Your brightest smile starts here.

One Dental is based in Stoke and Mapua, Nelson, and have dental appointments for dental accidents. We have provided some useful tips and advice on what to do with a dental accident.

With any accident the sooner you can get into see us the better. We have provided a guide of how quickly you should be seeking treatment for each injury type. Let us know you have had an accident and what has happened so we can begin making arrangements to get you seen as soon as is required.

Broken a tooth?

Had an accident breaking the tooth? Try to find the broken part of the tooth. Bring this with you in milk to your appointment with us in Nelson. Occasionally the part can be reattached.

A small break (i.e. craze lines, small chip on the edge of the tooth, ¼ of the tooth) does not need to be seen so quickly, but do get checked out by the dentist.

For a large break (half the tooth broken or broken at gum level) it is essential we see you as soon as possible. We need to assess and begin protection of the nerve.

Knocked the tooth inwards, outwards or upwards (luxated tooth)?

These are serious accidents. If you can reposition the tooth then gently do so. Get to the dentist as soon as possible.

Given the tooth a good bang (concussion)?

You may or may not have bleeding from the gum. Swelling or bruising in the gum above the tooth or severe pain is a dental emergency. We need to assess the tooth for a root fracture and take measurements to record if the tooth is alive. We need to see you as soon as possible or within 24 hours.

Knocked out a tooth (avulsed tooth)?

• Find the tooth.
• Pick up the tooth holding the crown of the tooth (the chewing part or the wide part of the tooth), avoid touching the root surface.
• Rinse any dirt off under running water without scrubbing or touching the root. Do not use any soaps or other products on it.
• If you are able – re-implant the tooth. Check you have it facing the correct way, place it back in the socket and gently push or bite it into place.
• If you are not able to re-implant the tooth – place it in milk or in your cheek and get to the dentist now. Try to get to the dentist within 30 mins. Do not wrap it in a tissue or bring it in a dry container.

Broken jaw?

If your bite has altered or you cannot close your teeth normally you may have a fracture. You may have bleeding inside your mouth and you will have severe pain. You may have numb areas around your jaw. Swelling will begin quickly. Go to Nelson hospital immediately.

Will ACC cover payment of my treatment?

It is essential to come and see us after an accident no matter how big or small you think the accident may be. We will register the accident with ACC so if any future treatment is required due to the accident, ACC may help cover the cost of the treatment. ACC does not always cover accidents, but does cover the majority. Frequently ACC does not cover all the cost and there may be a part charge. By visiting and filling out the required ACC forms – we can ensure that ACC provides the best payment cover for you now and in the future. We have the ACC forms required at Stoke and Mapua, Nelson, so no need to go to the doctor first.

Teeth may require removal (extraction) for a number of reasons. These include:

• Infection – (root canals may be an option to avoid extraction)
• Trauma
• Decay
• Gum disease (periodontal disease)
• Orthodontic – for overcrowding
• The tooth may also be simply just too broken down to restore.

What is involved?

An x-ray is taken to assess what the roots look like and what infection is present. The tooth and gum area is then numbed with local anaesthetic so the procedure is pain free. During the procedure you will still feel pressure – this is normal.

If the tooth has curved roots or is very broken down, it may be necessary to surgically remove the tooth in sections. This involves lifting up a gum flap to allow removal of a small amount of bone and to divide the tooth into parts. This will then require sutures to be placed.

If a tooth is particularly difficult to extract or is a wisdom tooth then a referral to an Oral Surgeon may be required.

What can I expect after a tooth is removed?

You will experience some discomfort following an extraction. We will provide you care instructions that help keep you comfortable after the extraction. Following the instructions and using pain relief medications specified will usually keep you comfortable and functioning normally.

The area is likely to be painful and there may be some swelling for up to a week. This pain will gradually subside, but it is likely to be a month before you are no longer noticing the area.

You may experience limited mouth opening. Occasionally there may be tingling or numbness of the lip and tongue.

Bad breath and a bad taste is also very common in the first week following the extraction.

What is a dry socket?

A dry socket is more likely to occur in smokers, difficult extractions or when there is infection present prior to the extraction. It can also occur if you rinse your mouth vigorously or within 24hrs of the extraction.

A dry socket is an infection that develops due to loss of the blood clot. Pain is experienced that is usually quite severe and not resolved by regular pain relief tablets. It may wake you at night. It usually presents 2-3 days following an extraction.

We have methods to help resolve a dry socket and get you comfortable – please contact us to help you.

What should I do following an extraction?

We will provide you with instructions to help you heal quickly and stay comfortable. Please do follow these instructions as they are designed to help you.

• Take pain relief immediately following an extraction. This should be taken while you are still numb. Pain relief may be prescribed for you. If no pain relief if prescribed we tend to recommend:
  • 2 x 500mg Paracetamol then 2 hours later, 2 x 200mg Ibuprofen – then repeat the cycle beginning 2 hours later.
  • Do check that it is safe for you to take these medications before taking them.
• Do not rinse or spit for the first 24hrs. This is important to prevent dislodging the blood clot. After 24hrs the mouth can be rinsed gently with a warm salty mouthwash (1tsp salt to 1 cup warm tap water). 2-3 times a day for the first week. Be gentle, no vigorous rinsing.
• No smoking, alcohol, exercise or hot drinks for 24 hrs.
• Avoid brushing the area until it is comfortable. Brush your other teeth and keep your mouth clean. Also keep your tongue and fingers out of the socket.
• Keep eating and drinking – soft foods such as avocados, bananas, yoghurt, mashed potatoes/vegetables, soup, smoothies work well.

Sutures (Stitches) – these are usually removed in a week unless they are dissolving sutures. Dissolving sutures usually take 2 weeks to dissolve.

Bleeding – it is normal for the site to ooze. You may notice your saliva is slightly pinkish. However if is there is notable red blood then use the gauze compress given to you. Sit upright, place damp gauze over the extraction site and bite firmly for a timed 20 minutes.

A clean handkerchief, or used cool teabag (the tannins help prevent bleeding) also work well.

Swelling – swelling and bruising are common. This is a normal inflammatory response. A cold compress over the area can help with this. If you do not have a cold compress use a bag of frozen vegetables, wrap in a tea towel and hold on the area for maximum of 20 mins 2-3 times a day.

Remember – if you are concerned about anything following your extraction please phone us.

Root Canal treatment (endodontic treatment) is the method used to keep your tooth when your tooth has died. The alternative option is to extract the tooth.

What causes a tooth to die?

Teeth have a very fine nerve network inside the tooth which is why you feel hot and cold temperatures in your teeth. Sometimes the nerve may die and then go into develop an infection if left untreated. Reasons for the nerve to die include:

• Trauma/accident
• Dental decay (dental caries)
• A history of large fillings
• The way the tooth has developed
• Infection
• Breaking or fracturing the tooth
• Fine cracks in the tooth
• Occasionally the nerve can die for no obvious reason

Symptoms

You will often get symptoms, these can come and go as the nerve progresses through dying to developing an infection. The symptoms include:

• Pain – usually quite severe and may wake you at night or require pain killers. The pain is often long lasting.
• Swelling or a lump
• Tenderness and sensitivity
• Discolouration – if you have had trauma to the tooth it may become discoloured.

Sometimes there are no symptoms at all and infection may be found by your dentist on examination or on x-ray.

Treatment

When you visit us we will perform a series of tests and take an x-ray to establish if the tooth requires root canal treatment.

Treatment usually is over a series of 1-3 visits. Firstly a small access is made into the nerve structure using local anaesthetic.

A plastic sheet called a rubber dam is usually placed over the tooth to help isolate it and keep it clean and dry, as getting it clean is the aim of the root canal treatment.

The dead nerve and infected tissue is removed using very fine files to clean the nerve canal. It is washed with medication and dried. A medicated dressing is used and left in the canal between appointments. This medication may require replacement over additional appointments until the infection has cleared, the nerve canal is clean and the pain has gone.

You may need antibiotics and pain relief until the symptoms are resolved.

When the root canal is clean and dry a rubber based material called gutta percha is then placed in the nerve canal to seal the canal and a filling placed on top. It is often recommended that the tooth is also crowned with a ceramic or gold crown to provide strength and a good seal around the root filled tooth.

Complications of root canal treatment

Root canal treatment has several known complications. These include:

• Failure to access the canals – sometimes we just can’t get into the nerve. If the tooth has been dying for a long period of time it tries to protect itself by laying down more tooth tissue and shrinking the canal. This can make the fine canals even harder or impossible to access to clean.
• Failure to remove all the infection – the nerve is a fine spiderweb like network inside the tooth. The aim of the treatment is remove the nerve and any infected material. However – it is impossible to access all the fine parts and this can re-infect.
• Infection is often outside the tooth itself in the bone. We cannot access this area with root canal treatment. If this infection does not resolve following treatment you may need to have this surgically removed by a specialist.
• File separation – the files we use are incredible fine and delicate. These are manufactured under strict conditions. However, files can separate when using them, leaving small parts of the file in the canal. These can be sealed into the canal but do have a risk of re-infection, particularly if it occurs early in the treatment.
• Perforation – sometimes one of the nerve branches exit at the side of the root rather than the end of the root. As we follow these down it can create a perforation or hole in the side of the root of the tooth.
• Tooth Fracture – Often the tooth is already weakened from previous fillings. By creating an access to the nerve canal we must remove tooth tissue, weakening the tooth further. In between treatment the tooth must be treated very gently, avoiding using it while eating as it is weak and unprotected. Following treatment a restoration such as a filing or crown is placed. This will improve the strength of the tooth but it is still weak. The tooth can fracture resulting in having to extract the tooth.
• The tooth may darken – the material used to fill the tooth is known to stain the tooth.

Prior to and at any stage during the procedure we may need to refer you to an endodontic specialist as we simply do not know what we will find when we open the canal and begin the procedure.

Although there seem to be many risks – root canals are generally very successful and allow you to keep the tooth for a long period, rather than extracting the tooth.

We know toothaches are horrid. So if you are in Nelson with a toothache, give us a call and we will get you in to sort it out.

If you are reading this after hours here are some helpful hints to deal with a toothache.

Painkillers will help relieve a toothache until you can visit the dentist. Take painkillers regularly – without exceeding the recommended daily dose. Also check that you can safely take the medication prior to taking it. It can help to alternate between medications e.g. take 2 tablets of 400ml Ibuprofen (200mg each tablet) then 2 hours later take 2 tablets of Panadiene (500mg paracetamol and 8 mg codeine each tablet). Then repeat. Alternating can help provide better and longer lasting cover.

Ensure you take painkillers 30 mins before bed time, then they will be working before you lie down.

Hot or cold – Sometimes sipping on very cold water can help. An icepack may help. Wrap some frozen veggies in a tea towel and hold on your cheek for 10-20 minutes. Some people find sipping on warm water helps.

Clove oil dabbed on the tooth may help.

Sleep with your head raised – this helps prevent the throb.

Night time is always worse – there are no distractions and the brain can fully focus on the pain. Having some distraction can help, keep the TV on, have music playing or read a book till you fall asleep.

After your rough night with toothache please ring – we can help, we are good at it.

A crown is a dental restoration that is custom shaped for your tooth. It is often referred as a cap that wraps around and encloses the tooth. Crowns are recommended when a tooth is weakened by being heavily filled, broken down or root filled. It will provide strength to a damaged tooth. They may also be used for cosmetic reasons.

Crowns are frequently made from gold or a ceramic tooth coloured material. They can also be made from a plastic composite material. Your dentist will discuss which is the best option for you.

A bridge replaces one or more missing teeth. It requires strong teeth on either side of the missing tooth to support the bridge structure.

CEREC Crowns

CEREC is a powerful digital technology using CAD/CAM technology (Computer Aided Design/ Computer Aided Manufacturing). The teeth are simply scanned with our digital scanner and the porcelain crown is designed manufactured on the same day. CEREC is able to create crowns, bridges, dental implant crowns, inlays, onlays and veneers.

Same day procedure with CEREC

CEREC allows the crown to completed in the one visit. Rather than having to wait 2 weeks for your new crown it is all done on the one day. You are no longer sent away with an annoying and often sensitive, temporary crown.

Advantages of CEREC vs conventional crowns:

• Messy and uncomfortable dental impressions are no longer required. The model is created digitally and within a few minutes.
• The digital design and fabrication is incredibly accurate allowing us more control over the process.
• CEREC crowns are strong and look amazing. They can last as long as the old style crowns

Traditional Crown and Bridge Procedure

To create a crown generally 2 appointments are required over 2-3 weeks. The first appointment will be slightly longer 1-1.5 hrs approximately, with the second appointment being of shorter length.

At the first appointment, the tooth structure is shaped under local anaesthetic to create a cone shape that the crown will be cemented over. If there is very little tooth structure remaining a core may need to be built up firstly to provide enough structure to bond the crown to.

An impression model is taken of the shaped tooth structure and this will be sent to the laboratory for fabrication of your custom made tooth. A colour match will also be recorded. It can take about 2 weeks for the crown to be made. During this time you will have a temporary crown cemented in place. The temporary crown is not strong and will require you to be gentle with eating. The temporary crowns can also stain with strong coloured foods such as curry, so these should be avoided particularly if you have temporary crowns on your front teeth.

When the crown is returned from the lab, your temporary crown is removed and the permanent crown cemented into place. Your bite will be checked and adjusted if necessary.

Gold and metal crowns

A gold crown is gold in appearance and is made of a gold alloy. Due to the colour they are generally only used on back teeth. They are an excellent crown with a long successful history, and are the “gold standard” of crowns.

They are an excellent option as can be made very thin, therefore only requiring a small amount of shaping to be done on your tooth. They have a similar wear level as your natural teeth so do not cause any damage to the opposing teeth. They are also very strong and unlikely to fracture, so are useful in people with a strong bite or who are clenchers and grinders. They are also quite inert so there is not likely to be any irritation.

Being metal they can be a little sensitive initially as hot and cold passes through metal easily. This usually settles within a few weeks.

Porcelain and ceramic crowns

These are the tooth coloured aesthetic crowns, with a shade selected so it blends in with your other teeth.

Porcelain is harder than natural teeth, consequently you will have wear on your opposing teeth. It is also a brittle structure so can be prone to fracturing. Porcelain also requires a thicker layer than the gold to achieve sufficient strength so there will be greater tooth tissue removal than for a gold crown when the tooth is prepared.

Porcelain fused to metal crown PFM

A thin layer of porcelain is fused to an inner layer of metal. This provides a compromise in the tooth colour while having the increased strength of a metal base. Due to the metal base this changes the opacity so the colour is unable to be fully matched to natural teeth. The margins may also appear darker so with gum recession over time you may see the appearance of a darker line at the gum level.

Porcelain fused to Zirconia or full Zirconia

Zirconia is a white crystalline oxide material that is very strong and tooth coloured. It offers a good cosmetic option allowing colour and opacity to be matched well. It is strong but can fracture. It requires additional tooth structure removal compared with the gold crown.

Composite crowns

Composite is a resin type material that is moulded into shape in your mouth and then set with a bright light. It is a cheaper alternative to gold or porcelain crowns. They can be made indirectly or directly in the mouth so only one appointment is required. They are chemically bonded to the tooth.

The composite is weaker and longevity is significantly less than gold or porcelain crowns.

OVC – One Visit Crowns

The OVC is a hybrid of composite resin and ceramic designed by the clever folks at Rhondium in Katikati New Zealand. The tooth is prepared and the OVC shaped and fitted. It is cemented into place at the one appointment. These are a cheaper option as they only require the one visit. However they are a new technique so there is not large amount of data to estimate how long they will last.

At One Dental we pride ourselves on providing the best technology has to offer to give you the best result. These new technologies allow us to help reduce the cost to you also with our procedures taking significantly less time.

Digital X-rays

All our X-rays are taken are using digital imaging allowing us to have fast, clear images, while using very low doses of exposure.

Our Panex X-ray machine allows us check when people are having wisdom teeth problems and TMJ (jaw problems). It provides excellent imaging of the facial structures including sinus and jaws.

CEREC

CEREC is digital dentistry at its best using CAD/CAM technology. This allows us to make crowns and bridges as well as replace old amalgam fillings in the one visit.

This state of the art technology scans and designs your new tooth while you wait making ceramic crowns, bridges, dental implant crowns, inlays, onlays and veneers.

Invisalign

Invisalign straightens and creates a beautiful smile over time using the most advanced clear aligner system. Digitally your smile is transformed on screen so you can see each step of the invisalign procedure, including the final beautiful smile with straight teeth.

Digital smile design

If you are looking for dental makeover digital smile design will show you how your teeth will look prior to undertaking any treatment. Using digital design your smile can be designed and altered to how you have always wanted.

Dental implants are used to replace a missing tooth or teeth. They can be done right here in Nelson and can transform your eating and life.

People frequently elect to have a dental implant if they do not wish to have a gap, don’t want a partial denture, or have lost a tooth in an accident.

A titanium screw is placed into the jaw bone where it integrates with the bone. On top of this a porcelain crown or dentures are fitted over the implant.

A implant can be used to replace just the single tooth, or multiple implants can be used to replace dentures.

What’s involved?

Getting a dental implant is a multi stage process and takes several months to a year to complete. It will involve an Oral Surgeon or Periodontist both of who we have in Nelson and your dentist.

You will require a consultation prior to any treatment being done. The consultation will involve:

• A discussion about you, your medical history, your medications and if you are a smoker.
• X-rays and sometimes 3D scans will be taken.
• Models of your mouth will be taken to look at your bite and how the implants will fit.
• Careful assessment of your remaining teeth will also be made.
• You will be referred to the Oral Surgeon or Periodontist who specialise in the placement of the dental implant. They will also have a consultation with you prior to beginning the treatment.

The process

Once it is established that you are a good candidate for the implant, the Oral Surgeon or Periodontist will place the implant. This is usually done with local anaesthetic and some sedation. The process is painless and the recovery very easy.

The implant may then be immediately loaded – i.e. a crown is placed immediately on top. Or alternatively it may be left to heal under the gum for around 4-12 months. In the delayed implant you will be given a denture or a temporary bridge to fill the gap.

When the healing is completed you then return to us where models are taken to make the crown on top. About two weeks later the crown will be completed and fitted. You walk out smiling.

You will need to return at regular intervals 3-12 monthly for hygiene cleans and assessment as per if you had regular teeth.

Are there any risks?

Dental implants are incredibly successful and have been used for many years. This means we can comfortably say that they work well, and have a high success rate (around 90% success rate).

With any procedure involving the human body there are some risks. The consultation is done to ensure you are a good candidate for a dental implant and to minimise risks.

Known risks are:

• Gum disease and infection – yes an implant can be lost due to infection in the gums and bone surrounding it, exactly like a normal tooth. You will be required to have regular hygiene clean appointments after having an implant placed to prevent this occurring.
• Fracture – implants and the porcelain crown placed on top of the implant can fracture with trauma and bruxism (grinding). You may be given a bite splint to wear at night to help protect the implant.
• Failure to integrate into the bone – this is unlikely but more common in smokers and those on certain medications that affect the bone.

In suitable candidates implants are one of the most successful dental treatments available today.

ACC and implants

ACC can help cover the costs of an implant if you have lost a tooth due to an accident. They do not fully cover the costs. There are conditions that must be met before they consider helping pay. These conditions do change but currently include:

• You are a non-smoker
• You are over 18-20 years
• You have had no teeth extracted from your first molars forward (orthodontic extractions are accepted). If you have had teeth extracted you must have replaced these with either a bridge, implant or orthodontically closed at your expense.
• You must have 5 years worth of dental records showing that you are a regular attender and take care of your mouth.
• You must sign a form saying you know what the additional charges are – and that you will pay these.

If you have had an accident and the dentist has mentioned you may need an implant in the future – then please do follow the conditions to help ensure you meet the criteria for when you do need an implant.

Orthodontically creating a beautiful smile with braces or Invisalign.

At One Dental Stoke and Mapua we have orthodontic treatment available. If you have concerns about your smile or wanting a beautiful straight smile we can help. Orthodontics is a process that can work at any age with clients undertaking treatments from teenagers right through to clients in their in 50s and 60s. Results are fabulous at any age. Your initial orthodontic consultation with Dr Justin Kabir will allow an assessment of where your teeth currently are and give some insight as to how your smile can be improved. Justin will talk to you about prices, how long it will take and what you can expect. From this he will provide a detailed orthodontic plan customised for you.

At One Dental we use Invisalign – this is a clear mouth guard type appliance that is custom made for you. Being clear it is hard to see you are wearing any braces. Many people in the work environment find Invisalign to be a good option.

We are happy to discuss with you how orthodontics will improve your smile. We can offer after hours appointments for orthodontics to help fit in with your work hours. Orthodontics is available at both our Nelson Dentist branches – Stoke and Mapua.

Sedation allows you to be fully relaxed while your dentistry is completed. At One Dental we offer IV sedation. We can also offer oral sedation. Our team is extensively trained in IV and oral sedation and here to look after you.

Prior to any sedation we will see you for a general consultation. This allows us to talk through with you what treatment you would like to have undertaken when you are sedated. This consultation will only be a chat, x-rays and examination. It is a gentle way for you to meet us the team and visit the practice.

During the sedation you will have a team of three with you, your dentist, your dental assistant and an additional assistant to monitor and record the sedation.

Following discharged you must be picked up and driven home by someone who can look after you as you will still be slightly sedated. Your reactions will be slower and your decision making affected. The remainder of the day you will not be able to work, care for others, drive, operate machinery/equipment or sign any documents. We also recommend no online shopping!!

The cost of the sedation is $450 (with a sedation trained dentist) and $650 (with our visiting Oral Surgeon). The dental work is additional to this, a quote for the treatment will be given to you at the initial sedation consultation.

Wisdom teeth are the last teeth to erupt into our mouths. Some people are lucky and they come through with no problems – many of us are not so lucky.

Wisdom teeth can cause problems at any stage in our life but the majority of people if they have issues will be late teens to early 30s. Often the pain comes and goes but tend to occur when:

• You are run down or have another illness
• You are stressed
• Exams and deadlines
• Holidays – teeth know when to be annoying!

Symptoms associated with wisdom teeth are swelling behind the back teeth, pain, pain on biting at the back, difficulty opening your mouth, pus may be present behind your back tooth. Your lymph glands in your neck may also be tender to touch. You may feel quite unwell and run down.

We take wisdom teeth out for a number of reasons:

• There is not enough room in your jaw
• Constant infection and pain which is not good for you or your body
• Damage can occur to the teeth in front resulting in the loss of 2 teeth
• They can decay and become infected under the gum
• Risk of breaking your jaw if left in place – this is important for people playing impact sports

We will assess you and take a special x-ray that shows your wisdom teeth. This helps us decide the best course of treatment. Some don’t need to come out, they just need some assistance keeping them calm while they come through fully. At the time of the appointment we will help stop the pain and show you how to manage them. If they need to come out, we often then book a future appointment to take them out when the pain and infection is under control. We can do this with sedation to make it easy on you.

Botox

Botox (Cosmetic Botulinum Toxin) gently softens fine lines and wrinkles developed over our lifetime. At One Dental we use Dysport both cosmetically and as a therapeutic agent for TMJ pain, Migraines and Tension Headaches.

Cosmetically Dysport (Botox) can be used to reduce frown lines, crow’s feet, lip lines, bunny lines and smoothing the forehead lines. We are also able to lower high smile lines reducing the gummy smile.

Botox for Migraines and Tension Headaches

Safe. Effective. Clinically Proven Relief.

If you suffer from chronic migraines or tension headaches, you know how debilitating they can be. Botox isn’t just for cosmetic use—it’s also a medically approved treatment that can reduce the frequency and intensity of migraines and chronic headaches.

What is Botox for Migraines?

Botox (botulinum toxin) is a therapeutic muscle relaxant that has been FDA and Medsafe approved for the treatment of chronic migraines. It works by blocking pain signals and relaxing muscles that contribute to tension and headache symptoms.

Who is it for?

Botox may be right for you if:

• You experience 15 or more headache days per month, with at least 8 being migraines.
• You’ve tried other migraine medications without lasting relief.
• Your quality of life is affected by frequent headaches or neck and shoulder tension.

How does it work?

During a quick in-clinic procedure, small amounts of Botox are injected into specific areas around the head, temples, forehead, and neck. These injections:

• Reduce muscle tension
• Block neurotransmitters that carry pain signals
• Help prevent headaches before they start

Many patients report a significant drop in both the number and severity of migraines after treatment.

What to expect

• Treatment time: 10–30 minutes following a free consultation to see if this treatment is suitable for you
• Discomfort: Minimal — very fine needles are used
• Downtime: None — return to normal activities the same day
• Results: Usually noticeable within 1–2 weeks, with full effect by 4 weeks
• Duration: Relief typically lasts 3–4 months

Is it safe?

Botox has been used therapeutically for decades and is considered very safe when administered by trained professionals. Advanced training in the treatment of Migraines and Tension headaches has been undertaken, this is in addition to the extensive knowledge of facial structures with a dental background and hospital work in the maxillofacial area.

Cost

Cost ranges from $50 to $1750 depending on the number of sites targeted. Due to the cost, I am careful to work with you to target the specific sites causing issues. We will work together at the free consultation to establish firstly, if this is suitable, and secondly, sites that work for you both for price and effectiveness.

Ready to find relief?

If migraines or chronic tension headaches are impacting your life, you don’t have to suffer in silence. Book a consultation to see if Botox could help you get back to living pain-free.

Botox for TMJ Jaw Pain

Stress can cause us to clench and grind our teeth – leading to TMJ or jaw pain. If you are finding yourself struggling with TMJ pain Botox (Dysport) can help. Botulinum toxin is injected in small doses into the masseter and temporalis muscles (the jaw muscles), this weakens the muscle enough to stop involuntary grinding and clenching – helping reduce pain.

Botox

Botox (Cosmetic Botulinum Toxin) gently softens fine lines and wrinkles developed over our lifetime. At One Dental we use Dysport both cosmetically and as a therapeutic agent for TMJ pain, Migraines and Tension Headaches.

Cosmetically Dysport (Botox) can be used to reduce frown lines, crow’s feet, lip lines, bunny lines and smoothing the forehead lines. We are also able to lower high smile lines reducing the gummy smile.

Botox for Migraines and Tension Headaches

Safe. Effective. Clinically Proven Relief.

If you suffer from chronic migraines or tension headaches, you know how debilitating they can be. Botox isn’t just for cosmetic use—it’s also a medically approved treatment that can reduce the frequency and intensity of migraines and chronic headaches.

What is Botox for Migraines?

Botox (botulinum toxin) is a therapeutic muscle relaxant that has been FDA and Medsafe approved for the treatment of chronic migraines. It works by blocking pain signals and relaxing muscles that contribute to tension and headache symptoms.

Who is it for?

Botox may be right for you if:

• You experience 15 or more headache days per month, with at least 8 being migraines.
• You’ve tried other migraine medications without lasting relief.
• Your quality of life is affected by frequent headaches or neck and shoulder tension.

How does it work?

During a quick in-clinic procedure, small amounts of Botox are injected into specific areas around the head, temples, forehead, and neck. These injections:

• Reduce muscle tension
• Block neurotransmitters that carry pain signals
• Help prevent headaches before they start

Many patients report a significant drop in both the number and severity of migraines after treatment.

What to expect

• Treatment time: 10–30 minutes following a free consultation to see if this treatment is suitable for you
• Discomfort: Minimal — very fine needles are used
• Downtime: None — return to normal activities the same day
• Results: Usually noticeable within 1–2 weeks, with full effect by 4 weeks
• Duration: Relief typically lasts 3–4 months

Is it safe?

Botox has been used therapeutically for decades and is considered very safe when administered by trained professionals. Advanced training in the treatment of Migraines and Tension headaches has been undertaken, this is in addition to the extensive knowledge of facial structures with a dental background and hospital work in the maxillofacial area.

Cost

Cost ranges from $50 to $1750 depending on the number of sites targeted. Due to the cost, I am careful to work with you to target the specific sites causing issues. We will work together at the free consultation to establish firstly, if this is suitable, and secondly, sites that work for you both for price and effectiveness.

Ready to find relief?

If migraines or chronic tension headaches are impacting your life, you don’t have to suffer in silence. Book a consultation to see if Botox could help you get back to living pain-free.

Botox for TMJ Jaw Pain

Stress can cause us to clench and grind our teeth – leading to TMJ or jaw pain. If you are finding yourself struggling with TMJ pain Botox (Dysport) can help. Botulinum toxin is injected in small doses into the masseter and temporalis muscles (the jaw muscles), this weakens the muscle enough to stop involuntary grinding and clenching – helping reduce pain.

A crown is a dental restoration that is custom shaped for your tooth. It is often referred as a cap that wraps around and encloses the tooth. Crowns are recommended when a tooth is weakened by being heavily filled, broken down or root filled. It will provide strength to a damaged tooth. They may also be used for cosmetic reasons.

Crowns are frequently made from gold or a ceramic tooth coloured material. They can also be made from a plastic composite material. Your dentist will discuss which is the best option for you.

A bridge replaces one or more missing teeth. It requires strong teeth on either side of the missing tooth to support the bridge structure.

CEREC Crowns

CEREC is a powerful digital technology using CAD/CAM technology (Computer Aided Design/ Computer Aided Manufacturing). The teeth are simply scanned with our digital scanner and the porcelain crown is designed manufactured on the same day. CEREC is able to create crowns, bridges, dental implant crowns, inlays, onlays and veneers.

Same day procedure with CEREC

CEREC allows the crown to completed in the one visit. Rather than having to wait 2 weeks for your new crown it is all done on the one day. You are no longer sent away with an annoying and often sensitive, temporary crown.

Advantages of CEREC vs conventional crowns:

• Messy and uncomfortable dental impressions are no longer required. The model is created digitally and within a few minutes.
• The digital design and fabrication is incredibly accurate allowing us more control over the process.
• CEREC crowns are strong and look amazing. They can last as long as the old style crowns

Traditional Crown and Bridge Procedure

To create a crown generally 2 appointments are required over 2-3 weeks. The first appointment will be slightly longer 1-1.5 hrs approximately, with the second appointment being of shorter length.

At the first appointment, the tooth structure is shaped under local anaesthetic to create a cone shape that the crown will be cemented over. If there is very little tooth structure remaining a core may need to be built up firstly to provide enough structure to bond the crown to.

An impression model is taken of the shaped tooth structure and this will be sent to the laboratory for fabrication of your custom made tooth. A colour match will also be recorded. It can take about 2 weeks for the crown to be made. During this time you will have a temporary crown cemented in place. The temporary crown is not strong and will require you to be gentle with eating. The temporary crowns can also stain with strong coloured foods such as curry, so these should be avoided particularly if you have temporary crowns on your front teeth.

When the crown is returned from the lab, your temporary crown is removed and the permanent crown cemented into place. Your bite will be checked and adjusted if necessary.

Gold and metal crowns

A gold crown is gold in appearance and is made of a gold alloy. Due to the colour they are generally only used on back teeth. They are an excellent crown with a long successful history, and are the “gold standard” of crowns.

They are an excellent option as can be made very thin, therefore only requiring a small amount of shaping to be done on your tooth. They have a similar wear level as your natural teeth so do not cause any damage to the opposing teeth. They are also very strong and unlikely to fracture, so are useful in people with a strong bite or who are clenchers and grinders. They are also quite inert so there is not likely to be any irritation.

Being metal they can be a little sensitive initially as hot and cold passes through metal easily. This usually settles within a few weeks.

Porcelain and ceramic crowns

These are the tooth coloured aesthetic crowns, with a shade selected so it blends in with your other teeth.

Porcelain is harder than natural teeth, consequently you will have wear on your opposing teeth. It is also a brittle structure so can be prone to fracturing. Porcelain also requires a thicker layer than the gold to achieve sufficient strength so there will be greater tooth tissue removal than for a gold crown when the tooth is prepared.

Porcelain fused to metal crown PFM

A thin layer of porcelain is fused to an inner layer of metal. This provides a compromise in the tooth colour while having the increased strength of a metal base. Due to the metal base this changes the opacity so the colour is unable to be fully matched to natural teeth. The margins may also appear darker so with gum recession over time you may see the appearance of a darker line at the gum level.

Porcelain fused to Zirconia or full Zirconia

Zirconia is a white crystalline oxide material that is very strong and tooth coloured. It offers a good cosmetic option allowing colour and opacity to be matched well. It is strong but can fracture. It requires additional tooth structure removal compared with the gold crown.

Composite crowns

Composite is a resin type material that is moulded into shape in your mouth and then set with a bright light. It is a cheaper alternative to gold or porcelain crowns. They can be made indirectly or directly in the mouth so only one appointment is required. They are chemically bonded to the tooth.

The composite is weaker and longevity is significantly less than gold or porcelain crowns.

OVC – One Visit Crowns

The OVC is a hybrid of composite resin and ceramic designed by the clever folks at Rhondium in Katikati New Zealand. The tooth is prepared and the OVC shaped and fitted. It is cemented into place at the one appointment. These are a cheaper option as they only require the one visit. However they are a new technique so there is not large amount of data to estimate how long they will last.

At One Dental we pride ourselves on providing the best technology has to offer to give you the best result. These new technologies allow us to help reduce the cost to you also with our procedures taking significantly less time.

Digital X-rays

All our X-rays are taken are using digital imaging allowing us to have fast, clear images, while using very low doses of exposure.

Our Panex X-ray machine allows us check when people are having wisdom teeth problems and TMJ (jaw problems). It provides excellent imaging of the facial structures including sinus and jaws.

CEREC

CEREC is digital dentistry at its best using CAD/CAM technology. This allows us to make crowns and bridges as well as replace old amalgam fillings in the one visit.

This state of the art technology scans and designs your new tooth while you wait making ceramic crowns, bridges, dental implant crowns, inlays, onlays and veneers.

Invisalign

Invisalign straightens and creates a beautiful smile over time using the most advanced clear aligner system. Digitally your smile is transformed on screen so you can see each step of the invisalign procedure, including the final beautiful smile with straight teeth.

Digital smile design

If you are looking for dental makeover digital smile design will show you how your teeth will look prior to undertaking any treatment. Using digital design your smile can be designed and altered to how you have always wanted.

Dental implants are used to replace a missing tooth or teeth. They can be done right here in Nelson and can transform your eating and life.

People frequently elect to have a dental implant if they do not wish to have a gap, don’t want a partial denture, or have lost a tooth in an accident.

A titanium screw is placed into the jaw bone where it integrates with the bone. On top of this a porcelain crown or dentures are fitted over the implant.

A implant can be used to replace just the single tooth, or multiple implants can be used to replace dentures.

What’s involved?

Getting a dental implant is a multi stage process and takes several months to a year to complete. It will involve an Oral Surgeon or Periodontist both of who we have in Nelson and your dentist.

You will require a consultation prior to any treatment being done. The consultation will involve:

• A discussion about you, your medical history, your medications and if you are a smoker.
• X-rays and sometimes 3D scans will be taken.
• Models of your mouth will be taken to look at your bite and how the implants will fit.
• Careful assessment of your remaining teeth will also be made.
• You will be referred to the Oral Surgeon or Periodontist who specialise in the placement of the dental implant. They will also have a consultation with you prior to beginning the treatment.

The process

Once it is established that you are a good candidate for the implant, the Oral Surgeon or Periodontist will place the implant. This is usually done with local anaesthetic and some sedation. The process is painless and the recovery very easy.

The implant may then be immediately loaded – i.e. a crown is placed immediately on top. Or alternatively it may be left to heal under the gum for around 4-12 months. In the delayed implant you will be given a denture or a temporary bridge to fill the gap.

When the healing is completed you then return to us where models are taken to make the crown on top. About two weeks later the crown will be completed and fitted. You walk out smiling.

You will need to return at regular intervals 3-12 monthly for hygiene cleans and assessment as per if you had regular teeth.

Are there any risks?

Dental implants are incredibly successful and have been used for many years. This means we can comfortably say that they work well, and have a high success rate (around 90% success rate).

With any procedure involving the human body there are some risks. The consultation is done to ensure you are a good candidate for a dental implant and to minimise risks.

Known risks are:

• Gum disease and infection – yes an implant can be lost due to infection in the gums and bone surrounding it, exactly like a normal tooth. You will be required to have regular hygiene clean appointments after having an implant placed to prevent this occurring.
• Fracture – implants and the porcelain crown placed on top of the implant can fracture with trauma and bruxism (grinding). You may be given a bite splint to wear at night to help protect the implant.
• Failure to integrate into the bone – this is unlikely but more common in smokers and those on certain medications that affect the bone.

In suitable candidates implants are one of the most successful dental treatments available today.

ACC and implants

ACC can help cover the costs of an implant if you have lost a tooth due to an accident. They do not fully cover the costs. There are conditions that must be met before they consider helping pay. These conditions do change but currently include:

• You are a non-smoker
• You are over 18-20 years
• You have had no teeth extracted from your first molars forward (orthodontic extractions are accepted). If you have had teeth extracted you must have replaced these with either a bridge, implant or orthodontically closed at your expense.
• You must have 5 years worth of dental records showing that you are a regular attender and take care of your mouth.
• You must sign a form saying you know what the additional charges are – and that you will pay these.

If you have had an accident and the dentist has mentioned you may need an implant in the future – then please do follow the conditions to help ensure you meet the criteria for when you do need an implant.

Botox

Botox (Cosmetic Botulinum Toxin) gently softens fine lines and wrinkles developed over our lifetime. At One Dental we use Dysport both cosmetically and as a therapeutic agent for TMJ pain, Migraines and Tension Headaches.

Cosmetically Dysport (Botox) can be used to reduce frown lines, crow’s feet, lip lines, bunny lines and smoothing the forehead lines. We are also able to lower high smile lines reducing the gummy smile.

Botox for Migraines and Tension Headaches

Safe. Effective. Clinically Proven Relief.

If you suffer from chronic migraines or tension headaches, you know how debilitating they can be. Botox isn’t just for cosmetic use—it’s also a medically approved treatment that can reduce the frequency and intensity of migraines and chronic headaches.

What is Botox for Migraines?

Botox (botulinum toxin) is a therapeutic muscle relaxant that has been FDA and Medsafe approved for the treatment of chronic migraines. It works by blocking pain signals and relaxing muscles that contribute to tension and headache symptoms.

Who is it for?

Botox may be right for you if:

• You experience 15 or more headache days per month, with at least 8 being migraines.
• You’ve tried other migraine medications without lasting relief.
• Your quality of life is affected by frequent headaches or neck and shoulder tension.

How does it work?

During a quick in-clinic procedure, small amounts of Botox are injected into specific areas around the head, temples, forehead, and neck. These injections:

• Reduce muscle tension
• Block neurotransmitters that carry pain signals
• Help prevent headaches before they start

Many patients report a significant drop in both the number and severity of migraines after treatment.

What to expect

• Treatment time: 10–30 minutes following a free consultation to see if this treatment is suitable for you
• Discomfort: Minimal — very fine needles are used
• Downtime: None — return to normal activities the same day
• Results: Usually noticeable within 1–2 weeks, with full effect by 4 weeks
• Duration: Relief typically lasts 3–4 months

Is it safe?

Botox has been used therapeutically for decades and is considered very safe when administered by trained professionals. Advanced training in the treatment of Migraines and Tension headaches has been undertaken, this is in addition to the extensive knowledge of facial structures with a dental background and hospital work in the maxillofacial area.

Cost

Cost ranges from $50 to $1750 depending on the number of sites targeted. Due to the cost, I am careful to work with you to target the specific sites causing issues. We will work together at the free consultation to establish firstly, if this is suitable, and secondly, sites that work for you both for price and effectiveness.

Ready to find relief?

If migraines or chronic tension headaches are impacting your life, you don’t have to suffer in silence. Book a consultation to see if Botox could help you get back to living pain-free.

Botox for TMJ Jaw Pain

Stress can cause us to clench and grind our teeth – leading to TMJ or jaw pain. If you are finding yourself struggling with TMJ pain Botox (Dysport) can help. Botulinum toxin is injected in small doses into the masseter and temporalis muscles (the jaw muscles), this weakens the muscle enough to stop involuntary grinding and clenching – helping reduce pain.

Orthodontically creating a beautiful smile with braces or Invisalign.

At One Dental Stoke and Mapua we have orthodontic treatment available. If you have concerns about your smile or wanting a beautiful straight smile we can help. Orthodontics is a process that can work at any age with clients undertaking treatments from teenagers right through to clients in their in 50s and 60s. Results are fabulous at any age. Your initial orthodontic consultation with Dr Justin Kabir will allow an assessment of where your teeth currently are and give some insight as to how your smile can be improved. Justin will talk to you about prices, how long it will take and what you can expect. From this he will provide a detailed orthodontic plan customised for you.

At One Dental we use Invisalign – this is a clear mouth guard type appliance that is custom made for you. Being clear it is hard to see you are wearing any braces. Many people in the work environment find Invisalign to be a good option.

We are happy to discuss with you how orthodontics will improve your smile. We can offer after hours appointments for orthodontics to help fit in with your work hours. Orthodontics is available at both our Nelson Dentist branches – Stoke and Mapua.

Teeth whitening is a proven and successful treatment to improve the colour of your teeth and your smile. It is a safe procedure and has a long track record of success.

The teeth have an outer enamel layer, which is the layer we see. Genetics determines the thickness and whiteness of the enamel. Lifestyle then can alter this colour, smoking, diet, medications, over brushing and using very abrasive toothpastes can change the colour of the enamel making the teeth appear darker.

Teeth whitening is not a one off single treatment. The enamel of teeth darken over time with the enamel layer of the teeth absorbing stains. This continues to happen following whitening so top up treatments are required to maintain a white smile.

Take Home Whitening

There are several types of whitening procedures available – we have selected the Take Home whitening trays method as this method is proven to be the most successful plus provides an easy and effective means of maintaining your new white smile.

You will require an assessment – this is to ensure you teeth will whiten well. Everybody varies – the end result depends on the starting shade of your teeth. We will assess your teeth to and advise of the results you can expect.

Your teeth may need a good cleaning to remove surface stains and deposits. Any decay will also be assessed.

The whitening products whiten teeth but not fillings or porcelain crowns and veneers. This is a point you need to be aware of.

Models are taken of your teeth and a custom made tray is made specifically for you. You will be given a take home kit of whitening.

Over the counter treatments can be bought, these contain a lower strength product and therefore the results are not as good. We will provide you with a higher strength, more effective product.

What can I expect?

A brighter, whiter smile. We will show you the shade they will most likely become. Generally the whitening process takes about 2 weeks where the custom made trays are worn either overnight or for 30mins-1hour daily.

Some people experience sensitivity – we can help you mange this while still achieving a great new smile. Sensitivity is a temporary effect.

Your gums may become a little irritated. Again this is temporary and we will show you how to help prevent this happening.

If pregnant – it is advised that you do not whiten your teeth. This is a cosmetic procedure and can be done after the pregnancy.

Your teeth will darken with time again and you may find you wish to do a top up in 6+ months. Keep your trays and do a top up as required, this may only take a few days to bring them back to the colour you want. You can also do a top up if you have a special event coming up.

Whitening is a really successful and safe procedure. We would be happy to explain the results that you can expect to see.

LIFETIME WHITE SMILE OFFER

At One Dental we a have a lifetime offer of Get a white smile and keep a white smile*.

Visit us for Teeth Whitening Treatment and we will give you a white smile for life. Every year when you return for your dental hygiene treatment you will receive a free top up syringe.

*Terms and Conditions Apply: Whitening is not suitable for all teeth types. We can advise if it will work for you. Teeth darken again with time, the free syringe will help maintain the whitening. To find out about teeth whitening and if it may work for you, please read the article above.