1. In the news today…

    28th May 2010 by thecourtyardclinic

    Headlines today are reporting again the known link between gum health and heart disease..recent studies have again confirmed that patients with gum inflammation are more likely to go on to have heart disease.

    The recent research has accounted for factors such as lifestyle, exercise and diet and so confirms the advice we give… that regular check ups and visits to the hygienist (two or three times a year) to ensure good oral health, is of significant benefit to our patients.

    Posted by Dr. Yasmin George.


  2. Implant Training Course….

    26th May 2010 by thecourtyardclinic

    Sue and Melanie would like to thank Chris and Rie at Dentsply for being great hosts at the Skills Development Programme on Wednesday last week. The course gave us a good knowledge foundation and understanding of dental implant restorations……. Because our patients are talking to their friends about implants, people are now asking us about the treatment, and we can now advise our patients with additional confidence.


  3. Tooth whitening

    24th May 2010 by thecourtyardclinic

    Tooth whitening is also known as tooth bleaching. It is all about improving and revitalising the smile.

    Coffee, tea, smoking and other eating habits discolour teeth, making them darker.

    Whitening highlights the teeth and reveals a much-desired smile.

    It also boosts a person’s confidence.

    Depending on the original colour and shade, tooth whitening will give different results.

    Some aspects to consider before whitening:

    • All tooth cavities should be treated before the procedure. If not treated, decayed teeth can get worse after the procedure.
    • Note that old fillings and crowns do not change colour. Make sure you discuss that with your dentist and whether these could be changed after you have reached a satisfactory whitening result to match the whitened teeth.
    • Tooth whitening can increase the sensitivity of your teeth for a short period of time…. from several hours to several days…but it can be avoided if proper advice is given prior to the start of tooth whitening..
    • Depending on a person’s life style, the whitening effect can last for several months to a couple of years. Smoking, coffee and tea will discolour teeth quicker.
    • Some teeth will not whiten and the best way of improving the smile would be crowning or veneering the teeth. This applies especially to teeth that have already been filled or for teeth that are internally discoloured.
    • Whitening is not recommended for pregnant women although no evidence of harm has been investigated or shown.

    How is tooth whitening done?

    Nowadays there are many products on the market for teeth whitening.

    The safest way is to have the whitening done under the supervision of a dental professional.

    There is chair side (in office whitening) and at home whitening.

    These two procedures can be monitored and evaluated by your dentist. It is important to stop the procedure immediately if side effects occur such as extreme sensitivity or gum soreness.

    Chair side whitening

    Chair side whitening is done by your dentist and usually takes one treatment session. The gums are protected and the whitening gel is applied to the teeth. The teeth are then exposed to a high-density light to activate and speed up the whitening reaction. The patient will be able to see the results immediately.

    Home whitening

    Home whitening has become very popular among patients.

    You can have home whitening done with the help of your dentist  by ordering a custom- made home whitening kit.

    This type of whitening may take up to two to six weeks  weeks for the whitening to take effect and to reach a desired result.

    • Home whitening with your dentist’s help: Your dentist takes an impression of your teeth. The impression is then sent to a dental technician who makes custom made trays to fit your teeth perfectly.At your next visit, you collect the trays and receive the necessary advice on how to use the whitening material provided by your dentist.

                 As explained before, it is recommended to have your teeth examined by a dentist before you decide to use a home whitening kit.

    Is whitening safe?

    Whitening has been proven to be safe if used in moderation.

    The high concentration of hydrogen peroxide or carbamide peroxide cleans the stains from the outer surface of the enamel.

    Remember: Despite being more expensive, having your teeth whitened professionally is always the safest way to do it.

    Whitening is not the only way of enhancing your smile. Teeth straightening or crowns and veneers can sometimes provide a good solution.

    Good luck with your new smile!


  4. Dr George is teaching…..

    18th May 2010 by thecourtyardclinic

    On Saturday 15th May…..a group of 15 dentists met in Chertsey for a Study Day led by Dr. Yasmin George and 3 of her colleagues…all of whom, like Dr. George have trained at The Pankey Institute in Florida  and are now part of the visiting teaching faculty. The Pankey Institute is a dental school for qualified dentists who want to improve their skills and knowledge and be leaders in the field of patient centred care….

    Comments after the course from those attending included  ….. ”Many thanks for organising such a wonderful day. I really appreciate the efforts you guys are putting in to make this study club such a sucess. It was a very engaging and enjoyable experience for me.”


  5. Our Dental Team

    13th May 2010 by thecourtyardclinic

    The practice team is lead by our practice manager  Mrs Alison Muir.

    Alison has many years of experience in the dentistry as a nurse, receptionist and in the last 15 years as a practice manager.

    She is also registered with the GDC as a dental nurse.  Alison deals with the  booking of patient appointments, gets invloved in new patient liason, marketing, as well as follow up correspondence and communication with our patients after their treatment.

    Our Nurses

    We have two qualified, experienced  Dental Nurses:  Melanie and Sue. They ensure the practice meets the latest health legislation and the standards of cross infection control are of the highest quality for both patients and staff. Both are fully qualified to assist in surgical and restorative procedures as well as intravenous sedation.

     The practice provides the highest standard of continuing professional development through in-house and external training. There is a great team participation in every aspect of the patient’s treatment. Melanie is currently studying for a certificate in dental radiography.

    Our Hygienist

    Our hygienist, Marie is experienced in implant and periodontal work and responsible for the monitoring and maintenance of both our implant and periodontal patients, as well as patients who have orthodontic braces……she  also cares for all patients’ oral hygiene and maintenance programmes.


  6. What's new at The Courtyard Clinic

    10th May 2010 by thecourtyardclinic

    We thought you might like a quick update on recent developments at The Courtyard Clinic…we are excited to announce the arrival of the Velscope Oral Cancer Scanner a revolutionary hand-held scaning device which can reinforce our clinical examination of the areas of the mouth where cancer can develop. An oral cancer screen has always been part of our new patient full examinations and all recall examinations, but this new equipment will provide additional reassurance for our patients that everything possible is being done to ensure their oral health.

    We can also provide intravenous sedation appointments more easily now which will particularly appeal to  our more nervous patients…watch this blog for more details


  7. Brushing injuries

    7th May 2010 by thecourtyardclinic

    Although the enamel is the hardest tissue in the body, patients manage to brush it away causing considerable damage to the tooth surface.

    Some factors contributing to brushing injuries:

    1- The type of the toothbrush you use. Hard brushes can cause more damage. You might need to consider to change your brush to a medium  brush head.

    2- How hard you brush.

    3- Teeth grinding or clenching can cause the enamel to flake away from the tooth surface making the tooth more vulnerable to hard brushing.

    4- Extensive consumption of citrus beverages.

    The most common side effect of brushing injuries is teeth sensitivity but more extensive injuries can affect the pulp causing irreversible inflammation and a  root canal treatment  is occasionally necessary.

     How to treat brushing injuries?

    Your dentist can cover the brushing injuries with composite white fillings. This protects the tooth from further damage and decreases the sensitivity to temperature changes.

    If you think you have brushing injuries or if you notice that you have receding gums, ask your dentist for the best advice.


  8. Detecting Oral Cancer early

    4th May 2010 by thecourtyardclinic

    Oral cancer is one of the few types of cancer that has not experienced a significantly reduced mortality rate in the last 30 years. The main reason for this is that 70% of cases are already in the late stages before it is detected and it is simply too late.

    Traditionally mouth cancer has been associated with older males who use tobacco and alcohol, but an increasing number of people developing this deadly and disfiguring disease are younger males and females who in some cases, do not use tobacco and alcohol. One possible reason for this trend is that mouth cancer is now known to be caused by exposure to the sexually-transmitted human papilloma virus (HPV). This means that anyone who is sexually active is at risk from mouth cancer.

    You can reduce the risk of developing oral cancer by:

    1. Not using tobacco. Not using tobacco is the single most important thing you can do to avoid oral cancer

    2. Reduce excessive consumption of alcohol.  More than 15 alcoholic beverages a week may put you at greater risk of developing mouth cancer. If you must drink, do so in moderation.

    3.  Reduce or stop the combined use of tobacco and alcohol. Using both tobacco and alcohol significantly increases the risk of developing oral cancer.

    4. Excessive exposure to the sun. Unprotected exposure to the sun increases your risk of developing lip cancer. Use at least SPF30 sun block for your lips

    5. Avoid the use of betel nut and bedis. Betel nut and bedis are causative agents for  oral cancer when chewed of smoked.

    6. Eat a healthy well balanced diet. A diet rich in fruit and vegetables contains protective nutrients, reducing the risks of developing a variety of diseases including oral cancer.

    The key to controlling mouth cancer is early detection.

    Until recently, the primary method of detecting oral cancer has been by visual screening that relies on the naked eye of the clinician. Unfortunately, mouth cancer is often only apparent under these conditions at the later stages of the development of the disease. However, with new breakthroughs in technology, there is now a product called the Velscope Oral Cancer Screening System.    

     The Courtyard Clinic are the proud owners of the VELscope Oral Cancer Screening System   

    Through the use of light shining through the tissues Velscope assists in the detection of abnormal areas, including pre cancerous lesions that may not be apparent to the naked eye.

    All patients attending The Courtyard Clinic can benefit from having the Velscope Oral Cancer Screening System incorporated into their Comprehensive Care appointments. 

    The screening examination involves shining a safe blue light into the mouth. When viewed through special filters, abnormal tissue will appear as an irregular, dark area that stands out against the otherwise fluorescent green of the surrounding healthy tissue. In most cases the Velscope exam will indicate that there is nothing to worry about.

     If there is an area of potential concern, patient can be referred to the appropriate specialist for an accurate diagnosis at a considerably earlier moment in time.

    Fortunately, the survival rate for oral cancer discovered in the early stages is extremely high.

    That is why it is recommended that people should have an oral cancer screening once a year, or twice a year if you smoke or chew tobacco, and it is for this reason that we at The Courtyard Clinic have invested in this technology. 

    By promoting the early detection of oral cancer, it is hoped that the current mortality rate of this dreadful disease can be considerably improved.

    Want to know more, then visit:

    www.canceradvice,.co.uk

    www.MouthCancerFoundation.org

    www.rdoc.org.uk

    www.wikipedia.org/wiki/oral-cancer

    www.info.cancerresearch./org

    www.velscope.co.uk


  9. Dental Implants

    1st May 2010 by thecourtyardclinic

    Dental implants are metal screws that are inserted in the jawbone. Once the bone tissue grows firmly around the implant, it serves as the foundation to carry a crown or a bridge.

    The implant is made of titanium; a metal that is accepted by the body tissue and that allows the implant to integrate with the bone. Implant treatment can replace one or more missing teeth without involving the neighbouring teeth.

    The treatment explained:

    The number one deciding factor for the suitability of the implant treatment is whether the patient has a sufficient amount of jawbone to anchor the implant.

    With bone augmentation and bone replacement techniques, many patients with insufficient amount of jawbone are today treated successfully. After the necessary examinations, the dentist decides if and where an implant can be placed.

    Under sterile conditions the implantologist inserts the implant in the jawbone and covers it with the gums. The inserted implant is left to heal and integrate or knit with the jawbone.

    The rule of thumb is 3 months healing for the upper jaw and 2 months for the lower jaw…but these time can vary according to individual cases.

     The operation can be performed under local anaesthetic and is quite straightforward. A little discomfort  may be experienced for a week or so after the operation.

    With more progress made in the field of implantology, the healing time is becoming significantly shorter. When the implant is integrated with the jawbone, the crown part is attached to it and the treatment is completed.

    Same day teeth

    ?Same day teeth? is a concept that has been carried out successfully. Patients leave the surgery with the new teeth on the same day. Certain criteria should be met to qualify for this treatment. Ask your dentist if you are a candidate.

    Dental implants are constantly undergoing development with new techniques and ever improving products. The application areas are increasing with more possibilities of providing better quality of life  to our patients.


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