COVID-19 UPDATE FOR INGRAMS DENTAL PRACTICE 23rd March 2020

COVID-19 UPDATE FOR INGRAMS DENTAL PRACTICE
To all our amazing patients…

We regret that as this global epidemic unfolds we are forced to make difficult decisions regarding your safety and ours. For this reason ALL routine examinations and treatments will be suspended as of 23rd March 2020 following guidance from the British Dental Association and the Chief Dental Officer for England.

The practice will be operating a telephone advice service for emergencies only. Please do not attend the practice.
To access this service, please call 07495 799527 (Mr Ingram) or 07494 196580 (Mrs Ingram).

Please be reassured we are keeping up to date as much as possible with the rapidly developing guidelines. We shall keep you informed on our website www.ingramsdp.com and our Facebook site (https://www.facebook.com/ingramsdp/).

We recognise and appreciate your understanding in these unprecedented times and look forward to recommencing to provide care for you all when we return to normality.

With the very best of wishes,
Mike and Suzie Ingram and the team at Ingrams Dental Practice

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Update on Covid-19 17/03/2020

To all our patients, 

Everyone is concerned about the developing situation with Covid-19, the new coronavirus, in Britain, Europe and Worldwide. 

We would like to reassure you that, as always we are here for you and shall continue to act to ensure the health and the safety of our patients and team. 

We are accustomed to decontamination procedures and the dental surgery is one of the cleanest environments there is. Within the practice, throughout the day all the door handles, tablets, card machine and reception desk are wiped down with alcohol wipes. We have plenty of hand soap and hand towels in all our rooms and toilets. There is hand sanitiser on the reception desk and we ask each patient when they come in to sanitise their hands. 

All our treatment rooms are wiped down and sanitised between each patient as standard procedure. 

We have stopped all deliveries coming into the practice unless necessary in which case the delivery person sanitises their hands. We are not accepting people just walking into the practice as another precautionary measure. 

As matters develop we will need to respond to changing advice, possibly on a daily basis. We will do our best to continue to provide care with a proportionate response. As part of this,we would ask any patient who has cold or flu like symptoms to cancel their appointment, follow government advice, and not attend until those symptoms are gone. 

If you have an appointment for dental treatment we are currently saying stick with it. However we may have to contact you to cancel if the situation changes. 

If you are over 70, or medically compromised, we offer deferral of routine examination appointments. If, over the next period you are feeling anxious and isolated we are very happy for you to call us for a chat and to keep in touch with you regularly by phone. 

Online consultation – if you are self-isolating, or would just prefer to stay at home, and have dental concerns, we will be glad to arrange to have a discussion with you on the phone or by email. Clearly this won’t be able to deal with everything but we hope we may be able to provide reassurance in many situations. 

We would like to remind you of our constant message to keep up brushing and cleaning in between your teeth. Keeping your mouth healthy is an important part of keeping your immune system healthy.  

 

Kind regards, 

The Team at Ingrams 

 

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Overcoming Obstacles with Sedation

By Dr Mike Ingram BDS MSc

For many people the thought of going to the dentist creates feelings of deep anxiety. For some this is such a problem that they do not attend a dentist at all; or only when driven to by toothache.

By not attending regularly small problems that could be prevented or treated conservatively often get left until they cause great pain and infection. By then usually the only solution is extraction of one or more teeth. Unfortunately infected teeth can be difficult to get numb, and they can also be difficult to extract. This does little to help the nervous dental patient as it makes them only more determined to avoid dental treatment in the future!

Many people have dental problems which they would like to have treated, but are so anxious that they can’t bring themselves to do something about it.

If you haven’t been to a dentist in years because you suffer from fear of dentist or dental phobia, help is at hand.

Intravenous (IV) Sedation Dentistry and Fear of Dentists

IV Sedation is a safe and effective method of controlling a patient’s anxiety. It differs greatly from General Anaesthesia, as the patient is conscious throughout. This makes it safer and possible to carry out in a normal dental surgery.

During IV Sedation, the patient has a sedative drug fed through a small cannula inserted into their forearm or back of their hand. The amount of drug given is carefully measured to give just the right effect. Patients feel relaxed and sleepy and often have no memory of the treatments they receive.

Other methods of sedation include Oral Sedation (where a dose of diazepam (Valium) is given before the appointment. The efficacy of this method varies greatly from person to person, with some people experiencing no discernable benefit whatsoever. Commonly people can have a ‘hangover’ from the effects of the drug wearing off. There is also still a considerable social stigma attached to Valium.

Inhalation Sedation (also known as Relative Analgesia) uses a mixture of Nitrous Oxide and Oxygen (laughing gas). This is very effective for children but is usually not powerful enough to sedate adults.

Some dentists practise hypnotherapy to help ease patient’s anxiety. This can be very effective for susceptible patients.

With sedation dentistry or oral conscious sedation, dental patients will experience a state of very deep relaxation. You can still speak and respond to the requests of others.

Many dental patients take advantage of the different levels of sedation or sleep dentistry that allows the dentist to perform multiple oral treatments and procedures that might normally require more frequent dental visits.

Any treatment routinely carried out by your own dentist can be carried out under sedation including:

  • Extractions
  • Teeth whitening (bleaching)
  • Replacing dental crowns or dentures
  • Fillings, including root fillings
  • Gum disease treatment

Who is a Candidate?

Adults who have…

  • high fear of visiting the dentist
  • had traumatic dental experiences
  • difficulty getting numb
  • a bad gag reflex
  • very sensitive teeth
  • limited time to complete their dental care
  • complex dental problems

Adults who…

  • hate needles and shots
  • hate noises, smells and tastes associated with dental care
  • are afraid and embarrassed about their teethWhatever is causing your obstacle having the smile that you want, help is at hand to help you overcome it.

Dr Mike Ingram is a member of the Society for the Advancement of Anaesthesia in Dentistry and runs Ingrams Dental Practice in Coalville with his wife.

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Root Filling Success rates

We are delighted to announce the results from our Audit into root filling success rates. All dentists should audit their work and compare the results against expected benchmarks in order to ensure they are providing optimum care for their patients.

In our audit we searched for all patients who had had a root filling in the last ten years. Failure was counted as extraction of the tooth. Of the 420 root fillings, there were only 15 failures (4%), compared with the expected 10-12.5% in the literature.

Of the 15 failures, 5 (1.19%) were due to decay, 4 (0.95%) due to residual symptoms/infection, 2 (0.48%) were due to fracture of the filling where the tooth had not been crowned, three teeth (0.71%) were extracted for reasons other than decay and also unrelated to the root filling, and one tooth (0.24%) was fractured due to failure of a post crown.

As a result of this audit we would suggest root fillings as a highly successful treatment option, and encourage regular attendance to ensure the long term success of the restored tooth.

Please follow the link to the information sheet by the British Endodontic Society to compare our results and gain further information:

https://www.britishendodonticsociety.org.uk/patients/further-information.html

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