Your First Visit to The Hub Dental Practice in Milton Keynes
We want you first visit, and every visit to be a great experience.
Most of our new patients come to us for a check up but some come to use our Emergency Dental Service.
On your first Visit we give you a practice leaflet and an explanation leaflet about your first visit (what will happen and the charges)
We ask you to fill in a confidential medical questionnaire and a consent form where you acknowledge that you will be treated as a private patient. If you want to Download and Complete the medical history and Dental Health History before you arrive (saves time!!) then please Download the medical History Form and Download the Dental Health History Form
You are then taken to a treatment room where the dentist and dental nurse introduce themselves. We take a dental history and carry out an examination and perhaps take a radiograph and sometimes use an intra oral camera.
We make use of the latest computer graphics and have a fantastic dental program which can illustrate treatment options. It can also help to how the various dental diseases like gum disease effect the tissues.
We then discuss with you our findings and discuss the various options for treatment, these are all documented on a written itemised treatment plan which patients can take home.
At all stages the patient in involved and we encourage them to ask as many questions as they wish.
All Examinations Include
|Full Medical Health History|
|Full Dental Health History|
|Full Clinical examination|
|Teeth and Supporting Tissues|
|Hard and Soft Tissues|
|Xrays as indicated|
|Full Written Treatment Plan|
|Explanation and discussion of the Treatment Plan|
|Discussion of Future Maintainance Program|
Cancer ScreeningOral Cancer is very common and the number of cases is increasing all the time, especially among the 20 to 40 years old.
Our Screening takes 3 main parts
1. Discussion of the Risk Factors. For example Smoking (including some recreations drugs), alcohol and certain adult recreational habits.
2. A discussion about any untoward changes in and around the mouth and upper throat (swellings, ulcers, swallowing, patches .....)
3. Examination of soft and hard tissues. This included the part where we examine the tongue and back of the mouth. It can be a little uncomfortable but is an essential part of the examination as these are the two main sites for Mouth Cancers.
All our dentists are trained to carry out a cancer Screen and we take this very seriously.
Last year we identified more cases that turned out to be possitive than we did in the previous 5 years.
Oral/Mouth/Tongue Cancer Screening In Milton KeynesWe complete more than 1000 Oral Cancer Screenings every month. All patients have an Oral Cancer Screening as part of every full dental examination. So for example the Yearly Examination includes one as does the review examination after an emergency visit The examination includes a dental healthy history to look at risk factors, plus and examination of all the soft tissue and underlying mouth structure. There is a particular emphasis on the Tongue and floor of the mouth, any swellings or tissue blemishes (ulcers/white patches). We also look at Family History.
IntroductionMouth cancer can affect any part of the mouth, including the tongue and lips. The most common symptoms are having a sore or ulcer for more than three weeks. Mouth cancer is also sometimes called oral cancer. Although mouth cancer is uncommon in the UK, it seems to be getting more common. There are around 4,700 cases that are diagnosed each year. It is twice as common in men as it is in women and is rare in people aged under 40. Many cases are diagnosed by dentists rather than doctors. The outlook for people with mouth cancer is very good if it is diagnosed early.
What causes mouth cancer?A cancerous tumour starts from one abnormal cell. The exact reason why a cell becomes cancerous is unclear. It is thought that something damages or alters certain genes in the cell. This makes the cell abnormal and multiply out of control. (See separate leaflet called What Causes Cancer? for more details.) Some people develop mouth cancer for no apparent reason. However, certain risk factors increase the chance that mouth cancer may develop. These include: •Smoking. Mouth cancer is just one cancer which has a much higher incidence in smokers than in non-smokers. •Alcohol. Drinking a lot of alcohol can increase your risk of developing mouth cancer. •Chewing tobacco or the betal leaf. •The human papillomavirus (HPV) may increase your risk of mouth cancer. •There are some conditions affecting the mouth, such as leukoplakia and erythroplakia, which can increase the risk of a cancer developing. Mouth cancer is not hereditary, so does not run in families.
What are the symptoms of mouth cancer?The most common symptoms of mouth cancer are a sore or ulcer in the mouth that does not heal, and pain in the mouth that does not go away. In many cases, changes are seen in the mouth before the cancer develops. This means that early treatment of these changes will actually prevent a cancer developing. Other symptoms include: •White patches anywhere in your mouth (leukoplakia). •Red patches anywhere in your mouth (erythroplakia). •A lump on the lip, tongue or in the mouth or throat. •Unusual bleeding or numbness in the mouth. •Pain when chewing or swallowing. •A feeling that something is caught in the throat. •Unusual bleeding or numbness in the mouth. •Loose teeth or dentures feeling uncomfortable and not fitting properly. •A change in your voice or speech problems. •Weight loss. •A lump in the neck. •If the cancer spreads to other parts of the body, various other symptoms can develop. All of these symptoms can be due to other conditions, so tests are needed to confirm the diagnosis. Note: any ulcer in the mouth that does not heal after three weeks should be checked by your dentist or doctor.
Further help and information
The Mouth Cancer FoundationWeb: www.mouthcancerfoundation.org Supports people with mouth, throat and other head and neck cancer.
Macmillan Cancer SupportTel (Helpline): 0808 808 0000 Web: www.macmillan.org.uk Provides information and support to anyone affected by cancer.
CancerHelp UKWeb: https://cancerhelp.cancerresearchuk.org Provides facts about cancer, including treatment choices.
|Small Radiographs||£9.00 each|
|Large Radiographs||£35.00 each|
We used low dosage digital radiography and if you want to have a copy of your xrays taken since 10/01/2012 then simply email us (no charge)
Our charges for emergency visits are our normal charges.
Written Itemized Treatment Plan:
Everything else will be included in your Written Itemized Treatment Plan
If you print off the two forms below and fill them out before your appointment it will save time on the day!!!
Below are two forms we give you on arrival, feel free to have a look at them as they contain useful information
ConsultationsWe offer a range of Consultations
We have to say that without x-rays it is normally not usually possible to give any definitive treatment plan, and/or have any idea of what is going on under the teeth, and/or know what the condition of the periodontal structures are.
Therefore we encourage patients to bring any previous x-rays with them or we can, if needed, take them ourselves.
Consultation for OrthodonticsWe offer a Free Orthodontic Consultation and at the end the patient will get a written treatment plan with choices and costings for treatment options.
Patients pay £25.00 to make the appointment and the £25.00 deposit will then be is refunded on arrival for the appointment.
Consultation for Cosmetic DentistryThis is with one of our senior dentists, either Monica or Gul, and you will have a full examination and get a written treatment plan at the end.
Consultation for PeriodonticsThis is with either
Dr Monica Cueva Moya who has a Special Interest in Periodontics or
Dr Giovanni Marras whose practice is limited to Periodontics or
Dr Ezgi Cilingir whose practice is limited to Periodontics and Dental Implants.
Patients will have a full examination which normally takes 1 hour and get a written treatment plan at the end.
Cost: £95.00 with Giovanni and Monica (1 Hour)
Cost: £155.00 with Ezgi (1 Hour)
Some Patients need a shorter examination related to a specific problem such as a frenectomy which normally takes 30 minutes.
Cost: £75.00 with Ezgi (30 minutes)
Charges for Implant Consultation£25 for the examination + the cost of any Xrays
For patients seeing
Dr Jaime De Castro Torres
Dr Alvaro (George) De Castro Torres.
Dr Ezgi Cilingir
Free Examination for any of our patients who have had a Full Dental examination at our practice in the previous 12 months (Jaime, George and Ezgi.)
£65 for the examination + the cost of any Xrays
For patients seeing
Dr Iyad Abou-Rabii (Practice Limited to Oral Surgery and Dental Implants
Free Tooth Whitening ConsultationsWe offer a free Tooth Whitening Consultation.
It is designed to assess if the patient is suitable for Tooth Whitening : not all patients are.
The Tooth Whitening consultation is normally with our Dental Hygienist.
Costs associated with Consultations explained
|Small Radiographs||£9.00 each if required|
|Large Radiographs||£35.00 each if required|
|CT Scan Radiographs||£95 if required|
A Modern, Safe and Non Distructive Way To Detect Dental Disease
SOPRO: a new imaging fluorescence device aiding in the diagnosis and treatment of caries.
The auto fluorescence technology in SOPROLIFE allows our dentists to detect occlusal or interproximal decay, even in its earliest stages, which can often be missed by the eyes or by x-rays.
SOPROLIFE allows our dentists to differentiate healthy from infected tissue in order to excavate only the tissue which is diseased.
SOPROLIFE functions “live” in three modes and is free from ultraviolet or ionizing rays.
Diagnosis aid Mode:
SOPROLIFE allows the characterization of lesions at different clinical stages without loosing consistency. This is accomplished with image magnification of 30 to 100 times.
Treatment aid Mode:
SOPROLIFE images produced in the treatment mode show a differentiation of pre-operative healthy tissue versus diseased tissue.
SOPROLIFE is the only concept in the world to offer two different visions.
The Daylight Mode allows the dentist to use SOPROLIFE as a white light intra-oral camera providing images of unmatched quality!
Adapting itself to the most complex clinical situations, SOPROLIFE allows our dentists to rapidly adjust their treatment choices.
Linked to SOPRO IMAGING software, our dentists now have the ability to have a customized follow-up adapted to the needs of their patients.
Safe, Easy and Painless
Its just a Simple Hand Held Camera!!
No Need for Xrays!!
The white image shows possible decay at the junction of the composite filling
The image of fluorescence confirms the presence of a renewal of the caries.
Gum Disease DetectionThe camera allows us to show nut just the plaque but also to give an indication of how of the plaque is.
Gingival inflammation can range from hues of pink all of the way to deep magenta.
New plaque is highlighted by its white and grainy characteristics and old plaque is revealed as shades of yellow and orange.
The SOPROCARE camera when used in “PERIO” mode makes it all the more effective and indispensable by not just illuminating new plaque, old plaque but also the gingival inflammation.
Early identification of these conditions results in early intervention and minimally invasive treatment, while also educating patients on their clinical needs.
It means that we can show not simply what was missed on the last toothbrish cleaning, but what was left for a few days!!
Much more obvious that the naked eye and much less messy than disclosing tablets!!
Dental Decay DetectionUsing the Sopra Camera is very useful as not only is the decay very obvious but we can also reduce the amount of Xray Radiation to the patients.
Here are 3 views of the same teeth
The one above is what you see with the naked eye and the decay is not visible
The one above is what you see with the Sopra Camera and the experienced eye can see the decay at the edge on the right (shadow)
The one above is what you see with the high quality low dosage xrays we use, and the decay is confirmed.
Modern technology is the way forward. It allows us to be far more accurate and therefore it reduces the costs of treatment and improved the patients dental health.