An alternative to the walking bleach procedure is the inside-out bleach where the bleaching cavity is left open and the patient issued with a custom-formed tray to place and retain the agent, typically a carbamide peroxide gel inside the cavity. The patient changes the gel over 24 hours and uses a tray to retain it, they return to the dentist where this is sealed. On review once sufficient shade change has occurred the access cavity can be sealed, typically with a dental composite. Cosmetic Dentist in London: Interview with Dr Tim Bradstock-Smith Video
After placement, implants need to be cleaned (similar to natural teeth) with a Teflon instrument to remove any plaque. Because of the more precarious blood supply to the gingiva, care should be taken with dental floss. Implants will lose bone at a rate similar to natural teeth in the mouth (e.g. if someone suffers from periodontal disease, an implant can be affected by a similar disorder) but will otherwise last. The porcelain on crowns should be expected to discolour, fracture or require repair approximately every ten years, although there is significant variation in the service life of dental crowns based on the position in the mouth, the forces being applied from opposing teeth and the restoration material. Where implants are used to retain a complete denture, depending on the type of attachment, connections need to be changed or refreshed every one to two years.[18](p76) A powered irrigator may also be useful for cleaning around implants.[40]
Your dental team will remove all plaque and tartar from your teeth. You will also be shown how to remove plaque successfully yourself, cleaning all the surfaces of your teeth thoroughly and effectively. This may take a number of sessions with the dental team. A good oral care routine at home with brushing and interdental cleaning is the most important thing you can do to help prevent gum disease getting worse. About our dental practice - Bishopsgate Dental Care in London

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.

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Eating habits: The habitual consumption of red wine, coffee, tea, cola, carrots, oranges and other deeply-colored beverages and foods causes considerable staining over the years. In addition, acidic foods such as citrus fruits and vinegar contribute to enamel erosion. As a result, the surface becomes more transparent and more of the yellow-colored dentin shows through.


Power or light-accelerated bleaching, sometimes colloquially referred to as laser bleaching (a common misconception since lasers are an older technology that was used before current technologies were developed), uses light energy which is intended to accelerate the process of bleaching in a dental office. Different types of energy can be used in this procedure, with the most common being halogen, LED, or plasma arc. Use of light during bleaching increases the risk of tooth sensitivity and may not be any more effective than bleaching without light when high concentrations of hydrogen peroxide are used.[17] Recent research has shown that the use of a light activator does not improve bleaching, has no measurable effect and most likely to increase the temperature of the associated tissues, resulting in damage.[18][19] Extractions & Immediate Dental Implants for Upper Incisors Bridge.


Welcome to Hayfield Dental Care, a long established dental and orthodontic practice in the Kingstowne area of Alexandria, Virginia. Since opening in 1987, our doctors have treated over 33,000 different patients. In fact, if you live in Kingstowne, we have probably treated many of your neighbors. Ask them what they think of us. Most of our patients are referred by existing patients and we consider that the highest compliment. We offer comprehensive dentistry for the entire family, including general treatment, teeth whitening, dentures, and tooth-colored fillings. Best Dentist in London
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.
However, later research suggests that the initial stability of the implant in bone is a more important determinant of success of implant integration, rather than a certain period of healing time. As a result, the time allowed to heal is typically based on the density of bone the implant is placed in and the number of implants splinted together, rather than a uniform amount of time. When implants can withstand high torque (35 Ncm) and are splinted to other implants, there are no meaningful differences in long-term implant survival or bone loss between implants loaded immediately, at three months, or at six months.[25] The corollary is that single implants, even in solid bone, require a period of no-load to minimize the risk of initial failure.[26] Most Difficult Interview Questions | Medicine & Dentistry

Dental implants provide several advantages over other teeth replacement options. In addition to looking and functioning like natural teeth, implant-supported full bridges or dentures are designed to be long lasting. Implant-supported full bridges and dentures also are more comfortable and stable than conventional dentures, allowing you to retain a more natural biting and chewing capacity. Kings Cross Dentist London WC1
After placement, implants need to be cleaned (similar to natural teeth) with a Teflon instrument to remove any plaque. Because of the more precarious blood supply to the gingiva, care should be taken with dental floss. Implants will lose bone at a rate similar to natural teeth in the mouth (e.g. if someone suffers from periodontal disease, an implant can be affected by a similar disorder) but will otherwise last. The porcelain on crowns should be expected to discolour, fracture or require repair approximately every ten years, although there is significant variation in the service life of dental crowns based on the position in the mouth, the forces being applied from opposing teeth and the restoration material. Where implants are used to retain a complete denture, depending on the type of attachment, connections need to be changed or refreshed every one to two years.[18](p76) A powered irrigator may also be useful for cleaning around implants.[40] 

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Have a friend call the dentist immediately while you focus on the lost tooth. Always lift up the lost tooth by the crown, rather than the root, since you do not want to introduce any bacteria or other pathogens to the tooth root. If there is any debris or dirt on the tooth, run it under some clean, cold water, but do not dry it on anything. Push it back into its socket, making sure that it is facing the right way, and bite down slowly to keep it in place until you reach the emergency dentist. If you cannot easily get the tooth back into its socket, store it in a container of milk. Pharmacies also sell a product called Save-a-Tooth that you can place a lost tooth in if you happen to have it on hand. Introduction to The Smart Clinics Dentistry, London

Many women who become pregnant think that they should avoid the dentist to keep their pregnancy safe, but they shouldn't miss their dental cleanings as long as they feel strong and comfortable enough. During pregnancy, women are at risk of developing pregnancy gingivitis. Because of the increase in hormones that occurs with pregnancy, the gum tissues are more susceptible to attack from bacteria and other pathogens. Pregnant women will often notice an increase in swollen, bleeding gums even if their oral hygiene has remained consistent. It may be necessary to get dental cleanings more often than usual during pregnancy to help combat this increased risk.
The first stage of oral surgery often involves a tooth or teeth extraction. Oftentimes, the site of a dental implant still has an existing damaged tooth present. In order to prepare for placement of a dental implant, the tooth will need to be extracted. More often than not, an "alveolar bone graft" (cadaver or synthetic bone) is placed to achieve a solid base of bone for the implant. This site will be allowed to heal for two to six months. For a site that has no tooth and bone loss is present, it will require a different bone graft that is placed on top of existing jawbone ("onlay bone graft"). This procedure is more involved and usually requires about six or more months of healing. In some instances, when enough bone is present, the damaged tooth can be extracted followed by the implant placement procedure at the same appointment. This procedure is called "immediate implant" placement. Cosmetic Dentistry - London Cosmetic Dentists londonsmile.co.uk Video
A dental implant has the potential to last a lifetime. This is a fantastic potential when the implant is positioned well. Unfortunately, if the implant is poorly positioned this can begin a horrible nightmare for many years to come. Because the oral cavity is such a small surgical environment as little as a two millimeter error can be the difference between success and failure. The removal of a poorly placed implant is difficult, bone destroying and expensive. Who performs your dental implant treatment directly affects your chances of success. Studies have proven that “experience” does positively affect the outcome of dental implant treatment. Part 1-Dental Implant Placement with Bone Grafting and Membrane
If left undisturbed, microbial plaque calcifies to form calculus, which is commonly called tartar. Calculus above and below the gum line must be removed completely by the dental hygienist or dentist to treat gingivitis and periodontitis. Although the primary cause of both gingivitis and periodontitis is the microbial plaque that adheres to the tooth surfaces, there are many other modifying factors. A very strong risk factor is one's genetic susceptibility. Several conditions and diseases, including Down syndrome, diabetes, and other diseases that affect one's resistance to infection, also increase susceptibility to periodontitis. Veneers at The London Cosmetic Dentistry

In this category, the product that gets the best reviews we spotted is the Go Smile Super White Snap Packs (Est. $60 for 14 treatments). Go Smile contains 14 tubes filled with gel that you squeeze onto your teeth. Reviews.com, which makes Go Smile their top pick in teeth whiteners, describes it as very easy to use, saying it's "quick to apply and totally wearable." In their testing, it lightened the testers' teeth three shades in a week's time. You use it twice a day for at least 20 minutes -- overnight for the evening treatment.
When you have a dental emergency that occurs due to a fall, a sports injury or even a car accident, you should always call or visit the local hospital emergency room or urgent care center to ensure that you have no life-threatening injuries. If your dental emergency includes a lost filling, an object caught between your teeth, or a loose crown or something non life threatening, you can call our service or your local dentist.

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Smoking can also make gum disease worse. People who smoke are more likely to produce bacterial plaque, which leads to gum disease. The gums are affected because smoking causes a lack of oxygen in the bloodstream, so the infected gums don't heal. Smoking causes people to have more plaque and the gum disease to get worse more quickly than in non-smokers. Gum disease is still a major cause of tooth loss in adults. Kings Cross Dental Clinic - Dentists in London
Gingivitis - This is the earliest stage of gum disease. It is the inflammation of the gums, caused by dental plaque buildup at the gum line. You may notice some redness or swelling of the gums, or some bleeding during brushing and flossing. At this early stage gum disease can be reversed since the bone and connective tissue that hold the teeth in place are not yet affected. Treatments by Our Dentists in London
Females generally have slightly whiter teeth than males, partly because females' teeth are smaller, and therefore there is less bulk of dentin, partially visible through the enamel layer. For the same reason, larger teeth such as the molars and the canine (cuspid) teeth tend to be darker. Baby teeth (deciduous teeth) are generally whiter than the adult teeth that follow, again due to differences in the ratio of enamel to dentin. As a person ages the adult teeth often become darker due to changes in the mineral structure of the tooth, as the enamel becomes less porous[citation needed] and phosphate-deficient. The enamel layer may also be gradually thinned or even perforated by the various forms of tooth wear. What different dental implants are available?
While strips in general can be a little uncomfortable, and you have to take care when applying them to avoid your gums, many dentists recommend this application method as the extended contact with teeth can yield better results. Dr. Friedman explained that, “Pens and gels are the least effective because the peroxide makes minimal contact with your teeth. Strips get the job done by sticking right to your teeth and directly applying peroxide” over time. Kings Cross Dental Clinic - Dentists in London
Welcome to Hayfield Dental Care, a long established dental and orthodontic practice in the Kingstowne area of Alexandria, Virginia. Since opening in 1987, our doctors have treated over 33,000 different patients. In fact, if you live in Kingstowne, we have probably treated many of your neighbors. Ask them what they think of us. Most of our patients are referred by existing patients and we consider that the highest compliment. We offer comprehensive dentistry for the entire family, including general treatment, teeth whitening, dentures, and tooth-colored fillings. Dental Implants Dentist Camden
When one considers all of the above factors, cost seems a little less important. Beware those practices that are on either extreme. There is little justification for those practices charging in excess of $2000 for the implant, or $2000 for the crown. Unless bone grafting is necessary, there is no justifying a single implant restoration where cost approaches $5000. Conversely, those practices where the implant is $1000 and the crown is $1000 should also raise concern. At these prices, one can only consider this an attempt to be a high volume office. This is one procedure that requires education, patience and caution. It cannot be done in a rush, on a high volume basis.

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 Implants Clinic Nurident- UK patient from London
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