Family Friendly & Specialty Dentists in London, UK
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!
Dental implants are made up of a titanium screw that goes into the bone. Sounds scary, but they are the strongest and most convenient option available to fix missing, broken, or dead teeth.
At London Dental Specialists, we specialise in offering high-quality dental implants to successfully rebuild your healthy and beautiful smile. But there are other options out there, and in order to feel confident about your choices, you should be aware of what they are and how they compare.
Your specialist dentist will place a titanium implant into the jawbone beneath the missing tooth. We can imagine that the screw replaces the root of the missing tooth. After a healing period of three months, a custom moulded crown can be screwed on top of the titanium implant, fixing it in place. Cosmetically, dental implants look great – in fact, no one will even be able to tell you’ve got one!
Your dentist should consider how much bone you have at the implant site. Some patients might require a bone graft ahead of fitting a dental implant. A bone graft usually takes bone from the chin, the back of the mouth, or the hip.
This bone doesn’t always have to come from you, either! Interestingly, the bone used in your bone graft might come from a patient who has recently had hip surgery! The head of the femur, which is removed during this type of surgery, is often donated to dentists to be used in bone grafts. Of course, this will always be clearly communicated to the patient!
Whilst a bone graft is beneficial, if one cannot be carried out, or one you’ve previously had is no longer working, a longer dental implant can be screwed into the cheekbones, underneath the nose or behind the upper jaw.
There are two main options for replacing missing teeth outside of a dental implant:
There are several types of dental bridges and the most common is the traditional fixed bridge. The traditional fixed bridge is usually made from metal, porcelain, or ceramic teeth joined together. Fitting this type of bridge involves drilling the tooth down to a stump to get an impression of it, and then fitting the bridge on top.
Whilst this is more secure than other forms of dental bridge, the destruction of the natural tooth could lead to the need for root canal treatment. This is where we can enter what is called a restorative cycle: the more the tooth is “restored” and “repaired”, the more damaged it becomes until eventually this process will lead to the failure of our teeth.
Another common bridge is a Maryland bridge, also known as a resin-retained or “sticky” bridge. This is where a replacement tooth is glued into a gap, fixed in place by a wing-like structure which also supports the neighbouring teeth.
Dental bridges can last for many years, especially with good oral hygiene. Over time, the cement can deteriorate, or patients to fall short of good oral hygiene. Both of these will lead to tooth decay and collapse of the bridge. In situations where there are multiple missing teeth, bridges are not recommended.
One of the great advantages of dental implants is that the process never goes down this restorative spiral. And the more missing teeth you have, the more important it is to choose a treatment option that is strong and doesn’t cause further damage.
The most important consideration about dentures is that they require more extensive hygiene care to keep them healthy because dentures trap plaque.
A clinical trial conducted in Newcastle which compared patients who had fixed teeth with those who had removable teeth found that patients with removable teeth had higher rates of gum disease. Other studies have supported this, finding that “subjects wearing removable dentures were significantly at risk for periodontal disease progression”.
This is not to say that patients who have dentures are doomed! Of course not. However, if you do choose to have a denture, your oral hygiene must be pristine in order to protect your teeth. It is much harder to keep dentures clean than it would be an implant. This is because dentures might cover other teeth and cause a buildup of plaque.
I cannot stress enough the importance of taking our oral hygiene seriously, both from a gum disease perspective and a decay perspective.
The only patients for whom a dental implant might not be appropriate are those patients who have had radiotherapy in the area of the mouth that requires the implants. For example, some salivary gland tumours require radiotherapy to treat, and will have been targeted extensively. Radiotherapy will kill the blood supply to the bone, and in these situations a dental implant would not be ideal.
Whatever your situation or issue, we want to equip you with the knowledge you need to feel confident and reassured, before you even visit a specialist. If you’d like to chat more about concerns surrounding the best treatment option for you please complete the form below.
Did you know that your teeth are constantly moving throughout your life?
Our teeth have evolved over hundreds of millions of years to be perfect for chewing. A number of other factors influence the position of our teeth, most notably genetics, but also the forces that are exerted on them.
Our teeth are under pressure at all times. This force comes inwards (exerted by the lips and cheeks) and outwards (exerted by the tongue), not to mention the forces expressed when we close our jaws (our bite) or chew food.
The smile that most people come to London Dental Specialists hoping to achieve is neat and uniform. Usually, teeth drift forwards, which creates a certain aesthetic that most people hope to avoid. This is because teeth move through the path of least resistance, and most of the biting force comes from the back of the mouth.
Let’s explore why our teeth move and what we can be on the lookout for.
Our teeth’s ability to move is thanks primarily to the periodontal ligament, which surrounds every single tooth. I am perhaps biased when I say this, but it’s a fascinating structure that has been studied extensively for many years, and is a large part of my own specialty as a dentist.
Put simply, the periodontal ligament is the main reason you’d know about it if you had a strand of hair stuck between your teeth. It is incredibly sensitive.
In general, teeth move along the path of least resistance. For example, if a tooth has been pulled out or lost due to trauma or gum disease, teeth will move to crowd this gap over a period of time. Other forces, such as grinding or clenching your teeth, or favouring chewing on one side of your jaw, will add further force to the teeth, pushing them in the direction away from the force.
In many cases, when patients have the molars at the back of their mouths removed, it affects the teeth at the front of their mouth! This is because the front teeth are taking a greater amount of force from the jaw muscles. The jaw muscles aren’t aware that teeth have been removed! They’ll continue to exert the same amount of force on fewer teeth.
Imagine it this way: if you were to lay evenly on a bed of nails, it would hurt much less than if you were to put a lot of pressure on one specific area on a bed of nails. This is because you’re exerting pressure over a large surface area when you lie evenly. This means that each nail is supporting only a small amount of your weight – meaning less pressure – so they don’t cause any pain.
When your teeth don’t align properly, it’s known as malocclusion. This could be seen as an underbite or an overbite, but both can cause serious problems.
In fact, the World Health Organisation considers malocclusion as one of the most serious oral health issues, alongside tooth decay and periodontal disease. As common as it is, its prevalence is highly variable, estimated to be between 39 per cent and 93 per cent in children and adolescents.
Your bite is very important and much dental work is carried out each year to correct problematic bites. This is because the bite must have multiple points of contact so that the biting force from the jaw muscles is evenly distributed across the teeth (think about the bed of nails!).
With issues like malocclusion or teeth grinding, the pressure exerted on the teeth and jaw can be too forceful. This means that the connective tissue that holds the teeth in place is at risk of being damaged by these forces, which could result in loose teeth. If there is too much space in the jaw, the teeth may drift out of place.
Not only will a healthy bite ensure even pressure across the mouth and reduced risk of weakened connective tissue and tooth loss, there are a number of other benefits you might not have thought of, too. A healthy bite will help you to breathe, sleep and speak easier, and ensure your smile is not only healthy but beautiful, allowing your teeth to function properly.
There is no set time frame when it comes to how quickly teeth can drift. It’s different for every patient. Some patients might find that their teeth move over a period of many years, whilst others might experience movement over a matter of months. Certain factors accelerate drifting teeth, such as gum disease (which weakens the supporting structures), tooth loss or trauma.
To regain control of your healthy and beautiful smile, a brace is an excellent option. This must only be considered in cases where there is no gum disease or the gum disease is under control, and where the teeth haven’t moved too far out. If too much movement has occurred, however, the offending teeth can be replaced with dental implants.
If you’re ready to achieve your healthiest and most beautiful smile yet, don’t hesitate to contact us. We offer free virtual consultations where we can identify what treatment is right for you. We have lots of examples of the beautiful smiles we have achieved for our patients over the years, who first came to us unconfident and concerned about their smiles. Everyone’s smile is different, but they can all be healthy and beautiful!
Tooth sensitivity is that electrifying jolt that shoots through your teeth when you bite into a frosty ice cream cone or sip a steaming cup of tea. In this article, we'll uncover the shocking truth behind tooth sensitivity and how you can put an end to it.
The primary culprit behind tooth sensitivity is the erosion of tooth enamel. Enamel, the hardest substance in the human body, serves as the protective layer for the softer, more sensitive tissue beneath it. In an unfortunate turn of events, your enamel can wear down, exposing the dentin layer and its tubules that lead directly to the tooth's nerve centre. No wonder you're experiencing such a shocking sensation!
Here are some helpful tips to alleviate tooth sensitivity and protect your precious enamel:
Feeling inspired to take action? Give your teeth the TLC they deserve by filling out the form below, and let's schedule a check-up.
Dental implants are an exceptional solution for those seeking to replace missing or severely damaged teeth. They involve the surgical placement of a titanium post into the jawbone, which acts as an artificial root. This post then supports a custom-made crown, bridge, or denture, mimicking the appearance and functionality of natural teeth (read more here).
To help you visualise the process, here's a handy diagram:
Dental implants boast a plethora of benefits, from improved appearance and speech to enhanced comfort and convenience. Moreover, they're renowned for their durability and success rates, making them a top choice for those seeking a long-term solution to missing or damaged teeth.
The earlier you address tooth loss or damage, the better. Prompt action can prevent complications, such as shifting teeth, bone loss, and infection. So, don't delay—consult your dentist to determine whether dental implants are the right choice for you.
Are Dental Implants in Your Future? Don't Delay, Act Today!
Feeling enlightened and ready to embark on your journey towards a dazzling new smile? Don't hesitate! Fill out the form below to schedule your appointment.
There are 3 causes of tooth wear - attrition, abrasion, and erosion.
Attrition is caused by the constant grinding of teeth against each other, wearing down the enamel. It's particularly prevalent in those who suffer from bruxism, a condition that compels one to clench or grind their teeth (usually during sleep). Clenching and grinding is extremely common these days due to our stressful lives.
Abrasion is the result of excessive tooth brushing or using a toothbrush with hard bristles. It can also be caused by biting on hard objects, like pens or fingernails.
Erosion is the dissolution of tooth enamel due to the presence of acids. These acids can come from external sources like fizzy drinks, citrus fruits, and even wine (I know, gasp). They can also be a result of internal factors like acid reflux or frequent vomiting.
If you suffer from bruxism, a custom-made mouth guard will protect your teeth from grinding and clenching, giving your enamel a well-deserved break.
Choose a toothbrush with medium bristles and adopt a gentle brushing technique. Better still, but an electric toothbrush with a pressure sensor so that you can be confident about knowing when you are brushing too hard. Also, avoid biting on hard objects or using them to open packages (yes, I'm talking to you, pen chewers).
To combat erosion, try these simple yet effective strategies:
Now, for the Grand Finale!
There you have it, folks - the causes and solutions for tooth wear, all in one nifty package. And remember, prevention is always better than cure, so start implementing these solutions today to keep tooth wear at bay (read about treatments options for situations where there are cosmetic issues due to tooth wear).
Want to know how to take your dental health to the next level? Fill out the form below and the team will contact you within 24 hours.
Invisalign is the most widely known and used aligner brand in the world today. More and more adults are considering and taking up on the teeth straightening journey since these almost invisible options are available on the market. Click here to read about all the options.
Are you one of them?
Have you seen a dentist for assessments or scans to determine if you would be eligible?
Were you told that Invisalign is not a good option for you but you are still keen on having it because of its discrete nature?
Don`t give up, here at London Dental Specialists, we work with complex cases other dentists don't have the experience of treating. We are here to help you to find out how you can still achieve your desired smile.
Please complete the form below and one of the team will contact you within 24 hours (on a weekday).
With so many different toothbrushes on the market, it can be confusing choosing one that is right for you. As a dental hygienist for London Dental Specialists, I can alleviate your tooth brushing worries and save you a heap of time researching (read more here).
The important thing to consider when purchasing an electric toothbrush is head movement. An oscillating and rotating head is the perfect combination of requirements for efficient plaque removal. The Oral-B brushes have both of these features, so I tend to recommend this brand of electric toothbrush to all of my patients. It is also important to purchase a brush which is rechargeable as a battery powered brush will begin to deplete in power after the first use. This is compared to a rechargeable brush which will generally maintain its level of power when re-charged.
The Oral-B pro series onwards are the best type of brush to go for. This includes the genius and smart range. These brushes are best as they tend to have more power which will remove plaque efficiently. These brushes also have a built in timer and pressure sensor to prevent you from over brushing your teeth and gums. These electric toothbrushes tend to retail at £35+ and can be purchased from Amazon or Boots for the best prices. Any Oral-B brush that is below a pro series will not be adequate for plaque removal.
If you have the budget to allow, the Oral-B iO series is currently the best brush on the market and retails at approx. £100+. These brushes have 2 pressure sensors opposed to 1 (which you’ll be getting with the Pro series). This ensures that you are not underbrushing as well as over brushing. Underbrushing can be just as detrimental to your oral hygiene as brushing too gently will not remove a sufficient amount of plaque.
Electric toothbrushes will generally live for many years, however, it is a good idea to change your electric brush every few years. This is because like most rechargeable electronics, the battery will reduce over time and will either not maintain its level of power or will not charge completely. This will result in a compromised toothbrush efficiency and therefore, sub-optimal plaque removal.
Ready to take the first step towards a brighter, healthier smile? Fill out the form below and let's get started! Trust us, your teeth will thank you (and so will we!).
There can be some confusion when it comes to dental appointments and we hope that this blog will clear up any uncertainty (Read about the different dental roles here). Your hygienists’ main priority are your gums and helping to prevent and treat gum disease. This involves providing you with tailored oral hygiene advice and recommendations.
Your dentist is there to check your teeth for any decay and take any x-rays that may be indicated. This task can also be carried out by your hygienist, if he/she is a qualified dental therapist but this is usually made clear to you at the time of booking your appointment.
There are certain things that a dental therapist or hygienist cannot diagnose that will be in your best interests and you will need to see a dentist for these (read about the importance of regular check ups).
One of the most important checks all dental clinicians (dentists, hygienists and therapists) carry out is a mouth cancer screening, this is done at every appointment and can be life saving. Regular appointments with your dental hygienist/therapist or dentist is crucial to spot the signs of mouth cancer early. A common misconception is that patients with full dentures (top and bottom) do not need to visit the dentist. Mouth cancer can still affect these patients, therefore it is paramount to have regular check ups. They could save your life or a loved one's life.
If you are concerned about gum disease, oral cancer or would simply like more information on any dental concerns, please complete the form below.
Have you ever worried that you had bad breath? This blog will give you some tips on what causes this and how to prevent any embarrassing moments.
Halitosis can be caused by bacteria that are not removed efficiently when brushing with your toothbrush. It is important to angle your toothbrush towards the gumline and spend at least 2 minutes brushing. To make bruising your teeth easier and more efficient you can consider an electric toothbrush.
Brushing your teeth efficiently but still experiencing bad breath?
If you are not cleaning in between your teeth, 40% of tooth surfaces are being missed. These are areas where your toothbrush bristles cannot reach, therefore, bacterial plaque will continue to accumulate and cause bad breath. Not all tools are made equally when it comes to cleaning in between your teeth. Interdental brushes are far superior when it comes to removing these harmful bacteria when compared to conventional string floss (read more here).
This diagnosis is usually made when the gingival cause has been eliminated i.e. when halitosis is present with perfect oral hygiene, the problem is coming from the stomach. A consultation with a gastroenterologist It could also be that there are some digestive issues occurring in which your GP can help get to the root cause of the problem.
Ready to kick bad breath to the curb? Don't let halitosis hold you back any longer! Fill out the form below to get expert tips and personalised advice on how to achieve fresh breath for good. Your social life (and everyone around you) will thank you!
