Paediatric Dentistry

Tooth decay is one of the most common problem in young children, for this reason at H144 we believe in, and recommend, regular check-ups from infancy and beyond.

Regular check-ups will allow us to monitor the teeth and avoid cavities or teeth misalignment (malocclusions), amongst other potential problems. We firmly believe that prevention is far better than a “cure” when it comes to the teeth, as a general guide to aid the growth and protection of your child’s teeth we will:

  • Apply fluoride to the surface of the tooth to make them more resistant to acid/bacteria.
  • Monitor and seal cracks of the tooth, thus preventing the bacteria from being able to infiltrate the tooth and develop in to future cavities.

In the case that your child has passed the point of prevention and now needs a “cure” the treatment of cavities will depend on the extent and severity. In most cases it will consist of a simple filling, in others it maybe a temporary root canal, and ultimately if there is no other solution – removal of the tooth.

Periodontics | Gingivitis

Periodontics is the branch of dentistry concerned with the structures surrounding and supporting the teeth, in basic terms the gums. Any disease developed in the gums should be treated urgently as it can lead to tooth loss.

Gingivitis is usually caused by inadequate or insufficient hygiene (cleaning), symptoms of gingivitis are red gums, inflammation, or the gums bleed easily.

When treating gingivitis our dental hygienist will remove any plaque and tartar that is building up on your teeth and they’ll also polish the teeth to remove external stains. A dental probe may be used to measure any pockets that develop at the gumline, this will determine if your gingivitis has turned into periodontitis.

Periodontics | Periodontitis

If left unchecked gingivitis can lead to periodontitis. In this case, bag-like spaces appear between the gum and the tooth, these spaces can be easily infected as it’s very difficult to clean them properly.

In general periodontitis is painful, but if left untreated it can end up destroying the bone tissue and result in tooth loss

Periodontitis treatment is carried out in several phases.

  • Basic treatment phase – Elimination of bacteria, plaque and calculus of teeth roots.
  • Periodontal Surgery – Not always necessary, but when the disease is more serious. It will consist of accessing the bags through surgery and a possible regenerative bone procedure.
  • Maintenance: Periodontitis is a chronic disease, so regular check-ups and maintenance treatment is the only way to control it in the long-term.


Bruxism is the unconscious habit of clenching or gnashing teeth, usually while sleeping, which can cause damage to the teeth, gums, bone and joints.

Normally, this movement is done to release stress and anxiety, but its side-effect is deterioration of the teeth that results in a loss of the tooth’s natural shape.

Bruxism accelerates the ageing of the teeth, it causes us to lose our biting efficiency, it can also give our face a prematurely aged look and in the worst cases it leads to serious muscular and joint problems.

The treatment of this symptom is carried out by means of discharge trays or relaxation techniques.

Discharge Trays

The discharge tray is a rigid, transparent plastic plate that is used as a treatment for a patient that suffers from bruxism.

You use the tray when sleeping in one of the two dental arches to prevent your upper teeth coming in contact with the ones below.

This way no wear will occur in the teeth when we unknowingly tightening the mouth/jaw. An added side-effect of this is that we will also reduce the possibility of future pain in the jaw, head and neck.

Dental Sensitivity

Dental sensitivity is the short, intense pain that occurs with external physical and/or chemical stimuli such as a cold drink. It occurs when the outer protective parts of our teeth, such as enamel, are worn away. This leaves our teeth exposed to the point that the changes in temperature reach our nerve endings, which in turn generates the feeling of pain.

As mentioned previously, the most frequent cause of sensitivity is dental (enamel) erosion, partly due to the foods we eat or inadequate brushing. However, it can also be caused by the gum disease, the deterioration of gums resulting in the root being exposed.

Bad Breath

Bad breath or halitosis is said to affect one in two people and may be caused by medical problems from the stomach, throat, lungs… etc.

At other times the problem is developed by the foods we eat, the things we drink or smoking but, in most cases, halitosis is the cause of poor or insufficient oral hygiene. Insufficient brushing and flossing lead to bacteria and food residues becoming trapped between our teeth, this eventually releases an unpleasant odour after a certain amount of time.