Our case of the month for last month is a stunning case which involves a smile transformation using three techniques:
1. Lingual Braces
2. Tooth whitening using a take home whitening kit
3. Cosmetic bonding
We like to call this a Progressive Smile transformation as there is no drilling, no injections, no pain and the process is affordable and easy to maintain. In contrast to porcelain veneers or crowns which require drilling away of healthy tooth enamel to cover the teeth with the ceramic. Granted, this may look good to begin with but what about in 10 years? Biologically, removing the enamel means that the hardest tissue in the body can no longer protect the underlying tooth which could lead to bacterial leakage and infection. Why risk this?
Here we can see that the right canine tooth sticks outwards and there is crowding of the adjacent teeth. The teeth are heavily worn due to bruxism- grinding at night.
Nice! Lovely straight teeth, a few shades whiter and even edges. This is a true smile transformation the Progressive Dentistry way. We call this ABC; align, bleach and cosmetic bonding
If you would like a free video consultation with Dr Nissit Patel on ABC or any other aspect of dental care, we are offering this free of charge 7 days a week.
Why wait? After the year we have had, invest in yourself and smile with confidence!
Time has flown by and we forgot to post our case of the month for December so we have decided to combine them with a tremendous case study involving a complete smile transformation.
Our client really hated her smile. The main issues were that the smile was not wide enough, the back teeth caved in so that they were not visible on photos and the bite was all over the place. As well as teeth crowding and an overall yellow shade, so a number of aesthetic problems.
After careful planning, which is always the key to success, Dr Nissit Patel formulated a treatment plan which involved full upper and lower invisible braces which would develop the arches and improve the smile width. The bite, or we call it occlusion, was improved and treatment was completed with tooth whitening.
Overall, the treatment time frame was 12 months and we needed adjustment visits every 6 weeks in general. One of the key aspects in a comprehensive case like this, is the use of elastics. These are worn from the upper teeth to the lower teeth , ideally 20 hours of the day. The reason for this is to improve the way the teeth sit together. If you are not committed, the end results will not be as good!
Here is a before and after photograph. Truly stunning!
As you can see, here we have a smile transformation. The investment in time and money is incredibly well spent. Greater confidence, greater self belief, a healthy mouth, easier to maintain, better dental hygiene and lee likelihood of dental problems in the future.
If you are considering changing your smile this year, please contact us. It may change your life!
It is a new year, Christmas is over and January is possibly the most depressing month of the year. However, a new year also means a new start and there is no better feel good dental treatment than tooth whitening. Everyone deserves whiter teeth and with modern technology, amazing results can be achieved. With a plethora of treatment methods on the market, it can be confusing which option to choose in terms of best results and costs. We will therefore provide a guide to over the counter tooth whitening vs professional whitening methods.
Over the Counter Tooth Whitening
The most easily accessible teeth whitening product would be whitening toothpastes. A popular one is iWhite which claims to improve surface and deeper staining to whiten teeth. The toothpaste contains:
Another popular tooth whitening method are whitening strips. These are especially popular in the USA with Crest White Strips having the market share. Although not available in the UK due to the high percentage of hydrogen peroxide, there are versions that can be purchased from chemists such as Boots. In most cases, the strips contain 0.1% hydrogen peroxide and they have to be applied to the teeth for 1 hour per day for 14 days. This percentage is too low to visibly whiten teeth but they can act as a maintenance treatment after professional whitening or to remove mild surface stains. Such a low percentage means that the strips are perfectly safe to use. Spotlight whitening strips from Boots are £40 for a 2 week supply.
At home LED whitening has taken the internet by storm recently with influencers promoting products such as HiSmile. With such promotion, millions of these kits have been sold worldwide but do they actually work? In a word, No! The ingredients on the HiSmile package state:
Sodium Bicarbonate, Sodium Chlorite, Citric Acid, Aloe Leaf Juice, Pomegranate Seed Extract, Chamomile Flower Extract, Glycerol, Propylene Glycol, Deionized water, Carbomer, Xanthan Gum, Menthol. The ingredients in bold are what they claim to be the key ingredients. Now, sodium chlorite is actually a bleaching chemical used in the paper industry and in the food industry. However, the chemical needs to manufactured at a very low PH of around 2-3 to be effective. Needless to say, using any product in your mouth at this PH would be highly dangerous! There are no percentages stated on the package hence amounts are likely to be negligible. Ultimately, a complete waste of money and time.
Professional Tooth Whitening
As dentists, we would always advise seeing a professional prior to tooth whitening. Legally we can provide up to 6% hydrogen peroxide in our treatments which has shown to have great results and very safe on tooth enamel. Hydrogen peroxide breaks down the molecular bonds that makes up discolouration and stains on and inside of teeth which inherently lightens the tooth.
It is really important that your teeth and gums are checked for overall health to provide the very best treatment. For example, if you suffer from gum recession, it is vital that the exposed root surfaces are covered or protected from the whitening process or this could lead to extreme sensitivity. X rays are also needed to check inside of teeth and the presence of tooth decay would mean tooth whitening is a big no no. The decay must be treated first prior to any whitening process. Another important fact is that the gums and teeth should be healthy and clean prior to treatment. If the teeth are covered by plaque, a biofilm which is a layer of bacteria and other micro organisms, tooth whitening will not penetrate this surface well enough to have a great effect. The same can be said for calculus (the hard yellow substance only hygienists can remove) and dietary staining. The cleaner your teeth, the better the overall whitening process.
There are 2 types of professional whitening:
1. Take home kit. This is where scans or traditional impressions are taken of your teeth and bespoke whitening trays are made to closely fit over the top. Only you can wear these trays. The gel is then placed carefully within the tray , in a specific was which we will demonstrate. They should then be worn for a minimum of 1 hour per day or overnight for 14 days to have the best results. For very dark teeth or teeth that have been discoloured due to a genetic issue or anti biotic staining, you may need to wear the trays for a few months.
2. In Surgery LED whitening. One of the most popular techniques, is the Phillips LED ZOOM whitening system which is our favourite whitening process. The overall treatment takes about 90 minutes with 4 cycles of LED whitening. The LED light emits far less heat compared to halogen light which was used in the past and there is far less sensitivity as a result. The light activates the hydrogen peroxide allowing it to disperse and break down the molecular bonds. At the end of the treatment, not only will you have lighter teeth but a take home kit is also provided to continue the process for another 3-5 days for optimal results. This kit can be used over time , say 6 monthly or yearly intervals as a top up. After all, once you have straight teeth you never want to go back!
Take a look at some of our whitening results
The Cost of Tooth Whitening
Our fees for tooth whitening are £275 for a take home kit and £499 for the in surgery Phillips ZOOM LED whitening including a take home kit.
If you would like tooth whitening on 2021, don't let Covid 19 get in your way. We are fully open and operating a super safe and hygienic practice. Call us on 0207 7311162, e mail info@progressivedentistry, WhatsApp 07508 663942