Please Mind the Gap — Andrew Farr Dentist
This is a wonderful little case which demonstrate how a simple orthodontic treatment can make a big difference.
Please Mind the Gap
This is a wonderful little case which demonstrate how a simple treatment can make a big difference.
Initially this lovely patient presented complaining of the gaps in her lower front teeth. She was very conscious of smiling and very aware of the spacing on show. The image below shows her initial presentation.
We discussed options which included short term orthodontics, composite build ups (but this would be a difficult to achieve an aesthetic result due to the size of the spacing) or to accept the spacing. Short term orthodontics was the treatment of choice. Following an orthodontic assessment and consent the patient was provided with fixed aesthetically pleasing brackets from 3M and Quick Straight Teeth
After 8 months the treatment produced a very nice result. The spacing was closed and the patient was very happy with the end results. Following space closure, retention is incredibly important. This was provided with both a lingual fixed retainer and an essix removable retainer. We discussed restoration of the two unit space in the lower left quadrant which included, dental implants, bridge, denture or to leave. The patient opted to have a lower denture.
If you are interested in adult braces then please contact the surgery on:
Andrew Farr BDS(Hons) MJDF
Dental Implant’s- A New Begining
At the end of 2017 I had completed the FDI Certificate in Implant Dentistry and was looking forward to this new and exciting chapter of Dentistry. I just needed the right patient.
The key to starting anything new is to know your limits and when dealing with dental Implants you really need to start with a simple single tooth case, ideally in the upper premolar region. This reduces the aesthetic risk and there is little anatomy of concern (ideally no Maxillary antrum sneaking forward!)
For you first Implant you need a good team – At Broad Street Dental surgery we are very fortunate to have dental nurses with over 20 years of Dental Implant experience. A mentor is also key and is recommended by the GDC when starting out in dental implants. A good mentor will help guide you through the treatment planning phase, placement and restoration of cases.
In this case a single Straumann SLActive implant was placed in the upper right first pre-molar area. There was sufficient bone and no bone grafting was needed. The implant was restored with a Zirconia screw retained implant. The new implant has provided improved function and aesthetics for the patient who was very happy with the results.
Maintenance is now the key to long term success and the patient has regular hygiene appointments at least every 6months.
Dental implants are now being provided regularly at the practice
If you are interested in dental implants or any other information please contact Broad Street Dental Surgery
or 01432 266899
Dentist Andrew Farr BDS(Hons)
If in Doubt Get Checked Out!! New Patient Examination
Whether you have been a regular dental attendee all your life or have avoided the dentist like the plague due to anxiety or other factors, all patients are welcome at Broad Street Dental practice.
We are a family run practice in the heart of Hereford, where you will always find a welcoming smile at every visit to our clinic. We are able to provide a wide range of dental treatment ranging from general examinations, maintenance to complex full mouth rehabilitation.
At every stage of your journey with us we will keep you informed of the treatment options and likely outcome of each option available to you, giving you an open and honest opinion of which treatment will best suit your individual needs.
November is Oral cancer awareness month.
Every patient at Broad Street Dental receives a complete examination of the hard and soft tissues i.e. we don’t just check for holes in your teeth but examine the health of your mouth, lips and neck for any signs of abnormalities and can make an appropriate referral if needed.
So if you haven’t seen a dentist for many years or are a regular attendee – if in doubt get checked out!
To book an appointment please call 01432 266899
Assoc. Dentist Andrew Farr
A New Journey Begins – A.Farr
By Andrew Farr Associate Dentist
Broad Street Dental Surgery. Hereford
This young lady presented to Broad Street Dental Surgery complaining of a buccally placed mandibular left lateral incisor. She had undergone orthodontic treatment in her teens but due to a lack of retention her labial segment has changed as shown below.
Treatment options for this case included fixed orthodontics, removable orthodontics or accepting the current situation. With removable orthodontics using clear aligners Inter proximal reduction (IPR) would be needed to create space to allow the mandibular incisor to move lingual. It was decided therefore that a fixed solution would provide a more predictable outcome and would need very little if any IPR.
We use only clear/tooth coloured brackets from QST (Quick Straight Teeth) which are straightforward to use and provide excellent aesthetics. The treatment was estimated to take around 4-6 months and the patient would be provided with adequate retention following treatment to reduce the risk of relapse.
Post operative photos shows a nicely aligned lower arch. The patient was very happy with the final results.
If you or a friend are interested in having straighter teeth please visit Broad Street Dental Surgery
Why would you have a dental implant?
If you having missing teeth, Implants are a fantastic solution as you are not putting other teeth at risk to support the missing teeth. You can either have fixed restorations such as crowns and bridges that fix on top of the implants, or a removable denture that clicks into place over the implants. Having implants greatly improves the quality of your life if you are struggling with large spaces, or have a denture that is not retentive or stable. Implants can improve the look of your smile and regain confidence and function.
What is a dental Implant?
A dental implant very simply is a titanium screw that is placed in either the upper or lower jaw bone.
It serves as the tooth root where either fixed non removable replacement teeth or a removable appliance can be added on top.
There is no doubt that Implants are the best replacement option for missing teeth and they are the closest thing to getting back a natural tooth.
Although alternative treatment options to replace missing teeth such as bridges and dentures can be carried out, they are less stable and have higher maintenance costs. Therefore they will need to be replaced much sooner.
A major disadvantage of having bridge restorations is that teeth either side of the missing tooth have to be filed down, which could lead to problems with these teeth in the future.
Taking cost effectiveness into mind then, studies into Implants have shown having an implant is less expensive in the long term and that they do not involve restoration of any kind to adjacent teeth, which of course is a great benefit!
With the correct aftercare, an implant can last 20 years +, proving that implants are not only the more comfortable, reliable, functional and attractive option; they are indeed the best investment you will ever make in your quality of life.
Having an Implant with us at Broad Street Dental Surgery
We pride ourselves in careful and detailed planning, and we have the resources and equipment in practice to make sure you are being cared for to the highest possible standard.
You’re health and wellbeing is of upmost importance to us and our main goal is to give you exactly what you want, but in an ethical and non-detrimental way to your health.
Mr Farr has completed a Postgraduate certificate in Implantology with the Internation Team of Implantology and Straumann. Broad Street Dental Surgery have been placing and restoring dental implants for
We use the Straumann Implant system which is a leading implant company that provides technologically advanced, scientifically proven products that only ever get the best results.
Here are the reasons why we use Straumann to gain an exceptional results:
(From straumann.co.uk) –
- More than 35 years of clinical evidence with over 700 scientific publications1
- More than 14 million implants placed worldwide
- Precision and quality “Made in Switzerland”
- A trusted brand in over 70 countries
- SLActive® – Our unique implant surface for better predictability and shorter healing times
- Roxolid® – Our unique material for less invasive treatment options
- Lifetime guarantee for your Straumann implants
Straight Teeth – Amazing Aesthetics
At Broad Street Dental Surgery we ONLY use 3M brackets. These have a proven track-record worldwide for their performance, beautiful aesthetics, and are nearly invisible in the mouth. We also use tooth-coloured wires making our braces the most aesthetic when compared to similar systems.
QST is used to correct mild misalignment of the front 6 to 8 teeth, to give you a beautiful smile. Because we only move the front teeth, the force required is minimal. The wires exert mild pressure to move the teeth, without the need for severe tightening which can cause the discomfort noted in conventional orthodontic treatment.
Have you ever wondered how to straighten teeth without using any fixed braces?
At Broad Street Dental Surgery we use the QuickStraightTeeth™ which has a clear “teeth straightening” system that has been developed to be a quick, discreet and very cost effective alternative for patients not wanting traditional braces.
For more information please contact Dr. Andrew Farr
Dentist Andrew Farr BDS(Hons) MJDF
A Traumatic Fall – By Andrew Farr
This patient presented a few weeks following a fall where all four Maxillary incisors were damaged. The delay in presentation was due to her upper lip being extremely swollen and painful that she did not want any sort of examination of her dentition.
As shown above the maxillary left central incisor has a complex dentine-enamel fracture and has devitalised. The Maxillary right central incisor also has a complex dentine-enamel fracture. Both lateral incisors have dentine enamel fracture with no pulp exposure and were extremely sensitive to air.
Both central incisors were root treated and due to the discolouration a crown was recommended. To improve the aesthetic outcome it was decided to crown both central incisors as a pair. The lateral incisors were treated with Filtek Supreme composite and Synergy enamel shades.
The patient was very happy with the final restoration.
Andrew Farr BDS(Hons), MJDF Associate Dentist at Broad Street Dental Surgery
Adult Orthodontics – Upper and Lower Crowding. By Andrew Farr
Mrs K. presented complaining of upper and lower arch crowding. She had orthodontics completed in her adolescents and this has now relapsed due to a lack of retention following treatment.
Mrs K. had 4mm crowding in the upper arch with the Maxillary right first molar buccally placed. The lower arch had mild crowding of around 3mm as shown above. Treatment options were discussed and it was decided that fixed upper and lower arch short term orthodontics followed by fixed retention in the form of a bonded retainer would provide an acceptable outcome.
The treatment was provided at Broad Street Dental Surgery using the QST (Quick Straight Teeth) system and took approximately 6 months to complete. Excellent result were achieved and the patient was provided with fixed upper and lower retainers along with Essix retainers to wear at night.
If you are interested or know of anyone interested in short term orthodontics then please visit Broad Street Dental Surgery in Hereford.
Dr Andrew Farr (Dentist) BDS(Hons), MJDF