Tooth decay: Prevention is better than cure
28th October 2019
You may be aware of the publicity around sugar and our health at present. More recently, the focus has been on tooth decay and children. Giving our children the best start in life is a responsibility all us adults share as health professionals and as parents. Prevention and education is a strong ethos within our dental practice.
Jamie Oliver was featured in his documentary ‘Jamie’s Sugar Rush’ (https://youtu.be/Oj9CRK26DIo). It is great to have the celebrity backing to this very important message of how sugar consumption is affecting the nation’s health. In one episode, Oliver highlighted the fact that 26,000 primary school-aged children were admitted to hospital due to tooth decay, with child tooth extractions costing the NHS around £30 million per year, the key cause being tooth decay.
Dr Nigel Carter OBE, Chief Executive of the British Dental Health Foundation said: “The effects that sugar consumption is having on children’s dental health cannot be understated. Shockingly, a recent study found half of eight-year-olds have visible signs of decay on their teeth, and a third of children are starting school with obvious signs of tooth decay.”
“These figures are alarming but are unfortunately only the tip of the iceberg when it comes to the effect sugar is having on dental health. More regularly we hear first-hand accounts from dental professionals about just how children are suffering due to sugar and this is being played out in every dental surgery across the country.”
“Tooth decay is the number one reason for hospitalisation in children, and whilst we cannot blame the food and drink industry entirely, they do have to take a sizable portion of the blame.”
At The White Bridge Dental Clinic we believe preventative measures are best tackled on a local level and preventative advice is best delivered on an individual personal basis. This is best done with your dentist who can assess your individual caries risk and provide a personalised preventative plan to match. There is a lot we can do to prevent tooth decay and this is listed below. We often find that preventative treatments are not given as much importance as treating dental disease once it has occurred and often not until symptoms begin. Together we need to overcome the obstacles that prevent our children from getting the preventative care they need to avoid pain and suffering. Make an appointment with your dentist and ask what can be done to improve your children’s (and our own) oral health.
During your dental examination, your caries risk should be assessed and a personalised preventative plan made accordingly.
Preventative plan can include
Oral hygiene advice. involves tooth brushing techniques through the ‘tell, show and do’ principal.
- Dietary advice – where appropriate with the use of diet sheets so hidden sugars can be identified.
- Fissure sealants- involves sealing the deep grooves on teeth, especially adult molar teeth, to protect them from tooth decay. Non-invasive and simple to do.
- Fluoride Varnish application from 2 to 4 times per year (by the dentist/hygienist) depending on caries risk. Evidence shows a reduction in tooth caries by up to 70% with the use of Fluoride Varnish.
- High fluoride toothpaste. Prescription toothpastes are available with up to 4 x more fluoride than the over counter toothpaste.
- Regular examinations to identify caries early before pain and infection starts. This allows for simple treatment and avoiding extractions.
Speak to your dentist and find out what is recommended for you. Prevention is better than cure. Protection of both permanent and deciduous (baby or milk) teeth are equally important.
Why is it important to protect baby, ‘milk’, teeth?
- Good practice for caring for the adult teeth. First adult molar teeth erupt at age 6.
- Prevents tooth pain and infection.
- Early extraction of baby teeth will lead to more crowding in the adult teeth. This will make orthodontic (teeth straightening) treatment more complicated.
- Reduces dental anxiety when older.
- Keeps a lovely bright toothy smile.
Implants with Navident
30th September 2019
What are the latest trends in dental implants?
Implants have been widely used in dentistry for several decades. Over this time the design of implants have been perfected and has not changed much over the last decade. Over this time expectations of dental implants has significantly increased. It is now very well accepted that with thorough treatment planning, with the use of 3D digital radiographs and models, implants can be placed predictably with very few complications.
With dental implant treatment now perfected the trend is no looking at how dental implants can be placed quickly, accurately, most safely and with the fastest recivery. To make your dental implant treatment easier and more convenient, The White Bridge Clinic has invested in the same state-of-the-art dynamic navigation technology that is the standard of care in spinal and neuro-surgery fields. This ensures your implants are placed with great precision and streamlines the process, reducing the time you need to spend in the chair.
What is the Navident navigation system?
The target position for each implant site is planned quickly and easily in the Navident software using the imported CBCT DICOM data. After registering the relative position of two optical tracking markers to the patient and drill, the software tracks the markers in real time using the stereoscopic camera.
Using the fixed relationship of each planned drill site to the patient tracking marker, the navigation component of the software instructs the surgeon, on how and where to move their hand in real time. Continuous feedback is displayed through a simple graphic on the computer screen. This real-time tracking and guidance allows the surgeon to precisely guide the drill tip to the planned implant position and depth, using a freehand technique.
What are the advantages of Navident?
To help you with more predictable outcomes, through more accurate treatment planning and implant placement. This state-of-the-art real-time computer guidance technology allows implants to be placed with more precision than ever before. This allows complex procedure to be simplified and reduces the need for complex grafting due to its accuracy in utilising the bone in place with great accuracy. It also means smaller soft tissue incisions and stitches for you leading to faster recovery and quicker recovery time for you.
Which is the best dental implant option for me?
We use well recognised implant systems so you have the piece of mind knowing that in the future if any maintenance is required you have the backing of a well known company. Implant can be used to support single crowns, bridges to replace several teeth or dentures. What is right for you is dependent on you specific needs, anatomy of bone present and your budget. This can be discussed in an initial consultation to give you a clearer picture before choosing to embark on this journey.
What does the future hold for dental implant surgery?
Dental implants are becoming very common. Most adults have, or know someone who has, a dental implant. A lot of research is being done on stem cell growth to grow your own teeth back; However, this is very early stages and dental implants will remain the gold standard for replacing missing teeth for many years to come. With digital planning placement of implants is becoming simpler and, with such high level of accuracy, should last much longer.
Digital Dentistry: The Future of Oral Health
23rd September 2019
It’s an exciting time for dentists and patients thanks to the innovative development in technology being used in dental practices.
From digital impressions, digital 2D and 3D radiographs, digital planning to 3D printing; digital dentistry means that experts can work in even smarter ways than before.
Here, top dentist Dr Amit Mohindra from The White Bridge Clinic in Oxford explains the many benefits that digital dentistry has over traditional methods.
What are some of the latest developments in digital dentistry techniques?
Both the new techniques and technology mean patients receive the best treatment in modern dentistry. We use the latest in:
Digital impressions (3D intraoral scanning)
Digital impressions uses a small camera to take a series of photos that capture a replica of your mouth. This is instead of the traditional methods of putty or alginate impressions, which means that there is no gagging and your impression is far more accurate.
The digital scan allows precise planning and, thanks to communication with laboratory technicians, the tooth design is shared with you. It is also an environmentally friendly method and far more hygienic.
The radiographs are instant and with better quality. They allow for immediate feedback at your appointment. The 3D X-ray unit achieves accurate diagnosis and is invaluable in treatment planning for root canal or complex extractions, for example.
The teeth to be treated are anaesthetised in one simple injection, which provides 360 degree numbness to the tooth with minimal soft tissue numbness. The Quicksleeper® computer controls the delivery of anaesthesia to the precise location of the tooth using a wand. The lip and tongue do not go numb and the anaesthesia both takes effect and then wears off quickly, within 90 minutes.
Digital implants/ 3D printer
The combination of the 3D CT scan with digital impressions means that your dental implant treatment can be planned with precision from the beginning. A surgical guide can be designed and printed in-house and enables treatment to be done with minimally invasive guided surgery. The quality of treatment is higher and there is less recovery time.
Digital Smile Design® and orthodontic planning
Using your digital impression, your orthodontic results can be simulated with 3D images so that you have a visual picture of what can be achieved – before committing to treatment! This is offered for free during your consultation.
We can also use your facial photo and design the dream smile that you have always wanted, thanks to the latest in the digital software. It can even replicate the teeth that you want or that you once had or, for example, that your daughter has. Their teeth can be scanned and copied into your new smile design.
Navident® – dynamic navigation implant surgery system
This is a pioneering technique that enables dental implants to be placed with great precision, higher patient comfort and recovery, and shorter surgery time. The navigation equipment has been used for many years with great success in brain surgery. The White Bridge Clinic is one of six clinics in the UK to offer this fantastic technique.
If you are looking to have dental work done, do not hesitate to book an appointment with Dr Mohindra now and discuss your options.
How does digital dentistry benefit you over traditional methods?
9th September 2019
At The White Bridge Clinic we continue to explore new techniques and technology to ensure you get the best that modern dentistry has to offer. The White Bridge Clinic invests in digital equipment: from digital impressions, digital 2D and 3D radiographs, digital planning and 3D printing, digital anaesthesia and there is more to come.
Clinicians have been working hard to learn these new techniques and feedback from patients has been invaluable. As enthusiastic clinicians, who strive to do the very best dentistry, digital dentistry has exceeded our expectations and we are very proud to be leading the way in modern dentistry in Oxfordshire.
No one likes the traditional putty or alginate impressions. Digital impressions involve a small camera in the mouth which takes a series of photos (approximately 1500 per jaw). There is no more gagging and furthermore the impression is far more accurate. The digital scan allows precise planning and communication with laboratory technicians and enables tooth designs to be shared with you. Importantly, it is environmentally friendly and a far more hygienic method of sharing your mouth imprints.
Instant radiographs with better clarity. These allow for instant feedback at your appointment and avoid any developmental faults. The 3d X-ray unit (cone beam CT) has been invaluable in achieving accurate diagnosis and in treatment planning, such as implant planning, root canal treatment and complex extractions.
The Quicksleeper provides immediate anaesthesia in a far more comfortable method. The teeth to be treated are anaesthetised in one simple injection which provides 360 degree numbness to the tooth with minimal soft tissue numbness. This means no more numb lip and tongue for many of our dental procedures. Further more the anaesthetic only lasts approximately 90 minutes; therefore, often wears of soon after your appointment is completed allowing you to continue your day as normal.
Digital Implants/ 3D Printer
By combining your 3D CT scan with your digital impression, your implant treatment can be planned with precision from the start. By designing the prosthesis first, the implant can be placed in the best position. Furthermore, a surgical guide can be designed and printed in-house to allow your treatment to be done with minimal invasiveness (guided surgery). This means higher quality implant treatment with less recovery time. There is a reason why, in Oxfordshire, The White Bridge Clinic is one of a few clinics that offers a 10-year guarantee on implant treatment.
Digital Smile Design and Orthodontic Planning
Using your digital impression your orthodontic results can be simulated for you with 3D digital images so you know what can be achieved before committing to treatment. This service (clin-check) is offered for free at your orthodontic consultation. Also, if you are interested in a new smile, we can use your facial photo and design your dream smile. This is planned with you before treatment starts or commitment made. Digital software allows us to plan the exact smile you have always wanted and, if you know someone who has the teeth you want, or once had (such as your daughter), their teeth can be scanned and copied into your new smile design.
Evident, Dynamic Navigation Implant Surgery System
A pioneering technique that allows dental implants to be placed with great precision, higher patient comfort and recovery and shorter surgery time. Such equipment has been used for many years, with great success, in brain surgery. The White Bridge Clinic is one of 6 clinics in the United Kingdom offering this fantastic technique.
Getting to the ROOT of the problem!
4th March 2019
We already enjoy the huge benefits that the digital world brings to our daily life from smart phones to smart cars. Dentistry is no exception to this advancement. Digital dentistry is opening doors to a far better level of care to our patients. At ‘The Whitebridge Clinic’ we take great pride in delivering the best level of dental care possible. We keep up to date with the latest advances in dentistry so that our patients get the best dental treatment.
How it works?
We use Trios 3 Shape equipment that takes thousands of photos of the teeth and stitches them together to create a 3D digital model of your top and bottom teeth and how you bite together. We can use this to show our patients exactly what we are looking at, so it all just makes sense. This image is then emailed across to the laboratory for construction of dental work we planned or it is kept on file for us to have a digital record of your teeth should we need it in the future.
The benefits our patients can enjoy:
- Comfortable -no bulky putty impressions
- Great for people with a strong gag reflex
- Great for those with a small mouth
- No bad taste
- Less time in the dental chair
- Very precise so no need to keep retaking impressions
- It is a digital file that can easily be emailed and stored indefinitely
- If you lost a whitening tray or retainer just give us a call and we can use the original scan to send back to the lab for remake of the appliance
- Great for visualising dental treatment and orthodontic tooth movements. All the dentistry can be pre-planned and visualised in 3D before we do any dental work
‘Out with the old and in with the new’
Come in and ask us how we can help you get the most out of your dental experience.
How to be Teeth Wise
25th May 2018
In this issue:
- Top Tips for keeping a beautiful smile
- What can harm your oral health
- Eating Smarter
- What to do if unhappy with a smile?
- Who to see
Dear readers, as many of you are aware a healthy smile speaks volumes and it is at the center of our social interactions. In this issue we will discuss how you can keep the sparkle of your natural smile looking young for longer.
First we must better understand what can harm our teeth in the first place and how to make small simple changes that will reap the biggest rewards.
Tips for keeping a healthy smile
- When brushing your teeth, make sure to spit the tooth paste out rather than rinse with water
- If having juice/fizzy drinks try and use a straw and if possible drink some water afterwards
- If having sweet or acidic food, best to wait 30mins before brushing
- Mouthwash gives you added protection and is great to use after lunch or snacks. Avoid mouthwash straight after brushing though!
- Keep sugary snacks to a minimum
- Eat your fruit and vegetables, they are a great source of Vit C which is needed for gum health
- Use electric toothbrush to brush your teeth. They are great for stain removal as well
- Use mouthwash at a different time to brushing to give your teeth a boost
- Visit the dentist and hygienist every 6 months
What to avoid
- Smoking and E-Cigarettes
These have harmful chemicals that affect your gums. It causes bad breath, staining and tooth loss.
Keep alcohol to a minimum. The major risk with alcohol and compounded by smoking is oral cancer. Some alcohol can be acidic and cause erosion. Try to drink through a straw and have some water to drink afterwards.
- Simple sugars
These are fizzy/sweet drinks , desserts and flavoured yoghurts. There is a lot of hidden sugar in foods you would not consider as being bad for teeth. Yoghurts and flavoured water have quite a lot of sugar in them. Best to consume plain water or plain yoghurts and you can add your own fruit or juice to it.
- Avoid brushing teeth straight after eating something sweet or acidic.
Instead rinse your mouth out with mouthwash, this will help to harden the enamel. When we eat something acidic, the enamel softens and it take time for the chemicals in saliva to neutralize the acid. If you were to brush your teeth straight away you will be brushing away your enamel. Best to wait 30mins between eating and brushing teeth
Teeth for Life
12th April 2018
Looking after our teeth so that they last us well into our old age has never been more important. If we can’t eat properly, we can’t look after ourselves properly and this can have a dramatic effect on our wellbeing.
As we get older it can become more difficult to visit the dentist because of ill health, mobility issues, having to rely on lifts from other people and the worry of the visits themselves.
But we would like to stress the importance of visiting your dentist at least once a year, preferably twice – even if you have no natural teeth of your own left.
During our dental health checks we carry out mouth cancer screening. Mouth cancer is twice as common in men than women and 86% of cases are diagnosed in those aged over 50. Smokers and drinkers are particularly at risk.
Early detection of mouth cancer results in a survival outcome of 90%. However, delayed diagnosis means survival rates plummet to as little as 50%. Let us give you peace of mind by checking your mouth for the early signs of mouth cancer.
What’s the point of hygiene?
We believe that dental hygiene is one of the most important services we offer. Dentists treat disease but hygienists help prevent it from starting in the first place.
This is especially important as gum disease has been linked to many serious illnesses, including heart disease, bacterial lung infections, strokes, diabetes and dementia.
If you haven’t already, please book your essential dental and hygiene appointments by calling us today.
Teeth for Life Plan
6th March 2018
At The White Bridge Clinic, we have introduced a membership dental plan for all our patients, called Teeth for Life. This plan encourages regular dental appointments resulting in you saving money on your dental treatments, by enabling early detection of dental problems.
How can the Teeth for Life payment plan benefit me?
The membership plan consists of a monthly payment which covers you for all your maintenance needs. This includes dental examinations, dental hygiene appointments, routine appointments, fluoride varnish application and much more.
The Teeth for Life plan recommends and covers you for six monthly dental examinations. This allows for dental disease, including oral cancer, and dental risk factors to be detected at an early stage, often before the dental pain begins.
We take time to ensure our patient leave our practice with dental advice to maintain healthy teeth and gums. Therefore, if treatment is necessary it can be treated more simply, avoiding complex dental procedures and costs.
We recommend two to four hygienist appointments per year on the plan. The actual interval is decided upon assessing your personal risk factors and requirements. Clinical studies and personal experience demonstrate that if you visit the hygienist regularly you are more likely maintain a higher level of oral care on a daily basis at home. Hygienists offer support to your dental hygiene regimes and will often direct you to the areas in your mouth which may require more attention. This will lower your risk factors for gum and dental disease, meaning you will need less dental treatment requirements in the future.
Early detection of dental disease, through regular examinations and routine radiographs, allows for minimally invasive dentistry to be performed. Minimally invasive dentistry is also known as micro dentistry. In order to preserve your teeth and gums for as long as possible, it is important not to be invasive when treating teeth.
The Teeth for Life plan also includes a complimentary worldwide dental emergency assistance scheme. We hope you never need to use this; however, should there be dental emergency out of clinical hours or whilst you are away from home the plan may help reimburse some of the cost for remedial dental work.
In summary, committing to regular visits as a The White Bridge Clinic member early detection of the dental disease means less invasive treatments, lower costs and longer-term retention of your teeth.
If you think this would benefit you and your family please contact us on 01865 951861.