Melbourne Dental Practice

CORONAVIRUS UPDATE

IF YOU REQUIRE ADVICE REGARDING A DENTAL EMERGENCY PLEASE RING THE PRACTICE BETWEEN 9AM AND 11-30AM, THANK YOU.

Your appointment after we reopen.

As you will have probably heard the Government has given us an advisory date of 8th of June to start to plan the return phase to work.

During the lockdown time and while we have been offering telephone triage we have:

We are now training hard to ensure the dental environment is truly safe for both our patients and staff.

The last pieces of PPE will be with us shortly and we are still waiting for clarification of how we will need to work- again we are promised this soon.

During the lockdown we have now got a list of patients that need our urgent help. Understandably we will be giving our first attention to those that need us most, but rest assured we will be getting to you as soon as we can- our computer system has you safely logged. If you develop an urgent problem, please give us a ring.

When we reopen, we and the practice will look quite different, don't worry, its still US under all the funny looking costumes and we will fully explain how you will move through the practice before you come. This will involve us checking your COVID status on arrival, and also checking your temperature as well.

If you have any questions please contact us on 01332 862942.

We thank you all for your patience and understanding at this most extra-ordinary of times.

Click here for tips to help you manage dental your problem until you can see a dentist.

Index of Orthodontic Treatment Need (IOTN)

Orthodontic TreatmentA simplified summary of the IOTN assessment is provided below. The accurate use of IOTN requires specialist training. The assessment of dental health need for orthodontics should take place in a specialist practice. The consultation is an opportunity for a thorough check for other abnormalities. Problems requiring surgery or a combination of dental specialties can then be referred into the hospital service. Those who do not have a dental need for treatment will have had the reassurance of an expert opinion on their dental development.

The Dental Health Component (DHC) has 5 Grades.

Grade 1 is almost perfection,

Grade 2 is for minor irregularities such as:

  • slightly protruding upper front teeth
  • slightly irregular teeth/li>
  • minor reversals of the normal relationship of upper and lower teeth which do not interfere with normal function.

Grade 3 is for greater irregularities which normally do not need treatment for health reasons.

  • upper front teeth that protrude less than 4 mm more than normal
  • reversals of the normal relationship of upper teeth which only interfere with normal function to a minor degree; by less that 2 mm.
  • irregularity of teeth which are less than 4 mm out of line
  • open bites of less that 4 mm
  • deep bites with no functional problems

Grade 4 is for more severe degrees of irregularity and these do require treatment for health reasons.

  • upper front teeth that protrude more than 6 mm
  • reversals of the normal relationship of upper teeth which interfere with normal function greater than 2 mm
  • lower front teeth that protrude in front of the upper more than 3.5 mm
  • irregularity of teeth which are more than 4 mm out of line
  • less than the normal number of teeth (missing teeth) where gaps need to be closed
  • open bites of more than 4 mm
  • deep bites with functional problems
  • more than the normal number of teeth (supernumerary teeth)

Grade 5 is for severe dental health problems

  • when teeth cannot come into the mouth normally because of obstruction by crowding, additional teeth or any other cause.
  • a large number of missing teeth.
  • upper front teeth that protrude more than 9 mm
  • lower front teeth that protrude in front of the upper more than 3.5 mm and where there are functional difficulties too
  • cranio-facial anomalies such as cleft lip and palate.

The Aesthetic Component (AC).

The NHS does realise that some children need orthodontic treatment just because their teeth look really bad. The Aesthetic Component is a scale of 10 colour photographs showing different levels of dental attractiveness. The grading is made by the orthodontist matching the patient to these photographs. The photographs were arranged in order by a panel of lay persons.

In the NHS, the AC is used for border-line cases with Grade 3 DHC. If the case has a high AC score, NHS treatment is permissible.