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Dr. Noelle Cobbe

Dental Surgeon

Limerick Dentist, Dr. Noelle Cobbe qualified from University College Cork in 1998 and subsequently spent 2 years working in the UK. She returned home to Limerick in 2001 and worked in private practice until she set up Racefield Dental in 2005. Her philosophy is that it should be possible to practice ultra-modern evidence based dentistry but also to do this in a relaxed and friendly environment. Dr. Noelle is currently finishing a Diploma in Restorative Dentistry and has a particular interest in patients with grinding and Temporo-Mandibular Joint Dysfunction . She also is studying for a certifcate in endodontics with the University of Chester. She has two small children and understands the challenges they provide to parents when it comes to their oral health. In her spare time she rides horses and surfs.

Noelles Expertise

Bridges

Are you missing a tooth? One option is to get a Dental Bridge made to replace the missing teeth. As you can see in the image a Bridge uses the adjacent tooth or teeth to support the false tooth. It is permanently cemented in so really feels like you have your own tooth back. Does it harm my teeth? It does involve removing tooth tissue and this does carry some risk to the teeth but often the adjacent teeth are heavily filled and sometimes even benefit from a crown to protect them. What are they made from?The most common is a combination of metal and porcelain. We try to design your bridge so only the cosmetically important areas have porcelain as this maintains as much tooth tissue as possible however some patients do not want any metal and we of course accommodate this in our design. Bridges have recently been made in Zirconia which is an all porcelain - like material. However in Racefield we do not use this material as we have reviewed the literature and are not currently happy with its success rates. It does however make an excellent cosmetic crown. How do I get a bridge? First you need an examination and your whole oral health needs to be taken into consideration.  The teeth and space need to be tested for vitality, x-rayed and we very often take study models of your mouth. After bringing all this information together , your options will be discussed with you and a treatment plan and estimate of cost custom made for you.

Noelles Expertise (cont)

Bruxism

A Bruxist is someone who clenches or grinds their teeth, usually in their sleep. Approx. 30% of people bruxregularly. What happens when bruxism is allowed to continue? Appearance Your teeth can become worn down, cracked and broken which alters your smile. As you have less tooth height, the proportions of your face can change, especially if you develop bulging jaw muscles.It can result in teeth dying or fracturing sometimes beyond repair. Comfort Headaches and jaw ache are common, as is pain or clicking in the jaw joint and discomfort or stiffness in the neck and shoulders. Teeth can become very sensitive to temperature. Patients have often been misdiagnosed with earache or migraine. Severe joint problems can develop in susceptible patients and some require surgery to relieve pain. Well being When you clench and grind your teeth, your jaw muscles tense up producing an unrestful sleep. This can affect your ability to concentrate and make you feel generally tired. Teeth are more likely to break and fillings and so on will not last as long, meaning that you spend more time and money fixing preventable problems. Why do I brux? There are differing opinions worldwide as to the reasons but most of the literature would agree that one or all of the following are usually at fault: 1. You have an imperfect bite (only 7% have a perfect bite) 2. You have the unconscious habit of clenching or grinding your teeth. 3. Stress What are the solutions?There is no cure for Bruxism but Dr. Noelle can help you, by providing you with an appliance which corrects your bite and places your joint in a relaxed position. Dr. Noelle has had post graduate training in the correct design and fitting of Michigan and Tanner Splints. Michigan Splint The Michigan Splint was developed at Michigan University (USA) with the object of treating dysfunction of the TMJ, muscle, and to control bruxism. An alternative to these types of splints is a more simple and affordable Hard-Soft Nightguard and a decision on what would be suitable would be made after an Occlusal and Joint Examination. .

Dr. Noelle Cobbe