Why are my teeth yellow?
This is a question we get asked lots at our dental practice here in Watford, so we thought we would take some time to take a look at the common reasons why your teeth may not be quite as white as you’d like to be… Some of those reasons are obvious but others aren’t!
What are you eating?
It sounds quite obvious but there are many foods which have any impact on the colour of your teeth. Some foods that stain your teeth directly whilst others contribute to dental decay by being rich in sugar.
Foods which contain high amounts of sugar feeds the acid excreting bacteria which live in your mouth, the more sugar there is in your food the more this bacteria is able to feed and excrete the bacteria which then attacks your teeth causing dental decay. Teeth can then become dark either through the dental decay or by the bacteria forming solid deposits, known as plaque, which then become stained by the strong colours in some foods.
Some food on the other hand has naturally dark staining such as dark berries, tea and red wine. These may stain your teeth on their own but the staining is compound it if you have plaque on your teeth caused by a combination of poor oral hygiene and sugar in the diet.
Of course, so many of us like to eat foods like this, so if we want our teeth to be bright and white then we just have to get on top of our dental healthcare!
Are you brushing as well as you could?
Even if your diet isn’t too rich in sugar and you avoid the food with strong colours then your teeth could still be yellow then you would like if your oral health care routine isn’t as good as it should be.
Your mouth contains so many bacteria, more than the population of the world in fact, so it’s really important that you keep on top of this and remove as much bacteria and food as you can after each meal.
When brushing your teeth we recommend using a pea sized amount of fluoride toothpaste twice per day for 2 min each time. We also recommend flossing daily to ensure your teeth clean in between and then using a fluoride mouthwash in between meals (never after brushing as the mouthwash has less fluoride in than toothpaste).
Are you scrubbing rather than brushing?
Yes, it’s possible to clean your teeth too much! If you scrub your teeth too much then the gum can recede as it will often become irritated due to the excessive brushing. As the gum recedes it may expose the softer dentine part of your tooth which is lower down towards the root. This part of the tooth is softer than the enamel (apart which you usually see) and is therefore more susceptible to both dental decay and staining..
When you brush, go easy and don’t scrub, if you visit a dental hygienist regularly they will be able to tell you if it looks as though you may be pressing too hard when you clean your teeth. It may also be worth considering an electric toothbrush, many of these have pressure sensors and light up red if you are pressing too hard, really useful aid if you find this is a problem for you.
Your teeth just are naturally yellower!
Some people’s teeth are just not naturally as white as other peoples. Over the years celebrities have had so much teeth whitening that the commonly accepted shade for teeth is now considerably whiter than it was a few years ago.
Additional bleached white shades added by the manufacturers to the conventional shade guide
Dental manufacturers have had to create new whiter and brighter colours for their materials to match this new trend, what was considered an average tooth colour 10 years ago would now be considered yellow.
Perhaps you are taking medication which makes your teeth look yellow?
The first thing to say is that you should never stop taking any medication that has been prescribed to you without first consulting your doctor. It has however been reported that some medications may affect the colour of your teeth, most often this happens if the medication is taken during childhood whilst the teeth forming, rather than extrinsic staining of the teeth at a later date in adulthood.
Some medicated mouthwashes can also stained teeth, so please ensure that you read the label of any medicated mouthwash that you may have been prescribed.
Rest assured though, if your teeth have been stained through using a medicated mouthwash this can easily be removed by your dentist.
Do you smoke?
Well, you knew this would probably come up at some point! Smoking darkens teeth because it changes the delicate PH balance in your mouth, it also dries your mouth out which leads to an excessive buildup of bacteria. This bacteria not only have a rather noticeable smell, but also can contribute to increased rates of dental decay.
The smoke itself also has many this colouring components which, particularly when coupled with poor oral hygiene, can stain the teeth quite noticeably.
As a sidenote, if you have any damage to the gum in your mouth then smoking also slows down the healing process, just another reason to begin the quitting process.
You are older than you were yesterday!
It’s just a fact that as we age various things happened to our body! Gravity takes over and alas, our teeth can appear yellower. The reason for this isn’t because your teeth are actually going yellow, it’s because that as we get older the outer surface of the tooth (enamel) wears away, as the enamel wears away with age the yellower underlying dentine becomes more exposed. As that dentine nears the surface it has the effect of making the teeth look yellower.
This is often more prominent on the lower teeth towards the biting in size or age, it can be noticed that there is significant yellowing or staining right on that chip area, this is known as secondary dentine and is a common concern with people in, shall we say, more senior years!
And the good news is…
The good news is that most of these problems can be quickly and simply resolved. If you give up smoking, look at your diet and ensure your oral health care routine follows the suggested procedure then you can have a big impact on the colour of your teeth. Your dentist can also whiten the teeth in a couple of ways.
If your teeth just have surface staining perhaps from smoking or food stains then this can be removed with an air abrasion technique, this blasts very small particles at the end at your teeth which very gently remove the surface stain. If however the enamel of your tooth is intrinsically not as white as you would like them teeth whitening could also be the perfect option for you.
What ever you decide, your friendly dentist in Watford, Senova Dental Studios is here to help, please contact us today to book your appointment and begin your journey to brighter, whiter teeth.
Image courtesy of nenetus and thephotoholic at FreeDigitalPhotos.net
The press reported only the other day that tens of thousands of children are having to have decayed teeth removed in hospital each year and, according to the latest figures, this shows an increase for the fourth year in a row. In one single year between 2014 and 2015 there were 33,781 children under 10 years old admitted to hospital to have teeth taken out, quite a shocking statistic.
One of the things which is most concerning is that 90% of this tooth decay is preventable, according to Prof Nigel Hunt, the Dean of dental surgery faculty at the Royal College of Surgeons.
So what can you do at home?
Here are 5 easy ways to prevent children’s tooth decay at home
1. Set a daily routine.
We all know that children love to know what’s coming and what’s going to happen, that’s why they love to hear the same story every night. By setting a routine your children will begin to understand the importance of cleaning their teeth and may even remind you if you forget. Forming this good habit early on in life is a critical part of helping them develop a good dental health care routine.
2. Ensure your brushing technique is good.
When you brush their teeth, use a small pea sized amount of children’s toothpaste, brush each tooth individually spending 30 seconds on each quadrant (top left, top right, bottom left, bottom right). Clean all the surfaces of the tooth, the tongue side, the cheek side and the biting surfaces. As you do this, tell your children what you’re doing so that they can begin to understand the importance of good technique.
Poke your tongue out.
Get your children into the habit of looking after their whole oral health, not just their teeth. Their tongue may also harbour bacteria and is important to keep this clean also.
Visit your dentist regularly.
If your children see you visiting the dentist regularly then they will become familiar with the routine themselves. Also, you may have developed bad habits yourself with cleaning your own teeth, when you visit your own dentist they can let you know if your own dental hygiene routine is adequate or needs improvement, you can then pass this information on to your children also.
Maintain a healthy diet.
A healthy diet that is low in sugar helps to keep your dental health in good condition. Diets which are high in sugar feeds the acid excreting bacteria in your mouth which can cause dental decay. This is particularly important with children who have a tendency to eat sweets and fizzy drinks regularly. Try to avoid lollipops as these keep the sugar in contact with the teeth for a long time and if your child likes fizzy drinks, encourage them to drink through a straw as this will keep the bacteria away from their teeth also. Ultimately, reducing the amount of sugar intake should be the aim.
Senova Dental Studios is a family dental practice in Watford, Hertfordshire helping the local people Rickmansworth, Chorleywood and Jarrett cross with their dental health. If you or your child would like information or advice then please request an appointment today.
Source: www.theguardian.com/society/2016/feb/27/england-hospital-treatment-children-severe-tooth-decay
Nanotechnology in Dental Implants
The low failure rates of dental implants is one of the primary reasons that they have become one of the most successful and sought after treatments in modern dentistry. Implants are often the preferred option by both dentist and patients for replacing missing teeth.
A recent press release from Transparency Market Research “Nanotechnology in Dental Implants Market – Global Industry Analysis, Size, Share, Growth, Trends and Forecast 2016 – 2024” indicates that the use of nanotechnology has revolutionised multiple branches of medicine, including dentistry. Nanotechnology could enhance the work we do by influencing the integration process of the dental implant in to the bone and remarkably, the chances of post implant placement infection.
Dental implants are also becoming increasingly popular due to:
- The high number of patients with missing teeth.
- Increased training and education about dental implants for the general dentist.
- Public awareness about oral health.
- New technology such as nanotechnology or CADCAM (Computer Assisted Design, Computer Assisted Manufacturing)
Reasons to Consider Dental Implants
Dental implants have multiple reasons for being the preferred option, but let’s first take a brief look at the results that are possible:
MALCOLM HAD MULTIPLE FAILING TEETH AND BRIDGES
Malcolm did not wish to have a denture as he liked steak too much. Following removal of all the failed teeth, bone grafting was carried out and 9 implants placed in all back areas of his mouth and veneers placed on his top and bottom front teeth to improve his smile.
Reasons that patients like dental implants
The primary reason that patients give for liking dental implants is the fact that they look so natural and appeared to ‘grow’ out of the gum like natural teeth. Dental implants in themselves also do not necessarily impact adjacent teeth, unlike dental bridges where reduction of potentially healthy teeth either side of the gap is required.
Reasons that dentists like a dental implants
The role of your dentist is to educate about dental health, carry out treatments which can prevent dental health from worsening and to restore dental health in the event of any problems. All implants both prevent dental health from deteriorating and restore dental health at the same time, here’s how…
Dental implants restoring dental health
Clearly, the function of a dental implant is to replace a missing tooth, this not only allows the patient to chew again but also may restore the way the teeth function and work together, known as the occlusion. With a fully functioning occlusion the patient is far less likely to develop any jaw joint problems which can be manifested as headaches.
Dental implants preventing dental health from worsening
When a tooth is extracted it leaves a socket in the bone. Rather than new bone form in this socket, what actually happens is that the surrounding bone collapses in. This ultimately leads to a reduction in the quantity of bone in that area. The reduction of bone can also lead to a loss of gum creating an unsightly gum line.
A dental implant is uniquely capable of preventing this bone resorption. The implant needs to be placed as the tooth is extracted, if this happens the implant takes the place of the tooth root and prevents this bone resorption from happening. Thereby maintaining the gum line.
After a tooth is extracted neighbouring teeth can tip and over erupt
All of the teeth in your mouth are also in very fine balance with one another. If the tooth is removed the adjacent teeth will have a tendency to tip into the gap, the opposing teeth will also have a tendency to over erupt. Having a dental implant placed will support the surrounding teeth and prevent this happening.
Summary
Our hope is that the nanotechnology continues to improve the success rate of dental implants to enable as many people as possible to enjoy smiling, eating and chewing again with absolute confidence by replacing missing teeth.
Senova Dental Studios is a Bupa accredited private dental practice in Watford, Hertfordshire. Patients travel from around the local area including Rickmansworth, Chorleywood and Gerrards Cross to enjoy the highest standard of dental implants and restorative dentistry.
Are bleeding gums a problem?
So many of us have seen the adverts on TV which talk about bleeding gums whilst brushing and flossing, but is it really a problem if your gums bleed? In this blog post our Watford dentists take a walk through the dental health issues related to bleeding gums whilst brushing.
What are the causes of bleeding gums?
Gum disease or gingivitis
The most common cause of bleeding gums is gingivitis, this is the first stage of gum disease and is really simple to treat if caught early. The acid excreting bacteria which live in your mouth congregate where your cleaning is not quite so efficient, usually in between the teeth. As the bacteria congregate because plaque and this plaque can irritate and infect the gums. When the gums become irritated they become swollen, tender, red and can bleed whilst brushing. Gingivitis responds well to a change in cleaning habits and a good visit to the hygienist or dentist.
Medication
Sometimes medications can have the side-effect of bleeding gums, these include:
- Phenytoin, a seizure medication.
- Cyclosporine, an immunosuppressant drug often used to prevent transplant rejection.
- Blood pressure medications called calcium channel blockers, which include nifedipine, verapamil, diltiazem, and amlodipine.
Cleaning Technique/Routine
If you are used to using a floss or interdental brush in between your teeth and forget for a few days then you might find that your gums bleed slightly when you reintroduce this interdental cleaning. This shows how quickly the gums can become inflamed if cleaning is not consistent. If you change your technique, for example switching from flossing to interdental brushing then you may also find that the gums are slightly sensitive at the beginning. You will normally find that the gums settle down after about a week of changing your routine.
Implements Used
We’ve use the word ‘implements’ here deliberately. All manner of household items such as credit cards and safety pins get used to clean between your teeth. We highly recommend you don’t do this, primarily because of the risk of cross infection… Who knows where those credit cards or safety pins have been!
Smoking
Smokers are at a much higher risk of gum disease than in non-smokers as the toxins in the cigarettes inhibit your body’s ability to fight disease and infection in your mouth.
Pregnancy
During pregnancy some women find that their gums swell and have more of a tendency to bleed, this is due to hormonal changes which alter the body’s response to the bacteria that cause gum disease. So long as a healthy oral hygiene routine is maintained during the pregnancy the gums should return to their prepregnancy state afterwards.
What to do if your gums bleed
The answers to this really lie in addressing the causes which we have described above. Principally this involves:
- Making sure you clean adequately in between your teeth, for 2 min twice per day to ensure that the plaque buildup is at a minimum.
- Being aware of the medication you are on (but never stopping without the advice of your doctor).
- Addressing your cleaning technique/routine and ensuring that you clean regularly.
- Using only dental floss or interdental brushes to clean in between your teeth, never be tempted to use a pin, for example!
- Maintaining a healthy diet. A healthy diet plays an important part in enabling your body to fight infection and disease. A high sugar diet will also increase the amount of bacteria in your mouth which increases the likelihood of dental disease and bleeding.
- Visit your dentist regularly. Your dentist is able to detect the early signs of gum disease much better than you are at home. If your dentist spots the early warning signs then you can be referred to hygienist for more intensive cleaning and assistance.
Can you catch gum disease?
The quick answer to this is yes. For example, a kiss can exchange up to 80,000,000 bacteria, some good and some harmful. If your own immune system is suppressed for any reason then the concentration of bad bacteria may just tip the balance over the edge in your mouth, leading to gum disease.
It’s important to note however that gum disease is not infectious, in the same way as many other diseases are. it’s much more complex than that.
The same is true for sharing drinks or utensils such as straws or forks. Always maintain a healthy cleaning routine to ensure that the bad bacteria stays well away from your mouth!
Vitamin deficiency causing gums to bleed
Whilst this is rare in the United Kingdom, vitamin C deficiency, otherwise known as scurvy can cause gums to bleed.
My gums bleed when I’m at the dentist, why is this?
Image source: www.deardoctor.com
When you visit your dentist they will usually probe around all surfaces of the tooth. This is to check the space between your gum and tooth, they will be looking for the depth that the probe can go and scoring this. If this is monitored between dental appointments then the score can be monitored to see whether it goes up or down, this is then a good indicator as to whether your oral health is improving or getting worse.
During this probing process, if your gums are inflamed then bleeding may occur. You may find that your gums bleed during this probing when they don’t normally during brushing, this is another reason why you should visit your dentist regularly to ensure that your gums are not inflamed.
If you are thinking about having orthodontic braces then you may be wondering about some of the common problems that people experience, if this is you then we’ve written this blog post and laid out some of the concerns that our patients have told us about prior to going ahead with orthodontics here at our dental practice in Watford.
Whilst it’s important to be fully informed of the various issues that may arise it’s equally important to bear in mind the advantages of having orthodontic braces to help you eat, chew and smile again with absolute confidence.
We’ve written in the past about some of the problems of NOT having straight teeth which can include dental health problems caused by an inability to clean crooked teeth properly and bite problems which can lead to headaches and neck pain.
Will I have problems eating with braces?
If you have removable braces then you will probably find that eating is virtually unaffected during orthodontic treatment. However, many clinical situations require the use of fixed orthodontics and some patients find a few problems eating.
To ensure you continue to enjoy food and eat it easily we recommend you follow our top tips:
- Eat slowly. Cutting your food into smaller pieces and chewing slowly will make things easier.
- Softer food. It sounds obvious but soft food is far easier to eat than hard crunchy food.
- Avoid stringy food. Some food, like mozzarella, can be extremely stringy when pulled apart.. This can get caught in intricate braces and make cleaning very difficult.
- Reduce the amount of nuts and seeds. These can get stuck in braces and often be really difficult to remove. Popcorn is also to be avoided wherever possible.
- Change the way you bite. When you bite into something, rather than using your front teeth, try using the side of your mouth. This might be a little bit difficult to master and certainly isn’t natural you might find it easier than using your front teeth to bite.
- Make sure you can see what you’re eating. Some foods like tortilla wraps and pies can have hidden lumps or nuts. It’s best to chop this type of food up so you can see exactly what you’re eating beforehand to avoid any surprises.
- Build a recipe book of meals you can prepare quickly and eat easily. The British orthodontic Society have a recipe book which you may find useful.
- Ease the pain. If your braces are sore whilst you eat remember to use your wax in between meals can keep the inside of your cheeks pain-free. A little dab of teething gel may also help to relieve pain.
Will I get cavities around my braces?
Anyone can get dental cavities, the challenge when you have braces is to ensure that you clean the teeth properly. Your dentist will be able to provide you with a range of cleaning items such as Tepe brushes, tape and floss which can be threaded through underneath your braces.
How to clean your teeth properly with braces
- Choose the right toothbrush. A regular toothbrush may work for you but you might find that a sonic or electric toothbrush is easier to work around the brackets. You might find that the bristles wear down much faster so be prepared to change your brush more often.
- Brush the outer side of your teeth. This is the side against your cheek which you see when you smile. Most people cleaned this side of their teeth extremely well as it is so visible, but do make sure you go right to the back of your mouth cleaning this outer surface using small circles to brush the braces. We recommend you spend about 25 seconds working the toothbrush around on each bracket. You may also need to wiggle an interdental brush around the bracket between the wires.
- Brush the inner surface of your teeth. This is the side against your tongue. Many people miss this area but it’s just as important to keep clean as the outer side of your teeth. If you have lingual braces then you will need to modify the technique from .2 above, making sure you clean around the brackets on the inside.
- Brush the biting surface of your teeth. These are the parts that meet each other make sure you work toothbrush into the nooks and crannies on each tooth and between the teeth.
- Brush your tongue. The tongue can harbour many bacteria which can often lead to bad breath. Just give your tongue a quick brush with your toothbrush to ensure your whole mouth stays healthy.
- Go interdental. Clean in between your teeth, known as the interdental area. This is where plaque can build up which is as a result of the bacteria in your mouth. Using a good quality interdental brush, floss or tape can help to clean in this area.
- Rinse your mouth out. In between meals rinse your mouth with a fluoride containing mouthwash. Don’t use mouthwash after you have cleaned your teeth with toothpaste as the toothpaste contains more fluoride than mouthwash does. If you use mouthwash after cleaning with toothpaste then you actually reduce the amount of fluoride against your teeth.
Braces are very expensive how can I pay for them?
Many dental practices offer treatment finance plans to pay for your braces. Typically this can be 0% interest on anything up to one year and interest-bearing after one year.
If one things rationally about it, a mobile phone contract can easily cost £500 per year, each and every year. Over a ten-year period your mobile phone could end up costing £5000! Financing dental braces over a couple of years will have a result for life and can be considered far better value than a simple mobile phone.
Will I have bad breath with braces?
No. At least not related to the braces. So long as you keep your teeth clean and avoid smoking your breath should remain fresh. Bad breath is often caused by either a medical condition (which would be unaffected by braces) or by poor oral hygiene.
Where can I get dental braces?
If you live in the Watford, Chorleywood, Rickmansworth, Garston, Gerrards Cross and Hertfordshire areas then our dental practice offers a wide range of orthodontic services, please visit our website for more information.
In this blog post our Watford dentist takes a detailed look at dental cavities and fillings.
What is a dental cavity?
A dental cavity forms when the outer surface of your teeth are attacked by acid excreting bacteria. The bacteria excrete acid as they digest sugar in your diet. The cavities can become larger as more bacteria sit in the cavity, excreting more and more acid.
In the beginning small cavities may have zero pain as they are in the outer surface of the tooth, but as they deepen and get closer to the nerve your teeth may become more sensitive or even painful whilst eating or drinking, particularly hot or cold food/drink.
What is a dental filling?
A filling is simply filling up this cavity with a suitable material, your dentist will remove any decay and then fill the cavity back up to the original contour of the tooth.
What do they fill cavities with?
The exact material used to fill a cavity depends upon various factors:
- The size of the cavity
- The location of the cavity (in between the teeth, on the biting surface, on the front of the teeth etc.)
- The philosophy of the dental practice, some practices prefer not to use mercury containing amalgam.
- Affordability
What is a filling made of?
Depending on the criteria listed above there are a variety of filling materials which can be used.
Amalgam
This is a malleable metal alloy containing mercury. It has been shown to be extremely durable as a dental filling material and lasts many years. It does not however look particularly attractive.
Gold
Gold is virtually inert and is very well tolerated by the body. It’s highly polished surface also very closely matches the surface of dental enamel when viewed microscopically. This means it does not wear the opposing teeth and can be considered a highly biocompatible material.
Many people like the look of gold, it does not however look particularly natural and some people prefer to have a more natural looking filling.
Porcelain
Dental porcelain is made by combining various minerals with quartz, effectively making dental granite, an extremely hard and durable material! The porcelain is naturally tooth coloured and can be made highly aesthetic to blend in with the surrounding teeth. A porcelain filling will be made by a dental technician; this adds time to the procedure which means a porcelain filling often takes two weeks to complete.
Dental bonding.
Your dentist can also use a tooth coloured composite material to pack into the cavity once the diseased area has been removed. This has the advantage of being highly aesthetic and also highly convenient as it can be placed in one appointment. Dental bonding does however tend to discolour over time so may need to be replaced more often.
The cavity filling procedure
The procedure for having a cavity filled depends upon the material being used, generally the procedure will be similar to the following:
- Either your dentist or you notice the cavity and decide to take action.
- A discussion is had as to the best material to use clinically, there may be a few options which can be discussed that have different prices.
- A decision about the material is made, based on this decision the dentist will prepare the cavity accordingly. Some materials require specific shaped cavities in which to fit and so your dentist will prepare the cavity in the correct way.
- If you are having a direct dental bonding them the composite material will be placed directly, if not your dentist will take an impression of the prepared cavity, place a temporary filling and send this impression off to the dental laboratory to have the new restoration manufactured.
- If you had a dental bonding composite filling then step 4 would have been your last stage, if a dental laboratory is manufacturing your filling then this will be returned approximately 2 weeks later and you will visit the dentist to have this fitted.
- A review of this filling will take place at your six monthly check-up at the dentist.
Tooth cavity fillings at home
There are cavity filling kits available in various pharmacies and online. They may seem like a cheap and convenient option however they should never be used as a permanent solution.
Home kits may well fill the cavity however the chances are you will be filling over bacteria which will continue to cause dental decay underneath. This means you may not notice this decay until it has reached the nerve of your tooth, by which time more expensive dental procedures may be required.
If you need to use a tooth cavity filling at home, consider this an emergency repair and always make an appointment to visit your dentist within the next week or so.
Preventing dental cavities
It is always better to prevent problems arising in the first place rather than try to cure them once they do. The best way to prevent dental cavities is to:
- clean your teeth twice per day for 2 min using a fluoride releasing toothpaste.
- Clean in between your teeth with an interdental brush or floss.
- Use a fluoride mouthwash after meals but NOT after brushing.
- Visit your dentist regularly as they will be able to detect the tiniest cavities in places that you cannot see.
By doing everything you can to prevent cavities forming and then visiting your dentist regularly so that if there is any decay it can be dealt with quickly and simply, you can keep the cost of dentistry down and ensure you remain fit and healthy for life.
Our Watford based dentist is here to help you stay dentally fit for life, keeping dental decay and cavities to the absolute minimum.
Straight Teeth in a matter of weeks with the Inman Aligner
In recent years the Inman aligner has revolutionised dental braces around the world and is one of the fastest orthodontic braces available.
It has even made it to an article in magazines such as Marie Claire. Because the Inman aligner uses a unique system of springs which push and pull different parts of your tooth at the same time it is possible to straighten teeth in approximately 12 weeks.
This article takes a detailed look at the aligner, from the cost, the problems, the results and the process.
How does the Inman Aligner work?
At the beginning of treatment the aligner may only be putting pressure on a single tooth, but as the treatment progresses and that tooth moves into position other teeth will then be touched and affected which means these will also have pressure pushing or tipping them into the correct place.
The aligner has a wire on the front of the teeth and one on the inside part of the teeth with strings attached. The front part on the outside of your teeth will be pulling the tooth inwards and the inside part will be pushing the tooth outwards, thereby meaning it is rotated and pushed into the correct position.
This action is limited to smaller amounts, if your teeth are extremely rotated you may find that the Inman Aligner is not suitable for you, in which case another form of orthodontics may be best.
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“Everything you Need to Know About Orthodontics & The Inman Aligner Before Starting Treatment” A special report containing everything you need to know about straight teeth treatments by Dr Jay Padayachy
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What results can be expected with the Inman Aligner?
The important thing to remember is that we should be limiting our goals and expectations, we are not trying to achieve the perfect result using this type of rapid orthodontics. We’re not necessarily trying to fix your bite although the bite can be affected and often improved.
With the Inman Aligner we are focusing on the front (anterior) six teeth and moving them to a more acceptable cosmetic position.
The process of having an aligner
The actual dental process is very simple.
- Your dentist will assess your teeth for suitability and have a discussion with you about the pros and cons of using an Inman Aligner.
- Dental impressions will be taken and sent off to the laboratory.
- About two weeks later the brace will be sent back to the dentist ready for your appointment.
- You have your dental brace fitted and the dentist will give you instructions on how to look after it and wear it.
Problems with the Inman aligner
One of the biggest problems people experience is not wearing the Inman Aligner for long enough each day. The recommended daily amount is to wear your Inman Aligner for 20 hours per day, only taking it out whilst you eat and brush your teeth.
This means it takes some effort on your part to ensure that you do your thing to be part of the process and help things along.
If you only wear your liners for 11 hours per day you could end up doubling the amount of treatment time, which contradicts one of the main reasons for using this type of rapid orthodontics in the first place.
Will I be able to eat with an Inman aligner?
You will not be able to eat whilst wearing your orthodontic brace. You need to remove the aligner whilst eating and for cleaning.
What will the results be like after wearing the Inman Aligner?
How much does an Inman Aligner cost?
Would the Inman aligner work for me?
The inner man aligner is typically suitable for people with:
- Crowded upper teeth
- Crowded lower teeth
- Protruding front teeth
- Gaps between the teeth
- Uneven teeth
- Misaligned teeth
It is less suitable for people with biting problems and cannot be used to move back teeth.
The aligner can also be used in what is known as pre-restorative alignment.
You may have a chipped or broken down tooth, typically we could use dental bonding or dental veneers to restore this tooth but if the body of the tooth is in the wrong place this can be compromised.
By using an Inman aligner to move the body of the tooth into the correct place it allows your dentist to restore them using veneers, bonding or crowns in a more conservative and natural way.
Does the Inman Aligner hurt?
They should not normally be any pain when wearing this type of orthodontic brace. You may find that your teeth feel a little tender for the first week or so but as the pressure from the brace reduces you should become more accustomed to this pressure.
Here’s a great video which shows a patient having an Inman Aligner From Start To Finish…
What does the Inman Aligner look like?
The Inman Aligner. is almost imperceptible, the part which wraps around the front of your teeth is clear and unobtrusive. Also, because the Inman Aligner is only worn for a couple of months it is a highly acceptable form of orthodontics.
Senova Dental Studios is a dentist in Watford offering cosmetic and general dentistry, for more information please call the number above or request an appointment online. You may also find our page on how to find an orthodontist near you quite useful.
Book your appointment today.
In life we know that if things are particularly complicated then a specialist in that area is the best person to sort it out. Dentistry is no different. Understanding which specialist to see can often be rather confusing so in this blog post, our Watford dentists takes some time to go through each of the specialist areas to help you understand which person can best solve your dental problems. The following definitions are taken from the General Dental Council specialist register.
Orthodontist
The development, prevention, and correction of irregularities of the teeth, bite and jaw.
Many general dentists are now offering what are known as either short term orthodontics (STO) all limited outcome orthodontics, these treatments move teeth to a more cosmetic situation and include treatments such as Invisalign (clear braces), Six Month Smiles (tooth coloured brackets) and the Inman aligner (rapid orthodontics). These systems typically only move front teeth and don’t address more complicated biting problems.
A specialist orthodontist will typically use more complex techniques to move teeth greater distances. A specialist orthodontist can correct biting problems and even work with a growing jaw during the early teenage years to help move the jaw and bone into a better position.
If you have a child whose teeth don’t seem to be biting correctly then a specialist orthodontist may be the person to see, many children begin their orthodontic treatment at the age of 12, but it’s worth seeing an orthodontist sooner if you suspect they could be a problem.
Adults with crooked teeth could start with a general dentist, see if one of the short-term orthodontic techniques could work and have a discussion about whether a specialist orthodontist would be better suited due to biting problems.
Periodontist
The diagnosis, treatment and prevention of diseases and disorders (infections and inflammatory) of the gums and other structures around the teeth.
Gum disease can often progress painlessly, it can start as red inflammation with bleeding on brushing, this may be a sign of gingivitis. As this gingivitis and inflammation spreads it can move down the tooth towards the root at this point it becomes the more serious periodontitis which can lead to tooth loss.
At this point your dentist will probably refer you to a periodontist. The periodontist will then look at the extent of any disease and work with the treatment and help you prevent it happening again.
Prosthodontists are also the specialist which place dental implants. Their detailed knowledge of the gums and other structures surrounding the teeth makes them the perfect person to restore your missing teeth with implants.
Prosthodontist
The replacement of missing teeth and the associated soft and hard tissues by prostheses (crowns, bridges, dentures) which may be fixed or removable, or may be supported and retained by implants
A Prosthodontist will work extremely closely with a dental laboratory. It will be the dental laboratory which manufacture your crowns, bridges or dentures to replace any missing teeth. These restorative options are also offered by your general dental practitioner but in some instances the restoration of the missing teeth becomes extremely complex, perhaps combining crowns, bridges and dentures in complex ways. Understanding how these restorations perform together takes specialist knowledge, in this case a Prosthodontist will often help to restore your smile.
You may also find that a prosthodontist will work with a periodontist. The periodontist may place the dental implants (as in the example above) and the prosthodontist may work closely with the dental laboratory to make the denture on top. It is a close coordination of a specialist team to achieve the best result.
Endodontist
The cause, diagnosis, prevention and treatment of diseases and injuries of the tooth root, dental pulp, and surrounding tissue.
Endodontics is a specialist field which many general dentists do not offer themselves. It takes many years training to be able to work in the small environment which is the root of a natural tooth. Many people think that root canal treatments are painful, the reality is that this type of treatment actually gets you out of pain. The results can be quite immediate!
Working with an endodontist your general dental practitioner is able to save teeth rather than remove them. This is always the preferred option of treatment if at all practical.
Oral Surgery
The treatment and ongoing management of irregularities and pathology of the jaw and mouth that require surgical intervention. This includes the specialty previously called Surgical Dentistry.
There are times when, unfortunately, some form of surgical procedure is required, for example:
- Simple and complex dental extractions
- Removal of Simple and Complex Wisdom teeth
- Removal of retained roots
- Orthodontic extractions
- Exposure and bonding of Unerupted teeth for Orthodontics
This is when an oral surgery specialist will step in and support your general dental practitioner in the more complex surgical procedures.
Restorative Dentistry
The restoration of diseased, injured, or abnormal teeth to normal function. Includes all aspects of Endodontics, Periodontics and Prosthodontic
A specialist in restorative dentistry works particularly with your natural teeth in order to restore them. This could be the complex combination of crowns, bridges, bonding, looking after the gums or treating complex problems with the teeth themselves. It involves a wide range of skills in order to save teeth.
You only ever get one set of adult teeth so it would make sense to restore them whenever possible, rather than have them extracted and be lost for ever. A restorative specialist helps you do this.
With so many specialists working to help save, restore and generate your perfect smile it can be a little overwhelming to know where to start. Our dental practice in Watford works with resident specialists, in all areas, we can refer you to the right person for you, alternatively you could search the specialist register on the GDC website.
How do I chose an orthodontist near me?
Choosing where to go for your orthodontic treatment can be a little bit of a mine field, how do you choose an orthodontist? How do you even begin finding a dentist that can offer orthodontic braces near you? in this blog post we’re going to look at a series of questions you could ask an orthodontist and how to go about finding one in the first place.
Finding and orthodontist
1. Ask for recommendations
“I can’t begin to tell you all just how much all your hard work and effort means to me. It was worth every minute and every penny.”
Mrs V. (Watford)
The best way to find many things in life is to ask your friends and family, personal recommendations are one of the best ways to ensure that your service providers are of the highest quality.
If you have friends that have had dental braces then these would make the ideal person to ask. Towards the end of this blog post will also give you a list of questions that you could ask your preferred dentist once you have found them.
2. Search on Google
Modern technology is extremely clever and it is likely that Google will know your geographical location, so searching for something like ‘orthodontist near me’ should return some good results. It is important to remember that just because someone is top of the search results does not mean that their clinical services will be good. Here are a few things to look out for on a dental practice website which would indicate that they are a trustworthy dentist:
- Lookout for patient testimonials and reviews, these tell you how good the service was from this practice, lookout for sites with lots of reviews, ideally recent ones.
- Does the dental practice offer a low risk way of seeing them in the first place, either by a free consultation or perhaps a refund of the initial assessment.
- Is the website regularly updated? Look for a date on the website, this is often at the foot of the page. ‘Last update’ or ‘copyright date’ are a good indicator of how often the site is updated. A frequently updated site indicates a dentist that wants to hand out the most recent and useful information.
- Does the website display registration numbers for all of the dentists? The General Dental Council require all dentists to list their GDC numbers on the website, this gives traceability and ensures you are visiting a registered dentist.
3. Ask your existing dentist
Another way to find a dental practice that can offer orthodontics near you is to ask your existing dentist. General dental practitioners often refer to a specialist orthodontist in the local area, if you ask your general dentist for a referral then they should be able to recommend an orthodontic practice locally to you.
Specialist orthodontists have extensive postgraduate training in orthodontics, they are able to offer more complex treatments which can deal with almost any orthodontic problem.
4. Other online resources for orthodontics
The following places give some good information on your options.
The British Academy of Cosmetic Dentistry aims to promote clinical excellence in cosmetic dentistry, that is carried out in an ethical, minimally invasive way. They have a list of various treatment options which explains how the treatment works and what it may end up costing.
This is a completely independent website which lists your options sorted by dental problem for example you could view ‘Straighter teeth’ and see all of your options available.
As ever, the Wikipedia community continues to keep this page updated with most of the modern treatments available.
We recommend you take some time to view each of these resources to see which treatment option may be best for you. We would then be privileged to answer any questions personally by way of an initial consultation.
Questions that you could ask before having treatment
Image courtesy of Serge Bertasius at FreeDigitalPhotos.net
Once you have found a dentist you believe may be right you or your child then you will need to book an appointment. Many dentists offer either as free consultation or perhaps a refund of your initial assessment fee. Ensure that you are given adequate time to ask all of the questions you feel appropriate, sitting in a relaxed environment, perhaps over a cup of coffee can help the conversation flow with your dental team member.
A few questions to ask your dentists at that assessment:
- Are you certified?
Each of the differing orthodontic systems such as Invisalign, Inman Aligner or Six Months Smiles have extensive training courses and certification programs. Dentists offering these systems should have certificates clearly displayed. Specialist orthodontists are the only dental professional entitled to use the word specialist, this means they have postgraduate training enabling them to offer a wider range of treatments.
- How long have you been offering orthodontics?
This question also helps you identify the experience of your chosen dental professional.
- How many patients have you treated?
Again, another question to help you identify experience.
- Can I see examples of your work?
A good dentist should have plenty of examples to show you, before and after photographs are a great way to help you understand your treatment. Your dentist may be able to show you photographs of patients treated with clinical situations very similar to your own, this will give you a good understanding of what the possible results maybe.
- How often will you review my progress?
Before you commit to treatment you will want to know how often you may have to visit the dentist, hopefully, you will find a dentist near you to make things as convenient as possible. With orthodontics, you may find that you need to visit the dentist roughly every 4-8 weeks.
Senova Dental Studios are a local dentist in Watford offering clear orthodontics with Invisalign & rapid orthodontics with the Inman Aligner and Six Months Smiles. If you live locally, around Rickmansworth, Chorleywood, Bushey or Gerrards Cross and are looking for a dentist near you then please do give us a call.
Lifestyle and perceived facial age
It has long been known and understood that your lifestyle can have a dramatic impact on your risk of age-related diseases. However, there has been less information available looking at the link between lifestyle and facial ageing… Until now.
A recent study [Gunn, Dick & van Heemst 2015] that was published in the British Journal of dermatologists look at the links between various factors and perceived facial age, specifically, they looked at skin going red in the sun, sun bed use, wearing false teeth, not flossing between teeth, few remaining teeth, body mass index (BMI) and irregular skin moisturisation.
The research consisted of data from two cross-sectional studies of 318 Dutch men and 329 women aged between 45 and 75, they also studied 162 Englishwomen in the same age range.
Results for men
In Dutch men, smoking, having skin that went red in the sun, being outside in the sun most of the summer, sunbed use, wearing false teeth and not flossing were all significantly associated with a total of 9.3 years higher perceived facial age.
Results for women
In Dutch women, smoking, sunbathing, sunbed use, few remaining teeth and a low body mass index (BMI) were associated with a total of 10.9 years higher perceived facial age.
In English women, cleaning teeth only once a day, wearing false teeth, irregular skin moisturisation and having skin that went red in the sun were associated with a total 9.1 years higher perceived facial age.
Interestingly, smoking and sunbed use were associated more strongly with aging in women than in men.
Although associative in nature the results of this study support the notion that lifestyle factors can have long-term beneficial effects on your youthful looks.
What can you do to lower your perceived facial age?
The first thing to consider is how you can prevent your face from prematurely ageing.
Prevention
It would seem from the studies that regular skincare in both the forms of avoiding excessive sun and regularly using moisturiser is a good place to start.
The other thing that the study mentions this looking after your teeth. it certainly seems that for men, wearing false teeth and not flossing are significantly associated with higher perceived facial age.
With women, cleaning teeth only once a day and wearing false teeth increases perceived age, therefore looking after your teeth by cleaning them adequately is a pre-requisite for keeping them healthy for life.
Restoration
Unfortunately, things don’t always go to plan, here are a few ways you may be able to restore your perceived facial age.
- If you are missing tooth and want to replace them, consider dental bridges or dental implants.
- If you have false teeth then consider dental implants as a viable alternative.
- If you have excessive winkles and/or lines then consider anti-wrinkle injections or fillers.
Senova Dental Studios in Watford have experience in restoring the signs of facial ageing using a combination of dentistry and facial rejuvenation techniques.
Book your appointment today.
References
Gunn DA, Dick, van Heemst et al ‘Lifestyle and youthful looks’. D Br J Dermatol. 2015;172(5):1338-45. doi: 10.1111/bjd.13646. Epub 2015 Apr 15.