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Mar 2014

Cosmetic dentistry guide

Cosmetic dentistry

involves many subjects and some of the terms can be confusing. Here is our simple guide to cosmetic dentistry. Tooth Whitening Tooth whitening is the most popular form of cosmetic dentistry. If you have yellow, discoloured teeth and would like them whiter this is for you. Our preferred method involves using take home whitening trays and 6% hydrogen peroxide gel. We use Philips Zoom and Enlighten systems. These techniques are proven, safe and easily maintained. will not work on dental restorations such as crowns, veneers, bridges, implants and metal fillings. Areas of gum recession and abrasion will also not whiten. It is therefore very important that a dentist undertakes a full clinical examination prior to tooth whitening. Cosmetic Bonding is the most conservative method of restoring fractured, chipped, small, uneven teeth. The technique is non invasive as highly aesthetic tooth coloured composite material is carefully layered over the teeth. Once placed, it is then contoured and polished to a fine lustre. The bonding will require maintenance over time with polishing, repair and eventual replacement. However, as the underlying tooth is the same there is no biological damage and the process can simply be repeated. In our experience, cosmetic bonding is the first choice to repair damaged teeth. Porcelain veneers are an excellent method of repairing a tooth if there has been heavy damage, severe discolouration or large existing dental fillings. They are the most aesthetic method of providing a new tooth surface. With the latest technology, porcelain veneers are undetectable from natural teeth. They often require preparation of the underlying teeth and for this reason, the technique is not the most conservative. In certain circumstances, porcelain veneers can be placed with minimal or no preparation. This is usually when the teeth are in a good alignment, with no crowding and point contacts. Our porcelain veneer of choice, is E max by Ivoclar. If you have a gummy smile and the gum (gingival) margins are uneven this presents a major cosmetic issue. One simple method is to create symmetry of the gum line by using a soft tissue laser. This technique is very precise, delicate and allows fantastic healing of the area. However, careful analysis must be undertaken prior to any contouring to avoid invasion of the biological width. What is this, you may ask. Well, ask your dentist. Any dentist with experience and knowledge of cosmetic dentistry should know. If your dentist cannot answer this, then they should not be undertaking the procedure! Teeth Straightening Cosmetic teeth straightening is becoming the technique of choice prior to any of the above techniques. Moving the teeth in the correct position not only creates a beautiful smile but allows for far better dentistry in the future. Due to the advances in modern technology, teeth be straightened fairly quickly and discreetly. There are techniques such as lingual braces (placed on the inside of the teeth), ceramic braces (tooth coloured braces) and clear aligners such as Invisalign (removable clear braces). These all mean that the traditional metal braces can be avoided. Each person is different and hence each treatment will be bespoke. It is vital that a full clinical examination and assessment is undertaken prior to any treatment. There is no such thing as one size fits all. If your dentist only offers one option, seek a second opinion. One important point to mention is that when teeth are straightened, they must be retained. Our preferred method of retention is by using a fixed wire retainer placed on the inside of the teeth. A removable retainer can also be used at night to doubly ensure the teeth stay nice and straight. Dental hygiene For any cosmetic dental technique, the health of the gums must be excellent. Prior to any treatment, a visit or two to the will not only make the teeth look better and improve the gum health but ensure that the future treatment will b successful. The presence of dental plaque is the main cause of failure in dentistry. The lower the levels of plaque bacteria, the less risk of biologic damage and the higher the success rate. Visits to the dental hygienist should be at least twice a year or quarterly for those who require greater maintenance. We hope you have found this guide to be useful. If you have any questions, please do not hesitate to contact us: - Voted London's Best Practice Dentistry Awards 2013 Tel 0207 7311162 e info@progressivedentistry.co.uk


Dec 2021

Case of the Month October 2021- Invisalign, whitening and bonding

Our case of the month for October was a simple yet effective one involving three of our favourite techniques: Invisalign, tooth whitening and cosmetic bonding. Crowding of teeth is so common, we would probably say the majority of the population suffer some form of mis alignment of some sort. Luckily, modern day treatments mean that teeth straightening is actually a simply and pain free process. In our case, we used Invisalign Lite which is the 'middle of the road' version which typically takes less than 6 … READ MORE
Nov 2021

Case of the Month September 2021- E Max Veneers

Our case of the month for September 2021 was a simply stunning one using ultra minimally invasive E max veneers. Our client disliked her front teeth composite bonding which had discoloured, worn and chipped over time. Although teeth bonding is a superb treatment, there are disadvantages compared to porcelain such as those mentioned above. Porcelain will not stain or change colour and it is far more durable than composite. However, in the past, porcelain needed considerable preparation to create space for th… READ MORE
Oct 2021

Case of the Month August 2021- Social 6 lingual brace, teeth whitening and cosmetic bonding

Our case of the month for August was a straight forward one but effective. In many cases, we get asked to correct one or two teeth which really bothers our patient. Most of the time, this is perfectly feasible using modern day cosmetic dental techniques such as lingual braces and cosmetic bonding. For our case, one tooth had slipped behind the others and was in cross bite with the lower teeth. This is where the upper tooth actually sits on the inside surface of the lower tooth when closed. This is not desir… READ MORE
Aug 2021

Case of the month June 2021- closing space with bonding

Our case of the month for June 2021 was one where spaces were closed using cosmetic bonding or teeth bonding. Often there are spaces between teeth which are either natural, developmental, after orthodontic treatment or following a trauma. One of the simplest ways to close the spaces is via bonding. Tooth bonding is a non invasive treatment where the tooth is added to using composite white filling material. In the case of closing gaps, there is absolutely no need to cut the tooth at all. The treatment is car… READ MORE


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