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PROGRESSIVE DENTISTRY MOBILE MENU BUTTON
34 Fulham High Street, Fulham, London, SW6 3LQ
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NEWS - NOTHING BUT THE TOOTH

{ THE ONLINE BLOG }
DEC 19
07
SATURDAY 7TH OF DECEMBER 2019
We are celebrating 10 years of keeping Fulham and London smiling. Please come and join us today from 1230-1430, everyone is welcome.

We are giving away 10 free tooth whitening treatments, 10 free Colgate electric toothbrushes, 10 free Invisalign consultations and free goody bags for all.

There is a children's toothbrushing clinic at 1300 taken by our wonderful hygienist and therapist Beata.

Come and meet the team, view our latest technology, ask us anything dental related and have some festive food and drink on us.



Progressive Dentistry

34 Fulham High Street, London, SW6 3LQ

T 0207 7311162

e info@progressivedentistry.co.uk

 
NOV 19
29
FRIDAY 29TH OF NOVEMBER 2019
Braces technology has greatly evolved over the years, and there are now various types to choose from. The least visible of any form of the tooth-aligning orthodontic procedure—lingual braces or incognito braces—are now growing in popularity. It is becoming a preferred option by those who are more conscious about how their braces look like.

What are lingual braces?

We all know about the typical braces that are positioned on the front of our teeth. What makes lingual braces different is that they are placed behind the teeth or in doctor language, the lingual side. However, despite the fact that they are as effective and more under the radar than any other orthodontic procedures, they are still not as popular as the traditional braces. One of the reasons is that not all orthodontists offer this kind of procedure since this requires specialized training.

How do lingual braces work?

Lingual braces work like traditional braces with brackets and wires. However, they are relatively smaller and customized. They are bonded at the back of your teeth on the tongue side. Lingual braces work in the same way as any other type of braces. They also depend on the interaction between the wires and brackets to apply continuous and gentle pressure to move the teeth into its proper positions.

Just like traditional braces, your orthodontist will also need to schedule an appointment every 6-8 weeks or so to adjust the braces to help move your teeth into the ideal position. If you choose lingual braces, a dental impression or teeth scanning may be done to assess the condition of your teeth. The brackets and wires are tailor-made and, depending on the severity of your dental problem, you may have to wear lingual braces between 18 and 24 months.

What are the benefits of lingual braces?

Lingual braces have its advantages and here are a few of them:

  • Since they are placed behind the teeth, they are less visible, which is why most adults—actors, models, or those who are constantly in the public eye—prefer them. This is a great alternative for those people who want to straighten their teeth without the visible metal brackets.

  • Lingual braces help to correct various dental problems, such as rotations and gaps. They can also change the heights of the teeth.

  • Lingual braces are slightly forgiving to those with poor hygiene. Those wearing traditional braces must always maintain proper hygiene and brush their teeth regularly. If they are negligent, the discolouration can occur after removing the braces. Since lingual braces are placed behind the teeth, discolouration is not as visible.

  • They are ideal for those who play wind instruments since they will have lesser problems because of the specific placement of the brackets and wires.

  • Lingual braces offer more flexibility, meaning they do not have to be placed on all teeth. Your orthodontist can recommend a treatment plan depending on the severity of your dental concerns. If there are no underlying medical conditions like an irregular bite, the braces can only be placed on the areas that need straightening.


There are certain factors to consider before getting lingual braces. Aside from the fact that not all orthodontists can perform this procedure, not everyone can wear lingual braces.

If you’re looking for lingual braces in London, get in touch with Progressive Dentistry today to see how we can help.
NOV 19
22
FRIDAY 22ND OF NOVEMBER 2019
Our case of the month for November involves a re construction of the bite over a number of years. The main reason for treatment was due to severe tooth wear due to bruxism. Bruxism is essentially grinding at night to such an extent that the enamel is worn over a number of years. This can cause a number of problems such as:

  • Tooth sensitivity

  • Difficulty in eating

  • Lack of a coherent bite

  • Aesthetic issues

  • Pain leading to root canal treatment in severe cases


Tooth wear, on the whole, can be prevented or at least treated with relative ease in the early stages. However, severe tooth wear is a complex subject and requires a dedicated and staged treatment process.

Here is a smiling view of our patient before any treatment:

Severe tooth wear of the front teeth


Here, the upper and lower teeth have been worn to an extent that the bite has become edge to edge and almost all of the enamel has been worn away from the edges of the teeth and the inside surfaces.

Now, as you may know, we believe in minimally invasive dentistry. In the past, all of the front teeth would have to cut down to stumps and crowns placed to 'restore' the bite and aesthetics. However, there is  huge biological damage with this approach and untold issues await in the future.

Our approach is very different. Initially, Dr Patel treated the tooth wear using the Dahl technique. This is a superb treatment where the tooth wear can be treated directly using composite materials to build the teeth back to normal levels WITHOUT having to cut them down. This does have an effect on the bite and adaptation can taken between 16-20 weeks. However, it is often only after a few weeks when the bite begins to feel normal again.

The composite can be adjusted over time, repaired, replenished to maintain the effect. Our patient requested a more aesthetic yet natural  outcome for the longer term after a few years. After a careful discussion of all the options, a plan of minimally invasive veneers was agreed.

As the tooth dimensions were already, know with the Dahl treatment, we did not have to alter this a great deal. Provisional veneers play a huge part in the treatment. In fact, veneers should not be provided without a mock up and a period of time wearing temporary veneers.

Once we were all happy with aesthetics, speech, lip profiles, occlusion (bite) and maintenance we could provide the veneers using minimal preparation only, with margins created in enamel only.

Here is the final result:

A new smile, natural and fully functional


A beautiful natural smile that required only minimal preparation and hence minimal biological damage to the teeth. The long term prognosis is excellent. We have one happy patient!

If you have tooth wear and would like a solution that is minimal and less damaging than the norm, come and see us. Why wait, you only have one set of teeth!
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