Sensitive teeth at Guildford dentists

February 2nd, 2012

Cold weather can really bring out the sensitivity in your teeth.  If your gums have receeded even very slightly you can end up suffering from sensitivity.

Receeding gums can be caused be a number of reasons.  Common reasons can be due to existing periodontal or gum disease where the harmful bacteria in the mouth cause toxins that can damage the gum and supporting tissues.  Another reason for gum recession is aggressive tooth brushing.  The excess pressure on the gums from your tooth brush can actually wear away the gums.  Another reason could be due to a bad bite.  Heavy pressure on specific teeth casue the tooth to flex and can result in the tooth shattering at the gum line which can result in the gums receeding.

Any of these causes of gum recession can result in sensititvity to cold.  The dentinal tubules which run from the outside of the tooth to the nerve in the centre are open to the elements and changes in temperature or certain types of acidic foods can result in the classic sensitivity.

In the very early stages of gum recession a good tip to reduce the sensitivity is to rub a very small amount of Colgate pro-relief toothpaste onto the affected sensitive part of the tooth 3- 4 times a day.  This helps to block the dentinal tubules and therefore reduce the sensitivity.  Next see your dentist to help identfiy the cause of the sensitvity as you may have a more serious reason for the sensitivity such as a cracked tooth or active dental decay.

Broken tooth at Fleet dentists

February 1st, 2012

A client came to see us having broken his tooth eating crunchy food.  He had a bad experience 4 years ago and had been reluctant to see a dentist.  The tooth was not causing him any pain but he knew he had to get it attended to.

On assessing the tooth it had a very large composite white filling with a large chip to the side of the tooth.  White composite fillings are excellent for small to medium sized cavities as they bond to the tooth and can bring the strength of the tooth back.  When they get to  a larger size the tooth can become quite weak and very large white fillings may only last you a few years and will then start to fail due to the high forces being placed on the tooth.

An alternative stronger option would be a porcelain onlay.  These are lab made restorations which are very strong when bonded to the tooth.  They can be designed to protect the biting surface of the tooth and therefore help to protect the cusps and prevent them from breaking.  The edges of the porcelain onlays are normally kept above the gum line and can therefore be easily kept clean.  Onlays are tooth conservative which means that as much of the natural tooth is preserved which helps to provide strength.

Unfortunately for this gentleman, the cavity in his tooth had been left for far too long and the decay was too extensive in the tooth to be able to save.  Had he come much early we could have saved his tooth.

Clenching or grinding teeth at Farnborough dentists

January 31st, 2012

A patient came to see us complaining of a tooth that has ached now and then and can sometimes  cause intense pain spreading to the ear neck and head.  She had been suffering like this for over a year!  The intense pain happened every few months.  She reported that she was highly stressed and found coming to the dentist very stressfull as she had a bad experience in the past.

On assessing her mouth, she had multiple enamel cracks expecially on her front teeth.  Her bite was overlapped in certain places incorrectly.  When she moved her jaw from left to right to simulate chewing she was constantly knocking the tooth in question.

The evidence in her mouth was showing that she was either clenching her teeth or grinding them together.  No one had ever mentioned that to her in the past and she was finally very relieved that she had found some answers.

If you clench your teeth, you are putting 10 times more pressure on your teeth.  That’s a huge amount of force.  If a single tooth is also taking all that pressure it’s no wonder it hurts.  Many people clench or grind their teeth at night and are completely unaware that they do it.  If you suffer from headaches, neck ache, or if your jaw feels stiff first thing in the morning you could be grinding your teeth.

To help this lady, we immediately recontoured her problem tooth to ease the pressure on biting.  The next step will be to make a bite guard or splint to be worn at night to reduce the clenching habit.  This has proven effects to reduce tension headaches as well as teeth grinding.

Tooth coloured fillings at Aldershot dentists

January 27th, 2012

It’s becoming very common now to replace old mercury fillings for tooth coloured options.  Advances in dental technology have resulted in tooth coloured options being the better choice in terms of strength and aesthetics.

A client came to see us at Time Dental to see what his options were for replacing his old mercury amalgam fillings.  Amalgam fillings expand and contract over time and result in internal cracks occurring in the teeth.  This is a weak point and it is only a matter of time before the tooth will break or the filling will break.

When mercury fillings are small they are straight forward to replace by a skilled dentist safely and effectively.  Using white composite fillings are the best choice for small to medium sized fillings.  Nowadays small composite fillings can last just as long as amalgam fillings.

When amalgam fillings are large it is better to replace them with either an inlay or onlay.  These are lab made restorations and are much stronger than direct composite fillings.  They can also last over 15 years and give extra support and strength to a tooth that has already been weakened by mercury amalgam fillings.  They are tooth coloured and can be made of a high grade composite or ceramic.  The ceramic inlays are the strongest and will give you great longevity.

Dental care with hygienist near Alton dentist

January 26th, 2012

At Time Dental we always take the preventative approach to your dental health to ensure you have a healthy mouth.  That’s why we place a huge emphasis on Hygienist appointments.

Continuing care with you dental hygienist means that you will have the most up to date skills and techniques for your home care.  This means that your breath will be continuously fresh and gum disease is kept away.  Mandy our new hygienist at Time Dental is highly qualified for your dental hygiene care.  She has a particularly gentle approach and will ensure your maximum comfort for your visits.

Not only will you be given the best advice for your home care, Mandy will carefully remove all the plaque bacteria and tartar build up that happens on a regular basis and advise you the best approach for your specifec needs.  She will provide a tailor made Dental hygiene programme specifically for you to make sure your mouth stays healthy.

Did you know that there is a link between gum disease and heart disease?  If you have gum disease you’re at a higher risk for heart disease!  That’s where your dental hygiene and fresh breath appointments can really help.  Prevention is better than cure which is why regular sessions with your hygienist are so important.  They can catch the early signs of gum disease and help you get back on track for a healthy mouth.  If you also suffer from diabetes you’re also a high risk group for gum disease.  Some of the warning signs can be bad breath, bleeding gums, sensitivity and loose teeth.  You can even have gum disease when none of these warning signs are there!

Invisible braces with Invisalign at Farnham dentists

January 20th, 2012

Time Dental have a number of adult patients who are very keen to improve their smiles.  One such patient had really been bothered by gaps which she has had for years and wanted to know what the options were for improving her smile.

One option could be to use porcelain veneers.  Porcelain veneers are a great way to have an instant result in improving your smile.  Veneers can also be used to correct discolouration, crowding, and uneven teeth.

Another option is to move the teeth into the correct position with braces.  Many people think of metal train tracks when you mention braces to them.  However there have been huge advances in technology and now with the use of clear aligners virtually invisible braces are now available at Time Dental in Farnham.  Perfect for adults!  Now you can have the smile you have always wanted without the worry of people knowing that you are having it done.

Invisalign uses advanced computer technology in the US to provide a 3D simulation of how your teeth will be moved into the correct position.  The clear aligners are then processed and sent back to your certified Invisalign dentist.  The clear aligners are changed every 2 weeks and incrementaly move the teeth into the desired position.

tooth grinding leading to headaches near a godalming dentists

January 19th, 2012

Teeth grinding is much more common than people think.  A client came to Time Dental suffering from sensitve teeth.  It happened every time he had something cold to drink and sometimes when he brushed his teeth.  He had been tolerating this for a very long time and thought it was normal.

On assessing his mouth, teeth and gums, he had alot of wear on his back teeth.  Vertical enamel fracture lines were also visible on the majority of his front teeth.  But he also had multiple large holes/cavities at the gum line of many of his back teeth.  He reported suffering from regular headaches and again thought that this was just something people regularly suffered from. 

What he was not aware of was that he was clenching and grinding his teeth at night and in the daytime.  If you are someone who grinds your teeth or even clench your teeth together you are putting 10 times more pressure on your teeth than normal.  This huge amount of stress causes the thinnest part of enamel on your teeth which is by the gum line to start shattering.  The end result is a hole by the gum line of the tooth called an Abfraction cavity. If left as a cavity the tooth is exposed as it has lost its enamel layer and is now susceptible to cold temperature changes and tooth decay.

To help stop the cavity from progressing, white fillings or composite fillings are a great way to seal the hole and protect the tooth around the gum line.  The next step is to deal with the tooth grinding.  The best way that consistently delivers results is to provide a night guard or splint that helps reduce the stress and tension on the teeth.  This will also reduce the occurance of headaches.

Replacing Mercury fillings at dentist near Farnborough

January 18th, 2012

A patient came to see us at Time Dental for their routine healthy mouth review having not been to see us for quite some time.  She had some old mercury amalgam fillings which had been in place for over twenty years, and at her last healthy mouth review she was advised that they needed replacing as they looked to be failing.  She was not experiencing any symptoms at the time and preferred to leave them for the time being.

On her most recent review we found that the teeth with mercury amalgam fillings now had cracks running down the sides of the teeth.  This progression is very common to see mercury filled teeth and is better to be dealt with in the very early stages as things get progressively complicated if left in place.

Mercury fillings expand and contract over a period of time and combined with strong downward chewing forces can eventually result in micro enamel cracks occuring in the teeth.  At some point either the filling or the tooth will break.  When visible vertical cracks can be seen the tooth normally needs something much more robust to prevent the crack from propagating and splitting the tooth.  Porcelain or metal ceramic crowns are tooth coloured restorations which help to protect the broken tooth from splitting.  If amalgam fillings are relatively small to medium sized and they are at their early stages of failing they can normally be replaced with white composite fillings.  However if they are failry large in size either onlays or crowns are recommended as they also cover the biting surface of the teeth which protect the weaker parts of the tooth.

Chipped teeth at an Alton dentists

January 16th, 2012

A patient came to the practice who was concerned about her uneven smile.  It had bothered her for a long time and needed to find a cosmetic dentist who would be able to help her.

On assessing her mouth, she was putting alot of pressure on her front teeth as she was missing a few of her back chewing teeth.  She also said that she bit her nails when nervous. 

One thing that is guaranteed to break and chip your front teeth is nail biting.  The first thing that we had to address is that if she could stop her nail biting habit we could restore her mouth and help her feel confident when smiling again.

She had a couple of options for restoring her teeth.  One option could be composite bonding.  Another option could be to use porcelain veneers to restore her smile.

Composite bonding is the most tooth conservative option. The teeth are minimally prepared under local anaesthetic so that the procedure is completely comfortable.  Composite bonding mimics the natural tooth so under the expert hands of your cosmetic dentist at Time Dental they will look like your natural teeth.  The process is easy for the patient and can have a huge impact in just one session.

In this case the patient opted for composite bonding, however porcelain veneers are also a fantastic alternative.

Tooth whitening at Fleet dentists

January 14th, 2012

Do you drink lots of coffee, red wine, tea or eat lots of curries?  Have you noticed the staining on your teeth? We have so many patients come to see us due to the discolouration of their teeth.  The options for freshening up your smile can vary from tooth whitening, composite bonding and porcelain veneers.

The easiest way to improve your smile is to teeth whiten.  There are two main types but the end result is essentially the same.  Professional teeth whitening and In-office teeth whitening. 

Professional teeth whitening invloves placing the tooth whitening gel into custom fit whitening trays which are then placed in the mouth.  The trays are then kept in place for 45 mins.  The whole process is then repeated once a day for 10 -14 days.  Its as easy as that!

In-office teeth whitening involves placing a high concentration of teeth whitening gel which is applied by your dentist which is then kept on for at least 1 hour.  Some systems need a high intense light source to activate the gel (sometimes called Laser teeth whitening), and there are other systems that are chemically activated and do not need a light.  Normally a combined In-office with Professional teeth whitening for 2-3 days gives the desired result.  I would not recommend In-office on its own.

Which type would be best for you?  Well that depends on how fast you want it done.  If you wnat a speedier result go with the In-office tooth whitening system.