Our treatments

Examination & Diagnosis

Whether you have come seeking complex surgery or just want a simple cleaning, your first appointment will involve a full dental examination. This will start with a chat about your general health, any medication you are currently being prescribed and whether you have been experiencing any specific dental problems.

Dr Mark will then examine your teeth, gums and the general state of your mouth, and record information on the health of the teeth and gums, noting any fillings, missing teeth, crowns, bridges, implants etc. This is all saved on a computerised dental record that becomes your own, personalised notes.

No routine X-rays

We do not take routine X-rays. Digital radiographs are only taken when they are clinically necessary — for example when an area has been identified as a potential problem. They then reveal what the eye cannot see: between and underneath the teeth, fillings and crowns, and the condition of the surrounding bone. Our X-ray equipment is designed to keep exposure to a minimum.

Your treatment plan

You tell us what you would like — we tell you what can be achieved. Based on the findings, Dr Mark will discuss any recommended treatment. For more complex cases there is often more than one option, and he will talk through your goals, any time or budget constraints and the pros and cons of each.

You will receive a written treatment plan including the costs, outlining the number of appointments and the time required.

You are under no obligation and will not be put under any pressure to go ahead. For complex plans we encourage you to take them home and discuss them before you begin — and we are happy to work around your travel plans. Just let us know!

“I have always found the service to be of the highest quality. The offices are immaculate and the staff are informative, professional and welcoming.”— Patient

Preventative Care & Hygiene

As with other areas of medicine, prevention is better than cure. We advocate that all patients follow a sensible hygiene programme of regular professional cleanings as well as twice-daily cleaning at home.

Hygiene

A professional cleaning (scale and polish) removes calculus — the hard, chalky deposit that brushing alone cannot remove and which, left unchecked, causes decay and gum disease with symptoms such as bleeding, sore gums and bad breath. Surface stains from coffee or red wine are removed too, giving you back a whiter, cleaner smile. A cleaning should not be painful.

Dr Mark personally performs all cleanings himself, so your dentist is inspecting your teeth while cleaning them — and you can have your examination and cleaning in one visit, without swapping chairs.

Fissure sealing

A liquid filling material is used to fill the narrow grooves in the molar teeth and set hard with a curing light, keeping out debris from these hard-to-clean places. It is proven to reduce the risk of decay and is routinely recommended for children around six or seven, when the first adult molars have erupted — and can be useful for some adults.

Education

We provide hand-outs on topics including caring for children's teeth, dental care in pregnancy, dental care for people with diabetes and the basics of brushing and flossing. Dr Mark has written a regular dental column for the TCI Weekly News, welcomes school groups to the clinic for an interactive presentation, and answers questions on his Facebook page. Teachers interested in a visit can call us on (649) 432-3777.

“Dr Osmond treated me with great care and I love the fact that I can have my check-up and cleaning at the same time with the same person. Definitely saves time and money!”— Patient

Tooth-Coloured Fillings

Fillings are required when a hole has formed in a tooth, through decay, abrasion or erosion. Decay occurs when sugars and acids attack the enamel; abrasion is wear; and erosion is enamel dissolving from acid — for example from citrus fruit or acid reflux — often leaving sensitive areas near the gum line.

Composite (white) fillings only

At Mark Osmond Dental Clinic we only place composite, tooth-coloured fillings. Metal (amalgam) fillings contain mercury, and Dr Mark has long considered them an old-fashioned and inferior option. Composite fillings contain no mercury, are as strong as metal, are bonded to the tooth and come in a range of shades to match your natural teeth — so they are virtually invisible.

Changing old fillings

Metal fillings can be replaced with composite. This is clinically advisable if a metal filling is breaking down; otherwise it is a personal, cosmetic choice. If metal fillings are smooth, shiny and intact there is no immediate need to change them. During pregnancy metal fillings are not placed or removed unless the risk of leaving one outweighs removing it.

“I had all sorts of fears about what the treatment would involve, but within minutes, not only did Dr. Osmond relieve my fears, but also had repaired my tooth… painlessly!”— Patient

Crowns, Veneers & Bridgework

Crowns, veneers and bridges replace missing teeth, restore damaged teeth or improve the appearance of your smile. Dr Mark records your teeth — now with a digital oral scanner instead of messy impressions — and often takes photographs of their shape, colour and position, so the laboratory can create the most natural result.

Veneers

A veneer is a thin porcelain cover bonded to the front surface of a tooth, used to restore chipped or broken teeth or to change their colour, size or shape. After minimal preparation you wear temporary veneers for around 2–3 weeks while the porcelain ones are made. We advise avoiding biting on bones, fingernails or pens with veneered teeth.

Crowns

A crown (or cap) covers the whole tooth above the gum and is suitable for front and back teeth — a more robust solution than a veneer, used for cosmetic and clinical reasons such as a badly decayed tooth with a healthy root. Crowns can be all-porcelain or porcelain over a strengthened core such as zirconium; Dr Mark chooses the best material for your case, and only tooth-coloured porcelain is visible. Gold crowns are also available.

Bridges

A bridge permanently replaces one or more missing teeth by attaching to the neighbouring teeth or implants. Dr Mark prefers to break larger bridges into smaller units for strength and stability, using implants where needed to reduce long spans. The result is indistinguishable from your natural teeth.

“Love my ‘new tooth’… Have been wanting to get it fixed for 15+ years – nice to not see that ugly black when I smile now. It looks great!”— Patient

Dental Implants

Dental implants are the most technologically advanced and closest-to-nature way to replace a missing tooth or teeth. Dr Mark first trained in implant dentistry in the US, completed follow-up courses in the UK and France, and both places and restores implants himself using the Nobel Biocare system — one of the largest and most established in the world.

How implants work

An implant is a titanium, screw-like fixture secured into the jaw bone to replace the root of a natural tooth. Bone fuses with titanium, fixing the implant firmly and permanently; a porcelain crown is then attached that looks like a natural tooth. Two or more implants can carry a bridge, a combination can replace a whole arch, and implants can also anchor dentures so they clip securely in place.

The procedure

Placing a single implant generally takes less than an hour and is no more painful than routine treatment. After a healing period of 8–12 weeks the implant is restored with its crown. Unlike a bridge, neighbouring teeth are left untouched; an implant looks and feels like your own tooth, is cleaned the same way, and with sensible care can last a lifetime.

“Dr Mark has given me implants and crowns which were perfect every time. He is incredibly skilled and takes great care to provide a pain-free experience.”— Jan S, Provo & Chicago

Teeth Whitening

Dental whitening is a cosmetic procedure that uses hydrogen peroxide to give a brighter, whiter smile. Ageing, food and drink, smoking and even grinding can discolour teeth. Surface stains are removed by brushing and professional cleaning, but stains within the tooth need whitening.

In-office whitening

Takes about an hour. Your lips and gums are protected, the professional-strength gel is painted on and activated with a special light, and topped up after around 15 minutes for one or two further rounds. You'll see an immediate, significant colour change at that first appointment. Avoid strongly coloured food and drink for 3 days afterwards.

Professional home kits

A lower concentration gel in pre-loaded trays worn for an hour a day, giving gradual results over several days. Recommended if you have sensitive teeth.

Whitening does not damage teeth. We don't recommend higher concentrations for sensitive teeth or anyone under 20, and existing crowns, veneers and fillings will not change colour.

Dentures

Dentures are removable devices that replace one, several or all of your teeth, and may be the best alternative where implants or a bridge are not viable — for example after significant bone loss, when remaining teeth are failing, or on a limited budget.

Single-tooth denture

A simple acrylic “flipper” denture, often used to replace a single front tooth or as a temporary solution while a bridge or implant is made — a cost-effective alternative to a gap.

Partial dentures

Replace multiple missing teeth with clasps to hold them firmly. A cast metal framework is stronger and thinner than acrylic-only, sits more securely and is less likely to rub.

Full dentures

For patients with no teeth, replacing both the teeth and the lost bone and gum. Upper dentures hold well by suction; lower ones can move more — and if that's a problem, implants can be placed so the denture clips firmly in place.

Children's Dentistry

Dr Mark has treated children throughout his career. The key to a successful visit is a child who feels happy and relaxed — ideally from growing up seeing their parents visit the dentist regularly. Even when just accompanying a parent, they can have a ride in the “rocket chair”!

When to come and what to expect

We recommend a first visit at around 18–24 months — or immediately after any trauma to the teeth, whatever the age. We check that teeth are coming through correctly and that teeth and gums are healthy, and discuss thumb-sucking, pacifiers and diet. Check-ups are recommended every 6 months, and every good patient gets a sticker!

Fissure sealing

Recommended around age 6–7, when the first adult molars have erupted, to protect the grooves of the back teeth from decay.

How parents can help

• Let your child see you visiting the dentist regularly
• Talk about the dentist in a positive way
• Brush their teeth twice a day
• Read books about going to the dentist together

Special needs

Dr Mark has experience with children with special needs. When booking, please let us know how we can make the visit as easy as possible.

Dental accidents: if your child has bumped or damaged their teeth, call us immediately on (649) 432-3777 — swift action can make the difference between saving and losing a tooth.

“Thank you Dr. Osmond. Because of you my 8yr old son is no longer afraid of the Dentist!”— Parent

Root Canal Treatment

Dr Mark is experienced in endodontic treatment and performs all root canal treatments himself. In line with international standards, a new set of endodontic instruments is used for each patient and reserved for your future use only.

When is it needed?

Root canal treatment saves a tooth badly damaged by infection or trauma. Signs can include pain, prolonged sensitivity to hot or cold, discolouration, swelling, tender gums or a bad taste — though there may be no symptoms at all.

What happens

Under local anaesthetic, the infected nerve and pulp are removed and the tooth is cleaned and temporarily sealed. About 1–2 weeks later the canal is permanently filled. Without treatment, infection can lead to an abscess, bone loss and loss of the tooth. Root-filled teeth are often crowned afterwards, as they become more brittle.

Oral Surgery

Dr Mark routinely performs many oral surgery procedures at the clinic, either as stand-alone treatments or as part of a wider plan:

• Routine extractions — straightforward removal of teeth, usually due to decay or gum disease
• Surgical extractions — for example where only the root remains
• Wisdom teeth extractions
• Bone grafts — often after an extraction when implants are planned; we also use a collagen socket pack to aid healing
• Orthodontic extractions — to allow orthodontic treatment to proceed
• Gum / periodontal surgery — to reduce pocket depth
• Crown lengthening — for restorative or cosmetic reasons

“I saw Dr Osmond after I saw a dentist in Miami who was unable to perform the complex surgery I needed. Dr Osmond was able to successfully treat me. He’s really good and very gentle.”— Patient

Emergency Care

Out-of-hours emergency: (649) 432-3777

Whether you live on the islands or are just visiting, unforeseen events can happen that need immediate help. During clinic hours we will see you as soon as possible between booked appointments — please call or come straight to the clinic.

Outside clinic hours Dr Mark is on call and can assist you rapidly. Call (649) 432-3777 first and we will advise on immediate action and arrange your appointment.

An emergency fee applies to call-outs. We reserve the right to charge for broken appointments.

Botox

Botox is injected into specific facial muscles, relaxing them to soften or eliminate lines and wrinkles, most commonly on the forehead, around the eyes (crow’s feet) and between the eyebrows.

Facial injections are a well-established cosmetic treatment, and increasingly offered by dentists in the US, Canada and UK — a dentist injects every day and has a deep understanding of facial anatomy. Dr Mark qualified to perform these procedures in New York and is a member of the American Academy of Facial Cosmetics.

Frequently asked questions

“The transformation wasn’t just cosmetic but gave me huge amounts of self confidence too: gone was my permanent frown that made everyone think I was always cross!”— Patient