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*** 21 St Mary's St, Malmesbury
01666 822220
[email protected]

Here at Barley Mow Mr McNulty & Mr Morden are able able to offer several options to straighten your teeth.
Most of the options are there to deal with limited problems involving the front 6 teeth in the upper and lower arches.
These treatments are called Limited Treatment Objective (LTO) or Short term orthodontic (STO) for obvious reasons.
They focus on providing a cosmetic/ aesthetic treatment to uneven crowded or spaced front teeth - they are not able and do not try to fix problems with jaw relationships and arrangements of back teeth. To resolve such problems needs the attention of a more fully qualified practitioner and more importantly almost always fixed orthodontics and a course of treatment that lasts a year or two.
Our techniques move teeth at the same speed as more traditional systems, but by focusing on less complete treatment they are perceived as faster - straightening back teeth and rearanging bites take time.
This makes STO/LTO treatment  ideal for retreating orthodontic relapses as these often involve just the front teeth.

The exception is Mr Morden can also provide limited aesthetic fixed treatment (ClearSmile Brace (CSB)), which can resolve more complex problems and is ideal if teeth are tilted or rotated.

So what are the options: [ click on the links to see fuller descriptions]

Inman Aligner  - removeable / moderately visible / quick

ClearSmile - clear aligners - almost invisible and little bulk / slower / often more expensive

ClearSmile Brace - classic fixed braces and wires but reworked in clear ceramics and white coated wires - not removeable but very effective 

At Barley Mow all the dentists routinely provide white (tooth-coloured) fillings primarily using dental composite in the vast majority of situations.

We still do use silver amalgam in some instances as it is a solid product with a reliable history. It is just unfortunate that it is a silver to black colour and contains mercury!

At the same time we have all had a lot of practice using composite and can usually achieve an aesthetic and functional result. it is a trickier product to use and get the best resluts from so usually it takes a few minuted longer for the appointment.

Introducing the Inman Aligner

inman-aligner-before-after

Until now, the alternatives to straighten front teeth involved either long and expensive orthodontic treatments or destructive and expensive restorative treatments such as veneers or crowns. Even ultrathin veneers involve heavy reduction of natural teeth when used to align crowding or protrusion.

But with the arrival of the Inman Aligner, all that has changed.

Tooth Whitening must be the most successful dental treatment ever devised!      smiling blonde

It delivers whiter, brighter teeth in a matter of weeks with minimal problems and side efffects.

In more than a decade of providing whitening we have seen few real problems other than transient tooth sensitivety and in the short term uneven results, which usually flatten out with ongoing treatment.

Few patients ask for topups in less than two years, and topping up is quick, easy and inexpensive.

So, why are you waiting - make an appointment today

What it costs - Smile Month Promotion

Plan Patients:         £200
Private Patients:     £250

This includes provision of upper and lower whitening trays and as much gel as required in the initial course of treatment.
The process involves taking molds of the teeth and then constructing vacuum formed 'splints' or 'trays' which fit snugly onto the teeth and hold the gel in position.
As a patient you then wear the splints for either 30 - 45 minutes a day or overnight, for usually 4 weeks, although longer wear may be needed if a large colour change is desired.

Once treatment is completed further kits of of the gel can be purchased to ‘top up’ the whitening from time to time. Most of our patients find this is needed every 1-2 years and it takes a week.

It is illegal for anyone other than a trained dental professional to carry out tooth whitening since October 2012.

Whitening will not damage or remove any of your tooth structure , so it is a great initial option, even in difficult cases.

We will only use products from reputable companies - at the present Philips, and before that 3M, so you can be sure of their efficacy and safety - can you say the same from products you buy online?

With the 3M True Definition intra Oral scanner we can take highly accurate, digital impressions of your teeth...
Picture1Barley Mow is one of the few practices in the country to be using this cutting edge digital technology to make our crowns, veneers and bridges.

The new model we recently purchased allows us to:
* scan all your teeth to create 3D models for orthodontics purposes.
* scan your teeth and construct very accurate dentures.
* scan teeth that have had orthodontic treatment and produce very accurate retainers at any time, on demand.
* scan teeth that are worn or damaged by acid erosion and monitor ongoing wear.
* scan full and partial dentures, store the files and print a replica denture if the originals are lost to facilitate replacement

 

Today there is an increasing number of digital dental scanners on the market as the digital revolution moves on in dentistry.

The 3M True Definition Intra Oral Scanner is an updated version of the scanner we had previously. It has  3 video cameras operating simultaneously on 3 different axes recording the surfaces of the teeth at 20fps. The system is able to build a 3D model of the teeth accurate to microns in a few minutes. The STL is then transferred into the cloud and can then be collected by a laboratory  or sent to BRONTES in the Minnesota where a physical model of the teeth is built using stereolithography (SLA).

Stereolithography is an additive manufacturing process using a vat of liquid UV-curable photopolymer "resin" and a UV laser to build parts a layer at a time. On each layer, the laser beam traces a part cross-section pattern on the surface of the liquid resin. Exposure to the UV laser light cures, solidifies the pattern traced on the resin and adheres it to the layer below.

After a pattern has been traced, the SLA's elevator platform descends by a single layer thickness, typically 0.05 mm to 0.15 mm (0.002" to 0.006"). Then, a resin-filled blade sweeps across the part cross section, re-coating it with fresh material. On this new liquid surface, the subsequent layer pattern is traced, adhering to the previous layer. A complete 3-D part is formed by this process. After building, parts are cleaned of excess resin by immersion in a chemical bath and then cured in a UV oven.

The models are then airfreighted to our laboratory in Thornbury, CBC, who may have already designed and milled any CAD-CAM components. They also have a laser sintering device that can create metal components in a similar process to the model construction above. In either case the True-Def scanner enables the most accurate models to be made, ensuring your crown, bridge, inlay or onlay will fit like a glove when it comes to the fit appointment.

As dentists we are seeing crowns that fit perfectly first time, with little need for adjustments in the vast majority of cases. This must improve the survival and longevity of the tooth you have invested in compared to conventional impressions and crowns.

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