Family Friendly & Specialty Dentists in London, UK
Proxy brushes remove plaque and debris from between teeth and around dental appliances where standard toothbrushes cannot reach. Users should position the brush below the contact point between teeth, apply light pressure, and use gentle back-and-forth motions. Size selection is essential—small, medium, and large options accommodate different tooth spacing. The brush should be rinsed after each use and replaced when bristles fray. Understanding proper technique and individual needs may help improve dental hygiene.
Interdental brushes—small, specialised tools with conical heads and flexible handles—fill a gap that traditional floss cannot.
These proxy brushes are designed specifically for oral hygiene tasks like cleaning between teeth and around dental appliances. Available in various sizes, they accommodate different interdental spacing, making them effective for cleaning tailored to individual needs.
The brushes feature nylon or silicone bristles that gently remove plaque whilst stimulating gum tissue to support gum health. This dual action addresses both plaque removal and tissue care simultaneously.
Because proxy brushes withstand multiple uses before bristles wear down, they represent a cost-effective option for maintaining oral hygiene over time. Their design makes them particularly valuable for individuals with limited dexterity or mobility challenges.
As part of a comprehensive oral hygiene routine, interdental brushes work alongside other recommended products such as fluoride toothpaste and soft-bristle toothbrushes to maximise dental health.
Because proxy brushes come in multiple sizes, choosing the correct one depends on measuring the spacing between teeth. Common sizes include small (1.0-2.5 mm), medium (2.6-3.5 mm), and large (3.6 mm and above), enabling an individualised fit based on dental anatomy.
Selecting interdental brushes with soft bristles minimises gum discomfort and prevents tissue damage during use. For ideal efficiency, most individuals require several different-sized brushes to accommodate varying gaps throughout the mouth, particularly between molars and front teeth.
Since dental hygiene needs differ amongst individuals, consulting a dental professional provides personalised recommendations for selecting the right size. This guidance enhances your oral hygiene routine by ensuring proper interdental cleaning across all tooth gaps. Professional assessment can also identify early signs of gum disease that may require deeper intervention beyond routine interdental cleaning.
Once the correct size has been selected, proper technique helps maximise cleaning effectiveness and reduces the risk of gum damage. Users should gently insert interdental brushes just below the contact point between teeth, applying light pressure to ensure bristles contact both surfaces. A gentle back-and-forth motion cleans thoroughly without causing irritation. Maintaining regular oral hygiene practices alongside interdental brushes is essential for preventing decay and supporting the longevity of dental restorations.
| Step | Action |
|---|---|
| Insert | Position brush below contact point |
| Apply | Use light pressure for bristle contact |
| Move | Execute gentle back-and-forth motion |
| Rinse | Remove debris under running water |
| Replace | Change when bristles fray or weaken |
Rinsing the brush after each use removes debris and bacteria. This proper technique supports plaque removal and gum health. Incorporating interdental brushes into daily oral care routines strengthens overall dental hygiene and maintains spaces between teeth effectively.
Interdental brushes deliver particular value to specific populations seeking more effective oral hygiene solutions. Individuals with larger gaps between teeth find interdental brushes suitable for cleaning in these spaces.
Those wearing dental appliances like braces or bridges may benefit from their ability to navigate around structures and assist with plaque removal.
People with gum recession or a history of gum disease may find advantages through interdental brushing, which can massage gums and stimulate blood flow to support gum health.
Adults with limited dexterity or joint problems may appreciate the easier handling compared to string floss, potentially improving consistency in oral hygiene practices.
Children learning proper dental care techniques may find interdental brushes less frustrating, promoting engagement with daily cleaning routines.
For patients with missing teeth considering comprehensive tooth replacement, computer-guided implant surgery combined with proper interdental cleaning maintenance ensures optimal long-term outcomes for implant-supported restorations.
Adding proxy brushes to a daily oral care routine requires intentional planning and proper technique to maximise their benefits. Using a proxy brush once daily before brushing teeth effectively supports plaque removal from interdental spaces.
Selecting the correct size helps ensure cleaning efficiency without causing discomfort to sensitive gum tissue. Users should employ a gentle back-and-forth motion when cleaning between teeth and around dental appliances, supporting overall gum health.
Cleaning each gap two to three times with adequate pressure removes debris effectively. Maintaining a fresh brush is essential for preventing irritation and promoting thorough dental hygiene.
Regularly monitoring brush condition and replacing bristles when worn preserves effectiveness. This systematic approach to plaque removal integrates proxy brushes seamlessly into daily oral care routines, establishing consistent habits that complement professional periodontal treatments and prevent gum disease progression.
To use a proxabrush correctly, one selects an appropriate size that fits comfortably between teeth without forcing.
The brush is gently inserted below the contact point and moved in light back-and-forth motions to clean both tooth sides and the gumline. Varying angles ensures thorough cleaning around appliances or implants.
After each use, the brush should be rinsed to prevent bacteria accumulation. Regular daily use, ideally before brushing, can improve oral hygiene by removing plaque traditional brushing may miss.
The 3-3-3 rule for teeth establishes a foundational oral hygiene framework. Individuals should brush for three minutes, three times daily—ideally after meals—to ensure thorough plaque removal.
Additionally, dental care tools such as toothbrushes and interdental brushes require replacement every three months as bristles wear down and lose effectiveness.
This systematic approach may help reduce the risk of cavities and gum disease whilst promoting consistent daily habits that support long-term oral health maintenance.
Dentists frequently recommend proxabrushes for interdental cleaning. These tools effectively remove plaque between teeth and under dental appliances, particularly benefiting orthodontic patients.
Research indicates users experience greater comfort and satisfaction compared to traditional floss, leading to improved compliance. Dental professionals advocate proxabrushes for reducing plaque buildup and supporting gum health.
Proper sizing tailored to individual interdental spaces maximises effectiveness whilst minimising gum irritation.
TePe brushes should be used before brushing teeth.
This sequencing allows them to remove plaque and food debris from between teeth, reducing the overall bacterial load in the mouth.
Cleaning interdental spaces first enables fluoride from toothpaste to penetrate more effectively during brushing.
This approach enhances toothbrush effectiveness by making it easier to reach tooth surfaces that might otherwise remain unclean, ultimately supporting better gum health.
Interdental brushes represent an effective tool for cleaning between teeth when used correctly. Selecting appropriate sizes, mastering proper insertion techniques, and establishing consistent daily habits may help improve plaque removal between teeth. Individuals with gaps, implants, or orthodontic work might find this method beneficial. Regular interdental brush use, combined with standard brushing and flossing, creates a thorough oral hygiene routine that may help support gum health.
Photo Of Michigan Splint Above Is Sourced From:
Occlusal splints-types and effectiveness in temporomandibular disorder management - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/A-Michigan-Splint-B-Frontal-view-of-the-Michigan-Splint-C-Lateral-view-of-the_fig1_366647547 [accessed 3 Nov 2025]
A Michigan splint is a custom-made hard acrylic dental device that covers the upper teeth's biting surfaces. It prevents damage from grinding and clenching while repositioning the jaw into a relaxed, therapeutic state. The splint stabilizes the maxilla, controls tooth interactions, and may help retrain jaw muscles to reduce harmful habits. It's primarily indicated for bruxism and temporomandibular disorders. Understanding its creation, fitting process, and proper maintenance reveals why this device can serve as a protective and therapeutic tool.
A Michigan Splint functions by covering the biting surfaces of the upper teeth to create even contact and prevent pressure accumulation during grinding or clenching. The device works by positioning the jaw into a relaxed state, which may help alleviate muscle tension and reduce jaw pain.
A Michigan Splint creates even tooth contact and prevents pressure buildup, positioning your jaw for relaxation and reduced muscle tension.
Constructed from hard acrylic material, the Michigan Splint is customised to each individual's dental anatomy. This durable design withstands intense clenching forces that would damage softer alternatives.
By stabilizing the maxilla and controlling interactions between upper and lower teeth, the splint may reduce muscle activity throughout the jaw. This decreased muscle engagement may help retrain jaw muscles to abandon harmful clenching habits.
Additionally, the Michigan Splint protects dental work and may help manage symptoms associated with Temporomandibular Disorders, making it a therapeutic device for teeth grinding and related conditions. For patients experiencing dental anxiety related to TMD treatment, specialized care and sedation options can support comfortable management of these conditions.
A Michigan splint is primarily indicated for individuals suffering from bruxism, the habitual grinding of teeth during sleep or stress, which causes significant enamel wear and structural damage.
The device may be beneficial for patients with jaw disorders and temporomandibular disorders (TMD), as it can help reduce muscle tension and alleviate associated discomfort by promoting proper jaw alignment.
Untreated bruxism can create an environment conducive to tooth decay and gum disease, similar to conditions that develop when saliva production is compromised.
Bruxism, characterized by involuntary teeth grinding during sleep or periods of stress, represents one of the primary indications for Michigan Splint use. This condition may cause tooth wear and potential damage to dental structures.
The customised Michigan splint functions by creating a protective barrier between the upper jaw and lower teeth biting surface, potentially reducing grinding forces and associated damage.
Individuals experiencing bruxism often develop jaw pain and Temporomandibular Disorders as grinding generates stress on the jaw joint.
The Michigan splint stabilizes the jaw position, which may help alleviate muscle tension and discomfort. By distributing grinding forces across the dental surfaces, the device may help minimize enamel erosion and protect existing dental work from accelerated wear.
This preventive approach makes the Michigan splint a therapeutic option for individuals with active bruxism.
Why do jaw disorders develop, and how can a Michigan splint address them?
Jaw disorders, particularly TMJ disorders, often result from misalignment and muscle tension. A Michigan splint serves as a protective device that stabilizes jaw position, reducing strain on the temporomandibular joint. By promoting proper alignment, the splint may help alleviate muscle pain and joint discomfort associated with these conditions.
Consistent splint use can help minimize harmful movement patterns that contribute to dental damage. Additionally, the splint protects teeth with crowns or large fillings from excessive wear.
For individuals whose jaw disorders stem from teeth grinding, the Michigan splint addresses both the symptom and its consequences, helping to prevent enamel erosion while supporting long-term oral health stability.
Michigan splints provide a protective barrier that shields teeth from the effects of grinding and clenching, reducing wear on both natural teeth and dental restorations.
By stabilizing the jaw's position during sleep, these splints may help alleviate the muscle tension and strain that can accompany bruxism, potentially resulting in decreased jaw pain and associated headaches.
The combination of tooth protection and symptom relief may make Michigan splints a useful therapeutic tool for individuals experiencing grinding-related dental and musculoskeletal discomfort. Custom-fitted night guards like Michigan splints are often recommended as a primary solution to prevent extensive damage such as enamel wear, tooth fractures, and temporomandibular joint disorder.
Teeth grinding, or bruxism, causes significant wear and damage that can compromise dental integrity over time. A Michigan splint may help protect teeth by creating a protective barrier during night-time use.
Made from hard acrylic, this custom-fitted device offers several potential protective benefits:
The splint aligns the jaw in a relaxed position, which may help reduce muscle tension and jaw discomfort while supporting better dental health.
Consistent use may help individuals with bruxism experience improvements in tooth protection and overall comfort. This device addresses grinding-related concerns, though individual results will vary.
For personalised advice about bruxism management and whether a Michigan splint is appropriate for your situation, please contact a GDC-registered dental professional for a proper examination and consultation.
Jaw pain and discomfort associated with bruxism and clenching can considerably impact daily quality of life. The Michigan splint addresses these issues through strategic jaw stabilization.
| Benefit | Impact |
|---|---|
| Jaw stabilization | Reduces pressure from bruxism |
| Tooth barrier | Minimises wear and dental damage |
| Muscle relaxation | Decreases tension-related headaches |
| Proper alignment | Corrects bite misalignment issues |
| TMD symptom relief | May help reduce pain in many cases |
When selecting an oral appliance for nighttime wear, patients encounter several options that differ markedly in construction, effectiveness, and clinical application.
Michigan splints distinguish themselves through their specific construction and customization compared to generic dental guards.
Michigan splints stand apart through distinctive construction methods and personalized customization that distinguish them from standard dental guards.
Key differences include:
The rigid structure of Michigan splints provides sustained effectiveness for tooth grinding management.
Proper oral hygiene maintenance and regular dental follow-ups are essential for ensuring the longevity and effectiveness of any dental appliance, including Michigan splints.
Individual suitability varies, and proper assessment by a qualified dental professional is essential to determine the most appropriate appliance for each patient's specific needs.
The creation of a Michigan splint follows a systematic multi-stage process designed to achieve optimal fit and therapeutic effectiveness.
Initially, a small acrylic lucia jig is constructed during an appointment to deprogram jaw muscles into a relaxed state. Once positioned, impressions of both upper and lower jaws are captured, establishing an accurate baseline for model fabrication.
Dental relationships are then configured on an articulator to ensure proper alignment. Wax is sculpted over the upper teeth to establish ideal occlusion before being replaced with hard acrylic during manufacturing.
The final splint is polished and finely adjusted for a snug fit, creating a customised appliance. Throughout the fitting process, pain management is prioritized to ensure patient comfort during adjustments and wear.
Follow-up appointments address individual biting patterns and comfort requirements, supporting long-term therapeutic outcomes and patient satisfaction.
Proper therapeutic outcomes from a Michigan splint depend greatly on adherence to proper usage guidelines.
The customised device should be worn primarily at night to protect teeth from unconscious grinding and clenching during sleep. Before insertion, users must verify their teeth are clean, then secure the splint until it clicks into place.
Maintenance practices include:
Consistent nightly wear may help reduce jaw pain and muscle tension. It is important to complete the full course of treatment and follow evidence-based principles for optimal results, similar to how antibiotic therapy requires strict adherence to prescribed guidelines.
Follow-up appointments are recommended to assess jaw relaxation and determine if adjustments are needed, ensuring the Michigan splint continues delivering appropriate therapeutic benefits.
Proper maintenance of a Michigan splint extends its therapeutic lifespan and supports consistent protective benefits. Daily cleaning with gentle soap and water removes debris while preventing damage from harsh substances. Weekly sterilization using denture cleaner supports thorough sanitation and eliminates bacteria. Regular scaling and root planing combined with proper splint care addresses underlying periodontal disease and maximizes the effectiveness of your treatment plan.
| Task | Frequency | Method |
|---|---|---|
| Clean splint | Daily | Mild soap and water |
| Sterilize splint | Weekly | Denture cleaner solution |
| Brush and floss | Before wearing | Standard oral hygiene |
| Inspect for damage | Regularly | Visual examination |
| Replace if damaged | As needed | Consult dental professional |
Storing the splint in a dry, secure location away from pets and children prevents loss or damage. Regular inspection identifies wear and tear requiring professional replacement. Maintaining oral hygiene by brushing and flossing before wearing the splint prevents decay and supports its protective function. Proper care correlates with splint longevity and therapeutic effectiveness.
A Michigan splint typically costs around £795 for manufacturing.
This price covers the custom fabrication process, which requires measurements and fitting appointments with a dental professional.
The splint is usually fabricated in a specialized laboratory and ready within fourteen days after ordering.
Patients should budget for at least three dental appointments.
Additional treatments may incur extra costs.
A Michigan splint may prove worthwhile for individuals experiencing bruxism-related discomfort. The device may deliver pain reduction for those with TMJ concerns.
Its hard acrylic construction offers durability and protection compared to soft alternatives, particularly for severe grinding cases.
Custom-fitted to individual specifications, the splint may help maintain proper jaw alignment, reduce headaches, and prevent further dental damage.
The investment may justify itself through enhanced comfort and long-term dental preservation, though individual results vary and professional assessment is required.
Signs indicating a Michigan splint may be beneficial include habitual teeth grinding or clenching, jaw pain or TMD symptoms, and stress-related dental tension.
Individuals experiencing enamel wear from acidic consumption, those with dental restorations needing protection, and people suffering grinding-related headaches should consider evaluation.
A dental professional can assess whether a Michigan splint would be appropriate for specific dental needs.
A Michigan splint should be worn nightly for a minimum of three months to help retrain jaw muscles and may alleviate bruxism symptoms.
The specific duration varies based on individual response to treatment and symptom severity. Some patients may benefit from additional daytime wear during stressful activities or prolonged driving.
Regular dental follow-up appointments help assess effectiveness and determine if continued use or adjustments are necessary beyond the initial treatment period.
At our specialist implant centre in Primrose Hill, Robert Luke received a complete smile transformation through Nobel Biocare’s All-on-4 treatment protocol. This GDC-registered, CQC-compliant procedure delivers immediate, permanent results for patients seeking fixed alternatives to conventional dentures.
| Treatment Component | Specifications | Value Proposition |
|---|---|---|
| Consultation & Planning | CBCT 3D imaging included | Comprehensive treatment plan |
| Implant System | Nobel Biocare/Straumann | Premium EU-certified implants |
| Surgical Protocol | Computer-guided placement | Precise implementation |
| Temporary Bridge | CAD/CAM manufactured | Immediate fixed teeth |
| Final Restoration | Zirconia/Titanium hybrid | 5-year warranty protection |
| Finance Options | 0% APR available | Flexible payment plans |
Additional Treatment Considerations:
Treatment Timeline Breakdown:
| Phase | Duration | Milestones |
|---|---|---|
| Initial Healing | 1-2 weeks | Soft tissue recovery |
| Osseointegration | 3-6 months | Bone-implant fusion |
| Final Restoration | 2-3 visits | Permanent teeth fitting |
Post-Operative Care Protocol:
Immediate Phase (Days 1-7):
Early Recovery (Weeks 2-4):
Long-term Care:
Clinical Advantages:
Bone Preservation Benefits:
Functional Improvements:
Patient Experience Benefits:
Immediate Results:
Long-term Value:
Advanced Technology Integration:
| Technology | Application | Patient Benefit |
|---|---|---|
| NobelClinician | Surgical planning | Precise placement |
| iTero Element | Digital impressions | Comfortable process |
| NobelGuide | Surgical templates | Minimally invasive |
| CBCT Scanning | 3D bone mapping | Optimal positioning |
Surgical Protocol Steps:
Pre-operative Phase:
Surgical Implementation:
Nobel Biocare Protocol Advantages:
| Feature | Traditional Implants | All-on-4 Advantage |
|---|---|---|
| Number Required | 6-8 per arch | 4 per arch |
| Treatment Time | 12-18 months | 24-hour teeth |
| Bone Grafting | Often required | Usually avoided |
| Cost Efficiency | Higher total cost | More economical |
Quality Assurance Markers:
| Credential | Verification | Benefit |
|---|---|---|
| GDC Specialists | Verified status | Expert care |
| CQC Registration | Full compliance | Safety assured |
| ISO Certification | Quality systems | Best practice |
| Professional Care | 150+ reviews | Proven results |
Treatment Outcomes Matrix:
| Outcome Category | Immediate | Long-term |
|---|---|---|
| Function | Fixed teeth | Natural bite |
| Aesthetics | New smile | Facial support |
| Confidence | Social ease | Lasting results |
| Maintenance | Simple care | Professional support |
Success Indicators:
Clinical Measures:
Patient Satisfaction:
Professional Maintenance Schedule:
| Timeframe | Service | Purpose |
|---|---|---|
| 3 months | Hygiene visit | Professional cleaning |
| 6 months | Specialist check | Clinical assessment |
| 12 months | Full review | Comprehensive evaluation |
Home Care Essentials:
Daily Cleaning Protocol:
Professional Products:
Contact our Primrose Hill practice to begin your journey towards a permanent smile solution with All-on-4 dental implants. Join patients like Robert who have experienced the transformative benefits of specialist implant care in central London.
London Dental Specialists in Primrose Hill delivers comprehensive dental care through registered specialists. Our patient Anna chose our practice after discovering our:
| Treatment Type | Specialist Qualification | Registration |
|---|---|---|
| Orthodontics | Specialist Orthodontist | GDC Registered |
| Endodontics | Root Canal Specialist | GDC Registered |
| Prosthodontics | Crown Specialist | GDC Registered |
Private orthodontic care at our practice includes:
| Treatment Component | Service Details | Quality Assurance |
|---|---|---|
| Initial Consultation | Comprehensive Assessment | Expert Planning |
| Treatment Options | Multiple Solutions | Tailored Care |
| Professional Care | Specialist-led | GDC Standards |
| Materials | Premium Quality | CE Marked |
Our crown options feature:
The endodontic journey involves:
| Treatment Phase | Duration | Procedure Details |
|---|---|---|
| Root Canal | 1-2 visits | Specialist clean and seal |
| Gold Post | Single visit | Custom casting |
| Core Build-up | Same visit | Foundation creation |
| Crown Preparation | One visit | Expert shaping |
Our practice credentials include:
Anna’s treatment progression included:
Our premium post and core treatment features:
| Component | Benefit | Warranty |
|---|---|---|
| Gold Post | Superior strength | 5 years |
| Custom Cast | Perfect fit | 5 years |
| Core Build-up | Stable foundation | 5 years |
| Crown Support | Long-term stability | 5 years |
Our Primrose Hill practice provides:
We offer flexible payment options:
| Payment Type | Details | Benefits |
|---|---|---|
| Interest-free | 0% plans | Spread cost |
| Insurance | Major providers | Direct billing |
| Payment Plans | Customised | Affordable care |
| Warranties | 5-year cover | Peace of mind |
Our approach combines specialist expertise with patient care excellence. Anna’s successful treatment demonstrates our commitment to delivering outstanding results through:
Leading dental implant systems in British dental practices include:
| Implant Brand | UK Certification | Warranty Coverage |
|---|---|---|
| Nobel Biocare | UKCA/CE Marked | 10-year warranty |
| Straumann UK | UKCA/CE Marked | 10-year warranty |
| Osstem UK | UKCA/CE Marked | 10-year warranty |
| Dentsply UK | UKCA/CE Marked | Extended warranty |
Our Primrose Hill practice utilises these GDC-approved implant systems with comprehensive warranties.
Private dental implant treatments in Central London include several components:
| Treatment Component | Included Services | General Cost Range |
|---|---|---|
| Initial Consultation | CBCT scan, Treatment planning | £95-£250 |
| Bone Grafting | Bio-Oss, Bio-Gide materials | £500-£2000 |
| Soft Tissue Grafting | PRF treatment, AlloDerm | £500-£1500 |
| Implant Placement | Surgical guide, Implant fixture | £1800-£3000 |
| Final Restoration | Custom abutment, Porcelain crown | £1000-£1500 |
Our specialists maintain:
Bruce’s treatment followed the British Association of Oral Surgery guidelines:
Initial Phase:
Preparation Stage:
| Treatment Stage | UK Protocol | Duration |
|---|---|---|
| Assessment | FGDP(UK) Standards | 1-2 visits |
| Planning | CBCT Analysis | 1-2 weeks |
| Surgery | GDC Guidelines | 1-2 hours |
| Integration | Monitored Healing | 3-6 months |
| Restoration | British Standards | 2-3 visits |
NHS implant availability:
| Treatment Type | NHS Availability | Private Option |
|---|---|---|
| Single Implant | Limited Cases | Full Choice |
| Multiple Implants | Exceptional Only | Available |
| Full Arch | Special Cases | Available |
| Bone Grafting | Limited | Comprehensive |
Approved bone grafting materials include:
| Material Type | UK Brand | Origin |
|---|---|---|
| Xenograft | Bio-Oss | CE/UKCA Marked |
| Allograft | BioHorizons | CE/UKCA Marked |
| Synthetic | Geistlich | CE/UKCA Marked |
Our warranty programme provides:
Primary Coverage:
Protection Includes:
| Coverage Type | Duration | Inclusions |
|---|---|---|
| Implant | 10 Years | Full replacement |
| Crown | 5 Years | Repair/Replace |
| Maintenance | Lifetime | Annual Reviews |
British implant success rates:
| Timeframe | Success Rate | Evidence Base |
|---|---|---|
| 5 Years | 98% | UK Studies |
| 10 Years | 95% | Clinical Data |
| 15 Years | 93% | Long-term Research |
Our Primrose Hill practice maintains success through:
Advanced Technology:
Specialist Expertise:
Contact our Primrose Hill practice to begin your dental implant journey. Our GDC-registered specialists provide comprehensive treatment with full UKCA/CE marked materials and a 10-year warranty. Book your consultation today.
Clear aligner therapy at London Dental Specialists includes comprehensive orthodontic care with Invisalign® SmartTrack® technology. Our GDC-registered specialists in Primrose Hill provide:
| Treatment Element | Specifications | Benefits |
|---|---|---|
| Initial Assessment | iTero® digital scanning | Precise treatment planning |
| Aligner Design | ClinCheck® software | Virtual outcome preview |
| Treatment Duration | 12-18 months average | Predictable results |
| Warranty Coverage | 5-year protection | Peace of mind |
Modern implant dentistry combines titanium root replacements with advanced grafting techniques. Our Primrose Hill practice utilises:
| Procedure Type | Materials Used | Integration Period |
|---|---|---|
| Immediate Load Implants | Grade 4 Titanium | 3-4 months |
| Socket Preservation | Allograft Materials | 4-6 months |
| Ridge Augmentation | Synthetic Grafts | 6-8 months |
| Soft Tissue Grafts | Autogenous Tissue | 2-3 months |
Periodontal plastic surgery addresses gum recession through various grafting techniques:
| Aspect | Before Treatment | After Treatment |
|---|---|---|
| Gum Line | Irregular recession | Even contours |
| Root Coverage | Exposed roots | Protected roots |
| Tissue Quality | Thin biotype | Thick biotype |
| Aesthetics | Compromised | Natural appearance |
Complex cases like Matthew’s follow a strategic timeline:
| Phase | Duration | Procedures Performed |
|---|---|---|
| Planning | 2-3 weeks | Digital scanning, CBCT imaging |
| Alignment | 12 months | Invisalign® clear aligners |
| Tissue Preparation | 4-6 months | Bone and gum grafting |
| Implant Surgery | 3-4 months | Surgical placement, healing |
| Final Restoration | 2-3 weeks | Crown fitting, adjustments |
Ideal candidates demonstrate:
Treatment Suitability Factors:
Clinical Considerations:
Investment in dental implant treatment includes:
| Component | Coverage | Duration |
|---|---|---|
| Initial Consultation | Comprehensive planning | 60 minutes |
| Surgical Procedures | Implant placement | As needed |
| Restorative Work | Custom crown creation | 2-3 weeks |
| Warranty | 5-year protection | Long-term |
| Aftercare | Maintenance programme | Ongoing |
Matthew’s transformation demonstrates achievable outcomes:
| Treatment Area | Improvement Achieved | Stability |
|---|---|---|
| Teeth Position | Optimal alignment | Long-term |
| Bone Structure | Enhanced density | Permanent |
| Gum Health | Restored architecture | Stable |
| Bite Function | Improved occlusion | Balanced |
| Aesthetics | Natural appearance | Lasting |
London Dental Specialists offers:
Professional Credentials:
Practice Features:
| Aspect | Verification | Standard |
|---|---|---|
| Specialist Registration | GDC-verified | Current |
| Treatment Warranty | 5-year coverage | Comprehensive |
| Patient Satisfaction | 150+ reviews | 5-star average |
| Clinical Standards | CQC-registered | Excellent |
Contact our Primrose Hill practice to begin your smile transformation journey with our specialist team. Our comprehensive approach combines clear aligner therapy, dental implants, and advanced grafting techniques, all protected by our 5-year warranty.
London Dental Specialists prioritises patient safety through rigorous instrument sterilisation practices. Our state-of-the-art decontamination procedures ensure the highest standards of hygiene and infection control. This article will guide you through our comprehensive process, adhering to UK regulations and utilising top-quality equipment.
At London Dental Specialists, we follow a meticulous step-by-step process to clean and sterilise our dental instruments:
Our practice invests in cutting-edge technology to ensure thorough decontamination:
| Equipment | Purpose | Brand |
|---|---|---|
| Ultrasonic Cleaner | Removes debris through high-frequency sound waves | Coltene BioSonic |
| Washer-Disinfector | Cleans and disinfects instruments | Miele PG 8581 |
| Autoclave | Sterilises instruments using high-pressure steam | W&H Lisa |
| Instrument Sealer | Packages cleaned instruments | Hawo HD 480 WSI-V |
Our practice strictly adheres to UK guidelines for dental instrument decontamination:
Our decontamination process consists of several crucial stages:
We ensure the highest quality of our decontamination process through:
Our staff’s safety is paramount. During the decontamination process, they wear:
We tailor our decontamination approach based on the instrument type:
| Instrument Type | Decontamination Method |
|---|---|
| Hand instruments | Ultrasonic cleaning followed by autoclave sterilisation |
| Handpieces | Lubrication and autoclave sterilisation |
| Endodontic files | Single-use or autoclave sterilisation |
| Surgical instruments | Ultrasonic cleaning and autoclave sterilisation |
We strive to balance effective decontamination with environmental responsibility:
To maintain the quality and lifespan of our instruments, we:
Preventing cross-contamination is a top priority. We achieve this through:
We employ a robust tracking system to ensure all instruments are properly sterilised:
London Dental Specialists’ commitment to thorough disinfection and decontamination ensures the safety of our patients and staff. Our advanced equipment, strict adherence to UK regulations, and continuous improvement of our processes demonstrate our dedication to maintaining the highest standards of hygiene and infection control in dental practice.
You might think that gum disease and diabetes are strange bedfellows, but in actual fact there is a proven causal link between untreated periodontitis and the onset or worsening of diabetes.
In fact, I’d go so far as to describe this as a two-way relationship – there is also evidence that untreated diabetes can trigger the onset or worsening of periodontitis.
At their core, both periodontitis and diabetes are inflammatory conditions. If you have diabetes, or know someone who does, I’d strongly recommend that you consult a specialist about potential gum disease and the implications this will have. The earlier you can identify signs of gum disease and begin treatment, the less severe the consequences will be.
In the meantime, though, let’s get to grips with why these two conditions are so strongly linked, and what we can do to minimise negative symptoms.
The cells in our gums have what is aptly called a RAGE receptor. This receptor is for advanced glycation end products – in other words, the result of high levels of sugars and protein combining. This occurs more often in diets high in red meats, dairy products, and oils, which is why I recommend a healthy diet rich in fresh whole foods.
RAGE receptors are expressed when cells are dysfunctional; for example, in inflammatory conditions like diabetes or when there are tumours present. Patients with uncontrolled diabetes have a higher number of advanced glycation end products in their bloodstream. This means that the RAGE receptors inside the gum cells are activated and trigger an immune response. This immune response is what activates all the destructive symptoms of gum disease that I talked about in my last blog.
Many diabetic patients are shocked to hear that properly treating their periodontitis could result in reducing their reliance on medication to control their diabetes.
This is because properly treating periodontitis results in easier glycaemic control. Not only does this reduce the risks associated with heart issues, it also means that symptoms of diabetes in general will be better controlled, and in some cases medication could even be reduced.
This is hugely exciting. Excellent dentistry doesn’t just focus on the aesthetic benefits of a beautiful and healthy smile, but on the psychological ones too. It’s no surprise that our physical health has a big impact on our mental health. In an age of expanding waistlines, increased sugar, and reduced physical activity, it’s more important than ever to look after ourselves properly – from the inside out.
Recently I had two lovely patients come to me at London Dental Specialists. Both patients were diabetic, under 30, and had referred themselves to me because of untreated periodontitis. Because many people don’t fully appreciate the link between the two conditions, these patients had been told that they didn’t need to worry, and that some deep cleaning from a periodontist would do the trick.
Unfortunately, this was not the case. The aim of my blog series, sharing real case studies and expert guidance, is to reassure anxieties around going to the dentist and give you full control over your smile. But it would be a disservice to my readers if I didn’t stress the importance of taking periodontitis seriously.
Because these two patients had referred themselves several years after first experiencing symptoms of gum disease, and combined with the increased rate of deterioration due to their diabetes, deep cleaning wasn’t enough and tooth extraction was the inevitable outcome.
As discussed in my last blog, the key to treating gum disease is found in the depths of our gum pockets. In diabetic patients, it’s even more crucial that gum pockets are maintained at a healthy depth.
The care of every patient should be approached uniquely and on an individual basis. However, if you have diabetes, your dental care provider should be much less tolerant of any deterioration in the gums or bone structure. Patients who have diabetes or who have untreated periodontitis are much more susceptible to the other, and will experience a rate of deterioration that is much more rapid than that seen in other patients.
If you’re concerned about the topics explored in this blog, fear not! London Dental Specialists are offering free virtual consultations so that you can have your queries and concerns answered by an expert in no time at all. Complete the form below and we look forward to hearing from you!
There are two common reasons tooth wear occurs: acid erosion and attrition. In this blog, I’ll be exploring what happens in both cases, and what you can do to protect your healthy and beautiful smile.
The primary cause of worn teeth is acid erosion. Acid from drinks and our stomachs slowly dissolves the enamel (the outer surface of the tooth) until it reaches the dentine (the yellow inner surface of the tooth).
The speed of the erosion depends on the frequency of acid contact with enamel. Enamel is the hardest substance in the human body, so it can take a long time for acid to wear it away. When it finally reaches the inner surface of the tooth, however, the rate of erosion progresses rapidly because the dentine is so soft.
Let’s explore the two main suspects culpable for acid erosion:
Up to 80 per cent of adults are at risk of enamel loss as a result of what they eat according to the American Dental Association,
In fact, a study on the relationship between food habits and tooth erosion was conducted on Malaysian University students. It was found that 68 per cent of participants had tooth erosion. Those subjects who had received information about healthy eating were less likely to have tooth erosion.
Some foods in our diets can be incredibly acidic. The pH scale measures acidity or alkalinity levels in a range from zero to 14. Substances that fall below a pH of seven are considered acidic, and those above seven are alkaline.
When we’re not eating and drinking, our saliva should be in the neutral range of 6.5 to 7.5 pH. This range is perfect for preventing enamel erosion and tooth decay.
There are certain foods that are common in our diets that can become a problem when consumed in excess.
The most popular offenders are:
These substances range from two to five on the pH scale. I know lemon water is quite trendy these days, but when consumed in excess it will cause issues over time!
When consuming foods with high levels of acidity, you should rinse your mouth with water and wait at least an hour before brushing your teeth. This gives your saliva a chance to wash away the acid and reharden your enamel.
Dental erosion as a result of stomach acid generally progresses more rapidly and can be more severe. This is because our stomach acid has a pH between one and two, which is incredibly acidic – much more so than the foods in our diet.
Stomach acids can enter the mouth for a multitude of reasons, most obviously vomiting, but also as a result of gastroesophageal reflux disease (otherwise known as acid reflux). This is when acid from the stomach leaks up the oesophagus due to weakened oesophageal muscles.
Patients with these conditions should be especially mindful of staying hydrated. Saliva is an excellent natural defence against tooth wear as it helps to clean the teeth of acid and allow the enamel to reharden. Many acid reflux medications can cause an incredibly dry mouth, so chewing sugar-free gum and drinking lots of water should help.
These include:
Acid erosion is difficult to identify before it becomes a problem unless you are being regularly monitored at a dental practice. This is yet another reason it is so important to visit your dentist on a regular basis – even if you don’t think there are any issues in your mouth.
Your dentist and hygienist will take digital scans of your teeth and compare them over time. This is the only real way of identifying tooth wear before it requires treatment.
With regards to stomach-related acid erosion, take note of regular heartburn which could be a sign of acid reflux. In these cases, I recommend visiting not only a GP, but also your dentist or hygienist to keep a close eye on your teeth. You may have heard stories from women who have experienced loss of tooth structure during pregnancies where they suffered with regular heartburn.
Dental attrition is caused by “tooth to tooth contact”, such as grinding or clenching teeth. The resulting friction causes enamel to wear down.
Many times, teeth grinding and jaw clenching are stress and anxiety induced. If you’re experiencing stress and anxiety to such an extent that your teeth are being affected, I recommend you consult a professional. After all, the healthiest and most beautiful smiles come from happy and confident people, and we all deserve to feel this way.
A 2011 study on the prevalence of dental attrition found that 80 per cent of participants (400 subjects out of a total of 500) showed signs of dental attrition up to the dentine.
If you’re struggling with attrition as a result of grinding your teeth or clenching your jaw and can’t seem to stop, I recommend investing in a hard acrylic mouth guard to protect your teeth during your sleep.
The rate of wear as a result of acid erosion is much faster than erosion by attrition.
The long-term consequences of tooth wear depend on a multitude of factors, including but not limited to a patient's genetics and the source of erosion. If no tooth wear protective measures are put in place, you might be putting yourself at risk of tooth ache, sensitivity, and even tooth loss. Once the erosion reaches the inner tooth, it could cause an infection in the nerve, which might require root canal treatments.
A consequence of tooth erosion that many patients fear the most, however, is simply an uneven smile. Teeth become shorter very gradually – over time you might not notice, but looking back at pictures might make you gasp at the difference!
Whilst this consequence is cosmetic, it can be a huge knock to your confidence. Confidence is a key ingredient in a healthy and beautiful smile, and that’s why I so often stress the importance of regular check ups with your dentist.
Reduction of stress, being mindful about your diet, and consulting a professional are great ways to protect your teeth.
Remember – simple is best! The best way to look after your teeth is simply to brush them for two minutes twice a day with a fluoride toothpaste. Enamel that has fluoride in it is stronger than enamel without fluoride.
No matter where your tooth wear comes from, a good dental practice should be completely non-judgemental. At London Dental Specialists, we are always here to help. Irrespective of the cause of your tooth erosion, there will be a solution and we can show you. Complete the form below so we can restore your smile to its former glory.
