Restoring A Knocked Out Tooth In Greenwich

What to do if you lose a tooth in this dramatic manner?

Mostly, when we lose a tooth, it will have been a gradual process. Either problems have been happening, without our knowledge, for some time, resulting in the need for extraction, or, the tooth may have been repaired with fillings etc a number of times until it is no longer viable to save it.

Not all tooth loss occurs in this way though, and, although relatively rare, a tooth can be knocked clean out of the socket, usually through a heavy blow such as by a cricket ball or even a heavy fall.

Providing that the correct actions are taken, it may just be possible to replace the natural tooth into the socket, allowing it to heal. In today’s blog, our Greenwich dentists discuss what to do should this happen to you.

Pick up the tooth

Obviously, the first thing that you need to do is to pick up the tooth. This should be done as soon as possible. Time is a key factor in saving a tooth that has been knocked out in this way. You should pick the tooth up by the crown part of the tooth; that is the part that you would normally see above the gum line. Avoid touching the root part of the tooth at all.

Clean the tooth

If the tooth has collected any dust or dirt, you should clean this off. Do not wipe or scrub the tooth though, simply give it a quick rinse. Don’t wrap the tooth in cloth or paper of any kind.

Replace the tooth if possible

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Creating A Winning Smile With A Makeover In Greenwich!

A great smile can help you to gain more than just aesthetic benefits.

Although the main reason that most people have cosmetic dentistry is to achieve a nicer smile to improve their overall appearance; studies have also shown that people respond more positively to someone with an attractive smile. Improving your smile then, can not only improve your appearance but potentially also give you a real boost in areas of your life such as relationships and even in your chosen career.

At the Confidental Clinic in Greenwich, we offer a wide range of cosmetic dental procedures that can help you to have a great looking smile. We also offer facial aesthetic treatments for those who would also like to have younger looking skin too. The combination can work wonders!

Mini makeover

If you are more or less happy with your smile as it currently is, but feel that it could be improved a little, our mini makeover might be just for you. Relatively minor treatments such as a teeth whitening procedure, or cosmetic bonding are commonly used as a part of this treatment although others may also be used depending on what needs to be achieved.

Smile Makeover

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Why Do Our Teeth Lose Their Whiteness?

How diet and lifestyle can discolour our teeth.

There can be a presumption that, as long as we brush our teeth well, not only will they remain free of problems like tooth decay, but that they will stay a nice white colour too.

Although effective brushing will certainly help with this, unfortunately, our teeth are faced with other challenges over our lifetime.

The ‘bad stuff’ first

Let’s start off by saying, quite frankly, that if you smoke, you are likely to significantly increase your risk of a number of dental issues. The most obvious of these is that your teeth will almost certainly become stained, eventually turning yellow or even brown. Other problems, such as gum disease and oral cancers are also more likely in smokers than non smokers. Hopefully, most of our Greenwich patients will have managed to break this health damaging habit.

A convenient diet

Perhaps the majority of patients at the Confidental Clinic fall into this category. They go about their daily lives, often being quite busy. Our diet, in this type of lifestyle, may include some home cooking, but more often than not, this may be relegated as takeaways and convenience microwave foods take precedence. Whilst these have undoubtedly improved in general quality over the years, many still contain high amounts of hidden sugars. These can lead to damage of the surface enamel, causing it to become pitted, thereby making it easier for staining products such as tea, to become trapped in the tiny pits.

The healthy diet

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Partial dentures – their care, and the alternatives

Dentures are still a common way of replacing a missing tooth.

For some time, dentures were the only way that a missing tooth could be replaced.

These days there are now alternatives available, and we will discuss these later.

Many of our Greenwich patients do still opt for a partial denture, partially perhaps, due to the cost, but also the fact that usually no surgery is needed to provide them.

What is a partial denture

A partial denture is a replacement tooth, which will be made to match your natural teeth. This is attached to a ‘plate’ with clasps attached which are used to hold the denture in place. These are available in a number of different materials, from the cheapest acrylic dentures to the more advanced Valplast dentures which offer flexibility and movement, whilst still retaining their stability.

Dentures are relatively easy to care for, but do require cleaning to remove residual food deposits and bacteria. They should be removed at night to allow the gums to rest, and should be placed in water to prevent any cracking. Although affordable and easy to care for, dentures are not for everyone.

Alternatives to dentures

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Eating Disorders And How They Affect Your Teeth

Anorexia and Bulimia can lead to tooth and gum problems.

Eating problems associated with body dysmorphia can have serious consequences for our health, and can even prove to be fatal if not addressed. Thankfully, this problem is now more widely recognised and the illnesses and treatments are now more advanced.

However well a patient responds to these treatments, the fact that they have had an eating disorder is likely to have a negative effect on their teeth and gums. Regular monitoring is advisable for patients suffering from these problems and our Greenwich dentists can help.


Perhaps the best known eating disorder is anorexia. This illness causes patients to have a phobia of gaining weight, often despite already being underweight. Minute quantities of food are sometimes eaten which are insufficient to maintain good health.  In addition to general health problems resulting from this illness, sufferers are very likely to be lacking in the minerals and vitamins that help to maintain healthy teeth. The weakened teeth, caused by this, are much more likely to deteriorate, and decay and other problems are not uncommon.


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Healthy Teeth For Teenagers in Greenwich

Regular checks at the dentist and personal care are key

If you are a parent of a teenager, you will probably be aware of the stubborn streak that often develops when they reach this age.

Whilst this may be a necessary part of developing into an adult, it can be a frustrating time for parents, nonetheless. Whilst some of this may be a clash between generations, it is especially frustrating for parents to see their children ignore, or even go directly against, advice that they know is essential for them.

This frustration often applies to their dental care. It is almost impossible to watch over a teenager to make sure that they brush their teeth well, yet, knowing that, if you don’t, they may well only give them a cursory brush.

In today’s blog, we offer a few tips for parents to help their teenagers have healthier teeth, and we wish you the best of luck!

Set an example

Despite their independent streak, most teenagers, even if only subconsciously, will take notice of what their parents do. If you spend your evenings sat in front of the TV, frequently dipping your hand into a box of chocolates, so will they, with disastrous consequences for their teeth.

Try to keep consumption of sugary foods to a minimum for all family members, with sweets etc, perhaps locked away for special occasions only. A varied and a healthy diet will also help to provide all the necessary nutrients for strong and healthy teeth. Try to avoid the consumption of high sugar drinks too, as these are increasingly being linked to the rise in tooth decay amongst children.

You are the ‘boss’

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Fixing A Damaged Tooth

Restoring chipped, cracked or broken teeth at our Greenwich practice.

In addition to regular appointments, most of our dentists will see a few patients each week who have incurred some unexpected damage to a tooth.

We generally try to see patients with this type of problem as soon as we can so that they don’t have to put up with the discomfort, and so that further damage can be prevented.

Once we have examined the affected tooth and assessed the damage, there are a number of dental treatments available at the Confidental Clinic that can be used to restore the tooth. Below we look at some of the possible procedures that may be used.

Small chips

Sometimes we lose a small chip from a tooth that causes no real problem to the health of the tooth. It can though leave a sharp edge which cuts or scratches the mouth, potentially opening it up to infection. Rather than simply smooth the rough edge, a composite may be used to fill the chip, restoring both appearance and strength. This will also help to protect the inner part of the tooth too, should the chip become larger if it is just smoothed.

Larger chips

Again, a composite could be used on a larger chip. This may depend on its size and location amongst other factors. In addition to composite bonding, we might choose to use a white filling, veneers or even a dental crown depending on the degree of damage done.

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A Long Lasting White Smile Using Porcelain Veneers

improved smile with veneers

For long term whiteness, dental veneers may be the answer.

One of the most common reasons for having cosmetic dental treatment is to have brighter and whiter teeth. Our professional home whitening system is excellent for this, and the results last for many months. Eventually though, you will need to re-apply the treatment if you wish the whiteness to continue.

There are many reasons to have teeth whitened, and some do so for one off occasions; weddings and similar events being especially common. Others want to have their teeth looking great for the summer months, but seem less concerned during the darker winter days, and may whiten their teeth accordingly.

For patients from the Greenwich area of London who want to have their teeth permanently white, without the need for regular ‘top up’ treatments, dental veneers offer an alternative and  semi permanent option.

Replacing stained enamel

Unlike a whitening treatment, which removes surface staining, as well as lightening the inner part of the tooth; a veneer replaces the stained enamel surface on the front of the teeth. This is especially useful where staining is heavy, such as in the case of a long term smoker. Instead of trying to whiten the enamel, it is, instead, removed using a tool known as a burr.

One the stained surface has been removed, impressions will be taken of your teeth and these are sent to a laboratory where the veneers will be produced. You will be fitted with temporary veneers during this time, until the new veneers are returned to the Confidental Clinic. This usually takes around one week.

Once the veneers have been returned to our Greenwich practice, you will be recalled so that they can be fitted to your teeth using a strong dental adhesive. Finally, the veneers will be trimmed, smoothed and polished to give them a white and natural appearance.


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A Happy Problem Free Christmas!

Helping our Greenwich patients to keep their teeth trouble free this Christmas.

For our Greenwich dental patients who are excitedly awaiting the big day, it is worth taking a few moments break to think about how your teeth can suffer from extra problems at this time of the year, and what you can do to help prevent it.

As many dentists, including ourselves, will be taking some time off too, it makes sense to avoid the need for an emergency dental appointment with a dentist who you are not familiar with. Although there are no guarantees, there are certainly steps that you can take to help keep your teeth and gums healthy during the festivities.

Stating the obvious

We probably shouldn’t have to say this, but there is nearly always one person who visits the Confidental Clinic after Christmas with damage to their teeth caused by a reckless act. Amongst the most common are opening bottles with your teeth, and cracking nuts in the same manner. Hopefully, the old tradition of putting a coin in the Christmas pudding is also a thing of the past. Why risk a broken tooth and the possibility of choking!

Clean those teeth

You are probably going to feel tired by the end of the day, possibly with the addition of the effects of alcohol too. The temptation can be to drag ourselves into bed without cleaning our teeth. This is a huge mistake, especially at a time when we have probably been eating sweets all day. It only takes a few minutes to brush and floss your teeth at night. The consequences of failing to do so could be very negative indeed.

All things in moderation

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Root Planing – Treating Periodontitis at our Greenwich practice

How we attempt to save teeth affected by advanced gum disease.

We have mentioned, a number of times before, the damage that gum disease can cause if left unchecked. Not only can symptoms such as sore gums and bad breath arise, but damage can also be caused to the underlying bone structure which secures your teeth.

By far the best way to prevent this happening is with good home care, along with a six monthly scale and polish procedure, carried out by the hygienist at our Greenwich practice. But when advanced gum disease, or periodontitis does take hold, a treatment known as root planing may be necessary to try to save your teeth.

Root planing

Ignoring periodontitis is not an option. Unless treated, it will cause the bone to become compromised, and eventually your teeth will become wobbly, and quite possibly even fall out. Whilst gingivitis, or early stage gum disease, can be treated in a relatively straightforward manner, periodontitis may require a much more invasive procedure.

Root planing cannot be carried out by the dental hygienist and the treatment must be performed by a suitably qualified dentist or specialist, such as those at the Confidental Clinic. You will almost certainly need a local anaesthetic for this treatment as the teeth have to be cleaned deep down to the roots. This often involves the peeling back of the gums to access these areas.

The hardened bacteria (tartar) is removed from the teeth, right down to the roots, and the bone may also need to be cleaned too.  Although this procedure does not guarantee success, it is the only procedure available which will give your gum health a chance to recover.


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