30th June 2010 by thecourtyardclinic

    Last Friday Dr George took a day out from buygenericvaltrexonline seeing patients to attend the BAAD summer meeting in Windsor.

    BAAD is the British Academy of Aesthetic Dentistry, it is an organisation which encourages dentists  to strive for excellence in cosmetic or aesthetic dentistry. It facilitates learning within the membership and invites world class dentists to lecture at it’s meetings.  BAAD is  discerning in whom it allows to join, so a few years ago when Dr. George’s application was successful she was delighted.

    Fellow members of BAAD are committed practitioners who are well respected by colleagues and patients alike, so there is plenty of dialogue during the formal lectures and afterwards in the bar!

  2. Foods that stain your teeth:

    by thecourtyardclinic

     These can include:

    1. Soy sauce
    2. Berries
    3. Curry
    4. Coffee
    5. Red wine
    6. Dark fizzy drinks
    7. Dark fruit juice
    8. Tea
    9. Extremely hot or cold liquids are dangerous to your white smile because they change the temperature of your teeth. Temperature change causes teeth to expand and contract, allowing stains to penetrate your teeth.
    10. Slightly acidic foods open up the pores of the tooth enamel allowing stains to more easily move into your teeth.
    11. Tobacco from cigarettes and cigars quickly stains teeth yellow.

    How to get rid of stains 

    If your teeth are mildly discolored, stains can be removed by tooth whitening, bleaching and/or microabrasion. If the stain is severe or deep in the tooth, it can be covered with some bonding or  porcelain veneer.

    Tips to keep your teeth free of stains

     Limit the intake of foods that stain your teeth. Brush and floss your teeth every day. Use an electric toothbrush (electric toothbrushes can remove 98.2 percent of plaque).

    1. Use a mouthwash with an antibacterial action to help dissolve plaque.
    2. Have regular hygienist visits.

  3. The 'pros and cons' of teeth whitening

    28th June 2010 by thecourtyardclinic

    Teeth whitening, a cosmetic procedure offered by most dentists, has become increasingly popular in recent years, but dental insurance  providers don’t always provide cover for these procedures, so be sure to check what your insurance provider does cover.

    Dentists can safely lighten the colour of your teeth without removing any of the surface enamel.

    There are various factors that affect teeth colour, external and internal.

    • Drinks such as coffee, tea, red wine and blackcurrant.
    • Smoking.
    • Certain antibiotics can also discolour teeth and it’s important to tell your dentist if you are taking medication.
    • Genetics.

    Bleaching or whitening:

    The most common form of teeth whitening is professional bleaching. A rubber shield or gel protects your gums before a whitening product is applied to your teeth. This whitening product contains hydrogen peroxide or carbamide peroxide.

    The procedure takes two to four weeks, depending on how your teeth react to the treatment. The teeth whitening process begins in your dentist’s surgery and you continue to apply the product at home, between 45 minutes to 90 minutes at a time. Sensitivity can be a side effect of teeth whitening, but it is transient and can easily be controlled with the use of products such as ‘Tooth Mousse’ or Sensodyne toothpaste.

    Teeth whitening can be improved through the use of light, also known as power whitening. The product is applied as before, a light is then used to activate the chemical which accelerates the active agent and improves the results. Good results can be achieved within an hour.

    Treatment such as this is generally not covered by dental insurance  because it is classified as a cosmetic procedure, it’s not available from the NHS. Your dentist will inform you of the full cost of the procedure before any work is carried out.

  4. Dentist Friend or Foe?

    25th June 2010 by thecourtyardclinic

    Is it my teeth?

    Studies show that people who suffer from dental phobia usually feel embarrassed about the state of their teeth, and it’s this embarrassment that stops them from seeking help. (Source: www.pubmedcentral.nih.gov )

    This leads to a vicious cycle – by the time many people gather the courage to see a dentist their teeth have been neglected for some time, which means they need to spend lots of time at the dentist and the procedures are very likely to be invasive, the very treatment they feared in the first place.

    But it doesn’t have to be that way. Regular check-ups will help prevent most problems before they begin, and as opposed to the dentist of yester-year, today’s dentists are usually very sympathetic.

    1. The first thing to do is to acknowledge your fears and understand exactly what it is that scares you about the dentist. Knowing what you fear will help put you in control once you’re in the dentist’s chair.
    2. Find a dentist you can trust, and one that you will make you feel comfortable. Ask your friends and family for a referral and if that fails look for a dentist that specialises in nervous patients. And then talk to them, tell them your fears and ask for their help in trying to address those fears and to help you relax.
    3. Distraction. A common avoidance technique is to take along some music so that you’re not aware of the normal sounds of a dentist’s office, especially the drill.
    4. Relaxation and self-hypnosis. Practice this with a trained health professional beforehand and this can be very effective method of coping with the dentist’s chair.
    5. If all else fails…. many specially trained dentists can offer sedation which can greatly help very nervous individuals receive the treatment they need.

    Remember that the dentist is trained to deal with decayed teeth and receding gums, that’s their job. And no matter how bad you think your teeth are, they’ve probably seen worse.

  5. Why should I floss?

    22nd June 2010 by thecourtyardclinic

    Brushing your teeth only cleans about 60 per cent of the surface of your teeth, which is why dentists recommend that ‘flossing’ become an essential part of your oral care routine. Using dental tape is however more effective than floss and can be easier to use as it is flat and often coated to slide more easily between the teeth.

    Flossing (using dental tape) helps to remove the plaque and bacteria from between the teeth and under the gum line, helping to prevent decay and gum disease.

    It can be an uncomfortable feeling at first but with regular flossing your gums will get used to the sensation.

    The British Dental Association recommends using about 45 cm (18 inches) of floss or tape  and wrapping the ends around the middle fingers of both hands. Pinch the floss between the thumb and index finger leaving about 2.5 to 5 cm (1-2 inches) of floss in between your two fingers, giving you control.

    Pull the floss tight and slide it up and down against the tooth surface and under the gum line. DON’T use a sawing action, this will cut into your gum, an unpleasant sensation. Floss in a slight circular movement, this will help you to get under the gum line without any problems.

    Wind the floss through your fingers to a fresh section before moving on to the next tooth. Continue until you have flossed both upper and lower teeth.

    If you have difficulty holding the floss, or find it uncomfortable, use a ‘flosser’. This piece of apparatus holds the floss in place for you while you floss, allowing you to concentrate on moving the floss around your mouth.

    You may experience slight bleeding in your gums when you start to floss but persevere, this will soon reduce as your gums become healthier. Your dentist or hygienist can provide you with further advice on how to floss, or also show you how to use other cleaning aids such a tiny ‘interspace’  brushes which can also be very effective at cleaning between the teeth.

  6. Cerec 'expert' joins The Courtyard Clinic

    15th June 2010 by thecourtyardclinic

    We are delighted to tell you that next week Dr David Lewis will be joining our team, here at The Courtyard Clinic.  David has considerable experience with computer aided Cad Cam dentistry… which in simple terms means CEREC dentistry..one visit porcelain crowns, veneers and  onlays…. custom made for the tooth without impressions. He also has a diploma in implants and will be developing this aspect of the practice together with providing general dentistry for all his patients.

    David is married and has four children and previously had his own private practice in Marlow. See the  ‘About Us’ section on our website to learn more about the new member of our team.

  7. Crowns

    12th June 2010 by thecourtyardclinic

    Crowns are also known as ‘caps’.

    When a tooth is damaged extensively by decay or trauma, a filling may not be suitable to restore the tooth and a crown is then the choice of treatment.

    Also for aesthetic reasons, a crown can cover a discoloured tooth.   

    A crown is designed to cover the part of the tooth that shows above the gum. If that part of the tooth is not sufficient to carry a crown, the root of the tooth can be  used.

    After the tooth is prepared and shaped, an impression is taken. The impression is sent to the dental technician who then designs amd makes  a crown to fit the tooth and sends it back to the dentist.

    The crown is then cemented onto the tooth.

    Between the visits a temporary crown covers the prepared tooth.

    Inlays or onlays are crowns that do not cover the whole surface of the tooth but are designed to replace a big part of it.

    There are many types of crowns. The most common are listed below:

    • Porcelain bonded crowns: Consists of a metal core with porcelain fused on top. They are used to restore front and back teeth.
    • Ceramic crowns: are crowns with no metal core for better aesthetics. They can be used for back and front teeth and nowadays are very strong.
    • Porcelain crowns: these crown is made of porcelain and is used for front teeth.
    • Gold crowns: are made from a mixture of gold and other metal alloys. These crowns are ideal for patients who grind their teeth or where there is very little tooth remaining.

  8. Questions to ask the Dentist

    10th June 2010 by thecourtyardclinic

    Knowing about your condition and treatment options are two of the first steps in understanding what can be done to sustain a healthy lifestyle. Many of your questions can be answered by your dentist. Below is a sample list of questions that can aid you in learning about your condition and treatment options.

    1. How can I improve my dental health?
    2. Should I change my toothpaste or floss more?
    3. Should I use a fluoride rinse?
    4. Are the desired results I described realistic?
    5. Is there an alternative treatment that I should consider as well?
    6. How long will the procedure take and how many appointments are necessary?
    7. What kind of anesthesia is used, if any?
    8. How much does it cost?
    9. How long have you performed this procedure?
    10. What percentages of your patients have had significant complications?
    11. Will you repeat or correct procedures if it does not meet agreed upon goals? And if the procedure must be repeated / corrected, will I be charged again?
    12. What kind of longevity can I expect?
    13. May I see “before and after” photos of recent patients?
    14. What should I expect after the procedure, in terms of soreness, what to watch for, and any limitations?
    15. Do you offer patient financing

  9. Toothbrushing…

    7th June 2010 by thecourtyardclinic

    There are many ways to brush your teeth and many can be “the right way”.

    The important thing when brushing teeth is to remove the plaque.  Plaque contains food debris and bacteria.

    To remove the plaque you need to focus on the gum margin that lies between the tooth and the gum. To do this you need to tilt the toothbrush 45 degrees against the margin and brush sideways with short, gentle strokes.

    Combine the strokes with a rotating movement to cover the rest of the tooth surface. Do this on the outside and the inside.

    Brush the chewing surfaces on the back teeth where plaque can easily cause decay if not removed.

    Remember to use a moderate  force when brushing. Excessive pressure can damage the gums and the tooth surface. This can lead to sensitivity  and sometimes damage to the pulp.

    If you have the tendency to brush hard and the brushing injury is already sustained, your dentist can cover the damaged teeth with a filling to prevent further damage and to reduce tooth sensitivity.

    Ask our hygienist for more individual oral hygiene advice.

  10. Testimonial

    4th June 2010 by thecourtyardclinic

    Dear Amit,

    On completion of my successful tooth implant, I thought I would write and express my sincere thanks to you for your never-ending patience and understanding, plus all the time you spent explaining the details of the treatment step-by-step so I was fully aware of what was involved, something which I find, unlike a lot of people, as a necessary part of any medical treatment.

    My thanks must also go to the rest of your team for their friendliness and efficiency which, taken together, made a very pleasent atmosphere in what could have been a somewhat stressful situation for me.

    Once again, with all my thanks.

    J. Scobling

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