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NEWS - NOTHING BUT THE TOOTH

{ THE ONLINE BLOG }
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.
APR 19
26
FRIDAY 26TH OF APRIL 2019
Some of you may have noticed that we missed the Case of the Month for March. However, our case today is worth the wait. Sometimes the end result is so spectacular that it completely transforms the smile, overall aesthetics, confidence and outlook on life.

Modern dental orthodontic treatment means that treatment times are often far less than in the past which is a huge bonus. Our case underwent conventional full mouth orthodontics using good old metal brackets, which often are still the best method of treatment. The reasons being are:

  1. Metal brackets are robust and will not break

  2. Metal brackets are highly polished and offer less friction for quicker movements

  3. Metal brackets can be removed and re bonded with ease for adjustments

  4. Metal brackets are far cheaper than ceramic or lingual brackets

  5. Metal brackets allow the placement of elastics with ease


We appreciate that conventional orthodontic treatment is not for everyone, but for those of you who want the best results in the shortest time span and are not bothered about how they look- this is the option for you.

Our case initially:

Here we can see a smile withe severe crowding, a cross bite on the lower canine and non visible buccal corridors


A simply stunning transformation! Beautiful straight teeth, cross bite corrected, arch development and symmetry.


 

This would have to be our case of the year so far. Remember, this treatment involved NO drilling of natural teeth, NO injections and NO pain. Treatment time less than one year.

If you are considering transforming your smile this year, give us a call. It could be the best decision of your life.

Treatment completed by Dr Nissit Patel. Photographs are the sole property of Dr Patel and cannot be replicated for any reason.
APR 19
12
FRIDAY 12TH OF APRIL 2019
ORTHODONTIC RETAINERS

At the end of orthodontic treatment, retainers must be worn otherwise you run the risk of undoing all of the hard work in straightening your teeth. This is called relapse. We advise a combination approach of a fixed wire retainer placed behind the front teeth as well using a removable retainer at night.

Fixed Retainer

In most cases, we will place the fixed wire retainer immediately after the brace has been removed so that the risk of relapse is minimal. The great advantage of a fixed wire retainer is that it is bonded on to the teeth so that you do not have to worry about removing and wearing it. The wire itself is very low profile and hence non bulky. The glue is very smooth and overall, the retainer is extremely comfortable.

Fixed retainers do require greater levels of maintenance and need careful cleaning on a daily basis. There is also the risk that the glue debonds or the wire fractures. If this happens, you must seek immediate advice. This is why we advise the use of a night time retainer as a safety net as well as a back up should anything happen to the fixed retainer.

Example of a fixed wire retainer placed on the lower front teeth


Removable Retainer

There are many types of removable retainer. We normally recommend a vacuum formed retainer which is commonly known as an Essix retainer. These are made from clear plastic; either from polyethylene co-polymers or polypropylene polymers. They are latex and BPA free.

Another common type of removable retainer is the Hawley Retainer. This is a robust retainer that has an acrylic base which sits behind the lower teeth or on the palate of the upper teeth and metal wire that runs across the front 6 teeth. It is held in by cribs which usually sit across the canine and molar teeth.

Should you lose or break your retainer, it is essential that another is made as quickly as possible

Removable clear aligner


How long are retainers worn for?

Retention is for LIFE. If you are not willing to undergo a life time of retention, then you should not start orthodontic treatment. Immediately after orthodontic treatment, we advise the use of a fixed wire retainer as the definitive retainer coupled with the removable retainer at night for 12 months. The removable retainer can then be used 2 to 3 times per week.

Will retainers last a life time?

No. Due to natural wear and tear, retainers will need to be replaced over the years. This will depend on a number of factors such as your bite, cleaning habits, diet and whether you grind your teeth at night for example. Most retainers will need to be replaced every 2 to 3 years.

How to keep retainers clean

Fixed retainers should be brushed as normal using your manual or electric toothbrush. Inter dental brushes such as Te Pe or Piksters should also be used in between the teeth as regular floss will not pass through beyond the wire.

Waterpik and Phillips Airfloss can also be useful to clean between the retainer.

Removable retainers should be cleaned with an old tooth brush and toothpaste on a daily basis. Avoid using bleach or mouthwashes as this can lead to the retainer becoming cloudy and discoloured. The use of effervescent tablets such as Retainer Brite can also be useful with occasional use.
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