A day in the life of a Crown House Dentist

day in life surrey dentist

For many of you, your only experience of us will be your six monthly check-ups, so you only see us in action for 40 mins a year!

What do we do for the rest of our time though?  There’s no such a thing as a ‘normal’ or average day, as each appointment is different and sometimes we will need to provide unplanned treatment if someone is in pain or has had an accident.

However, here’s is a bit of an outline and insight into what we are up to all day!



The staff all start arriving at the practice.

We travel in from different areas – I’m the lucky one though, as I live in Egham, so once I’ve dropped my children off at school, I don’t need to worry about level crossings or parking!

We get changed from our normal clothes into our clinical wear and the nurses set the surgeries up.

The dentists look through any correspondence they have received.  This can be from from hospitals, orthodontists or other specialists, or notifications about new guidelines from the NHS, NICE or the local health authority.  There are also often notes from reception or the practice manager regarding patients who may have called up or seen another dentist and need to have treatment co-ordinated or are looking for advice.

Anything that needs actioning is noted.


8:30am – 12:30pm

Morning surgery.

Every single day is different.  The morning will be a mixture of treatments including fillings, extractions, crown and bridge appointments (these take 2 visits), denture appointments (these take at least 3 appointments and sometimes up to 5 or 6!), root canal treatment, orthodontics and emergencies, which could be absolutely anything!

Examinations (or check-ups) for adults and children are the most common appointment – so here’s a little run down of what I am up to!

For an adult, we always start off with a chat.  I’ll ask if there have been any changes to your health, or if you are a new patient, we will discuss your medical history form.  It may seem like we are being nosy, but some medications and medical conditions and treatments can affect what we can do for you, and vice versa so we need to know everything I’m afraid!

We also need to know about your smoking and alcohol habits.  Again, we aren’t being nosy, but these two are by far the biggest risk factors for mouth cancer, so we need to know who is most at risk.

We will then chat about any problems that you might be having with your teeth or gums.

I start my check-ups outside the mouth.  I will examine the jaw bone for lumps and bumps, the glands under the lower jaw for swellings, the jaw joints to check for clicking, and ensure the joint is working smoothly and evenly on both sides.

Inside the mouth, I will first check all of what we call ‘soft tissues’.  These are the cheeks, tongue, floor of the mouth, palate and gums.  We check for ulcers, redness, swellings, white patches and anything else out of the ordinary.

We check absolutely everyone for signs of mouth cancer.

Next, we get onto the teeth! (People assume this is all we focus on!)

I use a puff of air to dry the surface of the tooth and blow away any bubbles of saliva (or food…) as it makes the teeth much easier to check.

We use a ‘probe’ (the pointy instrument) to see if there are any soft patches or holes on the tooth which could be decay, and also to check that the edges of fillings, crowns and bridges are nice and smooth and nothing is cracked.

Lastly I use a special instrument to check for signs of gum disease.  This measures the gap between the tooth and the gums.  The bigger this gap is (we call it a ‘pocket’) the worse the gum disease is.

I may take x-rays if necessary as these allow me to check areas we can’t physically see – such as between teeth and under fillings or crowns.  The x-rays also allow me to see the bone that is holding the teeth in.  In gum disease, the bone begins to shrink back (which is why teeth can become wobbly) so it’s important that we can see this and treat before things get too bad.

We may have a chat about your oral hygiene and give tips on how to improve your current regime, and your diet and other habits if there are signs that they may be damaging your teeth.

A children’s exam also checks for signs of adult teeth appearing and checking that the teeth are developing properly and in the correct position.  I assess whether the child may need orthodontic treatment (braces) and may chat about this to the carers.

If I’ve spotted anything that needs treating (adults or children), we will have a chat about the different options you may have and we work out a treatment plan that everyone is happy with.


12:00pm – 12:30pm

This gap is always reserved for emergencies (in addition to any we may have seen in the morning)

An emergency appointment could be absolutely anything, from a little chip on a tooth that feels a bit sharp and just needs smoothing, to a whole tooth being snapped off or knocked out in an accident.

People may have a nasty infection that presents as a big swelling on their face or in their mouth, or a toothache.

Sometimes a patient may have something painful in their mouth that they can’t pinpoint, so in those cases, I need to put my detective hat on.

We ALWAYS try and get you out of pain, but we can’t always do the full treatment there and then, as we simply don’t know how long we will need until we’ve seen you.

Sometimes I have to rebook a patient back in for a longer appointment to carry out the full treatment, once I’ve patched them up.

After every appointment – regardless of the reason for the visit, there are notes to write on the computer, NHS forms to fill out and submit and I need liaise with reception so they know if the patient needs to come back for any reason.  Whilst I am busy with this, the nurse is cleaning down and decontaminating  the surgery, and sorting instruments which need to be taken to our central sterilisation room ready to go in the disinfectors and autoclave.

If there are any spaces during the morning session, either last minute cancellations or emergency slots that aren’t filled, I catch up with paperwork that I’ve earmarked first thing, catch up with the practice manager on anything we need to talk about or get on with my studies.

As a dentist, I have to attend a minimum of 20 hours of courses every year to stay registered, in addition to reading journals and keeping up to date with the latest materials and methods in the profession.

(The latter is usually done with a well-deserved cuppa!)


12:30pm to 1:30pm


Lunchtime for the clinical staff.

There is always a receptionist on the desk though as their lunch breaks are staggered.  This means we can always answer your phonecalls or help if you come into the practice.


1.30pm – 5.00pm

Afternoon surgery.

This follows the same pattern as the morning – with a mixture of exams, treatments and emergencies (and paperwork!)

There are often changes to the day list during the lunch break, so I’ll check my diary for any changes and off we go!




The surgeries are cleaned down, the last of the paperwork is actioned and filed, we change back into our civvies and home we go, ready to start all over again with a whole new, different day tomorrow.


Is Your Child One of the Many Who Didn’t See a Dentist Last Year?

According to data analysed by NHS Digital, nearly 60% of children aged one to four did not visit a dentist during last year.

This figure is for the children aged five to nine years old 32.7% and 27.6% of  ten to fourteen years old. Overall 41.4% of children under 17 did not see an NHS dentist during 2018.

It is important that a child’s first visit to the dentist is a regular check-up, ideally before the age of one. This will increase the chances of a positive, first interaction between the child and the dentist and not an experience associated with pain. Regular brushing of the teeth for about two minutes as soon as the first baby teeth break through will lead to good oral health. Additionally, regular visits to dentist will underpin this, preventing future problems and allows early intervention from the dentist when necessary. When brushing you should use appropriate fluoride tooth paste for the age of the child and should only spit the excess tooth paste out (not rinsing) allowing the tooth paste to remain on the teeth and work as well. Children should not lick or eat the tooth paste and whilst brushing their teeth they should be supervised by a parent or carer.

Visits to the dentist should be fun, with parents acting as a role model by having their teeth checked which will reassure the hesitant child.

If children visit the dentist when they have a problem, the experience can cause fear and consequently poor attendance which in turn may allow future problem to continue undetected. Prevention and early intervention if necessary is the key to future good oral health and a successful relationship with the dentist.

Regular daily brushing will foster a culture of responsibility amongst the children and will establish the self confidence in children. This will lead to the belief, that the child knows that they are able to take care of their oral hygiene and knowing how to do it. Do not hesitate to ask your dentist about how to brush your child’s teeth more efficiently.

Participating In Dry January?

Your Smile Could Benefit Too!

New Year’s resolutions are excellent goals to have to start your year off with positive change. For some people cutting out meat, sugar or bread for the month is a really difficult thing to do and therefore a wonderful goal. For some people, exercising every day for a whole month is a really great thing to aim for.

For others, cutting out the booze is how they wish to spend January to enjoy benefits such as losing a few pounds, avoiding hangovers and of course, getting to the end feeling proud about overcoming a tricky challenge. Cutting out alcohol for the month is also known as ‘Dry January’ and with millions of people doing the challenge this year, it is by far the most popular goal to have when it comes to New Years Resolutions.

Alcohol And How It Affects The Body

If you are participating in Dry January, your Egham dentist wants to help you have even more reason to continue on your quest for sobriety. First though, lets help you take a look at some of the reasons that may already be on your mind when it comes to cutting out the drink:

  • You seek a detox following lots of parties in December
  • You want to cut out hangovers which have been causing issues in your life
  • Alcohol has caused an issue with your personal or professional life
  • You want a challenge
  • You want to lose a little bit of weight
  • You want to save money
  • You’re looking to improve your health
  • You don’t like yourself when you’ve been drinking

Each and every reason is absolutely unique to each person and for one person sobriety for a whole month can be a huge challenge, and for others it’s a really great addition to a month where they reboot their health. When it comes to your health, cutting out alcohol is hugely beneficial. This is particularly true if you are drinking in excess, or perhaps bypassing government guidelines on alcohol consumption.  There are many potential risks for the body as a result of drinking more than you should, here are a few examples:


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New Year Smile Resolution Ideas

From Crown House Dental in Egham

Your oral health is an important part of your overall wellness and the start of a New Year is a really great opportunity to improve your oral health, maybe as part of an overall health kick.

Of course, everybody has their own personal goals and ambitions and you have to decide which options are the best for you and your future.

However, your Egham dentist would like to encourage you to include at least one oral health New Year’s resolution. After all, your teeth help you to talk, eat and express yourself, and they support the structure of your face, keeping you looking young. Your smile is really important!

Bad oral health can also have a detrimental effect on your overall health. For example, gum disease is thought to contribute to your risk of heart disease as well as other adverse health conditions.

To contribute towards a happy and healthy 2019, please take a look at our 2019 New Year’s smile resolution ideas:

Protect Your Smile

One major New Year resolution is to start a new hobby, such as a sport. This is great for your overall health, but it can put your teeth and gums at risk, especially if it is a contact sport like rugby. Your Egham dentist offers custom gum shields to ensure your teeth and gums are protected from injury as much as possible, during sports that put them at risk.

Eat Your 5 A Day (Or More)

Fruit and vegetables are a major part of oral health because they boost your immune system. Your immune system helps to protect you from oral health issues like gum disease which can go on to cause further issues elsewhere. Gum disease is known to contribute to your risk of all kinds of health conditions, including heart disease.

A lack of fruit and vegetables can also contribute to your risk of oral cancer. So eating your 5 a day or more is a really great resolution all round.

Improve Your Oral Health Regime

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Your Christmas Oral Health

Festive Tips From Crown House Dental In Egham

Christmas comes around so quickly doesn’t it? Summer ends and before you know it, you’re writing Christmas gift lists, accepting invitations to events and pondering your Christmas decoration arrangement this year.

Between your decisions over standard pine and Nordic spruce, Christmas brings a lot of reasons for smiling. Parties, gifts, social events, family events, Christmas movies, and of course the food and drink.

The problem is, although this season brings lots of smiling, it is also a very risky season for your oral health. Many patients come into our Egham clinic in January with issues that have unfortunately come from, or been exacerbated by the party season. Even worse, emergency visits occur over Christmas and the festivities can be ruined because of problems that occur.

Don’t fret though, with some caution and awareness, your smile can stay beautiful and healthy over Christmas.

Top Tips To Help Your Smile Stay Healthy And Beautiful Over Christmas

TIP – Don’t Use Your Teeth As A Tool

When you’re relaxing back and you want to crack a nut, or open a bottle of beer, it might seem more tempting to use your teeth than to get up and get the appropriate tool, especially if you are full of Christmas dinner! The problem is, your teeth, although strong, are not designed for this kind of thing and using your teeth as a tool is a really bad idea. Cracked teeth happen regularly at Christmas because of this type of reckless activity. It is also important to mention that it is incredibly dangerous to ever attempt opening a bottle using your teeth as the carbonated bottle can shoot the cap out into your mouth or throat leading to a nasty injury. Do always reach for the appropriate tool, which is never your teeth!

TIP – Too Many Mince Pies Is Bad News!

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Inner Confidence And Dental Health

How Does Your Smile Make You Feel?

Exactly how do you feel about your smile? Sure, it feels great to chew confidently without worrying about teeth shifting or moving and it feels wonderful to have the firm, facial structures your teeth help support. It feels excellent to talk as you always did, and to eat what you want, when you want.

But how does having a healthy, happy smile really make you feel?

We smile when we are happy, we show our teeth whilst expressing ourselves, when we meet friends or family, and when we say thanks or communicate our wishes to others. So a really strong, natural, happy smile that is healthy does far more than function physically; it has a huge impact on how we feel about ourselves. Understanding how integral an attractive and healthy smile is in relation to how you feel about yourself is really important, so you can look at improving your smile, in a way that also improves your confidence.

Your Smile And Your Confidence

A smile is incredibly important when it comes to a person’s confidence, for many different reasons.

Expression & Communication

We express ourselves using our smile, in lots of different ways. Visually you let people know you are happy with your smile. You also speak using your teeth, tongue and lips, which allows you to let people know what you are thinking, feeling and what you want them to know. Your teeth help you exhibit emotions and your smile is a massive part of self expression.

Social Life

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Sleep Disorders And Your Dental Health

Making The Connection

Snoring can be so very irritating and sometimes downright rage-inducing, particularly if you’re the one sleeping next to the person doing it!

Snoring can lead to sleep deprivation in both the person who is snoring and their partner, leading to cranky moods, lack of concentration and sleepiness in the day, amongst other symptoms.

Snoring may even be related to more serious conditions such as sleep apnoea, where a person stops breathing several times through the night. Sleep apnoea can cause even more worrying symptoms on top of those you get because of snoring, such as increasing your risk of strokes or high blood pressure.

So whether you snore, grind your teeth or you have sleep apnoea, the fact of the matter is you aren’t sleeping as soundly as you should, and the chances are your partner isn’t either. The good news? Your dentist can help! First things first though, lets take a closer look at snoring, sleep disorders and your dental health.


Snoring is a common issue experienced by both men and women and you tend to be more likely to snore if you are overweight, smoke, drink large amounts of alcohol, or sleep on your back. It is caused by the parts of the mouth vibrating as you breathe in and out and can be very mild, or quite extreme. Snoring often causes more issues for the partner of the person who snores as it keeps them awake. However, the person snoring may wake themselves up several times and they may find their sleep quality isn’t very good, causing tiredness and sleep deprivation over time.

How Crown House Dental Can Help

We recommend you see your GP if snoring is having a drastic effect on your quality of life as they may wish to check you don’t have sleep apnoea which is more serious than snoring alone. We may be able to help with your snoring issue by treating you with a special dental device which brings the tongue forward if the problem is mild and if you do not require sleep clinic intervention. At the very least we can provide help and support in keeping your oral health in good condition alongside medical issues you may be challenged with.

Sleep Apnoea

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Securing loose, uncomfortable dentures

Your Egham dentist wants you to know about the latest in denture innovation!

Standard dentures are much better than ever, but they only go so far into ensuring your smile is as secure and natural as it can be.

With standard dentures you can have a more beautiful smile, better confidence, eating ability, speech, facial structure and better long term oral condition than if you didn’t do anything about missing teeth. Indeed, leaving missing teeth alone is never recommended and having dentures made at Egham dental is a great way to restore your smile.

However, dentures are not without their faults. Even with the amazing denture-making team at your Egham dentist creating bespoke dentures than fit incredibly well, dentures can cause a patient problems that are beyond the parameters of this treatment. Those problems though can be fixed by a new, innovative, modern treatment known as “implant retained dentures“.

Implant retained dentures look, feel and function in a very natural way. No need for messy glue or covering your mouth in case your dentures pop out. With this incredible new treatment your smile can be functional and beautiful again. Your smile can be secure for the first time in a long time, giving you back your confidence.

What’s Wrong With Standard Dentures?

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The First Step Towards A Treatment Plan Right For You

Your consultation at Crown House Dental

Here at your Egham dentist we ask that we see you for a consultation before specific types of treatments can go ahead.

We offer all kinds of professional cosmetic, restorative and general dentistry and many treatments are heavily in demand. Often patients want to come in and get started right away because understandably, having a new smile is exciting! But the consultation is often the very first step in your journey, and it forms an important part of that journey.

We don’t always need to see you for a consultation before treatment, but sometimes we do, and we wanted to tell you why that is.

What Is A Consultation?

A consultation is our first meeting with you to discuss the treatment you want. It forms the first step in your detailed, bespoke treatment plan moving forward.

The time it lasts for depends on the treatment that you are coming in to talk to us about. Some consultations need to be longer because there is more to discuss and we need more time to do important diagnostics like X-rays or to take impressions of your teeth or gums. Some consultations can be shorter as the screening process is less detailed.

We can book your consultation during our opening hours at a time most convenient to you. Just call us on 01784432641 and our friendly dental team will help you. They will book you an appointment during our opening hours, which are Monday to Friday 8.30am to 5.00pm, and ensure you are booked in with the right member of our team. They can also provide you with some basic information over the ‘phone if you need it.

When Does A Consultation Occur?

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Thinking About Quitting Smoking?

Dentist Dr Ahmad Sami

Now’s A Good Time For You To Start With Help From Crown House Dental!

According to NHS Smokefree one out of two smokers will die from their habit. Smoking is the biggest preventable cause of death in the UK and it comes with many risks, health issues and associated negatives.

You may well already be aware of the risks, but perhaps it hasn’t been the right time to quit smoking yet? Smoking addiction has been compared to true drug addictions and it can be very hard to quit; but if you speak to an ex smoker, they will likely tell you it was worth it, and even better, it gets easier and easier the longer you abstain.

The longer you don’t smoke, the better your health and in some cases, you can completely reverse some damage done by smoking. Dr Ahmad Sami takes a closer look below:

Why Now?

We wanted to speak to you about quitting smoking now because we are approaching Stoptober, one of the government’s initiatives to help people quit smoking. The idea is that you quit for a month and that increases your chances of quitting for good four-fold, compared to attempting to quit for a week, or mentally preparing for a lifelong quit all in one go.

Although you might not necessarily want to take part in Stoptober, this time of year is a great time to think about quitting because you’ll be doing it at the same time as lots of other people, which can be helpful. It also means you would get a head start on quitting ready for next year, or at the very least making plans to quit into 2019, for your healthiest year yet. Your Egham dentist wants to help by providing you with information and support!

What Smoking Does To The Body

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A partnership built on trust and mutual respect to improve your dental health