COVID19 Announcement

The Government, following the recommendation of the National Cabinet have mandated that dental practices move to Level 3 Restrictions effective immediately.

What Level 3 Restrictions Mean

Level 3 restrictions means routine dental treatment including examinations and scale and cleans must be deferred.

Until further notice only limited emergency dental treatment on patients who are not infected with Covid-19 or are under self-isolation can be carried out in the practice. Such emergency treatment will be by special arrangement by me. If you are a patient of my practice and have a dental emergency, please call me on 0417 320 376 and I will advise what can be done to help you.

Thank you for your understanding in these trying times and we will reopen as soon as it is safe to do so.

Stay safe and best wishes,

Dr Richard Skinner & The Team

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The Man Behind the Sign

How things have changed!

Dr Richard D. Skinner BDS (Otago) NZ

The Man Behind the Sign!

Last Friday,¬† Richard and I were out and about with our Rotary Club. It was Rotary Melbourne’s Annual Art’s Committee Walk. We came across an old sign in the CBD. So, of course, Richard posed and one of our Rotary friends took this picture. I remember getting the artwork organised for this almost 15 years ago, the arrow was important, we didn’t have phones with google maps in those days.

How things have changed! We are now in a world of information overload where your Instagram Feed goes at a million miles an hour. Just about all of us check a business online before we even contact it. We actually determine by what we see online as to whether we even contact a business. For us, our internet presence is important because we want you to feel comfortable when you come in to see us that you have the right place.

 

So what would we have done differently back then with what we know today? We would begin by adding a picture of Richard to the sign.

Take care Ari ūüôā

 

 

 

 

 

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It’s that time of year again!

Season’s Greetings

 

It’s¬†December.¬† Summer has arrived and the end of year parties and BBQs have started.¬†We hope you have achieved great things this year and go on to achieve even greater ones in 2019!

We have had a wonderful year both professionally and personally and look forward to what the new year brings.

Here at Dentist on Collins™ our goal is to continue to look after all of you and give you our best service every time, year after year.¬†Some of the things we do are obvious, but there are many behind the scenes processes that we carry out routinely that you do not see. The most important are our infection control procedures. Things like the daily tests that we run every morning to ensure that our autoclaves are running optimally before we sterilize our instruments. The changeover process we have after each patient, that includes the changing of all barriers and the wiping down of surfaces with single-use disposable wipes before we place new biodegradable barriers for the next patient. We track all our instruments and can trace back what we used for each case and from which autoclave cycle it came from.

We take everything we do seriously because we care for you and your family’s safety. As early adopters of Accreditation for Dental Practices, we are happy to report that we are currently undergoing our third cycle for accreditation, which is voluntary for privately owned dental practices like ours.

What does accreditation prove you may ask? The following quote sums it up beautifully:

‚ÄėAccreditation demonstrates a practice‚Äôs dedication to delivering high quality care and safety to their patients.‚Äô[i]

Good oral health is part of a holistic approach to your total health. It’s been great to see campaigns in the media this year warning people on the effects of excessive sugar consumption. Like all good things we shouldn’t overdo it with sugar but we should be able to enjoy our favourite foods over the holidays. We can then balance the effects of eating our favourite goodies by being physically active, drinking more water and making sure our oral hygiene doesn’t lapse.

It’s all about balance and remember, when it comes to holiday treats what works best is: Moderation in all things!

 

Season’s Greetings to you all from Dentist on Collins!

 

 

 

 

 

 

[i] https://www.agpal.com.au/practice-accreditation/

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What’s all the fuss about Wisdom Teeth?

Wisdom Teeth Extractions

Wisdom teeth, 8’s or third molars as they are commonly called, probably cause more trouble to young adults than any other dental problem. Why is it that so many people in their late teens and early twenties are told that they have impacted wisdom teeth and need to have them removed?

The reasons are different but the end result is often the same; ‚Äúyou need to get your 8‚Äôs out‚ÄĚ. While it is possible that there is an evolutionary trend for some people not to have third molars, for most of us who have them, there are many reasons why they must come out. It can be as simple as because they are the last teeth to erupt, there is not enough space to accommodate them in the mouth. It is mostly the lower ones that give the most trouble but upper ones can also end up in strange places.

How to deal with them

What should be done to deal with wisdom teeth that are causing problems? Well there are options, the first of which is to ignore them and do nothing. Unfortunately, the problem will usually persist and eventually, you will agree to having them removed. After evaluating an OPG radiograph of the mouth I will sometimes offer the choice of taking them out myself under local anaesthetic or referring you to an Oro-Maxillo-Facial Surgeon for removal, mostly in hospital under general anaesthetic. If I believe that the removal of the 8’s could be complicated or there are potential risks involved such as damage to the nerve or adjacent teeth, I will always recommend an Oral surgeon remove the teeth. They are very skilled at removing impacted wisdom teeth and if there is a risk of nerve damage they will use 3-D radiography to guide them to reduce the risk of complications.

At the end of the day, there is always an element of risk which needs to be explained and assessed as to the possible effects if there is damage to the lingual or inferior dental nerve. Obviously, if you are a professional singer or play the flute or some other reed instrument in an orchestra, any loss of nerve sensation would be catastrophic. Such a person may choose to live with the problematic teeth.

Fortunately for most people, wisdom teeth removal is a minor inconvenience.  Simple aftercare instructions and over the counter analgesics and anti-inflammatories assure a quick recovery.

For further information contact the surgery on 9662 1505

The above is general information only and I assess each case on its merits. If you have problems or concerns we are here to help and advise you of your options after a proper consultation.

© Dr. Richard Skinner
Dentist on Collins ™

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Tooth brush abrasion, what type of toothbrush should I use?

Toothbrush Abrasion

I’m often asked by¬†patients “what type of toothbrush should I use”? Here at Dentist on Collins we always recommend a soft or ultra soft toothbrush. It’s kinder to your gums and your teeth.¬†Using a soft toothbrush decreases the likelihood of abrasion to teeth and gingival recession (receding gums) from occurring. Toothbrush abrasion is the mechanical¬†wearing down of teeth that comes from overzealous brushing either for too long or with a hard brush, usually both. Apart from the cosmetic changes that occur, toothbrush abrasion can also make your teeth very sensitive if left untreated. It can also become expensive to treat.

Soft toothbrushes and brushing

The number of people who ask for a medium or hard toothbrush is fortunately declining. Yet even after years of our free new toothbrush and toothpaste program with every hygiene visit we still seem to get a few people who ask for a hard toothbrush!

It’s not about how hard you brush, it’s about how well you brush. Remember to clean all the surfaces of your teeth and brush your tongue too. Whilst brushing your tongue may feel funny at first, so slowly build up to it. Colgate has a great article on their website called ‘How to Brush’¬†It has step by step instructions and answers many questions that you may have.

How often should I change my toothbrush?

You should change your toothbrush every three months. Someone once told me to change it at the beginning of each season so you won’t forget when you last change it. Whilst that is a great idea there are other times of when you should change it:

  • When your toothbrush is looking a bit worn.
  • When you have had a cold, toothbrushes do have bacteria on them and you don’t want to continually reinfect yourself with your toothbrush.
  • After an extraction, dental implant or any other type of oral surgery. Once again you don’t want to introduce any bacteria lurking on your toothbrush to the extraction site.

Apart from giving you a free toothbrush after every¬†hygiene visit, we will also give you one after oral surgery. So when we do, please don’t keep it for when you go away, but go home and throw out your old toothbrush and use the one we have just given you.

One last thing!

One last thing, it is surprising how many people keep their toothbrush in the open in their bathroom and flush their toilet with the lid up. Flushing a toilet creates an aerosol of faecal bacteria that settles on anything in the bathroom. The purpose of the lid on the toilet is to contain the aerosol within the bowl.

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The stages involved in getting a dental implant

 

Before and after Surgery for an Implant Fixture

The stages involved in getting a dental implant can be broken down into specific phases; the preparatory, surgical and the restorative phase. The first stage is the information gathering, assessment and planning phase. This may involve extraction and/or bone grafting to prepare the site to receive the fixture.  The second stage is the surgical phase when the implant fixture is placed into your jaw bone. The third, the restorative stage is when the final implant crown is placed on top of the implant fixture. Generally, the time between the second and third phase is three months. This can vary with each individual case and if bone grafting is involved, it adds a further six months to the process. During the time in between those phases, the fixture integrates into your jaw allowing the bone to grow thus securing the fixture. A dental implant comprises of three parts, the fixture, the abutment and the implant crown.

 

The implant fixture and healing abutment

On the day of your implant surgery, a healing abutment is placed on top of your new implant fixture that helps shape the healing gum. This is left for the entire integration process which is usually three months. During that time the expected outcome is that the implant fixture will integrate into the jaw bone. As we do not load the crown (tooth) component immediately a partial denture can be worn if it’s a front tooth.¬† Another method is to make plastic translucent trays, much like bleach trays, and place your original tooth in there to fill the gap.

Post Implant Fixture Surgery

On the day of surgery please abstain from alcohol, it is also advisable for a couple of days after your surgery that you take it easy and not engage in any strenuous exercise. The reason for this is to keep your blood pressure down and this will assist with healing. You will be given a post-operative mouthwash to use twice a day for the first two weeks after surgery. Other than that you can continue as normal. Most patients are completely comfortable and pain free.

After your post-operative appointment a couple weeks later, a date will be made for a review appointment. As you can see in the picture, the healing abutment is covering the surgical site. You will notice that there are no sutures present. This is because your implant will be placed under the guidance of a microscope using keyhole surgery.

At the review appointment, Dr. Skinner will run diagnostic tests and take an x-ray to assess whether the implant fixture has integrated. When he is satisfied that it has, impressions will be taken for the fabrication of the crown. We can arrange to have this done at the same appointment.  The impression is taken by placing a tray with fast setting impression material into your mouth until it sets. The impressions are then sent to the dental laboratory, where a tailor-made for your mouth will be fabricated. The dental laboratory requires three weeks to make your implant crown.

The importance of taking the correct shade

 

A tooth shade will also be taken at this appointment, to ensure that the colour of the crown matches your natural teeth. The colour of teeth varies depending on genetics, age, their position in your mouth and other factors such as diet and lifestyle. Be aware if you would like to lighten your teeth at some stage please let your dentist know, so this can be planned for, as crowns cannot be lightened.

For more information click on the following:

Dental Implants

 

 

 

 

 

 

 

 

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Happy New Year

Hello and Happy New Year to you all! We hope 2018 brings peace health and happiness to everyone. Every year the new year brings with it a promise for a better year and every year most people make new year resolutions. My¬†new year resolution is to minimise added sugars and sweeteners to a bare minimum. That includes the hidden sugars in tinned products, sauces and drinks. Did you know that in 100 grams of tonic water there are 9 grams of sugar? That’s just over 2 teaspoons of sugar, add to that a second drink and some nibbles and it adds up.

Breakfast cereals are also a great source of hidden sugar. Read the labels on cereal boxes and take note of what the serving size is listed as. Is it a realistic portion size of what you and your kids would have. Are you consuming up to 6, 7 or 8 teaspoons of sugar just with your breakfast alone every morning? If limiting the amount of sugar you consume is your goal go easy on sweeteners, like honey, agave, rice malt syrup and maple syrup, they are after all sugars. Apart from the dental benefits, the health benefits when you limit your sugar intake is endless.

Other new year resolutions that people make are to quit smoking, to give blood regularly,¬† to learn a new language, to make an effort to see friends more often. The list is endless, a small resolution to add to the list could be to floss regularly ( if you don’t do so already),¬† perhaps, maybe, yes!¬† Whatever your resolution/s do something that gives you joy, happiness, great results and improved health.

Our New Year resolution at Dentist on Collins is to be the best we can be in every aspect of our commitment to you. Please feel free to contact us with your questions, concerns and feel free to ask us about the extra little things. Richard is only too happy to talk to you about your treatment, your dental hygiene, your sugar intake and other things that may be going on with your health that may be impacting on your dental health. Remember good health needs a holistic approach!

Let make 2018 the best it’s ever been!

Take care Ari ūüôā

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Season’s Greetings

 


 

It’s been another amazing year here at Dentist on Collins. Firstly we are happy to report that the renovations have finished! We have painted both surgeries as well as the waiting room and we have lovely new couches for you to sit on.¬†We have a new Melag¬†autoclave and a new Dentec ultrasonic cleaner, both pieces of equipment are German made. We have also replaced our slow speed handpieces. We completed our mid-cycle review for Practice Accreditation and passed! Practice Accreditation is very important to us, it means that we are constantly testing ourselves against Australian Standards.

We have dealt with some amazing cases, beautiful restorations that are functional as well as aesthetically pleasing this year. Richard’s dentistry is of a high standard and a¬† consistent quality, his commitment to you will not waiver. Your dental health is important and as the mouth is part of your body, a holistic approach to health is of the utmost importance for your well being.

Wishing you a wonderful break over the holidays and we look forward to seeing you all next year.


A Happy, Healthy and Prosperous 2018 to you and to your loved ones from all of us at Dentist on Collins

 

 

 

 

 

 

 

 

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