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| View this email online Your postcode is SE1 5PY We’re changing how we look Hello Mervelee, As a valued customer of Nationwide, we wanted to let you know personally that we are making changes to the way we look, including modernising our logo. What you can expect to see over the next few months You’ll start to see our new look in our branches, on our website and Banking app. You’ll also start receiving emails and letters in our new look. If you are ever unsure about a letter, email, text or call from Nationwide, please contact us. You can find out more about what’s changing and our latest guidance on how to spot a scam by clicking the button below or ask in your local branch. What’s changing What we are not changing Just to reassure you, we are still a mutual, owned by our members, those customers who bank, save or have a mortgage with us. Thank you for your support. Nationwide. A good way to bank. Download our Banking app Find your nearest branch Send us a message Keeping your money and details safe We will: never ask you over the phone to disclose your PIN, card reader codes or one-time codes.never ask you to log into the Internet Bank, directly from a link in an email or text.never ask you to move money to a ‘safe account’. If you think the email looks suspicious, delete it straightaway. If you think you’ve revealed your personal or security details, find out what to do in our Help section. That’s the place to go for our latest guidance on keeping your money and details safe. About this email Please don’t reply to this email as the address isn’t monitored. If you’ve any questions, please visit our Help section. You can change your personal details, including your postcode on the Internet Bank. Your updated postcode will show on emails sent from us within a week We’ll always include your UK postcode at the top of any emails we send you. If your postcode is missing, it could be that we don’t hold one for you. Just so you know, Nationwide isn’t responsible for the content of external websites. We monitor emails to minimise the risk of viruses. Whilst we’ve taken reasonable steps to scan this email, we can’t accept liability for any virus that may be contained in it. And finally… Nationwide Building Society is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority under registration number 106078. You can confirm our registration on the FCA’s website. Nationwide Building Society: Head Office, Nationwide House, Pipers Way, Swindon, Wiltshire, SN38 1NW. EY88 1023 ©2023 Nationwide Building Society |
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| Hello, hello, Mervelee! You might have seen our newsletter the other day announcing the new publishing packages to the wider world. The response was so huge the traffic actually momentarily brought down the website. Crazy! You had the inside track because we’ve talked before. But now, the 30,000 other people on our mailing list are also potential competitors for the 20 spots we give per month. In other words, the cat’s out of the bag. So schedule a follow-up discussion with me asap. Or dive in with a first installment to start making this happen for you. And of course, if you have any questions, send them my way! Best, Kyle p.s. Did you see that one of our books was just featured in The New York Times? Amazing! Atmosphere Press, 7107 Foxtree Cove, AUSTIN, TX 78750, United States Manage preferences |
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| Your event Celebrating Black History Month Pop Up Market in West Norwood is coming up soon! Saturday at 11:00 Organised by My Pop Up Events Don’t forget your tickets Mobile Tickets Available on App Store Add to Wallet or Paper Tickets Open the email attachment or download here Questions about this event? Contact the organiser About this event Saturday, 14 October 2023 from 11:00 to 18:00 (BST) West Norwood Picturehouse 6-7 Norwood High Street London SE27 0HY United Kingdom Add to my calendar: Google · Outlook · iCal · Yahoo This email was sent to ratty.nembhard1956@gmail.com Eventbrite | 535 Mission Street, 8th Floor | San Francisco, CA 94105 Copyright © 2023 Eventbrite. All rights reserved. Privacy Policy |
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Dear All,
We are looking forward to welcoming you to the next Mindful Music at the TJHC next Monday 16 October which will run every week until Monday 30 October.
- The session will begin at 3.30pm and finish at 5.00pm but you are welcome to join in at any point of the workshop.
- The sessions will be led by Becky and Fi from City of London Sinfonia ( CLS) the team regularly led comfortable classical concerts for CLS and deliver workshops on breathing , music and wellbeing sessions in health and community settings.
- No experience is necessary, and all materials will be provided.
- We will be meeting in the Ground Reception Area ( or if it’s warm the courtyard foyer) before moving to the Group Rooms which are located on the ground floor on the right-hand side of the entrance to the building, staff will be outside to meet you.
- For parking, on entry into the centre, you can park in the visitor car park. Please then put your vehicle registration into the console/tablet located opposite the ground floor security desk. This will provide 2 hours free parking if actioned within 15 minutes of entering the vehicle entrance.
- We recommend you bring a bottle of water and there will also be drinking water available in the room.
Do let us know if you have any other questions and we look forward to seeing you on Monday!
Best Wishes
Kelly
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CONFIDENTIAL
9
th October 2023
Wytes
94-96 Walworth Road
Elephant & Castle
London
SE1 6SW
Ms Mervelee Myers
16 Alma Grove
Bermondsey
London
SE1 5PY
Dear Ms Mervelee Myers,
Thank you for attending your assessment appointment on14 September at Wytes Dental. Further to your
visit to the surgery I have had an opportunity to study your clinical presentation and x-rays (full mouth x-rays
were taken in May 2023). The following is the summary of the report and proposed treatment plan. Please
find a description of terminology at the end of this letter.
On presentation you had no major complaints and have noticed an improvement in your gum health.
Medically you suffer from high blood pressure and are diabetic. You are not taking your medications for your
blood pressure and are under review with your GP. You have had some recent tests carried out including
an ECG for which you are waiting results. For your diabetes you were previously not taking prescribed
medication as advised by your GP, however, recently you have started taking Metformin and you have had
a blood test to review your blood sugar levels.
A clinical examination at your assessment revealed:
- Clinically sound soft tissues.
- The majority of the gum pockets are 4-5mm.
- There are some localised pockets of 7mm and 9mm affecting LR5.
There is increased mobility of the following: - Grade 2 (moderate mobility) – UR2
- Grade 3 (severe mobility) – LR5
We had an extensive discussion regarding your periodontal condition and I explained that since seeing you
in 2021 you have had a vast improvement in the periodontal pockets. You are aware of some teeth with a
poor prognosis including UR6, UL7, LR6 and you are aware that these teeth will likely need extraction in the
future. For now, you would like to maintain these for as long as possible and you are aware of the risk of
further pain, infection and bone loss around the adjacent teeth. The LR5 has a hopeless prognosis due to
severe bone loss and increased mobility, again, you would like to keep this tooth for as long as possible and
the risks are as above.
Your oral hygiene is good, however, you mentioned that you are using the electric toothbrush 1-3 times daily
and interdental TePes most days, but not every day.
Even though there has been a great improvement in your oral hygiene since you first came to see me, I
explained that since you are genetically susceptible to gum disease, with other predisposing factors such as
diabetes, we need to improve your oral hygiene even further if possible. This will include the regular use of
an electric toothbrush and interdental TePes as discussed. You have shown good technique with the use of
interdental TePes. I also explained the bidirectional relationship between diabetes and gum disease which
is why blood sugar levels are so important. I would like you to provide a report of your most recent blood
tests and send them in if possible.
I have recommended periodontal surgeries, however, since there needs to be an improvement with your
blood sugar levels and oral hygiene, I would recommend this to be carried out first and then a reassessment
in 8 months’ time.
I would recommend 4 monthly maintenance with the hygienist and I will reassess you in 8 months’ time.
Alternatively, you may decide:
Not having any treatment, in which case periodontal disease will continue causing bone and gum breakdown
which may complicate periodontal treatment and also lead to potential tooth loss. Loss of more bone may
also make any potential dental implant placement more complex. There is also some evidence that
periodontal diseases may be associated with systemic diseases such as diabetes and cardiovascular
diseases.
Thank you for attending your appointment. I look forward to seeing you soon but if you have any questions
or queries in the meantime, please do not hesitate to contact me.
Kind regards,
Dr Rajvi Patel
Specialist Periodontist
BDS MPerio RCS (Ed) DClinDent Perio
Treatment Cost Estimate
At the reassessment any residual gum disease may need to be treated by further non-surgical periodontal
therapy or periodontal surgeries, the cost of which will be discussed at the re-assessment. Periodontal
surgeries are from £650 each (depending on the type of surgery and number of teeth involved)
Cost estimates are valid for 6 months from receipt of this letter
Procedure Cost
Non-surgical periodontal therapy
4 monthly sessions required with hygienist
£180 for each session
Periodontal reassessment 12 weeks after
treatment with specialist
£130
What is periodontal disease?
Periodontal disease is an inflammation of the gums, which if left untreated, can lead to bone loss around teeth.
The main cause of periodontal disease is bacterial infection, however the severity and extent of the disease
depends on patient susceptibility and on various systemic (e.g. genetics, smoking, poor oral hygiene, diabetes
etc.) or local (e.g. teeth position, presence of plaque retaining restorations etc.) risk factors. Periodontal diseases
progress at different rates in different individuals according to their susceptibility and their exposure to these
local and systemic risk factors.
What is a periodontal pocket?
You may hear the term ‘periodontal pocket’ being used when discussing your treatment. This describes the gap
between the gum and underlying bone. In healthy gums there is a small gap between the gum and bone, and
this is termed a ‘closed pocket’. Since the gap is small, fewer bacteria are able to enter and cause gum disease.
In areas of active gum disease where there has been some bone loss, the gap between the bone and gum
increases and this is called an open pocket. More bacteria are able to enter this gap which leads to a higher risk
of further bone loss. The numbers that you hear during your assessments describes measurements of
periodontal pockets.
The aim of gum disease treatment is to reduce open pockets to closed pockets. Although we are unable reestablish the original bone level, by closing periodontal pockets we reduce the risk of more bacteria entering the
pocket. This reduces the risk of further bone loss around a tooth and therefore reduces the risk of future tooth
loss.
How do we close periodontal pockets?
Initial therapy describes the first stage of treatment of gum disease. This will include oral hygiene instruction in
order to improve brushing and reduce the level of bacterial infection. This will also include debriding or removing
bacteria within the open periodontal pockets which you will be unable to reach with normal toothbrushing. This
will be carried out under a local anaesthetic.
What is a periodontal surgery?
Gum disease surgery is treatment for residual open periodontal pockets that have remained after a round of
initial deep cleaning. Not everyone will require gum surgeries and this will depend on the response to the initial
cleaning, which in turn is affected by factors such as the initial severity of gum disease. The need for periodontal
surgeries will be discussed with you at your periodontal reassessment
Plaque score- the percentage of tooth sites with plaque present. Ideally we would like this <20%
Bleeding score – the percentage of gum sites which bleed.
Tooth prognosis: This describes the long-term survival of a tooth and aids in assessing whether a tooth will
benefit from treatment.
Mobility: How ‘mobile’ or loose a tooth is. This may occur after losing bone support around a tooth.
Furcations: The portion of a tooth where it divides into its roots
REPLACEMENT OF MISSING TEETH:
Denture: A denture is an appliance which can replace one or more missing teeth and which can be removed
from the mouth.
Bridge: A dental bridge is a false tooth suspended by an adjacent tooth/teeth (abutment tooth/teeth). There are
two types of bridges; a sticky bridge which may be ‘stuck’ using dental adhesive to the inside of neighbouring
tooth or a conventional bridge where a false tooth is suspended off a crown which is then cemented onto the
neighbouring tooth. The use of an adjacent tooth as an abutment requires a restorative assessment, as both the
tooth itself needs to be sound (eg no cavities/decay) as well as its foundations (bone levels)
Dental implant: A dental implant is a ‘screw’ which is placed into the jaw bone on top of which a crown is placed.
The placement of dental implants depends on the bone levels. In gum disease patients, bone has been lost
which means that bone augmentation may need to be carried out prior to dental implant placement. In addition,
dental implants can only be placed in stable patients. If you are gum disease patient, this needs to be stabilised
prior to placement of dental implants otherwise there is a higher risk of bone loss around the implant itself.
Tooth notation
In this report the teeth are described as follows:
UR = Upper Right. LR = Lower Right. UL = Upper Left. LL = Lower Left
The number indicates the tooth in each quadrant beginning from 1 for central incisors (front tooth) to 8 for
wisdom teeth, e.g the upper right central incisor is UR1 and the lower left permanent first molar i
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Fight4justice 