Dr Andrias de Nysschen BChD (Pret) MSc (Warwick)

• COSMETIC DENTISTRY

  • DENTAL BONDING

    Dental bonding offers a simple and painless way to strengthen and beautify your smile. By spreading a thin coat of resin to the surface of your teeth, your smile can be transformed from lackluster to brilliant in one sitting.

    The bonding process remedies damaged teeth, repairs chips, banishes discolorations and mends cracks. Bonding can also enhance the color, shape and size of your teeth for a more harmonious look. No anesthetic injections are required for the procedure, and you’ll agree, the end result is a natural, healthy smile with no sign of damage or stains.

  • SIRONA ADVANCED SIROLASER

    The Sirona Sirolaser for laser gum surgery and healthy gums is another state-of-the-art modern dentistry must- have. The Sirona Sirolaser is commonly used for periodontics and dental surgery in cases such as cosmetic gum reshaping, implant recovery, crown lengthening.

  • SMILE MAKE-OVER

    The Dental Practice at the Waterfront has a wealth of experience with extreme dental makeovers. Our comprehensive range of procedures is used in a minimally invasive manner to create the most functional and aesthetic reconstruction.

  • BRIGHTSMILE TEETH WHITENING

    What is Britesmile?

    Britesmile is a 1 hour tooth whitening system. Known for its gentleness and ease of access, Britesmile is a state of the art tooth whitening system that uses advanced technology, which will give you results that will last for years.

    During the Britesmile procedure the teeth are illuminated with a blue light system. Proprietary 15% hydrogen peroxide whitening gels are applied to the teeth, which are pH balanced to maximisewhitening efficacy, and which contain glycerine to prevent tooth dehydration. Tooth whitening gels are applied to the teeth for three x20-minute intervals.

    The science of bright smile teeth whitening system veneers:

    • The science behind BriteSmile is the secret to our success.
    • The BriteSmile LED light technology, combined with a proprietary new, wavelength-specific gentle bleaching gel, has created a revolutionary method of teeth whitening which quickly, safely and effectively whitens all teeth at once.
    • The BriteSmile technology was developed by a team led by DR John Warner, a Former NASA scientist and a member of the Hubble Space Telescope development program.
    • What it all means for you is that our whitening results confirm an average of 2 or more shades lighter and even higher for individuals with darker teeth. Years of coffee, cigarettes, red wine and other stains seem to magically disappear.

    Tooth Whitening Candidates

    • If you have stained or discoloured teeth
    • If you want a more youthful smile
    • If you want to look confident and successful
    • If you want to look your best for special occasions

  • FREQUENTLY ASKED QUESTIONS

    How does BriteSmile work?

    Your teeth and gums will be examined for good oral health. Next as you relax in the chair, proprietary whitening gel is applied to your teeth and the revolutionary; proprietary BriteSmile light will be positioned over your teeth to activate the gel. As you watch TV, listen to music or nap, your teeth will lighten to their optimum, natural whiteness in about an hour.

    Will tooth whitening procedure’s whiten existing crowns, veneers etc?

    Whitening treatments have been successful at removing stains from crowns, veneers or bonded teeth. However, a whitening treatment in general cannot change the colour of the crowns, veneers or bonds. We recommend that you discuss your situation with our dentist to determine what you can expect.

    Can I undergo tooth-whitening procedures if I am pregnant?

    While there are no known constraints for pregnant women, some may experience gum sensitivity. Pregnant women may wish to defer having the procedure until after pregnancy.

    How do I maintain my new white teeth?

    We stock various whitening products such as toothpastes and mouth rinses. Brush your teeth twice daily or after each meal. Floss daily. Visit your dentist/hygienist for regular cleanings and check-ups (recommended: every 6 months).

    Is tooth whitening for everyone?

    Tooth whitening is a safe, comfortable way to get a bright, white smile. Results and treatment time may vary depending on the level of staining and whiteness desired. Crowns, bridges, fillings, and veneers will not whiten. We recommend visiting our dentist to discuss your options.

    Will tooth whitening cause tooth sensitivity?

    Some patients experience slight sensitivity during or after treatment. If sensitivity occurs, it is often temporary and will go away once you’ve completed the whitening process. Our products include desensitising ingredients such as potassium nitrate and fluoride to help reduce sensitivity and provide additional comfort.

• GENERAL AND PREVENTATIVE DENTISTRY

  • TOOTH - COLOURED (metal free) COMPOSITE FILLINGS

    A Natural looking smile

    For years, dentists around the world filled cavities with amalgam fillings made of elemental mercury, silver, tin, copper and possibly other heavy metallic elements. While the toxicity effects of these fillings are still being debated, we have decided to use only tooth-colored, composite fillings to remedy cavities.

    Composite fillings yield a much more attractive and healthier smile with no obvious sign of dental work. We match the filling material to your tooth color and then bond it securely for a highly durable and great looking way to protect your tooth.

    In addition to looking better, these modern, tooth-colored fillings offer practical advantages over metal fillings, such as less removal of the tooth structure, a tighter seal formed between the filling and the tooth, and they can be repaired or added onto as needed.
Amalgam fillings aren’t just unsightly—they also cause further damage to the rest of the tooth and can increase the risk of future fractures.

    We replace problematic amalgam fillings with composite alternatives, which have several advantages:

    • more realistic color
    • preserve more of the original tooth
    • tighter bond between the filling and tooth
    • easily repaired if necessary

• RESTORATIVE DENTISTRY

  • CROWNS

    A Crown, or porcelain crown, is a cap, cover or restoration to replace the missing portion of a tooth.

    There are many indications for crowning a tooth. These can be due to aesthetic considerations but most are due to a lack of remaining tooth structure. If a tooth is broken down or heavily filled, the crown is placed to protect the tooth from the high biting forces we exert on our teeth whilst eating.

    Not all crowns are the same and we provide gold crowns, porcelain bonded to gold crowns as well as the latest in the metal free alternatives that give truly lifelike results.

    The latest advances in porcelain allows light to transmit through the crown, thereby creating a restoration that is undetectable from the other natural teeth in your smile. With the absence of any metal core on the inside of the crown, there will be no more telltale grey lines that are usually seen with the older metal ceramic crowns.

  • VENEERS

    A Veneer is a thin layer of porcelain used to cover the front of a tooth. They are considered for several reasons such as when the enamel has become worn, chipped or discoloured or the teeth have become misaligned.

    Veneers are extremely thin but once bonded to the tooth are unbelievably strong. They are able to block out undesirable colours, such as from a very dark underlying tooth and allow the beauty of the veneers to shine through. They can be used to create a smile that is natural and beautiful.

    In most cases we carry out a diagnostic wax up where you can trial your veneers prior to going ahead with the definitive treatment.

  • BRIDGES

    A bridge is a fixed or removable device that replaces missing or several missing teeth. A bridge will use the teeth either side of the gap to anchor onto. It will only be possible if the teeth supporting the bridge are strong enough and if they have good bone support. The teeth either side of the gap are prepared, crowns are placed over the prepared teeth and these are attached to the artificial tooth (also called a pontic).

  • ROOT CANAL TREATMENT

    Root canal treatment is the removal of the tooth’s pulp, a small, thread-like tissue in the center of the tooth. Once the damaged, diseased or dead pulp is removed, the remaining space is cleaned, shaped and filled. This procedure seals off the root canal. Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment saves many teeth that would otherwise be lost.

• ORTHODONTIC DENTISTRY

  • FIXED AND REMOVABLE APPLIANCES

    Orthodontics is the branch of dentistry that corrects teeth and jaws that are positioned improperly. Crooked teeth and teeth that do not fit together correctly are harder to keep clean, are at risk of being lost early due to tooth decay and periodontal disease, and cause extra stress on the chewing muscles that can lead to headaches, TMJ syndrome and neck, shoulder and back pain. Teeth that are crooked or not in the right place can also detract from one’s appearance.

    The benefits of orthodontic treatment include a healthier mouth, a more pleasing appearance, and teeth that are more likely to last a lifetime.

  • FIXED APPLIANCES

    Braces

    The most common fixed appliances, braces consist of bands, wires and/or brackets. Bands are fixed around the teeth or tooth and used as anchors for the appliance, while brackets are most often bonded to the front of the tooth. Arch wires are passed through the brackets and attached to the bands. Tightening the arch wire puts tension on the teeth, gradually moving them to their proper position. Braces are usually adjusted monthly to bring about the desired results, which may be achieved within a few months to a few years. Today’s braces are smaller, lighter and show far less metal than in the past. They come in bright colors for kids as well as clear styles preferred by many adults.

    Special fixed appliances

    Used to control thumb sucking or tongue thrusting, these appliances are attached to the teeth by bands. Because they are very uncomfortable during meals, they should be used only as a last resort.

    Fixed space maintainers

    If a baby tooth is lost prematurely, a space maintainer is used to keep the space open until the permanent tooth erupts. A band is attached to the tooth next to the empty space, and a wire is extended to the tooth on the other side of the space.

  • REMOVABLE APPLIANCES

    Aligners

    An alternative to traditional braces for adults, serial aligners are being used by an increasing number of orthodontists to move teeth in the same way that fixed appliances work, only without metal wires and brackets. Aligners are virtually invisible and are removed for eating, brushing and flossing.

    Removable Space Maintainers

    These devices serve the same function as fixed space maintainers. They’re made with an acrylic base that fits over the jaw, and have plastic or wire branches between specific teeth to keep the space between them open.

    Jaw Repositioning Appliances

    Also called splints, these devices are worn on either the top or lower jaw, and help train the jaw to close in a more favorable position. They may be used for temporomandibular joint disorders (TMJ).

    Lip and cheek bumpers

    These are designed to keep the lips or cheeks away from the teeth. Lip and cheek muscles can exert pressure on the teeth, and these bumpers help relieve that pressure.

    Palatal expander

    A device used to widen the arch of the upper jaw. It is a plastic plate that fits over the roof of the mouth. Outward pressure applied to the plate by screws force the joints in the bones of the palate to open lengthwise, widening the palatal area.

    Removable retainers

    Worn on the roof of the mouth, these devices prevent shifting of the teeth to their previous position. They can also be modified and used to prevent thumb sucking.

    How do I Know If I Need Orthodontics?

    Based on diagnostic tools that include a full medical and dental health history, a clinical exam, plaster models of your teeth, and special X-rays and photographs, we can decide whether orthodontics are recommended, and develop a treatment plan that’s right for you.

    How Does Orthodontic Treatment Work?

    Many different types of appliances, both fixed and removable, are used to help move teeth, retrain muscles and affect the growth of the jaws. These appliances work by placing gentle pressure on the teeth and jaws. The severity of your problem will determine which orthodontic approach is likely to be the most effective.

    If you have any of the following, you may be a candidate for orthodontic treatment:

    Overbite (sometimes called “buck teeth”)

    Where the upper front teeth lie too far forward (stick out) over the lower teeth.

    Underbite (a “bulldog” appearance)

    The lower teeth are too far forward or the upper teeth too far back.

    Crossbite

    The upper teeth do not come down slightly in front of the lower teeth when biting together normally.

    Open bite

    Space between the biting surfaces of the front and/or side teeth when the back teeth bite together.

    Misplaced midline

    The center of your upper front teeth does not line up with the center of your lower front teeth Spacing-gaps, or spaces, between the teeth as a result of missing teeth or teeth that do not “fill up” the mouth.

    Crowding

    When there are too many teeth for the dental ridge to accommodate.

• DENTAL IMPLANTS

  • DENTAL IMPLANT

    A dental implant is a titanium rod that is gently placed directly into the jawbone to act as an anchor to support one or more crowns or a denture. Each implant can usually be used to support up to two false teeth.

    One major advantage of an implant is that it avoids the need to drill down the teeth either side of the "gap" which would normally be necessary in preparation of a conventional bridge.

    The implant also provides a stimulus to the bone reducing further shrinkage.

    Implants can also be used as anchors to improve the stability and retention of loose dentures.

    Patients find great improvements during speech and eating, increased comfort and renewed confidence. We can often remove the tooth and fit a dental implant at the same appointment.

  • WHO CAN HAVE IMPLANTS?

    The dentist will carry out a thorough examination taking appropriate x-rays, to see if your case is suitable. It can be dependent on the condition of the bone in the area of the planned implants. Occasionally there is not enough bone or it is not healthy enough, and it may not be possible to proceed without additional treatment.

  • WHAT DOES THE TREATMENT INVOLVE?

    Placing of the implants is carried out at the surgery. It involves a simple operation, which is carried out under a normal local anaesthetic. The after effects are similar to having a tooth extracted i.e. you may feel mild discomfort due to the normal healing processes.

    The implant must be allowed to bond (integrate) with the bone. This can take from 3 to 6 months depending on the individual case. During this time it is possible to make a temporary replacement for your missing teeth. Once healing and integration have occurred the permanent replacement is made and fitted.

  • HOW SUCCESSFUL IS THE TREATMENT?

    Modern implants show a success rate of 95-98% over 15-20 years. On the rare occasion that integration does not occur and the implant is loosening, then it can be easily removed and the site allowed for healing, with placement of another implant at a later stage.

    Being implanted into the bone, as with your natural teeth, implants require thorough cleaning. If this is not carried out then you may experience problems similar to that of gum disease with infection around the implant resulting in bone loss, loosening and failure. Cleaning around the implants is no more difficult than cleaning your natural teeth and we will strongly advise all patients to see the dental hygienist on a regular basis to maintain the healthy status of the implant and the rest of the teeth and gum.

• ONE – DAY CROWNS

  • CEREC CROWNS

    Restore your smile, keep your schedule.

    We are pleased to offer our patients CEREC restoration services – a superior method of creating precisely-designed, colour matched and highly durable ceramic restorations right in our practice. CEREC by Sirona Dental Systems is one of the world's leading systems in the fabrication of all ceramic dental restorations in one visit to the practice.

    Crowns, ceramic fillings, veneers or inlays do not have to be fabricated in the laboratory.

    CEREC delivers top quality restorations in one visit, so you can get back to what matters most.

    Computer Aided Design (CAD)

    State-of-the-art CAD software allows us to design every precise detail of your restoration with the accuracy you’ve come to expect from us. The software allows us to customise the shape of the restoration to exactly fit your special clinical needs.

    Mill and Place

    While you wait, exact design specifications are sent to our on-site milling machine to create your restoration. About 20 minutes later, your all-ceramic, colour-matched restoration is ready for placement. Your new restoration is then fitted, polished, and bonded for permanence. Your tooth is restored back to its natural form, function, and beauty.

    And you are back to whatever it is you’d rather be doing.

  • WHY CEREC?

    • Single visit convenience – no temporaries
    • No uncomfortable impression trays
    • Beautiful aesthetics – colour matched ceramic
    • Natural looking smile
    • Clinically proven – millions of successful restorations worldwide
    • Enamel-like materials – natural look and feel

• INVISIBLE BRACES

  If you've dreamed of a perfect straight smile but been put off having treatment because the thought of wearing braces terrifies you, Invisalign is the perfect way of changing your mind! Unlike the traditional fixed braces many people associate with teeth straightening, Invisalign uses a series of clear, removable aligners to gradually move teeth into alignment for the perfect smile.

  Your Invisalign treatment consists of a series of nearly invisible, removable aligners that you change every two weeks for the next set of aligners. Each aligner is individually manufactured for your teeth, and your teeth only. As you replace each aligner, your teeth will move – little by little, week by week – until they have straightened to the final prescribed position.

  Visit http://www.invisalign.co.za/ for more information.

• ORAL HYGIENIST

  • ORAL HYGIENE

    Scheduled dental cleanings not only remove build-up from your teeth, but they are also important for your overall health. Research has shown that gum disease is linked to cardiovascular health.

    The benefits of oral hygiene treatment include a healthier mouth, a more pleasing appearance, and teeth that are more likely to last a lifetime.

    With each visit, our dental hygienist thoroughly and gently cleans your teeth and gums. We can take X-rays (or radiographs) and photos to keep tabs on any trouble spots. Regular cleanings are the best way to keep you smiling wider.

    Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss.

• NEW TECHNOLOGY

  • DIGITAL X-RAYS

    Our digital radiography software provides a common language for medical devices to exchange images and other patient-related information.

    Advantages:

    • Less Radiation exposure to the patient
    • Improved diagnoses where applicable
    • Instantly available image
    • Of great value when doing root canal treatment (Faster Procedure)

  • CEREC CROWNS

    Restore your smile, keep your schedule.

    We are pleased to offer our patients CEREC restoration services – a superior method of creating precisely-designed, colour matched and highly durable ceramic restorations right in our practice. CEREC by Sirona Dental Systems is one of the world's leading systems in the fabrication of all ceramic dental restorations in one visit to the practice.

    Crowns, ceramic fillings, veneers or inlays do not have to be fabricated in the laboratory.

    CEREC delivers top quality restorations in one visit, so you can get back to what matters most.

  • THE WAND ANESTHETIC PAIN-FREE DELIVERY SYSTEM

    The Wand, also known as the CompuMed instrument is a safe and pain-free computerized injection system. This advanced instrument allows for many medical procedures as it delivers a significantly reduced amount of local anesthetic, which minimizes discomfort, side effects and costs. It delivers local anesthetic in a computerized, slow and controlled way and reduces human interaction, which is the main cause of painful injections.