Cosmetic Dentistry

Teeth Whitening

Tooth whitening treatments can enhance the appearance of your smile, making gorgeous straight smiles even more stunning. Teeth staining and discolouration can greatly age the appearance of the mouth and face, but tooth whitening can reverse this process and provide a younger, brighter and more vibrant smile. Tooth whitening is one of the safest and most effective cosmetic dental treatments.

At Coxhoe Dental Practice we offer the perfect solution to a brighter smile with a choice of two whitening procedures:

Tray Whitening

  • An impression is taken to create customized mouth trays which comfortably fit over your teeth
  • A whitening gel is used in these trays which whitens the teeth
  • The trays are usually worn overnight or for a few hours everyday
  • Typically results are normally achieved within 7 days
  • This method is ideal for those who want total control of their whitening and the ability to ‘top up’ in the future
  • Cost is £300 for both arches

Zoom! Tooth Whitening

  • A professionally delivered in-surgery procedure with added wow factor
  • Ideal for those who would prefer their whitening done in the shortest possible time. On average teeth will whiten 8 shades in just 1 hour
  • Today’s patients have busy lives and expect instant results. Zoom! Advanced Power delivers
  • We believe the process is the quickest most effective system available today
  • Cost is £450 for both arches
Dental Implants

It is illegal for anybody other than a General Dental Council registrant to provide a tooth whitening service.

Teeth Whitening FAQs:

A. Tooth whitening can be a highly effective way of lightening the natural colour of your teeth without removing any of the tooth surface. It cannot make a complete colour change; but it will lighten the existing shade.
A. There are a number of reasons why you might get your teeth whitened. Everyone is different; and just as our hair and skin colour vary, so do our teeth. Very few people have brilliant-white teeth, and our teeth can also become more discoloured as we get older. Your teeth can also be stained on the surface through food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth. Calculus or tartar can also affect the colour of teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or tiny cracks in the teeth which take up stains.
A. Professional bleaching is the most common form of tooth whitening. Your dentist will be able to tell you if you are suitable for the treatment, and will supervise it if you are. First the dentist will put a rubber shield or a gel on your gums to protect the soft tissue. They will then apply the whitening product to your teeth, using a specially made tray which fits into your mouth like a gum-shield. The 'active ingredient' in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.
A. The total treatment can usually be done within three to four weeks. First, you will need two or three visits to the dentist. Your dentist will need to make a mouthguard and will take impressions for this at the first appointment. Once your dentist has started the treatment, you will need to continue the treatment at home. This means regularly applying the whitening product over two to four weeks, for 30 minutes to one hour at a time. However, there are now some new products which can be applied for up to eight hours at a time. This means a satisfactory result can be achieved in as little as one week.
A. There is now laser whitening or 'power whitening'. During this procedure a rubber dam is put over your teeth to protect the gums, and a bleaching product is painted onto your teeth. Then a light or laser is shone on the teeth to activate the chemical. The light speeds up the chemical reaction of the whitening product and the colour change can be achieved more quickly using this procedure. Laser whitening is said to make teeth up to five or six shades lighter.
A. Your dentist will need to assess your teeth to make sure that you are suitable for the treatment. Once it has been agreed, this procedure usually takes about one hour.
A. You cannot get whitening treatments on the NHS. Private charges will vary from practice to practice and region to region. Laser or power whitening will be more expensive than professional bleaching. We recommend you get a written estimate of the cost before you start any treatment.
A. The effects of whitening can last up to three years. However, this will vary from person to person. The effect is less likely to last as long if you smoke, or eat or drink products that can stain your teeth. Ask your dentist for their opinion before you start the treatment.
A. Some people may find that their teeth become sensitive to cold during or after the treatment. Others report discomfort in the gums, a sore throat or white patches on the gum line. These symptoms are usually temporary and should disappear within a few days of the treatment finishing. If any of these side effects continue you should go to your dentist.
A. Home kits are cheaper. But because tooth whitening is a complicated procedure you should only have it done by a dentist, after a thorough examination and assessment of your teeth. Over-the-counter kits sold in the UK are not recommended as they usually contain only a small concentration of hydrogen peroxide (the whitening product). The legal limit in the UK is 0.1% of hydrogen peroxide and effective bleaching products need to have about 3.6%. So home kits will not be able to lighten your teeth noticeably. Also, some contain mild acids and others are abrasive. This can cause ulcers and damage to the gums if not used properly.
A. There are several whitening toothpastes on the market. Although they do not affect the natural colour of your teeth, they may be effective at removing staining and therefore may improve the overall appearance of your teeth. Whitening toothpaste may also help the effect last, once your teeth have been professionally whitened. We recommend that you look for our accreditation symbol on the packaging of oral care products. This is a guarantee that the claims made about the product have been scientifically and clinically checked by an independent panel of experts.
A. There are several whitening toothpastes on the market. Although they do not affect the natural colour of your teeth, they may be effective at removing staining and therefore may improve the overall appearance of your teeth. Whitening toothpaste may also help the effect last, once your teeth have been professionally whitened. We recommend that you look for our accreditation symbol on the packaging of oral care products. This is a guarantee that the claims made about the product have been scientifically and clinically checked by an independent panel of experts.
A. Tooth whitening can only lighten your existing tooth colour. Also it only works on natural teeth. It will not work on any types of 'false' teeth such as dentures, crowns and veneers. If your dentures are stained or discoloured visit your dentist and ask for them to be cleaned. Stained veneers, crowns or dentures may need replacing; again ask your dentist.
A. You can help to keep your teeth white by cutting down on the amount of food and drink you have that can stain teeth. Don't forget, stopping smoking can also help prevent discolouring and staining. We recommend the following tips to care for your teeth: - brush your teeth twice a day with a fluoride toothpaste - cut down on how often you have sugary foods and drinks - visit your dentist regularly, as often as they recommend.

Zoom Tooth Whitening FAQs:

A. Zoom! is a bleaching process that lightens discoloration of enamel and dentin.
A. The complete procedure takes less than an hour. The procedure begins with a preparation period followed as little as by 45 minutes of bleaching. (A cleaning is recommended prior to the actual Zoom! whitening session
A. The Zoom! light activated whitening gel's active ingredient is Hydrogen Peroxide. As the Hydrogen Peroxide is broken down, oxygen enters the enamel and dentin, bleaching colored substances while the structure of the tooth is unchanged. The Zoom! light aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. A study has shown that use of the Zoom! lamp increases the effectiveness of the Zoom! gel by 26% or more, giving an average improvement of up to eight shades.
A. During the procedure, patients may comfortably watch television or listen to music. Individuals with a strong gag reflex or anxiety may have difficulty undergoing the entire procedure.
A. By following some simple post whitening care instructions, your teeth will always be lighter than they were before. To keep your teeth looking their best, we recommend flossing, brushing twice daily, and occasional touch-ups with Zoom! Weekender or Nite White gel. These are professional formula products designed specifically to keep your teeth their brightest. They are available only through your dental professional.
A. Sensitivity during the treatment may occur with some patients. The Zoom! light generates minimal heat which is the usual source of discomfort. On rare occasions, minor tingling sensations are experienced immediately after the procedure, but always dissipate. You can also ask your dentist to supply you with anti-sensitivity toothpaste for use prior to treatment.
A. There are many causes. The most common include aging and consumption of staining substances such as coffee, tea, colas, tobacco, red wine, etc. During tooth formation, consumption of tetracycline, certain antibiotics or excessive fluoride may also cause tooth discoloration.
A. More people than you might imagine. A bright sparkling smile can make a big difference for everyone. The Zoom! Chairside Whitening System makes it easier and faster than ever before.
A. Almost anyone. However, treatment may not be as effective for some as it is for others. Your dental professional can determine if you are a viable candidate for this procedure through a thorough oral exam, including a shade assessment.
A. Yes. Extensive research and clinical studies indicate that whitening teeth under the supervision of a dentist is safe. In fact, many dentists consider whitening the safest cosmetic dental procedure available. As with any tooth whitening product, Zoom! is not recommended for children under 13 years of age and pregnant or lactating women.

Porcelain Veneers

Veneers are thin, custom-made shells crafted of tooth-coloured materials designed to cover the front side of teeth to improve the overall appearance of teeth. They are made of either thin plastic resin or porcelain and are just like a false nail.

Stained teeth

Badly stained teeth that cannot be improved by teeth whitening or prophyflex treatments can greatly be improved by dental veneers, which function to cover and "hide" any existing stains on your natural teeth.

Before

Veneer Before

After

Veneer After

Crooked teeth

Although veneers are not the ideal treatment chioce for crooked teeth and from a point of veiw of preserving your natural teeth structure orthodontics or invisalign braces would probably a better solution. However, treatments can take up to a year or longer with braces. For teeth that are not severely crooked veneers placed over thier front surface will give a straight and perfectly aligned looking smile. For this type of treatment many people refer to veneers as "instant orthodontics" since you get a similar end result in a fraction of the time.

Before

Veneer Before

After

Veneer After

Gaps

Spaces or gaps (diastimas) between your teeth can be easily closed using dental veneers giving you a more uniform looking smile.

Tooth preparation is minimal and confined to the enamel structure. The veneer is bonded to the tooth structure with tooth-coloured resin cement. Several visits are necessary to complete treatment.

Patients should be aware that this is usually an irreversible process because it's necessary to remove a small amount of enamel from your teeth to accommodate the shell.

Before

Veneer Before

After

Veneer After

Veneer FAQs

A. A veneer is a thin layer of porcelain made to fit over the front surface of a tooth, like a false fingernail fits over a nail. Sometimes a natural colour 'composite' material is used instead of porcelain.
A. Veneers can improve the colour, shape and position of your teeth. A precise shade of porcelain can be chosen to give the right colour to improve a single discoloured or stained tooth or to lighten front teeth (usually the upper ones) generally. A veneer can make a chipped tooth look intact again. The porcelain covers the whole of the front of the tooth with a thicker section replacing the broken part. Veneers can also be used to close small gaps, when orthodontics (braces) are not suitable. If one tooth is slightly out of position, a veneer can sometimes be fitted to bring it into line with the others.
A. Veneers make teeth look natural and healthy. Because they are very thin and are held in place by a special strong bond (rather like super-glue) very little preparation of the tooth is needed.
A. Some of the shiny outer enamel surface of the tooth may be removed, to make sure that the veneer can be bonded permanently in place later. The amount of enamel removed is tiny and will be the same as the thickness of the veneer to be fitted, so that the tooth stays the same size. A local anaesthetic (injection) may be used to make sure that there is no discomfort, but often this is not necessary. Once the tooth has been prepared, the dentist will take an 'impression' (mould). This will be given to the dental technician, along with any other information needed to make the veneer. The colour of the surrounding teeth is matched on a shade guide to make sure that the veneer will look entirely natural.
A. A veneer takes at least two visits: the first to prepare the tooth and to match the shade, and the second to fit it. Before bonding it in place, your dentist will show you the veneer on your tooth to make sure you are happy with it. Bonding a veneer in place is done with a special adhesive, which holds it firmly on the tooth.
A. Because the preparation of the tooth is so slight you will probably not need a temporary veneer. The tooth will look very much the same after preparation, but will feel slightly less smooth.
A. Only minor adjustments can be made to the veneer after it is fitted. It is usually best to wait a little while to get used to it before any changes are made. Your dentist will probably want to check and polish it a week or so after it is fitted, and make sure that you are happy with it.
A. The costs for this treatment can vary from practice to practice so it is important to discuss charges and treatment options with your dentist before starting treatment.
A. Veneers should last for many years; but they can chip or break, just as your own teeth can. Your dentist will tell you how long each individual veneer should last. Small chips can be repaired, or a new veneer fitted if necessary.
A. A natural-coloured filling material can be used for minor repairs to front teeth. This is excellent where the tooth supports the filling, but may not work so well for broken tooth corners. There will always be a join between the tooth and the filling material. Crowns are used for teeth which need to be strengthened – either because they have broken, have been weakened by a very large filling, or have had root canal treatment.

White Fillings

In the past, patients were restricted to having silver amalgam metal fillings. Although very durable these fillings are highly visible and aesthetically undesirable. Many people are more conscious about the way they look, and so they don't want silver fillings that show when they laugh or smile.

Before

Fillings Before

After

Fillings After

White tooth coloured fillings are a great alternative designed to blend in with your natural tooth shade. White fillings are generally recommended for patients with small cavities and those in need of an aesthetically pleasing alternative to silver amalgam fillings. For larger cavities, inlays or onlays may be recommended but your dentist will discuss alternate treatment options if a white filling is found to be unsuitable.

In the past these white composite fillings were considered less long-lasting than silver amalgam fillings. But there are now new materials available that are comparable to silver amalgam, and these are proving to be very successful. They are strong and durable, and make for a very natural looking smile.

Costs:

  • Small sized white filling ​£60
  • Medium sized white filling​ £80
  • Large sized white filling​ £100

White fillings FAQs

A. Most people have fillings of one sort or another in their mouths. Nowadays fillings are not only functional, but can be natural looking as well. Many people don't want silver fillings that show when they laugh or smile because they are more conscious about the way they look.
A. Because many white fillings are classed as a cosmetic treatment, you can only have them done privately. So costs can vary quite a lot from dentist to dentist. Costs usually depend on the size and type of white filling used and the time it takes to complete the treatment. Costs may also vary from region to region, but your dentist will be able to give you an idea of the cost before you agree to treatment.
A. White fillings have always been considered less long lasting than silver amalgam fillings. But there are now new materials available with properties comparable to silver amalgam, and these are proving to be very successful. The life expectancy of a white filling can depend greatly on where it is in your mouth and how heavily your teeth come together when you bite. Your dentist can advise you on the life expectancy of your fillings. However, any fillings provided on the NHS are automatically guaranteed for one year.
A. It is usually best to change fillings only when your dentist decides that an old filling needs replacing. If so you can ask to have it replaced in a tooth-coloured material. Some dentists prefer not to put white fillings in back teeth as they are not always successful. One way around this would be to use crowns or inlays, but this can mean removing more of the tooth and can be more expensive.
A. This can vary, but they are mainly made of glass particles, synthetic resin and a setting ingredient. Your dentist should be able to give you more information about the particular material they use.
A. All the DentiCentre practices offer white fillings as a normal part of the treatment they give you.
A. Adhesive dentistry is another form of this treatment. This involves bonding the filling to the tooth. The dentist has to remove less of the tooth, which is obviously better. As we have already said, there are alternatives such as crowns and inlays although they can cost a lot more. Veneers can be used on front teeth instead of crowns or fillings.