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OCT 20

It's the end of October and we have not posted our case of the month for September! We have so busy and time flies but here it is; a fabulous case involving Phillips ZOOM tooth whitening followed by bonding or cosmetic bonding.

There are so many tooth whitening options at the moment that it can be confusing which one to choose. In general, all whitening systems involve the use of hydrogen peroxide usually at a concentration of 6%. In the past, we were able to use 35% or even greater but due to EU legislation, we have been restricted to 6% for a few years. However, the results with 6% can be just as good and this case demonstrates this well.

Our preferred method, for the best results, is a combination of Phillips ZOOM LED in surgery whitening and a take home kit. The in surgery part takes about 90 minutes - just sit back and relax! As LED lights are used to activate the whitening gel, there is minimal heat and hence minimal sensitivity. This should then be followed up with a few more days with the take home kit we will provide for optimal effects. Tooth whitening can be topped up simply using the home whitening kit after 6-12 months. We should point out that during the process, try to avoid heavily staining foods and drinks such as curries, oily foods, beetroot, red wine and black coffee for example.

Tooth whitening should always be completed first prior to cosmetic bonding or teeth bonding. This is because we can then match the colour of the new whitened teeth. It does not work the other way around!

In our case, the area for bonding is obvious. There was an extra piece of tooth at the gum level which was dark and discoloured which had bothered our patient for her entire life. The part was removed and expert layered bonding by Dr Nissit Patel completely transformed the tooth. All of this in just 2 appointments. Here are the before and after photos:

As can be seen, the difference is amazing. Over the years, the bonding may need to be polished, refined, topped up and maintained but it is unlikely it will need full replacement unless further whitening is needed.

For a free video consultation on tooth whitening or teeth bonding, click here

SEP 20

Dental crowns are one of the most common dental procedures but many people are not aware what a crown is exactly. To be very simple, a crown is a new tooth surface that sits over your existing tooth to protect it.

When is a dental crown needed?

This is a really good question. A dental crown is needed when the underlying tooth is heavily broken down and a routine filling will not be sufficient. There is a choice to be made between having a filling and a crown and we will provide the best advice as to which will be suitable. Now, in many cases, there is the choice of a transition from a large filling to a crown later on. This decision may be made due to financial reasons or to assess if the pulp (nerve) is still alive over a period of time for example. If the tooth is already root filled, then a crown is certainly required especially for back teeth.

When a tooth has a root filling, it becomes quite brittle and is liable to crack. We see this regularly and unfortunately this may mean that the tooth needs to be removed. If a crown had been placed, this would have been avoided.

Other reasons why a crown would be needed would be for occlusal (bite) purposes. If your bite needs to be altered then often your tooth/ teeth will need a new surface to ensure the contacts of your bite are correct.

Dental crown procedure

The procedure for a dental crown involves reducing the size of the tooth down by re shaping it. In the past, this would have involved cutting the tooth down quite a lot so that there was plenty of space for the crown. However, modern day dentistry and advanced techniques mean that we can provide a beautiful crown with minimal reduction. In some case, we only need to reduce the tooth by 0.7-1.0mm.

In terms of appointments, we usually need 2 visits. On the first visit, the tooth will be shaped carefully and digital scans taken using our amazing Trios 3 Shape intra oral scanner. No more impressions! The scanner allows us to view the preparation, check that there is enough space, check there are no undercuts and measure the shade (colour) of the adjacent teeth. It is an amazing piece of technology.

After the preparation, we will place a temporary crown that is made from acrylic or an acrylic composite hybrid material. This is usually left for 2 weeks which gives the laboratory enough time to fabricate the crown.

During the temporary crown phase, we will advise you to keep the area clean and often we will recommend using chlorhexidine mouthwash (Corsodyl) to keep the gum healthy. This would only be for a short time as Corsodyl can stain teeth a dark brown colour!

At the next visit, we will remove the temporary crown, clean the underlying tooth and check the fitting. Once we are 100% happy (both of us) the crown can be cemented into place. Sometimes, we will advise using a soft cement so that the crown can be removed if required. Reasons for this may be to allow the gum around the tooth to heal or to check the bite if this is being altered.

For the first few days, the new crown will feel a little strange as the surface is different to your previous tooth and will take some time to get used to. It is important to eat a soft diet for 48 hours and not to drink or eat anything too hot or cold that could affect the cement setting. After this time, think of the crown as your natural tooth and keep it clean!

Same day crown

Sometimes, you may wish to have the crown placed on the same day or 24 hours later. If so, we can help! With advanced notice, we will arrange for the preparation to be in the morning and the fitting appointment a few hours later or the next day. There is a small laboratory surcharge for this as they will prioritise your work over everything else that day.

Dental crown cost

At Progressive Dentistry, our crown fees start at £765 for a standard crown. £995 for a premium crown (high aesthetics) and £1350 for a fully customised crown (ultimate aesthetics for a front tooth).

For a free video consultation on dental crowns please book via our online booking system.

SEP 20

Time is flying by! Kids are back in school, days are getting shorter but at least the sun is still shining. We have been so busy, that we have not posted our case of the month for August. However, the wait has been well worth it with a superb smile transformation using Invisalign clear braces, tooth whitening and cosmetic bonding or teeth bonding.

Initially, our patient came to us with quite short, yellow and crowded teeth. The brief was to be as minimal as possible and try to maintain the teeth as much as possible which was music to our ears. For those of you that know anything about us will know that we are minimally invasive at heart and hate to destroy natural tooth for cosmetic reasons.

One of our favourite treatments is that of ABC:

A is for alignment or straightening teeth

B is for bleaching of tooth whitening

C is for cosmetic or tooth bonding

Our case highlights this treatment philosophy beautifully. The before photo highlights the issues at hand:

Yellow and quite short front teeth

With our ABC treatment concept, the smile was transformed without having to drill the teeth down, without any needles, without pain AND affordably. After just a few months, the results speak for themselves:

Beautiful white straight teeth!

If the lockdown period has made you think about treating yourself this year, why not think about your teeth? We have many options to enhance your smile that can make a huge difference, in a short time span and with minimal fuss. Don't put it off, contact us today.

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