Every tooth, looked after.

We look at every tooth, measure your gums, check your bite and jaw, and screen for oral cancer. X-rays are low-dose digital images, taken only when they're due, usually once a year for the small set and every few years for the full set.

In the chair

30–45 min

Visits

1

Numbing

None

A hygienist removes the hardened tartar your toothbrush can't, polishes off surface stain and flosses between every tooth. If anything feels sensitive, say so and we'll switch instruments or slow down.

In the chair

45–60 min

Visits

1

Numbing

Rarely

Fluoride varnish is painted on and hardens enamel. Sealants are a thin coating that fills the deep grooves on back teeth, where most children's cavities start. Both are quick and painless.

In the chair

10–30 min

Visits

1

Numbing

None

Grinding wears teeth flat, cracks fillings and makes jaws ache. We scan your teeth, a lab makes a thin guard to fit them, and you wear it while you sleep. Store-bought guards are bulkier and can shift your bite.

In the chair

20 min each

Visits

2

Numbing

None

We numb the area, remove the decay, then build the tooth back up in thin layers of composite resin, hardening each layer with a blue light. You can eat as soon as the numbness wears off.

In the chair

20–60 min

Visits

1

Numbing

Usually

When a tooth has a large filling, a crack or a root canal, a crown holds it together. We shape the tooth, take a digital scan and fit a temporary. About two weeks later the finished porcelain crown is bonded in place.

In the chair

60–90 min, then 30 min

Visits

2

Numbing

Yes

The procedure has a reputation it doesn't deserve: with proper numbing it feels much like a long filling, and it ends the pain that brought you in. We clean out the inflamed nerve, disinfect and seal the canals, and usually follow with a crown.

In the chair

60–90 min

Visits

1–2

Numbing

Yes

The implant post is placed under local anesthetic and left to bond with the bone for three to six months. Then we attach a crown. It doesn't touch the neighboring teeth, and you brush and floss it like any other tooth.

In the chair

60–90 min to place

Visits

3–4 over several months

Numbing

Yes

Faster than an implant and no surgery. The trade-off is that the two neighboring teeth are shaped for crowns. A good choice when those teeth need crowns anyway.

In the chair

90 min, then 45 min

Visits

2

Numbing

Yes

We take scans and bite records, try in a wax version so you can see and feel it before it's finished, then fit and adjust the final set. Dentures can also clip onto two or four implants so they don't move.

In the chair

30–60 min each

Visits

3–5

Numbing

Rarely

Also called scaling and root planing. We numb one side of the mouth at a time and clean the root surfaces so the gum can reattach. Bleeding and puffiness usually settle within a few weeks.

In the chair

60 min per side

Visits

1–2

Numbing

Yes

After a deep cleaning, gum pockets need cleaning more often than a regular six-month visit allows. We measure them each time so you can see whether they're improving.

In the chair

60 min

Visits

Every 3–4 months

Numbing

Sometimes

In-office whitening uses a stronger gel with your gums protected. Take-home trays use a milder gel over two weeks. Both can leave teeth sensitive for a day or two. Fillings and crowns don't whiten, so we'll check those first.

In the chair

60–90 min

Visits

1

Numbing

None

They change shape, color and small gaps in one go. We start with a mock-up on your own teeth so you can see the result before any tooth is prepared. A thin layer of enamel is removed, so veneers are a permanent choice.

In the chair

60–120 min

Visits

2–3

Numbing

Usually

We shape resin directly on the tooth and polish it to match. Little or no tooth is removed, so it's reversible. It can stain or chip over the years and may need touching up.

In the chair

30–60 min per tooth

Visits

1

Numbing

Rarely

We scan your teeth and show you a simulation of where they'll end up before you commit. You swap trays every week or two and wear them about 22 hours a day. Check-ins every six to eight weeks.

Treatment time

6–18 months

Visits

Every 6–8 weeks

Numbing

None

An X-ray shows how each tooth sits. Straightforward ones come out here under local anesthetic, with nitrous oxide if you'd like it. Deeply buried teeth go to an oral surgeon we work with. Plan on two or three quiet days afterward.

In the chair

30–60 min

Visits

1, plus a check

Numbing

Yes

We'll always tell you whether the tooth could be saved and what that would involve. If it comes out, we talk through replacing it before the appointment, not after.

In the chair

20–45 min

Visits

1

Numbing

Yes

Bring them in by their first birthday. The first few visits are mostly counting teeth and getting used to the chair. Later come cleanings, fluoride, sealants and an eye on how the adult teeth are lining up.

In the chair

20–40 min

Visits

Every 6 months

Numbing

Rarely

You breathe it through a small nose mask and feel relaxed within a few minutes. It wears off within minutes of the mask coming off, so most adults can drive themselves home.

Adds

About 5 min

Visits

Any

Numbing

Used alongside