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AUG 19
Some people are born lucky with a natural set of a picture-perfect smile, but most have to deal with problems regarding overbite, underbite, overcrowding, gaps, crooked teeth, and even jaw misalignment.

Beyond cosmetic damage, some severe cases can cause speech problems along with a gap in your confidence, which is why many will go through lengths to have their teeth fixed. Braces are typically the go-to solution for the improper alignment of teeth, however, a modern trend called Invisalign has emerged and has been dominating the orthodontic scene since its release.

Invisalign is a contemporary method of straightening teeth and is highly-regarded in the industry for its nearly invisible material. In essence, it is generally an aesthetic improvement as well as flexible compared to traditional braces due to its incremental transparent aligners and ability to be snapped back on or off any time of the day.

The material itself is custom moulded to the shape of your teeth, though it will need to be adjusted every two weeks as your teeth will shift throughout the treatment plan. While it is a fool-proof way of enhancing a person’s smile, we’re here to help straighten out a few more things about Invisalign to ensure you’re choosing the method that would best suit your needs.

Invisalign clear aligner- virtually see through

  1. You Have to Wear Invisalign for 22 Hours to Achieve Optimal Results

The perks of Invisalign is that it can be removed any given time of the day, however, dentists recommend patients to wear the aligners for at least 22 hours to achieve optimal results. Forgetting to put them back on will delay the progress and only serve to add more weight to the costs of the treatment.

In that regard, it still offers more flexibility compared to traditional braces as you can remove them during meals, not to mention, it also allows for maximum oral hygiene as you can remove the aligners to thoroughly brush and floss your teeth.

In that regard, if you’re aiming to fulfil the recommended 22 hours, you may need to cut off on snacking in between meals. This can pose a challenge for some, though others may be excited at the prospect of getting the chance to trim up their waistline along with improving their smile. To that end, a typical treatment plan takes approximately one to two years to achieve the perfect smile, though smaller tweaks may only require six months.

  1. You May Need to Brush Your Teeth More Often

Invisalign is known for its transparent aligners, which makes it nearly invisible compared to the colourful rubber and metal wires of traditional braces. However, this also means that the aligners can be easily stained, especially when drinking coffee, soft drinks, or wine. Having a travel toothbrush will come in handy as you may need to keep your aligners spick-and-span to keep it as invisible as it promises.

  1. Attachments are Added to Severe Orthodontic Issues

Invisalign is an excellent choice for treating misaligned teeth, gaps, crookedness, and minor underbite or overbite. However, severe malocclusions may garner better results from traditional braces as it is generally faster and more cost-effective compared to Invisalign.

That isn’t to say that Invisalign won’t be effective, though some rubber attachments similar to metal braces may be required to speed up the process.

  1. Invisalign Can Straighten and Whiten Teeth at the Same Time

Invisalign offers a whitening treatment to go along with the aligners, which allows you to put together straight and white teeth like peanut butter and jelly. It’s a huge plus for those who are aiming for the Hollywood-like smile, though keep in mind that the costs may ramp up with this addition.

We are rated as one of the best cosmetic dentists in London - get in touch today to see how we can help.

AUG 19
Do you need braces but don’t want to use the metal ones? Try out Invisalign aligners. These transparent aligners can get you the same result as metal braces without the need of wires and brackets. Unlike metal braces, not only are the aligners clear, but they don’t obstruct and is very easy to put on and remove. Here are some of the frequently asked questions about Invisalign aligners:


Do They Function as a Sports Guard?

Don’t make a mistake thinking aligners and sports guard are the same things. Aligners help straighten your teeth, while sports guard protects your teeth from impact. Even if you don’t have a sports guard, it is safer for you to remove your aligners before any sports, especially more contact-heavy activities. Not only will this protect your teeth from damage, but your aligners as well.


Does It Affect My Eating Habits?

Invisalign aligners will not affect how or what you eat and drink. Plus, they are much more convenient to use than metal braces or other options. Sticky foods like taffy and popcorn can get stuck in between metal bracers, but if you use an Invisalign aligner, all you have to do is remove it before eating. Just remove your aligners, eat, then brush your teeth carefully before putting it back on.


Does it Hamper My Ability to Play Instruments?

If you play an instrument that uses your mouth such as the saxophone, remove the aligner. Though you can try to play with the aligners on, it is much more comfortable without them. However, be sure that you have the aligners on at least 20 to 22 hours a day.


Will I Be Able to Kiss?

You don’t need to worry about kissing at all with the Invisalign aligners. They are transparent, meaning that they are barely noticeable. If your partner does notice the aligners, explain to them the benefits of using them. Even if you have metal braces, plenty of other people have already mustered enough courage to kiss with it on!


Will it Affect the Way I Talk?

In the beginning, your tongue will have to adjust to having the aligners in your mouth. You might speak with a lisp for a while, but you’ll get used to it, and the lisp goes away. You’ll get back speaking normally in no time at all.


How Do I Keep My Aligners Clean?

Keep your mouth clean by brushing, and flossing your teeth every time you eat something. If you don’t clean your teeth properly, plaque and bacteria will build up in your aligner. Wearing an aligner with a dirty mouth can cause these harmful bacteria to sit tight next to your teeth and gum, causing damage.


Do the Aligners Smell?

If you’re taking good care of the aligners, it should not stink. If it does start to smell, it means that you aren’t cleaning your teeth and mouth as much as you should.


Does It Cause Bad Breath?

As mentioned previously, if you keep your aligners clean, it won’t smell or cause bad breath. Any unpleasant smell that comes from a dirty mouth means that you need to step up your teeth cleaning game. Since it is recommended that you brush after every meal or snack anyways, you will enjoy much fresher breath.


If you still want to head for the dentist for some teeth realignment, Invisalign is the best option for you. Not only is it easier to live with, but you won’t have to deal with a piece of metal lining your teeth every time you smile for a photo! Don’t make your life complicated. Choose Invisalign aligners.


We are rated as one of the best cosmetic dentists in London - get in touch today to see how we can help.

JUL 19
Our case of the month for July is an unusual one in the sense that we are not highlighting a wonderful new smile , straighter teeth, whiter teeth or a fantastic new technology.

This month, our focus is on peri implantitis. Now you may wonder what on earth is peri implantitis. Well, we can report that peri implantitis is becoming a major issue in relation to dental implants and the prevalence will only increase as more and more dental implants are placed.


Peri-implantitis is an inflammatory process affecting the soft and hard tissues surrounding an implant. This disease is associated with loss of supporting bone, bleeding on probing, and occasionally suppuration (pus exudate). The cause of peri-implantitis is complicated and relates to a variety of factors that affect the implant . In general peri-implantitis can be influenced by three factors:

  1. Patient-related factors including systemic diseases (e.g, diabetes, osteoporosis) and prior dental history such gum disease

  2. Social factors such as poor  oral hygiene, smoking, and drug abuse

  3. Parafunctional habits such as bruxism which is another huge modern day problem

In addition to the above,  we dentists must also accept responsibility in some cases due to  issues such as faulty restorations, cement excess beyond the crown margin and loose components such as screws which have not been torqued to a high enough level.

Case Details 

Our case presented with a dental implant that was bleeding and suffered from very deep pockets around the entire dental implant. The gum tissue around the implant was also very swollen and inflamed.  An x ray highlights the level of bone loss :

Bone loss around the front and back of the dental implant

The implant was placed in another country about 5 years ago. The type of restoration was a cement retained crown. As mentioned above, excess cement lodged within the tissue can be the primary cause of peri implantitis and this was the case here.

We removed the crown and found a large amount of cement within the sulcus. This was cleaned and the Waterlase i Plus dental laser was used to clean the implant threads which is far superior than normal ultrasonic cleaning or hand scaling using titanium instruments.

The Epic 10 diode laser was used for bio stimulation using low level laser therapy to encourage blood flow and healing.

After thorough post operative instructions and after care, another x ray was taken to evaluate the response:

Full healing and regeneration

A superb result. The bone levels are now back to normal with in fill of the dark voids seen on the first x ray.


Peri implantitis is a rising issue and will continue to rise as dental implants become the first choice replacement for missing teeth. With a full and thorough assessment and diagnosis, there are treatment modalities that can help and even reverse the hard and soft tissue loss caused.

Article written by Dr Nissit Patel, Clinical Director, Progressive Dentistry, Fulham, London.

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