10 July 2009
#followFriday #newbury 10th July
At present my personal twittosphere is split between my #newbury tweeps , #dentistry tweeps and general tweeps with something of interest to say such as seth godin where fans of S.G. relay their latest thoughts and reviews of his blog/video/books/thoughts etc.
So #ffs for all my #newbury worthies include local twittergurus
@Nigel-Morgan @DianeMorgan00, Local all round good egg @AdrianHiggs , local bon oeufs (is that franglais?)@LePetitSquare, local stringbender @peacockpete , local natural therapy and health foodies @natures_corner, local networker and hypnotherapist extaordinaire ( amongst other talents) @rbullivant , local notable networker and Business Exec. coach @Michelle_Lucas
With apologies to newbury folk omitted this week. I'll try harder nxt week.
HAGWE all
Richard Charon
30 June 2009
2 great new Testimonials in one day
The first arrived as a "tweet" today from Mike Samuels. Mike is a Medical Photographer and like me is busy using Twitter to reach out and let people know what we are about.
Mike is new patient to the practice and we have recently started some treatment for him.
Today he gave me praise indeed with his tweet:
MikeSamuels68 Incredible dentist @RichardCharon forget your fears & phobias his anaesthetic techniques are something else!! Fantastic man gr8 dentist.
Receiving that early today really made my day. Then out of the blue another terrific one came in this afternoon. . Here it is as it arrived by e-mail.
I had never thought that I would want to write anything good about the dentist! I’ve spent my life in fear and avoidance. In the end things can be avoided no longer if you want to keep your teeth and be able to smile, I was in pain, very frightened and probably (no definitely) difficult. I searched the internet and found Richard Charon. All I want to say is he has done the most amazing job both to my teeth and to my phobia of the dentist, ably supported by Jill, who spent a lot of time explaining why my teeth were in their terrible state and what I was going to do to help her resolve the problems. It’s worked, it’s great, don’t be afraid just pick up the phone, everyone is so supportive, there are no judges. I don’t have one single bad thing to say. Well done to all and I’ll see you soon for my check up!
Lesley Ives
So if you know anyone like this that we could help, please feel free to forward this on or speak to Chris Charon
17 June 2009
My Hands-on teaching course
Here I teach other dentists and dental nurses how to help their patients overcome dental anxiety using the "happy air" method. I developed these courses in 2003 and have run over twenty of them by now, including three in Ireland, by invitation. See the latest excellent testimonials here.
12 June 2009
When is a filling not a filling?
29 March 2009
new animoto video to promote Invisalign.
14 March 2009
My "Happy Air" teaching course
13 March 2009
Calm before the Storm?
10 February 2008
2008 update
2008 is well underway, so a belated Happy New Year to anyone I have not yet seen personally. So much is happening its difficult to know where to begin.
It has been some months since my last posting. This one is quite long but very important since it affects how your dental care will be delivered in the coming years at our practice.
DCP stands for Dental Care Professional. These are grades of workers in the dental field who assist and work under the direction of a dentist but who's roles and responsibilities have now been upgraded. They are all required to be registered with the General Dental Council who oversee their training and protect the public interest. They are also expected to maintain a code of conduct both within and outside the workplace and even risk being "struck off" under certain circumstances, which was not previously the case.
DCPs now include Dental Nurses, Dental Therapists and Dental Hygienists amongst some others.
An important new recruit for us
SO WHAT WILL THIS MEAN FOR ME?
Basically, good news! You will normally be referred to our dental therapist for simple fillings, Preventive Resin Restorations (or fissure fillings) and some other treatments .This may mean fewer visits and in many cases reduced fees for "pay as you go" adult patients.
For those patients on a maintence scheme such as Practice Plan or Denplan, as well as for children and young adults in full-time education, whoes fees are already heavily discounted, we will be able to avoid fee increases for 2008, at least, which is great news if the economic picture is less certain, as is widely reported.
I will continue to do all of the more advanced treatments such as crowns, bridges, veneers and smile makeovers, dental implants and root canal work all of which need more planning time and study time allocation.
For anyone who wishes me to continue to carry out all of their dentistry, that will be fine and my normal charges will apply.
Once we have appointed a Dental Therapist we will let everyone know the details in a newsletter.
We will also keep you informed as and when any of our other DCPs acquire new skills and have passed a training module, which may affect who carries out particular aspects of your treatment. This is turn will help keep fees from rising or indeed may enable us to reduce some fees we have to charge, allowing for the additional pay that the DCPs will earn with any added duties they perform .
I hope you see that these are important and in many ways, long overdue changes which should benefit all concerned. All of the details await finalisation by the GDC after deliberating on the results of the present consultations with the professionals and the public.
Watch this space and no doubt the national press in due course !
07 July 2007
Dental Implant crown
30 June 2007
Invisible tooth mending after laser detection
After putting the tooth to sleep using "The Wand", the area was carefully cleaned out using micro-techniques.
Here the tooth is free of any decay
More about early Laser Tooth Decay Detection
In order to maintain them, the earliest possible care is essential. DIAGNOdent aids in the detections of tooth decay.
Even very small cavities are detected at the earliest stage, enabling us to protect and preserve the tooth substance.
How is it used?
Your stained tooth is "read" by the Diagnodent mini-laser. This is entirely painless and much better than an old-fahioned dentist probe.
It is safe and helps decide if the stain is safe to leave or requires attention.
You may have one or more unfilled tooth which have stained grooves (fissures)
Tea, coffee or red-wine stains and can be safely left or just cleaned. Sometimes tooth decay can begin under the stain and will not become obvious until it has become quite deep, The Diagnodent Laser Detector tells us what is happening.
Dental x-rays WILL NOT show tooth decay at this early stage.
If there are changes in the enamel, this can be skimmed , without anaesthetic, and sealed to prevent further progress.
If the Laser reading are higher then the decay process will be deep enough to warrent a filling, often a very fine one.
What happens at my dental check-up?
The dentist decides how many teeth would benefit from the Diagnodent laser check.
A prescription is written for our dental hygienist detailed which teeth are to be checked.
She will carefiully clean the fissures of each of these teeth.
The Diagnodent laser is used to examine each tooth.
The Diagnodent readings are noted in your records.
Your results are reviewed by the dentist.
The dentist decides what if any advice or treatment each tooth needs.
The cost of any recommended preventive or corrective treatment will be set out for you.
Your will be informed of your results by post or e-mail and invited to make any appointments you might need
DIAGNODENT SHOWING TREATMENT NEEDED
24 June 2007
Temporary Website and Smile Gallery
smile transformation pictures here
17 June 2007
Dental Topics No.1 Dental Implants -Reprise
I first published this item in the practice e-zine in 2005 but felt it could be of interest again especially to newer patients of the practice.
If you have one or more missing teeth this section should be of some interest !
We have been offering dental implants, for the benefit of our patients, at St. Mary's House since 1998/9. Dental Implants are a rapidly growing area of dentistry , offering more acceptable solutions to the problems of tooth loss for many people.
There are many implant systems for dentists to choose from. The ones I use at present are designed and manufactured by NobelBiocare. Click on the link below to find out much more and if dental implants could help you or someone close to you.
Dental Implants by Nobelbiocare.
Also as a member of the Association of Dental Implantology (ADI) I have access to the most up to date impartial information and teaching on dental implants. I regularly attend Study Clubs, symposia, seminars and conferences specifically focused on implant dentistry.
You will find comprehensive information about what dental implants are and how they can be used and all the other whys and wherefores at the ADI website. Just click here:
Association of Dental Implantology(UK)
The ADI produce helpful information leaflets which you can pick up from the practice or download in pdf form here:
For a general overview about implants:
http://www.adi.org.uk/public/implant/patient1page.pdf
For a more detailed explanation
http://www.adi.org.uk/public/implant/patientinfo.pdf
Please feel free to contact us for more information or a consultation
Prevention is better than cure
Providing the latest and best services to our patients is one of our goals.
So as part of our recent investment program we have acquired a brand new, high tech tool that allows us to find cavities on the chewing surfaces of back teeth, even when they just beginning, and would have been missed by previous detection methods.
The DIAGNOdent is a small portable laser detector which catches your tooth cavities with a beam of laser light
The DIAGNOdent can detect these cavities and alert us with an audible signal and also provide a numerical readout, so we have an idea of it's size.
The value is that we can stop cavities in their infancy, whereas in the past they would have to be significantly bigger before we could find and treat them.
Just like other areas of medicine and dentistry, early detection and treatment is always the best way forward.
The DIAGNOdent laser is a detecting device. The advanced laser can detect decay earlier than more conventional methods. In fact, it can find 50% of the decay that goes undetected by present diagnostic methods. This laser is truly valuable in the prevention of Dental problems and the promotion of good oral health.
How we use it.
Here is a tooth which has a stained natural fissure and which may have a hidden hole beneath the stain.
If you have this type of stained fissure , we will arrange an appointment with our Dental Hygienist , Nicky Smith.
The first step is to gently remove the stain. We do this with a mini-air jet washer which showers the fissure area with fine spray of bicarbonate of soda and water.
Once the fissure is cleaned, the delicate tip of the Diagnodent laser reader, is passed over the fissure and a reading is taken which indicates whether there is only a surface stain or whether there is definitely a cavity and if so how deep it might be.
If it is shallow then we will try to prevent it progressing. If it turns out to be a little deeper then you will benefit by a mininmally invasive, sealant-type repair can be carried out. We will only recommend a filling if it is essetial at an early stage. A stitch in time!
In this case a tooth coloured resin is bonded to the tooth after skimming away any soft surface enamel or dentine. This does not normally need any anaesthetic !
What about these? Are these cavities or stains?
The Diagnodent will tell us !
08 June 2007
Your teeth in their hands -ongoing training and education
22 March 2007
"Coming of Age"
The spring months have been busy for us as we put the finishing touches to the practice re-vamp.You'll notice the changes as you come in.
Our team have recently had an article published on our experiences of helping anxious patients using "RA". ,in a new journal aimed at Dental Nurses, called, not surprisingly, Dental Nursing!
The team photo above is included and was beamed out across the nation's dental practices in April, which will certainly put us on the map.
On a different note, we are in a position to offer appointments to new patients so please recommend us to friends or family if you feel they would appreciate our style of dental practice.
We look forward to welcoming you at your next visit.
Richard Charon
20 February 2007
Acid erosion - save your teeth and your money !
This is mild erosion which needs no active treatment, just a change of eating habits or perhaps attending to a medical condition. The tooth is beginning to lose its natural enamel cover and has a more rounded shape.
More marked erosion, depending on which part of the tooth is affected, may need some simple treatment such as bonding tooth-coloured fillings to seal and protect the eroded surface and to re-instate the original shape.
Severe erosion may be disfiguring, if front teeth are affected. If back teeth are affected, eating may become painful and a change facial appearance can occur. A sort of premature ageing. Faciall height is reduced as if the teeth had worn down over many years and the chin gets closer to the nose !
Porcelain or resin veneers, crowns or onlays may be required to restore the teeth to their correct shape and to correct an altered bite.
Here are several before and after images of people I have had to treat with this problem.
This is severe acid erosion. It was caused by years of eating oranges, cut in quarter segments and then held under the upper lip against the teeth, chimpanzee -style !
This lady required a root filling and four porcelain veneers.
Here are the front teeth after I had completed the case
Well , back to teeth now .......
Acid gets onto the teeth to erode them from two places. Your food and drink or your stomach !
Sharp acidic foods and drinks include......
Lemon juice including fresh lemons
Grapefruit juice including fresh grapefruit
Orange juice including fresh oranges
Vinegars
Sharp tomatoes
Also all fizzy drinks including sparkling water to some extent and all colas, diet or regular.
Drinking hot water with lemon juice is a particularly harmful habit which can destroy teeth !
So what can you do to help? If all these sound like healthy options, in some respects they are but beware of having too much and too often. Counteract the acidity with milk or cheese or at least a glass of plain water straight away to dilute the effect to some extent.
Use a fluoride mouthwash daily to enhance enamel strength against acid attack(and tooth decay too) or consider Tooth Mousse , a new product (though not if you have a milk allergy) designed to counter acid attack or a use high fluoride tooth paste ( for adults only). We can supply all of these at a lower cost than the high street Pharmacies.
What about those medical conditions?
One of the most common problems is gastric reflux ( heartburn) or a hiatus hernia. This will cause a burning sensation in chest and often the throat and sometimes a sour taste in the mouth. If you regularly suffer these problems you should consult your doctor.Any condition which causes nausea or vomiting to any regular extent. Again you should seek medical advise. Finally some eating disorders, notably Bulimia (nervosa) in which vomiting is induced will cause acid erosion often of a particular pattern which dentists recognise. Here again medical advice or counselling should be sought.
Please feel free to discuss any of these issues, if you think you may be affected, with myself, Chris or Nicky our dental hygienist.
Richard Charon
09 February 2007
February News 2007
New Trainee Dental Nurse The latest addition to our dental team is Kelly who joined us just one week ago to train as a dental nurse. Kelly approached us because she had been interested in becoming a dental nurse for some time and we have a good record of training applicants from scratch and ensuring they gain their national qualification. This is a 2 year period of on-the-job training, home and college theory study and a theory and practical examination set nationally.
Although it is too early for any of us to be sure, Kelly has made an impressive start, so we are hoping that she becomes firmly established with us. As a "new girl", she has done a great job in assisting Nicky, our dental hygienist and helping to keep the wheels well oiled at the practice
Naturally dentistry is not for everyone and over the last two years we have had several young ladies join us who have not "stayed the course" for a variety of reasons. Perhaps we need to sharpen up our interview techniques!
Laura's Holidays My senior qualified dental nurse, Laura is on a well deserved holiday break from the 7th to the 17th of Feb. which means that Chris has to work full-time as my surgery assistant.
Stand-in Receptionist We would like to thank Eve, one of our loyal patients, for agreeing to step in at the last minute to help us out at reception, fielding incoming calls and callers, arranging appointments and yes, looking after fee payments too. This has been a great relief for Chris.
Practice News
Computer Upgrade My own surgery PC will be upgraded soon making it faster, more reliable and so x-ray imaging and the " tooth-cam" pictures I use, to let you see what it is I can see, will all happen more snappily!
Finishing touches Over the next few weeks we are planning to have the finishing touches to our practice upgrade completed including some minor painting and decorating, new widow blinds and so on. We hope you will not be inconvenienced.
Why not Subscribe? By subscribing to this e-zine ( see the right-hand column) you will receive an e-mail whenever I post something new on this site.Keep an eye out for some special offers and the latest advances which you might benefit from.
Why not refer new people to us? If you have been happy with the service we provide and our standard of care, please don't keep us a secret! Remember also that we have a very high success rate with people who are nervous about dentistry. Indeed other dentists refer some of their anxious patients to us for help too.
25 January 2007
WHAT TOPICS WOULD YOU LIKETO READ ABOUT HERE?
Richard Charon
05 January 2007
Since undertaking a short trial of the latest laser tooth-decay detector called Diagnodent™, we are proud to announce that you could benefit from this new development at your next examination or hygienist visit.
For the more technically curious can find out more from by clicking this link which is really aimed at dentists. Diagnodent™
I will be preparing some information leaflets for you to see at your next visit
In recent years the pattern of tooth decay that dentists see has changed. Fluoride toothpastes and mouthwashes have greatly reduced decay on the visible smooth surfaces of teeth. However we are finding "hidden" decay below the biting surfaces of teeth which can be hard to spot.
If the cavity is big enough, then the dentist can see a change of colour of the tooth structure.
Also if an x-ray image is taken, a medium or large cavity will be spotted.
However with today's much less invasive techniques and bonded tooth-coloured fillings, it makes good sense to spot tooth decay at the earliest stages and not wait until pain occurs or there is an obvious hole; By this time the tooth has been seriously affected.
The Diagnodent™ is a neat and very small unit which uses laser technology to detect changes in the tooth structure which are too small to be seen with the naked eye or which could be mistaken for surface stains that occur from tea, coffee and red-wine for example as well as other highly coloured foods. These are harmless and do not require any sort of filling work. If the unit signals a definite reading then a minimal style, invisible mending repair can often be done, sometimes without even numbing the tooth.
This is an exciting new develpment which will be used both by Nicky Smith, our Dental hygienist and by myself.
Please ask for more details
18 December 2006
07 December 2006
Richard Charon BDS - keeping you posted
...Our Practice Refurbishment Nears Completion !
The carpets are laid, the practice has been painted and the new unisex loo is 95% finished. Chris's new desk graces the reception lounge and new tub-style chairs arrived today. The new hard flooring for most areas of the practice has been completed and few finishing touches will be made shortly after Christmas to see the job completed. Thanks for your patience during the transformation.
Our Team's Continued Training
Four-Handed Dentistry
In November I took the two dental nurses, Laura and our new trainee Emma, for a one day course on "Four-handed Dentistry". This is not a new concept but is worth updating to keep us on our toes and ensure we work ergonomically.
Close- support or "Four-handed Dentistry",ensures greater comfort and efficiency for both patient and dental team, which must be a good thing.
Resuscitation
All Dentists and their teams must keep up-to-date with the latest teaching in resuscitation and handling medical emergencies. These are thankfully rare and most often not connected to the dental treatment but may happen by chance on our premises. Although also rare these days, the most likely dentally related occurance is a simple faint brought about by anxiety and perhaps lack of food. However, we must be prepared for all eventualities. The team attended an Immediate Life Support at the Royal Berkshire Hospital and are now additionally trained in the use of defibrillators
As a result of this and in concert with the new guidelines from the General Dental Council, we will be investing in an automatic external defrillator (Heart start machine) to add to our normal resuscitaion equipment and medication.
Statistics show that defibrillation within 3 minutes of a heart attack, very greatly increase the chances of a victim 's survival.
So in the hope and likely expectation that we will never have to use it.
we expect to have one on the premises shortly. We are seeking funding for this. Watch this space.
21 November 2006
Updating from an early posting on this blog in 2004, I continue to run courses to teach other dentists how to use "Happy Air" for the benefit of their own patients and indeed themselves . A relaxed patient means a relaxed dentist too!
The courses are run all day on a Saturday and we attract dentists from all over the UK.
Last Saturday a team of four dentists from a practice in Farnham attended , including two dental specialists. They were joined by a dentist practicing in Aberdeen who originally hails from the Faroe Islands. Click this link for for Fascinating Faroe Facts
On the 2nd December we host 5 more dentists. From London and Leeds. These courses have put the practice on the map, nationally. Indeed earlier this year practice delegates travelled to Newbury from Wexford in the Irish Republic to attend one of my courses. So I am now internationally known !
This has resulted in an invitation for me to go over to Ireland to run a course there in 2007. I'll let you know what happens!
22 October 2006
The way we were ..........
2006 Aethetic Dentistry Conference
The annual BAAD conference brings together the very best in the world of aesthetic dentistry to discuss the minutiae of this aspect of dental care. The remit is wide and ranges from complete facial rebuilds following accidents or disease to the holloywood smile makeover. From orthodontic possibilities to the fine detail of construction of a single ceramic crown, which is a minature work of art. From dental implantology to porcelain veeneers and cosmetic gum surgery.A trade show allows me to access to the latest technology to bring you the most appropriate options at St. Mary's House in Newbury.
However one of the the most imortant aspects of these meetings is the hot-house atmosphere and exhange of ideas between colleagues from all over the world (and indeed from Newbury too) in the hours before between and after lectures and presentations. A chance to meet, greet and discuss developments with the best in aesthetic dentistry. Oh yes, we have some fun too wth an opening cocktail reception before the event and a gala dinner after the first day. No time to enjoy the golf facilities though this year.
2003 enjoying the event with Chris
and in 2004 in discussion the the UK marketing director of Nobelbiocare
Nobelbiocare is one of the events top sponsors and one of the world leaders in dental implant reasearch, design, manufacture and supply, whose systems we use at our practice. I have in tha past few years been commissioned to write two course reports published for nobelbiocare in the dental press.
This link will answer some common questions about dental implants NOBELBIOCARE
Next years event in London looks to be every bit as inspirational as these last few days have been.
more to come on this topic ...........
01 October 2006
A New Look for St. Mary's House Dental Practice
The coming weeks will see a flurry of activity at St.Mary's House Dental Practice.
A New Team Member
Firstly, we welcome a new trainee dental nurse, Emma. She will spend several weeks of induction training and observation before beginining work assisting Nicky, our dental hygienist. As time goes on she will begin assisting me also as part of her training. Laura will take on the role of senior dental nurse, assisting in her training and ensuring that all the background tasks are completed to allow everything to runs smoothly. Emma then has a 2 year training path leading to what has, this year, become a newly upgraded professional qualification as a Registered Dental Nurse.
A New Dental Chair
After 16 years loyal service, the ergonomic "Spaceline" Dental Chair which is currently used by Nicky Smith, our Dental hygienist but which was formerly used by me for about 13 years, is being retired. On Monday 14th August a new dental chair of Italian design, essentially the same as the one I use is being installed. Unimaginatively called "Eurodent" it nevertheless incorporates many features for you comfort and safety. We hope you will appreciate it. I am sure that Nicky and her dental nurse will as well as the additional comfort of their new working seats.
New Reception Desk
Chris has waited patiently for many years whilst technical items took precedent over the development of St. Mary's House Dental Practice. Well she has finally been shopping for a new desk which will add a touch of class to the reception area and greatly needed storage space.
We hope to see it delivered by mid November.
The old NHS filing cabinet which is essentially defunct has now disappeared to provide more office room printer/computer etc. We are obliged to keep all paper records for 11 years but these will be kept off-site in our secure lock-up store.
New Reception Chairs
We have ordered five new reception chairs. Again the present ones are past their sell-by date. We hope you like the new tub-style chairs which add a little comfort and style in the space we have available . We would have loved large opulent seating but would only have been able to fit in two or three seats of this kind, which is simply not enough.
New Carpet and Hard Flooring
Again the carpeting throughout the practice has done stirling work but again after almost 17 years, whilst not threadbare, is due for replacement. Work is now completed. Thanks to Down's of Newbury. Hard flooring in some areas is due to be laid in Mid November.
New Lighting
New recessed lighting can now be found in the reception area. and in the hallway which will be appreciated by our taller patients ! New light fittings, somewhat overdue , will be found in the hygienist treatment.
A New Lick of Paint
This year, Chris and I celebrate 30 years of marriage ! So we went mad and had a week off in late September. We had a lovely time in Ithaca ( a short ferry ride from Kefallonia on the Greek Eastern coast) We took the opportunity of starting the practice redecorating at that time too, which is now completed.
Hooray - More room in the the Loo !
We have been painfully aware of the "bijou" nature of our patient's "facilities". We have now knocked through the dividing wall and created a larger unisex facility. It now seems big enough to party in! The finishing touches will be applied soon.
There will be some additional finishing touches to the rest of the practice, which will more properly reflect the level of comfort and surroundings which you should rightly expect and which we feel will complement the level of service we strive to provide.
Recommendations
We trust you will appreciate the changes at your next visit and that they will encourage you to recommend us to others. Our future success depends on a regular flow of new patients. If you are reading this then you are likely to be sufficiently happy with our serve to recommend equally discerning friends, colleagues and family.
Richard and Chris Charon