Category: Practice News

Practice news from blue court dental centre, your local family dentist in Harrow

A cosmetic dentistry article by Nishan Dixit

As a board member and scientific director and education chair of the British Academy of Cosmetic Dentistry, our very own Dr Nishan Dixit is often asked to publish articles on successful cases so that others in the dental profession can learn from his successes. Here is one such article published in The Dentist, Issue 76,  April 2014.

A Happy patient

Nishan Dixit describes a non-invasive composite restoration using a multi-layer technique.


Pre treatment
Pre treatment

67 year old male patient presented with a lingual cusp fracture in his lower right first pre-molar, which had an old amalgam restoration. He was not experiencing any pain, but was aware of the rough edge. Since the fracture had occurred, the patient had also become more self-conscious about the discolouration of the tooth.

The treatment options were discussed with the patient. The tooth could either be restored with a direct composite or an indirect laboratory-manufactured restoration. The patient decided on the composite option, as this would provide a more immediate and less disruptive solution. I prefer to offer composite treatment, rather than more invasive procedures, when the clinical situation allows. This is more affordable for the patient, and the durability of the material makes it a realistic long-term alternative.



Having been a provider of cosmetic dentistry for almost 20 years, I have observed a number of improvements in materials. Long-term studies have proved the reliability of modern composites. The latest developments have produced composites that are more resistant to wear and have better colour stability, combined with reduced polymerisation shrinkage rates.

Composite selection

For a number of years,I have used the Heraeus Venus range of composites exclusively, due to their handling properties and the results achievable. For this case, I chose to use Venus Pearl. It gives high aesthetic outcomes using a multi-layer technique, providing excellent colour adaptation and a natural finish. The material is easy to use, masks well and is highly sculptable and polishable. Compared with earlier technologies, the cured  composite is more flexible under stress and more durable over time.

Venus Pearl includes super-fine nano-hybrid filler particles. This provides even more natural light refraction and supreme aesthetic appearance, combined with a creamy application.

Treatment and outcome

At the treatment appointment, local anaesthetic was administered and the tooth was isolated with rubber dam and a clamp system. The old amalgam restoration was removed and the cavity was rendered caries free. The preparation margins were smoothed and the enamel margins bevelled. A matrix band was then adapted to the tooth. The prepared cavity was etched with 37 per cent phosphoric acid using a total etch technique. The cavity was thoroughly washed, gently dried and primed. Then a bonding agent was placed and polymerised.

Venus Pearl OMC (Opaque Medium Chromatic) was applied to the cavity in 2mm increments. The composite was adapted to the cavity, using a microbrush in a ‘patting’ motion, then polymerised . Approximately 20 per cent of the cavity was filled with OMC and the remaining 80 percent was filled with the Venus Pearl A3 shade. The build-up of the composite was done on a cusp-by¬cusp basis, gradually creating the tooth shape and fissure pattern. During the incremental build-up a small amount of dark brown stain was applied in the fissure areas using an explorer.

Finally, the restoration was polished with Venus Supra discs and a silicone carbide brush. The outcome was a restoration with good aesthetics, achieved with minimum loss of tooth substance and completed in one short visit. The patient was extremely pleased with the end result, leaving him feeling like he had “a new, natural-looking tooth”. He had absolutely no post operative sensitivity or pain. Subsequent recall appointments have shown this has continued to be the case. The treatment has left a healthy tooth and a happy patient.

Practice Update

Dr Nishan Dixit recently attended The American Academy of Cosmetic Dentistry’s (AACD) annual meeting in Orlando, Florida, USA.

The conference, AACD 2014, took place April 30-May 3 and was the Academy’s 30th anniversary scientific session. Dr Nishan Dixit had access to multiple hands-on workshops and lectures during the conference, which was attended by an estimated 1,700 dental professionals.

The conference is cosmetic dentistry’s premier event, with some of the world’s most well-known dental educators, live dentistry, access to the latest cosmetic dentistry innovations in the AACD Exhibit Hall, and much more.

Dr James Hastings, the current AACD President said:

“By attending AACD 2014, Dr Dixit is not only showing his commitment to education and the cosmetic dentistry field, but to his patients, the education he received in Orlando will help him provide the best care to those he cares about the most.”

Blue Court Dental’s Golden Achievement

_MG_2207_Blue Court Dental Centre


The team from Blue Court Dental enjoyed a golden hour of celebration last month when they attended an exclusive reception at the British Dental Conference and Exhibition in London. The reception was held to celebrate dental practices which had achieved at least ten years or more membership of the British Dental Association’s Good Practice Scheme, known as Gold Membership.


Blue Court Dental’s achievement has also been recognised in a celebratory publication that includes a profile of all practices with Gold Membership.


At the reception in London the practice teams were presented with a copy of the brochure by the President of the British Dental Association, Dr Barry McGonigle, and had the opportunity to meet fellow professionals from across the country.


Dr McGonigle said:


“A practice’s membership of the BDA’s Good Practice Scheme demonstrates its whole team’s commitment to high standards, delivering high-quality, patient-centred care and the pursuit of excellence.


“The practices that we are celebrating this year have not only achieved the required standards for membership of the Scheme, they have maintained them for at least ten years. This is a significant accomplishment and I offer my sincere congratulations to the teams at each of these practices.”


Dr Dixit said “We are very pleased and proud to be the only practice in Harrow and Middx to have achieved this standard, demonstrating our compliance with the Good Practice Scheme for 12 consecutive years.”


IMG_6961 IMG_6964

British Academy of Cosmetic Dentistry – Dr Dixit is Elected to the Board

We’re proud to announce that Dr Nishan Dixit has recently been elected to the board of the British Academy of Cosmetic Dentistry (BACD).

This is a great achievement and as a practice we’re very proud of this… so what does it mean for you as a patient?

Here’s what this new opportunity for Dr Dixit uncovers:

  1. Thought leadership – the British Academy of Cosmetic Dentistry recognises leaders in the field of cosmetic dentistry and invites them to the board to assist them in the development of cosmetic dentistry in the UK
  2. The BACD offers unparalleled training and education for dentists offering cosmetic dentistry, board membership means Dr Dixit is part of this education process
  3. Board membership of the BACD is recognition of the time and dedication Dr Dixit puts into the field of cosmetic dentistry
  4. A community of innovative positive-thinkers – Dr Dixit will meet, socialise and network with like-minded professionals allowing him to continue to develop his cosmetic dentistry skills
  5. BACD membership grants access for Dr Dixit to the best International Speakers in the field of cosmetic dentistry
  6. The BACD develops a team approach ensuring Dr Dixit is able to work with key dental team members to provide the highest quality cosmetic dentistry

British Academy of cosmetic dentistryAs will know Blue Court Dental Centre offers a wide range of cosmetic dentistry options for the people around the Harrow, Middlesex area. Including treatments for dark, missing, crooked and unsightly teeth. The extra dimensional that is so important for any dental practice to offer is the combination of cosmetic dentistry with oral health. By combining both of these disciplines you as a patient end up with the best looking and most healthy teeth for life.

Always a good thing, don’t you agree?

Mercury Amalgam Removal

A routine treatment for dental decay is to use fill the area with an amalgam filling. But what is decay?

Using higher magnification and powerful lighting, it is easier to detect decay at an early stage to prevent excessive tooth damage. When cavities are small, they are much easier and less expensive to treat.

Early tooth decay does not tend to show many physical signs. Sometimes the tooth looks healthy, but we may be able to see from an x-ray whether you have any decay under the enamel, any possible infections in the roots, or any bone loss around the tooth.

If the decay is not too serious, our cosmetic dentist will remove all the decay and restore the tooth with a white (tooth coloured) filling.

We can also safely replace silver amalgam fillings with white tooth coloured fillings. Here’s a video that shows this process and the possible results:

Click to watch on YouTube

Dr Nishan Dixit

Find out how to go keep your teeth fresh and healthy for life.

Grab your free guide to life long dental health here…

Dr Nishan Dixit BDS (Lond) 1994 ,LDS RCS (ENG) 1994 GDC Reg No. 70208

Rapid Tooth Movement with the Inman Aligner

We’ve found the Inman Aligner to be a revolutionary new way to straighten teeth.

So if you are unhappy with your smile with crooked or uneven teeth and want the fastest result then the Inman Aligner is for you. Here’s a little video that shows some results:

Click to watch on Youtube
We love the Inman Aligner because its:

  1. Rapid, in around 10-18 weeks it can straighten your front teeth.
  2. Removable, you need to wear the aligner for 20 hours a day, but can remove it for eating and important social occasions.
  3. Comfortable, the Inman Aligner uses a revolutionary new way to gently pull and push at the same time with minimal discomfort.

The aligner works by an innovative mechanism which pushes and pulls your teeth at the same time

The Inman Aligner isn’t suitable for moving back teeth, or for moving teeth great distances however for general orthodontics on the front teeth it is often ideal and provides a rapid orthodontic solution

Length of Treatment

Inman Aligner treatment typically takes 10-18 weeks. Simple cases can complete in a little over 1 month and more complex cases might take 4 months or so.

We’ll will give you a realistic guide of what to expect. Normally lower front teeth move a little faster than uppers.

However, because the Inman Aligner is so highly efficient, when a case is suitable, it works much faster than alternative orthodontics techniques. This is what makes it so revolutionary and moves the Inman Aligner into the realms of cutting edge Cosmetic Dentistry.

To help you we’ve written a free guide to orthodontics, you can download your free copy here or complete the form below.

Dr Nishan Dixit

Discover the options, costs and alternatives for a straighter more confident smile.

Download my complete guide to Orthodontics today!

Dr Nishan Dixit  BDS (Lond) 1994 ,LDS RCS (ENG) 1994 GDC Reg No. 70208

Fancy Straighter Teeth in 6 Months with 6 Month Smiles?

We are delighted to announce that Dr Nishan Dixit can now provide Six Month Smiles braces.

These are a revolutionary clear brace which straightens the teeth in approximately only six months.
We are the first and only practice in Harrow that can provide this fantastic type of brace, allowing you to have straighter teeth by the time your next check up is due.
For more information, or if you would like a free consultation with our treatment co-ordinator, please phone the practice on 020 8904 9440.

To help you we’ve written a free guide to orthodontics, you can download your free copy here or complete the form below.

Dr Nishan Dixit

Discover the options, costs and alternatives for a straighter more confident smile.

Download my complete guide to Orthodontics today!

Dr Nishan Dixit  BDS (Lond) 1994 ,LDS RCS (ENG) 1994 GDC Reg No. 70208

Smile Awards 2012

Congratulations to Dr Nishan Dixit who has been short-listed for the Smile Awards in the single arch restorative case category.

To be short-listed alongside some great dentists from around the country is a fantastic achievement for him.

We wish him luck for event on 23rd March 2012 when the results will be announced.