Balbriggan Dental

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24 Oct 2017

When should you bring your child to the dentist?

By Colin Lynam

Opinions vary on the recommended age for a first dental check-up. Within my own practice, I recommend parents bring their child along for their first visit before the age of three. Before this, I also encourage parents to bring their child along when having their own routine check-ups or with their older siblings. This helps to normalise the experience, so the child knows what to expect and lets me have a quick look to screen for any problems.

It is very important to see the child’s teeth before the adult teeth start to erupt around 6. If there is decay in the baby teeth before this age we need to consider any changes that should be made to reduce sugar in the diet. It is also worth planning to fissure seal the adult first molar teeth, to protect them,  if this is the case.

A first dental visit should fun. Tell the child that they will get a ride in the magic chair and that they will have their teeth counted. Bringing a favourite soft toy along can be very helpful. I often examine a teddy or dolls mouth first before I look at the child’s. Seeing what will happen beforehand can help the child prepare them for  what is involved. Sitting on a parent’s knee can also help relax a nervous child.

It is important to be as positive as you can in advance of the visit. There are several books about visiting the dentist that can also be helpful. We have copies of ‘Topsy and Tim Go to the Dentist’ in the waiting room. The first visit to the dentist episode of Peppa pig is also mentioned on a regular basis. Giving young children an idea of what’s to come helps to reduce any anxiety that they may have. We give young children stickers at the end of the appointment to reinforce that the appointment has been a positive experience.

I am happy to see most children once a year for a check-up unless there is a specific problem or issue which I would like to review sooner.

www.balbriggandental.ie

Tel 01 6903464

18 Oct 2017

Choosing Toothpaste for Children

By Colin Lynam

Choosing toothpaste for your child

For a child under two we recommend a small infant toothbrush with just tap water. Mains water is fluoridated in Ireland and this provides enough fluoride until a toddler is old enough to spit out (usually around their second birthday).

After this age the recommendation is for a toothpaste over 1000ppm fluoride. You can check this on the label.

The label below shows the fluoride content to be 1450ppm. Always check the tube as they vary greatly. Note that the same brand can have different fluoride concentrations.

toothpaste

For children up to seven years of age use a smear of toothpaste:

newSmear

Always supervise brushing and ensure it is spat out. Don’t rinse out afterwards.

www.balbriggandental.ie

11 Oct 2017

Grinding Your Teeth

By Colin Lynam

Tooth grinding and clenching is incredibly common. It is thought to affect 10% of the population, but about 80% of the people who do it aren’t aware of it. It is most common at night and is often triggered by stress and anxiety. The most obvious symptoms of grinding (bruxism) include:
• Aching headaches
• Jaw pain or clicking
• Teeth that are painful or loose & pain on both sides.
• Fractured, worn down or flattened teeth.

We can make you with a nightguard to protect your teeth during sleep. This is a thin plastic cover that clips over your lower teeth to act as a shock absorber. Grinding tends to come in cycles and then settle again but having a nightguard means that you can minimise the damage of grinding when it is taking place.
If stress is the trigger, you may need to consider some other ways to relax: meditation/mindfulness, counselling, and exercise can all help reduce stress and anxiety.

Teeth grinding is also common in children. However, because their teeth and jaws change and grow so quickly it is not usually a damaging habit that requires treatment and most outgrow it by adolescence.

If you’re having grinding problems and would like to come to us for an assessment give us a call on 01 6903464

www.balbriggandental.ie

03 Oct 2017

Dental Sedation

By Colin Lynam

Balbriggan Dental Clinic are delighted to be offering the option of conscious sedation for our patients.

Nervous Patients

Many people are a bit anxious about attending a dentist. For some people however, this fear is more pronounced and can be classified as a dental phobia. This is an intense, irrational fear of dentistry. It may be related to one specific procedure or to a more general fear of dentistry. This phobia can be triggered by a bad experience in childhood. Dental anxiety and phobia can lead to people delaying or avoiding the treatment that they need. Often the most difficult step in overcoming this fear is making the initial appointment for a chat and an assessment. The availability of relaxation techniques, modern anesthetics and sedation means that dentistry can be performed in a relaxed and pain free manner.

Premedication

This involves the use of a tablet before treatment to help the patient to relax. It offers mild sedation. Sometimes patients take a tablet the night before the treatment to help them get a good nights sleep.

Nitrous Oxide

This is a safe and effective agent that is mixed with oxygen and inhaled through a special mouthpiece to help you to relax. The use of nitrous oxide or “happy air”induces a feeling of lightheadedness and is often accompanied by a feeling of warmth and tingling. It makes you feel calm and comfortable. The effects wear off once the sedation is finished. This is particularly suited to children and is the only available sedation for people under the age of 16. It also works well for mild to moderately anxious adult patients.

IV Sedation

This involves using a drug called midazolam to establish a strong level sedation. It allows us top perform a broad range of dental treatment. The relaxed state is often described as something between sleep and wakefulness. It leads to sense of detachment from the treatment. Most patients can’t remember much of the appointment afterwards. You are conscious through the appointment however and can respond to any requests. We carefully control the level of sedation to ensure the correct level is achieved.

Who carries out the sedation?

Dr Lyndsey McTavish BDS (UWCM), MFDS, RCPS (Glasg), Dip Clin Dent (TCD), Dip Con Sed. (TCD).

Lyndsey undertakes the sedation at Balbriggan Dental Clinic. She is the wife of our other dentist, Dr Colin Lynam. Lyndsey completed her Postgraduate Diploma in Sedation at Dublin Dental Hospital in 2017. Lyndsey is particularly interested in helping nervous patients and is a member of the International Society of Dental Anxiety Management. Lyndsey enjoys treating children and has a young family of her own. Her friendly and relaxed approach will help make your visit to the dentist an easier experience.

If you’re interested in making an  assessment appointment for dental sedation or have any questions you can give us a call on 6903464.

www.balbrigganderntal.ie

28 Sep 2017

Dental Hygienist Balbriggan Dental Clinic

By Colin Lynam

Charlotte Quinn

Charlotte joined our team during 2016 and brings with her fourteen years experience as a Dental Hygienist. Originally from South Africa, Charlotte completed a Certificate Course in Dental Nursing followed by a Diploma in Dental Hygiene at the University of Stellenbosch, Cape Town.

On completion she was awarded Best Dental Hygiene student and Best Student Research Project by the University. She started her career in London’s Harley Street as a Dental Nurse. She went on to work in a commercial environment as a Territory Sales Manager for Braun Oral B.

Charlotte moved to Ireland during 2002 where she completed the Irish Dental Council registration exams and has been practicing in General Dental Practice since. She served as Membership Secretary for the Irish Dental Hygienists Association 2007 – 2010 and frequently updates her qualification with additional courses; including a recent certificate from the HSE, Intervention in Smoke Cessation.

Her experience alongside her genuine interested in patient care and comfort ensures the very best quality oral health care for our patients.

Dental Council Registration 5RDH200

To make an appointment with Charlotte give us a call on 016903464

www.balbriggandental.com

21 Sep 2017

Chewing gum and your teeth.

By Colin Lynam

It can help prevent tooth decay, as long as you choose a sugarless gum.  Acid  forms in your mouth after eating food or drinking sugary drinks. This acid would otherwise attack the tooth and cause tooth decay. Chewing gum helps to produce saliva. Saliva is naturally alkaline and neutralises the acid. It also helps to wash away acid as it builds up.

17333_NEW GRAPH v3

The minerals generated in the extra saliva can even help strengthen your tooth enamel, which reduces your risk of a dental cavity. This would also help to counteract the acidity of some food types such as citrus fruits and fizzy drinks which will also wear down the enamel on teeth. People who suffer from gastric reflux (acid coming into the mouth from the stomach) or regular vomiting (e.g during pregnancy) would benefit from gum for this reason.

Parents can share this tip with children and teens, who often chew gum. Just be sure that they choose sugarless gum, not a sugary bubble gum, which can have the opposite effect and contribute to the buildup of plaque on teeth.

Gum-chewing is not a substitute for a regular  routine of twice-daily tooth brushing and flossing but will help to keep the teeth healthy when done is combination with these.

www.balbriggandental.ie

15 Sep 2017

Tax Relief For Dental Treatment

By Colin Lynam

A lot of people are unaware that you are entitled to  tax relief  of 20% on advanced dental treatments that have been carried out in the last four years. The relief can be claimed regardless of whether its your treatments or someone else’s dental treatment that you have paid for. This is done through the med 2 system, we can talk you through this process when you attend the practice. At Balbriggan Dental Clinic we can give you this form and help you with the relevant sections and provide any receipts needed. You can also download the form at: www.revenue.ie/en/tax/it/forms/med2.pdf

A guide to claiming Health and Medical expenses:http://www.revenue.ie/en/tax/it/leaflets/it6.html

The eligible treatments are :

Crowns.  Restorations fabricated outside the mouth and are permanently cemented to existing tooth tissue. Income tax relief is allowable for expenditure on core preparation for crowns and temporary conditioning crown

Veneers/Etched Fillings. These are a type of crowns

Tip Replacings. This is regarded as a crown where a large part of the tooth needs to be be replaced and the replacement is made outside the mouth.

Post and Core Build-ups. These are inserts in the nerve canal of a tooth, to hold a crown. Income tax relief is allowable for post and core build-ups made from materials other than gold.

Inlays. An inlay is a smaller version of a crown. However, tax relief is only allowed if the inlay is fabricated outside the mouth. Income tax relief is allowable for inlays made from materials other than gold.

Endodontics – Root Canal Treatment.

This involves the filling of the nerve canal and not the filling of teeth.

 Periodontal Treatment

The following treatments qualify for tax relief:

  • Root Planting, which is a treatment of periodontal (gum) disease
  • Currettage and Debridement, which are part of root planing
  • Gum Flaps, which is a gum treatment
  • Chrome Cobalt Splints, if used in connection with periodontal treatment

(if the splint contains teeth, relief is not allowable)
• Implants following treatments of periodontal (gum) disease which included bone grafting and bone augmentation.

Orthodontic Treatment.

This involves the provision of braces and similar treatments. Income tax relief is allowable for the cost of temporary implants in circumstances where they form part of the overall orthodontic treatment.

Surgical Extraction of Impacted Wisdom Teeth.Relief is allowable when undertaken in a hospital or by a dentist in a dental surgery.

Bridgework. Dental Treatment consisting of an enamel-retained bridge or a tooth-supported bridge is allowable.

You should make your claim at the end of the tax year, but you can actually claim relief on any eligible expenses dating back four years (including medical expenses, which require the Med 1 form). It is possible to choose whether to claim relief in the year when the expenses were incurred, or in the year that they were paid (if they happen to fall into two different years).You do not need to submit all your dental receipts to the Revenue, but you should hold onto them for a period of 6 years in case you are asked to prove or clarify any expenses. If you’re self-employed you can claim your relief when you file your annual tax return.

If you have any queries you via give use ring on 016903464

www.balbriggandental.ie

 

22 Aug 2017

Dental Implants

By Colin Lynam

Dental implants

Durable, long-lasting and natural in their appearance, dental implants are the most modern method of replacing missing teeth.

The procedure involves fitting an implant which is usually made of titanium, into the bone of the jaw. It is important that we have enough bone in the area and that this bone is of good quality. If this is not the case, a procedure called bone augmentation can be used, to help build up the bone levels prior to the implant procedure.

We then allow time for the bone to heal and grow in around the implant. The implant can now hold a single false tooth called an implant crown in place. This is generally the best way of replacing a missing tooth. Implants can also be used to hold multiple false teeth (an implant bridge) or to fix a full denture in place. An implant supported denture has advantages over a standard denture in that it can greatly increase the biting force. Also it won’t cover the roof of the mouth in the way that a traditional denture would.

Procedure time will depend on how many implants you’re having. It’s possible to have several implants fitted in the same procedure.

Dental implants are usually fitted under local anaesthesia. If you’re feeling nervous about the procedure we can arrange for you to have some sedation. Both nitrous oxide and intravenous sedation options are available.

At Balbriggan Dental Clinic our implants are fitted by our specialist oral surgeon Dr Eimear McHugh. If you’re interested in making an appointment to discuss implants or for an implant assessment give us a call on 016903464.

www.balbriggandental.ie

11 Aug 2017

Oral Cancer

By Colin Lynam

How can I make sure that my mouth stays healthy?

Visit a dentist regularly even if you wear dentures. This is especially important if you smoke and drink alcohol. We will check your mouth for any areas of concern at each check up.

When brushing your teeth, look out for any changes in your mouth or neck. Early warning signs include ulcers that do not heal within three weeks, red or white patches in the mouth, or other unusual changes in the mouth or neck. If you have any areas that are swollen or ulcerated it is very important to attend a dentist and have them checked out.

When exposed to the sun, make sure to use the correct type of barrier cream on your lips.

Eat plenty of fresh fruit and vegetables. A good diet, rich in vitamins A, C and E, helps the body to protect itself from most cancers.

Avoid the risk factors for mouth cancer. These include:
Smoking tobacco – cigarettes, roll-ups, cigars, pipes or cannabis.
Excessive alcohol consumption.
Using tobacco and alcohol together – this greatly increases your risk.
Excessive exposure to sunlight or radiation (for lip cancer).
Chewing tobacco, betelguid, gutkha and paan.
A diet lacking in fruit and vegetables.
Viral infections, e.g., human papillomavirus (HPV). HPV can be spread through oral sex.

www.balbriggandental.ie

mcad

03 Aug 2017

Toothbrushing

By Colin Lynam

TOOTHBRUSHING

This is a very easy thing to do yet we are all busy rushing around that we tend to miss the same surfaces all the time.

Top tip!

SLOW DOWN

It takes a good 3 minutes to brush your teeth properly, it is important to do this at least twice a day, morning and night.
Some tips to help maintain a happy and healthy mouth:
1. Use a small head with soft to medium texture made of nylon , germs are small!.
2. Use a pea size amount of toothpaste.
3. Angle the toothbrush at approximately 45 degree and make contact with the tooth and gumline.
4. Gently using circular motions and massage the gums.
5. Place the brush over the biting surfaces of the teeth brush in an over and back motion.
6. Change your toothbrush at least every 3 months.
If you see bleeding it is a sign of gum disease.

Gingivitis is a word you might hear at your dentist this when the gums around the teeth become red, inflammed and swollen. Bad breath can occur.
This is curable. Bleeding is the first sign. Bleeding is not good so do not ignore it.

Another word you might hear is Periodontal disease, this is irreversible which means damage is permanent. The bone levels get damaged, treatment can only maintain the bone that is undamaged.

Generally there is no pain is associated with gum disease so it can sometime come as a shock to patients.

It is therefore so important to get regular checkups with your dentist and hygienist.
Paula Cavanagh Dental Hygienist at Balbriggan Dental Clinic Tel 690346

18 Jul 2017

Bottle Decay

By Colin Lynam

Even though they are temporary, your child’s baby teeth are important. Tooth decay in infants and toddlers is often referred to as bottle decay. Children need strong, healthy teeth to chew their food, speak and have a nice smile. Their first teeth also help make sure their adult teeth come in the correct position. It’s important to start infants off with good oral care to help protect their teeth for the years to come.

What Causes Bottle Decay?

Bottle Decay most often occurs in the upper front teeth, but other teeth may also be affected.

There are many factors: one common cause is the frequent exposure of the baby’s teeth to drinks that contain sugar. Tooth decay can occur when the baby is put to bed with a bottle. Tooth decay is a disease that can begin with cavity-causing bacteria being passed from the parent to the infant. These bacteria are passed through saliva. When the parent puts an item such as the baby’s feeding spoon in her mouth the bacteria could be passed to the baby.

If your infant or toddler does not receive an adequate amount of Fluoride,  they may also have an increased risk for tooth decay.  The good news is that decay is preventable.

Preventing  Bottle Decay

  • Try not to share saliva with the baby .
  • When your child’s teeth come in, brush them gently with a child-size toothbrush and a smear of Fluoride toothpaste until the age of 3.
  • Brush the teeth with a pea-sized amount of fluoride toothpaste from the ages of 3 to 6.
  • Supervise brushing until your child can be relied on to spit and not swallow toothpaste—usually not before he or she is 6 or 7.
  • Place only formula, milk or breast milk in bottles. Avoid filling the bottle with liquids such as sugar water, juice or soft drinks.
  • Infants should finish their bedtime bottles before going to bed.
  • If your child uses a soother, provide one that is clean—never dip it in something sweet!
  • Encourage your child to drink from a cup by their first birthday.
  • Encourage healthy eating habits.

When your child’s first teeth appear, consider bringing them for their first dental visit. Starting early is the key to a lifetime of good dental health.

www.balbriggandental.ie

13 Jul 2017

Bad Breath

By Colin Lynam

Bad Breath is a common condition that can cause much embarrassment. About 90% of the time the mouth is the source of this problem. The good news is that by taking a few simple steps, to improve oral health, it can often be resolved.

There are a number of possible risk factors that can contribute to bad breath.
Smoking: As well as inducing halitosis smoking can also stain the teeth, induce gum disease and is catastrophic for general health.
Dry Mouth: Saliva is important help clean the mouth and prevent bad breath. It can be caused as a side effect to many common medicines. It is important to clean the teeth before going to bed as salivary rates fall during the night.
Food: Certain foods such as garlic and onions can affect the breath.
Health Problems: Sometimes these can have an effect. Diabetes, , Sinus problems, Liver, Kidney or Gastric problems have all been shown to contribute to bad breath. If the more common causes have been excluded we often advise the parent to follow up with their GP to look into these areas.

It is important to start by improving the overall health of the mouth. This will include brushing twice a day (including the top part of the tongue) for two minutes with a fluoridated toothpaste and flossing on a daily basis. Regular trips to the dentist or Hygienist will help improve the health of the mouth. Dentures should be left out at night. Stop smoking: www.quit.ie have a range of support material to help with this.
Mouthwashes that contain Chlorhexidine e.g Corsodyl should help but be careful about using them on a long-term basis as they can stain the teeth. CB 12 is a new mouthwash specifically aimed at helping with this proble.

www.balbriggandental.ie

29 Jun 2017

Is Chocolate Bad for your Teeth?

By Colin Lynam

The answer is maybe not as bad as you might think. Studies have suggested that eating chocolate on a daily basis over years can actually improve your overall brain function. The  The Maine-Syracuse Longitudinal Study  was conducted observing 968 participants over an 18-year period and the results indicated higher scores on various cognition tests in participants who consumed chocolate on a daily basis. Having said that the devil is in the detail…

Milk chocolate, such as Cadburys,  is probably one of the most popular and widely consumed types of chocolate. Unfortunately, it contains more sugar than dark chocolate. It is made from a combination of cocoa, powdered milk, and sugar. The breakdown is usually 20-30% real cocoa, with the balance consisting of sugar and powdered milk. The higher sugar content that is contained in milk chocolate can cause tooth decay more so than dark, raw, or organic chocolate.

Dark chocolate is by far the better choice when it comes to keeping your teeth healthy and cavity free. There are some studies that even suggest that it can actually inhibit cavity formation. Chocolate is made up of over 300 compounds and is a highly complex substance. Dark chocolate contains polyphenols. These chemicals can help fight the overgrowth of bacteria and other organisms in the mouth. They can neutralise organisms that cause bad breath and they can prevent some sugars form turning into acid, which can break down the enamel of your teeth and cause tooth decay and cavities.

Dark chocolate contains Flavonoids which have been shown to slow tooth decay. Dark chocolate also contains antioxidants. These are beneficial to overall health in many ways but when it comes to oral health, having higher levels in your saliva helps fight gum disease. It is made up of around 70% cocoa and only 30% powdered milk and sugar. This drastically reduces the negative effect that it could have on tooth enamel when compared to milk chocolate.

When we consume sugar, bacteria in the mouth break it down and produce acid which attacks the tooth enamel.  However, decay can be prevented by cutting down on your sugar intake, watching what types of foods you eat, both sweet and savory, and ensuring that you are brushing and flossing your teeth on a daily basis. It also helps to visit your dentist two times per year to identify oral problems early and remove plaque and tartar buildup.

As with everything in life remember that moderation is the key!

www.balbriggandental.ie

 

08 May 2017

Wisdom Tooth Extractions

By Colin Lynam

 

Wisdom tooth problems are extremely common. Wisdom teeth grow at the back of your gums and are the last teeth to come through. Most people have four wisdom teeth – one in each corner.Wisdom teeth usually grow through the gum during the late teens or early twenties. By this time, the other 28 adult teeth are usually in place, so there isn’t always enough room in the mouth for the wisdom teeth to grow properly. Because of the lack of space, the wisdom teeth can sometimes emerge at an angle or get stuck and only partially emerge. Wisdom teeth that grow through like this are known as impacted.

When to see a dentist?

You should make an appointment to see us if you’re experiencing severe pain or discomfort from your wisdom teeth. We will check your teeth and advise you on whether they need to be removed. If we think that this may be the case we’ll usually carry out an x-ray of your mouth. This gives them a clearer view of the position of your teeth. We often take full mouth (OPG) x-rays to help assess these problems. This can be done here at Balbriggan Dental Clinic.

Why are wisdom teeth removed?

Your wisdom teeth don’t usually need to be removed if they’re impacted but aren’t causing any problems. This is because there’s no proven benefit of doing this and it carries the risk of complications. Sometimes, wisdom teeth that have become impacted or haven’t fully broken through the surface of the gum can cause dental problems. Food and bacteria can get trapped around the edge of the wisdom teeth, causing a build-up of plaque, which can lead to:

  • Tooth Decay (dental caries) – this develops when plaque begins to break down the surface of your tooth. When tooth decay becomes more advanced, it leaves holes (cavities) in the tooth, which can affect the surrounding teeth.
  • Gum Disease (also called gingivitis or periodontal disease) – this occurs when plaque releases toxins that irritate your gums, making them red, swollen and painful. Gum disease can also affect the surrounding teeth and the bone around the wisdom teeth.
  • Pericoronitis – when plaque causes an infection of the soft tissue that surrounds the tooth.
  • Abscess – when pus collects in your wisdom teeth or the surrounding tissue due to a bacterial infection.

Many of these problems can be treated with treatment such as antibiotics and a mouthwash (such as Corsodyl), so removing your wisdom teeth is only recommended when other treatment hasn’t worked.

How wisdom teeth are removed

We may decide remove your wisdom teeth at the practice or  refer you to a specialist surgeon. We work closely with Dr Eimear McHugh who is a specialist surgeon at our sister practice, Swords Dental.  She has the option of removing the tooth  in the standard way using local anaesthetic or using an intravenous sedation in more complicated cases. We can also arrange a general anaesthetic in a hospital, if necessary.

Before the procedure, you’ll usually be given an injection to numb the area around the tooth. You’ll feel some pressure just before the tooth is removed, to widen the tooth socket by rocking the tooth back and forth. In some cases a cut may be needed in your gum, and the tooth may need to be cut into smaller pieces before it’s removed. The time it takes to remove the tooth will vary. Some procedures only take a few minutes, whereas others can take 20 minutes or longer.

After your wisdom teeth have been removed, you may experience swelling and discomfort, both on the inside and outside of your mouth. This is usually worse for the first three days, but it can last for up to two weeks. We will recommend or prescribe painkillers to help with this.

 

Possible complications

As with all surgery, there are risks associated with removing a wisdom tooth. These include infection or delayed healing, both of which are more likely if you smoke during your recovery.

Another possible complication is “dry socket”, which is a dull, aching sensation in your gum or jaw, and sometimes a bad smell or taste coming from the empty tooth socket. Dry socket is more likely if you don’t follow the after-care instructions.

There’s also a small risk of nerve damage, which can cause pain or a tingling sensation and numbness in the tongue, lower lip, chin, teeth and gums. This is usually temporary, but can be permanent in some rare cases. We will assess this risk in detail prior to planning the procedure, to help ensure this risk is minimal.

If you need an appointment you can contact us at:

www.babriggandental.ie Tel 01 6903464

 

02 May 2017

Dr Laura Burns Balbriggan Dental Clinic

By Colin Lynam

Dr Laura Burns has been with us at Balbriggan Dental Clinic since April last year. She works from 9 am-6pm on Wednesdays and every Saturday from 9am-1. Laura offers a wide range of treatment options and is particularly happy to treat nervous patients.

She graduated from Trinity College Dublin in 2013, and went on to complete Vocational Training qualification over the next year, working in Cornwall, UK. She also completed a year of Dental Core Training in Oral Surgery in the Royal Victoria Hospital Belfast. Laura is a member of both the Irish and British Dental Associations, and is committed to Continuing Professional Development. She is interested in adult short-term orthodontics and is a certified provider of CFAST Brace for adults who want to cosmetically improve the appearance of their smile by straightening the front teeth. She is also keen on improving the oral health of children and helping them to overcome any anxiety about going to the dentist.

If you’d like to make an appointment with Laura or Colin Lynam you can ring us www.balbriggandental.ie on 6903464.

Laura Burns

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