Our case of the month for February is a fantastic one which highlights the extent of the versatility of the Invisalign system. It truly is a replacement for fixed braces with many benefits. In the past, it was correct to say that certain cases could not be treated with Invisalign and that fixed ( train track) braces were the only option. However, times change, technology advances and the advent of digital dentistry has changed the landscape of dental care.

Our client came to us after seeing several dentists and being told that multiple teeth needed to be removed and that fixed braces were needed for over 2 years. She was all set up for this but after the first initial comprehensive examination with Dr Nissit Patel, we had alternative options available. The key is in the planning and after careful deliberation and diagnostic projections, we were able to provide a treatment plan that not only kept all of the teeth but one that could be completed using Invisalign as the sole orthodontic technique.
 

A smile speaks a thousand words as the old saying goes. Sometimes, it is the little changes that really make a difference. This may not be evident to everyone but if a small enhancement gives you more confidence then this make a huge difference to ones wellbeing. 

One of the ways we can enahnce a smile is with a technique called composite bonding. Our case of the month for January 2025 is really a classic one where bonding was used to improve the smile symmetry in a subtle yet striking way.
 

To answer this question, we really need to differentiate the two treatments as they are two different treatment entirely. 

Composite bonding is an additive process. In simple terms, we carefully sculpt composite resin over the teeth in question. This can be used to treat chipped, fractured, uneven and gappy teeth. Composite can also be used to replace old fillings on front ( or back) teeth. The great advantage of bonding includes:

1. Treatment is completed in one visit; an instant smile transformation!
2. Minimally invasive. There is little, if any, drilling of the underlying teeth needed.
3. Biologically safe for the teeth and gums. There is no risk of damage to the nerve.
4. Composite can be easily maintained.
5. More affordable than porcelain veneers or ceramic crowns.
6. Composite will protect the underlying teeth from further wear and tear.
 

One of our favourite treatments for cosmetic teeth straightening is the Social 6 lingual brace. This brace is the truly invisible brace as it is placed on the inside of the teeth. Even though lingual braces have been around for many decades, there is little awareness of the system as the treatment in the past has been kept within the realm of specialist orthodontists and the costs have been incredibly high compared to conventional braces. Now for complex cases, lingual brace treatment is an extremely difficult and technically demanding one for dentists and patients and the costs, quite rightly, relate to this. However, for more simple cosmetic alignment, the Social 6 lingual brace is a great option for simple, quick and affordable treatment.
 

Dental crowns are one of the best ways to protect badly damaged teeth. In most cases, crowns are needed on back teeth that may have needed a root canal treatment. For front teeth, the most common reason for the need of a crown is due to trauma . This could be from a childhood playground accident or a sports injury for example. Ouch!

If a front tooth crown was placed many years ago, over time there will have been changes in the mouth including the level of the gums and the shape and colour of the teeth. This often why there is a 'black' line around old crowns where the gum has receded and the underlying root becomes visible. Older crowns will have been made with a metal base, called a metal ceramic crown and the metal can also show as the tissues change.
 

Teeth straightening is one of the most common cosmetic dental treatments we undertake at the practice. There are huge benefits to having fully aligned teeth. Of course there are the aesthetic improvements which will enhance your smile but also the health benefits from being able to clean your teeth better and improvements in the bite. There are many options available and often, the decision lies between Invisalign and fixed braces. However, which one is best?

In reality, there is no one technique that we would consider the best one. We will discuss the advantages and disadvantages of each option below.
 

One of the most topical subjects at the moment is the debate between composite and porcelain for dental restorations. In terms of cosmetic dentistry, this equates to the use of composite veneers and porcelain veneers. It is important to note that composite veneers can either be made by a laboratory or placed free hand by the dentist in the chair. Porcelain veneers can only be made by a dental laboratory or within a dental practice that has the necessary technology such as computer aided design and a milling machine, otherwise know as CAD-CAM.
 

Our case of the month for July involves a treatment to whiten a discoloured lower front tooth. We will often come across darker teeth when they have undergone a root canal treatment due to the loss of the nerve and blood supply. Often the degradation of blood products from the pulp tissue within the dentinal tubules cause the tooth dentine to be gradually discolour and give that inherent grey/ dark appearance. This can be quite unsightly especially on a front tooth. For back teeth, in almost every case, we will need to place a crown once a tooth has been root filled to maintain function. This will also improve the colour as the ceramic cover the dark dentine. However, for front teeth, crowns are not always needed as the access for the treatment is on the inside of the tooth and when done under microscope, can be extremely minimal. So how do we whiten the tooth?
 

One of our favourite cosmetic orthodontic treatments is the Social 6 lingual brace. This is a superb treatment to straighten the front teeth in a matter of weeks. In our experience, most treatments are just 3-4 months. With our 15 years experience with lingual braces, we have the know how to treat almost every imaginable case out there.