Our strength is in managing patients with dental phobias and fears and those with special needs.
Dr. Nupur Hackwood who has a specialist degree in Paediatric Dentistry from the University of Otago New Zealand, uses her rigorous training in understanding fears, anxieties and behaviour modification techniques to not only manage difficult and apprehensive children but also to provide general dental care to phobic and apprehensive adults and those with special needs.
Many patients, particularly adults, have a terrible fear of dentistry which probably stems from having had bad dental experiences in the past. Not all dentists are suited or are capable of dealing with patients who are under stress.
At Toothwise, Dr Nupur Hackwood, her hygienist and her staff are trained to manage patients with extreme dental phobias from the time they make that initial contact to the time they finish treatment as well as continue to return to us for routine maintenance programme. [Click here] to go to our special page dedicated to our special patients suffer Dential Anxiety, Fear or Phobia.
See right for solutions to various dental problems
Many patients feel self-conscious of their smile if they have teeth that are crooked, discoloured, chipped or even filled and we have often heard them say that they do not like to smile or show their teeth when they smile. Some even will cover their mouths when they smile.
Whether it's one tooth that is discoloured and/or out of alignment or multiple teeth, we at Toothwise can develop a cosmetic treatment plan for you.
Talk to us if you would like the colour, shape or size of your teeth altered. The solution may be as simple as replacing a filling or recontouring the sahpe of a tooth to multiple veneers or crowns. We can discuss your options with detailed costings to help you choose the plan that best suits you. You deserve a smile!
Providing general dental care for Infants, children and adolescents in a relaxed, fun environment using various behaviour management techniques as necessary to manage the young individual is our strength.
Our goal is to provide the child with a rewarding, gentle, pain-free positive dental experience without needing General Anaesthesia usually.
A special Children’s room allows children to relax and have fun whilst they wait their turn.
Dr. Hackwood is not only a General Dentist but also a specialist in Paediatric Dentistry and managing children with special needs and or phobias is her forte.
Dr Nupur Hackwood is a member of ANZSPDA Australian & New Zealand Society of Peodiatric Dentistry Association [click to go to website]. She has gained experience from her extensive aid work for mentally and physically handicapped children at shelter home in India. Recommend you child have their first visit by 12 months of age as we can start prevention strategies with parents at an earlier age.
We sometimes see kids with several cavities by age 2. Preparing your child for the first visit.
- Avoid trasferring you own negative dental fear.
- Avoid use of words like needle.
- Oral hygiene habits tooth eruption diet advice.
- Children often cry in an unfamiliar environment so don't feel embarrassed. - Supervising a child's brushing.
Spitting out toothpaste. Flossing? LIfting the lip and checking. Bottle caries. Sealants. Stainless steel crowns. Strip Crowns. Children's root canal therapy. Thumb sucking habits catch early. MIH. Early orthodontic treatment available 2nd half 2010. Age 7. Dental trauma emergincies - what to do? Caries free club and Tooth Fairy certificate - ask us.
As life expectancy has increased, we see more people with their own teeth at an age where often they are not able to brush and floss their teeth as well as they used to. Root caries is a common problem in older people as the gums recede and the softer root surface gets exposed.
All our surgeries have wheelchair access and staff are well equipped to manage the elderly.
Ensuring early detection of root caries at regular checkups and planning for prostheses to replace missing teeth are some aspects of dental care we provide our aging population.
Snoring; it's annoying, it's irritating, it can affect your health and strain relationships. Of particular concern are the strong links that exist between snoring, Obstructive Sleep Apnoea (OSA) and heart failure. Also, Obstructive Sleep Apnoea (OSA) is one of the causes of high blood pressure.
Snoring, often but not always associated with Obstructive Sleep Apnoea (OSA), occurs when the airway at the back of the throat collapses during sleep. The collapsed airway results in the noise of snoring and also the constant waking (apnoea) of OSA.
Over the past decade, research has shown that oral device therapy is proving to be an increasingly popular and readily acceptable treatment for snoring. This oral device therapy involves the provision of custom-made upper and lower dental plates which fit on to existing teeth. The plates have an adjustable mechanism that holds the lower jaw (mandible) in a forward (advanced) position. This forward positioning of the mandible keeps the upper airway open and reduces its collapsibility.
The MAS (Mandibular Advancement Splint) is particularly indicated for snoring and mild to moderate OSA; is comfortable and easily tolerated for night time wear and is easily adjustable to meet each individual's requirements .
The provision of any such oral device (often, but by no means always, on referral from a GP or Physician) requires a careful and thorough diagnosis and assessment; an ongoing programme of review and adjustment of the appliance and constant monitoring for any possible side-effects. Most snoring devices are provided by Dental Sleep Professionals who are dentists with a particular interest and training in their use.
Images courtesy of SomnoMed Australia
We believe that most of our patients do want to learn and be encouraged to adopt better oral hygiene habits to improve their well being and reduce their risk of expensive dental problems.
Katie Martens, our hygienist, focuses on this aspect of dentistry with all age groups of patients as they return for their regular scale and clean appointments thus reinforcing the value of prevention in keeping teeth for life. Why see a hygienist? [Click here for more information on why.]
In addition to the broad spectrum of services we offer our patients, we also work in close conjunction with specialists to provide the right dental treatment for patients who may need special dental care such as:
First Aid for Dental Emergencies
Toothache or Gum ache
Severe toothache is very painful and can present as a sharp, piercing pain or a constant dull ache or throb that can develop suddenly or gradually over days. Pain on lying down or after having a hot drink or pain that keeps you awake at night is indicative of nerve damage and infection and needs to be taken care of promptly. Taking pain killers may provide temporary partial relief but if not taken care of promptly it can get worse often with facial swellings. Antiinflammatories such as Ibuprofen (if you are not allergic to this) are better than Panadol for toothaches but generally Antibiotics need to be prescribed for the infection in the tooth that is causing the pain. Applying hot compresses alternating with cold can often relieve some of the pain.
Sometimes the ache is not from the tooth per se but from the gums. Frequent food pack in between teeth is a common cause of severe ache which mimicks a toothache. If you have not had regular cleans and have a large amount of tartar on your teeth, the bacteria can destroy your gums and bone and set up an acute infection called ANUG. Flossing and rinsing with mouthwash can provide temporary relief. Call us promptly so we can take care of the infection immediately.
If you have a broken/fractured tooth with a sharp edge that is cutting the tongue and you cannot get to us straightaway, you can try sticking some chewing gum on the tooth. Call us propmptly so we can atleast smoothen the sharp edge for you as an emergency procedure and shedule an appointment to fix the tooth properly.
To prevent fractures of teeth whilst playing sport, remember always to wear the mouthguard. With modern advances in bonding, if you can find the fractured part of the tooth bring it in and we will see if we can bond this fragment back to the tooth. Cr acks in teeth are common and pain on biting hard things like seeds or nuts is a good indicator of a cracked tooth. Left unattended these cracks can cause the tooth to split or allow bacteria to travel to th e inside of the tooth causng nerve damage.
If the fracture/crack causes pain and swelling, applying a cold compress on your cheek may help relieve the pain. Call us promptly so we can take care of the problem immediately.
Tooth that gets knocked out
If it is a baby tooth that gets knocked out of the mouth, it should not be put back as it can damage the permanent tooth underneath.
If it is a permanent tooth that is knocked out it needs to be put back in the socket ASAP. If the injury happens in a clean environment or swimming pool, replace the tooth straightaway. If the injury happens on a ground with dirt then do the following:
hold the tooth by the crown - not by the root
rinse the tooth in saline, milk, or water to clean it off any dirt
Do not scrub the tooth to take dirt off
Put the tooth back into the socket and hold it in with finger pressure
If you are unable to do this then put it in a container with the above solutions and bring it in to the dentist
Call your dentist in advance so they can prepare for this emergency before you arrive as time is crucial
The first 30 minutes is crucial in determining if the tooth will survive long-term if replaced in the socket
Childhood injuries to teeth
It is very common to have young children especially toddlers as they lean to walk fall over on their faces and break their teeth or push their teeth into the gums or out of the gums. Often the face or gum bleeds and both the child who is in pain and mother who is anxious are visibly stressed. It is important to remain calm and call us straighaway so we can advise you on what you can do if you are unable to come down straightway. In most cases, these injuries are not serious and there is very little that can be done. It is important to check for head injuries, fragments in lips, or extremely loose teeth as these can be swallowed. Call us and we will take care of your child.
Some patients have special needs such as being in a wheelchair. All our rooms have wheelchair access. We are able to treat you in your wheelchair in most cases. Some patients have severe Parkinson's disease and may need a head support. Some children/adults with autism may need to familiarise themselves with the new dental environment efore they can accept any treatment. Some patients have strong gag reflexes, we have strategies to take care of this. Some patients may not like being positioned too far down in the chair, some patients cannot stand cotton rolls in their mouth, others have an allergy to our latex gloves - we have a solution to most of your special needs so firstly please tell our friendly reception staff about your special need when making your booking and also let the dentist know so we can help.
Member Australian Dental Association
Dental Solutions for:
Dental Phobic patients
Music with headphones
Patient screens to watch videos
Modern Pain management
Premedication with sedatives
Nitrous Oxide gas (happy Gas)
General Anaesthetic referrals
Cavities & toothache
Bonded white fillings
Temporary sedative dressings
Root canal treatment
Drainage of Abscesses
Flouride & tooth mousse
Bleaching 'Zoom' (90min in chair)
Bleaching (take-home trays)
Bleaching tooth internally
Replace old fillings
Fractured & chipped teeth
Bonded white fillings
Full mouth Rehabilitation
Gaps & Crooked Teeth
Bonded white Fillings
Crowns and Bridges
Bonded Composite bridges
Bleeding or Sore gums
Scaling and Cleaning
Drainage of gum abscesses
Quadrant cleans under local anaesthetic
Fitted trays for delivery of medication
Oral hygiene advise
Application of medicament
Bonded white fillings
Referral for Gum surgery
Jaw aches/clicks, Headaches & Snoring
Full jaw X-rays (OPG)
Muscle tensing referrals
X Rays to check for fractures
Replace tooth in socket
Bonded white fillings
Snoring & Sleep Apnoea
Appliances to stop snoring
Relining or rebasing
Cleaning of dentures
New acrylic or metal dentures
Mini-implants for ill fitting ones
Full mouth check-ups
X-rays inside the mouth
Full Jaw X-rays (OPG)
Plaque & Decay detectors
for diagnosis of:
Jaw Bone Disease
Burning Mouth Syndrome
Bad breath (halitosis)