We offer a full range of dental treatments tailored to the needs of adult patients, focusing on preventative care, functional restoration, and long-term oral health. Dr Shilpa Shah is committed to providing safe, comfortable, and high-quality treatment in a calm and supportive environment
Treatments include:
Composite fillings are tooth-coloured restorations used to repair teeth affected by decay, cracks, or minor damage. Made from a durable resin material, they blend naturally with your tooth, offering a discreet and aesthetically pleasing result. Composite fillings bond directly to the tooth structure, which helps preserve more of your natural tooth and provides long-lasting protection. They're a popular choice for both front and back teeth due to their strength and appearance.
Composite fillings are most commonly used to treat cavities caused by dental decay. They can also be used to repair chipped, worn, or fractured teeth and to replace old metal (amalgam) fillings.
A composite filling is a tooth-coloured material made from resin and fine glass particles. It’s used to repair a tooth affected by decay, cracks, or minor damage while blending in naturally with your existing tooth.
No. Local anaesthetic is used to numb the area, so you shouldn’t feel any pain during the procedure. If you're worried about pain, or don't like traditional injections you can opt to use The Wand. You may feel some slight pressure or vibration from the dental instruments, but the process is generally quick and comfortable.
Yes. Many people choose to replace old metal fillings with tooth-coloured composite for aesthetic reasons. Your dentist will assess whether replacement is suitable for you.
With good oral hygiene, composite fillings typically last 5–7 years, and sometimes a lot longer. Their lifespan depends on the size and location of the filling, your bite, and your homecare routine and diet.
Missing teeth can impact more than just your smile, they may affect your confidence, alter your speech, make eating difficult, and even change the structure of your face.
Dentures are a versatile and effective way to replace missing teeth, restoring both function and appearance so you can get back to living confidently.
Partial dentures are ideal when some natural teeth remain. They consist of replacement teeth attached to a gum-coloured acrylic or metal base, and are removable for easy cleaning—typically taken out at night. Several appointments are needed to ensure they fit comfortably and function well.
Complete dentures are used when all teeth in the upper or lower arch are missing. Custom-made using an acrylic base that fits snugly along your gums, they restore your smile and ability to eat and speak with ease.
Dr Shilpa Shah has a special interest in removable dentures. She focuses on designing dentures that are not only natural-looking but also well-fitting and retentive, so they stay comfortably in place and give you confidence in your smile.
It usually takes a few weeks to adjust. You may notice changes in speech, eating, or increased saliva at first, but these are temporary. Wearing your dentures consistently and following your dentist’s advice can help speed up the adjustment period.
It usually takes a few weeks to adjust. You may notice changes in speech, eating, or increased saliva at first, but these are temporary. Wearing your dentures consistently and following your dentist’s advice can help speed up the adjustment period.
Yes, but it may take some time to adapt. Start with soft foods and gradually reintroduce firmer textures. Cut food into smaller pieces and chew evenly on both sides to help with balance and comfort.
Remove and clean your dentures daily using a denture brush and non-abrasive cleaner. Don’t use toothpaste, as it can scratch them. Soak them overnight in water or a denture solution, and always rinse them before putting them back in your mouth.
A crown is a protective cap placed over a damaged, weakened, or heavily filled tooth. It restores the tooth’s shape, strength, and appearance, helping you chew comfortably and smile with confidence.
Onlays are a more conservative alternative to crowns. They cover a larger portion of the tooth than a filling but preserve more natural tooth structure than a full crown. Onlays are ideal for repairing teeth with moderate damage or wear.
A dental bridge is used to replace one or more missing teeth. It is anchored or bonded to the natural teeth or crowns on either side of the gap, restoring both function and appearance. Bridges can help prevent the need for a partial denture when only one or two teeth are missing, while also stopping nearby teeth from shifting out of place.
There are no special preparations required. However, SDF cannot be used if your child has:
SDF is fully licensed in many countries worldwide and has been safely used for many years.
In the UK, it is licensed for treating sensitivity only and has not been widely used until recently.
However, it can be used 'off-label' for decay and is increasingly being recommended for this purpose. If SDF does not halt the progression of decay, other treatments, such as fillings or tooth removal, may be necessary.
Maintaining good tooth-brushing habits and limiting sugary sweets and drinks to mealtimes is crucial to prevent decay from worsening or developing in other teeth.
Fluoride is a naturally occurring mineral that plays a crucial role in strengthening the enamel, the outer layer of teeth. It occurs naturally in some water sources, while in other areas, it is added to water supplies to prevent dental decay.
Fluoride is also a key ingredient in toothpaste and various oral health products. Applying Fluoride varnish is a preventative treatment which can help to prevent tooth decay, slow it down or prevent it from getting worse by strengthening and remineralising tooth tissue. .It provides an additional layer of defence against decay and promotes good dental health.
Fluoride varnish is applied to strengthen tooth enamel and help prevent decay, especially in children whose teeth are still developing. It’s quick, safe, and effective. We recommend application every 6 months from the age of 5, or every 3 months for children at higher risk of cavities.
We use Voco fluoride varnish, which is effective and comes in a variety of child-friendly flavours, including mint, melon, cherry, and caramel. For children who are sensitive to flavours or smells, we also offer a flavourless option to ensure a comfortable and stress-free experience.
Fluoride varnish is the application of a Fluoride containing gel to the teeth. A small brush is used to gently apply the varnish to the tops and sides of all teeth. Two layers are applied. Once it contacts with saliva the gel will become sticky and thicken making it harder to lick off. It has a pleasant smell and fruity or sweet taste. We often have a range of flavours in stock, such as melon and cherry.
After the treatment, we advise not to eat, drink or rinse for at least 2 hours to allow the teeth to absorb the Fluoride. After 2 hours the varnish can be removed and your child can then eat and drink soft foods.
Fluoride has been shown to be most affective at preventing tooth decay if applied to the teeth twice at least twice a year. Depending on your child's oral health, the dentist will advise how often they should have Fluoride varnish applied to their teeth. If your child is at a very high risk of decay it may be recommended for application up to 4 times a year. Fluoride varnishes can be continued throughout adult life to further help prevent tooth decay.
Fluoride varnishes are safe as we only apply a very small amount onto the teeth and the varnishes should be removed after 2 hours.
Children who swallow too much Fluoride over a long period of time may develop white spots on their teeth. This is not tooth decay. The risk of developing white spots as a result of Fluoride varnish or using Fluoride toothpaste i very small. If the white spots provide an aesthetic concern they can be masked by ICON treatment.
Your dentist may also prescribe an at-home fluoride product such as a fluoridated mouthwash or toothpaste.
Yes! Brush twice a day under parental supervision. with a "pea-sized" amount of Fluoridated toothpaste, at least 1450ppm. Remember, spit any excess toothpaste out after brushing but do not rinse afterwards. To maximise its benefits fluoride mouthwash can be used at a different time of day to brushing e.g. after lunch or a snack. Adult Fluoride toothpastes (1500ppm) can be used from the age of 5 years.
Dental decay is most likely to occur on your child's molars when they first emerge around age 6.
Molars usually have grooves and deep pits called fissures, which are often hard to clean effectively with a toothbrush. This environment makes the tooth surface more susceptible to decay as food debris can build up and bacteria can thrive under these conditions.
Applying sealants to molars smooths out the surface, eliminating hard-to-reach surfaces where tooth decay can develop and making it less likely to develop cavities.
No local anaesthetic is required for preventative fissure sealants.
Yes! It only takes a couple of minutes to do one tooth. No drilling is required for this procedure.
Not everyone is suitable for fissure sealants, as not every molar has deep pits and grooves.
However the permanent molars usually erupt:
Fissure sealants usually last around 4-5 years, sometimes longer! We will assess the condition of them at each routine visit and recommend if they need to be replaced.
Yes, the material is set hard by the end of the procedure and your child can eat and drink as normal.
The front and/or back teeth may appear yellow/cream/brown and discoloured. They may be sensitive or painful, sometimes crumbly. This is because the enamel is soft, they are prone to developing decay.
We typically conduct a complete examination and routine x-rays to evaluate the health of the teeth. We also ask about medical history, including medications taken during childhood, and family history to identify potential causes and to rule out any other factors contributing to enamel issues.
Commonly the first adult molars and first adult incisors are most commonly affected, Hence the name "Molar Incisor hypomineralisation". Sometimes other teeth can also be affected. Molars are usually worst affected and sometimes need removal been the age of 8-10 years.
If the teeth have not broken down or are minimally affected they can be treated conservatively with regular application of topical Fluoride. Where teeth have broken down minimally above the gum line they can be restored with direct composite ( white filling material). In cases where teeth are highly sensitive Silver Stainless Steel crowns may be placed on the teeth. When teeth are severely affected and have broken down beyond repair, treatment is centred around keeping the child free of pain with SDF and temporary fillings until timely extraction can be planned. The extractions are carefully planned around the age of 8-10 years to increase the chances of the second molars growing into the space of the first molars. This aims to minimise any gaps left in the dentition but is not always possible.
Children with MIH or demineralisation need to be seen regularly to apply topical Fluoride every 3 months. Sometimes a toothpaste called "Toothmousse" is also recommended in addition to their Flouride toothpaste if the teeth are sensitive. Toothmouse is available in a range of fruity and minty flavours.
ICON resin infiltration is an excellent treatment for children with white spots on their teeth, which are often caused by:
ICON treatment effectively removes these white spots without drilling or local anaesthetic.
Yes, ICON treatment is minimally invasive and less expensive than fillings/crowns/veneers!
The front and/or back teeth may appear yellow/cream/brown and discoloured. They may be sensitive or painful, sometimes crumbly. This is because the enamel is soft, they are prone to developing decay.
The ICON resin infiltration treatment is minimally invasive and can be completed in a single visit, with no need for local anaesthetic.
Appointments for ICON treatment are generally booked for 30-60 minutes. However, the time depends on how many teeth are being treated.
Yes, the results are generally instant. For stubborn white spots, additional visits may be required.
Splint therapy offers effective, non-invasive treatment for a range of dental and sleep-related conditions. It is commonly used to manage bruxism and clenching habits, reduce symptoms of temporomandibular disorders (TMD) such as pain, clicking, and restricted jaw movement, and protect teeth from occlusal trauma and excessive wear.
Splint therapy can also aid in treating mild obstructive sleep apnea and snoring by improving airway patency during sleep.
Available appliances include Stabilisation Splints (Michigan Style) for muscle relaxation and joint support, Anterior Repositioning Splints for disc-related TMD, Mandibular Advancement Devices for sleep apnea, and specialized Anti-Snoring Appliances to enhance nighttime breathing.
A Stabilisation Splint, also known as a Michigan Splint, is a hard acrylic appliance worn over the teeth—typically the upper arch—to help relax jaw muscles, reduce bruxism (teeth grinding), and protect teeth from wear. It also assists in managing symptoms of temporomandibular joint disorders (TMD).
Anterior Repositioning Splints are designed for patients experiencing TMD symptoms related to disc displacement in the jaw joint. These splints temporarily reposition the lower jaw forward to reduce joint pain, clicking, and locking.
A Mandibular Advancement Device is an oral appliance used to treat mild to moderate obstructive sleep apnea and snoring. It works by gently advancing the lower jaw forward, keeping the airway open during sleep.
Yes. Both Mandibular Advancement Devices and dedicated Anti-Snoring Appliances can be highly effective in reducing or eliminating snoring by improving airflow and preventing airway collapse during sleep
Absolutely. Stabilisation Splints are commonly prescribed to protect teeth from the damage caused by nighttime grinding or clenching and to relieve muscle tension.
Copyright © 2022 Dental Sedation Solutions Ltd. - All Rights Reserved.
Website last updated on 06 August 2025 at 21:15