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NEWS - NOTHING BUT THE TOOTH

{ THE ONLINE BLOG }
JUN 19
27
THURSDAY 27TH OF JUNE 2019
DENTAL CARE FOR CHILDREN



We often underestimate how important is to look after our children’s teeth. Good dental care begins before you give birth to ensure your teeth and gums are healthy. Bacteria can transfer between mother and uterus leading to complications during in pregnancy. Once the child is born, one of the most common pitfalls is when we lick a soother or a spoon before giving it to a child and thus transfer bacteria.

When to brush

Teeth begin to form in the second trimester of pregnancy. Just because we can't see them it doesn't mean they aren't there! A good routine should start even before a baby's first tooth appears. We should massage the baby’s gums with a clean damp washcloth not only to get rid of any harmful bacteria but also to give the baby relief from teething. After all, with toothbrushing it’s about developing a good habit that will stay with children for life and prevent them from unnecessary toothache and future complications.

Fluoride

Once the baby’s teeth erupt we can start using an infant toothbrush with a smear of fluoride toothpaste (0-3 years) and a pea-size amount for age 3+. Encourage your child to brush their teeth twice a day for 2 minutes. Never wet the toothbrush with water and to get the maximum benefits from the fluoride toothpaste encourage the child to spit the residue and never rinse their mouth after brushing. Fluoride does not harm but it prevents decay and keeps teeth healthy. London water doesn’t have fluoride added to it so you need to make sure your child’s toothpaste contain a minimum 1000 parts per million (ppm) for under 3’s, and for older children and those at risk of decay, 1450ppm.

Toothbrushes and flossing

The best toothbrushes, whether electric or manual, should always be medium texture bristles with a small head to reach the back teeth and as their manual dexterity doesn’t develop until 6-8 years, children should be supervised until they are 7 years old. From the age of 8 children can use an alcohol-free fluoride mouthwash and as soon as their adult teeth start erupting (age 6) or when they are close together you can teach them to floss.

Weaning and snacking

Encourage your child to drink from a cup from the age of 6 months and try not to use the bottle after your child turns one. Savoury foods and snacks should be introduced first and especially in between meals and at bedtime children should avoid sugary food and drinks. Especially with the upcoming summer holiday season the amount and especially the frequency of sugary foods and drinks should be reduced. Best to include the sugary foods/drink within your child’s meal and whenever possible always give sugar free medicine.

First check up

We encourage you to bring your child to the dentist as soon as their first teeth come through or whenever you have your own visit. That will allow them to get used to new surroundings: the dental chair, the light, the sounds and thus they are likely to have less fear about going when they get older. From the age 2-3 years your child can have their first gentle polish with our hygienist and we can show them how to brush their teeth in a playful way and show parents where your child is not brushing effectively and how to correct this.

Babies’ teeth are very important as they hold on to the space for the adult teeth. First adult molars will erupt at around age 6 and will stay for the rest of their life – so definitely worth looking after!

If you have any questions regarding your child’s oral health or should you wish to book an appointment with our dentist or hygienist please contact the surgery on 020 7731 1162.

Article written by Beata Knysak Dental Therapist at Progressive Dentistry, Fulham, London

Looking after your teeth at a young age is vital- after all teeth should last a life time!
JUN 19
05
WEDNESDAY 5TH OF JUNE 2019
It's early in June but we could not wait to post our case of the month. As you may be aware, we believe in the least invasive techniques to create stunning smiles which look natural and healthy. After all, it is pretty obvious when a smile is false- just look at various celebrities on TV (no names mentioned!)

Our patient requested a drastic improvement on his smile using lingual braces as he did not want the brace to be visible for work reasons. The treatment was a great success and the improvement as profound. We discussed the need for teeth whitening and cosmetic bonding after treatment to enhance symmetry. Often, teeth are asymmetrical due to tooth wear, grinding at night, genetic reasons or past treatments.

Pre treatment:

 

Quite severe crowding with the left lateral incisor sticking out and general asymmetry


Beautifully straight teeth, treated with a full arch lingual brace. Followed by teeth whitening and cosmetic bonding.


Stage 1

After a thorough assessment, Dr Nissit Patel treated the upper arch using a full arch lingual brace. This is the only brace that is fitted behind the teeth hence it is not visible. This type of orthodontic treatment is more complex than conventional treatment and requires a high level of skill and technical expertise. There are very few dentists that offer lingual braces in London, we are proud to be one of them.

The overall treatment time frame was 8 months.

Stage 2 

After teeth straightening, teeth whitening was carries out using the Philips ZOOM LED system. This is an in surgery treatment which takes about 90 minutes using 6% hydroden peroxide as the bleaching agent which is activated by the LED light. We always advise using a take home kit afterwards to reach the maximum whiteness.

Stage 3

Cosmetic bonding was carried out on the lateral teeth to enhance the overall aesthetics and symmetry. This technique is another highly skilled one and one that our dentists in Fulham are accomplished at. We have treated hundreds of cases with stunning results.

Stage 4

Retention! After treatment, it is essential to hold the teeth in position. A fixed wire and removable retainer are required for life.

MI dentistry 

MI means minimally invasive. This entire process required NO drilling of natural tooth, NO needles or injections, NO pain and is far more affordable than so called 'cosmetic' treatments such as porcelain veneers.

If you would like your smile transformed at our private dentist practice in Fulham, London, please contact us today.

 
MAY 19
17
FRIDAY 17TH OF MAY 2019
Our case of the month for May involves a stunning smile transformation with a combination treatment involving lingual braces, teeth whitening and porcelain veneers.

Here is a photograph of the initial appearance:

A pre treatment smiling photograph


Here we can see slightly crooked front teeth and short lateral incisor teeth (second ones from the front). These teeth had porcelain veneers which were very bulky as the teeth were set behind the central teeth. This never works very well as the overall aesthetic result is simply masking the fact that the teeth are in the incorrect position. The result is that the veneers are bulky and bulbous. The shade is slightly on the yellow side, what we in the dental world would call A3 in general.

After we worked our magic, here is the final result:

A wonderful new smile


After a short course of lingual braces, we were able to straighten the teeth and move the lateral incisor teeth into the correct position. For those of you who are unaware of lingual braces, these are fitted on the inside of the teeth. Hence this is the only truly invisible brace.

Once we were happy with the positions, teeth whitening was carried out using Philips ZOOM whitening. This process can be done in the chair followed by a take home kit or just at home using the kit for 14 days.

Finally, the veneers were removed, we used our incredible Waterlase i Plus laser to re contour the gum line due to uneven levels and new veneers were made. We do not photoshop our photos and hence the slight inflammation of the gum line on the left side! This photograph was taken just after fitting of the veneers.

If you would like a stunning new smile this year, you have found the right practice! Please contact us today.

Treatment completed by Dr Nissit Patel. All photographs property of Dr Patel and cannot be reproduced.
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