Children’s Dentistry

Dr Paul Darby-Wade is an advocate of preventative dentistry and encourages parents to start bringing children at an early age, ideally around 3-4yrs. Children become familiar with the environment and visits to the Dentist become a friendly and non-threatening experience from the start.

Sedation is used in situations where a child may be particularly fearful or uncooperative. As an experienced father of 4 daughters, Dr Paul Darby-Wade is able to treat children in a gentle but firm and friendly manner.

childrens dentistry

nervous patients2

Nervous Patients

It is a privilege for us to treat nervous patients. Often these patients have had a bad experience in the past and dread seeing the Dentist. We spend time with these individuals and treat them with great sensitivity enabling many of them to overcome their fear or nervousness.

At times we may use conscious sedation, using medication, and often these patients will overcome their fear in just one visit. We also use special techniques to disguise the discomfort of injections, should they be required.

General Restorative (Fillings, False Teeth)

We believe in the “less is more” philosophy when treating our patients.

The causes of dental decay are well established and so spending time to discuss diet, oral hygiene and other issues such as smoking cessation, is beneficial to improving every patient’s dental health.

Oral hygiene is important in all cases and we have a Hygienist in the practice to assist with this. When a tooth needs to be restored, we make every attempt to use white filling material. It is only in extreme cases where the old amalgam or silver fillings are used, for example, when we cannot contain moisture control.

white fillings

Endodontics (Root Canal Therapy)

Dr Darby-Wade uses the latest techniques in Root Canal Therapy including the use of apex locators, tapered files, gyromatics and hot gutta-perca. Digital x-rays allow us to rapidly determine our progress during and after treatment. Root canal therapy (removing the nerve) will only be required in certain situations such as:

  1. Post trauma, where the nerve is exposed.
  2. Extensive decay, where the removal of decay exposes the nerve and a suitable medicament will not suffice.
  3. Infection, where a tooth becomes extremely heat or touch sensitive.

Joint and Bite Problems

We increasingly encounter patients who have some kind of clenching or grinding issues. In many instances stress is a major factor but sometimes a misaligned tooth or teeth can be the cause.

Clenching, if left untreated, can cause many dental problems such as mobility in teeth, sensitivity, food traps and fractures.

We often use a type of clenching inhibitor called a Myo-habitual Clenching Inhibitor. By using this device, which keeps your  back teeth apart, we can literally “switch off” the patient’s clenching muscles.

clenching inhibitor


Dr Darby-Wade has over 20 years of experience in this treatment modality and he has carried out many extensive rehabilitations of people who have lost teeth. Implants have many benefits including preservation and support of the adjacent teeth and bone stability around the site.

We very rarely use artificial substances or donor bone to augment implant sites, preferring a patient’s own bone which can be harvested from within the mouth.

Dr Darby Wade has used most of the major international systems and is able to restore almost any implant, even if not placed by himself.

Biolase Laser Surgery

This is the newest addition to the practice and is a very effective surgical tool that allows for very precise surgical work and allows tissues to heal extremely rapidly – often without scarring or post operative pain.

We are also able to use the Laser for heat therapy including painful joints and it is also possible to bleach teeth in this way as well.

Teeth Whitening / Bleaching

We use the Zoom system which is very well known for bleaching teeth. A session usually takes about 1 ½ hours in the chair and up to 9 shade differences can be achieved, depending on the type of discolouration. Patients are directed by our in house Hygienist as to the best system to to choose from including, Zoom, Biolase, and Home Bleaching systems.

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Same day crowns

We are one of the few practices in Durban who own and use the Planmeca/ E4D Same-day-crown system. This has been a revolutionary addition to the practice and the benefits are enjoyed by patients as well as they no longer have to leave the practice with a temporary crown, or wait for weeks for their crown to be made. We are able to digitally re-create a replica of a tooth prior to the damage incurred and by using the design unit, we are able to mill a Crown from a variety of materials.

By using this system, a tooth can be restored in as little as 2 hours.

Fast Braces

This is a revolutionary system with over 20 years of research backing it. Because of new understandings about bone stimulation we are able to rapidly move teeth into their correct positions with good bone support. The system uses a triangular bracket which mimics the shape of a tooth and this allows better and quicker 3dimesional movement. We are able to complete difficult cases in as little as 9-12 months.

Dr. Darby Wade is the first Dentist in Africa to qualify as a Senior Master Provider and with well over 100 completed cases he is very confident in the quality of treatment this system is able to achieve.

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