Out of Hours Guide

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Post extraction advice to patients

We offer a unique and highly personal service in that our staff care for you from the very beginning up until your final review — and you can contact our out-of-hours dentist at any time.

Enfield: 046 901 2417  Mullingar: 044 931 1032 Ferbane: 090 640 0378


  1. Eating & Drinking A soft diet is advisable after having a tooth removed. Take care to ensure that food does not become trapped in the socket where the tooth was. Try to avoid alcohol and hot drinks in the period immediately following the extraction, especially if you still feel the numbing effects of the local anaesthetic.
  2. Rinsing Do NOT repeatedly rinse your mouth out after your extraction. A blood clot will form in the socket where the tooth was, and frequent rinsing will tend to dislodge the clot and cause bleeding to start again. If you have any problems, you can always call our emergency dentist.
  3. When 24 hours have passed following your extraction, you should rinse your mouth with Kin Mouthwash or Corsodyl Mouthwash (you can buy this from our front desk team). Repeat this three to four times a day after meals for two weeks.
  4. Cleaning Continue to brush your remaining teeth in the usual way, but take care not to disturb the healing socket area.
  5. Bleeding If bleeding occurs after leaving the surgery, please do the following: Take a piece of gauze provided by your dentist and roll it into a small pad (about the thickness of your finger); Place it over the bleeding socket and bite down on it for 20-25 minutes. If after this period, bleeding is still occurring, please contact us for emergency dental care. (Bear in mind that minor oozing from the extraction site can occur for up to 24 hours after having a tooth removed.)
  6. Swelling You may have some degree of swelling after an extraction. In some cases it may take up to ten days for the swelling to gradually reduce.
  7. Smoking We strongly recommend that you avoid cigarettes and other tobacco products for at least 48 hours following an extraction. Cigarette smoke can delay or prolong the healing of the extraction site. In some cases, this can lead to severe pain one to four days after the extraction (Dry Socket). We are open every Saturday, you can arrange emergency appointments by calling our front desk team.
  8. Pain Control You should expect to have some discomfort following an extraction. If you think you may require painkillers, please discuss this with your dentist.
  9. StitchesI f you have had stitches (sutures) placed after an extraction, please do not touch or pull at them. Typically, you will return one week after the extraction to have these stitches removed.
  10. Local Anaesthetic This type of anaesthetic used by your dentist can leave your lip and other soft tissues numb for up to four hours. Please be extremely careful not to bite your lip or cheek during this time. (This is especially important for parents to take note of if their child has had a local anaesthetic.) In addition, take care not to burn yourself with very hot drinks — you won’t realise what happened until the anaesthetic effect has worn off.


Dental emergencies

Knocked out tooth:

Make an appointment to see our emergency dentist. The sooner a knocked-out tooth is re-implanted, the more likely it is to fix itself back into the gum.

In the meantime:

  • Rinse the tooth in milk, holding it by the crown (avoiding the roots)
  • If possible, put the tooth back into the socket
  • If you cannot re-implant the tooth, store it in a clean container, in milk or in your saliva.


If you experience a toothache, call us for emergency dental care. We will see you as soon as possible.

In the meantime:

  • Rinse your mouth regularly with water
  • Try to clean any debris from any obvious cavities
  • Use dental floss to remove any trapped particles of food
  • If swelling is present, place a cold compress on the outside of the cheek. Take pain relief if necessary.

Broken Tooth:

Any obvious damage to a tooth should be treated as soon as possible. Chips or fractures can affect the living tissue inside the tooth, causing problems in the future. Your emergency dentist can prevent the damage from getting worse.

In the meantime:

  • Apply a cold pack to the cheek or lips over the broken tooth
  • Rinse your mouth well with warm water
  • Store any fragments in a clean container, in milk or in your saliva.

Orthodontic appliance aftercare

Problems with Your Braces

Braces can be uncomfortable when fitted, but after a few days you’ll get used to them and the discomfort soon disappears. We recommend sticking to a soft diet for the first few days and, if necessary, take whatever you normally would for a headache. If you experience any soreness in the mouth from the brackets rubbing, apply relief wax (as demonstrated by your dental nurse).

If you experience any other problems with your brace, please call our reception for emergency dental treatment. Please be specific and tell us exactly what the problem is.

  • Bracket off – If you break a bracket on your brace, it is not classed as an emergency dental appointment, as it should not cause you any discomfort. If we can fit you in, we will, but you may have to wait until your next appointment. Please bring your bracket with you.
  • Wire out – If your wire slides out of the buccal tube at the back and it is causing you discomfort, you can try pushing the wire back in with your finger. If it’s still uncomfortable, please contact us. However, if you’re not in any discomfort, you may need to wait until your next appointment.
  • Turbo (bite block) off – If you grind your bite block down on your back teeth, one comes off and you’re in discomfort or you can feel yourself biting onto the brackets, please contact us. If it’s not causing you a problem, you can wait until your next appointment.
  • Elastics – It may be necessary at some point in your treatment to attach delicate elastic bands to your fixed brace to help move the teeth. Elastics must be worn all the time, unless otherwise stated by your clinician. If they’re not worn exactly as instructed, they will not work and this will extend your treatment time. If you run out of your elastics, please come to reception to pick some up.

Please note that extreme dental pain is not normal. If you’re experiencing it, please contact us immediately for emergency dental treatment.


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Our Locations


Enfield Court, Main Street,
Enfield, Co.


Mullingar Medical Park,
Market Point, Mullingar,
Westmeath. N91W0DP.


Chapel Lane Mews, Chapel Lane,
Offaly. R42DP7.

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Meet the Team

Dr. James Hiney

Dr. James Hiney

Clinical Director

Dr. Hiney qualified from Trinity College Dublin with a Ba.B Dent Sc. in 1994. He relocated to London to continue his studies and worked in Private Practice until 2003. During that time he was mentored and tutored by such legendary orthodontic colleagues as Dr. Bill Clarke and Dr. John Mew.

He completed memberships in General Practice and developed a keen interest in low force non-extraction orthodontics, Aesthetic Dentistry and Implantology.

On his return to Ireland he continued his interest in complex inter-disciplinary work with his late friend and Periodontal Implantology expert Dr. Nicky Mahon. James travelled to America, Switzerland, Sweden and the U.K to study the most advanced Dental techniques.

Dr. Hiney was also an early pioneer in scanning technology for Dental purposes with Galway University Maths PhDs and Enterprise Ireland, developing one of the first 3D dental scanners, which also simultaneously assessed optimum bracket placement for orthodontic purposes. This commitment to continuing education developed into a Master of Science at Warwick Medical School where Dr. Hiney completed the comprehensive 3 – 8 year MSc programme in 3 years and gained the unprecedented grade of distinction in Orthodontic Theory, distinction in Orthodontic Clinical Treatment and a distinction in his disertation on using dental implants and mini-screws in complex orthodontic cases. Presently, Dr. Hiney is employed by Warwick Medical School where he was awarded an Honourary Clinical and Teaching Fellowship. In this capacity, he corrects principles of orthodontic papers and mentors final year postgraduate MSc students with their dissertation.

This academic position allows Dr. Hiney as clinical director, to ensure that The James Clinic is at the cutting edge of advanced Dentistry. Each clinic has the latest orthodontic treatment, 3D Cerec scanners and Cat Scans for orthodontic assessment, to achieve optimum aesthetic results and guided placement for implants. Dr. Hiney after invitation, spoke on behalf of the Irish Dental Association to the national convention on ethical successful general practice and orthodontics and remains dedicated to best patient care in conjunction with the latest technology.

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Dr. Seif Mohamed

Dr. Seif Mohamed


Dr. Seif Mohamed practicing dentistry in Ireland for more than 15 years. He completed his specialist training over three years at Dublin Dental University Hospital, where he was awarded a doctorate in periodontology and implantology that led to registration as a specialist periodontist with the general dental council in the U.K.

Dr. Mohamed also holds certificate of European Federation of periodontology (EFP) and fellowship in periodontology (FFD) from the Royal College of Surgeons in Ireland. Dr. Mohamed was a clinical lecturer at Trinity College Dublin for seven years.

Dr Mohamed provides a range of unique services at The James Clinic

  1. All aspects of periodontal therapy including plastic muco-gingival surgery, gingival grafting, augmentation and reduction.
  2. Surgical placement and restoration of dental implants, using the invaluable 3 d scanning techniques and utilizing multiple implant systems for optimum results, including Straumann,Nobel Biocare,Biohorizon and 3i dental implants.
  3. Surgical extraction of difficult teeth.
  4. Surgical extraction of impacted wisdom teeth.
  5. Exposure of canine teeth for orthodontic purposes. Dr Seifs amazing skills at locating and exposing canine teeth has allowed The James Clinic to achieve life- changing results for some of our young orthodontic patients.

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Dr. Joanne Mohammed

Dr. Joanne Mohammed


Dr. Joanne Mohammed was born in Turkey and was raised in Mullingar. Joanne has been an integral part of our practice since she was a very young girl. We are so proud of her achievements and her exceptional clinical skill. While working with Dr. Hiney, she obtained her diploma in dental nursing from Trinity College, Dublin in 2011.

Determined to reach her dream in becoming a dentist she completed multiple courses and received her degree in dental medicine from Pun in Poland in 2016.

Joanne is very popular with all our patients and staff. Joanne is now an associate for Dr. Hiney in both his Mullingar and Enfield practices. She believes you should have a goal in life and reach it, and she embodies our ethos of lifelong education and achievement.

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Mohammed Alsewadi

Dr. Mohammed Alsewadi


Dr.Mohammed Alsewadi initially qualified as a pharmacist in Jordan in 2006, he studied pharmacy at Al-Zaytoonah University Jordan (ZUJ) and graduated top of his class.in 2017 he qualified as a dental surgeon after finishing a B.D.S program at University college cork.

Dr.Mohammed enjoys all aspects of Dentistry providing a wide range of treatments for patients of all ages.He maintains the most up to date understanding of treatment care by attending numerous postgraduate courses.
His time off is dedicated to his wife and son, and enjoying cycling if the weather is clear.
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Maurice Treacy

Dr. Maurice Treacy


Dr Maurice Treacy graduated from Trinity College, Dublin with honours in 2018 and has been working as part of The James Clinic team since. He is a general dentist who enjoys all areas of dentistry and has a special interest in prosthodontic work which includes dentures, implants, crowns and bridges.

Maurice has a keen interest in digital dentistry and provides many crowns using our CEREC single-appointment technology. Maurice particularly enjoys working with nervous patients, helping them overcome their dental fears and rebuilding their confidence in the dentist. He treats patients of all ages and is excellent with children. Maurice also works as an undergraduate clinical supervisor in Dublin Dental University Hospital where he helps train and supervise dental students. He has also completed numerous post-graduate courses both in Ireland and the UK and is continuously upgrading his knowledge and skills.
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