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WELCOME TO CONFIDENTAL CLINIC - ORTHODONTICS

Teeth Straightening in Surbiton

Welcome to ConfiDental Orthodontics in Surbiton where we have a team of Specialist Orthodontists and Cosmetic Dentists who can help with a wide range of teeth alignment issues.

From single tooth movements to complex teeth movements, our experienced team can help you to achieve the gleaming smile you have been looking for.  Whether it be for that special day, or something that has always bothered you, we are confident that we can produce the solution for you.

We have one of the widest ranges of modern braces available, including clear aligners such as Invisalign and fast-acting techniques for the visible "social six" front teeth using '6 Month Smile'. Whatever your personal situation, we have the solution to match.

Should you qualify, we may also be able to help with teeth straightening on the NHS. Please check with us and we will check your eligibility.

We offer treatments in a warm, relaxed atmosphere and offer a selection of finance packages to help any budget, so call us now to see how we can help and what your options are.

Please call our team to arrange an appointment at our Surbiton clinic on 020 8399 1291. We look forward to helping you to a beautiful new smile!

 

IMPORTANT MESSAGE TO PATIENTS - Coronavirus (Covid-19)

To all my lovely patients,

In these unprecedented times we are all worried about our health, the health of our friends and family and I am also worried about the health of my patients as well as their ongoing orthodontic treatment.

I have been closely following the guidance from NHS England, the British Dental Association and the British Orthodontic Society with regards to potential spread of Covid-19 virus and dental treatment. It has come to light that treatment involving aerosol generating procedures ( i.e. the drill, spraying water/air, scalers) and of course close contact with any individual, even those not displaying symptoms of the virus may increase the spread of the virus.

We have therefore been advised to stop any routine or elective procedures and appointments to reduce the risk of spread of the virus. This includes all orthodontic assessments and reviews, adjustments, placing braces and removing them. The practice is now CLOSED to all orthodontic patients. At the moment we do not know how long this will last, we have all heard the magic 12 weeks, but we will closely monitor the situation and arrange to see you as soon as possible.  This will obviously delay your treatment progress and I know many of you have deadlines and wish to have your treatment complete as soon as possible but I do have to put the health of all of us first and make this difficult decision.

Important Orthodontic Advice

I would like to reiterate advice given at the beginning of your treatment with regards to preventing problems and tips if things do go wrong.

Fixed appliance patients

If you are wearing elastics please switch to night time only

Oral hygiene- please continue to clean your teeth and brace as instructed with your usual toothbrush along the gum margins under/ above the brackets and with the interdental brushes under the wire. Any bleeding of the gums while brushing can be a sign that the area isn’t being cleaned enough and so please concentrate on that area more. Please use the disclosing tablets to help guide you to where there is plaque build-up. Good oral hygiene can prevent gum disease and dental decay.
Diet- please continue to avoid sugary snacks/juice/fizzy drinks- even the diet ones. At times of stress like this we can often head to the chocolate- please try to keep frequency to a minimum and if you need a sugar fix try to have it at the end of a meal rather than in-between meals. Please avoid hard, crunchy foods to avoid the brace breaking or wires bending.
If problems do occur: firstly- please email me and I will give you individual advice- you could send a photo if you are unsure.

General advice:

Breaks: If the bracket (metal or ceramic square) does break and is loose- if it is not bothering you then just leave it sitting on the wire. If it has swivelled around and digging in, please try to swivel it back around the wire so it is just sitting against the tooth passively. If it is the bracket on the last tooth and is loose try sliding it off the wire.
If the power chain or little elastic comes off, don’t worry- if you can hook it back on with tweezers to make it comfortable or pull it off or cut it off if you can’t hook it back on.

Sharp wires- try placing orthodontic wax on it if you still have some or a good tip is using the red waxy part covering edam or babybel cheese- if they are still available in the shops. If you are able to get nail clippers to the wire to trim it please do. If you can’t manage to get to the back then snipping it further forward and sliding the wire out may help.

Invisalign patients

If you are wearing elastics please switch to night time only

Please continue to wear your aligners  as instructed before and changing them at the same frequency as long as you are putting the hours in- social distancing might well mean you are able to wear them more! Once you reach the end of your set of aligners please wear them every night, but increase to day as well if they still feel tight.

Oral hygiene - please continue to clean your teeth as instructed with your usual toothbrush along the gum margins and around the attachments, and flossing or interdental brushes to get in between the teeth. Any bleeding of the gums while brushing can be a sign that the area isn’t being cleaned enough and so please concentrate on that area more. Please use the disclosing tablets to help guide you to where there is plaque build-up. Good oral hygiene can prevent gum disease and dental decay.
Please continue to clean the aligners with soapy water and a small toothbrush and soak them in Milton’s or denture cleaner- but not hot water.

Diet - please continue to avoid sugary snacks/juice/fizzy drinks- even the diet ones. At times of stress like this we can often head to the chocolate- please try to keep frequency to a minimum and if you need a sugar fix try to have it at the end of a meal rather than in-between meals.

If problems do occur - firstly please email me, and with a picture if you are unsure. If an attachment comes off don’t worry, your treatment will not go wrong, it just won’t be as efficient.

If your aligner breaks, if you are almost ready to move up then do so and wear it for longer. Or go back to the aligner before and wear it for longer before jumping to the next one.
If you come to the end of the aligners and we are still not back to normal working then please wear your aligner just at night, unless it feels very tight and then continue to wear your last aligner during the day.

If any of the aligners are sharp at the edges- please use a nail file to smooth it, but don’t cut it with scissors.

Retainer patients

Please continue with your retainers as before.

If a problem occurs please email me and with a picture if you are unsure.

If your wire bonded retainer comes off- contrary to my original advice since I won’t be able to repair it- please do pull the whole thing off and then wear your removable one full time- and slowly wean down to just at night but any time the retainer feels tight wear it for longer hours during the day.

If your removable retainer breaks if you can still wear it in the 2 pieces please continue to wear it, it will still work. If it just the ends that chip off, continue to wear it. Sharp edges or chips can be filed down with a nail file but please don’t trim it with scissors. If it is unwearable there is a risk your teeth will move without them, so please please do look after your retainers.

I am very sorry for this huge inconvenience with your treatment and I hope with social distancing, washing hands and our brilliant NHS we will soon be back to normal.

If you have any questions before please do email me and throughout this whole isolation period please email me even with smallest of questions.

Stay home & stay healthy

Cleopatra Darwish
Specialist Orthodontist.
cleopatra.darwish@gmail.com

 

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Site last updated March 2018