Category: Dentistry

Blog posts and articles about general dentistry treatments from Dr Nishan Dixit, your Harrow dentist

Dry mouth? Here’s what you need to know…

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

It is very normal for people to occasionally have a dry mouth, this can be caused by dehydration or anxiety. If you have a persistently dry mouth then it may have an underlying cause which needs further investigation, your dentist may be able to help.

What are the causes of a dry mouth.

A dry mouth is caused by under active salivary glands which are not producing enough saliva to keep your mouth wet. This could either be because you don’t have enough water in your system and you are dehydrated or due to a medical reason causing the glands not to work as they should.

A few of the causes of dry mouth are:

  1. Medication. Some antidepressants and antihistamines can cause your mouth to dry out, if you are taking either of these medications take a quick look at the instructions and see if a side-effect is a dry mouth. Never stop taking prescribed medicines until you have spoken to your doctor about any potential side-effect.
  2. A common cold. If you have a cold and your nose is blocked it can cause you to breathe excessively through your mouth, this can dehydrate your mouth, particularly whilst you are asleep.
  3. Medical conditions. There are a couple of medical conditions including diabetes and Sjogren’s syndrome which cause dry mouth.

What problems can dry mouth cause?

Dry lips are very often associated with a dry mouth, as is halitosis. The saliva in your mouth keeps bacteria at bay, without the saliva the bacteria multiply and cause the bad breath.

Tooth decay and gum disease are also associated with a dry mouth. If they are not bathed in the saliva then the bacteria which secrete the acid are not neutralised, the acid can then become stronger and cause decay in your teeth faster than normal.

ID-10040609nixxphotography.How to treat a dry mouth

Before you know exactly how to treat a dry mouth you need to understand what is causing it. If you believe you are fully hydrated then medical assistance may be required, either from your doctor or dentist.

Some things you could try include:

  1. Staying hydrated by drinking as much water as you need per day.
  2. Stopping smoking.
  3. Limiting the amount of caffeine you drink as this can dehydrate you.
  4. Chewing gum to stimulate the flow of saliva, make sure this gum is sugarfree to avoid tooth decay.
  5. Visit a pharmacy and ask for some over-the-counter saliva substitute.
  6. Try to breathe through your nose rather than your mouth.
  7. Use a room humidifier at night if you think you may be mouth breathing.

Preventing tooth decay due to a dry mouth

One of the big problems of a dry mouth is maintaining good oral hygiene to prevent tooth decay. It is extremely important to regularly visit your hygienist and dentist if you have a dry mouth to ensure that your teeth and gums remain healthy.

Gum disease can progress painlessly on the whole and only a dental health professional will be able to tell in the early stages if you have either gingivitis or periodontitis.

The general rule of thumb for good teeth cleaning is:

  1. Start brushing your molars and then moved forwards towards the front of your mouth.
  2. Brush from your gums towards the chewing surface and use little strokes to get your teeth clean.
  3. Make sure to clean all your teeth. Hold your toothbrush up and down to get behind them.
  4. Remember to brush your tongue.

Do all of this twice per day and use a fluoride mouthwash in between meals as a top up. Avoid using mouthwash after you brush as toothpaste has a higher percentage of fluoride than mouthwash, if you use a mouthwash immediately after brushing then you reduce the amount of teeth strengthening fluoride around your teeth.

For advice on dental health and dry mouth please give Blue Court Dental a call or request an appointment online.

Image source nixxphotography at freedigitalphotos.net

Survey reveals that 72% of men have used their female partner’s toothbrush

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

AID-100116377 by imagerymajesticccording to a new survey women change their toothbrush twice as often as men. The survey showed that, on average, women change their toothbrush every 92 days whilst men change theirs every 185 days.

The survey was carried out by Carisbrook dental in Manchester which asked 1000 patients about their oral health habits.”

“All our research shows that women take dental health far more seriously than men,”

Dr Tariq Idrees owner of Carisbrook dental said,

“Throwing your toothbrush out after three months might seem like a short time, but think of the germs, viruses and bacteria it is exposed to daily; new toothbrushes have been developed where the bristles change colour when they wear one out providing an immediate reminder of when to getting new one.”

 change your toothbrush after you have been ill

According to the survey electric toothbrushes are used by 57% of women and 32% of men. Another interesting fact was that women spend on average £42 per year on the dental healthcare, whilst men spend only £24 a year on the same dental healthcare including brushes, toothpaste  and other products such as mouthwash.

The survey also revealed that 7/10 men (72%) have used their female partners toothbrush whilst only 26% of women admitted to using their male partner’s brush.

“Women spend twice as much on their teeth and tend to have much healthier teeth and gums. They are almost 5 times more likely to have cosmetic procedures such as teeth whitening.” Said Dr Tariq Idrees

At Blue Court Dental Centre in Harrow we have similar experience of women taking more care of their dental health than men. If you don’t look after your toothbrush then the bristles can become bent and frayed, this means they are not able to clean in between your teeth in those difficult to reach areas where the acid excreting bacteria lurk.

The spaces in between your teeth are particularly vulnerable to dental decay and if these areas are not kept clean on a daily basis your oral health care can suffer.

We have also written in other blog posts about the further implications of not looking after your teeth and gums. Dental disease has been linked to other conditions such as diabetes and heart problems.

Using an electric toothbrush makes it far easier to ensure that your teeth are adequately cleaned and rinsing in between cleaning your teeth, particularly after meals with a good quality fluoride mouthwash is another step you can take to ensure your teeth stay dentally fit and healthy for life.

If you are at all concerned about you or your partner’s oral health then please do give us a call or request an appointment online.

Image courtesy of ImageryMajestic @ freedigitalphotos.net

How to clean teeth properly

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

In this blog post we will be taking a look at everything you need to know about keeping your teeth clean and healthy for life. People in Harrow are often looking for ways to reduce the cost and time of visiting the dentist, one of the best ways to do this is to keep your teeth fit and healthy.

A healthy smile means your dental fees will be smaller, you spend less time at the dentist and can smile with absolute confidence.

How to clean teeth properly

In order to keep your teeth fit and healthy for life you must adopt an efficient and effective system for cleaning your teeth. Here’s what we recommend:

  1. Wait 20 min after eating before brushing your teeth, this gives your enamel time to harden again after that acid attack of eating.
  2. Use a pea sized amount of toothpaste
  3. Hold your brush at an angle
  4. Brush all of your teeth from front to back, the top and the bottom, remember to brush your tongue.
  5. Brush up and down and round and round.
  6. Try to keep the toothpaste in your mouth without rinsing, this leaves the maximum amount of fluoride in contact with your teeth for the longest period of time.
  7. Once a day use an interdental brush or floss to clean in between your teeth, this does not have to be at the same time as you clean your teeth.
  8. Once or twice a day rinse your mouth out with a fluoride mouthwash, typically a good time to do this is just after the meal. Avoid using mouthwash after cleaning your teeth, toothpaste has a higher percentage of fluoride than mouthwash does, if you rinse with mouthwash after cleaning then you actually reduce the amount of fluoride in contact with your teeth.

toothpaste

Cleaning teeth with an electric toothbrush

Whilst it is not 100% necessary to use an electric toothbrush most dentists recommend them. Modern electric toothbrushes offer a few advantages:

  1. an audible timer to ensure that you clean your teeth for the correct length of time
  2. a pressure sensor to ensure you do not press too hard and damage the sensitive gums
  3. an oscillating brush head to get into all of the tiny gaps

The combination of all of these features means that an electric toothbrush tends to be more efficient at cleaning your teeth.

You may also find with a manual toothbrush that you tend to press on some areas of your teeth harder than others. This can often lead to receding gums in this area, an electric toothbrush tends to be easier to clean with the same amount of pressure over your entire row.

How to clean teeth plaque at home

Plaque buildup on your teeth due to something known as biofilm. This biofilm is a sticky thin layer over your teeth. It is made up of bacteria which feed on the sugar in your diet.

Sometimes this biofilm builds up in difficult to reach areas, such as in between your teeth or on the tongue side of your teeth. As the biofilm gets thicker and thicker it turns into plaque, a hard substance which adheres to your teeth.

The plaque means that the acid excreting bacteria are in constant contact with your teeth, as they excrete acid whilst they feed on the sugar in your diet this can attack your teeth causing dental decay.

For this reason it is important to keep plaque to the absolute minimum.

The best way to do this is to follow a good oral hygiene routine, please see our previous section on how to clean teeth properly.

If the plaque build up significantly then you will need to see a dental hygienist who can remove it using an ultrasonic scaling device.

Plaque is extremely difficult to remove at home because it is so hard and stuck your teeth.

How to clean teeth with braces

tooth and mirror
Image courtesy of Cuteimage at freedigitalphotos.net

If you have dental braces it is just as important to keep your teeth clean as it is without braces. When you have the braces removed you want to be able to show off your brand-new smile!

Plaque can build up very quickly around braces so it really is important that you have a good oral hygiene routine whilst wearing them.

An electric toothbrush will help enormously if you have fixed orthodontics, using interdental brushes will also be important as you will probably not be able to get floss in between your teeth due to the arch wires.

Here are our top tips for cleaning teeth with braces:

  • follow the advice in our previous section on how to clean teeth properly, plus…
  • Use a mirror every time you clean your teeth, this can be really helpful to ensure you have cleaned all the way around your braces
  • ask your orthodontist for some special brushes which allow you to clean in difficult to reach areas, round ended bristle brushes seem to work best.

After brushing your braces should look clean and shiny and you should be able to see the edges of the brackets. Ensure you rinse with a good quality fluoride mouthwash at least once per day.

How to clean teeth stains at home

As with almost all of our advice we recommend avoiding getting teeth stains in the first place by maintaining a good oral health routine. If you find that your teeth stain then this may be because you have plaque which has built up, keeping this plaque to a minimum will help keep your teeth looking bright.

The best way to keep your teeth clean and free from stains at home is to visit the hygienist first, have a professional clean and polish and then follow our steps listed previously. This will allow your teeth to be cleaned to their maximum brightness, all you need to do after is to maintain them at home.

Some advice on cleaning teeth stains at home:

  1. try using a whitening tooth paste
  2. try using a whitening mouthwash

Your gums are very sensitive we therefore do not recommend you try any other stain removal technique at home.

Oral hygienists

A dental/oral hygienist is an important part of the dental team and could help you save lots of money at the dentist. Hygienists are specially trained to be dental health educators, helping you look after your teeth and carrying out deep cleaning which is not possible at home.

Your hygienist will also typically score your dental health on a scale from 0 to 4, this is known as a basic periodontal examination (BPE). Each tooth is rated on this scale which allows you to track your dental health across each visit. The hygienist will use a probe around each tooth to determine pocket depth around each tooth.

Scoring is typically

  • 0 No pockets >3.5 mm, no calculus/overhangs, no bleeding after probing
  • 1 No pockets >3.5 mm, no calculus/overhangs, but bleeding after probing
  • 2 No pockets >3.5 mm, but calculus/overhangs
  • 3 Probing depth 3.5-5.5 mm (indicating pocket of 4-5 mm)
  • 4 Probing depth >5.5 mm (indicating pocket of 6 mm or more) fifth

How much do oral hygienists cost?

Visits to the dentist are normally more expensive than visits to the oral hygienist, at our practice a oral hygiene program appointment costs from £48.

Teeth cleaning appointments

Teeth cleaning/oral hygiene appointments are best made at the same time as you visit your dentist. Typically a patient will visit the hygienist for 30 min and then go on to have a routine dental health check with the dentist for 30 min afterwards.

This makes best use of your time and is the most convenient way to make an appointment to have your teeth cleaned.

Did You Know That Talking Therapy Can Help Dental Fear and Anxiety

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

It’s not uncommon for people to feel quite anxious about visiting the dentist, recent research has shown that talking therapies can help and so we thought we would create this article to explain more. We’ve broken this article in to 3 section:

  1. Talking therapies to overcome anxiety
  2. Dental Sedation
  3. General tips to relaxing more

Talking therapies

talking therapyCognitive behavioural therapy (CBT) could help many people with a dental phobia overcome their fear of visiting the dentist and enable them to receive dental treatment without the need to be sedated, according to a new study by King’s College London. (1)

Patients with dental phobia were able to face doNickwn their fear after an average five sessions of cognitive behavioural therapy (CBT), a study found.

Professor Tim Newton, who led the King’s College team, said: “People with dental phobia are most commonly given sedation to allow them to become relaxed enough for a short period of time to have their dental treatment performed. However this does not help them to overcome their fear in the long term.

“The primary goal of our CBT service is to enable patients to receive dental treatment without the need for sedation, by working with each individual patient to set goals according to their priorities. Our study shows that after on average five CBT sessions, most people can go on to be treated by the dentist without the need to be sedated.”

Of all patients referred, four-fifths (79%) went on to have dental treatment without the need for sedation and 6% had their dental treatment under sedation. The average number of CBT appointments required before a patient received dental treatment without sedation was five.

Cognitive behavioural therapy (CBT) is a talking therapy that can help you manage your problems by changing the way you think and behave.

It is most commonly used to treat anxiety and depression, but can be useful for other mental and physical health problems.

CBT cannot remove your problems, but it can help you deal with them in a more positive way. It is based on the concept that your thoughts, feelings, physical sensations and actions are interconnected, and that negative thoughts and feelings can trap you in a vicious cycle.

CBT can help you to make sense of overwhelming problems by breaking them down into smaller parts. This makes it easier to see how they are connected and how they affect you. These parts are:

A Situation – a problem, event or difficult situation. From this can follow:

  • Thoughts
  • Emotions
  • Physical feelings
  • Actions

Each of these areas can affect the others. How you think about a problem can affect how you feel physically and emotionally.

In addition to talking therapies some people also want to consider dental sedation

What is Sedation?

ID-100341794tiveryluckyIntravenous Sedation is when a drug is administered into the blood system during dental treatment. Sedation induces a state of deep relaxation and a feeling of not being aware of the treatment being carried out. You remain conscious during intravenous sedation and you are still able to understand and respond to simple requests.

However, many people report that they do not remember much or anything at all about the treatment they had done as sedation can produce a partial or full memory loss (amnesia) for the period of time when we administer the drug until it wears off. This can result in you not remembering very much of what happened, some people remember nothing at all.

While the drug used during sedation will relax you and make you forget what happens, you will still need to be numbed as it is not a painkiller. If you have a fear of injections, the dentist will not numb the treatment area until the sedation has taken full effect. They will then wait until the local anaesthetic has taken effect before starting your treatment.

The sedation drug administered though a vein, usually in the hand. An extremely thin needle is put into a vein close to the surface of the skin on the back of your hand. The needle has a soft plastic sheath around it and as it enters the vein, the needle is slid out leaving the soft plastic sheath in place. The drugs are put in through this sheath, this stays in place throughout the procedure.

How will IV sedation in the surgery affect me?

You become drowsy and are not aware of having any treatment, but you are still able to co-operate with the dentist. The effects of sedative medicine take some time to wear off and your dentist will tell you how long the drugs will take to clear from your body. You won’t be able to drink alcohol, drive or work machinery during this time.

In addition to CBT we also recommend finding ways to relax…

Top Tips to Relaxing at The Dentist (2)

ID-10044145Ambro.Try Acupressure

Pressure to meet a deadline can be stressful, but acupressure can help release all that tension. Acupressure’s a kind of touch therapy that works by balancing the circulation of fluids and energies in the body. Use the thumb and forefinger to massage the soft area between the thumb and index finger of the other hand. Dab on some lavender oil for extra relaxation.

Sip Green Tea

Instead of turning purple with rage, get green with a cup of herbal tea. Green tea is a source of L-Theanine, a chemical that helps relieve anger . Boil the water, pour it out, and take a soothing sip.

Remember to Breathe

Is there any simpler way to relax? Slow, deep breaths can help lower blood pressure and heart rate . For the fancy noses out there, try pranayama breathing, a yogic method that involves breathing through one nostril at a time to relieve anxiety. The technique’s supposed to work the same way as acupuncture, balancing the mind and body (and possibly eliminating the need for a tissue).

Use Creative Visualization

The doorbell rings. It’s Ryan Gosling (or Elizabeth Banks), and he/she wants to know if you’ll marry him/her. “Yes!” you shout and then—sorry, time’s up. These little daydreams, also known as “creative visualization,” involve thinking of something that makes us feel happy. It’s an instant mood boost on hectic days when we’re feeling tense.

Find the Sun

Here comes the sun—and some stress relief. If it’s a sunny day, head outside for an easy way to lift your spirits. Bright light can be an effective treatment for people who suffer from depression, and can even cheer up otherwise healthy folks

Take a Quick Walk

“Now walk it out, now walk [stress] out.” When you’re feeling overwhelmed or having trouble concentrating, go for a quick stroll around the block. You’ll get the benefits of alone time, physical activity, and a few minutes to gather your thoughts!

Try Aromatherapy

It takes just a minute to drip some lavender, tea tree, or another essential oil into your palm and inhale. The soothing scents may help send stress and anxiety packing by stimulating smell receptors in the nose that connect to the part of the brain that regulates emotions

References

(1) ‘Oral health status of non-phobic and dentally phobic individuals; a secondary analysis of the 2009 Adult Dental Health Survey’ by E. Heidari, A. Banerjee and J.T. Newton was published in the British Dental Journal on Friday 13 November 2015

(2) Tips sourced from: greatist.com/happiness/40-ways-relax-5-minutes-or-less site accessed 14/12/15

Image courtesy of Ambro, Tiveryluck & Stuary Miles at FreeDigitalPhotos.net

Our Thoughts on the New Sugar Smart App

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

Image Credit: nhs.uk/change4life-beta

It seems that, each day, many of us are eating too much sugar.

You may be surprised to discover the amount of sugar you are eating and how quickly the added sugar  that many of us consume can build up during the day.

The government are now advising that parents take action by installing a new app onto their smart phone which is able to read the barcodes on many food products giving them a visual representation of the amount of sugar a product contains.

The “sugar smart app”, from Public Health England (PHE), functions by checking bar code scans and revealing total sugar content of the food in either cubes or grams.

Authorities hope it can help combat tooth cavities, weight problems and type 2 diabetes and encourage families to select more healthy options with their daily diet.

TOOTH CAVITIES & DENTAL DISEASE

Approximately 46,500 children and young people under 19 were admitted to hospital for a primary diagnosis of dental caries in 2013–14 according to The state of children’s oral health in England report by the Faculty of Dental Surgery – that’s more children than were admitted for tonsillitis.

As a nation, if we are going to reduce these hospital admissions for young people and we need to get dental disease under control.

hospitaladmissions

Dental cavities arise when the bacteria in your mouth secrete acid. This acid secretion happens as they digest the sugar in your diet. This acid attacks the hard enamel of your teeth and can continue to penetrate deep into the tooth structure.

If this acid attack is left unchecked then the tooth can become seriously infected.

The only way to stop the dental cavity from continuing to grow is to visit the dentist, have the caries removed and then the hole filled. Advice on a good oral health routine can then be given as well as dietary advice.

It is this acid attack which can be limited if we control the amount of sugar that we have in our diets.

There are however other reasons to limit the amount of sugar.

TYPE 2 DIABETES

Chris Askew, Diabetes UK Chief Executive, said:

“Diets that are high in sugar are fuelling the rise in obesity, and in turn the dramatic rise in Type 2 diabetes, a serious health condition that can lead to devastating complications such as blindness, amputations and stroke. This is unlike Type 1 diabetes which cannot be prevented and is not caused by being obese. With the average child consuming three times the recommended daily amount of sugar, the need for action has never been more urgent. The new Sugar Smart app will help parents to understand and take control of their children’s sugar intake.

PHE states that young people are eating 3X more sugar than is recommended in their new Change4Life marketing campaign. Their research indicates that normally children aged 4 to 10 years of age are consuming 22kg of added sugar annually. That equates to about 5,500 sugar cubes which is more that the average 5-year old weighs!

It’s all as simple as 3 easy steps:

  1. Get The App

  2. Start Scanning

  3. Reveal The Sugar

HERE’S HOW TO USE THE SUGAR SMART APP

Credit: PHE
Image Credit: PHE
  1. Download the application through the Apple Store or Google Play.
  2. Based on how old you are, your everyday sugar allowance will differ. The application informs you on the maximum you should eat.
  3. Select the product that has a barcode.
  4. Open the application.
  5. Permit the application the use of the digital camera on your phone- a box will appear requesting permission.
  6. Line the barcode track up with the red-colored line and wait for a beep. If it’s doesn’t work, yo may be trying to scan too close up, so move the camera further away.
  7. The application will let you know just how much sugar there is in the product – however the application does not have every food item available yet as it is still in it’s development stage.
  8. After that you can share the end result together with your connections on FacebookTwitter, Google & other social media sites.
  9. Clicking the menu button gives you more about sugar content in meals, a scanning history and let’s you go to the app’s website.
Credit: PHE
Image Credit: PHE

If you have children we can highly recommend that they download the app and begins scanning food, this can be a fun way to educate your case about the amount of sugar in food.

More resources about sugar

 

ID-100289950
How Much Sugar is Too Much?

Pre treatment
Do You Have a Higher Chance of Developing Tooth Decay?

ID-100174225
The Sugar Factor

Image Source: www.freedigitalphotos.net

 

=============

Bluecourt Dental is a Private dental practice in Harrow offering free dental health advice via their website, social media streams and regularly updated blog posts.

Time to make that change

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

IMG_5815 IMG_5821 IMG_5825

Years of bad habits and irregular visits to the dentist caused this patient’s teeth to deteriorate very quickly.  Her top teeth were very uneven and heavily discoloured.  Close friends and family always commented on how her teeth looked, which over time, caused the patient’s confidence to drop.  She would never smile openly or laugh out loudly.  Meeting new people was impossible and having photographs taken was never an option.  This had a big impact on her life.  She wanted to become the person she was, someone who was full of life and confidence.

After careful thought and planning, the best course of treatment recommended by Dr Dixit was to replace the existing crown and provide new porcelain crowns for the heavily filled and discoloured teeth. The teeth were prepared to the ideal shape for the crowns using custom-made templates to minimise drilling. A soft-tissue laser was used to painlessly recontour the gums enabling the final crowns to be of the ideal length for her face. The new colour was matched to perfection using a special hand-held shade taking device.

IMG_7477 IMG_7481 IMG_7489

The patient was over whelmed  with the results.  Friends and family could not believe how confident it had made her. She was now able to hold her head up high and smile openly and laugh loudly.

 

 

 

The latest feedback from our patients

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

wordle

Who said I’m camera shy !

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

IMG_7103 IMG_7106 IMG_7124 IMG_7113 IMG_7108

“Please make me look nice for my daughter’s big day!”  These were the words of a loving mother who desperately wanted nice teeth for what was going to be one of the most important days of her life, her daughter’s wedding.   For most of her life,  she had lived with a smile she was very unhappy with.  Her top teeth were very uneven and discoloured.  The  old existing crowns towards the back of the mouth  had began to deteriorate, as well as a tooth which had become very stained and unsightly.   The gap in between her front  two teeth always seemed to draw attention to her not so great smile.  This  made her feel very self conscious and even embarrassed.   She would never smile in front of the camera,  and even in general conversation,  she would raise her hand to cover her mouth.  Friends and family always thought she was very quiet, but in reality, she lacked so much confidence that smiling, laughing and even talking was something she found very difficult.    She wanted a smile that would make  her  look and feel great.

With careful thought and planning, Dr Dixit achieved this transformation by using a combination of all ceramic crowns and veneers.  To make the teeth brighter , the teeth were whitened using the home whitening system.  The heavily filled teeth were protected with new crowns and the new veneers helped to improve the shape and position of the teeth.  The colour was matched exactly to the patients new teeth colour.  The crowns and veneers were made to look as natural as possible.

IMG_8254 IMG_8257 IMG_8159 IMG_8153 IMG_8259

The patient was very pleased with the results.   It had given her so much  confidence that she felt like a new woman.  She looked and felt amazing.  The discoloured front tooth and filling had gone and the visible black lines were no longer there.  She finally had the smile she always wanted.

 

 

What’s the Best Way to Whiten My Teeth?

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

Smiling woman Many people are looking for that brighter, whiter smile but did you know that research (1)  seems to indicate that it’s not actually a white smile which people find attractive, rather, it is a yellow smile which people find unattractive.

The researchers found that:

Whitening had no effect beyond that produced by natural colouration. This indicates that these colour induced alterations in ratings of attractiveness are mediated by increased/decreased yellowing rather than whitening per se.

As we get older our teeth yellow with age and whitening them back to their natural colouration is all that is required to achieve the most attractive smile, so what is the best way to whiten your teeth?

The best way to whiten teeth.

Here’s a simple list:

  1. Good oral hygiene.
  2. Over-the-counter teeth whitening products.
  3. Home teeth whitening.
  4. Restorative treatments such as immediate veneers, dental veneers dental crowns.

Good oral hygiene.

The first step to enjoying whiter teeth is to maintain good oral hygiene. Firstly this will help keep your natural teeth as white as possible, if plaque (2) is kept at bay then staining is less likely to build up on your teeth. Secondly, before you have any of the other teeth whitening treatments you’ll need to ensure that your teeth and gums are in good condition. Most dentists will not offer any form of cosmetic or whitening treatment if you’re oral hygiene is not up to scratch!

Over-the-counter teeth whitening products.

There are many products available to buy over-the-counter in your local pharmacy, However, the Daily Mail (3) says:

Experts warn that some products which claim to whiten could actually harm your teeth, gums and even your stomach lining.

jailed_OPT

While some of these products may work their effectiveness and safety isn’t monitored by a dental professional and therefore they come with some risk if you use them at home.

Another trend in teeth whitening is to go to beauty salons or other establishments other than a dental practice. Whilst this may be cheaper than going to a dentist it is also illegal! Teeth whitening falls under the category of “the practice of dentistry”, the General Dental Council (4) says:

The practice of dentistry is limited to GDC registrants. It is the Council’s view that applying materials and carrying out procedures designed to improve the aesthetic appearance of teeth amounts to the practice of dentistry. So too does the giving of clinical advice about such procedures. Therefore all tooth whitening procedures, including bleach and laser treatment, are seen as the practice of dentistry by the General Dental Council.

 

It is important to know the teeth whitening products contain an amount of peroxide, this peroxide can be dangerous if not used correctly and it is for this reason that we recommend you only visit a suitably qualified dental professional for your teeth whitening.

Home teeth whitening.

teeth-bleaching-tray-300x196When you have home teeth whitening you will be provided with a custom made and closed fitting bleaching tray, into this tray you will apply the bleaching gel which is held against your teeth.This bleaching tray has some unique features:

  1. It will be extremely close-fitting ensuring that you use the minimum amount of gel with each application, this means the gel goes further and lasts longer.
  2. The tray is customised for you, it can only be used by you.
  3. It will put a very slight amount of pressure around the tooth/gum margin. This is to create a seal in this area to prevent the peroxide gel from touching your sensitive gums.

These design features are extremely important to ensure that the treatment is not only effective but safe too, only a qualified dental professional is able to prescribe one of these trays.

Something to watch out for, the bleaching tray is made from a thermoplastic, this means you will need to keep tray away from hot/warm water as it could distort.

Restorative treatments such as veneers or crowns.

In some extreme cases with very dark teeth conventional teeth whitening is not able to lighten the teeth enough.

Before treatment
After treatment

As you can see from the case above these teeth were particularly dark and the patient wanted them particularly liked, there was also another complication, and existing Crown on the front tooth. Dental crowns and veneers cannot be lightened with teeth whitening techniques, so if you have an existing restoration then this will need to be replaced as part of the whitening process.

This lady wanted to improve her smile, have it more natural looking and whiter than it was before so we prepared her teeth for porcelain crowns to achieve an excellent result, what do you think?

>> Read more about this case here

Summary

Many times a combination of treatments can be used to whiten your teeth, you may have a single tooth which is too dark to whiten using the bleaching method, but we may be able to whiten the surrounding teeth and then use a single dental veneer or crown on the very dark tooth to whiten that the same shade.

The cost of teeth whitening treatments will also vary enormously depending on the complexity of your case. To give you an idea of dental fees please visit our fee guide. By far the cheapest way of maintaining unnaturally bright smile is to keep your teeth in excellent dental health. This will keep plaque at bay and ensure that the buildup of any staining on your teeth is kept to a minimum. The next most cost-effective method is to consider teeth bleaching however this is not always suitable for the reasons already stated.

Teeth Whitening References:

  1. “Evidence to Suggest That Teeth Act as Human Ornament Displays Signalling Mate Quality”  Colin A. Hendrie, Gayle Brewer  Published: July 31, 2012DOI: 10.1371/journal.pone.0042178  http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0042178 site accessed 18/12/14
  2. Information on Plaque From Wikipedia http://en.wikipedia.org/wiki/Dental_plaque site accessed 18/12/14
  3. The Daily Mail: DIY dazzlers: High Street tooth whiteners put to the test Read more: http://www.dailymail.co.uk/health/article-1282977/DIY-dazzlers-High-Street-tooth-whiteners-test.htm site accessed 18/12/14
  4. General Dental Council : Tooth whitening Q and A’s. http://www.gdc-uk.org/dentalprofessionals/standards/pages/tooth-whitening.aspx site accessed 18/12/14

=========

Blue Court Dental Centre is a local dentist in the heart of Harrow, Middlesex. They offer a range of dental treatments including teeth whitening, dental veneers and oral hygiene programs to help keep your teeth looking fresh and bright for life.

Why You Should Have Straight Teeth, This Might Surprise You.

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Latest posts by Dr Nishan Dixit (see all)

Presentation1One of the main reasons people decide to have orthodontic braces to get straighter teeth is because straight teeth look better, but from a purely dental and health point of view this is not the main reason you should consider straighter teeth. Did you know that straight teeth are easier to clean? And being easier to clean means they are healthier…

Irritable Bowl Disease

Recent research has shown a link between oral bacteria and a flareup of irritable bowel disease, The research identified that the bacteria invaded the bloodstream which then aggravated any existing irritable bowel causing the flareup, these bacteria are commonly found in the mouth! This research is linked to additional research which shows that the bacteria associated with gum disease and the more severe periodontitis can act as a keystone bacteria, this means their presence can instigate other processes and pathogens in the human body which can lead to Colon cancer and other inflammatory diseases.

So it’s clear that not only will keeping your teeth clean ensure that your teeth are healthy, it also helps to promote overall body health… So where do straight teeth fit in?

Straighter teeth are far easier to clean as you can get into those difficult to reach areas between your teeth. If your teeth are crooked or overlapping then it is harder to reach these areas, particularly with floss. This can lead to a buildup of these harmful bacteria which could eventually lead to the onset of other inflammatory diseases around the body.

So now that you know the importance of straighter teeth, let’s look at some of your options if you decide to have braces.

Option 1: Cfast

cfast Orthodontic braces with clear brackets and tooth coloured wiresCFast is one of the most modern option for orthodontic braces in our Harrow dental practice. These braces is a combination of tooth coloured wires and clear brackets to straighten the front 6 teeth on the top and bottom jaw only.

Because we are only straightening these front teeth we can move them much faster than standard braces which may also be moving the back teeth also. This makes CFast excellent for cosmetic orthodontics and also helps to straighten the teeth making them easier to clean.

 

 

 

Option 2: Six Month Smiles

Six Month Smiles is is one of those orthodontic systems which does exactly what it says on the tin, straighter teeth in approximately 6 months!

Before and after six month smiles

Once again, this is the modern alternative to classic train track braces and works with a trademarked clear bracket which is bonded due tooth.

These brackets are barely visible and are able to achieve a predictable result using low forces with short overall treatment times which means the treatment is more comfortable, safe and allows you to keep your teeth cleaner, which is great if your overall body health.

The results with six months miles can be quite amazing.

Option 3: Inman Aligner

Inman alignerThe Inman aligner offers an alternative type of orthodontic brace. Both of the options above are fixed orthodontics, the Inman aligner is a removable option. This has the advantage of being able to use different forces in the way of springs to move your teeth.

As you can see in this image these braces push and pull your teeth at the same time, working from inside your mouth and outside in unison with one another. This unique way of using braces means we can achieve a straighter smile in approximately 12 to 16 weeks, much faster than any other orthodontic system.

You would need to ensure that the where these braces for a minimum of 20 hours per day, removing them only to eat and clean your teeth. This means your commitment to wearing braces needs to be high with you strongly motivated to achieve your straighter smile.

Once again, the Inman aligner is only used for the front six teeth to straighten them out providing you with an easier to clean smile.

Option 4: Clear Braces

Clear bracesThese braces, once again, do exactly what they say on the tin, they are clear! These clear braces work by applying a small amount of pressure to your teeth in the direction required to move them. Once this small amount of movement has been achieved you will replace the removable clear brace with a new one. Typically replacing each race every two weeks.

Treatment times are approximately one year with this system, depending upon how much your teeth need to move. Once again we are normally only moving the front six teeth into a straighter alignment to achieve a more cosmetic result which is easier to keep clean.

As with the Inman aligner you will need to wear your clear braces for approximately 20 hours per day, only removing them to eat and clean your teeth. You can even continue to wear them in full view of the public, perhaps whilst teaching or giving a presentation, nobody else will ever know!

How to get orthodontic braces

We recommend that you do some research online before deciding which dentist to go to to have orthodontics. The systems described above require that your dentist is certified to use them, we suggest you ask to see this certification at your initial consultation. Many dentists offer an initial consultation either at a discounted rate or for free, do spend some time looking at their website to see if this is on offer at the dental practice local to you.

We also recommend that you ask the dentist for a series of reviews of their practice, this will leave you with peace of mind knowing that you have found a practice that other people like.

A good dentist should also have a range of before and after photographs to show you, please ask to see them when you go for your initial consultation. The photographs should be presented nicely and you should clearly be able to see the difference between the before treatment and after treatment photographs. Seeing these images allows you to know that the dentist you have found can actually do what they say they can and achieve the results that you want. Most dentists will have a range of photographs, so asked to see photographs which are similar to your own situation.

If you live in the Harrow HA1 area of Middlesex Then why not pop in to see us on the Watford Road. We are a modern dental practice offering a range of orthodontic braces to help you achieve a straighter and healthier smile… And we also offer a free consultation to anyone considering braces, please click here to download a voucher entitling you to this free assessment.