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A majority of seniors start to lose their teeth as they age and are confronted with the decision of getting dentures or something more permanent like dental implants. Dental implants are highly recommended as they are more stable, having a more natural appearance and allowing patients to enjoy the foods they love.

Permadent is a full arch bridge dental implant system that is exclusive to the Cosmetic and Laser Dentistry Centre. There are many products on the market that offer 4 implants, whereas Permadent offers the stability of 5 points of quality European implants. The advantage of the 5 points of implants, is it creates a strong, stable base for the Permadent denture, enabling patients to enjoy the foods they love, smile with confidence and feel good.

The benefits of Permadent:
Achieve a great smile in just 3 hours
No invasive bone or gum surgery
Less fractures, due to wider support base
Easy to clean
Less-invasive precision keyhole surgery
No gap, Permadent fits tightly against the gum line
Increased longevity in the Permadent implants than the 2 - 4 implant bridges available

Unlike other implant bridge systems, Permadent has the option to be configured as a removable whole-arch replacement solution, allowing a patient to conveniently detach the bridge from their implants for cleaning and maintenance, and strongly attach it back in. The strength required to detach and reattach the denture can also be adjusted to suit individual needs. To make an appointment today and learn more about Permadent click here .

injectables

If you are keeping your loved one up at night through clenching your jaw or grinding your teeth, the Cosmetic & Laser Dentistry Clinic may be able to assist you.

The medical terminology is bruxism and through the action of teeth grinding you may be placing up to 20 times the pressure on your teeth than the force of everyday chewing food.

Symptoms of bruxism may include:
• Tension
• Headaches / migraines
• Jaw pain
• Earache
• Worn tooth enamel
• Tooth sensitivity
• Clicking jaw

How Can It Be Treated?
There are many uses for injectables and one of the most exciting uses for those who grind their teeth is the use of injectables to relax your jaw muscle and help alleviate any tightness or pain you may be experiencing. This procedure can take as little as 15 minutes and may last up to 4 months.

Cosmetic & Laser Dentistry Clinic will review the impact of bruxism on your jaw and teeth before advising if this treatment is suitable for you, to book an appointment today click here.

 

All too frequently patients seek out my help for problems after having had dental implants placed overseas in “dental tourism” destinations such as Thailand, China and Eastern Europe.

The most recent person to come to me was a patient who had been missing all her upper teeth and her lower back teeth for many years and wished to have them replaced with dental implants. After being quoted for the work here in Australia, she found an overseas dental tourism surgery run by an apparently reputable implant surgeon who said they could complete the work 30% cheaper.

So she headed overseas to the clinic and spent 2 weeks abroad having 8 dental implants and a bridge placed before returning to Australia.

Nine months after the completion of treatment overseas, she came to me at the Cosmetic and Laser Dentistry Centre complaining of pain around the lower implants.

Clinical and X-ray assessment revealed that

  • All of the implants were failing.
  • Multiple implant types had been used as well as inappropriate implant sizes relative to the teeth they were intended to restore.
  • The bridge that had been placed did not fit properly and
  • There were “chunks” of cement left around the implants from the placement of the bridge.

In summary, she had received inferior implants placed in incorrect positions and a poor quality bridge placed with poor technique.

All the above resulted with the following:

  • All of the implants must now be removed!
  • The lost bone regenerated and
  • New implants and the bridge replaced.
  • The total cost is higher now than the original price she was quoted in Australia.
  • Procedure will take longer to complete.

This case and the countless others like it, are precisely why patients need to be very cautious when thinking of having dental implant surgery overseas. Though it may appear to be a better deal, there are serious medical implications that you may not have considered.

For example, you are not comparing apples with apples.

Many overseas practitioners use

  • cheap dental implant systems that
  • are poorly backed by scientific research and
  • poor quality restorations placed by clinicians with insufficient expertise and training.

Here at the Cosmetic and Laser Dentistry Centre, I pride myself in

  • using high quality dental implants and
  • fantastic Melbourne-based dental laboratories

to provide our patients with predictable, long-term solutions for missing teeth. Don’t be seduced by the discounts promised by dental tourism clinics out there because the age old saying “you get what you pay for” always rings true. Enjoy your travels…but bring home memories and photos, not poor dental work and headaches!!

Checking teeth in the mirror

Ever since humans gained an awareness of their self-image, we have possessed a desire to appear aesthetically pleasing. This desire has remained constant over the centuries, despite political and cultural changes. What has changed however are the methods we have adopted to enhance our appearance, through the evolution of medicine and science we are provided with more options in achieving more dramatic aesthetic changes.

With the increased life expectancy coupled with improved standard of living, more people have the means and access to engage in advanced methods of appearance enhancement, such as cosmetic dental and medical procedures.

So long as the goal to improve one's appearance remain realistic, these physical changes will usually also lead to positive changes in one's life and well-being.

But when this desire becomes an all consuming and destructive obsession, quite often it is a very different type of treatment a patient may require, rather than the cosmetic procedures they may think they need. There are psychological conditions where a person may see or imagine defects in their appearance, which in reality are not real, or should not be of any real concern.

Getting down to the tooth of the issue

Wanting your teeth to be a few shades whiter, or perhaps a little bit straighter might be reasonable goals for most patients receiving treatment from their dentist, but when the desire for cosmetic treatment is driven by adverse psychological issues, going ahead and performing such treatment might not always be in the patient's best interests.

The condition of seeing or imagining imperfections in one's appearance to the point that it negatively impacts on a person's quality of life is called 'body dysmorphia'. It is a psychological disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders:

Body Dysmorphic Disorder (BDD) – A preoccupation with an imagined or slight defect in appearance. This preoccupation causes significant distress or impairment in social, occupational or other areas of functioning in the person’s life. Another disorder, such as whole image dissatisfaction (as in anorexia nervosa), cannot explain this preoccupation (DSM –IV)

Because of the nature of the condition, quite often dentists, orthodontists, maxillofacial surgeons, and plastic surgeons will be the first port of call for these people, who are seeking cosmetic treatments rather than psychologists or counselling. Practitioners need to be aware of the warning signs of body dysmorphia, to assist in avoiding and preventing patients from seeking and obtaining unnecessary treatments, either within their practice or elsewhere.

The decision to go ahead and perform unnecessary treatments may result from a lack of vigilance by a practitioner, not knowing what to look for in the patient, or worse, professionals who are driven more by serving their own economic goals than the best interests of the patient. Don't think it doesn't happen, one need only look at some disastrous outcomes of unnecessary plastic surgery or cosmetic treatments, where the doctor really should have said 'enough is enough' and instead referred the patient to a psychologist.

 The dangers of unnecessary treatments

Aside from considerable financial damage, the physical costs of continued unnecessary treatment can be serious. Undergoing any elective procedure carries risks, the more a person exposes themselves to treatment after treatment, the greater the risk of complication, ongoing dissatisfaction can lead to a vicious cycle. In the context of dentistry, with unnecessary or excessive whitening, over-bleaching result in damage to the enamel, severe burns and extreme sensitivity.

Signs and symptoms

Whilst it is encouraged that a patient seek the opinion of more that one professional before committing to any treatment, a potential warning sign exposing a patient's motivation for cosmetic treatment can be “doctor shopping.” If a practitioner knows or suspects that a patient has seen several doctors already about a procedure, this can be a good warning that they have been 'knocked back' for unnecessary treatment elsewhere.

In assessing whether a patient might be influenced by a body dysmporphic disorder, practitioners need to look for signs of:

  • Depression;
  • Anxiety;
  • Medication history;
  • Family, personal and work problems;
  • Self perceived problems that are not evident, or not proportional to the distress expressed;
  • The person is not quite sure of what he/she is trying to achieve;
  • Seeking multiple other cosmetic consultations or professional opinions, or 'doctor shopping';
  • Having cosmetic procedures done in the past;
  • Not happy with the outcome of past procedures;
  • History of litigation;
  • Seeing surgery as a solution to all their problems;
  • Patient’s general presentation and body language:
    • Restlessness
    • Avoidance of eye contact

In the course of seeing patients, aesthetic dentists do come across individuals who see faults in themselves that others do not, whether it be a alleged problem with their teeth, face, or their appearance in general. It is vital when consulting a patient that the practitioner be on the lookout for the warning signs of body dysmorphia, and direct the patient to an appropriate professional to address the issue before any further consideration of cosmetic treatments.

 

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This article is based on the research notes and submissions of Dr Yvonne King for the completion of her Master's studies in Aesthetic Dentistry. The information is general and should not be relied on solely in making any decisions about treatment.

Please contact us if you would like to learn more about the services available at the Cosmetic and Laser Dentistry Centre.

If anything in this article has raised concerns for you personally regarding body dysmorphia or your health in general, please get in touch with your healthcare professional.

For thousands of years wisdom teeth have been causing strife amongst the population. Most problems are created due to the wisdom teeth being difficult to access for daily flossing and brushing.

If the wisdom teeth have become impacted against the teeth in front they can create a pathological pocket which can be deeper than the width of your thumb!
Imagine trying to keep these pockets clean from food debris...Impossible.

Over time, food trapped in these pockets rots and as the bacteria levels rise in the area it can result in bad breath, a foul taste in the mouth, gum disease, dental decay, and acute infections.

If you are lucky enough for your wisdom teeth to manage to erupt fully into the mouth it can still be difficult to manipulate floss back there to keep them clean. Over time this can result in decay.

It would be understandable as a patient to think that this can be treated by just removing the decay and filling the tooth.
But we have to ask ourselves

  • Why did this decay occur?
  • What were the risk factors?
  • Are we changing those risk factors by doing a filling?

A recent consensus article published by the Faculty of Dental Surgery of The Royal College of Surgeons of England discussed the removal of wisdom teeth that present with decay in preference to having fillings.
They stated that; “An impacted third molar tooth [wisdom tooth] may be technically restorable; however there is a duty to realistically appreciate the value of a restorative process that will only delay the removal at a later stage. It would appear that the tooth is being treated rather than the patient”.
(Faculty Dental Journal; Oct 2013, Vol 4, Issue 4)

They also went on to say; “Could the third molar [wisdom tooth] contribute to the development of irreversible disease that would otherwise not occur if it had been absent”.

Hence, there is merit in removing the wisdom teeth as soon as risk factors for decay or periodontal disease in their proximity is noted by either yourself or the dental team in order to reduce the risk of future, and potentially more severe problems further down the track.

Trying to fill decayed wisdom teeth is potentially futile as the risk factors have not changed and therefore new decay is highly likely to form again over time.

By removing them early the local environment is altered as the teeth in front are more accessible for cleaning, thus helping to create a more stable and maintainable set of teeth.

Front page news!

The entire team at CLDC were especially excited to see our principal practitioner, Dr Yvonne King, on the front cover of the latest issue of Bite- the number one magazine for Australian dentists.

The art of aesthetic dentistry

In the four page article, writer John Burfitt recognises Dr King as a 'pioneer' in not only modern dentistry in Australia, but also as a leading voice for aesthetic dentistry, noting the lengths she has gone to in order to have this field of practice recognised as a vital and valid part of the dental industry.

The article follows Dr King's beginnings in dental school, her love of all things artistic and aesthetic, and the inevitable career pathway to cosmetic dentistry and advanced studies in aesthetic dentistry.

Read the full article here

Dr King's philosophy on the psychology of a smile is explored in the article. Aesthetics in dentistry is not simply a pursuit of vanity, the impact a person's smile has on their overall well-being, both mentally, physically and socially cannot be understated.

Dr King explains:

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“There is a very negative spiral people can enter when a person is unhappy about their smile... they don’t feel motivated to look after their teeth... as the teeth deteriorate, these people tend to avoid social contact... their social life suffers, their career suffers”

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Dr King explains that negative attitudes towards one's smile can lead to neglect, and deterioration of teeth condition can cause depressive side-effects, which can in turn create more negative consequences and social anxiety.

Clinical studies suggest there is an increase in 'pathological' tooth wear in anterior (or front) teeth. Don't let the name confuse you, pathological wear is simply tooth wear that exceeds what would be considered normal or expected wear at a person's age. Observations show this unexpected or unusual amount of tooth wear is now particularly more prevalent in younger patients.

Pathological tooth wear can create a wide range of problems, both aesthetically and functionally. Increased sensitivity or hypersensitivity, pain and decreased chewing ability are some issues, but from a psychological perspective, the wearing of teeth can negatively influence a person's perception and create image issues. In some cases, reduced self-confidence can lead to difficulty forming meaningful relationships, avoiding social interaction and diminished career prospects. It is these effects of wear on our most visible teeth that can have the most significant impact on a person's quality of life.

Why is this excessive wear happening?

In younger patients, increased pathological tooth wear has been linked to the pace and pressures of the young person's world:

  • Consumption of acidic beverages, including soft drink; diet, energy and sports drinks.
  • Increased prevalence of eating disorders, for example digestive acids coming into contact with teeth
  • Lifestyle factors, including the use of recreational drugs

in older patients, the issues seem to stem more from the fact that we are living longer and retaining teeth much longer, however tooth wear in older populations is exacerbated by the symptoms of dry mouth, which is often caused by other systematic diseases and taking medications.

How do we manage anterior tooth wear?

There are a number of strategies dentists and their patients can utilise to manage tooth wear. After detailed assessment of a patient's history and possible causes of wear, including diet, the amount of acid teeth come into contact with, lifestyle factors, and health issues that might be contributing to dry mouth, a dentist will be able to establish the causes of a patient's wear, and provide a clear approach to managing the issue, which may include restoring the teeth, and minimally-invasive aesthetic treatments for enhancing the appearance of worn surfaces.

It is important to remember that no two patients are alike, and the causes of tooth wear may vary, but in all cases the individual must have an awareness and understanding of the factors contributing to tooth wear. We play a crucial role in preserving our remaining teeth tissue, and ensuring any restorations will enjoy longevity and functionality for as long as possible, it is vital we care for our teeth and avoid or reduce these damaging factors in our lifestyle as much as we can.

Extraordinary advances in cosmetic dentistry mean you can realise your dream smile with safer, faster and more affordable procedures.

For some people the simple act of smiling can be distressing. Whether it’s meeting and greeting friends or posing for a happy snap, many people are so self-conscious about their appearance they make a habit of not smiling. Your teeth need not be cause for distress, in fact, they can be one of your main assets.

Crooked, crowded, gappy, discoloured, worn or chipped teeth can be corrected, giving the appearance of a youthful and healthy smile, whilst at the same time establishing a healthy, functional and biologically sound oral environment.

With advances in technology and new techniques, there is now a strong focus on complementing the personality and the shape of the face. Creating natural balance and harmony in the least invasive way possible, whilst retaining or improving the functionality of the mouth, is known as the artistic science of aesthetic dentistry.

With an eye for beauty, specially trained in aesthetics, and relying on classical theories of mathematical proportions and ratios, a dentist like Dr. Yvonne King B.D.Sc., Dip. Clin. Hypnosis at Melbourne’s Cosmetic & Laser Dentistry Centre can complete a detailed analysis when designing a new smile. The procedures not only rectify the appearance and function of teeth, but may re-establish the soft tissue support and rejuvenate the entire face.

A popular smile makeover technique, often featured on television and favoured by celebrities, is porcelain veneers. These very thin shells or caps are crafted in a dental laboratory then bonded directly to the teeth to create a straighter, whiter looking smile. Advances in computer-aided design and manufacturing now allow for production of even thinner, stronger and much more affordable veneers.

One such product is the GlamSmile system. In most cases these minimally- invasive veneers require little tooth preparation, meaning there is much less damage to healthy tooth structure.

Alternatively, a dentist can create a new smile with resin veneers in a single appointment by skillfully building up layers of composite resin (also known as bonding) directly onto the teeth. The end result is a custom crafted new smile, with a natural looking finish transforming the face’s appearance instantly. Dr. King, describing this process as one of the most rewarding and creative experiences in her profession, takes delight in how a beautiful new smile empowers her patients.

Glamsmile Most affordable Smile Redesign in AustraliaGlamSmile high-quality pure porcelain, is a revolutionary, painless, and truly affordable solution for discoloured, worn or unsightly teeth. Now a beautiful new smile can be customized for you in less time than ever before with the most affordable, minimal preparation porcelain veneers in Australia.

GlamSmile unlike traditional veneers requires no anesthesia in most cases, as there’s no/minimal grinding down of tooth structure.

In two short dental visits  the GlamSmile veneer process will be complete.
Inititial visit, and the final visit 3-4 weeks later, to place the GlamSmile veneers .

Teeth should be cleaned before the initial visit. We recommend to schedule both your teeth cleaning and teeth impressions  in one visit.

Proper dental hygiene is essential to maintaining your beautiful GlamSmile. As with natural teeth, you should always try to use low abrasion toothpaste to effectively but gently remove stains, plaque and tartar.

GlamSmile veneers are reversible. This is because GlamSmile veneers do not require the reduction of healthy, sensitive tooth structure. Underneath your GlamSmile veneers, your natural teeth are still healthy, strong and intact.

Dr King is known for her exceptional ability to create a “dream smile” that compliments your appearance and personality.

Dr King believes that a beautiful, bright and spontaneous smile can improve your self-confidence and make a positive and powerful statement about you.

To provide you with the best quality general and cosmetic dentistry services, Dr King continually enhances her skills and repertoire of expertise. Dr King is an honoured Life Member and Diplomat of World Congress of Minimally Ivasive Dentistry. She is a member of the American Academy of Cosmetic Dentistry as well as a member of the Academy of Laser Dentistry.

Dr King is responsible for introducing exciting technologies to Australian dentistry, being the first to utilise, in surgery teeth whitening, intra-oral cameras, and the first dentist Australia-wide to routinely use the WaterLase and Hoya-ConBio DeLight soft and hard tissue lasers.

She is also an accredited trainer in Laser and Minimally Invasive Dentistry, and has recently been made Clinical Director for GlamSmile Porcelain Veneers in Australia and New Zealand, being the First GlamSmile Accredited Dentist (trained in Belgium), she is also responsible for training dentists from around the world.

Dr King and her work have been showcased in mass media including television, fashion magazines, newspapers and radio.

Memberships and Accreditation

  • American Academy of Laser Dentistry
  • American Academy of Cosmetic Dentistry
  • World Congress of Minimally Ivasive Dentistry (Diplomat and Life Member)
  • College of Clinical Laser Dentistry
  • University of Western Australia
  • Australian Dental Association
  • Dental Practice Board of Victoria
  • Australian Society of Hypnosis
  • International Society of Hypnosis