Dental

Patients with jaw growth deformities, including those with congenital dento-facial anomalies and facial disproportions who require a combination of orthodontics, restorative dentistry and maxillo-facial surgery.

Patients with clefts of the lip and palate. Children born with an abnormal failed union of the soft and hard tissues of the face who require a combination of orthodontics, restorative dentistry and maxillo-facial surgery.

Children and some young adults with impacted teeth. The buried teeth have a specialised attachment placed on the tooth during a combined surgical list of orthodontics and maxillo-facial surgery.

Patients with genetic failed eruption of one or more adult teeth. The children’s teeth are still buried within the jaw bones.

Children and young adult patients with congenitally missing adult teeth (Hypodontia) who require a combination of orthodontics, restorative dentistry and surgery to rehabilitate their mouth, dentition and jaw alignment that may involve the use of bone supported dental implants.

Intermittent airway obstruction and sleep apnoea requiring orthodontics and jaw surgery to improve the patient’s airway.

Patients with jaw pathology that requires a combination of orthodontics and maxillo-facial surgery (jaw surgery) treatment.

Children with mal-aligned teeth and jaws who require comprehensive orthodontic treatments who may have a medical history including learning difficulties.

We provide diagnosis, treatment planning and advice for colleagues.

Conditions we treat include the following challenging patient groups that require liaison with other specialties:

• Head and neck cancers
• Facial deformity
• Genetic dental disorders  such as cleft lip and palate, congenital absence of adult teeth (Hypodontia), disorders of tooth colour, shape and size
• Trauma and dental  injuries
• Sleep apnoea
• Jaw joint discomfort
• Toothwear

 Treatment of patients with complex or advanced dental diseases:

• Periodontics – treatment of a spectrum of diseases of the gum and bone supporting the teeth not amenable to routine dental treatment
• Endodontics –root canal treatment in teeth with complex root shapes leading to tooth retention and improvement overall health and quality of life
• Prosthodontics – the provision of removable and fixed  appliances e.g  obturators, dentures,  crowns/caps, dental bridges and dental implants for patients who meet  locally agreed specialty  referral  guidelines

Our dental hygienist provides supportive therapy  for patients under our care presenting with the following conditions:

mouth cancers, aggressive gum disease, hereditary gum disease, implant patients, cardiac patients , orthodontic patients  including cleft lip and palate patients and those with learning difficulties.