Ask the Dentist has grown from just myself and my daughters huddled around the kitchen table, editing articles and learning how to create a blog, to having a large team who work tirelessly to keep the website running. This is why the articles you read on Ask the Dentist may contain affiliate links, which allow us to receive a small commission (at no added cost to you.) Your support helps this little family business spread our message around the world. Thank you!

^ Jepsen, Søren; Caton, Jack G.; Albandar, Jasim M.; Bissada, Nabil F.; Bouchard, Philippe; Cortellini, Pierpaolo; Demirel, Korkud; de Sanctis, Massimo; Ercoli, Carlo (June 2018). "Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions". Journal of Clinical Periodontology. 45: S219–S229. doi:10.1111/jcpe.12951. ISSN 0303-6979. PMID 29926500. Cosmetic Dental Surgery - London Smile Dental Practice W1
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). Implant Islington London

In orthodontics, small diameter dental implants, referred to as Temporary Anchorage Devices (or TADs) can assist tooth movement by creating anchor points from which forces can be generated.[12] For teeth to move, a force must be applied to them in the direction of the desired movement. The force stimulates cells in the periodontal ligament to cause bone remodeling, removing bone in the direction of travel of the tooth and adding it to the space created. In order to generate a force on a tooth, an anchor point (something that will not move) is needed. Since implants do not have a periodontal ligament, and bone remodelling will not be stimulated when tension is applied, they are ideal anchor points in orthodontics. Typically, implants designed for orthodontic movement are small and do not fully osseointegrate, allowing easy removal following treatment.[13]
This section from a panoramic X-ray film depicts the teeth of the lower left quadrant, exhibiting generalized severe bone loss of 30–80%. The red line depicts the existing bone level, whereas the yellow line depicts where the gingiva was located originally (1–2 mm above the bone), prior to the person developing periodontal disease. The pink arrow, on the right, points to a furcation involvement, or the loss of enough bone to reveal the location at which the individual roots of a molar begin to branch from the single root trunk; this is a sign of advanced periodontal disease. The blue arrow, in the middle, shows up to 80% bone loss on tooth #21, and clinically, this tooth exhibited gross mobility. Finally, the peach oval, to the left, highlights the aggressive nature with which periodontal disease generally affects mandibular incisors. Because their roots are generally situated very close to each other, with minimal interproximal bone, and because of their location in the mouth, where plaque and calculus accumulation is greatest because of the pooling of saliva,[citation needed] mandibular anteriors suffer excessively. The split in the red line depicts varying densities of bone that contribute to a vague region of definitive bone height. Travers Dental Clinic Kings Cross Great 5 Star Review by Nene U.
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
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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It often happens that the presence of periodontitis is not recognized by an individual until they are 40 or 50 years of age, by which time a great deal of damage may have occurred. However, a dentist is able to detect signs of the disease at a much earlier stage during a routine examination and can monitor your periodontal status using a special assessment known as the Periodontal Screening Index.

Bone grafts. This procedure involves using fragments of your own bone, synthetic bone, or donated bone to replace bone destroyed by gum disease. The grafts serve as a platform for the regrowth of bone, which restores stability to teeth. New technology, called tissue engineering, encourages your own body to regenerate bone and tissue at an accelerated rate. Cosmetic Dental Surgery - London Smile Dental Practice W1
Most teeth whitening products on the market use similar active ingredients to whiten. The difference is the device that is used to hold the whitening agent on the tooth. A truly custom-fitted whitening tray ensures that every angle of every tooth (regardless of whether your teeth are straight or not) receives even and consistent coverage. Unlike boil & bit trays, whitening strips, and UV lights, fitted whitening trays eliminate the possibility of inconsistencies and allow you to maintain your beautiful smile.
No, which is why it’s important to talk to your dentist before deciding to whiten your teeth, as whiteners may not correct all types of discoloration. For example, yellow teeth will probably bleach well, brown teeth may not respond as well and teeth with gray tones may not bleach at all. Whitening will not work on caps, veneers, crowns or fillings. It also won’t be effective if your tooth discoloration is caused by medications or a tooth injury.

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In addition to providing general, cosmetic, surgical and family dental services we also have a full time orthodontic specialist on staff. Dr. John Wiger, our orthodontist, has been listed over and over again in Washingtonian Magazine, Northern Virginia Magazine, Family Magazine and Virginia Living Magazine as one of the area's top orthodontists. To learn more about Dr. Wiger and our orthodontic services visit www.kingstowneorthodontics.com. Dental Implants on the NHS WARNING
Experience the power of light-activated teeth whitening in the comfort of your own home and get a whiter smile like never before. Teeth whitening lights are proven to help whiten faster and have been used for decades in dental practices across the country. Finally, you can use the same LED light-activated technology without paying a fortune at the dentist!  Dental Implants Harley Street London - Dr Michael Norton's state-of-the-art surgery

Next, the bone around the implant heals in a process called osseointegration. What makes an implant so strong is that the bone actually grows around it and holds it in place. Osseointegration means “combines with the bone” and takes time. Some patients might need to wait until the implant is completely integrated, up to several months, before replacement teeth can be attached to the implant. Other patients can have the implants and replacement teeth placed all in one visit. Lochi - London Acid City - "John The Dentist Mix"

Planning for dental implants focuses on the general health condition of the patient, the local health condition of the mucous membranes and the jaws and the shape, size, and position of the bones of the jaws, adjacent and opposing teeth. There are few health conditions that absolutely preclude placing implants although there are certain conditions that can increase the risk of failure. Those with poor oral hygiene, heavy smokers and diabetics are all at greater risk for a variant of gum disease that affects implants called peri-implantitis, increasing the chance of long-term failures. Long-term steroid use, osteoporosis and other diseases that affect the bones can increase the risk of early failure of implants.[8](p199) Dental Implant Patient from London, UK - 15/09/2016

At the other end of the cost spectrum are over-the-counter strips and trays that you can buy at your local pharmacy or grocery store. These products can range from $20 to $100, making them an attractive option for those looking for a bit of smile enhancement without the higher cost of professionally administered whitening. However, it’s important to keep in mind that results can vary drastically when using these cheaper, low-concentration peroxide whiteners. Dental Implants London - WATCH WARNING


To better serve you, we stay up to date with advanced dental technologies and appliances like: Invisalign® (clear braces), intraoral cameras, the ZOOM Teeth Whitening system, and digital X-rays. Another piece of equipment we utilize is the Wand®, a computerized anesthetic delivery system that is more comfortable and less frightening for you and your family than an old-fashioned shot. We also have flat screen televisions in each treatment room so you can enjoy watching a movie during your dental procedure. Saturday and evening hours available and we offer a variety of payment options, including an interest-free plan through Ballwin Dental CareCredit. Call us today if you would like to schedule an appointment. Teeth Whitening in Camden London

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^ 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.

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Broken, Fractured or Avulsed Tooth: For a tooth that has been knocked out completely, place it in milk or saline immediately and then bring it into our office within the next hour. If the tooth is clean and no debris is present, you can place it back into the socket. Do not attempt to clean the tooth off, as this can damage fibers that aid in reconnection. Rinse your mouth of any blood or other debris and place a cold cloth or compress on the cheek near where the injury has occurred to keep swelling down. Taking ibuprofen will help you to manage any pain or inflammation until you can make it into the office. If your tooth has broken or fractured, we can usually save your smile with a filling, crown, or dental implant. It may even be possible to bond the broken tooth segment back into place. Zenith Dentistry, London's Dental Implant Centre
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.

Ultra-violet (UV) light is a frequency of light that works by accelerating the whitening gel to act faster. This process is FDA regulated and only offered under dentist supervision. Although it does whiten very quickly, it is not an option for people with sensitive teeth. Further, the results are temporary and must still be maintained (often with custom-fitted whitening trays or repeat dental visits). The process is incredibly expensive and time consuming.
Occasionally a patient is missing more than one tooth, but still has healthy gums and surrounding teeth, and a multiple implant is the best solution. Two fixtures are implanted and the crown is attached, leaving other natural teeth intact. The multiple implant is not for everyone, and even if a patient is only missing a few teeth, it may still be preferable to perform an all-on-four procedure. Refresh Dental a Dental Clinic in London for Cosmetic Dentistry or for Dentist
Experts agree: the best choice for most people for whitening their teeth at home are teeth whitening strips. They are easy to use, with little muss or fuss involved, and cause a minimal amount of pain. Furthermore, experts and users also agree that Crest 3D Whitestrips are the best strips you can use. Reviewers say that they see a noticeable difference in their smile even after a few days -- and a very big difference after the recommended treatment time, which is 14 to 20 days, depending upon formulation.

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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. Barry Smith Dental on Argyle. Camden
Hayfield Dental Care is currently the only dental office in Kingstowne where you can have a dental implant surgically placed and restored with a crown. Other offices require that you visit a surgeon at another office for the implant placement. At our office, in most cases both procedures can be performed right here without the need for a referral to another office.

Most systems involve multiple applications of the gel throughout the whitening session. The dentist will rinse off the gel and reapply a fresh coat as many times as necessary within the space of about 40 minutes. Once complete, the whitening procedure can achieve four to six shades of whitening after only one session. Some patients experience tooth or gum sensitivity after whitening, but this usually goes away within a day or two.
Our offices work to bridge the gap between the dental and medical communities. When left untreated, dental emergencies can lead to Hospital ER and Urgent Care Center visits resulting in risk of infection, extended healing times and excessive medical bills. Our goal is to run an efficient, walk-in practice that exclusively treats dental emergencies, so you can get out of pain quickly and back to your daily routine. Dental Implants Harley Street

Serving the Anderson, Edgewood, Muncie, New Castle, Chesterfield, Daleville, Alliance and River Forest communities – there are no judgments here. From dental cleanings and fillings to same day root canals and crowns, we take care of everything in-house. Our team of dentists and hygienists is here to help you with your oral health and our goal is to help you maintain it with regular dental checkups.

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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]
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]

Advanced gum disease, called periodontitis, affects almost half of Americans over the age of 30, according to a recent study by the Centers for Disease Control and Prevention (CDC). As common as the condition is, tooth loss is often the unfortunate outcome when left untreated. But today, with so many successful treatment options available for advanced periodontal disease, losing teeth doesn't have to be your next step with an unhealthy gumline.
As with any toothache, you can keep abscess pain under control with cold compresses, salt water rinses, and sticking to soft foods. Your dentist may prescribe antibiotics for you to take before you come into the office; this often helps alleviate pain as it helps your body fight off the infection. Abscesses are often treated with a root canal procedure. If the tooth is badly infected, an extraction is an affordable treatment option. 

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Whitening toothpastes are different to regular toothpastes in a way that they contain a higher content of abrasives and detergents to fight off tougher stains. Most contain low concentrations of carbamide/hydrogen peroxide (bleaching agents) – this lightens the colour of teeth. These whitening toothpastes make teeth one to two shades lighter.[25] Toothpastes (dentifrices) which are advertised as "whitening" rarely contain carbamide peroxide, hydrogen peroxide or any other bleaching agent.[26] Rather, they are abrasive (usually containing alumina, dicalcium phosphate dehydrate, calcium carbonate or silica), intended to remove surface stains from the tooth surface.[26] Sometimes they contain enzymes purported to break down the biofilm on teeth.[26] Unlike bleaches, whitening toothpaste does not alter the intrinsic color of teeth. Excessive or long term use of abrasive toothpastes will cause dental abrasion, thinning the enamel layer[26] and slowly darkening the appearance of the tooth as the dentine layer becomes more noticeable. An alternative method of whitening at home, which competes with the use of a whitening paste, is the use of a patent whitening mouthwash. The mouthwash shows marginally better efforts at whitening compared to the use of paste.[27] Cosmetic Dentistry London | Dental Implants | Invisible Braces | Lotus Clinic | Dr Michael Frankl
The formula is safe for your tooth enamel and the tooth guard is a comfortable fit. Wear it for just 10 – 30 minutes per day, for up to 10 days and you will see your staining and discoloration disappear. You don’t need to wait around at the bathroom mirror either; the hands-free tooth guard design means you can treat your teeth while watching television – just wait for the timer to go off when you’re done! Cheap Dentures London UK | Cerec Dentistry | Dental Implants Costs | Invisible Braces Central London
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