The whitening shade guides are used to measure tooth color. These shades determine the effectiveness of the whitening procedure, which may vary from two to seven shades.[16] The effects of bleaching can last for several months, but may vary depending on the lifestyle of the patient. Consuming tooth staining foods or drinks that have a strong colour may compromise effectiveness of the treatment. These include; coffee, fizzy drinks, red-colored sauces etc.

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To whiten the natural tooth shade, bleaching is suggested. It is a common procedure in cosmetic dentistry, and a number of different techniques are used by dental professionals. There is a plethora of products marketed for home use to do this also. Techniques include bleaching strips, bleaching pens, bleaching gels and laser tooth whitening. Bleaching methods generally use either hydrogen peroxide or carbamide peroxide which breaks down into hydrogen peroxide.

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The information and content (collectively, "Content") on this website is for your general educational information only. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. The Content on this website is not medical advice. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Health information changes quickly. Therefore, it is always best to confirm information with your health care professionals.

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When most people see the words "dental care," they think of dentists, dental fillings, orthodontic braces, dental sealants, etc. Those are important, but they're not the whole story. Good dental health really begins with you and a regular oral hygiene routine that includes brushing your teeth with a soft-bristle toothbrush twice a day for 120 seconds. In importance, proper flossing at least once a day is right up there with brushing ... many respected periodontists would argue that it's even more essential. Local Dentist In Central London West London London
The best way to preserve your whitening results is to avoid stain causing products such as coffee, red wine, and dark colas. If skipping your morning coffee is too difficult, just remember to avoid brushing your teeth or using whiteners right after — it can do more harm than good. Acidic food and drinks soften your teeth, and Dr. Sanda Moldovan, DDS recommended, swishing with water “to lessen stains and prevent demineralization of teeth which causes sensitivity.”

Bad breath, or halitosis, is most frequently associated with a condition of the mouth like gum disease. As the bacteria that are normally present in the mouth break down plaque and tartar, they release chemicals that have a strong odor. Bad breath can also come from plaque that builds up on the tongue. As the plaque and tartar are removed from the teeth and tongue with regular brushing, flossing, and professional dental cleanings, the halitosis can be eliminated. This is the easiest way to reverse bad breath, but it can take a while for the mouth odor to completely disappear. A person needs to be consistent and persistent with oral hygiene to reverse the condition.


Doxycycline may be given alongside the primary therapy of scaling (see § initial therapy).[62] Doxycycline has been shown to improve indicators of disease progression (namely probing depth and attachment level).[62] Its mechanism of action involves inhibition of matrix metalloproteinases (such as collagenase), which degrade the teeth's supporting tissues (periodontium) under inflammatory conditions.[62] To avoid killing beneficial oral microbes, only small doses of doxycycline (20 mg) are used.[62]

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Ask the Dentist is supported by readers. If you use one of the links below and buy something, Ask the Dentist makes a little bit of money at no additional cost to you. I rigorously research, test, and use thousands of products every year, but recommend only a small fraction of these. I only promote products that I truly feel will be valuable to you in improving your oral health.
Placement of the implant: The implant screw is placed and can be self-tapping,[22](pp100–102) otherwise the prepared site is tapped with an implant analog. It is then screwed into place with a torque controlled wrench[23] at a precise torque so as not to overload the surrounding bone (overloaded bone can die, a condition called osteonecrosis, which may lead to failure of the implant to fully integrate or bond with the jawbone). Bolton dentist, holborn dentist, london dentist- Dr Monik Vasant on GMTV
An increasingly common strategy to preserve bone and reduce treatment times includes the placement of a dental implant into a recent extraction site. On the one hand, it shortens treatment time and can improve aesthetics because the soft tissue envelope is preserved. On the other hand, implants may have a slightly higher rate of initial failure. Conclusions on this topic are difficult to draw, however, because few studies have compared immediate and delayed implants in a scientifically rigorous manner.[24] How long dental implants last ?
^ Wu, Tiejian; Trevisan, Maurizio; Genco, Robert J.; Dorn, Joan P.; Falkner, Karen L.; Sempos, Christopher T. (2000). "Periodontal Disease and Risk of Cerebrovascular Disease: The First National Health and Nutrition Examination Survey and Its Follow-up Study". Archives of International Medicine. 160 (18): 2749–55. doi:10.1001/archinte.160.18.2749. PMID 11025784. Dental Implants Cost - What is the Cost of Dental Implants?
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Let’s start from the beginning: A dental implant is actually a replacement for the root or roots of a tooth. Like tooth roots, dental implants are secured in the jawbone and are not visible once surgically placed. They are used to secure crowns (the parts of teeth seen in the mouth), bridgework or dentures by a variety of means. They are made of titanium, which is lightweight, strong and biocompatible, which means that it is not rejected by the body. Titanium and titanium alloys are the most widely used metals in both dental and other bone implants, such as orthopedic joint replacements. Dental implants have the highest success rate of any implanted surgical device. Best Dentist In London
Dental implants are surgically placed in your jawbone, where they serve as the roots of missing teeth. Because the titanium in the implants fuses with your jawbone, the implants won't slip, make noise or cause bone damage the way fixed bridgework or dentures might. And the materials can't decay like your own teeth that support regular bridgework can.
After an implant is placed, the internal components are covered with either a healing abutment, or a cover screw. A healing abutment passes through the mucosa, and the surrounding mucosa is adapted around it. A cover screw is flush with the surface of the dental implant, and is designed to be completely covered by mucosa. After an integration period, a second surgery is required to reflect the mucosa and place a healing abutment.[27](pp190–1) Dental Implants to replace lower central incisors

Many dentists are of the opinion that professionally dispensed take-home whitening kits can produce the best results over the long haul. Take-home kits incorporate an easy-to-use lower-concentration peroxide gel that remains on the teeth for an hour or longer (sometimes overnight). The lower the peroxide percentage, the longer it may safely remain on the teeth. The gel is applied to the teeth using custom-made bleaching trays that resemble mouth guards. Best Cosmetic Dentist London - My Experience
^ Chappuis, Vivianne; Buser, Ramona; Brägger, Urs; Bornstein, Michael M.; Salvi, Giovanni E.; Buser, Daniel (2013-12-01). "Long-term outcomes of dental implants with a titanium plasma-sprayed surface: a 20-year prospective case series study in partially edentulous patients". Clinical Implant Dentistry and Related Research. 15 (6): 780–790. doi:10.1111/cid.12056. ISSN 1708-8208. PMID 23506385. EGO Dental Clinic Promo Video

We know that the dental implant process can sometimes feel overwhelming. That’s why at Maryland Oral Surgery Associates, our team is with you the entire way, from the consultation phase all the way through the life of your implant with the information, support and comfort you need. Please call us today at Annapolis Phone Number 410-897-0111 to start your dental implant journey off on the right foot. Best Cosmetic Dentist London - My Experience
To control pain, anesthesia options during surgery include local anesthesia, sedation or general anesthesia. Talk to your dental specialist about which option is best for you. Your dental care team will instruct you about eating and drinking before surgery, depending on what type of anesthesia you have. If you're having sedation or general anesthesia, plan to have someone take you home after surgery and expect to rest for the remainder of the day. Cosmetic Dental Surgery - London Smile Dental Practice W1
Flap surgery/pocket reduction surgery. During this procedure the gums are lifted back and the tarter is removed. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. The gums are then placed so that the tissue fits snugly around the tooth. This method reduces the size of the space between the gum and tooth, thereby decreasing the areas where harmful bacteria can grow and decreasing the chance of serious health problems associated with periodontal disease. Dental implants London - Replace Your Missing Tooth
The cornerstone of successful periodontal treatment starts with establishing excellent oral hygiene. This includes twice-daily brushing with daily flossing. Also, the use of an interdental brush is helpful if space between the teeth allows. For smaller spaces, products such as narrow picks with soft rubber bristles provide excellent manual cleaning. Persons with dexterity problems, such as arthritis, may find oral hygiene to be difficult and may require more frequent professional care and/or the use of a powered toothbrush. Persons with periodontitis must realize it is a chronic inflammatory disease and a lifelong regimen of excellent hygiene and professional maintenance care with a dentist/hygienist or periodontist is required to maintain affected teeth. best dentist in london nhs
When stricken with a mysterious illness, unfamiliar rash or sudden pain, many individuals seek the guidance on the internet, typically using an online symptom checker. Of course, more often than not, the problem diagnosed by the internet differs greatly from the diagnosis of a real, qualified doctor. As many patients of online diagnosis tools have learned, there is no substitute for a live physician or expert. Pro Dental Clinic London - Patient Testimoial - Diabetic - Weak Gums - Dental Implants
Most of us start out with sparkling white teeth, thanks to their porcelain-like enamel surface. Composed of microscopic crystalline rods, tooth enamel is designed to protect the teeth from the effects of chewing, gnashing, trauma and acid attacks caused by sugar. But over the years enamel is worn down, becoming more transparent and permitting the yellow color of dentin — the tooth’s core material — to show through.

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When it comes to buying LED teeth whitening kits, there are a few things you should be aware of to make the best choice for your needs. Of course, not all tooth whitening kits are created equal, and that goes for the blue LED lights that come with these kits as well. Investing in a tooth whitening system is affordable and practical, and it can give you real results if you know what to look for in a good tooth whitening system. Remember, these are all at-home tooth whitening kits; professional kits that you would buy from your dentist’s office are different. Cosmetic Dentist London – Experts in Cosmetic Dentistry
Make a sea salt solution. Dissolve a small amount of sea salt in a cup of warm water. Swish a sip of the solution in your mouth for 30 seconds and spit it out. Repeat several times. Salt water will reduce swollen gums, gum bleeding and will also decrease the swelling caused by infection. However, if the infection has advanced to an abscess, then you will need antibiotics. Add this mouth rinse to your twice-daily brushing routine. 

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Periodontitis - At this stage, the supporting bone and fibers that hold the teeth in place are irreversibly damaged. The gums begin to form a pocket below the gum line, which encourages penetration and growth of plaque below the gum line. Professional periodontal therapy and improved personal oral hygiene can usually help prevent further damage to the gum tissue and supporting tissue and bone. Best Cosmetic Dentist London - My Experience
The low pH of bleach opens up dentinal tubules and may result in dentine hypersensitivity, bringing about hypersensitive teeth.[35] It manifests as increased sensitivity to stimuli such as hot, cold or sweet. 67 – 78% of the patients experience teeth sensitivity after in office bleaching with hydrogen peroxide in combination with heat.[36][37] Sensitivity of teeth can persist up to 4 days after teeth bleaching cessation.[38][39] However, it varies from person to person. A longer duration of hypersensitivity has been reported 39 days post-bleaching.[39]

The perception of tooth color is the result of a complex interaction of factors such as: lighting conditions, translucency, opacity, light scattering, gloss, the human eye and brain.[1] Teeth are composed of a surface enamel layer, which is whiter and semitransparent, and an underlying dentin layer, which is darker and less transparent. These are calcified, hard tissues comparable to bone. The natural shade of teeth is best considered as such; an off-white, bone-color rather than pure white. Public opinion of what is normal tooth shade tends to be distorted. Portrayals of cosmetically enhanced teeth are common in the media. In one report, the most common tooth shade in the general population ranged from A1 to A3 on the VITA classical A1-D4 shade guide.[2] Harley Street Smile Clinic, Cosmetic Dentistry in London
Periodontitis is caused by certain bacteria (known as periodontal bacteria) and by the local inflammation triggered by those bacteria. Although these periodontal bacteria are naturally present in the mouth, they are only harmful when the conditions are right for them to increase dramatically in numbers. This happens when a layer of bacteria and food debris, known as plaque, builds up and is left undisturbed on the teeth, commonly in hard-to-reach areas such as between the teeth.

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When left untreated, however, gingivitis can progress into a more serious condition called periodontitis. Toxins from this buildup of bacterial plaque not only affect your gum tissue, but also the bone and ligaments that support your teeth. As the infection causes disease to the bone and supporting tissues, your teeth may eventually become loose and need to be treated surgically or removed. But even advanced cases of periodontal disease don't have to progress to this point.
Advanced gum disease is called periodontitis. Chronic periodontitis affects 47.2% of adults over 30 in the United States. It can lead to the loss of tissue and bone that support the teeth and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. This is the most common form of periodontitis in adults but can occur at any age. It usually gets worse slowly, but there can be periods of rapid progression. Patient Testimonial 16 - by Life Dental Implants in Victoria London
The kit includes everything you need to bring back your sparkling smile. You get 5 large syringes of whitening gel, 2 custom-fit dental trays and 2 vitamin E swabs. You even get a shade guide so that you can compare your teeth at the start and watch them gradually lighten after each treatment. This means that you can see a completely objective view of the improvement the treatments have made to your teeth and you can see when you have reached your goal so that you don’t overdo it too. Dental Implants London - Finding The Best Dental Implants
Implants are made of titanium metal that "fuses" with the jawbone through a process called "osseointegration." There's no short cut to get around that process, and it usually takes several months once the implant is put into your jawbone. Osseointegration, however, is why implants never slip or make embarrassing noises like dentures, and why bone loss is usually not a problem. QMUL's new Dental School and Hospital
Regardless of the abutment material or technique, an impression of the abutment is then taken and a crown secured to the abutment with dental cement. Another variation on abutment/crown model is when the crown and abutment are one piece and the lag-screw traverses both to secure the one-piece structure to the internal thread on the implant. There does not appear to be any benefit, in terms of success, for cement versus screw-retained prosthetics, although the latter is believed to be easier to maintain (and change when the prosthetic fractures) and the former offers high esthetic performance.[22](p1233) About our dental practice - Bishopsgate Dental Care in London

Tray-based tooth whitening systems, purchased either over-the-counter or from a dentist, involve filling a mouth guard-like tray with a gel whitening solution -- which contains a peroxide-bleaching agent. The tray is worn for a period of time, generally from a couple of hours a day to every day during the night for up to four weeks and even longer (depending on the degree of discoloration and desired level of whitening).

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For an implant to become permanently stable, the body must grow bone to the surface of the implant (osseointegration). Based on this biologic process, it was thought that loading an implant during the osseointegration period would result in movement that would prevent osseointegration, and thus increase implant failure rates. As a result, three to six months of integrating time (depending on various factors) was allowed before placing the teeth on implants (restoring them).[8]

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The two side effects that occur most often with teeth whitening are a temporary increase in tooth sensitivity and mild irritation of the soft tissues of the mouth, particularly the gums. Tooth sensitivity often occurs during early stages of the bleaching treatment. Tissue irritation most commonly results from an ill-fitting mouthpiece tray rather than the tooth-bleaching agent. Both of these conditions usually are temporary and disappear within 1 to 3 days of stopping or completing treatment.
Removable dentures often are ill fitting and usually too loose.  In some cases, they don’t allow their wearers to eat and even talk properly. Many feel stigmatized, avoid social functions and feel inhibited from leading an active, healthy lifestyle.  Scientific evidence supports that for patients who are edentulous in the lower jaw, implant supported fixed prostheses are superior to removable dentures. Dental Implant London UK - Lotus Clinic The Dental Implant London UK Centre
The information in this 10-module syllabus is intended (1) to meet elements of initial educational/training requirements for Dental Students, Dental Hygiene Students, and Dental Assistant Students related to dental radiography; (2) to provide a framework for an in-service training program in oral healthcare settings to meet annual educational/training requirements as mandated by federal, state, local and professional organizations; and (3) to serve as a resource for oral healthcare personnel wishing to review evidence-based information on specific topics related to dental radiography. A PDF is available for each module that may serve as a convenient resource. Dental Implant Patient from London, UK - 15/09/2016

Dental floss should be used where the teeth are close together, with little or no space between them, while interdental brushes are suitable for larger gaps. Special care should be taken to clean thoroughly around crooked or crowded teeth, or around fillings, crowns and dentures, as plaque accumulates readily in these places and access might be limited.
The treatment goals for gingivitis are to identify and eliminate the factors that are making the person more susceptible to gum disease. Most factors can be eliminated by establishing more consistent and thorough oral hygiene habits and professional dental cleanings. If there are certain risk factors such as smoking or uncontrolled diabetes that are contributing to the gum disease, they need to be addressed or eliminated to have success in reversing gingivitis. After the plaque and tartar are removed by a dentist or hygienist, the patient can usually cure gum disease by brushing and flossing after every meal and using a daily mouth rinse. Under the supervision of a dentist, a patient can use 10% carbamide peroxide in a custom made tray that fits over the teeth with positive effects on plaque control and gingival health. This is especially helpful in patients where conventional oral hygiene practices like brushing and flossing are impaired due to age or special needs.
Get Gengigel. This product contains hyaluronic acid, a natural substance found in the connective tissues of the body. Research has shown that hyaluronate has anti-inflammatory, antiedematous and anti-bacterial properties that are effective in the treatment of gingivitis and periodontitis.[7] When Gengigel is applied to gums, it stimulates the production of healthy new tissue. In trials at the University of Rostock, Germany, scientists found it can boost tissue healing by up to a half, increase blood supply, and reduce inflammation.[8]

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To cut down on sensitivity during the whitening process, you can try brushing with Sensodyne Pronamel toothpaste (recommended by a few dentists we spoke to). Dr. Lawlor also recommends “putting a little toothpaste in a mouthguard and wearing it for about an hour after whitening — it seals off sensitive canals that teeth whiteners open to remove stains.” However, if you’re in real pain, give your teeth a break! You can always come back to whitening later or consult a dentist to see what other options are available. Dental Implant Clinic Camden
Internal staining of dentine can discolor the teeth from inside out. Internal bleaching can remedy this on root canal treated teeth. Internal bleaching procedures are performed on devitalized teeth that have undergone endodontic treatment (root canal treatment) but are discolored due to internal staining of the tooth structure by blood and other fluids that leaked in. Unlike external bleaching, which brightens teeth from the outside in, internal bleaching brightens teeth from the inside out. Bleaching the tooth internally involves drilling a hole to the pulp chamber no more than 2mm below the gingival margin, cleaning any infected or discoloured dentine, sealing, and filling the root canal with gutta-percha points, cleaning the inside of the canal using etchant and placing a peroxide gel or sodium perborate tetrahydrate into the pulp chamber so they can work directly inside the tooth on the dentine layer.[citation needed] In this variation of whitening the whitening agent is sealed within the tooth over a period of some days and replaced as needed, the so-called "walking bleach" technique.[citation needed]. A seal should be placed over the root filling material to minimise microleakage. There is a small risk of external resorption. Dental Clinic
Doxycycline may be given alongside the primary therapy of scaling (see § initial therapy).[62] Doxycycline has been shown to improve indicators of disease progression (namely probing depth and attachment level).[62] Its mechanism of action involves inhibition of matrix metalloproteinases (such as collagenase), which degrade the teeth's supporting tissues (periodontium) under inflammatory conditions.[62] To avoid killing beneficial oral microbes, only small doses of doxycycline (20 mg) are used.[62] Adams Dental in North London – helping you get dental implants
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