Practice News

our service

March 2020

I am delighted to announce that our extended contact activity has just been confirmed. Should you wish to make an appointment for yourself or someone else, kindly get in touch with us at your convenience. -Conrad Costa

 

GDPR

May 2018

We have updated our privacy policy in accordance with GDPR legislation. Our website does not track you, nor do we collect any information about you whilst you browse our website. We do not covertly make you mine Bitcoin on our behalf nor do we drop any cookies or sell you adverts. We value our own privacy very much and therefore have a lot of respect for your online privacy.

Patient satisfaction Survey

August 2016

Our patient satisfaction survey, which had been ongoing since April, is now closed. We would like to thank all those who participated. We would nonetheless welcome your feedback (whether written, verbal or by email) at any time. Our Friends and Family Test remains ongoing.

New Practice manager

January 2016

We would like to extend a warm welcome to Ms Angelique van Woerkom, who joins us at Castle and Costa as our new Practice Manager. Angelique has many years of experience as a Dental Care Professional and had worked for us frequently as a locum. She is familiar with our working system and is very eager to learn and help us improve our service.

New Associate Dental Surgeon

August 2015

We are pleased to welcome Dr Gavin Gill to our practice as our new associate dental surgeon, following the retirement of Dr Gillian Fellows. Dr Gill has many years of experience in general practice and in teaching hopsitals and will prove to be an asset to our team.

CQC inspection and report

June 2015

We are delighted to announce that Castle and Costa Dental Surgeons have passed their CQC inspection. Following a visit by two inspectors, we were given a clean bill of health - as well as a few suggestions - which we have taken on board. For more information, visit our Resources page.

Dementia Awareness training

November 2014

We extend our congratulations to our dental care professionals and dentists after they were awarded an NVQ level II in dementia awareness training. This will enable us to engage with our patient base better and to improve our understanding of their condition.

Conrad and audrey Costa

March 2013

We are pleased to announce that following the sad demise of Mr Castle, Conrad and Audrey Costa have recently taken over the running of the practice and will strive to maintain and improve the good standard of care that Castle and Costa have been delivering to the non-ambulatory for the past years.

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New Dentures

Dentures (false teeth) are a treatment option for the replacement of missing teeth and can broadly be divided into full dentures (that replace the patient's entire dentition) or partial dentures (that replace a few strategic teeth). Notwithstanding modern advances in techniques and various modern treatment modalitiesm, full or partial dentures remain the treatment of choice for certain patients.

 

Stages In Denture-Making

Dentures are custom-made medical appliances and their construction involves a number of stages. Normally, this will involve a minimum of four visits, with one week in between visits. In certain cases (such as in the construction of cobalt-chromium or flexible dentures) the time required in between visits is longer, due to the increased processing time.

1. Primary impressions, where an impression of the patient's teeth and/or gums is taken and sent to the laboratory for casting and the construciton of custom-made impression trays. A set of wax bite registration rims are also constructed.

Upper and lower dental casts and wax bite registration rims

 

Upper and lower special impression trays

 

2. Secondary impressions and bite registration, where more accurate impressions of the teeth and/or gums are taken and the patient's jaw relationship is recorded.

A secondary impression

 

A completed bite registration

 

3. Try-in stage, where a model of the patient's dentures are made out of wax. This mock-up is tried in to ensure that the new dentures will be satisfactory from both a functional an aesthetic perspective.

A wax 'try-in' denture

 

4. The finished dentures are fitted

The fitted dentures

 

Denture Hygiene

Take your dentures out every night and scrub them with an appropriate denture paste over a half-filled basin, using a soft denture brush. Avoid cleaning them over an empty washbasin, as dentures could break if they are dropped onto a hard surface.

Do not use ordinary toothpaste. Make sure you pay special attention not to bend any metal clasps that may be located on the denture. Make sure that the relatively rough fitting surface of the denture and the sides of the teeth are brushed thoroughly to remove any visible food debris and plaque.

Put your dentures in disinfectant solution for no more than 10 minutes and keep them in fresh water overnight. Do not use hot water, as this can eventually ruin the denture acrylic.

Dentures (usually lower dentures) having a soft silicone or soft acrylic base will need more thorough cleaning due to the textured soft surface. Soft surfaces can eventually get colonised by a fungus, which can be observed as a thick white plaque that is very hard to remove from the denture surface. In such cases, the lining may need to be refreshed. Under normal circumstances a soft denture base should last around 24 months.