News | Roseneath Dental Practice - Part 2


Dr. Francesca Pantanali – ORTHODONTIST

Dr Francesca Pantanali PHD Ortho (Rome) GDC reg no. 188314

Francesca is a Specialist Orthodontist and practices at Roseneath on a part-time basis. She also works as a consultant orthodontist at the Conquest Hospital in East Sussex. She qualified from the Catholic University of Rome, Italy, where she also completed her orthodontic postgraduate training. In 2007 she completed her Ph.D. in orthodontics.

Her level of expertise enables her to successfully treat a wide range of challenging orthodontic cases including patients who need a combined treatment approach with maxillofacial surgery. She is experienced in the latest orthodontic techniques including lingual braces. Her aim is to give her patients the most comfortable treatment with the best cosmetic result. Francesca is passionate about her job and loves providing her patients with beautiful, natural smiles. Away from her professional live Francesca likes spending time with her two children, walking her dog and doing yoga.

Francesca is a vastly experienced orthodontist who will bring a range of new skills to our practice. These include cosmetic braces for teenagers and the Incognito™ system for adults.  If you’ve always been put off having your teeth straightened ask us about the new systems.

Orthodontist Richmond

For more information regarding Dr. Francesca Pantanali visit the Team section on our website:

Dr Francesca Pantanali – Specialist Orthodontist


If you have breathing difficulties or problems sleeping, help is at hand from Roseneath Dental Care.

Our mouths provide a gateway to our airway and our teeth act like pillars keeping the upper and lower jaws apart, leaving room for our tongue as well as maintaining a vital breathing space. Tooth loss and a loss of tooth height leads to a reduction in the airway area. Similarly, people with small jaws have a smaller airway. Humans with larger airways tend to breathe better and often perform better athletically.

During a child’s development the jaws grow downwards and forwards to form the lower half of the face. Breast-feeding promotes good downward and forward jaw growth during a critical period, enlarging the room for the tongue and airway. Backward forces on the jaws or teeth prevent proper jaw growth, and can decrease the size of the jaws and the airway. Backward constricting forces caused by bottle and pacifier sucking can cause dental malocclusion and jaw deformation, which can also reduce tongue and airway space.

Nasal breathing is now known to be vital to good health. Mouth breathing has various causes. Bottle feeding and pacifier use prevent proper jaw growth and promotes mouth breathing. Enlarged tonsils and adenoids can cause airway obstruction leading to mouth breathing. If the cause of the airway obstruction is the enlarged tonsils or adenoids, their removal will lead to a reversal of the condition. If narrow jaws and an incorrect bite is the problem then functional jaw orthopaedics is the solution. Simple removable braces gently expand the child’s jaws correcting the bite and thereby increasing the airway space.

In adults, snoring may signal a dangerously blocked airway. During sleep, gravity can pull the lower jaw, tongue and other tissues into the throat. This makes a unique choking sound – snoring. Research shows snorers have low night oxygen and this can cause hypertension and the likelihood of morning heart attack.

Fortunately a simple solution is also available. We now have dental devices available that are worn at night to help maintain the airway. They hold the lower jaw forward and thereby keep the airway open.


Why are porcelain onlays overtaking porcelain crowns?

The materials dentists use to restore damaged teeth are constantly improving. Gone are the days when non tooth-colored materials were used. Today, not only are the materials tooth coloured, but they can be matched to the individual shades of teeth we have.

Restorations that used to require the removal of the sound tooth have been replaced and only contaminated tooth substance is now removed. This means the restorations are smaller and less invasive. Crowns which were the indirect restoration of choice have given way to porcelain onlays.

Porcelain onlays are extremely durable, in fact they are harder than enamel. They can be produced in a wide range of shades so the tooth once restored appears never to have been touched.

Cement that were used to bond crowns in the past have given way to a new generation of bonding agents. These new materials have greater bond strength, do not degenerate over time, and are totally compatible with our teeth causing no post-operative sensitivity.

All these improvements are great for both the patient and the dentist. Dentists can confidently meet their patient’s high cosmetic expectations and patients know they are receiving a pain-free durable product.


Did you know? As soon as a child’s adult upper front tooth appears the space required for all the subsequent adult teeth can be determined.

news ortho

Did you know? As soon as a child’s adult upper front tooth appears the space required for all the subsequent adult teeth can be determined.

What is the problem? The vast majority of children do not have enough space for their adult teeth and if undetected can later lead to the unnecessary extraction of permanent teeth.

What can be done? Early orthodontic treatment can correct the size and position of the child’s jaws using simple painless braces, in most cases removable, thereby avoiding the need to extract good healthy teeth.

Are there any other associated problems? Incorrect jaw size and position can affect breathing, cause clenching and grinding. It can also lead to jaw joint problems in later life.

What to do now? If your child has not had an orthodontic assessment contact our dentists at Roseneath Dental Practice where a quick consultation can establish if your child needs treatment

orthodontics in richmond


Did you know? Anyone who is missing one or more of their natural teeth may be suitable to have a dental implant placed

dental implants clinic richmond

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What is an implant? A dental implant is a small pure titanium post that functions as the replacement for the root of a missing natural tooth. Not only will the implant replace the missing tooth but it will also prevent adjacent teeth from moving.

Do I have enough bone? Most people will have sufficient volume of bone to successfully have an implant. A 3D image (CT Scan) taken here at Roseneath can confirm this. There is a selection of implant shapes and sizes to choose from for each individual.

Is the procedure painful? The vast majority of patients report very little post operative discomfort and are in fact much more comfortable than they anticipated. Most patients choose to have the procedure carried out under local anaesthesia but conscious intravenous sedation is also available.

What to do now? If you are thinking of replacing a single tooth or several missing teeth with dental implants, contact Roseneath Dental Practice where we will discuss all your treatment options with you.

dental implants clinic richmond


Did you know? Poor oral hygiene may lead to gum disease and will reduce the longevity of your dental restorations. It is important to be aware that gum disease is linked to many systemic diseases such as heart disease, strokes, diabetes and various cancers.

Poor Oral Hygiene Treatment

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I brush twice a day – do I still need to see a hygienist?

Teeth have complex shapes and positions. Plaque builds up because of inefficient homecare and regular professional cleanings by a hygienist are therefore essential.

How often should I see the hygienist?

Plaque matures and produces acid after 90 days. Seeing a hygienist every 3 months eliminates the risk of cavities and gum disease developing.

Aren’t mouthwashes just as good?

Mouthwashes are useful as an additional tool to brushing and flossing – particularly the alcohol-free, fluoride range. But they are certainly not miracle cures. Nothing beats good brushing and flossing.

What about electric toothbrushes?

Electric toothbrushes are clinically proven to be far more effective than conventional toothbrushes and we recommend them to both children (from the age of 3) and adults.

Do certain mouths require more care?

Children and adolescents should have 6-monthly dental examinations and professional cleanings. Adults should have their teeth cleaned every 3 months to eliminate the risk of problems. A 3-monthly program is essential if one has had complex treatments such as dental implants or is being treated for gum disease.

What to do now?

Contact Roseneath Dental Practice where you can book a hygiene session with one of our experienced hygienist.


Tooth decay progresses quicker in children than in adults, so it is vital to establish a good tooth brushing routine for children as early as possible. 

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Tooth decay progresses quicker in children than in adults, so it is vital to establish a good tooth brushing routine for children as early as possible. The reason why decay is so rapid in children is because baby teeth have thinner enamel than adult teeth.

Tooth decay and gum disease is prevented by cleaning well and eating healthily. Brushing teeth is an important part of good oral and overall health, especially for children, whose teeth and bones are still developing.

As soon as the first tooth appears brushing should start. Baby teeth usually appear at around six months of age and all of the baby teeth should be visible by 2 years of age. The first adult molars appear at around 6 years of age and this coincides with the start of the loss of baby teeth.

From the beginning use a toothbrush and toothpaste that is recommended for the particular age group. Use a soft-bristled brush with a small amount of children’s toothpaste. Gently but thoroughly brush on the inside, outside and tops of each of the child’s teeth, as well as the tongue (to remove bacteria that can cause bad breath). From an early age children can try brush their own teeth, but until there are competent an adult should repeat the process. A good tip is to cradle the child’s head and brush their teeth from behind, which allows better access. From 3 years of age onwards, children should use age recommended electric toothbrushes which are clinically proven to clean better.

Children, just as adults, should brush twice a day. It is best to develop a routine. Brushing immediately after a meal is not recommended. Tooth brushing should be the last thing that is done before bedtime and nothing should be consumed after that (apart from water).

– Children and parents should brush teeth together as children will learn quicker.

– Colourful themed toothbrushes make tooth cleaning fun.

– Replace toothbrushes on a regular basis.

– Flossing can be introduced when the child is older.

   tooth brushing tips


Decay in children teeth

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Did you know?…

Decay progresses far quicker in children’s teeth than it does in adult teeth

Why does this happen?

The enamel layer covering children’s teeth is much thinner than that which covers adult teeth. They are therefore less resistant to damage from acid. Acid can be in the form of acidic food and drink or it can be produced by sugar consuming bacteria. Acid damages teeth by removing the minerals which give teeth their strength.

How can parents avoid children having acid damage?

Acidic and sugary food and drink should be consumed in limited amounts. Children should brush twice a day with a recommended electric toothbrush and having regular dental checkups. Children should have x-rays taken every 2 years because decay commonly occurs between teeth which cannot be seen with the naked eye.

Can acid damage be repaired?

A children’s fluoride mouthwash can help replace lost minerals and protect against acids

What to do now?

The dentists at Roseneath Dental Practice have vast experience in providing all aspects of quality care for children. Call 0208 940 9955 for a free consultation.

Decay in children's teeth


Lingual Braces

What are lingual braces?

They are fixed orthodontic appliances which are placed on the inner side of the teeth and are therefore hidden from view.


What are the advantages of having lingual braces?

Lingual braces are hardly visible and are the most discrete method available to orthodontists to straighten teeth. Occasionally when treatment is completed and braces are removed, teeth can be left with permanent stains. This is not a concern with lingual braces as in the unlikely event a mark is left, it would be on the inner side of the teeth, out of sight.

What are the disadvantages of having lingual braces?

Sometimes lingual braces can be more difficult to get used to. It is normal to experience some discomfort for the first week or so, and the tongue may rub on the brace. There is also a short period when speech may be slightly affected. Also treatment sessions for follow-up appointments during the period of treatment process may take longer than conventional braces.

Who can be suitable for lingual braces?

Most adults may be suitable candidates. Lingual braces allow good control of tooth movements and are very precise so they can treat mild to complex cases.

Is it difficult to clean the teeth?

All it takes is proper brushing and flossing—and regular appointments with your hygienist — to keep your teeth and gums clean and healthy.

By Dr Francesca Pantanali PHD Ortho (Rome) Specialist Orthodontist


How does acid damage teeth? Let’s start off by understanding the science behind it all.

How does acid damage teeth

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Acid draws out the minerals from the enamel which softens it. This process is progressive and that is how cavities form. In addition to this, acid is the irritant that causes the gums to become inflamed, which is called gingivitis.

We all need to be aware of which foods and drinks are acidic. We don’t need to cut them out but we should consume them in moderation. Fruit is very good for us but teeth will be damaged if it is consumed excessively. The same applies to fruit juices. Young children (under 5 years of age) should drink fruit juice that has been diluted with water. Fruit juices become less tooth-friendly when made from concentrate and when sugar is added because they are then both acidic and contain fuel for the bad bacteria that cause tooth decay.

Children’s milk teeth are much smaller than adult teeth but the other difference is that the enamel, the armour that covers teeth, is much thinner. This means an acid attack will reach the dentine much quicker than it would in an adult. This is why a healthy diet where acidic food and drinks are limited is so important. Sugar, which fuels the acid-producing bacteria must also be kept to a minimum.


It is vital that children have regular checkups including routine x-rays. Since the enamel of milk teeth is very thin it is important that cavities are detected as early as possible. Once decay has passed through the enamel it is very close to the nerve. It is in everyone’s interest to detect decay as early as possible. Cavities that occur in milk teeth often occur between teeth where they are no very visible hence the importance of taking x-rays.

It is important that parents are sensible and realistic when it comes to their children’s diets. Fruit is an important part of a child’s diet and in the right quantities very beneficial providing essential vitamins and nutrients. Pure fruit juice must be diluted in the young ones and once again moderation is important. Carbonation of drinks increases acidity so they should be avoided. Fluoride is a weapon against acid damage. Fluoride in toothpaste and mouthwashes will help repair acid damage by replacing lost minerals. Children should use toothpaste and fluoride mouth rinse recommended for their age group along with brushing with an electric tooth brush.

roseneath dental

Welcome to our quality care dental practice in the heart of Richmond.

We pride ourselves in being the largest and longest established practice in Richmond having provided high quality dentistry to the local community for over half a century.

Contact Us

020 8940 9955

Corner of Mount Ararat & Paradise Road,
Richmond, Surrey.
TW10 6PA

Roseneath dentistry

Welcome to our quality care dental practice in the heart of Richmond.

We pride ourselves in being the largest and longest established practice in Richmond having provided high quality dentistry to the local community for over half a century.

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Emergency number

020 8940 9955

Call us now if you are in a medical emergency need, we will reply swiftly and provide you with a medical aid.

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