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OCT 19
Our case of the month is a simply stunning one involving cosmetic bonding. We have posted many cases of bonding before but for those of you who are unaware of the procedure, here are 7 factors about cosmetic bonding:

  1. It is a great technique for creating symmetry, enhancing aesthetics, closing spaces and repairing chips

  2. The tooth enamel is not drilled away like for veneers

  3. The process is reversible

  4. Highly aesthetic composite (white filling ) materials are used which look natural

  5. Maintenance is required over the years but this is simple and stress free

  6. Bonding to enamel is extremely reliable. A volume of 1cm3 can elicit a weight of approximately 90kg

  7. The process is cost effective and requires NO needles

Our case involves enhancing the symmetry of the lateral incisor teeth.


Before cosmetic bonding, small lateral incisors in comparison to the central teeth 

After cosmetic bonding. A big difference in just one appointment.


This was a classic cosmetic bond case. No needles, no drilling of the teeth and all in one visit. Instantly the smile is more symmetrical and aesthetically enhanced.

We would always advise whitening your teeth prior to cosmetic bonding to achieve the best results.

Treatment completed by Dr Nissit Patel using Empress Direct. Photographs may not be reproduced with consent.

OCT 19
Our case of the month for September 2019 is one featuring a lingual brace. For those of you that follow our blog and case of the month series, we love lingual braces. They are hidden braces placed behind the teeth and hence the ONLY invisible brace despite what others may have you believe.

Before we show you the case, we will discuss the advantages and disadvantages of lingual braces. The technique is not for everyone and hence this is really useful information.

Advantages of Lingual Braces 

  1. Cannot be seen; hidden from view

  2. Excellent at alignment, leveling, rotation correction when space is present

  3. Excellent at space closure when the bite allows

  4. No lip irritation

  5. No damage to the outer surfaces of the teeth whilst placing and removing

Disadvantages of Lingual Braces 

  1. Contact on the brackets whilst biting, eating, chewing which is hard to get used to

  2. Harder to clean

  3. Tongue soreness

  4. Greater likelihood of knocking the brackets off inadvertently

  5. Use of lower night guard essential if only upper teeth are being treated

  6.  Cannot be used if teeth are very crowded as there will not be enough space for the brackets to be placed

  7. Extremely fiddly for the treating dentist to place and adjust!

  8. More expensive than conventional braces- for good reason!

Here is our case, a great end result:

One tooth sticking out and the teeth behind hidden from view

A beautiful smile!


This was achieved using a full arch upper and lower conventional outside brace. Treatment completed by Dr Nissit Patel. Photographs cannot be replicated without strict prior consent.

SEP 19
Whether it’s eating, drinking, chewing, or biting, there is a wide range of ways that teeth are used extensively for every day. Over time, however, your teeth may experience the inevitable signs of wear and tear, leading to several problems.

A common problem that most adults face is that they put off the idea of visiting a dentist to remedy any dental issue because they are overshadowed by other commitments, ranging from tight work deadlines to taking care of their kids. However, the persistent symptoms of dental problems can evolve into nagging problems that intensify over time.

Although it may be tempting to put everything else off to save time and money, remember that the teeth have many daily functions, which is why it is essential to take care of them. That said, you should understand that the warning signs of various dental problems, especially if you have other pre-existing chronic conditions.

Warning signs to watch out for

Catching any dental problems early on before they have the chance to worsen is a significant investment in your own health that will save time and money. To stay on top of any possible dental problems that you may have, here are five warning signs to look out for:

WARNING SIGN #1: Your gums bleed after brushing or flossing

A common warning sign that most people tend to experience is when their gums bleed, causing blood to appear on a toothbrush or sink. Bleeding isn’t something to take lightly because it is a warning sign of possible gum disease (alternatively known as periodontal disease), which can lead to severe problems. When left untreated, gum disease can cause bone loss, which eventually leads to tooth loss. Common signs of periodontal disease include:


  • Red, swollen, or tender gums

  • A discharge that comes from in between the teeth and gums


WARNING SIGN #2: Your gums are receding

Although a certain percentage of gum recession can be classified as a normal sign of ageing, it is also a warning sign that signifies a developing case of gum disease. Regardless of the cause, gum recession can lead to the exposure of a tooth’s delicate roots, leading to a case of tooth decay, infection, unbearable pain, and tooth loss.


WARNING SIGN #3: Your mouth is dry

A clear sign of a healthy mouth is when it is constantly lubricated by saliva to wash away any remaining food particles while neutralizing above-normal levels of acidity caused by plaque. However, if you’re experiencing an unusual amount of dryness in your mouth, you may have a certain dental illness that has to be tended to by a dentist. When overlooked, a dry mouth can lead to unprotected teeth, which makes it much easier for a host of dental problems such as infection to take over.


WARNING SIGN #4: You have a loose or shifting tooth

Adult teeth develop in a way that helps them stay in place and last a lifetime. After the developmental stages have completed, the teeth shouldn’t move around or become loose. Should you notice any instances of slight movement and widening gaps in your teeth, you will need to visit the dentist because you may be at risk of tooth infection or bone loss.


WARNING SIGN #5: You have lesions or sores in your mouth that won’t go away

Typically, most cases of canker sores will clear up on their own within a week or two. However, the same thing can’t be said for other types of oral lesions that may appear as they have to be treated to avoid more severe complications over time. One type of lesion or sore to watch out for is “thrush” (also known as candidiasis) which shows up as a white sore that can be found on the inner cheek, tongue, roof of your mouth, and tonsils.

Paying a visit to the dentist should never be overlooked because of the importance of maintaining healthy teeth. By spotting these five warning signs early, you can keep your dental health in impeccable condition when you visit a dentist immediately and have the problem treated as best as possible.

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

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