It is also possible to have stains inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing. Other causes include tetracycline antibiotics. They can stain a child's teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Teeth are still developing during these years. Trauma may also darken a tooth.
Some whitening products you get through dentists' offices as well as professionally applied (in-office) bleaching products have the American Dental Association (ADA) Seal of Acceptance, which tells you that the product meets ADA guidelines for safety and effectiveness. Currently, only dentist-dispensed home-use products containing 10% carbamide peroxide and office-applied products containing 35% hydrogen peroxide have this seal.

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Tooth discoloration can have a number of causes. Coffee, tea, red wine and other drinks and foods can leave behind pigments that discolor the dental enamel. Tar and nicotine in cigarettes can also leave the teeth appearing yellow or dark. With age, the softer, inner material in the tooth often shows through the enamel, creating a discolored appearance.

Placement of dental implants is a surgical procedure and carries the normal risks of surgery including infection, excessive bleeding and necrosis of the flap of tissue around the implant. Nearby anatomic structures, such as the inferior alveolar nerve, the maxillary sinus and blood vessels, can also be injured when the osteotomy is created or the implant placed.[41] Even when the lining of the maxillary sinus is perforated by an implant, long term sinusitis is rare.[42] An inability to place the implant in bone to provide stability of the implant (referred to as primary stability of the implant) increases the risk of failure to osseointegration.[18](p68)


In the early stages of implant development (1970−1990), implant systems used a two-stage approach, believing that it improved the odds of initial implant survival. Subsequent research suggests that no difference in implant survival existed between one-stage and two-stage surgeries, and the choice of whether or not to "bury" the implant in the first stage of surgery became a concern of soft tissue (gingiva) management[28]
^ SCCNFP (1999). Scientific Committee on Cosmetic Products and Non-Food Products intended for Consumers. Hydrogen peroxide and hydrogen peroxide releasing substances in oral health products. SCCNFP/0058/98. Summary on http://europa.eu.int/comm/food/fs/sc/sccp/out83_en.html and http://europa.eu.int/comm/food/fs/sc/sccp/out89_en.html(read 2002.31.10) Cosmetic Dentistry London
Most alternative "at-home" gum disease treatments involve injecting antimicrobial solutions, such as hydrogen peroxide, into periodontal pockets via slender applicators or oral irrigators. This process disrupts anaerobic micro-organism colonies and is effective at reducing infections and inflammation when used daily. A number of other products, functionally equivalent to hydrogen peroxide, are commercially available, but at substantially higher cost. However, such treatments do not address calculus formations, and so are short-lived, as anaerobic microbial colonies quickly regenerate in and around calculus. 

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Diabetes appears to exacerbates the onset, progression, and severity of periodontitis.[43] Although the majority of research has focused on type 2 diabetes, type 1 diabetes appears to have an identical effect on the risk for periodontitis.[44] The extent of the increased risk of periodontitis is dependent on the level of glycaemic control. Therefore, in well managed diabetes there seems to be a small effect of diabetes on the risk for periodontitis. However, the risk increases exponentially as glycaemic control worsens.[44] Overall, the increased risk of periodontitis in diabetics is estimated to be between 2-3 times higher.[43] So far, the mechanisms underlying the link are not fully understood, but it’s known to involve aspects of inflammation, immune functioning, neutrophil activity, and cytokine biology.[44][45]

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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

Now, that technology is available for you to use at home, at a fraction of the cost of a treatment in your dentist’s office. With so many products around, it can be hard to know which is the best one for you, so to help you decide, we have selected what we consider to be the best products around and compared them. We want to help you to achieve beautifully white teeth at home, without the hefty price tag.

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4 stars because it has a built in timer (it's actually longer than 10 minutes, but I don't mind going longer and I'm happy it's longer rather than shorter), and produces a safe, bright LED light. I removed a star because the design is a bit flawed. Personally, I got about 2 weeks use out of my light, then went to use it again a few months later and it was dead. New batteries did not bring it back to life. I believe it's possible water may have somehow gotten into the battery compartment even though I cleaned it very carefully. For a product that literally goes inside your mouth and needs to be cleaned after each use, the battery compartment should have been designed with a higher water resistance. Normally I would rate the product lower but I reached out to the company and they sent me a new light right away without any hassle, even though many months had passed from my initial purchase, which I really appreciate. Decent product, great company. For maximum life, be VERY careful when cleaning it. I would NOT rinse it under water to clean but rather wipe it down with a damp paper towel (mild soap if needed). 

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Other, more invasive procedures, also exist for larger bone defects including mobilization of the inferior alveolar nerve to allow placement of a fixture, onlay bone grafting using the iliac crest or another large source of bone and microvascular bone graft where the blood supply to the bone is transplanted with the source bone and reconnected to the local blood supply.[18](pp5–6) The final decision about which bone grafting technique that is best is based on an assessment of the degree of vertical and horizontal bone loss that exists, each of which is classified into mild (2–3 mm loss), moderate (4–6 mm loss) or severe (greater than 6 mm loss).[31](p17) Orthodontic extrusion or orthodontic implant site development can be used in selected cases for vertical/horizontal alveolar augmentation.[32] Museum Dental Suites in Holborn - Emergency Dentist London
Having lost a tooth is a serious matter. Most times this is from a naturally occurring illness within your gums, but sometimes it can be from a traumatic accident. Make sure to clean the tooth off gently with warm water, do not brush it or you may damage the tissue. If you cannot replace the tooth into the socket, keep it in milk while you are travelling to the after hours dentist, because you definitely need to see an emergency dental care professional at this point.

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Tetracycline and minocycline. Tetracycline is a broad spectrum antibiotic,[10] and its derivative minocycline is common in the treatment of acne.[11] The drug is able to chelate calcium ions and is incorporated into teeth, cartilage and bone.[10] Ingestion during the years of tooth development causes yellow-green discoloration of dentine visible through the enamel which is fluorescent under ultraviolet light. Later, the tetracycline is oxidized and the staining becomes more brown and no longer fluoresces under UV light.[5][12] Saginaw Dentist - Family & Cosmetic Dentistry.
Finally, it’s time for the placement of the artificial tooth/teeth. For a single tooth implant, your dentist will customize a new tooth for you, called a dental crown. The crown will be based on size, shape, color and fit, and will be designed to blend in with your other teeth. If you are replacing more than a single tooth, custom-made bridges or dentures will be made to fit your mouth and your implants. (Note: The replacement teeth usually take some time to make. In the meantime, your dentist may give you a temporary crown, bridge or denture to help you eat and speak normally until the permanent replacement is ready.) Why dental implants hurt! - Dentist explains.....

Anyone who is healthy enough to undergo a tooth extraction is likely a suitable candidate for dental implants. However, these are certain contraindications that may complicate or prohibit implant treatment. Patients with certain conditions, such as chronic diseases, heavy smoking or alcohol abuse may not be candidates for implants. Your doctor will determine whether or not this treatment is right for you after a complete physical exam and evaluation of your medical history.
Professional whitening kits incorporate mouth trays because they completely cover the teeth, inside and out, for even whitening all over. However, those kits you get from your dentist can cost hundreds of dollars. While the Plus White 5-Minute Speed Whitening System won't give you professional results, for the very reasonable price users say it noticeably whitens their teeth over the two-week treatment period -- and expert testing backs that up. For very stained teeth, you can use it up to 20 minutes per day.
Dr. Halwani loves his ImmediaDent team and his patients. He is passionate about providing exceptional patient care twelve hours a day, seven days a week. He believes ImmediaDent’s hours allow him to take care of his patients in a timely manner, on their schedule. Dr. Halwani has been practicing dentistry for 20 years and has expertise in oral surgery, endodontics and implants. His goal is to perfect all patients’ smiles and make them happy along the way. 

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For some people, ordinary bridges and dentures are simply not comfortable or even possible, due to sore spots, poor ridges or gagging. In addition, ordinary bridges must be attached to teeth on either side of the space left by the missing tooth. An advantage of implants is that no adjacent teeth need to be prepared or ground down to hold your new replacement tooth/teeth in place. Dental Implants Cost - What is the Cost of Dental Implants?
For a teeth whitener to be really effective, it needs to contain hydrogen peroxide or carbamide peroxide as an active ingredient. Only whiteners with peroxides can remove both surface stains and deep stains, whereas other products like toothpastes only target surface stains. If we couldn’t confirm these active ingredients, we left those products on the shelf.
Like most other product review sites, ConsumerSearch is supported by a combination of commissions on the sale of the products we recommend and ads that are placed on our site by Google. If you find something you like, you can help support us by clicking through and buying the products we pick. Our editorial process is independent and unbiased; we don’t accept product samples, requests for reviews or product mentions, or direct advertising.

Your dentist or periodontist is able to perform most procedures in his or her office. The time needed to perform the procedure, your degree of discomfort, and time needed to heal will vary from patient to patient depending on the type and extent of the procedure and your overall health. Local anesthesia to numb the treatment area may be given before some treatments. If necessary, a medication may be given to help you relax. Cosmetic Dentistry - London Cosmetic Dentists londonsmile.co.uk Video
According to the CDC, researchers have uncovered potential links between gum disease and other serious health conditions. In people with healthy immune systems, the bacteria in the mouth that makes its way into the bloodstream is usually harmless. But under certain circumstances, these microorganisms are associated with health problems such as stroke and heart disease. Diabetes is not only a risk factor for gum disease, but gum disease may make diabetes worse.
Over time, your teeth's natural whiteness can fade or become discolored as the result of diet, personal habits, or simply getting older. However, the teeth whitening procedures we offer here at Dental Care at Crystal Park can restore the brilliance of your smile. The Zoom! teeth whitening method has a proven track record of dramatically improving the whiteness of your smile by up to six shades in a very short amount of time. We are happy to discuss your options for whitening and will work with you to determine the treatment that will make your smile look as good as it feels. 

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^ Beck, James D.; Elter, John R.; Heiss, Gerardo; Couper, David; Mauriello, Sally M.; Offenbacher, Steven (2001). "Relationship of Periodontal Disease to Carotid Artery Intima-Media Wall Thickness : The Atherosclerosis Risk in Communities (ARIC) Study". Arteriosclerosis, Thrombosis, and Vascular Biology. 21 (11): 1816–22. doi:10.1161/hq1101.097803.
For example, did you know implants can help prevent bone loss in the jaw? The natural erosion of bone begins as soon as a tooth is lost, and if nothing is done, this may result in the loss of other teeth and could cause a “sunken” look in facial features. Dental implants integrate with the bone, providing a stimulus that keeps the jawbone from deteriorating. This helps maintain a more youthful facial structure, boosts confidence—and leads to better oral health. Smile Makeovers with London Cosmetic Dentist Dr. David Frey
The aim of the oral hygiene phase of treatment is to reduce the number of bacteria in the mouth and therefore reduce the level of inflammation. Your dental practitioner will first explain the causes of your periodontitis and explain exactly how to keep your teeth and gums clean. You will be given individual advice on how to use the various cleaning aids most effectively; for example, the most appropriate tooth brushing technique and the correct use of dental floss and interdental brushes. Smile Makeovers with London Cosmetic Dentist Dr. David Frey
Your dentist or periodontist is able to perform most procedures in his or her office. The time needed to perform the procedure, your degree of discomfort, and time needed to heal will vary from patient to patient depending on the type and extent of the procedure and your overall health. Local anesthesia to numb the treatment area may be given before some treatments. If necessary, a medication may be given to help you relax. Cheap Dental Implants - how to save money in London

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. ALL ON 4 DENTAL IMPLANTS 7 MONTH UPDATE
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. London Community Dental Alliance Low-cost Dental Clinic

It is also possible to have stains inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing. Other causes include tetracycline antibiotics. They can stain a child's teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Teeth are still developing during these years. Trauma may also darken a tooth. Favero Dental Clinic, Wimpole Street, London 3
Both dental plaque and tartar are filled with harmful bacteria, and if they aren't removed from teeth, they will begin to irritate the gums and cause gingivitis. If left untreated, gingivitis will often extend from the gums to the bone and lead to periodontitis. When the underlying bone gets infected, it will start to recede away from the teeth and form deep gum pockets. These pockets collect plaque and bacteria as they are very difficult to keep clean, and more bone loss occurs. As periodontal disease progresses into later stages and more bone tissue is lost, the teeth may eventually become loose and fall out. Introduction to our Dental Clinic in London Bridge - Londent Oral Care
Extrinsic stains are those that appear on the surface of the teeth as a result of exposure to dark-colored beverages, foods and tobacco, and routine wear and tear. Superficial extrinsic stains are minor and can be removed with brushing and prophylactic dental cleaning. Stubborn extrinsic stains can be removed with more involved efforts, like teeth whitening. Persistent extrinsic stains can penetrate into the dentin and become ingrained if they are not dealt with early.

Once adequate, strong bone is present, the site is ready for the implant. At the implant placement appointment, the dental implant (titanium post) is placed into the bone with a special drill and tools. A "healing cap" is placed over the implant, the gum is stitched up, and the healing phase begins. During this healing phase, a temporary denture can be made to replace missing teeth for esthetic purposes. Healing time depends greatly on the quality of bone present. Healing time is usually anywhere from two to six months. During this time, the implant becomes integrated with the bone. It's important to avoid placing any force or stress on the dental implant as it heals. Follow-up appointments to check the surgical site are typically done to ensure that no infection exists and healing is taking place. Cosmetic Dentistry London Smile Makeover
Supervised vs. unsupervised process. First, your dentist can perform an oral exam and consider your complete medical history, which can be helpful in determining if bleaching is an appropriate course of treatment based on the type and extent of stains, and the number and location of restorations. Your dentist can then better match the type of stain with the best treatment, if appropriate, to lighten those stains.

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Glamorous Whitestrips have 9.5% hydrogen peroxide content (according to customer service), which our experts recommend. But the product also has an ADA Seal of Acceptance that verifies it’s safe to use and measures up to its marketing claims. While we know from past experience that gaining a seal doesn’t mean a product is the only one that meets ADA standards — companies have to apply and the ADA isn’t always transparent about the application process — the seal is a valuable sign of quality that removes doubt in a world of sketchy whitening claims. Best Tooth Replacement Solution. Dental Implant Specialist London & Budapest

Tetracycline and minocycline. Tetracycline is a broad spectrum antibiotic,[10] and its derivative minocycline is common in the treatment of acne.[11] The drug is able to chelate calcium ions and is incorporated into teeth, cartilage and bone.[10] Ingestion during the years of tooth development causes yellow-green discoloration of dentine visible through the enamel which is fluorescent under ultraviolet light. Later, the tetracycline is oxidized and the staining becomes more brown and no longer fluoresces under UV light.[5][12] Best Tooth Replacement Solution. Dental Implant Specialist London & Budapest
If people have 7-mm or deeper pockets around their teeth, then they would likely risk eventual tooth loss over the years. If this periodontal condition is not identified and people remain unaware of the progressive nature of the disease, then years later, they may be surprised that some teeth will gradually become loose and may need to be extracted, sometimes due to a severe infection or even pain. Introduction to our Dental Clinic in London Bridge - Londent Oral Care

I've used Crest Whitestrips in the past and always saw results but this paired with the Auraglow whitestrips has produced the fastest, most noticeable results. I'm confused by the review that says this LED light does nothing because I've tried the strips with and without the light and WITH the light is much whiter.... The product works as it says it should.

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! Best London cosmetic dentistry practice for veneers, teeth whitening

Messiness aside, the Plus White kit is easy to use. Included are two trays, the whitening gel and a post-whitening rinse. Just brush your teeth with plain water, fill the trays with gel, put them on your teeth for 5 to 20 minutes, then rinse. Users agree with the testers at Reviews.com, saying they noticed whiter teeth pretty quickly, and they became even whiter over the treatment time of 14 days. UK Dental Clinic, Root Canal Treatment & Tooth Cap
It may seem almost cliché at this point, but basic dental care like brushing your teeth after every meal and using floss to clean between your teeth still go a long way toward fortifying your dental health. In addition to brushing and flossing, adopt habits like wearing a mouth guard if you play sorts to insulate your teeth from excessive force or trauma. Also, wear a mouth guard if you grind your teeth in your sleep, either as a matter of habit or when you’re experiencing stress. Teeth Implant Cost Full Mouth Secrets?
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 Cost - What is the Cost of Dental Implants?
If you chip or break a tooth, whether while eating or while engaging in sport, it's important to see the dentist as soon as possible. The sooner you receive treatment, the more likely it is that your dentist will be able to reattach the broken piece to your damaged tooth. Save any pieces of the chipped tooth that you find, and rinse them gently in warm water. Place them in a cup of milk, and take them to the dentist's office with you. KCL Dental Society - Staff Perspective, Kings College London
From these theoretical risks, derive the real world complications. Long-term failures are due to either loss of bone around the tooth and/or gingiva due to peri-implantitis or a mechanical failure of the implant. Because there is no dental enamel on an implant, it does not fail due to cavities like natural teeth. While large-scale, long-term studies are scarce, several systematic reviews estimate the long-term (five to ten years) survival of dental implants at 93–98 percent depending on their clinical use.[1][2][3] During initial development of implant retained teeth, all crowns were attached to the teeth with screws, but more recent advancements have allowed placement of crowns on the abutments with dental cement (akin to placing a crown on a tooth). This has created the potential for cement, that escapes from under the crown during cementation to get caught in the gingiva and create a peri-implantitis (see picture below). While the complication can occur, there does not appear to be any additional peri-implantitis in cement-retained crowns compared to screw-retained crowns overall.[48] In compound implants (two stage implants), between the actual implant and the superstructure (abutment) are gaps and cavities into which bacteria can penetrate from the oral cavity. Later these bacteria will return into the adjacent tissue and can cause periimplantitis. As prophylaxis these implant interior spaces should be sealed.[49] Sensu® London W1 - Harley Street - Invisible Braces & Cosmetic Dentist
From these theoretical risks, derive the real world complications. Long-term failures are due to either loss of bone around the tooth and/or gingiva due to peri-implantitis or a mechanical failure of the implant. Because there is no dental enamel on an implant, it does not fail due to cavities like natural teeth. While large-scale, long-term studies are scarce, several systematic reviews estimate the long-term (five to ten years) survival of dental implants at 93–98 percent depending on their clinical use.[1][2][3] During initial development of implant retained teeth, all crowns were attached to the teeth with screws, but more recent advancements have allowed placement of crowns on the abutments with dental cement (akin to placing a crown on a tooth). This has created the potential for cement, that escapes from under the crown during cementation to get caught in the gingiva and create a peri-implantitis (see picture below). While the complication can occur, there does not appear to be any additional peri-implantitis in cement-retained crowns compared to screw-retained crowns overall.[48] In compound implants (two stage implants), between the actual implant and the superstructure (abutment) are gaps and cavities into which bacteria can penetrate from the oral cavity. Later these bacteria will return into the adjacent tissue and can cause periimplantitis. As prophylaxis these implant interior spaces should be sealed.[49] Sensu® London W1 - Harley Street - Invisible Braces & Cosmetic Dentist

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. Best Implant Dentist Oral Surgeon, Stroud Gloucestershire Cotswolds, Confident Dental Implants
Implants are titanium screws a dentist inserts into the jawbone and affixes a prosthetic tooth or crown.  Titanium implants over time fuse naturally with bone, a process known as osseointegration.  Implant surgery can replace one or more teeth provided there is sufficient bone to support the implants.  Would-be implant patients should have the procedure done as soon as possible after losing a tooth to prevent bone loss at the site.
Around 15% of the population is susceptible. Our knowledge is improving  all the time of why this is, although 3 major factors are thought to be responsible: family history, stress and smoking. Stopping smoking is an important part of reducing the risk of developing the disease. Certain general diseases such as diabetes may also make an individual more susceptible.
Home tooth bleaching treatments can have significant negative effects on tooth enamel.[46] Study has been done and there is evidence that high concentration of carbamide peroxide can damage the enamel surface. Although the effect on enamel is less detrimental than seen after phosphoric acid etch,[47] the increased roughness of the surface may make teeth more susceptible to extrinsic discolouration after bleaching. London Dental Clinic -- Sensu
Accidents, dental injuries, and tooth damage can happen at any time, day or night, and they often demand immediate attention. In cases such as these, an emergency dentist who offers after-hours services can provide the care you need. You should also know how to take care of your dental discomfort at home until the dentist is able to see you. Doing so is likely to improve the outcome from your emergency dental treatment and also decrease the chances of complications down the road. Dental Implants Clinic Nurident- UK patient from London
Many people do things that can compromise their teeth, without realizing it. For instance, chewing on ice, crunching hard candy or eating popcorn kernels can crack teeth without you even knowing. If you use your teeth to tear open packages instead of using scissors, this can cause tiny cracks in your teeth and in the enamel that protects you teeth that you can’t see with the naked eye. London W1 Dentist
We are an Emergency Dental Service that has been relieving toothaches all over the 50 United States for many years. Our extensive network of independently owned dental offices have agreed to see patients on short notice, usually within 24 hours of a telephone call. Most offices are open 6 days a week many offices will see an emergency patient after normal business hours, weekends and holidays. Payment is expected at the time of treatment, no deferred billing arrangements are available. We do not accept State Insurance.

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We strive to provide high quality, affordable urgent dental care to members of our community. We accept most dental insurance; however, if you need uninsured treatment, we do also accept credit cards. With flexible financing, you are able to spread the payments out over several months and our low cost dental care will be more affordable. Emergency dentists usually provide various forms a affordable dental care when there is an emergency, so don’t let cost prevent you from visiting the dentist.
Please note that the information contained within this website is provided for informational and educational purposes only. All information provided in the website is believed to be accurate and reliable; however the ICOI assumes no responsibility for the use of this information. The use of this website does not imply nor establish any type of doctor/patient relationship. No diagnosis or treatment is being provided by the use of this website. This website takes no responsibility with regards to misinterpretation of the information provided within this website or any consequences resulting from the use of this website. The ICOI web site(s) may link to web sites maintained by other entities. Reasonable precautions are taken to link only to web sites which are appropriate, accurate and maintained by reputable companies. However, those web pages are not under our control and ICOI is not responsible for the information or opinions expressed in those linked sites. ICOI does not imply any relationships or endorsements to any linked website. The information and recommendations on this site are intended simply to provide information and guidance. This website may not be relied upon as authority for compliance with dental, medical or legal requirements, or as a source of dental, medical or legal advice. The ICOI does not warrant nor endorse any member listed herein, nor does it vouch for their professional competency, regardless of their status within the organization. We do not accept responsibility for the treatment they provide. The ICOI does not guarantee the accuracy of the information found herein nor does it accept responsibility for errors or omission on this site. We are not liable to the users of this information or anyone else for any decisions made or actions taken in reliance upon ICOI's member listing on the web. Illegal or unauthorized use of material on this website will be prosecuted to the fullest extent of the law. Introduction to The Smart Clinics Dentistry, London
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. Refresh Dental a Dental Clinic in London for Cosmetic Dentistry or for Dentist
Bone grafting is a surgical procedure that promotes the growth of bone in an area where bone has been destroyed by periodontal disease. During this type of treatment, your dentist or periodontist will eliminate bacteria and then place either natural or synthetic bone in the area of bone loss, along with tissue-stimulating proteins to help your body effectively regrow bone and tissue.

For whitening at home, your dentist can make trays to hold the whitening gel that fit your teeth precisely. Home whitening gel usually needs to be applied daily for two to three weeks. Over-the-counter kits also are widely available for home use. They provide trays to hold the gel, or whitening strips that stick to your teeth. Talk to your dentist if you want to use these home products. Be sure to follow directions to avoid overuse and possible damage to your teeth and mouth. Dental Clinic (1954)


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 Clinic (1954)

All toothpastes help remove surface stains, because they contain mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain carbamide peroxide or hydrogen peroxide that helps lighten the color deep in the tooth. Whitening toothpastes can lighten the tooth's color by about one shade. In contrast, prescription strength whitening conducted in your dentist's office can make your teeth three to eight shades lighter.

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Whitening strips work by the placement of a layer of peroxide gel on the labial surfaces of teeth through the use of plastic strips that are shaped to fit there. Many different types of whitening strips are available on the market, after being introduced in the late 1980s.[28] Each variety of whitening strips has its own set of instructions to suit the product, for example, different strips can be used at different frequencies to reach the same whitening end point.

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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. Dental Implant Patient from London, UK - (Dental Implant Without A Surgery) - 28/11/2016
Diabetes appears to exacerbates the onset, progression, and severity of periodontitis.[43] Although the majority of research has focused on type 2 diabetes, type 1 diabetes appears to have an identical effect on the risk for periodontitis.[44] The extent of the increased risk of periodontitis is dependent on the level of glycaemic control. Therefore, in well managed diabetes there seems to be a small effect of diabetes on the risk for periodontitis. However, the risk increases exponentially as glycaemic control worsens.[44] Overall, the increased risk of periodontitis in diabetics is estimated to be between 2-3 times higher.[43] So far, the mechanisms underlying the link are not fully understood, but it’s known to involve aspects of inflammation, immune functioning, neutrophil activity, and cytokine biology.[44][45]

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The long-term complications that result from restoring teeth with implants relate, directly, to the risk factors of the patient and the technology. There are the risks associated with appearance including a high smile line, poor gingival quality and missing papillae, difficulty in matching the form of natural teeth that may have unequal points of contact or uncommon shapes, bone that is missing, atrophied or otherwise shaped in an unsuitable manner, unrealistic expectations of the patient or poor oral hygiene. The risks can be related to biomechanical factors, where the geometry of the implants does not support the teeth in the same way the natural teeth did such as when there are cantilevered extensions, fewer implants than roots or teeth that are longer than the implants that support them (a poor crown-to-root ratio). Similarly, grinding of the teeth, lack of bone or low diameter implants increase the biomechanical risk. Finally there are technological risks, where the implants themselves can fail due to fracture or a loss of retention to the teeth they are intended to support.[47](pp27–51) Dental Veneers Dentist Camden
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