Category: Smile makeover

Information and advice about smile makeovers including treatments such as teeth whitening, orthodontics, veneers, bonding and crowns

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

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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.

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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.

 

 

 

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

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“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.

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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

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.

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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

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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.

Have your teeth become crooked again after having braces when you were younger?

 European Society aesthetic orthodonticsOne of the most common reasons for patients visiting the dentist for teeth straightening is relapse after having orthodontics when they were younger. Patients often find that once they stop wearing their retainers that their teeth can begin to move back to where they were before. Coupled with the fact that as we get older our teeth have a tendency to drift forwards and become more overcrowded.
So if you find that your teeth are becoming more crooked again, after having orthodontics as a child, then you are not alone.

So what is the solution?

The European Society of Aesthetic Orthodontics (ESAO) recognises the need for a variety of orthodontic treatments of this nature and ensures that its members provide a qualified, informed choice for patients when considering this type of treatment, Dr Nishan Dixit is pleased to be a member of the ESAO and can offer you a wide range of orthodontic options from his dental practice in Harrow.
Teeth-straightening  can be a relatively simple, speedy and painless option if you have crooked teeth, so let’s look at what those options are:

Rapid Tooth Straightening

Within this category of orthodontics fall 3 particular treatments:
  • Six Month Smiles
  • Inman Aligner
  • CFast

Six Month Smiles

Faith Hill has adult orthodontic bracesAs the name suggests Six Month Smiles offers orthodontics which take, on average, six months to achieve the new look. The system is fixed using tooth coloured wires and brackets to ensure that no one else knows that you have braces fitted. As with most of these aesthetic orthodontic options Six Month Smiles is only used to straighten the front six teeth, often known as the social six.

Inman Aligner

This is a removable appliance, which utilises a revolutionary spring design which both pushes and pulls at the same time depending on where we want teeth to move. The brace can only move your front six teeth by gently  de-rotating them and then realigning them. Unlike six month smiles you can take out an Inman Aligner, you need to resist this temptation as much as possible and ensure that you wear your aligner for around 20 hours per day, simply removing it to eat, drink and clean your teeth.
One of the big advantages with the Inman Aligner is due to the revolutionary technology in the springs which  enable it to move your teeth very quickly, often in around 12 weeks. If you have a short period of time to have your teeth straightened then the Inman Aligner could be your ideal option.

Cfast

This technique is similar to 6 month smiles in that it utilises fixed orthodontics to move your teeth into their new positions. The system also utilises almost invisible orthodontics with clear braces in some instances. This makes Cfast one of the most versatile orthodontic systems around meaning you get the best teeth, straightening result with the minimum amount of hassle.

Almost Invisible Tooth Straightening

Clear Aligners

Clear Aligners - invisible bracesClear Aligners are exactly that, completely clear. They work by moving your teeth a small amount at a time. You will be provided with a series of aligners which you will typically wear for about two weeks each. Each aligner puts a small amount of pressure on your teeth to move them or rotate them to their new position. Once your teeth have moved a tiny amount you will replace the aligner with the next one in the series.
The art with using clear aligners is for  your dentist to choose exactly the right amount aligners for your particular case to ensure that your teeth move gently into their new positions.
Many people like clear aligners as they are virtually invisible to the naked eye, this means that if you have a high profile job or are in the public eye you can have straighter teeth with no one else knowing!

In Summary

Adult Orthodontics are one of the most popular cosmetic treatments requested by patients in many dental practices around the UK, and certainly, this is the case at our practice in Harrow, Middlesex. By offering you a range of treatments and being members of the ESAO you can be sure that you are offered something which fits not only your budget but your exact dental requirements.
We strongly recommend that you keep an open mind with regards to treatment, the descriptions listed above are relatively simple and there are additional requirements for each of them to be used. It may be that your dental situation is more suited to one system than another. So going to your dentist with an open mind allows you to be free to choose the best option to you.
Blue Court Dental Centre offer a free consultation, with our treatment co-ordinator, for anyone wishing to find out more about aesthetic orthodontics for teeth that have moved after having braces as children. Simply complete the download here to request your appointment.
 
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