Enamel.

What we do

Six treatments, and the cheaper alternative to every one of them.

Each page below sets out the sequence, the honest risks, an indicative fee and the alternatives we would discuss instead. If the least invasive option will do, that is the one we will propose.


Also here

Two things that do not need their own page but do need saying.

07

Night guards and bruxism

Hard acrylic, scanned to fit · reviewed annually for wear

Grinding and clenching wear enamel, crack fillings and fracture ceramic. A hard acrylic splint scanned to your bite protects the teeth and distributes load; it does not stop the grinding, which is usually driven by sleep and stress. We assess muscle tenderness, wear facets and joint sounds first, and we screen for signs of sleep-disordered breathing, because that changes the referral rather than the appliance.

$525
08

Sedation options

Nitrous oxide · oral sedation · IV referral · candidacy assessed individually

Nitrous oxide is inhaled, takes effect in minutes, wears off in minutes and lets you drive yourself home — it suits mild anxiety and gagging. Oral sedation, usually a benzodiazepine taken beforehand, goes deeper, requires an escort and a clear day afterwards, and is not suitable with certain medications or in pregnancy. IV sedation is referred to a dentist anaesthetist. Candidacy depends on your medical history, your airway and your medication list, and it is assessed individually at a consultation, never booked sight unseen.

Nitrous oxide $95 per visit · oral sedation from $310

Sequencing

The order matters more than the list.

Almost every case here runs in the same order, and it is not the order most people expect. Disease is treated first, then the teeth are moved if moving them means preparing fewer, then the shade is settled, and only then is anything bonded. Doing it the other way round is how people end up with eight veneers where four would have done, or a bright new crown next to teeth they later decide to whiten.

The usual sequence for a cosmetic case
OrderStageWhy it comes here
1Gum health and decayBonding to an unstable foundation fails. Non-negotiable, always first.
2Bite assessment and night guardUnmanaged grinding is the commonest cause of ceramic failure we see.
3Tooth movement, if indicatedStraightening first usually halves the number of teeth that need preparing.
4WhiteningRestorations cannot be whitened later, so the shade must be settled before them.
5Bonding, veneers or crownsLast, on a stable, aligned, shade-settled mouth.
6MaintenanceRecall interval by measured risk, plus an annual review of every restoration.

We do not claim outcomes. Every fee on this site is indicative and every timescale is typical rather than promised. What a specific mouth needs — and what it will cost — is only knowable after an examination, and you will get it in writing before you are asked to decide anything.