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Chatswood (Dr. Willis & Dr. Chou):  (02) 8203 8786

Baulkham Hills (Dr. Willis & Dr. Chou):  (02) 9158 6637

Sydney CBD (Dr. Willis):  (02) 9159 3728

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FAQs

Periodontics

What is gum disease and how do I know if I have it?

Gum disease usually begins slowly and painlessly. That’s why it may take many years before you notice symptoms, such as bleeding, red or swollen gums, bad breath, receding gums or mobile or drifting teeth. Some people may not notice any symptoms. Gum disease can cause substantial bone loss or tooth mobility by the time it is diagnosed.

The two most common forms are gingivitis (inflammation of the gum) and chronic periodontitis (inflammation of the gum as well as bone loss around the tooth).

Gum disease can happen at any age and affect one tooth or many teeth. If not treated, it will get worse and may cause tooth loss. Almost everyone gets gum disease at some stage, and 10-15% of people get a severe form, leading to tooth loss.

Risk factors include hereditary genetics, smoking and environmental factors, but the main cause is build-up of bacterial plaque and the formation of tartar. Bacteria in the plaque release toxins, causing inflammation, irritation and/or destruction of the gum and the tooth.

What happens during my first consultation with Dr Chou?

Dr Chou will personally treat you throughout the entire consultation. She’s very good at making sure her patients are comfortable and answering any questions you may have.

The first consultation involves Dr Chou taking a full medical and dental history. She’ll do thorough intra-oral and extra-oral examinations and take X-rays (if required).

You’ll receive a tailored treatment plan, and Dr Chou will discuss the treatment procedures in detail as well as help you to better understand the gum disease process, so it’s easier for you to work together as a team to tackle your issue.

What does the treatment involve?

Dr Chou will follow a tailored treatment plan specific to your needs. In most cases, gum disease is treated initially with non-surgical periodontal therapy.

Treatment is not painful and can be performed under local anaesthetic. It’s very similar to having a filling or teeth cleaning by your Dentist. Dr Chou will also give you detailed post-treatment instructions to minimise any possible discomfort.

Some people may have temporary mild teeth sensitivity for 1-2 weeks because the tooth surface, previously covered by calculus and swollen gums, is exposed to the oral environment after treatment.

Regular, professional cleans are vital for the maintenance of optimal periodontal health as well as to monitor any recurrence or progression of gum disease.

How much does periodontal treatment cost?

Dr Chou is a Specialist Periodontist who is able to offer her patients competitive fees and payment plans with interest-free periods up to six months. This means you can choose to manage the costs of your treatment over time with a payment plan.

Please call Toothsome on ph: (02) 9686 8018, to arrange a consultation with Dr Chou. We are happy to discuss general periodontal fees over the phone. However, personal circumstances differ and sometimes it is not possible to provide an accurate fee schedule without an initial consultation and examination.

Dental Implants

What is a dental implant?

A dental implant is an artificial tooth root made of titanium (85%) zirconium (15%), which is a biocompatible material that forms a strong integration with surrounding bone. An implant is used to support an implant-supported crown, bridge or denture and looks and feels like a natural tooth.

How successful is dental implant therapy?

Implant therapy has been successfully used for many decades in patients with missing teeth. There are numerous long-term studies to support their predictability and they have a success rate of 85% to 98% over a 5- to 15-year period.

Dr Chou and Dr Willis have extensive experience placing dental implants and have successfully placed hundreds of implants.

They only place reputable implant systems that have quality, independent long-term evidence-based research supporting their efficacy. Their preferred implant system is Straumann Roxolid SLActive. However, if your Dentist already works with other implant systems, Dr Chou and Dr Willis have experience with multiple implant systems if required.

The success of implant therapy depends very much on the quality of the bone, the location of the implant in the mouth, the design of the supporting restoration and the maintenance of the implant.

Am I suitable for dental implant therapy?

Implant therapy is suitable for most people. However, there are certain factors that may limit the success of implant therapy or even rule out implant therapy.

These factors include:

  • Being under 18 years old with still-growing alveolar bones
    Inadequate bone quantity or quality (surgical regenerative procedures are available to help).
  • Poor oral care at home
  • Not following recommended implant supportive therapy
  • Active gum disease (periodontal therapy is available that can help)
  • Certain medical conditions can increase the risk of infection or prevent ongoing implant supportive therapy.
  • Smoking impairs healing and may prevent bone connection or cause implant loss.

It’s best to make an appointment with Dr Chou or Dr Willis who are happy to discuss your situation and how implant therapy can help.

How long does it take to get a dental implant?

The time required to complete implant therapy varies and depends on your individual situation.

Indicative timeframes are:

  • One day (implant with temporary restoration)
  • Six weeks to three months (implant with permanent restoration)
  • Six to twelve months (extremely complex cases requiring multiple grafting procedures)

What does the implant process involve?

Dr Chou and Dr Willis will discuss each stage of the implant process with you during your initial consultation. There’ll be plenty of time to answer any questions you may have.

The process involves:

  1. An initial consultation
  2. A treatment planning phase
  3. A surgical phase (placement of the implant[s] in a one- to three-hour appointment depending on the complexity and number of implants)
  4. Six weeks to six months of healing is required following surgery before a permanent restoration is placed. The healing period usually depends on the bone quality and implant stability. During this period, your Dentist can place a temporary crown or false tooth to replace the gap.
  5. If a major bone grafting procedure (Ridge Preservation or Ridge Augmentation) is performed to build up the jaw bone, an additional four to six months of healing is required before the implant can be placed.
  6. The permanent restoration is placed by your Dentist when the implant(s) has integrated with your jawbone.

Do I need a referral for a dental implant consultation?

A referral isn’t necessary to make an appointment with Dr Chou or Dr Willis. However, having a referral gives us the opportunity to work more closely with your Dentist to offer you the best individually tailored solution. A referral form for your Dentist can be found here.

How much does dental implant therapy cost?

We’re a family-run, purpose-built surgery run by Dr Chou and Dr Willis. We’ve limited our treatments to periodontal therapy, dental implants and oral surgery. This means we’re able to offer affordable fees because we’re able to reduce our overhead costs and streamline our procedures without compromising our high standard of professional healthcare.

Please call Toothsome on (02) 9686 8018, and Dr Chou or Dr Willis will be able to provide you with a more accurate treatment estimate.

Wisdom Tooth Removal

Do I need my wisdom teeth removed?

For most people, wisdom teeth (third molars) do not cause any problems and do not need to be removed. However, if there isn't enough space in your jaw for your wisdom teeth to grow, wisdom teeth can become 'impacted'. Impacted wisdom teeth are hard to keep clean and can cause pain, swelling, infection, gum disease and/or decay on the tooth in front and sometimes jaw joint discomfort.

Having your wisdom teeth removed (extracted) can relieve these symptoms. Some people even choose to get their wisdom teeth removed to prevent any possible problems from occurring.

What does the initial consultation with Dr Willis involve?

Dr Willis is friendly and supportive to his patients. He’ll discuss whether you need your wisdom teeth removed and the best way to remove them as well as the benefits and risks involved. Like any surgical procedure, there are potential side effects and complications of wisdom teeth removal. Most of these are minor and temporary.

There’ll be plenty of time to ask any questions you might have.

It’s important to have an initial consultation, so Dr Willis can understand your medical and dental history and conduct an examination of your jaw and teeth. He can provide general information over the phone, but you will need to see him for a consultation for personalised advice.

Most people will require a special X-ray (panoramic radiograph [OPG]) to check the location of your wisdom teeth in relation to your jaw and other structures (i.e., nerves and sinuses). If your referring Dentist/Doctor has already taken a recent OPG, please bring this with you to your consultation.

Is the removal of wisdom teeth painful?

Dr Willis is a highly experienced, dual-qualified (medical and dental) clinician with further oral surgical experience. He makes the process of wisdom teeth removal seamless and painless, either in the dental chair or in hospital. If your wisdom teeth are located deeply in your jawbone or impacted in a difficult angulation, Dr Willis may recommend a general anaesthetic.

How long is the recovery time?

The recovery time following the removal of wisdom teeth varies from person to person and also depends on how the wisdom teeth are removed. Most people are able to return to work/school within one week, and it is quite common to return to normal activities the following day.

How much does it cost to have wisdom teeth removed?

We’re a family-run, purpose-built surgery run by Dr Chou and Dr Willis. We’ve limited our treatments to periodontal therapy, dental implants and oral surgery. This means we’re able to offer affordable fees because we’re able to reduce our overhead costs and streamline our procedures without compromising our high standard of professional healthcare.

At Toothsome, we do not charge for the initial wisdom tooth consultation. Our fees for wisdom teeth removal are extremely competitive. Please call Toothsome to make an appointment on (02) 9686 8018, and Dr Willis will discuss any questions you may have.

We welcome new patients whether you’ve been referred by your Dentist or would like to book with us directly.

Please call us for an initial consultation with Dr. Willis or Dr. Chou.

Chatswood (Dr. Willis & Dr. Chou):  (02) 8203 8786

Baulkham Hills (Dr. Willis & Dr. Chou):  (02) 9158 6637

Sydney CBD (Dr. Willis):  (02) 9159 3728

Call Us Today

Chatswood
(Dr. Willis & Dr. Chou): 
(02) 8203 8786

Baulkham Hills
(Dr. Willis & Dr. Chou):
(02) 9158 6637

Sydney CBD
(Dr. Willis): 
(02) 9159 3728

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Toothsome | Periodontics - Implants - Oral Surgery