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Our Treatments

Dental

Dental TreatmentsDr van Niekerk provides

  • Preventative dentistry including scaling, polishing and fluoride treatment, etc.;
  • Regular dentistry including fillings and root canal treatments;
  • Specialised dentistry including crowns and bridges; and
  • Cosmetic dentistry including teeth whitening, veneers, crowns, bridges and full mouth rehabilitation.
 

Botox®

Botox TreatmentsBotox® (Botulinum toxin type A, one of seven distinct botulinum toxins) is a well-known treatment, and its popularity has increased along with its myriad of uses medically as well as aesthetically. BT injections consist of a natural purified protein that relaxes the muscle upon injection by blocking nerve impulses.

In essence, BT temporarily blocks the muscle contraction impulses, reducing overactive muscle movement temporarily in that area. Once specific muscles are relaxed and do not contract anymore, the skin becomes smoother and significantly less lined.

A typical BT treatment is performed in approximately 10 minutes and will be effective for an average of 3 - 6 months.

Uses

BT has an enormous variety of uses. The most well-known being that of reduction of frown lines, forehead lines and crow’s feet.  It can, however, also be used for:

  • migraines and chronic tension headaches
  • hyperhidrosis – excessive sweating, e.g. hands, axilla or feet
  • bruxism – teeth clenching
  • muscle spasms, e.g. upper back
  • gummy smiles
  • smoker’s lines on the lips
  • lifting of a down-turning mouth
  • lines on the neck
  • lifting the neck and jawline
  • softening of a square jawline caused by strong masseter muscles (muscles used for chewing, biting and grinding)
  • and many more.

BT takes between 3 and 7 days to start working, and up to two weeks for its full effect to become active. Immediately after the treatment, the injection areas may appear slightly raised and red – as if the skin had been rubbed. This will clear very quickly. It is imperative that you follow your doctors’ advice on skin cleansing in the first 12 hours following treatment and that you do not lie down for the first 6 hours after treatment. Your only responsibility is to ensure that the BT remains in the position where it was injected until it is set.

BT remains active for between 3 and 6 months in the facial area, but the more active a muscle is (the more you use it), the shorter the effects of the BT will be. It seems that with repeated BT treatments clients unlearn the habit, e.g. frowning regularly, causing the BT effects to last longer.

It also seems that nowadays BT treatments are more popular as preventative treatment. Younger clients are having BT injected to delay the development of expression lines, preventing wrinkles from becoming deep and ingrained.

BT and Medical Aids – with prior approval, some medical conditions treated with Botulinum toxin can be claimed for from the medical aids.

Normal side-effects, if any, may include bruising, headaches, bleeding and nausea. If any of these do occur, they usually disappear in days.

Always discuss your full medical history with your doctor before having any procedures done.

Dermal Fillers – Injectables

When should I use fillers?

Dermal fillers are used to fill the creases visible in your skin. So if you have lines that do not disappear when you relax your face, dermal fillers can be considered to possibly erase those lines.

What causes lines and wrinkles?

We equate lines on our faces with ageing. Some put them down to an expressive character. But why do they form?

Lines and wrinkles are caused by many factors, most important ones being that our skins’ cell renewal slows down causing older skin cells to stay on the surface for longer, our skins become dehydrated and the structure (or scaffolding) of our skins start to break down.

The result that we see is a sagging effect, a less plump looking effect and lines and wrinkles becoming more visible and pronounced.

As women we are betrayed by oestrogen at around the age of 40, speeding up this process in comparison to our male counterparts.

Dermal fillers can be used to put the smile back into your smile.

Fillers can be used to:

  • fill sunken scars, e.g. acne scars; 
  • fill out smoker’s lines on the lips
  • enhance cheekbones, chin for more definition and fullness; 
  • soften the naso-labial lines (smile lines);
  • soften marionette lines;
  • raise the brows and enhance the appearance of the eyes
  • plump up lips for a fuller, softer look;
  • correct asymmetry and lip deformities; 
  • fill hollows under the eyes (aka tear troughs) that contribute to the appearance of dark circles; 
  • correct asymmetry of the dips in and around the nose bridge.       

The main difference between the injectables on the market would be the viscosity. The degree of viscosity used by the experienced practitioner is dependent on the area to be injected. I.e. cheeks – high viscosity, lips – low viscosity.

Some dermal fillers available are:

Juvédermᴿ

Made of hyaluronic acid gel, it is a naturally occurring substance in the skin that contributes to volume and hydration. It is designed to temporarily correct moderate to severe facial wrinkles and folds.

Teosyalᴿ

An effective and long-lasting filler, consisting of several monophasic hyaluronic acid based products of non-animal origin, which are highly biocompatible, offering immediate and long-lasting results. It is visco-elastic to maintain the skins elasticity and form a dense, interlocking mesh.

Radiesseᴿ

Radiesseᴿ, formerly known as Radiance, is a synthetic dermal filler made of calcium hydroxyapatite. It us utilised for the correction of moderate to severe wrinkles and folds. This injectable is a longer-lasting filler because the body forms collagen around the microspheres; adding bulk to the injected areas. 

Restylaneᴿ

A non-animal, bio-degradable gel composed of hyaluronic acid. It’s a soft tissue filler that adds volume to the skin through tiny injections, smoothing facial folds and wrinkles in areas around the mouth and eyes.

Dermal fillers can last from 12 months to 2 years, depending on the product used.

Immediate complications of fillers include bruising, bleeding and swelling which usually dissipate within minutes or hours.

Teeth Whitening

BriteSmile is a professional teeth whitening treatment. The treatment takes approximately a hour and the results can last up to three-and-a-half years. It uses a hydrogen peroxide-based gel activated by a specialized light source, leaving teeth up to 9.3 shades lighter.

Crowns

Crowns are recommended for teeth that have become structurally weak, experienced trauma or that have lost too much of its own body due to caries. In other words, this is when the filling will make up more of the visible tooth than the tooth itself.  A crown may also become necessary on a tooth that had a root canal treatment; such a tooth becomes brittle over a period of 5 – 10 years due to the lack of nutrition.  In some instances, crowns are used for aesthetic purposes to change the general look of the teeth or of a specific tooth.

The remaining tooth is prepared and an impression is taken in which the dental technician will build the crown. A crown is a cap that fits over the remaining tooth; it looks and feels like a real tooth.  The colour is matched to your own teeth for a smooth finish. 

Two appointments are required: The first to prepare the tooth and to take the impression; and the second to cement the new crown into place. These are on average 7 days apart. During the 7 day waiting period, a temporary crown is made by the doctor and placed with temporary bonding for easy removal – so you’re never without a tooth!

Veneers

Veneers, like crowns, are also used for aesthetic purposes.  The main difference between them is that a veneer is cemented to the face of the tooth.  Veneers are only made of porcelain and do not contain any metal; they are a more conservative method of treatment.

Veneers are used instead of crowns in situations where the tooth itself is still viable and healthy, but its appearance is not what the patient desires. They can also be used to close ‘gaps’ in between teeth.

Root Canal Treatment (RCT)

RCT is normally indicated where severe, throbbing pain is experienced – the kind of pain that keeps you up at night.  The causes include caries, trauma, infection (e.g. and abscess), etc.

A RCT sounds worse than it is. On average three appointments are required, two of which are to clean the actual canals through which the nerves run. Appointments are usually spaced 7 days apart. Once the canals are clear and healthy, they are sealed permanently and the treatment is complete – but one appointment could also be sufficient. What must be noted is that if too much of the visible tooth has been damaged leading to the RCT, a crown may be required to ensure a long-term healthy tooth.