The Wand pain free injections


The WAND numbing may help you manage your fear of the dentist.  The WAND is a computerised numbing system invented in America by Milestone Scientific.  Many people have an incredible fear of needles and a fear of the dentist.   The WAND  is designed to help you manage your anxiety and keep you comfortable.  Its shape and feel matches it’s name – The WAND!

Why use the WAND numbing?

The Wand is a highly advanced piece of technology that we have been using for many years in our practice.  When we look back at the old needle, we can see why you may have developed a fear of the dentist.   Feedback from our patients has been highly positive, with the Wand helping to minimise the discomfort during numbing.  It utilises a small computer chip that very carefully controls the flow of anaesthetic, and a feather weight hand piece to deliver the anaesthetic in a way that is very gradual and thus comfortable.

The Wand also offers different ways of numbing a tooth.  Traditionally the old dental needle cannot perform what is known as PDL numbing.  This numbing means you can numb up individual teeth and go without the entire face numb for many hours following the dental procedure. This is called “STA” and works by numbing the ligament around the individual tooth only, rather than numbing all the soft tissues such as lip and tongue around the tooth.  This is useful for some dental procedures where only one tooth requires numbing.  Ask our Dr Barbara our Brisbane Dentist next time you are in if this is suitable for you.

“It has positively changed the way we do dentistry as we aim to positively change the way you feel about going to the dentist.”– Dr Barbara Szylkarski

So take the first steps to getting back to looking after your teeth today.

We also have some tips to help you overcome your fear of the dentist.

dental phobia anxious


You know you are overdue to visit the dentist but like many people, you don’t like visiting the dentist.  Below are 4 reasons to help you take that first step to improving your dental health by managing your anxiety at the dentist.  Believe it or not, it is possible to change your experience at the dentist.

  1. Do you have a fear of needles?  If you require treatment we have the WAND – This is computerised numbing.   Using a small machine to carefully measure and dispense the anaesthetic, and a fine and delicate wand to administer the anaesthetic, means that numbing is now far more comfortable.   Invented by Milestone Scientific it still uses a very fine needle but with a topical cream applied prior to numbing the aim is to feel nothing at all.  We no longer use the traditional hand held syringes that can induce so much fear.
  2. Have you tried Laughing Gas?  Also known as  Nitrous Oxide sedation, it is very powerful at helping you relax during your appointment.  You remain awake but it reduces your fear and anxiety making it easier to be comfortable throughout your dental treatment.  It can also numb the mouth a little and at the end of your appointment, you return to normal.  Ask at your appointment if you are suitable for nitrous oxide sedation.
  3. You can also try ORAQIX – Oraqix is an anaesthetic combination designed to deliver needle free numbing of the gums to enable better pain free teeth cleaning.  It is perfectly suited to those who find it very painful on the gums, when they have their teeth cleaned.  It wears off in 30mins,  returning that numb feeling to normal, usually by the time you have finished your appointment.  Ask at your appointment if you are suitable for Oraqix.
  4. Who can go past excellent Customer Service?  We pride ourselves on the very best customer service we can possibly provide.  Dr Barbara is a gentle, caring dentists with empathy that will help you understand your treatment plan and adjust it to your needs and desires.  Our practice is  architect designed and above all comfortable, designed to offer a relaxed home like feel.

Call us today (07) 3839 7279 or book online and take the first steps to enjoying the Dentist.

Dental Trauma


Over 20% of children have experienced trauma by the age of 14 years. Injuries to baby teeth usually occur from falls and collisions. While injuries to adult (permanent) teeth are more likely to be sport related.

The upper front teeth are most frequently injured, particularly if they protrude forward and are less protected by the cushioning effects of the lips. If a tooth is struck by a hard object, fracture type injuries are more likely to occur. If the impacting object is cushioned by the lip or is softer, luxation (displacement) injuries are more likely.

It is important to know how, when and where the injury occurred:

  • How determines the severity of the injury.
  • When determines the outcome, which is better the sooner dental treatment is received.
  • Where determines if tetanus injection/booster is required

All missing teeth and fragments must be found as they sometimes can be reattached, so it is important to search the area in which the accident occurred. The emergency treatment that is carried out following dental trauma can have a profound influence on the success of future treatment and the long term prognosis for injured dental tissues.

A knocked out tooth needs to be replaced quickly and not left to dry. A displaced tooth needs to be repositioned immediately. And an exposed nerve is far more likely to survive if it is covered shortly after injury. Intense monitoring of injured teeth can continue for up to 5 years following an injury.

It can be difficult to accurately predict the prognosis for injured teeth, but what happens later to a tooth is dependent on the speed with which first aid is administered, the degree of damage and the stage of formation of the tooth.

Dental Emergency


What is your Dental Emergency?

Everyone can experience different levels of tooth pain for the same problem.  But it is the pain that finally makes you want to come to the dentist in an emergency.  At Leichhardt Street Dental we embrace this opportunity to help you fix your problem and make the pain go away.  Dr Barbara Szylkarski with 23 years of dental experience is particularly experienced in pain diagnosis and management.  You have come to the right place to understand all the pros and cons of the various treatments that are possible to remove your dental pain. Our emergency dentist in Spring Hill Brisbane is also  suitable for anxious patients as we offer a number of ways to help you manage your fear of the dentist.

Diagnosis of the pain is the critical part of every emergency appointment.  Toothache and pain can arise from broken teeth, infected teeth particularly wisdom teeth, cavities in teeth and dead nerves in a tooth, to name just a few.  Sometimes pain can actually be unrelated to teeth, but feel like it is most certainly coming from a tooth – such as neuralgic facial pain and sinus pain.  Once diagnosis has occurred at this emergency dental appointment, it is  important to then discuss your treatment options.  It is very tempting to take the quickest option to relieve the pain.  We recommend numbing and removing the pain so you can make a clear informed decision about your dental treatment options.

You or your child may also have experienced dental trauma.  It is important you call us immediately should this occur.  If it is a complicated trauma, we have teamed with the Endodontic Group – specialist in trauma care.

Do you have Facial Swelling?

Facial swelling is an exceptional dental emergency.  You may have no pain with swelling, as the pressure of the swelling can numb the nerves of your face.  Our Brisbane Dentist will fit you in the same day, however if your facial swelling is significant we recommend you go immediately to an emergency hospital department.   There are both Private and Public hospitals in Brisbane offering emergency treatment. Facial swellings can be life threatening.  However, most wisdom teeth pain with mild facial swelling can be easily treated in the dental surgery.

Do you need an Emergency Dentist in Brisbane?

We hold appointments daily in order to manage your painful teeth in an emergency.   This enables us to have sufficient time to discuss all aspects of diagnosing and treating your dental emergency.  Please call as early as possible as these spots fill quickly.  It will also allow the remainder of the day following treatment for you to recover with out support, prior to the evening.  You can also book online.

If you are an existing patient of our practice, you have Dr Barbara Szylkarski’s private mobile number for any after hours emergencies, please call and leave a message and she will look after you.


Teeth Pain when biting down


If your tooth hurts when biting down you may have cracked tooth syndrome. There are other reasons but cracked tooth syndrome is becoming more prevalent as we are keeping our teeth for longer and subjecting them to more wear and tear. Commonly occurring in molars and premolars and sometimes in front teeth, cracks may be simple, affecting only the superficial enamel or more complex, affecting down to the nerve in the tooth and into the root of the tooth which is then unable to be saved.

Other reasons can include infection under the tooth, sinus problems with the top teeth or clenching and grinding your teeth.  Sinus problems will resolve with time and the pain will go.  Tender teeth due to clenching and grinding often do settle, but sometimes require protections with dental splints.  Infection under a tooth can mean the need for root canal treatment or removal of the tooth.

Some common reasons for cracked tooth syndrome include:

  • Grinding and clenching which subjects the teeth to excessive forces
  • Heavily filled teeth are more likely to develop cracks particularly under cusps surrounding the filling, as these teeth are weakened.
  • Chewing on hard foods such as nuts, ice, hard lollies.
  • Trauma to the teeth due to impact injuries particularly when the lower teeth impact against the upper teeth.

Symptoms you may feel when biting on a cracked tooth:

Cracks can occur with or without pain or symptoms but often the tooth hurts when biting down. Typically a cracked tooth will be described as feeling sensitive to hot or cold with a short sharp pain on biting hard foods such as multigrain bread. It can be difficult to identify which tooth is causing the symptoms, with the pain often referred between top and bottom teeth. But we can perform a number of test to help identify which tooth hurts when biting down. Some people feel the pain on release of the pressure, when they let go of biting.


Simple cracks can be easily removed and replaced with a large filling which can re-build and overlay the tops of the tooth. As cracks become more extensive, they cannot be easily removed and in these situations a crown is the only effective treatment option. A crown will completely cover the tooth to hold it together. More complex cracks that pass deeper and reach the nerve of the tooth will unfortunately allow bacteria in. The bacteria then cause inflammation of the nerve and can even kill the nerve. The tooth will then require a root canal treatment or if the crack is extensive the tooth is unable to be saved. An alternative replacement may then be required, such as a denture, implant or bridge. The options are many and varied, so pop in for a chat about what may suit your teeth.

Click Here to Book an appointment online today or call us on (07) 3839 7279