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Swords Dental
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Congratulations to Dr Lyndsey McTavish on receiving her Postgraduate Diploma in Conscious Sedation in Dentistry at Trinity this week. Lyndsey will be performing Inhalation sedation (nitrous oxide) and Intravenous sedation for our anxious patients in the near future.
www.swords-dental.ie
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6/22/17
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Not a lot of people know this...
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This is Dr Lyndsey McTavish's latest article for Maternity & Infant magazine.

www.swords-dental.ie Tel. 8401001
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Tax Relief On Dental Treatment

A lot of people are unaware that you are entitled to tax relief of 20% on advanced dental treatments that have been carried out in the last four years. The relief can be claimed regardless of whether its your treatments or someone else’s dental treatment that you have paid for. This is done through the med 2 system, we can talk you through this process when you attend the practice. At Swords Dental we can give you this form and help you with the relevant sections and provide any receipts needed. You can also download the form at: www.revenue.ie/en/tax/it/forms/med2.pdf

A guide to claiming Health and Medical expenses:http://www.revenue.ie/en/tax/it/leaflets/it6.html

The eligible treatments are :

Crowns. Restorations fabricated outside the mouth and are permanently cemented to existing tooth tissue. Income tax relief is allowable for expenditure on core preparation for crowns and temporary conditioning crown

Veneers/Etched Fillings. These are a type of crowns

Tip Replacings. This is regarded as a crown where a large part of the tooth needs to be be replaced and the replacement is made outside the mouth.

Post and Core Build-ups. These are inserts in the nerve canal of a tooth, to hold a crown. Income tax relief is allowable for post and core build-ups made from materials other than gold.

Inlays. An inlay is a smaller version of a crown. However, tax relief is only allowed if the inlay is fabricated outside the mouth. Income tax relief is allowable for inlays made from materials other than gold.

Endodontics – Root Canal Treatment.

This involves the filling of the nerve canal and not the filling of teeth.

Periodontal Treatment

The following treatments qualify for tax relief:

Root Planting, which is a treatment of periodontal (gum) disease
Currettage and Debridement, which are part of root planing
Gum Flaps, which is a gum treatment
Chrome Cobalt Splints, if used in connection with periodontal treatment
(if the splint contains teeth, relief is not allowable)
• Implants following treatments of periodontal (gum) disease which included bone grafting and bone augmentation.

Orthodontic Treatment.

This involves the provision of braces and similar treatments. Income tax relief is allowable for the cost of temporary implants in circumstances where they form part of the overall orthodontic treatment.

Surgical Extraction of Impacted Wisdom Teeth.Relief is allowable when undertaken in a hospital or by a dentist in a dental surgery.

Bridgework. Dental Treatment consisting of an enamel-retained bridge or a tooth-supported bridge is allowable.

You should make your claim at the end of the tax year, but you can actually claim relief on any eligible expenses dating back four years (including medical expenses, which require the Med 1 form). It is possible to choose whether to claim relief in the year when the expenses were incurred, or in the year that they were paid (if they happen to fall into two different years).You do not need to submit all your dental receipts to the Revenue, but you should hold onto them for a period of 6 years in case you are asked to prove or clarify any expenses. If you’re self-employed you can claim your relief when you file your annual tax return.

If you have any queries you via give use ring on 018401001

www.swords-dental.ie
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We use a tray system for all our tooth whitening cases. This involves taking impressions of the teeth at an initial appointment and demonstrating the whitening process a few days later. Whitening gel is placed in the trays. The trays are worn overnight or for a period of 2-3 hours in the evening time. Generally we require about 3 weeks for this process to ensure a good long term result.

It is important that we do a thorough examination of the teeth and gums prior to starting to ensure you are suitable for whitening. If there are white fillings, crowns or dentures towards the front of the mouth this is significant as they will not change shade and we may need to consider replacing them afterwards.

Whitening the teeth can make them slightly sensitive during the process. This will settle soon after we finish. If sensitivity is an issue it might be worth using the trays on alternate days over a longer period. This will still ensure the same result but reduce the sensitivity.

The ‘in chair’ method of whitening involves the use of much stronger whitening agents, which are likely to cause increased sensitivity. This process is also likely to contravene the EU directive (2012) banning whitening agents containing over 6% Hydrogen Peroxide. The other major drawback of in-chair whitening is that to top up the whitening effect the procedure has to be repeated, which makes it far more expensive long-term. The trays we make can be reused in the future and typically only a small amount of whitening gel is needed to achieve this at minimal additional cost.

Whitening is a great way of producing a dramatic improvement in tooth appearance and smile without doing a lot of dentistry. We have very high levels of patient satisfaction with this procedure.

To make an appointment, call us on 018401001
www.swords-dental.ie
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Wisdom Tooth Extractions

Wisdom tooth problems are extremely common. Wisdom teeth grow at the back of your gums and are the last teeth to come through. Most people have four wisdom teeth – one in each corner.Wisdom teeth usually grow through the gum during the late teens or early twenties. By this time, the other 28 adult teeth are usually in place, so there isn’t always enough room in the mouth for the wisdom teeth to grow properly. Because of the lack of space, the wisdom teeth can sometimes emerge at an angle or get stuck and only partially emerge. Wisdom teeth that grow through like this are known as impacted.

When to see a dentist?
You should make an appointment to see us if you’re experiencing severe pain or discomfort from your wisdom teeth. We will check your teeth and advise you on whether they need to be removed. If we think that this may be the case we’ll usually carry out an x-ray of your mouth. This gives them a clearer view of the position of your teeth. We often take full mouth (OPG) x-rays to help assess these problems. This can be done here at Swords Dental

Why are wisdom teeth removed?
Your wisdom teeth don’t usually need to be removed if they’re impacted but aren’t causing any problems. This is because there’s no proven benefit of doing this and it carries the risk of complications. Sometimes, wisdom teeth that have become impacted or haven’t fully broken through the surface of the gum can cause dental problems. Food and bacteria can get trapped around the edge of the wisdom teeth, causing a build-up of plaque, which can lead to:

Tooth Decay (dental caries) – this develops when plaque begins to break down the surface of your tooth. When tooth decay becomes more advanced, it leaves holes (cavities) in the tooth, which can affect the surrounding teeth.
Gum Disease (also called gingivitis or periodontal disease) – this occurs when plaque releases toxins that irritate your gums, making them red, swollen and painful. Gum disease can also affect the surrounding teeth and the bone around the wisdom teeth.
Pericoronitis – when plaque causes an infection of the soft tissue that surrounds the tooth.
Abscess – when pus collects in your wisdom teeth or the surrounding tissue due to a bacterial infection.
Many of these problems can be treated with treatment such as antibiotics and a mouthwash (such as Corsodyl), so removing your wisdom teeth is only recommended when other treatment hasn’t worked.

How wisdom teeth are removed
We may decide remove your wisdom teeth at the practice or refer you to a specialist surgeon. We have a specialist oral surgeon here at the practice on Thursdays, Dr Eimear McHugh. She has the option of removing the tooth in the standard way using local anaesthetic or using an intravenous sedation in more complicated cases. We can also arrange a general anaesthetic in a hospital, if necessary.

Before the procedure, you’ll usually be given an injection to numb the area around the tooth. You’ll feel some pressure just before the tooth is removed, to widen the tooth socket by rocking the tooth back and forth. In some cases a cut may be needed in your gum, and the tooth may need to be cut into smaller pieces before it’s removed. The time it takes to remove the tooth will vary. Some procedures only take a few minutes, whereas others can take 20 minutes or longer.

After your wisdom teeth have been removed, you may experience swelling and discomfort, both on the inside and outside of your mouth. This is usually worse for the first three days, but it can last for up to two weeks. We will recommend or prescribe painkillers to help with this.



Possible complications

As with all surgery, there are risks associated with removing a wisdom tooth. These include infection or delayed healing, both of which are more likely if you smoke during your recovery.

Another possible complication is “dry socket”, which is a dull, aching sensation in your gum or jaw, and sometimes a bad smell or taste coming from the empty tooth socket. Dry socket is more likely if you don’t follow the after-care instructions.

There’s also a small risk of nerve damage, which can cause pain or a tingling sensation and numbness in the tongue, lower lip, chin, teeth and gums. This is usually temporary, but can be permanent in some rare cases. We will assess this risk in detail prior to planning the procedure, to help ensure this risk is minimal.

If you need an appointment you can contact us at:

www.swords-dental.ie Tel 8401001
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We stock tepe interdental bushes and toothbrushes at the practice. These retail at 5 euros/pack and 4 euros/brush. If you'd like to purchase these items drop into reception at Swords Dental, 66 Main St Swords.

www.swords-dental.ie
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5/2/17
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Swords Dental have a large supervised car-park to the rear of the practice. This is free to use for all our patients. www.swords-dental.ie
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Fissure Sealants

The adult first permanent molar teeth tend to come into the mouth at just six years old. This is a critical period for protecting them because the diet between 6-12 tends to have higher levels of sugar. We often find that when people need to have more extensive dental treatment later in life, e.g root canal treatments or crowns, it can be linked back to damage that started soon after these particular teeth erupted in to the mouth.

We can protect the molar teeth from decay by putting a white plastic coating on the tooth soon after it comes into the mouth, called a fissure sealant. The coating plugs the natural depressions and grooves on the tooth's biting surface called pits and fissures. This helps to protect the teeth from acid attack after eating sugar (dental decay). This procedure is a particularly good idea if there has been any problems with decay in the baby teeth or if the molar teeth have deep grooves.

The procedure is very straightforward- we dry the tooth, place a conditioning agent on it which we then wash off soon after and then apply the sealant and shine the curing light on the area to set it. Placing fissure sealants is a very straight forward and painless process and can often help to boost the child's confidence if they are nervous about visiting the dentist. Sealants can also be placed by Dental Hygienists.
To make an appointment give us a call at www.swords-dental.ie on 8401001.
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