made splint will not fall off easily while you sleep! Splints may feel odd at first but you will be used to it in just a few weeks.

If this option is not for you, a simple alternative is to inject muscle relaxants into the culpable lower jaw muscles to lessen the grinding/clenching action. You can find more details on our see our injectables page.

Make an appointment +

Veneers

Sometimes braces can’t do the job. They may be too slow or don’t cover or correct the issue you are concerned about. This in when veneers are the perfect solution. Veneers can look amazing, straighten crooked teeth, close unwanted spaces and cover darkened root canal treated teeth.

At Smile Design Dentistry, we take pride in performing art alongside function in every aspect of dentistry. Our veneers are no different.

There are two main types of veneers, direct and indirect, and we specialise in both.

Direct veneers are known as the ‘filling veneer’. They are made of the same white composite resin filling materials are made of. Some amazing structures can be made from this material and the results look uncannily like any corresponding tooth. An artistic dentist can achieve great results using quality materials.

The alternative is an ‘indirect veneer’. This veneer is composed with a porcelain-like, or glass-like, material that highly mimics the outer structure of our teeth, giving it a beautiful, illustrious composition. It never stains and is highly resistant to further wear. It is more costly than the direct form, but by far the superior option.

Make an appointment +

Tooth Extractions

“He had his knee up on my chest!”

When it comes to extractions, we’ve all heard the horror stories. Knees on chests and the unnecessary use of brute force. We promise you’ll never have an experience like that with us! A clean tooth extraction relies on good technique and should take little longer than 30 minutes. That’s including time for diagnosis and the anaesthesia to kick in!

Dr. Danielle Bolger is often referred to as the ‘Extraction Queen’. She has ample experience with tooth extractions including wisdom tooth removal. While Danielle is an expert in this area, she sees each tooth as a life and always prefers to save the tooth if possible.

Make an appointment +

Crowns and Bridges

“The dentist told me I needed a crown, and I was like, I know, right!”

We all deserve a crown, but when you need one from the dentist we appreciate it’s not always in the budget. There’s no need to worry. We are here to give you the best advice possible without pushing you into anything. You can also rest easy knowing your crown is of the highest quality and meets all Australian standards. Unfortunately, overseas knock-offs are common.

While Australian standards are high, overseas standards are much lower, resulting in crowns and bridges that can lead to gum disease, new decay, or simply fall straight off. We protect your teeth, and your investment, at Smile Design Dental by only providing high quality work.

Make an appointment +

Root Canal Treatment

Root canal is a phrase that strikes fear into most people. Pain and money are the first two things you think of. Correct? With good dentistry we can mitigate this.

You should not be in pain during a root canal treatment! We use careful, caring techniques to vastly reduce your discomfort. Our high resolution x-ray equipment and experienced dentists also ensure the greatest chance of success for your treatment.

Make an appointment +

Children’s Dentistry

We’re all about smiles here, including the little ones!

Going to the dentist can feel like a scary experience, especially when you’re small. That’s why we take extra time and care with your kids to make sure their visit is as enjoyable as possible.

With a female lead dentist and kind, nurturing supporting staff, you can be sure your children are in safe hands and treated gently.

We offer CDBS services for those who qualify. Deals are also available for a wide range of children’s dentistry including a $99 check-up, clean and toothbrush demonstration for kids under 12. For those under six, we offer a $59 checkup.

Make an appointment +