It's the 21st of December and officially the shortest day of the year! Brighter days ahead.

This year, we will close at 12pm 23rd December for our Christmas break. Emergency appointments will be available on 29th December from 0900-1200. Please e mail us or call on the day for an appointment. If you need advice whilst we are closed, please also send an e mail, leave a WhatsApp on 07508 663942 or leave a message with our offsite reception who are available 24/7. Once this message has been received, one of our dentists will be informed and they will get back to you as soon as possible, even on Christmas Day! 

We resume normal opening times from 4th January.

Have a very merry Christmas and a Happy New Year!
 

There are a number of areas to check for mouth cancer. The Mouth Cancer Foundation has provided a superb self check kit which we have provided below. This will take 2 minutes and could be crucial in spotting early signs of mouth cancer. If in doubt, please book an appointment with your dentist.

FACE
 

Look at the whole face. Are there any swellings you haven’t noticed before? Inspect your skin. Has anything changed recently? Have moles become larger or started to itch or bleed? Turn your head from side to side. This stretches the skin over the muscles making lumps easier to see.

NECK
 

Run the fingers under your jaw and feel along the large muscle either side of neck using the balls of your fingers. Are there any swellings? Does everything feel the same on both sides?

LIPS
 

Using your index, middle fingers and thumb to feel the inside of your mouth. Pull your upper lip upwards and bottom lip downwards to look inside for any sores or changes in colour. Use your thumb and forefinger to feel around and inside your lips checking for any lumps, bumps or changes in texture.

GUMS
 

Use your thumb and forefinger on the inside and outside of the gum working your way around the gum to feel for anything unusual.

CHECK YOUR CHEEKS
 

Open your mouth and pull your cheeks away, one side at a time, with your finger to look inside. Look for any red or white patches. Use your finger in the cheek to check for ulcers, lumps or tenderness. Repeat on the other side. Your tongue can be helpful to locate sore areas, ulcers or rough patches.

TONGUE
 

Gently pull out your tongue and look at one side first and then the other. Look for any swelling, ulcer or change in colour. Examine the underside of your tongue by lifting the tip of your tongue to the roof of your mouth.

FLOOR OF MOUTH
 

Lift your tongue up and look underneath then look at the floor of your mouth for any colour changes that are unusual. Gently press your finger along the floor of your mouth and underside your tongue to feel for any lumps, swellings or ulcers.

ROOF OF MOUTH
 

Tilt back your head and open your mouth wide to check the roof of your mouth. Look to see if there are changes in colour or ulcers. Check for changes in texture with your finger.

Make a note of anything unusual. If you have recently had a cold, sore throat, ulcer or swollen glands, bitten or scolded yourself for example, these should heal within 3 weeks. If you have any concerns visit your dentist or doctor to see if you need specialist advice.

Our case of the month for October 2021 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 months. We have access to 14 initial aligners and then 2 sets of additional sets of up to 14 each for fine tuning.

Once this was complete, tooth whitening was done at home using our favoured Zoom gel followed by some expert cosmetic bonding. All treatment was carried out by Dr Nissit Patel. Please take a look at the before and after photos. Quite a transformation!
 

We don’t know what causes most mouth cancers. However, there are several factors that are likely to increase your risk.

Up to 90% of all mouth cancers are linked to lifestyle factors.

This means that with a few small changes, you can help cut your chances of developing mouth cancer.

If you do not stop or reduce the things that might put you at greater risk, it is important that you self check at home and regularly visit your dentist.

The below causes are linked to mouth cancer.
 

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 the material which was a huge disadvantage. Today, material technology and modern techniques allow us to create beautiful veneers without having to cut teeth.

Our case highlights this, just take a look:
 

Our case of the month for August 2021 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 desirable aesthetically nor functionally. One tooth in cross bite will often wear at a greater rate and can interfere with the bite. 

To keep things really simple, we used a Social 6 lingual brace to correct the tooth and place it back to the normal position. As mentioned above, due to wear, it was much shorter than the adjacent teeth. However, with some snazzy cosmetic bonding using our own techniques and polishing methods, we had a life like tooth back again which looked as good as new.
 

Over the years, Invisalign has transformed drastically to embrace digital technology and improve their product which is by far and away the best on the market (our opinion having used all of the copycats!). There are now several Invisalign products available to dentists which brings us to Invisalign Lite. The Lite version is specifically for mild to moderate crowding with treatment time frames of around 6-8 months. Within the package, there are 14 initial aligners to correct the main crowding issues. After this first set, we have the opportunity to fine tune any crowding using refinement aligners. As of October 2021, Invisalign Lite allows 2 sets of refinements of 14 aligners within each package. This provides us with ample scope for adjustments and minor corrections.
 

Our case of the month for July 2021 is quite a complex one involving multiple ceramic crowns after an accident during the first lockdown. Our patient, Xavier, had a cycling accident where he cracked 3 of his front teeth. Now with any trauma case, there is a certain way to handle the situation and it is important not to rush into a specific treatment. The reason being is that once the teeth and gums have been damaged, the consequences may not be apparent for several weeks or months. Hence the use of provisional materials such as composite and temporary crowns are vital during this healing phase.

Periodontal or gum health is paramount also and we needed to spend some time stabilising the gum health with conventional and laser treatments. Beata Kynsak did a wonderful job using Waterlase i Plus and the Epic 10 diode laser with a complete transformation from inflamed , swollen gums to a pink, firm attached gum line. Laser dentistry, although not new, is still a rarity across our profession but we are firm believers in the technology and have many years of experience highlighting great results. 

Once the gums were stable, provisional crowns were made using a diagnostic wax up. This is where our laboratory, Ceramic Studios, re create the teeth using digital means to provide us with a prototype of the final teeth. We can use this guide to define our preparations of the teeth, make the temporary teeth and allow our patients to see what the final crowns can look like. Our temporary crown material of choice is Luxatemp; the gold standard. 

After some time in the temporary crowns, we were ready to proceed with the final crowns which were E Max all ceramic crowns, again the gold standard when it comes to aesthetics. There is no better. Ceramic Studios did a great job and just take a look at the before and after results:
 

Our case of the month for May 2021 was a simple one involving ICON to treat a white spot and then cosmetic bonding to repair a small chip. Initially. we used Invisalign Express to treat some mild mis alignment. Putting teeth in the correct position will mean that that any future treatment will always look better especially bonding. 

The treatment in our case is completely non invasive. There is no need for any drilling, no needles of any sort and no pain! Furthermore, the cost is affordable compared to traditional veneers or crowns. A no brainer! 

ICON white spot treatment works by changing the light refractions of the white spot using resin infiltration. This way the white spot is camouflaged and blends in the surrounding tooth. The process is super simple and takes only a few minutes. 

Cosmetic bonding can further enhance the appearance of the tooth by using highly aesthetic composite resin to layer over an defects such as chips, uneven edges, gaps, sharp edges and even discolouration. 

Here are the before and after photographs: