Nonsurgical scaling and root planing are usually successful if the periodontal pockets are shallower than 4–5 mm (0.16–0.20 in).[54][55][56] The dentist or hygienist must perform a re-evaluation four to six weeks after the initial scaling and root planing, to determine if the person's oral hygiene has improved and inflammation has regressed. Probing should be avoided then, and an analysis by gingival index should determine the presence or absence of inflammation. The monthly reevaluation of periodontal therapy should involve periodontal charting as a better indication of the success of treatment, and to see if other courses of treatment can be identified. Pocket depths of greater than 5–6 mm (0.20–0.24 in) which remain after initial therapy, with bleeding upon probing, indicate continued active disease and will very likely lead to further bone loss over time. This is especially true in molar tooth sites where furcations (areas between the roots) have been exposed.
^ Jump up to: a b c d e f g h Pjetursson, B. E.; Thoma, D.; Jung, R.; Zwahlen, M.; Zembic, A. (2012). "A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years". Clinical Oral Implants Research. 23: 22–38. doi:10.1111/j.1600-0501.2012.02546.x. PMID 23062125. Harley Street Smile Clinic, Cosmetic Dentistry in London
Whitening pens bring out the skeptic in us all, but our testers agreed this pen made touch-ups a breeze. The Go Smile pen takes only seconds to paste onto your front teeth, although it’s recommended you refrain from eating or drinking for at least 20 minutes after applying. “All you have to do is twist the cap until the product coats the brush and then paint the product on troublesome spots,” one of our testers said. What different dental implants are available?

The mouthpiece attaches to the light, which contains 5 intense LED bulbs which speed up your teeth whitening process. It leaves your hands free to get on with other tasks or kick back and relax while you treat your teeth. You don’t even need to keep an eye on the clock as the light has a built-in timer which alerts you at 10-minute intervals. It also comes with a storage case so you can keep it clean, or even whiten on the go!
We’ve also found that, though their website would suggest they operate on a 24-hour basis, some dentistry offices actually don’t offer 24-hour service. Unfortunately, this is incredibly frustrating for patients who need immediate help to deal with, especially if they’ve already made the trip down to the office to find a locked door and no help in sight.
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth.[3] In its early stage, called gingivitis, the gums become swollen, red, and may bleed.[3] In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out.[3] Bad breath may also occur.[1] Monday Bites
Evidence-based research also holds great promise for developing streamlined protocols that will make implants affordable for greater numbers of prospective patients.  To do this, implant dentists are adopting stricter controls and performance standards, especially when evaluating new products and technologies, to generate robust data in clinical studies to help find ways to further standardize dental implant protocols. 
At Columbia Dental Care, we believe that visiting the dentist does not have to be a painful or unpleasant experience. To that end, we offer the latest in modern dental technology to make our patients’ visits efficient and comfortable. Our office includes the following high-tech tools: an intraoral camera, digital radiographs, rotary endodontics, single-visit dental crowns, laser dentistry, and 3-D cone imaging. Patient Testimonial 31 - by Life Dental Implants in Victoria London
December 19, 2018 - AuraGlow's website currently claims its whitening pen contains 35% carbamide peroxide again. However, since there's no explanation as to the fluctuating concentration of its active ingredient and we've been unable to confirm either the current amount or reason for the changes with AuraGlow customer service, we stand by our new recommendation of GoSmile's On The Go Teeth Whitening Pen. 

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If nonsurgical therapy is found to have been unsuccessful in managing signs of disease activity, periodontal surgery may be needed to stop progressive bone loss and regenerate lost bone where possible. Many surgical approaches are used in the treatment of advanced periodontitis, including open flap debridement and osseous surgery, as well as guided tissue regeneration and bone grafting. The goal of periodontal surgery is access for definitive calculus removal and surgical management of bony irregularities which have resulted from the disease process to reduce pockets as much as possible. Long-term studies have shown, in moderate to advanced periodontitis, surgically treated cases often have less further breakdown over time and, when coupled with a regular post-treatment maintenance regimen, are successful in nearly halting tooth loss in nearly 85% of diagnosed people.[57][58]
Unfortunately, when life decides to throw a dental emergency at you, it doesn’t correlate schedules with you to make sure it happens at a convenient time. OnCall Dental is here to help in situations like this when you need a emergency Tempe dentist. We try to take the inconvenience factor out of things by building our practice to provide emergency dental services for our patients 7 days a week.
Night guard vital bleaching is another increasingly popular method of dentist prescribed at home teeth whitening. These methods have gained popularity due to the fact that significant results can be achieved overnight without the removal of any tooth tissue making it a conservative method of lightening tooth shade.The process of night guard vital bleaching involves alginate impressions of the patients’ teeth in the first visit, this is then cast into stone and a custom-made vacuum form tray is made. The patient is provided with bleaching solution, which is placed into the tray for use overnight. The number of nights the tray is used would be dependent on the extent of staining and the shade desired by the patient. Due to the recent spike in the use of home teeth whitening products there is a lack of research regarding long term implications such as side effects and duration of results. Research has found that ‘nightguard vital bleaching is a safe, effective, and predictable method to lighten teeth. The whitening effect lasted up to 47 months in 82% of the patients, with no adverse side effects reported at the end of the study’.[24] The Cost Of Dental Implants Might Surprise You 2018
Some professionally-applied and over-the-counter products include a hand-held LED light or laser that claims to accelerate the teeth whitening process. In most cases, this is bunk. According to the ADA, “Most studies have reported no additional long-term benefit with light-activated systems.” It won’t harm your teeth to use an LED light, but it’s probably a waste of time and money. Skip it.

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Tooth darkening can be a side effect of certain antihistamines, antipsychotics and high blood pressure medications. Young children who are exposed to antibiotics like tetracycline and doxycycline when their teeth are forming (either in the womb or as a baby) may have discoloration of their adult teeth later in life. Chemotherapy and head and neck radiation can also darken teeth.
Nearly half the initial change in color provided by an intensive in-office treatment (i.e., 1 hour treatment in a dentist's chair) may be lost in seven days.[42] Rebound is experienced when a large proportion of the tooth whitening has come from tooth dehydration (also a significant factor in causing sensitivity).[43] As the tooth rehydrates, tooth color "rebounds", back toward where it started.[44] Eastman Dental Hospital
Dr. Paul Amato, DDS, FAGD explained if you go above 10% hydrogen peroxide or 35% carbamide peroxide, “then you’re getting into the professional grade.” Whitening products this strong should only be used with dentist supervision — they’ll take care to completely protect your gum tissue with a rubber dam or gel. In any case, you should consult your dentist before using any teeth whitening product to make sure you’re getting what’s best for your teeth and gums.

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As gingivitis progresses (chronic gingivitis), various complications may arise. The affected person may develop receding gums or areas where the root of the tooth becomes uncovered by the shrinking, diseased gums. Deep pockets may develop around the teeth that trap food, plaque, and debris. If gingivitis advances to periodontal disease, the person may lose gum tissue or bone around the teeth and the teeth may become loose or fall out. These changes can develop either very slowly or very rapidly and can affect either a few teeth or the entire mouth. If oral hygiene is almost never done or if the person becomes immune-compromised, acute necrotizing ulcerative gingivitis may develop (ANUG, formerly termed trench mouth). This is a painful condition where infected gums swell, ulcerate, and slough off dead tissue. Dental Implants Clinic Nurident- UK patient from London
After scaling and root planing, if the gum tissue is not fitting snugly around the tooth and you can't keep the deep pocket area clean, you may be a candidate for periodontal pocket reduction or flap surgery. By folding back the gum tissue, your dentist or periodontist can remove infectious bacteria and smooth areas of damaged bone, allowing the gum tissue to reattach to healthy bone.

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Advanced Periodontitis - In this more advanced stage of gum disease, the fibers and bone of your teeth are being destroyed, which can cause your teeth to shift or loosen. This can affect your bite and how you eat and communicate. If aggressive periodontal therapy can’t save them, teeth may need to be removed by a dental specialist. Your dentist will provide restorative options if teeth are removed due to periodontal disease. Best Cosmetic Dentist In London | Book A Free Consultation
The term “whitening” on the other hand, refers to restoring a tooth’s surface color by removing dirt and debris. So technically speaking, any product that is used to clean the teeth (like a toothpaste) is considered a whitener. Of course, the term whitening sounds better than bleaching, so it is more frequently used — even when describing products that contain bleach. Teeth Whitening Dentist Camden
Dentists and dental hygienists measure periodontal disease using a device called a periodontal probe. This thin "measuring stick" is gently placed into the space between the gums and the teeth, and slipped below the gumline. If the probe can slip more than 3 mm (0.12 in) below the gumline, the person is said to have a gingival pocket if no migration of the epithelial attachment has occurred or a periodontal pocket if apical migration has occurred. This is somewhat of a misnomer, as any depth is, in essence, a pocket, which in turn is defined by its depth, i.e., a 2-mm pocket or a 6-mm pocket. However, pockets are generally accepted as self-cleansable (at home, by the person, with a toothbrush) if they are 3 mm or less in depth. This is important because if a pocket is deeper than 3 mm around the tooth, at-home care will not be sufficient to cleanse the pocket, and professional care should be sought. When the pocket depths reach 6 to 7 mm (0.24 to 0.28 in) in depth, the hand instruments and cavitrons used by the dental professionals may not reach deeply enough into the pocket to clean out the microbial plaque that causes gingival inflammation. In such a situation, the bone or the gums around that tooth should be surgically altered or it will always have inflammation which will likely result in more bone loss around that tooth. An additional way to stop the inflammation would be for the person to receive subgingival antibiotics (such as minocycline) or undergo some form of gingival surgery to access the depths of the pockets and perhaps even change the pocket depths so they become 3 mm or less in depth and can once again be properly cleaned by the person at home with his or her toothbrush.

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This teeth whitening light works best when whitening gel or strips are applied to the teeth first, then shined on (both are sold separate). The light can be tucked just behind the lips so it rests comfortably and shines on the front of your teeth. The light can be used for short whitening sessions of just 10 minutes or up to 45+ minutes, depending on the instructions provided by the teeth whitening gel or strips you use.  Introduction to The Smart Clinics Dentistry, London
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. Brighter Dental Care-Serving Mercer, Somerset, Hunterdon and Camden Counties

One way to address staining is by using at-home teeth-whitening treatment kits. These products are milder versions of the bleaching kits that are used by dentists to whiten teeth in the office. Teeth-whitening treatments typically use either hydrogen peroxide or carbamide peroxide as an active ingredient. When the whitening gel or liquid is applied to the teeth, the key ingredient creates a chemical reaction, helping to break down the stain. Typically, teeth-whitening treatment products must be left in place for a set number of minutes daily for a certain period of time, such as one or two weeks. Part 1-Dental Implant Placement with Bone Grafting and Membrane
Darkly stained teeth. Yellowish teeth respond well to bleaching, brownish-colored teeth respond less well and grayish-hue or purple-stained teeth may not respond to bleaching at all. Blue-gray staining caused by the antibiotic tetracycline is more difficult to lighten and may require up to six months of home treatments or several in-office appointments to successfully lighten. Cosmetic Dental Surgery - London Smile Dental Practice W1
If the soft bacterial plaque is not removed by brushing, minerals are deposited within it over time and it becomes a hard deposit on the tooth called tartar. The presence of tartar encourages the growth of the bacterial plaque towards the tooth roots. As the inflammation progresses deeper, the attachment of the gum to the root is disrupted and a gap or periodontal pocket is formed between them. This pocket is an ideal place for harmful bacteria to colonize and in which to multiply, therefore driving the disease process forward. In their new habitat, the bacteria release toxins as products of their metabolism, which further trigger the body’s defence mechanisms. Discover Why Helen Will Never Change Her Dentist!
^ Martin-Cabezas, Rodrigo; Seelam, Narendra; Petit, Catherine; Agossa, Kévimy; Gaertner, Sébastien; Tenenbaum, Henri; Davideau, Jean-Luc; Huck, Olivier (October 2016). "Association between periodontitis and arterial hypertension: A systematic review and meta-analysis". American Heart Journal. 180: 98–112. doi:10.1016/j.ahj.2016.07.018. ISSN 1097-6744. PMID 27659888.
The first step in the dental implant process is the development of an individualized treatment plan. The plan addresses your specific needs and is prepared by a team of professionals who are specially trained and experienced in oral surgery and restorative dentistry. This team approach provides coordinated care based on the implant option that is best for you. She-Wolf of London Episode 13: Voodoo Child Randi's Dentist Transformation
The #1 way we recommend you to go about doing this is by calling our referral service phone number. These operators are trained to help you get an appointment with the next available Saturday dentist near you. Alternatively, you can spend your limited free time browsing the Saturday Dentist listings and try to seek out a consultation yourself. Hopefully you see the advantage in allowing the referral staff to do the work for you, especially because its free and we’ll help you get that emergency tooth extraction done fast! Dental Implants Harley Street
Among the newest whitening products available are whitening rinses. Like most mouthwashes, they freshen breath and help reduce dental plaque and gum disease. But these products also include ingredients, such as hydrogen peroxide in some, which whiten teeth. Manufacturers say it may take 12 weeks to see results. You just swish them around in your mouth for 60 seconds twice a day before brushing your teeth. However, some experts say that rinses may not be as effective as other over-the-counter whitening products. Because a whitening rinse is only in contact with the teeth for such a short time -- just two minutes a day compared to 30 minutes for many strips -- it may have less of an effect. Dental Implants Harley Street
Immediately after whitening (regardless of the product you use), your teeth are more susceptible to restaining. The pores in your teeth are slightly more open and can more easily allow stains in. Smile Brilliant and dentist professionals recommend whitening before bed as it reduces the opportunity for staining and gives your teeth the night to begin rehydrating and remineralizing. To speed up the remineralizing process, Smile Brilliant offers fluoride infused desensitizing gel to nourish and replenish.
ClearChoice Dental Implant Centers are locally owned and operated by licensed dentists, and are part of a professional affiliation of implant practices operated by oral surgeons, prosthodontists, and restorative dentists across the U.S. A majority of patients (and approximately 90% of Minnesota patients) qualify for same day implants and can have their procedure in one day after initial workup, without additional bone graft surgery, and may leave the office that same day with provisional prostheses and the final prostheses to be placed later. Results may vary in individual cases. Both general dentists and specialists in some states. Dental implants are not a recognized specialty. Dental specialists are specialists in oral maxillofacial surgery and prosthodontics. Limited services available at satellite offices.

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Measure the pocket depth of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis. Pockets deeper than 6 mm cannot be cleaned well.

Dental implants have the risk of developing a condition called "peri-implantitis," which is the equivalent of periodontal (gum) disease for natural teeth. This refers to inflammation of the gum and bone surrounding the implant. The inflammation of the surrounding tissues is often due to excessive biting forces on the implant or bacterial infection. Peri-implantitis can result in the loss of an implant if left untreated. After getting a dental implant, routine maintenance care at home and follow-up at the dental office are essential in avoiding this condition. Good oral hygiene for a dental implant at home involves routine brushing and flossing to keep food debris and plaque away. In the dental office, the surrounding soft and hard tissues are examined and special tools are used to remove harder calcified deposits around the dental implant. If needed, the bite is adjusted to ensure that the implant does not sustain heavy biting forces.
Chipped and broken teeth are the second most common complaint of emergency dental care clients. These are very common incidences that can be fixed quickly through an after hours dentist appointment with the an urgent dental care clinic. While you’re en route to your meeting, make sure you bring the broken piece of tooth with you. Using a cold compress can help alleviate some of the pain and keep the swelling down, that’s what the after hours dentist would suggest. Dental Implants London N12 North Finchley
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