Dr Andrias de Nysschen BChD (Pret) MSc (Warwick)

• COSMETIC DENTISTRY

  • SMILE MAKE-OVER

    The Dental Practice at the Waterfront has a wealth of experience with dental makeovers. Our comprehensive range of procedures is used in a minimally invasive manner to create the most functional and aesthetic reconstruction.

  • VENEERS

    A veneer is a thin layer of ceramic used to cover the front of a tooth. It is placed to cover worn, chipped or discoloured enamel. In some cases, a diagnostic wax-up is done so that the patient can visually see the veneers prior to going ahead with definitive treatment.

  • SOFT TISSUE LASER TREATMENT

    Laser treatment is used for gum contouring/reshaping, crown lengthening and implant recovery. Because the laser is less invasive than cutting the gum with a surgical blade, it promotes quick healing which in turn means healthier gums after the procedure.

• GENERAL AND PREVENTATIVE DENTISTRY

  • TOOTH - COLOURED (metal free) COMPOSITE FILLINGS

    A Natural looking smile

    For years, dentists around the world filled cavities with amalgam fillings made of elemental mercury, silver, tin, copper and possibly other heavy metallic elements. While the toxicity effects of these fillings are still being debated, we have decided to use only tooth-colored, composite fillings to remedy cavities.

    Composite fillings yield a much more attractive and healthier smile with no obvious sign of dental work. We match the filling material to your tooth color and then bond it securely for a highly durable and great looking way to protect your tooth.

    In addition to looking better, these modern, tooth-colored fillings offer practical advantages over metal fillings, such as less removal of the tooth structure, a tighter seal formed between the filling and the tooth, and they can be repaired or added onto as needed.
Amalgam fillings aren’t just unsightly—they also cause further damage to the rest of the tooth and can increase the risk of future fractures.

    We replace problematic amalgam fillings with composite alternatives, which have several advantages:

    • more realistic color
    • preserve more of the original tooth
    • tighter bond between the filling and tooth
    • easily repaired if necessary

• RESTORATIVE DENTISTRY

  • EXPRESS CROWNS (CEREC)

    Restore your smile, keep your schedule. We are pleased to offer our patients CEREC restoration services – a superior method of creating precisely-designed, colour matched and highly durable ceramic restorations right in our practice. Crowns, ceramic fillings, veneers or inlays do not have to be fabricated in the laboratory. CEREC delivers top quality restorations in one visit, so you can get back to what matters most.

    TIME EFFICIENT

    Our state-of-the-art computer-aided design (CAD) software enables us to design every detail of your restoration with exceptional precision. Using this advanced technology, we can customise the shape and fit of the restoration to meet your unique clinical requirements.

    The restoration is then created using our on-site milling machine, allowing the entire treatment to be completed in a single appointment. Your all-ceramic, colour-matched restoration is carefully adjusted and polished before being permanently bonded in place. The result is a beautifully restored tooth that looks, feels, and functions naturally once again.

    WHY CEREC?

    Single visit convenience – no temporaries No uncomfortable impression trays Beautiful aesthetics – colour matched ceramic Clinically proven – millions of successful restorations worldwide Enamel-like materials – natural look and feel

  • DENTAL/RESIN BONDING

    Dental bonding is used to repair the chips/cracks in your teeth and/or to cover discolourations. Bonding can also enhance the colour, shape and size of your teeth for a more harmonious look. This method offers a simple and painless way to strengthen and beautify your smile in one appointment. The result is a natural, healthy smile with no sign of damage or stains.

  • DENTAL REHABILITATION

    Dentists usually consider oral rehabilitation to mean the restoration of all the teeth in a patient’s mouth. This treatment may include a combination of various procedures to restore the teeth. However, restoring only the damaged or defective teeth can also be regarded as a form of oral rehabilitation.

  • TOOTH - COLOURED (metal free) COMPOSITE/RESIN FILLINGS

    At our practice we use tooth coloured composite/resin to fill cavities or replace amalgam/metal fillings. The advantages to this are:
    Less tooth structure is removed.
    A tighter seal between the filling material and the tooth structure.
    Composite/resin fillings can be repaired or added to as needed.
    

  • CERAMIC CROWNS

    A crown, or cap, is a cover or restoration to replace the missing portion of a tooth. A crown may also be advised when a tooth has been heavily filled with not enough tooth structure left to support the filling. Not all crowns are the same and we provide gold crowns; porcelain bonded to gold crowns as well as the latest in the metal free alternatives that give truly lifelike results.

    The latest advance in ceramic allows light to transmit through the crown, thereby creating a restoration that is undetectable from the other natural teeth in your smile. With the absence of any metal core on the inside of the crown, there will be no more tell-tale grey lines that are usually seen with the older metal ceramic crowns.

  • ROOT CANAL TREATMENT

    Root canal treatment is the removal of the tooth’s pulp - a small, thread-like tissue in the centre of the tooth. Once the damaged, diseased or dead pulp is removed, the remaining space is cleaned, shaped and filled. This procedure seals off the root canal. Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment saves many teeth that would otherwise be lost.

  • DENTAL BRIDGES

    A bridge is a fixed or removable device that replaces one or more missing teeth. Teeth on either side of the gap are used as anchors to support the bridge. It will only be possible if the teeth supporting the bridge are strong enough and if they have good bone support to ensure the longevity of the bridge.

  • TEMPOROMANIDULAR JOINT (TMJ) DISORDER

    Temporomandibular joint (TMJ) disorders, also known as TMD, affect the joint that connects the jaw to the skull. These conditions can cause jaw pain, facial discomfort, muscle tension, as well as clicking, popping, or locking of the jaw.

    Treatment for TMJ disorders usually focuses on conservative, non-invasive approaches aimed at relieving discomfort and restoring normal jaw function. Self-care measures such as eating soft foods, applying heat or ice, and avoiding excessive jaw movement are often recommended.

    Anti-inflammatory medications, including ibuprofen, may also help reduce pain and inflammation. Professional treatment options can include custom-made splints or mouthguards, jaw exercises, physical therapy, and stress management techniques to relieve strain on the joint and surrounding muscles. In most cases, symptoms improve over time with these treatments, while surgical intervention is rarely required and is generally reserved for severe or long-standing cases.

  • TEETH GRINDING (BRUXISM)

    Regular dental cleanings do more than simply remove plaque and tartar build-up — they also play an important role in maintaining your overall health. Studies have shown a strong connection between gum disease and cardiovascular health, highlighting the importance of good oral hygiene. During each visit, our dental hygienist will gently and thoroughly clean your teeth and gums while carefully monitoring your oral health.

    We may also take X-rays (radiographs) and photographs to identify and track any areas of concern. Periodontal (gum) diseases, such as gingivitis and periodontitis, are serious infections that can lead to tooth loss if left untreated. Routine professional cleanings are one of the most effective ways to prevent these conditions, helping you maintain a healthy smile for years to come.

• ORTHODONTIC DENTISTRY

  Orthodontics is the branch of dentistry that corrects teeth and jaws that are positioned improperly. Crooked teeth and teeth that do not fit together correctly are harder to keep clean, leading to decay and periodontal disease which could result in these teeth being lost. Teeth that are crooked or not in the right place can also detract from one’s appearance.

  The benefits of orthodontic treatment include a healthier mouth, a more pleasing appearance, and teeth that are more likely to last a lifetime. There are many ways to correct misaligned teeth which are fixed orthodontics (commonly known as braces) or removable orthodontic appliances such as Invisalign. A dental consultation is advised for the dentist to propose the method/system that will be best suited for you.

  • REMOVABLE CLEAR ALIGNERS

    Clear aligners are a modern orthodontic treatment designed to straighten teeth discreetly and comfortably. A series of custom-made, removable clear aligners gradually shifts your teeth into their ideal position without the need for traditional metal braces. Treatment begins with a digital assessment and customised treatment plan, allowing you to preview your expected results before starting. Each set of aligners is worn for approximately one to two weeks before progressing to the next stage in the series.

    For the best results, aligners should be worn for 20-22 hours per day and only removed for eating, drinking, brushing, and flossing. Clear aligners are comfortable, nearly invisible, and easy to maintain, making them a popular choice for both teenagers and adults. At our practice we offer the Invisalign and Spark brand of clear aligners. Regular check-up appointments allow your dentist or orthodontist to monitor your progress throughout treatment. Once treatment is complete, retainers are typically recommended to help maintain your new smile and prevent teeth from shifting back over time.

  • TRADITIONAL BRACES

    Traditional braces are a reliable and effective orthodontic treatment used to straighten teeth, improve bite alignment, and enhance overall oral health. Braces consist of metal or ceramic brackets attached to the teeth and connected by wires, which apply gentle, continuous pressure to gradually move the teeth into their correct positions.  This treatment can address a wide range of orthodontic concerns, including crowded teeth, gaps, overbites, underbites, crossbites, and misaligned jaws.

    Regular adjustment appointments are scheduled to monitor progress and make necessary changes throughout treatment. Modern braces are smaller, more comfortable, and more discreet than ever before. Good oral hygiene and regular dental visits are essential during treatment to keep teeth and gums healthy. Once the braces are removed, retainers are usually recommended to help maintain the new alignment and preserve your results long-term.

• DENTAL IMPLANTS

  • WHAT IS A DENTAL IMPLANT?

    A dental implant is a titanium rod that is gently placed directly into the jawbone to act as an anchor to support one or more crowns. Each implant can usually support up to two false teeth. One major advantage of an implant is that it avoids the need to drill down the teeth either side of the "gap", which would normally be necessary in preparation of a conventional bridge.

    The implant also provides a stimulus to the bone, reducing further shrinkage of the bone in the jaw. Implants can also be used as anchors to improve the stability and retention of loose dentures. Patients find great improvements during speech and eating, increased comfort and renewed confidence.

  • WHO CAN HAVE IMPLANTS?

    The dentist will carry out a thorough examination, taking appropriate x-rays to see if your case is suitable. Occasionally there is not enough bone, or it is not healthy enough, and it may not be possible to proceed without additional treatment.

  • WHAT DOES THE TREATMENT INVOLVE?

    The placement of the implant is carried out at the dental practice. It involves a simple operation under local anaesthetic. The aftereffects are like having a tooth extracted, i.e., you may feel mild discomfort due to the normal healing processes. The implant must be allowed to bond (integrate) with the bone. This can take from 3 to 6 months, depending on the individual case. During this time, it is possible to make a temporary replacement for the missing tooth. Once healing and integration have occurred the permanent replacement is made and fitted.

  • HOW SUCCESSFUL IS THE TREATMENT?

    Modern implants show a success rate of 95-98% over 15-20 years, like the Straumann, Megagen AnaRidge, Megagen Blue Diamond and Southern Implants used at our practice. On the rare occasion that integration does not occur and the implant is loosening, it can be easily removed and the site allowed to heal, with placement of another implant at a later stage. Being implanted into the bone, as with your natural teeth, implants require thorough cleaning. If this is not carried out then you may experience problems like that of gum disease with infection around the implant resulting in bone loss, loosening and failure. Cleaning around the implants is no more difficult than cleaning your natural teeth and we will strongly advise all patients to see the dental hygienist on a regular basis to maintain the healthy status of the implant and the rest of the teeth and gum.

  • DENTURES

    Dentures are removable oral appliances that replace missing teeth in your upper jaw, lower jaw or both. Dentures are made from materials like acrylic, metal and porcelain. There are many different types of dentures. The option that’s right for you depends on your unique oral health needs.

• ONE – DAY CROWNS

  • CEREC CROWNS

    Restore your smile, keep your schedule.

    We are pleased to offer our patients CEREC restoration services – a superior method of creating precisely-designed, colour matched and highly durable ceramic restorations right in our practice. CEREC by Sirona Dental Systems is one of the world's leading systems in the fabrication of all ceramic dental restorations in one visit to the practice.

    Crowns, ceramic fillings, veneers or inlays do not have to be fabricated in the laboratory.

    CEREC delivers top quality restorations in one visit, so you can get back to what matters most.

    Computer Aided Design (CAD)

    State-of-the-art CAD software allows us to design every precise detail of your restoration with the accuracy you’ve come to expect from us. The software allows us to customise the shape of the restoration to exactly fit your special clinical needs.

    Mill and Place

    While you wait, exact design specifications are sent to our on-site milling machine to create your restoration. About 20 minutes later, your all-ceramic, colour-matched restoration is ready for placement. Your new restoration is then fitted, polished, and bonded for permanence. Your tooth is restored back to its natural form, function, and beauty.

    And you are back to whatever it is you’d rather be doing.

  • WHY CEREC?

    • Single visit convenience – no temporaries
    • No uncomfortable impression trays
    • Beautiful aesthetics – colour matched ceramic
    • Natural looking smile
    • Clinically proven – millions of successful restorations worldwide
    • Enamel-like materials – natural look and feel

• INVISIBLE BRACES

  If you've dreamed of a perfect straight smile but been put off having treatment because the thought of wearing braces terrifies you, Invisalign is the perfect way of changing your mind! Unlike the traditional fixed braces many people associate with teeth straightening, Invisalign uses a series of clear, removable aligners to gradually move teeth into alignment for the perfect smile.

  Your Invisalign treatment consists of a series of nearly invisible, removable aligners that you change every two weeks for the next set of aligners. Each aligner is individually manufactured for your teeth, and your teeth only. As you replace each aligner, your teeth will move – little by little, week by week – until they have straightened to the final prescribed position.

  Visit INVISALIGN for more information.

• ORAL HYGIENIST

  • DENTAL CLEANING

    Regular dental cleanings do more than simply remove plaque and tartar build-up — they also play an important role in maintaining your overall health. Studies have shown a strong connection between gum disease and cardiovascular health, highlighting the importance of good oral hygiene.

    During each visit, our dental hygienist will gently and thoroughly clean your teeth and gums while carefully monitoring your oral health. We may also take X-rays (radiographs) and photographs to identify and track any areas of concern.

    Periodontal (gum) diseases, such as gingivitis and periodontitis, are serious infections that can lead to tooth loss if left untreated. Routine professional cleanings are one of the most effective ways to prevent these conditions, helping you maintain a healthy smile for years to come.

  • TEETH WHITENING

    When it comes to whitening, your dental professional is your best resource. We have access to professional strength whitening systems and can ensure your treatment is safe and your desired results are achieved.

    At The Dental Practice at the Waterfront, we offer two whitening systems:

    • PHILIPS ZOOM WHITENING
      

      A noticeably whiter smile in one in-office visit. This procedure is minimally invasive with no damage to the enamel. You are welcome to schedule a free whitening consultation with our dental hygienist to find out more about the procedure. During this consultation she will be able to ascertain if you are a suitable candidate for teeth whitening.

    
    
    • TAKE HOME KIT
      

      Some people prefer to whiten their teeth at their convenience and for this reason we offer a take home kit consisting of customised trays plus syringes of whitening gel. The hygienist will demonstrate how to use the gel and trays. You will then whiten your teeth over 10–14-day period.

    FREQUENTLY ASKED QUESTIONS

    How does the Zoom whitening system work?

    The oral hygienist or dentist will do a consultation prior to the whitening procedure to check if your teeth and gums are in good oral health. A dental cleaning is advised before the whitening procedure. The oral hygienist will apply a barrier material to protect your gums and any exposed dentine.

    A 25% hydrogen peroxide whitening gel is applied to the teeth and the Zoom Whitening LED Accelerator is used to accelerate the whitening process. The whitening procedure works in 15min intervals and requires four applications. We offer the option of having customised trays made to be used for touch-up applications at home at your convenience.

    Will tooth whitening procedure’s whiten existing crowns, veneers etc?

    Whitening treatments have been successful at removing stains from crowns, veneers or bonded teeth. However, a whitening treatment in general cannot change the colour of the crowns, veneers or bonds. We recommend that you discuss your situation with our dentist to determine what you can expect.

    Can I undergo tooth-whitening procedures if I am pregnant?

    We advise you defer the whitening procedure until after pregnancy and breastfeeding should you have any concerns.

    How do I maintain my new white teeth?

    Whitening products such as toothpastes and mouth rinses can be used to maintain your white teeth. Brush your teeth twice daily or after each meal and floss daily. Maintenance bleaching trays can be used every six weeks for 30min. Crest whitening strips can also be used. Visit your dentist/hygienist for regular cleanings and check-ups (recommended: every 6 months).

    Is tooth whitening for everyone?

    Tooth whitening is a safe, comfortable way to get a bright, white smile. Results and treatment time may vary depending on the level of staining and whiteness desired. Crowns, bridges, fillings, and veneers will not whiten. We recommend visiting our dentist to discuss your options.

    Will tooth whitening cause tooth sensitivity?

    Some patients experience slight sensitivity during or after treatment. If sensitivity occurs, it is often temporary and will go away once you’ve completed the whitening process. Our products include desensitising ingredients such as potassium nitrate and fluoride to help reduce sensitivity and provide additional comfort.

• NEW TECHNOLOGY

  • DIGITAL X-RAYS

    Our digital radiography software provides a common language for medical devices to exchange images and other patient-related information.

    Advantages:

    • Less Radiation exposure to the patient
    • Improved diagnoses where applicable
    • Instantly available image
    • Of great value when doing root canal treatment (Faster Procedure)

  • CEREC CROWNS

    Restore your smile, keep your schedule.

    We are pleased to offer our patients CEREC restoration services – a superior method of creating precisely-designed, colour matched and highly durable ceramic restorations right in our practice. CEREC by Sirona Dental Systems is one of the world's leading systems in the fabrication of all ceramic dental restorations in one visit to the practice.

    Crowns, ceramic fillings, veneers or inlays do not have to be fabricated in the laboratory.

    CEREC delivers top quality restorations in one visit, so you can get back to what matters most.

  • THE WAND ANESTHETIC PAIN-FREE DELIVERY SYSTEM

    The Wand, also known as the CompuMed instrument is a safe and pain-free computerized injection system. This advanced instrument allows for many medical procedures as it delivers a significantly reduced amount of local anesthetic, which minimizes discomfort, side effects and costs. It delivers local anesthetic in a computerized, slow and controlled way and reduces human interaction, which is the main cause of painful injections.