Category: Did You Know

Did you know? Articles and blog posts with an interesting slant

Dr Dixit is the new President of British Academy of Cosmetic Dentistry

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 with great pleasure that we can announce that our very own Dr Nishan Dixit is the new  President of the British Academy of Cosmetic Dentistry.

Being President of such a prestigious organisation is an incredible honour and privilege. It is also testimony to his dedication and passion to the profession of dentistry that he was elected to be the figurehead of the Academy.

The BACD is a world-leading authority on cosmetic dentistry and was formed in November 2003 by a group of dentists, many of them leading practitioners in the field of cosmetic dentistry, who saw a need to share their knowledge with others. Their aim was to create a dynamic, active group of dental professionals and an environment where everyone can come together to share their knowledge and experiences, so that everyone can become better at what they do – regardless of their level of prior knowledge.

IMG_1309The BACD aims to promote clinical excellence through continuing professional development, and undergoing peer review to ensure that any clinical dental work is up to the highest standards.

By visiting a dentist that is a member of the BACD, let alone President, you can be assured that your cosmetic dentist will be working to the highest standards.

Why do I have tooth sensitivity?

Many people suffer from sensitive teeth for a variety of reasons, this article highlights why you may suddenly develop sensitive teeth, what you can do about it at home, what treatments the dentist may be able to offer you and how to reduce the pain from tooth sensitivity.

What causes tooth sensitivity?

diagram of a toothYour teeth are made up of three primary layers:

  1. The nerve and pulp. This is the deepest living part of your tooth, it contains the nerve and has blood flowing through it to keep your tooth alive, it is protected by two out of protection layers.
  2. The dentine. This is the softer portion of your tooth, it gives the tooth it’s primary colour and its role is to support the hard yet brittle outer enamel.
  3. The enamel. This is the hardest substance in the human body and protects the outer portion of your tooth.

Sensitivity occurs when hot or cold substances, such as eating ice cream, get too close to the nerve, there are many reasons this could happen, including:

  • Tooth wear caused by over brushing.
  • Gum recession caused by over by over brushing or general ageing.
  • Cracked teeth caused by trauma.
  • Decay in teeth caused by poor oral hygiene.
  • Tooth grinding or clenching.

Why are my teeth suddenly sensitive?

The key to understanding this is to think about how the hot or cold feeling may be getting through to the nerve. If you have had a recent trauma then perhaps the tooth is correct. If you haven’t been to the dentist for a while perhaps there is an area of tooth which is decayed.

The image below shows gum tissue recession around the gum line, possibly caused by over brushing. The enamel is thin in this area which can easily lead to teeth sensitivity.

Image Credit: www.implantdentist.co.nz/procedures/gum-regeneration/
Image Credit: www.implantdentist.co.nz/procedures/gum-regeneration/

If you can’t immediately identify what the problem is then visiting a dentist or dental hygienist may be best option.

How do you stop sensitive teeth pain

If you have sensitive teeth with no obvious cause then you may find that using a protection and relief toothpaste such as Sensodyne may help.

How does Sensodyne work?

These toothpastes work because there are tiny holes, called tubules, in the dentine of your tooth. If the enamel becomes eroded away then these tubules can transmit the hot and cold through your tooth. These toothpastes work by quickly creating a barrier so that the hot and cold feeling can’t be transmitted to the nerve.

However, it’s worth noting that these types of toothpastes WILL NOT work if the sensitivity is caused by excessive enamel or dentine loss such as cavities, excessive wear or cracks caused by trauma.

How long does tooth sensitivity last?

Tooth sensitivity is usually only instantaneous when the nerve becomes exposed to hot or cold. Remove the hot or cold and the sensitivity goes away. However, the reality is that this is not practical to do on a day by day basis, we have to eat and drink after all! Unfortunately, if your teeth are sensitive they won’t get better on their own, you will either need to use a relief and protection toothpaste or visit a dentist to ascertain why your teeth are sensitive.

What does the dentist do for sensitive teeth?

The basic premise for reducing tooth sensitivity is to protect the outer surface of the tooth to prevent the hot and cold sensations been transmitted through to the nerve, or in extreme circumstances to remove the nerve itself. There are a variety of ways of treating sensitivity at the dentist, including but not limited to:

  • Fluoride treatments to strengthen tooth enamel. These fluoride gels can be applied topically at the dentist or trays can be provided for use at home.
  • Bonding. Composite bonding materials can be used to bonded to the outer surface of the tooth to rebuild the enamel where it has been lost. This can cover up the dentin hypersensitivity.
  • Surgical gum graft (Please see the explanation video below). If the sensitivity is caused by excessive gum resorption which exposes the more sensitive root of the tooth then a gum graft to replacing some of the gum tissue may be undertaken to cover up some of this exposed area around the gum line.
  • Root canal. In extreme circumstances a root canal can be used to remove the nerve of the tooth. This is not normally a preferred option and will only be undertaken in extreme circumstances.

Summary

One of the key things to focus on is brushing your teeth and maintaining good dental care throughout your life, ensuring you brush and floss regularly. Tooth sensitivity is a common problem, particularly in later life as the gum becomes more exposed and the teeth wear. Certainly, this is one of the best ways to prevent tooth sensitivity. If you are older then be aware about using a soft bristled toothbrush, watching to ensure you don’t consume too many acidic foods and drinks and be aware if you grind your teeth. Cold air can also affect sensitivity, so you may find you need to wear a scarf in cold weather.

 

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)

Looking for an emergency dentist? Here’s what you need to know

The search term “Emergency dentist near me” gets almost 4000 searches in the local area per month, so we know that people looking for an emergency dentist and that they need information about treatments and options available.

We have broken this article on emergency dental treatments down into a few headings:

  1. Teeth which have come out completely.
  2. Loose teeth.
  3. Broken teeth.
  4. Tooth abscesses.

1. Teeth which have come out completely

What to do if the tooth comes out completely

If the tooth has come out completely you may be able to replace it so long as it is not damaged. If there are still blood vessels or nerves attached do your best to keep these intact and only hold the tooth by the crown section and not the roots.

Where to hold a tooth if it has been knocked out

If you can, gently place the tooth back into the socket ensuring it is the right way round. Only do this if the tooth is completely clean and hasn’t been in contact with the ground.

If the tooth has been in contact with the ground place it into a clean (ideally sterile) plastic bag with some milk and take it with you to your dentist or accident and emergency at the local hospital.

If the socket is bleeding profusely then gently bite down onto a soft piece of gauze, when the bleeding subsides don’t immediately remove the gauze as this could dislodge the blood clot and the bleeding could start again. Alternatively use a cold teabag, it has been shown that the tea contains substances which can help to reduce the amount of bleeding.

Do teeth grow back in adults?

Unfortunately not. Once your baby/deciduous teeth have fallen out you only get one set of permanent teeth. The only teeth which may grow after this initial set have come through are the very last molars or wisdom teeth.

2.Loose teeth

Can a loose tooth become tight again?

If the looseness of the tooth has been caused by gum disease then yes, if the gum disease is treated and the problem resolved then the tooth can tighten up again. This shows the importance of the early treatment of gum disease and how the situation can be saved if caught early.

3.Broken teeth

Is a chipped tooth an emergency?

A chipped tooth is only an emergency if either the tooth is bleeding or the gum surrounding the tooth is bleeding and won’t stop. If the tooth has chipped and there is no pain or bleeding then this would not normally be considered a dental emergency, you should however make an appointment to see the dentist as soon as possible to rebuild the tooth if required.

Can a chipped tooth heal itself?

Amazingly, yes, a chipped tooth can heal itself but it won’t rebuild itself. If the tooth chips and the softer underlying dentine has become exposed the tooth will react to this and create what is known as secondary dentine. This secondary dentine is often much darker but is also harder and will protect the softer underlying tooth. If you want the full contour of the chipped tooth to be restored then the only way to do this is to visit your dentist who will then use dental bonding or possibly veneers or a crown.

How to fix a chipped tooth

A chipped tooth can only be fixed by your dentist. If the chip is small then they may use dental bonding to rebuild the full contour of the tooth. If the chip is significant then dental bonding may not be adequate and a full dental crown or veneer can then be used. This may require a small amount of reduction of the healthy tooth structure in some instances.

4.Tooth abscesses

Is an abscess a dental emergency?

Yes. an abscess is a buildup of pus from an infection around the tooth. It is characterised by significant swelling, redness and pain. An abscess will not go away on its own and in extreme circumstances can spread to other parts of the body and make you ill.

What helps a tooth abscess?

If you have a tooth abscess then we recommend you contact your emergency dentist as soon as possible, whilst you are waiting to see them you can reduce the pain by rinsing your mouth with warm salt water, this is particularly effective if the abscesses caused by gum infection. Saltwater can help to remove bacteria from the infected area.

 

We also recommend:

  • Taking recommended doses of over-the-counter painkillers.
  • Avoiding particularly hot or cold food and drinks as it may make the pain worse.
  • Eating on the opposite side of your mouth.
  • Using a softer toothbrush than you would normally and don’t floss around the affected area until it has been seen by a dentist.

Please note, these are all temporary solutions and you will need to see a dentist to get the abscessed sorted.

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)

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 do you know which dental specialist to see?

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 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 Harrow 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

4_12_ORTHODONTICS_Cfast_Cosmetic_Tooth_Alignment_Triodent

 

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.

Prosthodontistdenture-implant

 

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.

Endodontistanatomy of a tooth

 

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 Dentistryrestorative 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 Harrow 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.

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Practice Update

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)

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.”

How much sugar is too much sugar?

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 the dental profession we have been warning about the intake of too much sugar for many years,  but why is this? It was originally the ancient Greeks that noticed that if they ate too many soft sweet things it destroyed their teeth, at first they thought it was the sugar which was directly responsible for attacking the teeth however we know today that this is not the case.

When you eat sugar not only does it act as a food for you, it acts as a food for the streptococcus bacteria in your mouth. As these bacteria feed on the sugar they excrete acids and it is these acids which eat away and attack the enamel outer layer of your teeth. These bacteria can be found in the plaque which often collects in between teeth or around the tooth/gum margin, this is why it is important to keep your teeth cleaned daily, flossing and rinsing to ensure that the plaque does not build up and give somewhere for the bacteria to hide.

So, back to our original question..

How much sugar is too much sugar?

The Journal of Dental Research carried out a systematic review to inform WHO guidelines on the effects of restricting sugar intakes in various age groups. The research looked at % of sugar in a daily diet and its relationship to the onset of decay. The problem has been that the research has been interpreted misguidedly.

Various newspapers have unfortunately taken the step of converting this % of sugar into a spoonful amount, probably to make it easier for the general public to work out how much sugar they should be having. These Papers have converted this into between 5 and 7 teaspoons per day. Unfortunately doing this leads people to assume that they can have 5 or 7 teaspoons per day on their cereal, coffee , tea or anywhere else they add sugar.

The biggest problem is they forget that most of the sugar we eat daily is hidden within foods, not added by us afterwards. If we only count the spoonfuls of sugar we add to our food then we will be dramatically exceeding the recommended amounts!

The research reported the following results in their abstract:

  • 42 out of 50 of the studies in children, and 5 out of 5 in adults, reported at least one positive association between sugars and dental decay
  • there was “moderate quality” evidence showing a lower risk of dental decay when sugar intake is less than 10% of calorie intake, compared with more than 10%
  • there was “very low quality” evidence showing a lower risk of dental decay when sugar intake is less than 5%, compared with 5-10% of calorie intake

So it seems that the research is suggesting if we keep our sugar intake below 10% of calorie intake then there is ‘moderate quality’ evidence to show a lower risk of dental decay… So perhaps we should start doing that!

How do we know how much sugar we are eating?

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We thought we’d give a rough guide to the amount of sugar contained within various food stuffs so that you can be sure to keep your intake ideally less than 10%.

  • A can of Coke contains approximately 11 spoonfuls of sugar increasing to 28 spoonfuls in the largest bottle
  • a McDonald’s Coke also contains 28 spoonfuls of sugar
  • a tub of Haagen Das ice cream contains 21 spoonfuls of sugar
  • the average chocolate bar contains around 10 spoonfuls of sugar
  • one breakfast pop tarts contains approximately 4 1/2 spoonfuls of sugar
  • One bowl of frosted cornflakes contains 6 spoonfuls of sugar
  • One NutriGrain Contains 3 1/2 spoonfuls of sugar
  • A Starbucks Mocha Frappuccion contains 12 spoonfuls of sugar
  • A McDonald’s Medium chocolate milkshake contains 28 spoonfuls of sugar

Statistics taken from Sugar Stacks – They have included all forms of sugar in these statistics and have simply turned it into a ‘spoonfuls’ amount to make it easier to understand.

Summary

Research over the years has clearly shown that Eating too much sugar will directly impact oral health, the only question lies around exactly how much is too much. The new research seems to suggest that when we keep sugar intake below 10% (Or around 5 to 7 spoonfuls of all sugar intake per day) there is moderate quality evidence showing a lower risk of dental decay, and that can only be good.

Our advice therefore is to look at the quantity of sugar in the food that you eat, remember that sugar can be from many sources and it’s not just the sugar which we add to food that counts.

So how much sugar do you eat per day? Let us know in the comments section below this blog post, and then tell us what you’re going to do to cut down…

 

Tips for better oral health

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)

How to Look After Your Teeth

There are lots of things you can do to maintain your dental health and achieve a fresh and attractive smile.  Here are a few top tips to get you going….

01 Brush your teeth at least twice a day.  When you brush, don’t rush.  Take enough time to do  a thorough job – two minutes is recommended.

02 Use toothpaste that contains flouride to help prevent cavities.

03 Consider using an electric or battery-operated tooth brush, especially if you have arthritis or other problems that make it difficult to brush effectively.

04 Practice good technique.  Hold your toothbrush at a slight angle against your teeth and brush with short back-and-forth motions.  Remember to brush the inside and chewing surfaces of your teeth, as well as your tongue.  Avoid vigorous or harsh scrubbing, which can irritate your gums.

05 Know when to replace your toothbrush.  Invest in a new toothbrush or a replacement head for your electric toothbrush every two to three months – or sooner if the bristles become frayed.

06 Cleaning between the teeth at least once a day is important as it removes food and plaque from between the teeth where even the best toothbrush can be ineffective.  For most people, doing this once a day is enough and the best time to do it is after your last meal of the day.  Clean between your teeth before or after brushing, but rinse your mouth afterward to wash out everything that has been dislodged.

07 Brush your tongue as well as your teeth to help eliminate mouth-borne bacteria and to keep your mouth and breath fresh.

08 A mouthwash can help with oral health.  Mouthwashes with alcohol can dry out the mouth, so try to use brands that contain no alcohol.

09 Always wait 20-30 minutes before you brush your teeth after eating or drinking acidic food or drink, such as oranges, as this can erode the enamel on your teeth.

10 Avoid eating too much sugar and drinking sugary drinks such as soda, sweetened teas, or fruit juices, particularly in between  meals.

11 Nuts, dairy foods such as cheese, and meats are all good dietry choices that can help strengthen enamel because of the calcium and vitamins they provide.

12 Chewing sugarless gum after a meal is a good way to substitute brushing inbetween meals; it can help remove food particles for between the teeth and produces saliva which counteract the bacteria.

13 Make sure you visit your dentist every six months and a hygienist visit to look after your teeth and gums.

14 If you have a toothache, it is important to seek  emergency dental care immediately as this could be a potential infection or abcess.

Top tips for people with sensitive 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

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We often have people come to our dental practice with sensitive teeth and so we thought we would provide some top tips for people in this situation.

Blue Court Dental Practice in Harrow’s top tips for people with sensitive teeth

01 Make sure you are cleaning your teeth properly.  A simple message but if bacteria and plaque build up on the teeth they produce acids and toxins that attack the teeth and gums.  These acids can cause decay and make the teeth uncomfortable, whilst the toxins can cause the gums to shrink away from the teeth making the situation worse.  Always remember to clean your teeth.

02 Avoid acidic food and drink.  Certain foods contain a great deal of acid, examples are many types of fruit; oranges, lemons, apples etc which contain citric acid.  Some fizzy drinks like cola and lemonade, alcoholic drinks like sparkling wines and drinks with mixers are also high in acid.  Using a straw to drink through reduces the amount of liquid that goes onto the teeth and helps sensitive teeth.

03 Avoid extremes of hot or cold.  Sensitivity of teeth is believed to be due to movement of fluids along tiny tubes on the root surface.  Extremes of hot or cold move the fluid in these tubes causing pain.  The nerve is not actually exposed, but it can feel very uncomfortable.  Luke warm drinks can usually be tolerated well.

04 Use a sensitive formula toothpaste.  There are many good toothpastes that can help reduce sensitivity.  It is often essential to use them for a few weeks to feel the effect and they work better if some of the toothpaste is rubbed into the area and left to soak in.  Some mouthwashes that contain fluoride can also be helpful.  Ask your dentist or hygienist for advice.

05 Have a dental examination.  Although sensitivity is often caused by the problems mentioned, there may be other reasons for the discomfort.  It is always worth seeking professional advice in case there is some decay, a cracked tooth or broken filling.  Your dentist will be pleased to discuss your needs and offer you tailored help and advice.