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Smile Makeover for Worn Down Teeth and Bruxism

This a case of a patient with severe wearing down of the teeth approximately 3 months ago. Patient A came to visit Dr Bashar Al-Naher with severe wearing down of his teeth to the point that over half the length of his front teeth had disappeared. The initial photograph shows the extent of the wear and the discolouration of the teeth.
Dr Bashar gave the patient an extensive examination and from the history and examination, it was apparent that the wearing down of the teeth were as a result of a combination of bruxism, which is a habit of constant grinding of the teeth. The patient also had some molar teeth missing and thus had a limited area of teeth to bite on.

Bruxism or grinding of the teeth is a common habit among many people. It is often an unconscious activity of clenching or grinding the teeth most often at night but also during the day. It results in considerable tooth wear over the years and allows teeth to lose their length, sometimes as in this case, in a quite a dramatic way.
In addition to this, if patients have some molar teeth missing as it the case with this patient, then all mastication will take place on the teeth that are more anterior. This places severe forces of attrition on the front teeth and again allows the loss of the height of the teeth.

In the case of patient A, the loss of tooth length, especially in the front upper and lower teeth had become so advanced that if there was anymore delay to treatment, it would have been difficult to carry out dental crown treatment on what’s left of the remaining teeth, due to the lack of sufficient tooth structure available.
In addition to this, the patient was quite concerned about the unaesthetic appearance of the heavily worn down teeth as it made him look much older as well as the colour of the teeth looking quite dark too.

The options for treatment were either to do nothing with dire future consequences or to cover all the upper and lower teeth with dental crowns to protect the existing teeth as well as restore the original height and appearance of the teeth.

This was explained to the patient and the patient opted to go ahead and save the teeth with crown coverage.
A technique called smile makeover or smile design was used, whereby the size and length of the teeth were designed digitally on a computer and a 3D model was prepared. This 3D model was used to make temporary crowns after the teeth were prepared for crowns. The patient was given a few days to decide if he wanted any changes made to the temporary crowns so that the design of the final crown could be decided.

Finally, the patient had the permanent crowns placed on the teeth and after approving their appearance, the temporary crowns were fitted with very adhesive cement. The crowns used were highly aesthetic Zirconia crowns that are also very strong and thus will withstand any severe forces on the teeth. Zirconia crowns are also resistant to wearing down as a result of the forces of mastication as well as any grinding by the patient.

All treatment sessions were carried out using our very own and unique Enjoyable Dentistry Technique using a combination of nitrous oxide and oxygen sedation as well as relaxation instructions and guided imagery. This guarantees that the treatment is not only totally pain-free but also comfortable, relaxing and even enjoyable.
The patient was extremely happy with the end result as can be seen in the photo. His google review is also available to read below.
‘I have been with Dr Bashar for more than 10 years. He is very professional and a very caring dentist, I’m going through the process of smile design and I did not feel any pain during the procedure. I feel that I can smile again and be confident again, thank you so much for my new smile. I have the best smile thanks to Dr Bashar. Also the team are very helpful, friendly and knowledgeable’

 

 

Photo of Smile Makeover consisting of Zirconia Crowns, before and after treatment
teeth wearing, hollywood smile, before and after, teeth implant

No need to fear the cosmetic dentist

Are you displeased with the appearance of your teeth and gums? Would you like a more youthful smile that still appears natural? Some people would like to change their smile drastically, but they are reluctant to do so because of an underlying or not-so-subtle dental fear.

Whatever it is about your teeth and gums that is causing you to be anxious about your smile, we are here to help you. Care Dental Platinum can improve your smile today with the help of our dentist for nervous patients in London. Our treatments vary from simple procedures such as teeth whitening all the way to more advanced options such as dental implants and facial aesthetic treatments.

More importantly, you can rest assured that you will not experience any pain or discomfort due to the Enjoyable Dentistry Technique TM, a technique invented and developed by Dr Bashar Al-Naher, our experienced dentist for dental patients in London, after seeing patients in pain during dental treatment. Through a combination of nitrous oxide and oxygen gas, guided imagery for relaxation and pain-free dental equipment, this technique has restored the faith of many patients to the dentist.

Teeth whitening

One of the most common and relatively inexpensive cosmetic dental services is teeth whitening. Professional teeth whitening is ideal for patients with healthy teeth without extensive tooth restorations. Teeth whitening bleaches out stains created from smoking, food pigments, drinks and other factors (i.e. medication).

At Care Dental Platinum, our dentist for nervous patients in London we offer both in-practice and at-home whitening treatments in a pain-free and relaxing manner.

Dental implants

If you are missing one or more teeth, dental implants can provide high-quality replacement teeth which are natural looking and fully functional. Dental implants improve the appearance of your smile and help to maintain the proper structure of your face.

Facial aesthetics

At Care Dental Platinum, we want to ensure that your teeth look great, but we also want to help you fight ageing with highly effective non-surgical treatments such as anti-wrinkle injections and dermal fillers.

Our facial aesthetic treatments are carried out painlessly by our dentist for nervous patients in London, who is qualified to administer these quick and non-painful processes.

Don’t fear your dental visits – guided imagery and sedation

Dental anxiety is a very common phenomenon, affecting almost 1 in 3 people worldwide. Symptoms range from mild discomfort to severe panic attacks and refusal to see a dentist. Extreme cases of dental phobia are not that frequent and may require working with a psychologist and other health professionals to overcome it.

At Care Dental Platinum, we understand that the initial contact between the dentist and the patient can expose the presence of anxiety, fear, and phobia. This is the reason, Dr Bashar Al-Naher, our dentist for nervous patients in London, has developed the Enjoyable Dentistry Technique TM, an alternative approach to dental treatment that allows patients to experience pain-free dentistry.

What is the Enjoyable Dentistry Technique TM?

This innovative dental technique is divided into three stages:

  • The sedation stage
  • The cognitive stage
  • The dental stage.

The first stage involves administering our patients some ‘happy air’, consisting of 70% oxygen and 30% nitrous oxide. This combination of gases brings a feeling of peace, tranquillity and relaxation when inhaled by the patient. Then, our dentist for nervous patients in London will give patients instructions and relaxation with the help of beautiful imagery. Typically, we want our patients to imagine that they are in a beautiful garden. The combination of the mixture of air and the guided imagery, allows patients to think that they are indeed somewhere beautiful and relaxing. Once relaxation has been achieved, our dentist for nervous patients in London, we will ensure that our patients will not experience anything painful or uncomfortable during the treatment. We also ensure that any tooth or gum area we are going to work on is totally numb before we start. Moreover, any noises are eliminated or are incorporated in the entire process.

By combining all these elements harmoniously, we are able to guarantee that our patients can benefit from high-quality, pain-free and effective dentistry. Our Enjoyable Dentistry Technique TM is ideal for most patients, including young adults and children. By experiencing a totally pain-free experience, children and young adults are less likely to develop a fear of the dentist as they grow up.

Nitrous oxide sedation – understanding the advantages and risks

The combination of oxygen and nitrous oxide, commonly known as ‘happy gas’, is widely used in dentistry. It has proven to be beneficial for patients experiencing dental anxiety, as a result of oxygen enrichment and a reduction of their stress levels.

At Care Dental Platinum, sedation with nitrous oxide is part of a wider dental programme – the Enjoyable Dentistry Technique TM. Developed by Dr Bashar Al-Naher, our talented and experienced dentist for nervous patients in London, this technique was introduced after many years of research in the fields of psychology, dental sedation, self-development and the nature of pain.

Benefits of nitrous oxide dentistry

Nitrous oxide has quite a few benefits compared to other sedation methods. It is easy to set up and can be inhaled, so it is an ideal option for patients who are afraid of needles. Because it is gas, it can reach the brain rapidly and bring an ideal state of relaxation. Dr Bashar Al-Naher, your dentist for nervous patients in London, will use a combination of nitrous oxide and oxygen to ensure that he can quickly adjust to the sedation. The concentration of these two elements is determined by the type and length of the surgery. More importantly, this type of sedation greatly decreases the risk of an overdose. The presence of oxygen increases the amount of time ‘happy gas’ can be directed to a patient. Moreover, ‘happy gas’ leaves the body very quickly as opposed to other types of conscious oral sedation.

Some drawbacks

Nitrous oxide is not for everyone, so our dentist for nervous patients in London will assess each patient carefully in advance in order to ensure that they are eligible for the Enjoyable Dentistry Technique TM. Nitrous oxide can cause nausea and is not recommended for people who have trouble breathing or suffer from asthma. Nitrous oxide should also be avoided by people who suffer from multiple sclerosis and by women in the first trimester of their pregnancy. Otherwise, nitrous oxide has proven to be safe and effective and can even be used by children.

Get in touch

If you have any questions about nitrous oxide and our Enjoyable Dentistry Technique TM, our knowledgeable dental team is here to help.

No more dental fear – dental implants and options for nervous patients

For some patients, fear of the dentist is a very real problem. According to the British Health Foundation, 1 in 7 adults suffers from extreme dental anxiety. Simple dental procedures can be very challenging for these patients, let alone more invasive operations such as dental implants.

One of the biggest challenges facing dentists with nervous patients is persuading them to attend regular check-ups. Delaying or putting off appointments altogether can lead to more serious problems. Nervous dental patients who have neglected to visit Care Dental Platinum, the dentist for nervous patients in London, regularly may eventually lose their teeth due to gum disease or tooth decay. As such, their treatment plan may well incorporate dental implants. Although dental implants are usually problem free, their prospect can worry even the most confident of patients.

Dental implants

Dental implants are a long-term solution for lost teeth. A dental implant is an artificial tooth root that is either a screw or a post, usually tapered. Each implant is surgically incorporated into a gum socket carefully drilled to avoid any important structures in the jawbone. Patients can opt for same-day implants if their condition permits them. Unlike other tooth replacement options, dental implants fuse with the jawbone preventing its further deterioration.

Dental implants involve surgery and this can cause anxiety for many patients. Luckily, nervous patients can be helped to accept such treatment without fear of taking over with the help of the Enjoyable Dentistry Technique TM. As ever, the key to success is our reliable dentist for nervous patients in London, Dr Bashar Al-Naher, and good communication between the patient and the dentist.

Sedation options

Generally, many patients find that dental implant surgery is no more painful than a simple extraction. Our dentist for nervous patients in London will use a combination of nitrous oxide and oxygen to sedate the patient before proceeding with the operation. Once the sedation has begun to kick in, the dentist will deliver a series of instructions to the patient with the help of guided imagery. Finally, we ensure that all the dental tools we use are not intimidating to help ensure that our patients feel at ease throughout the procedure.

Whitening for sensitive teeth

Tooth sensitivity affects most people who decide to whiten their teeth. For most, it is mild and lasts only a few hours after the treatment, whereas for others the degree of discomfort is greater. In general, depending on how dry your mouth is and the condition of your teeth, tooth sensitivity after a teeth whitening session can be minimal or significant.

For some people visiting the dentist is a big decision, even if it involves a relatively harmless procedure such as teeth whitening. Luckily, at Care Dental Platinum we have developed the Enjoyable Dentistry Technique TM. This innovative approach to dentistry and dental treatment is a combination of psychology, sedation dentistry and painless dental technology. It was developed by Dr Bashar Al-Naher, a talented dentist for nervous patients in London, and has received the award for ‘Best Treatment of Nervous Patients’ in the Private Dentistry Awards of 2017.

Whitening sensitive teeth painlessly

For most patients, tooth sensitivity can linger for several hours after a whitening session, which means there is time to prevent the pain by using a specialised desensitised gel. Where anxiety is a huge burden, our dentist for nervous patients in London will use the Enjoyable Dentistry Technique TM. The simultaneous use of ‘happy gas’, guided imagery and painless dental technology will help patients feel at ease throughout the whitening process, ensuring smooth and effective treatment.

Dealing with sensitivity after teeth whitening treatment

To try and minimise the discomfort that may be caused by teeth whitening, you can build resistance to sensitivity by brushing with a special toothpaste. Only use soft-bristled toothbrushes and brush your teeth gently using lukewarm water. Sensitive teeth do not agree with very hot or very cold water. For the same reason, you are advised to steer away from hot or cold drinks for a few days after the treatment. If your teeth are still sensitive after a few days, it is imperative to see your dentist for nervous patients in London. We will try to reduce pain and discomfort by finding a solution that works for you.

We are here to help

Would you like to learn more about our teeth whitening services and the Enjoyable Dentistry Technique TM? Contact us today.

Dental implants and the dentist for nervous patients in London

When it comes to modern dentistry, dental implants are a great investment for your oral health and overall health for three main reasons: they are good value for your money, they restore your oral function, and can greatly improve your smile and overall confidence.

However, some may feel uncomfortable at the prospect of minor implant surgery. At Care Dental Platinum, Dr Bashar Al-Naher, a dentist for nervous patients in London, and his experienced dental team, have developed an innovative treatment plan, the Enjoyable Dentistry Technique TM. Using a combination of various sedation techniques and pain-free dentistry, this powerful and creative dental tool has helped many patients overcome their fear of dental implants and the dentist successfully over the years.

Precisely as planned

Implant surgery is a fairly straightforward dental procedure mainly because all the placement details are organised and planned ahead in time. At Care Dental Platinum, dental implants benefit from the exclusive Enjoyable Dentistry Technique TM system. This technique takes place in three consecutive stages – first the patient is sedated with a combination of nitrous oxide and oxygen, then they are distracted with a series of images and finally the operation takes place where painless dental tools are used.

All these carefully planned stages allow no room for error and ensure that your new tooth roots will be completely functional after the operation. For complex cases, your dentist for nervous patients in London may use imaging technology to determine the exact location of each implant and create a surgical guide map in order to achieve optimal results.

No pain afterwards

Thanks to the pre-planned surgical guide and Enjoyable Dentistry Technique TM, there is very little tissue disruption. Patients might experience some discomfort after the surgery, which can easily go away with anti-inflammatory pain relievers. Dental implants have an impressive success rate (95-97%). Your dentist for nervous patients in London will monitor your progress throughout the process to ensure maximum comfort and efficiency.

Learn more about us

If you are interested in dental implants and you would like to find out more about the Enjoyable Dentistry Technique TM, book an appointment today.

What to expect at an initial appointment with a new dentist

Visiting a new dentist for the first time can be a daunting experience, but at Care Dental Platinum we are here to make things easy for you. Our dental staff specialise in nervous patients and our Enjoyable Dentistry Technique™ has gained much recognition in recent years.

Once you book your appointment with your London dentist for nervous patients, you will need to give us some information, including your oral and general health history. You might be asked to fill in a short questionnaire and provide contact details.

Oral health evaluation

Regardless of the reason for your visit, your London dentist for nervous patients will evaluate your oral health by examining the interior and the exterior of your mouth, your neck and your face. This is a simple and painless procedure that will only take a few minutes. If you have specific problems, your London dentist for nervous patients will look into them carefully and make a detailed diagnosis. X-rays or other examinations might be required to ensure that we have a detailed picture of your oral health. If we diagnose any problems such tooth decay or gum disease, we will devise a treatment plan to fit your individual needs. Early diagnosis and treatment are really important because they can prevent serious oral health problems from developing.

Scheduling a follow-up appointment

After you initial dental examination and depending on the findings, we will schedule a follow-up appointment. This appointment can be a single plaque removal session or tooth decay treatment. Whatever treatment you have, we will use the Enjoyable Dentistry Technique™ for a relaxed and comfortable dental session.

Do not underestimate your dental appointments

Visiting the dentist once every few months is not that expensive and will not take up much of your time. Research has shown that frequent dental visits can prevent serious oral health problems such as tooth loss and oral cancer.

Are you ready?

If you have been avoiding the dentist because you are particularly anxious about dental treatment, it is time to reconsider. With the Enjoyable Dentistry Technique™, it is almost guaranteed that you won’t be able to wait until your next visit.

Replace missing teeth with dental implants without any discomfort

In recent years, treatment for the replacement of missing teeth has undergone drastic improvements, due to various advances in dentistry. Not replacing missing teeth can have negative consequence on your oral and overall health. These include the deterioration of the biting and chewing power as well as bone loss in the jaw.

Dental implants are a viable tooth restoration treatment, because unlike other, more traditional treatments, they actually become part of the mouth and create a sturdy base for replacement teeth that look, feel and function just like natural teeth. At Care Dental Platinum, your London dentist for nervous patients, we use the Enjoyable Dentistry Technique™, to ensure that our patients remain relaxed throughout their implant operation.

So, what are dental implants?

Dental implants are small, artificial tooth roots that are made of titanium or titanium alloy. They are surgically inserted into the jawbone in the empty spaces previously occupied by the natural tooth roots. They have the special ability to fuse with the jawbone because they are made of titanium, a metal that is compatible with the human body tissue. Once in place and after they have healed, dental implants can be used to attach single replacement teeth, as well as bridges or overdentures. In some cases, dental implants and replacement teeth can be completed in a single visit.

How long do dental implants last?

Dental implants are long-lasting since they are connected with the surrounding bone tissue. With proper care as well as regular check-ups at the London dentist for nervous patients, dental implants can last for many years.

Can anyone have dental implants?

As a rule of thumb, most people can have dental implants as long as they have healthy teeth and gums. Certain conditions such as active gum disease and diabetes can hinder the successful outcome of dental implants. For this reason, patients are advised to consult their dentist in advance.

Is the procedure painful?

Dental implant surgery is painful when performed with the help of the Enjoyable Dentistry Technique™ – a combination of oral sedation, guided imagery and pain-free dentistry. The procedure itself is brief and takes place in a single visit to the London dentist for nervous patients.

Say goodbye to your dental phobias with the Enjoyable Dentistry Technique™

Fear of the dentist is as old as dentistry itself. In fact, dental phobia is one of the most common phobias affecting people of all ages and from different backgrounds. Nearly 20% of British people avoid the dentist because of dental phobia and, unfortunately, this number is rising steadily.

At Care Dental Platinum, your London dentist for nervous patients, we have another reason why you should visit the dentist – the Enjoyable Dentistry Technique™. This innovative dental technique encompasses dental sedation, guided imagery and pain-free dental technology, allowing patients to undergo different treatments with minimum discomfort. As a matter of fact, most of our patients return to our dental practice for further treatment after having experienced the Enjoyable Dentistry Technique™.

What causes dental fear?

Dental fear and anxiety do not always have clear causes. While many people claim that they developed a fear of the dentist as a result of a disastrous dental appointment, others may be too ashamed of the state of their mouth to let a dentist see it. Those who are afraid of the drill or needles are more prone to picking up fears and avoiding the dentist altogether. Last but not least, some people are not afraid of the dentist, but do not feel comfortable when someone pokes around their mouth. Whatever the reason behind your dental phobia, your London dentist for nervous patients is here to help.

Overcoming dental anxiety with the Enjoyable Dentistry Technique™

The Enjoyable Dentistry Technique™ is divided into three main stages:

  • Oral sedation
  • Guided imagery
  • Painless dental technology.

Oral sedation is administered through the mouth with the help of oxygen and nitrous oxide that gradually makes the patient feel relaxed. Once you reach an optimum stage of relaxation, your dentist will use various pictures to ease your mind and give your further instructions. Patients are not asleep during the treatment, instead, they can communicate with the dentist if needed. Last but not least, we will use innovative dental tools and techniques to ensure that no pain is experienced during your treatment.

Get in touch

To find out more about our treatments and the Enjoyable Dentistry Technique™, contact your London dentist for nervous patients today.

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