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How Does Invisalign Work?

March 27th, 2020

how does Invisalign work

Are you worried about your crooked and misaligned teeth, but the thought of wearing metal braces makes you think twice about seeking treatment? Don’t worry; now you can get your teeth straightened without anyone noticing, thanks to the Invisalign clear aligners. Owing to their inconspicuousness, comfort, and convenience, the Invisalign clear aligner has nowadays become the most preferred option to straighten teeth.

Is Invisalign the right option for you? It is best that you should know what Invisalign is and how it works before you decide. This article will take you through the steps that are involved in orthodontic treatment with Invisalign Aligners.

What is Invisalign?

Invisalign is an orthodontic system based on the use of virtually invisible removable aligners. A unique feature of these aligners is that they are made from a transparent material, this puts pressure on the teeth in a similar way to conventional wires brackets. Therefore, they won’t be visible to other people while you’re wearing them. Your dentist will give you a set of numbered aligners, which you will successively wear to move your teeth in proper alignment and occlusion.

How Invisalign Works?

Here are the steps involved in getting your teeth straightened with Invisalign invisible aligners:

  1. Consultation and Treatment Planning

When you visit your dentist for a consultation about getting Invisalign, he or she will perform a detailed examination of your oral cavity and look at x-ray images of your teeth and study models. This is done to ensure that you are a suitable candidate for getting Invisalign aligners. Considering your current oral health status, your dentist will prepare a treatment that will be fully customized for your treatment needs. Your dentist or orthodontist will also calculate the exact treatment time, typically this is anything from 6 months to 2 years.

  1. Designing your Aligners

In the next step, your dentist will use a special device to make digital impressions of your teeth and gums. Your dentist will then send this information to an Invisalign affiliated lab. Back at the dental laboratory, the digital impressions and models will be evaluated thoroughly, in consultation with your dentist, to design a series of aligners that will sequentially align your teeth in optimal angulation and position. Once the designs for your aligners have been made, the laboratory will fabricate them by using the 3D printing technology. These aligners will then be transported to your dentist’s office. Before you start to wear your aligners, your dentist may place some composite patches. These patches allow the aligners to grip onto the teeth and move them in the desired direction.

  1. Wearing your First Set of Aligners

During your next appointment, your dentist will instruct you regarding the use and wearing of your new aligners. For optimal results, you must wear your aligners for at least 22 hours each day. You should keep in mind that your new aligners may feel slightly uncomfortable during the initial few days of wearing. Don’t worry; it will go away in a few days. You may also have slight difficulty in speaking while your aligners – no need to worry, you will soon get used to your new aligners.

  1. Switching to the Next Set of Aligners

Most dentists ask their patients to wear each set of aligners for about 14 days. Once you have worn a set of aligners for the specified time duration, you should then switch to the next set of numbered aligners. You will feel slight pain and discomfort immediately after switching to your new aligners. This is because the new aligners are continuing to move your teeth, and as your teeth get adjusted, the discomfort should decrease. In this way, you should continue to switch to the next set of aligners after the duration set by your dentist. By the time you have worn two or three aligners, you will start to feel a positive improvement in your smile and facial esthetics.

  1. Visiting your Dentist for Regular Checkups

 While wearing the Invisalign aligners, your dentist will ask you to come for a checkup every four to six weeks. This is to ensure that your treatment is heading in the right direction, and the desired results are being achieved.

  1. Wearing the Retainers

Once your treatment has been completed, your dentist will give you the Vivera retainers by Invisalign. The purpose of wearing these retainers is to ensure that your teeth don’t move back to their previous positions once they have become properly aligned. Even after your treatment has been completed, your dentist will ask you to visit for a follow-up, so that your treatment can be consolidated, and you can retain your brand-new smile. During the Invisalign treatment process it is important to brush and floss your teeth, this will mean removing your aligners.

How Long Does the Treatment Take?

The duration of your treatment depends on two main factors: the severity of your problem and your compliance. Mild problems can normally be treated in 6-8 months. More complex problems may require up to 12 months to complete. Similarly, your treatment will take lesser time if you adhere to your dentist’s instructions and wear your aligners for at least 22 hours each day.

Invisalign aligners offer an esthetically superior and more comfortable option in comparison to the fixed braces. Visit us today to discuss the option of your teeth straightening with Invisalign.

Fat Freezing – 8 Questions You Want the Answers to

February 10th, 2020

As with many new body sculpting treatments there are often a whole host of questions that people want answered… In this article we look at fat freezing and tackle 8 of those questions.

1 – What is fat freezing?

Fat freezing was initially discovered whilst researchers were investigating frostbite, they noticed that fat freezes before skin does, this freezing altered the cells of the fat without damaging the skin. The process is undertaken with a nonsurgical machine which is designed to target fat, cellulite and to treat skin tightening. It is often known as coolsculpting procedures. The fat freezing process destroys fat cells using 2 processes, cavitation and a phenomenon called cryolipolysis. Because the fat cells are destroyed internally and turned into a liquid state they can be disposed of via natural body processes, without the need for additional invasive treatments.

2 – How does fat freezing work?

Cryolipolysis (fat freezing) targets fat cells specifically, it lowers the temperature to -6°, crystallising them and leaving them free to be disposed of naturally in the body. some of the best systems, such as the 3-D Lipomed use cavitation at the same time as this freezing. Cavitation uses ultrasound waves which causes destruction of the fat cells, breaking down their membrane. The dead fat cell is then disposed of naturally within the body via the liver and lymphatic system.

The results of cavitation are often seen on the  first appointment and the results of cryolipolysis can be seen within a couple of months.

The procedure can be used in a range of locations on the body to assist with weight loss through diet and exercise, including waste (love handles) and double chins. One should always note that this procedure should be considered in conjunction with other techniques to lose weight.

 

3 – Does fat freezing work?

Yes is the simple answer but the best thing we can do is to show you before and after photographs of fat freezing so you can see the results for yourself.

Leg and Buttock treatment in 3 sessions

Before

After

Cellulite Reduction – before and after

Before

After

Belly Reduction Before and After – Full Circumference

Before

After

 

4 – How much is liposuction in the UK?

Lyposuction is usually more expensive than cool sculpting. Liposuction treatments usually start around £2500 and can often increase to just over £6000. These costs can increase considerably if a general anaesthetic is used. Fat freezing on the other hand depends upon the area treated but this typically starts at around £124.50 for a small area per session – with a course of 8 recommended.

5 – Can you freeze your fat off at home?

Whilst this is a very common question, the answer is no. You cannot freeze your fat of at home. The cavitation and cryolipolysis processes involve soundwaves at a very specific frequency which turn the fat into a liquid to be absorbed into the body. It is just not possible to achieve the correct frequencies using any form of home treatment

6 – Fat freezing vs tummy tuck

The primary difference between fat freezing and a tummy tuck is that fat freezing is the nonsurgical procedure whereas a tummy tuck is surgical. A tummy tuck, known medically as abdominoplasty, is where excess fat and skin are removed. The tummy tuck process is primarily designed to provide a toned and flat profile, very much like fat freezing but it achieves it in a very different way. A tummy tuck will require an anaesthetic, most usually intravenous sedation or a general anaesthetic. An incision will then be made, the skin lifted and the underlying weaknesses in the muscle repaired.

In contrast to this, fat freezing does not alter the muscles, it simply removes the fat by liquefying it and allowing it to be absorbed naturally in the body

7 – Is fat freezing safe?

in 2015 researchers from the Plastic and Reconstructive Surgery publication reported that there were no major health risks associated with the procedure. They said there was no reduction in liver function (this is where the fact is taken in the body). In this particular study they noted that people lost between 14.67 and 28.5% of the fact in the areas treated. Another study in Aesthetic Surgery Journal also found that the average fat reduction was around 19.55%.

8 – Are there any side effects from fat freezing?

Even though fat freezing is usually considered a ‘lunchtime treatment’ due to the fact it requires no incision or anesthesia there are sometimes side-effects, typically these include:

  • Localised sensitivity – this generally subsides within one week.
  • Tagging sensation during treatment – this is not painful but can be surprising if you are not expecting it.
  • Mild redness, bruising or swelling.
  • A slight tingling or stinging sensation on the treatment site – this again usually subsides within one week.
  • Very occasionally a rare condition called paradoxical adipose hyperplasia can occur, this happens more frequently in men and is where the cells in large in size rather than reduce. It is not fully understood why this happens.

 

 

Everything You Need to Know about Lip Filler After-Care

December 10th, 2019

lip filler after care blog title

Lip filler after-care is something that is concerned for many people after they have had lip injections. This type of cosmetic injectable injection has become increasingly popular in modern times and this article is dedicated to helping resolve some of those concerns and answer those questions.

How to reduce swelling after lip fillers

Our top tips for an incredible final result include:

  1. Avoid excessive or very strenuous exercise for at least 24 hours after treatment.
  2. Avoid sweltering temperatures for at least 24 hours after treatment.
  3. Use an ice pack on your lips.
  4. Drink plenty of water.
  5. Avoid excessive salt for 24 hours as this can dehydrate.

Can I eat after lip injections

Yes, but stick to our top tips, and you won’t go wrong:

  • On the first day stick to foods that are easy to eat and chew, this means you’re less likely to have to wipe your lips and disturb the injection site.
  • Avoid vitamin E supplements for a couple of days as this can increase the risk of bruising.

Do’s and don’ts after lip filler

Lip filler aftercare advice:

  • do stick to foods that are easy to eat
  • do bring lipstick and lip liner to the appointment as this can be applied immediately after treatment to cover up any immediate bruising
  • do avoid kissing or massaging your lips directly after the procedure and possibly for up to 24 hours if it is your first lip filler injection
  • do be gentle with your skin while washing for 24 hours
  • don’t use and exfoliating agent for 24 hours or any harsh cleaning brush
  • don’t have a facial massage for at least two weeks
  • don’t drink through a straw for the 1st day as this puts pressure on the lips
  • don’t drink alcohol for at least 24 hours after you have had fillers
  • don’t exercise excessively for at least 24-hour is

Long-term side-effects of lip fillers

If the practitioner undertaking the treatment is highly skilled, then there should be no adverse long-term side-effects from having lip fillers. Short-term side-effects can include:

  • a small amount of bleeding from the injection site
  • bruising
  • swelling
  • tenderness

These should all pass within approximately 48 hours after the initial treatment.

Some people purchase their lip filler hyaluronic acid online and attempt to inject themselves, some people also go to lesser trained beauty therapists for their injections and cosmetic procedures. These may result in more long-term side-effects which can include, but are not limited to:

  • excessive bleeding
  • excessive bruising and swelling
  • lip asymmetry where the injection has not been even been placed
  • lip bumps and irregularities caused by improper injection technique

If you experience any of these more severe side-effects after treatment, then we recommend you contact your skin clinic immediately, if you get no response you should seek medical advice.

Lip necrosis after filler symptoms

Necrosis is defined as “the death of most or all of the cells in an organ or tissue due to disease, injury, or failure of the blood supply.” necrosis with lip fillers is fortunately quite rare with only 1 in every 100,000 cases, it usually happens from one of 2 causes:
  1. By obstructing supply to blood vessel, usually by injecting too much filler or by producing too much swelling near a blood vessel. This obstruction then causes the lip necrosis as the soft tissue is unable to get the blood flow it needs.
  2. Via direct damage caused by poor injection technique.

The symptoms of lip necrosis can include, but are not limited to:

  • severe pain which can slowly build after the treatment, this is because the numbing cream used during the initial therapy begins to wear off and the full pain is felt
  • prolonged white blanching after the lip fillers, this is caused by a lack of blood flow to the affected area
  • the reduced temperature of the lips, this again is caused by the lack of blood flow reducing the temperature
  • discolouration, often purple or dark grey, this is the final stage when tissue death is beginning to take hold

I think I have lip necrosis after lip fillers, what should I do?

If this begins to happen during treatment then, according to the Journal of Clinical and Aesthetic Dermatology, your practitioner should stop the treatment immediately, massage the area, apply heat, tap the area and repeat.

If this does not immediately halt the necrosis, then the practitioner should begin remedial treatment, depending on the type of filler or used. Aspirin may then also be prescribed. If this still does not stop the necrosis, then referral to another medical expert and ongoing wound care may be required. You may also need antibiotics to prevent further complications developing from secondary opportunistic infection

It is, therefore, possible to see that injecting fillers at home by yourself is incredibly dangerous as you would be unlikely to have the knowledge, experience and drugs available to counter any necrosis should happen at the time.

Do lip injections damage lips?

On the whole lip injections do not damage lips, the filler used (hyaluronic acid) is a naturally occurring acid which gets slowly absorbed by the body. Any damage caused to the lips is usually by poor technique created by the person doing the injections. Swellings, lumps and bumps around the lips can be a sign of this type of problem. To prevent this type of problem this is why a dentist is ideally suited to providing lip filler injections as they have detailed knowledge of the anatomy of the lips (Obicularis Oris).

Do lip fillers shrink lip size afterwards?

Lip fillers won’t shrink your lip size afterwards however the hyaluronic acid which is used as the filler will be slowly absorbed by your body again, this can give the illusion of shrinking lips however they won’t shrink smaller than before treatment.

 

What’s the difference between a chiropodist and podiatrist?

September 30th, 2019

what’s the difference between a podiatrist and chiropodist

Offering chiropody services in Oxford means we often get asked the simple question, what’s the difference between a chiropodist and podiatrist? This blog post looks at some of these common questions, including top tips on how to look after your feet.

What’s the difference between a chiropodist and podiatrist?

The answer is that there is no difference, the 2 words are used interchangeably to describe the same thing… Essentially both a chiropodist and podiatrist are a foot doctor which both look at foot problems and care for foot health. Chiropody is an historic term which has been used throughout the centuries to describe someone that specialises in the health and well-being of your feet. According to the Institute of chiropody and podiatry, it wasn’t until more recent years that the professional title of Podiatrist was created to recognise the specialist qualifications of the profession.

What are the responsibilities of a chiropodist?

A chiropodist or podiatrist seeks to rectify a range of foot disorders, including but not limited to:

  • Callus (hard skin)
  • Corns
  • Dry cracked heels
  • In-growing toenails
  • Tough thickened nails
  • Verrucae

Difference between a podiatrist and a nail technician?

This is also a question that sometimes gets asked, a podiatrist has the professional medical qualification which enables them to register with the Institute of Chiropody and Podiatry, it also enables them to treat a wide variety of foot ailments.

A nail technician, on the other hand, is someone dedicated entirely to looking after the beauty of your nails, including shaping and colouring. Their skills do not extend to the surgical management of your nails nor to looking after any other of the common foot ailments.

How does podiatry differ from orthopedics?

A podiatrist deals solely with your feet whereas an orthopedic surgeon deals with skeletal problems around the whole body. Your registered podiatrists may work closely with an orthopedic surgeon should you have any skeletal problems with your feet which require surgical intervention.

How do podiatrists remove a callus?

Foot calluses and corns on your feet can be painful, however, you should be aware that if you have diabetes, heart problems or any other form of circulatory disorder you should not treat the corns calluses yourself and should seek specialist help from a podiatrist.

a podiatrist is likely to take one of the following courses of action to remove a callus:

  1. Designing specially made insoles are going to your shoes which can take the pressure off of the callus area.
  2. Applying patches to your skin to help soften the hard area to facilitate later removal.
  3. Gently cutting away and removing the corn or callus.

Is wearing shoes too often bad for your feet?

wearing shoes per se is not necessarily bad for your feet, however wearing poorly fitting shoes CAN be. If you have probably fitting shoes then areas of the shoe can run on your feet causing calluses and corns. These can be painful and tricky to remove.

How to deal with foot pain?

bones of your feet

image credit: myhealth.alberta.ca

Foot pain can be incredibly complex due to the complex nature of the construction of your foot.

Your foot contains:

  • 26 bones
  • 33 joints, of which 20 of them are actively articulated
  • Over 100 muscles, ligaments and tendons

Pain in your foot can also be caused by problems further up your leg. Even problems with your hip or lower back can mean that you change the way you stand or walk which can be transferred down your leg and cause problems with the complex anatomy of your foot. This is where a podiatrist really comes into their own, being able to understand exactly where the pain is in your foot and how it is caused and then knowing the best way to treat it.

Would wearing high heels everyday damage your feet?

Wearing high heels everyday can cause a whole range of problems. Because your weight is artificially shifted forward onto the balls of your feet…

  • your knees need to push forward to rebalance yourself
  • your hips have to push forward to maintain balance
  • you have to hyperextended your back pushing backwards to maintain balance
  • the ball of your foot which has some natural cushioning can begin to thin overtime, this soft pad can actually begin to atrophy

We, therefore, recommend not wearing high heels every day and ensuring you have well-fitting and balanced shoes.

Common sports injuries that affect your feet

There are a range of sports injuries which can affect your feet and require access to a podiatrist, some of these include:

  • Achilles tendinitis. The Achilles tendon is the largest tendon in the body and can often be affected by repetitive sports injuries such as dancing or running. Overuse of the Achilles tendon can result in degeneration, this can be exacerbated with age.
  • Neuroma. quite simply this is a pinched nerve in your foot. There can be a variety of causes including wearing the wrong shoes, trauma or congenital problems with the shape of your feet. Neuroma is experienced as either pain in the ball of your foot or tingling and numbness, particularly between the toes or big toe whilst walking and the nerve is being irritated. Treatments to reduce the inflammation of the nerve can include shoe inserts to provide more support or possibly corticosteroid injections.
  • Plantar fasciitis. The plantar fascia is a band of tissue which stretches across the art of your foot and takes a lot of the stress when you walk. The typical site of pain is at the bottom of your heal.
  • Foot stress fractures. These can occur in people who participate in high contact or high-stress sports such as long-distance running, gymnastics, dance and football. The broken bone can be caused by a single intensive trauma all by repetitive stresses placed on feet and ankles. A lack of training and therefore building up of the support structures around a person’s foot and ankle can make someone more susceptible to stress fractures.

In summary, ensuring you train adequately before undertaking excessive exercise with sports and ensuring you wear correctly fitting footwear with good quality support is some of the best ways you can help to reduce your chances of having sports-related foot injuries.

Swollen Gums Around a Tooth; Causes and Remedies

June 20th, 2019

 

One fine morning, while brushing your teeth, you observe that you have a swollen gum area around a tooth. No doubt this may be a worrying situation for you. However, there is no need to worry, as gum swelling is not as uncommon as it may seem to you. Here is everything you need to know about the causes and treatment of gum swelling.

What Causes Gum Swelling?

Swelling of the gums can take place due to a variety of reasons:

  • Poor Oral Hygiene – when you don’t brush or floss regularly, food particles tend to adhere to the surface of the teeth, which ultimately converts into plaque deposits. Over time, this plaque hardens and becomes calculus/tartar. Both the plaque and tartar are ideal places for the growth and replication of harmful bacteria. Ultimately, these bacteria lead to the inflammation and swelling of the gums.
  • Dental Abscess – an abscess is a collection of pus around a tooth. One of the most common symptoms of an abscess, apart from pain, redness, and fever, include swelling and inflammation of the gums, they may also bleed. The swelling arises due to the collection of pus around the tooth crown or root.
  • Trauma – swelling of the gums can also appear in case they become injured during contact sports, or when a sharp object gets stuck between the tooth and the gum.
  • Hormonal Changes – changes in hormonal levels during pregnancy, menopause or hormonal therapy can also result in the swelling of gums. Interestingly, the swelling can occur around a single gum or the gums around all the teeth.

swollen gums

In addition to this, some of the risk factors associated with gum swelling include:

  • Uncontrolled diabetes
  • Hypertension
  • Stress and anxiety
  • Genetic predisposition
  • Certain medications

Gum swelling can also be an early warning sign of gum disease which can progress painlessly on the whole. If left untreated full-blown gum disease could develop.

What are the ways to cure swollen gums?

The most common reason behind swelling of gums is poor oral hygiene. In most cases, gum problems will go away as soon as you start taking care of your oral health through brushing and flossing.

Gum swelling is generally a symptom of an underlying medical or dental problem. Therefore, treatment involves removal of the underlying cause. Your dentist or doctor will identify the underlying problem and then provide appropriate treatment. If required, your doctor may change your medication if it is causing gum swelling. Similarly, antibiotic treatment may also be required if the gums have become swollen due to an underlying abscess in a tooth.

Swelling of gums not only indicate an underlying dental problem but it also negatively affects your smile and facial esthetics. If you or anyone among your loved ones is suffering from gum swelling or inflammation, you should visit your dentist or healthcare physician without any delay. Failure to seek treatment can result in severe complications, which may even prove to be life-threatening. Hence, time is of the essence when it comes to treating gum problems.

How to Prevent Gum Swelling?

This is where we really start to talk about prevention rather than cure. The best way to prevent gum swelling in the 1st place is to ensure you have a good oral health care regime. This should include:

  • cleaning your teeth for 2 min twice per day with the fluoride containing toothpaste
  • don’t spit the toothpaste out afterwards but keep it in your mouth if possible
  • wait for 20 min after eating before cleaning your teeth to give them time to recover from the immediate acid attack
  • brushing in between your teeth at least once per day with either floss or an inter dental brush
  • rinsing after each meal with the fluoride containing mouthwash. Never rinse directly after brushing as this washes away some of the helpful fluoride in the toothpaste.

A balanced diet with lots of vitamin containing fruit and vegetables can also help prevent gum swelling and gum disease. Keeping sugar levels low will also have a dramatic effect on the amount of plaque which builds up on your teeth and therefore the amount of gum swelling which occurs.

Excessive sweating – Why Do I Sweat so Much?

June 4th, 2019

Excessive sweating-why do I sweat so much

 

Excessive sweating can lead to embarrassment from sweaty palms and hands to soak through shirts, not to mention often being accompanied by an unpleasant odour. So what can we do about profuse sweating? Why do we do it and how can we stop it?

our bodies respond to excessive temperature is to sweat. When our brain senses that our core temperature is rising then it begins releasing sweat from 2.5 million eccrine (sweat) glands on our body. This then lowers our body temperature as the heat in the body is used to evaporate the liquid from the skin.

In addition to the eccrine glands. We also have apocrine glands, which secrete a different type of sweat. This type of sweat contains more nutrients and is largely emitted in the armpit and growing areas, it is from this type of sweat that the smell emanates. These glands are activated when we get emotional or excited as well as during exercise.

Because the human body excretes sweat from these two different types of gland we need to ensure that we look at each type before we decide on how we can overcome the problems that sweating causes.

In addition to this natural sweating process. Some people also suffer from hyperhidrosis (excessive sweating), for these people the eccrine glands in the skin become overactive producing large amounts of sweat when the body actually doesn’t need it.

How to stop sweating

It depends on the reason for sweating as to how you can control it.

  1. Sweating during exercise. If this is you then try wearing breathable fabrics to ensure your body can regulate its temperature.
  2. Sweating throughout the day with no exercise. Try applying an antiperspirant before bed. After you have had a shower and are clean. Apply the antiperspirant, please take a little time to block the sweat ducts and should be completely active by morning. If you applied antiperspirant in the morning then the sweat ducts can be more active and antiperspirant doesn’t get a chance to work by blocking those ducts. You should also make every attempt to stay cool throughout the day, keep regularly hydrated and keep your body temperature lower by staying in a well vented room, this should help your body regulate its own temperature and negate the need for excessive sweating.
  3. Sweating whilst eating spicy foods. Well, you may just have to avoid those spicy foods!
  4. As a side effect from various medications. Seek advice from your doctor if you have started sweating excessively after beginning a new course of medication.

How to stop armpit sweat

Armpit sweat specifically contains sweat from both the eccrine (cooling) and apocrine (smelling) glands. This means that heavy sweating can lead to sweat stains as well as a bad odour.

Excessive armpit sweating, medically known as axillary hyperhidrosis can be treated with a couple of home remedies but you may need to talk to your doctor for some of the more advanced remedies.

  1. Apply antiperspirant before bed. Antiperspirants work by blocking the sweat pours in your skin, most people tend to sweat less at night, meaning the antiperspirant has a chance to get into the pores to prevent sweating during the day.
  2. Combine and antiperspirant (to block the pores and prevent sweating) with a deodorant to combat any lingering odour.
  3. Wear breathable clothes. This firstly prevents your body from heating up in the first place but also allows any sweat produced to evaporate through your clothes.
  4. Consider asking your doctor for prescription antiperspirants.
  5. Speak to your doctor or dentist about the use of botulinum toxin for excessive sweating.

Sometimes people suffer from primary focal hyperhidrosis, this is where the excessive sweating is not as a result of another medical condition or a side-effect of medications taken, primary focal hyperhidrosis is the condition itself. This does make things more difficult to treat as breathable clothes and antiperspirants are unlikely to work. Speaking to your doctor or a practitioner, which uses treatments such as botox injections may be an option.

How to stop sweaty hands – 9 Things You Can Do

Sweaty or clammy hands, known as palmer hyperhidrosis can be really embarrassing, particularly if you work in a social environment which includes handshaking. It can also make operating some equipment, like a computer mouse trackball really difficult. The good news is that there are a variety of ways to stop sweaty hands including, but not limited to:

  1. Dedicated hand antiperspirant. These are absorbed quickly and don’t leave a residue on your hands. Sweat Guard is one such product, others are also available.
  2. Wash your hands with water only. Unless they are particularly dirty, then, of course, use soap but remember that soap can try your skin out and exacerbate the sweating.
  3. Don’t wear gloves. Unless it is particularly cold out, avoid wearing gloves as this can prevent your hands from breathing and again make the more sweaty.
  4. Carry around a small container of talcum powder. Talcum powder can absorb excessive sweat and a quick dab onto your hands can work wonders.
  5. Reduce stress. If stress is the cause of sweaty hands try to identify why you are stressed and look at ways to reduce it.
  6. Ask your doctor for a prescription. There are some drugs which are able to reduce the amount that your hands sweat.
  7. Speak to your dentist about the use of botulinum toxin type A.
  8. Don’t skip meals. Low blood sugar can also contribute to sweaty hands.
  9. Avoid too much alcohol. If you are prone to palmer hyperhidrosis then alcohol causes your blood vessels to dilate, this then leads to warming of the skin which triggers your parasympathetic nervous system to kick in and you start sweating.

lip injections, are they a good idea?

March 5th, 2019

Lip injections, are they a good idea

As a practice that offers facial rejuvenation from our clinic in Oxford and Didcot we are often asked about lip injections, people often want to know if they are a good idea and what the potential problems could be. Our latest blog post is dedicated to answering these questions.

Do lip injections hurt during/after lip injections?

Lip injections will always be given with a topical numbing cream such as lidocaine and prilocaine, this ensures that the skin is numb prior to having any injections.

After treatment you may find there is some mild discomfort as the injection sites settle down, this will not normally last longer than a couple of days.

Why use lip fillers to enlarge your lips?

Lip fillers are one of the most natural ways to enlarge your lips, hyaluronic acid (dermal fillers) is a naturally occurring acid in your body. It is using your body to bind water and retain moisture, hence, as we age and hyaluronic acid levels decline asking can look drier and more wrinkly due to the dehydrated skin. Fillers can help to reverse this process.

Do lip injections damage lips?

So long as the lip injections are done in a controlled environment by professional with full training then no, lip injections do not damage your lips. This is one of the reasons that dental practices are some of the best places to go for a lip injections, dentists have such a detailed knowledge of the anatomy of the muscles, nerves and blood vessels in your head, face and neck. Beauty therapists, on the other hand do not have this detailed knowledge.

What is the lip enhancement or lip augmentation procedure?

The process is usually quite simple and includes:

  • An initial consultation to work out if lip fillers are the best form of treatment for you. During the consultation we will discuss any possible side-effects, additional treatments, ongoing care and costs.
  • Treatment begins at an appointment time suitable for you.

Usually all treatment can be accomplished in one single appointment.

What’s it like to undergo lip augmentation?

Treatment is usually:

  • Comfortable. Anaesthetic is given to numb the skin.
  • Affordable. Lip enhancement is usually start from about £380.
  • Quick. Treatments can often be completed in a single appointment.
  • long-lasting. Treatments often last for up to 2 before needing to be redone.

How long do lip injections last?

Typically treatments will last up to 2 years. Typically you may find that anywhere between 6 and 12 months you might see some difference in your appearance and require a top up.

What did your lips look like before and after lip injections?

The easiest way to answer this question is to show photographs of patients having before and after lip injections.

Before lip augmentation

Before

After lip augmentation

After

Before lip filler injections

Before

After lip filler injections

After

How much do lip augmentations usually cost?

Treatment costs can vary depending on the exact nature of the augmentation of treatment and the exact treatment. Typically lip enhancements start at around £380 and lip contouring from £350. There are also usually many special offers available.

More information on fees here.

Do lip fillers shrink lip size afterwards?

No, however after your lips have been made fuller and more plump with lip fillers, by contrast, once the fillers have been fully absorbed into your body it may look as though your lips have shrunk, they will only however have shrunk back to what they were prior to treatment.

Why are Botox and filler injections so expensive?

Botox and filler injections are always worth investing in the highest quality. After all, you are going to be asking someone to inject something into your face! You need to be sure that:

  • You know absolutely 100% what is being injected. NEVER purchase these treatments online and try to inject yourself.
  • You 100% trust the person doing the injections. A dentist is the ideal person to trust for this type of treatment as they have a detailed knowledge of the anatomy of your head, face and neck. Someone that has been on a short training course will not have this detailed anatomy, nor may not have the emergency facilities available in the event of any unforeseen allergic reaction.
  • The environment in which you will be seen is completely clean and sterile. You want to ensure that any cross contamination chances are all but eradicated, again this is another good reason to choose a dental practice as they will have proven cross infection control procedures in place and will also be highly regulated by the Care Quality Commission.

It is for the reasons above of using the best materials,  the best clinician in the best environment that makes Botox and fillers injections expensive.

One last thing to say about the cost is that it is worth considering this over the life of the treatment. A typical augmentation may cost £380 but could quite easily last two years, taking the cost over a two-year period means that treatments cost approximately £3.64 a week – The price of a large cup of coffee!

What is the difference between dermal fillers and botox?

These treatments working completely different principles. Wrinkle relaxation treatments such as Botox are a toxin which reduces the ability of muscles to move, by reducing visibility to move we can make the wrinkles disappear. Fillers, on the other hand inject hyaluronic acid into the treatment site, this is a naturally occurring body acid which binds water, therefore making your skin look more hydrated and younger.

Depending on which area of your face you would like rejuvenated will depend upon which treatment you have, dermal fillers or wrinkle treatments such as Botox.

What is tooth decay?

December 21st, 2018

What is tooth decay

Tooth decay can cause a wide range of problems so we thought we would summarise some common questions and answers in one of our popular blog posts.

Do teeth with cavities affect the surrounding teeth?

In and of themselves cavities do not affect the surrounding teeth however they may be an indication that your oral health is not quite as good as it could be, this certainly does affect the surrounding teeth. If the level of bacteria which are causing the cavity are high then it stands to reason that these bacteria could also be high on the surrounding teeth and cause similar cavities.

Why can a dry mouth cause cavities?

A dry mouth can cause cavities because the saliva is slightly alkaline and neutralises the acid excreted by the bacteria as they digest the sugar in your food. If you don’t have as much saliva as you should have then your mouth can remain higher in acidity and the acid attack on your teeth can then take hold. Smoking is one of the most common causes of dry mouth and this is why smokers tend to have more dental cavities than non-smokers.

What is the difference between root canal and teeth fillings?

From what you would see on the outside there can be little noticeable difference between the root canal and the filling however root canal fills deep down inside the inner nerve chamber of the tooth. A filling just fills the crown of the tooth.

How to treat a rotting teeth smell?

The only real way to treat rotting to smell is to treat the rot and get rid of the decay. You may find that chewing sugar-free mint gum or rinsing regularly with a mint mouthwash can temporarily abate the smell but it certainly won’t get rid of it. Only treating the underlying cause of the smell will be able to cure it completely.

How does toothpaste prevent tooth decay?

Toothpaste prevents tooth decay because it contains fluoride. Tooth decay happens because your teeth lose some of the minerals which keep them strong, this is called demineralisation. As this demineralisation happens small cavities conform into which the bacteria can hide, they then excrete their acid as they digest the sugar in your diet and the cavities get bigger. Fluoride helps to accelerate the growth of enamel crystals and also helps to initiate demineralisation of the tooth. This leaves the tooth less prone to the acid attack.

What is the purpose of dental floss and flossing?

Many people forget this most important part of their oral health routine. Brushing your teeth with a fluoride toothpaste is only a part of good oral health to prevent dental care is and protect your teeth and gums. Throughout the day a sticky surface layer called plaque build up on your teeth, this is made up of all of the bacteria in your mouth. If you don’t remove plaque then that bacteria are held against your teeth consistently. The plaque can also harden into what is known as tartar, this can then become very difficult to remove.

Because your teeth have large contact areas between them it’s very difficult to clean these areas with a regular toothbrush, your teeth are more than just the chewing surfaces, this is why dental floss or interdental brush is extremely important, to clean these difficult to reach areas to prevent cavities.

What are the stages of tooth decay?

The stages of dental decayIn the early stages of tooth decay you will get white spots on the surface of the teeth due to the demineralisation, these demineralised areas becomes softer and enamel caries (decay) begins. The tooth enamel if the extremely hard outer layer of your tooth, once the decay has gone through this it is then into the dentine caries. Because the dentine is much softer the decay can then progress rapidly.

The final stage is that the inner pulp of the tooth becomes infected, possibly leading to an abscess.

It is so important to treat the early warning signs of dental caries prior to its progression through to an abscess.

Can one reverse tooth decay or a cavity?

At the very earliest stages when white spots are indicating demineralisation this can be reversed with topical application of fluoride. This can help re-mineralise and strengthen the tooth. However, once the caries has taken hold into the enamel the only way to stop it is to have it completely removed and a filling placed to replace the missing enamel.

Which foods and drinks containing sugar cause tooth decay?

Sugary snacks that you eat or drink daily are some of the biggest culprits and causes of tooth decay. Bearing in mind that scientific nutrition experts recommend that no more than 5% of your daily calories should come from added sugar representing about 7 teaspoons, take a look at what these popular drinks contain!

The amount of sugar in drinks

With so much sugar in drinks, even things which we would consider healthy, like orange juice it’s important to monitor the amount of sugar you consume.

Processed foods, particularly things like ready meals also contain large amounts of sugar, so it’s really important that you are not just counting sugar as any added sugar the add to things like tea, coffee and cereal in the morning. Make sure you look at the packaging and take a look at the amount of sugar that all of your food contains.

Why are my teeth sensitive?

October 22nd, 2018

tooth sensitivityTooth sensitivity causes, home solutions and dental treatments

Teeth become sensitive when the nerve of your tooth becomes too close to the outside world. Surrounding the delicate nerves and blood vessels in your tooth is a layer of softer dentine covered with a hard outer layer called the enamel. If anything happens to the enamel dentine which means your nerve becomes more exposed then sensitivity is the result. You will normally find tooth become sensitive when you drink hot drinks, have acidic food and drinks or have something particularly cold like ice cream. Typical reasons this might happen are:

  • Cavities – Cavities occur when your teeth are affected by tooth decay as they become attacked by their acid excreting bacteria, the enamel gets eaten away leaving the softer dentine. If the cavity is left untreated the dentine will also begin to rot. As this process continues the delicate nerve has more of the hot and cold sensations transmitted to it.
  • Cracked teeth – Depending on how big the crack goes this can allow hot or cold liquids to penetrate deeper into the tooth and affect the underlying nerve.
  • Gum recession – The hard outer protective enamel portion of your tooth only extends down to your gum line. Below the gum line is the softer dentine and root of the tooth. Age, poor oral hygiene and over brushing can result in gums receding, as this happens they expose more of the root which is soft and transmits more hot and cold sensations to the underlying nerve.
  • Erosion – Exposed dentine can be quite sensitive. Consuming excessive amounts of acidic food including sugary drinks can erode the outer portion of the tooth leaving the sensitive nerve more likely to feel the hot and cold sensations of everyday eating and drinking. More information about tooth erosion.

Dentine hypersensitivity can also be a cause of general tooth sensitivity. This is not an acute issue as above but is more of a chronic problem whereby the tooth feels far more than it should during normal use.

What are the causes of sudden tooth sensitivity

Sudden tooth sensitivity can happen when the inner part of the tooth suddenly becomes exposed to the oral environment. Typically this will be through some form of trauma, very often a crack. It could also be that decay or recession has suddenly got to the point where your nerve notices the hot and cold. If you have no evidence of a crack in the tooth or indeed no trauma then we recommend you visit an emergency dentist if you have sudden tooth sensitivity.

What can you do about sensitive teeth?

If the sensitivity is caused by cavities, cracked teeth, gum recession or erosion then you will need to visit a dentist. A dentist can then apply some dental bonding over the area which is causing the sensitivity. Sometimes the dentist will use fluoride gels to facilitate this process. The cavities can also be treated.

If the sensitivity is general sensitivity without a specific cause as highlighted above then there are a range of sensitive toothpastes available. These toothpastes work by blocking some of the microbe tubes in the surface of the teeth which transmit the feeling down to the nerve.

Is it normal to have pain after a tooth filling

If the tooth has had a filling then it is quite normal for it to have some sensitivity afterwards. Teeth are alive and will notice that they have been worked on, this will naturally tends to make them more sensitive for a while. This sensitivity caused by the treatment itself should subside after a day. If sensitivity after a tooth filling continues for longer than this then you should visit your dentist just in case there is some problem with the filling or other problem with the tooth.

Ways to prevent tooth sensitivity

Preventing tooth sensitivity can be a challenge as it depends on the reason for your tooth becoming sensitive. You could use a sensitive fluoride toothpaste when brushing your teeth, this type of desensitising toothpaste can really help. If you grind your teeth you may like to consider wearing a bite appliance at night to prevent this.

Making sure you brush and floss your teeth to prevent gum disease is also an excellent way to prevent to sensitivity. Ensure you include every tooth surface when you brush, remembering that the largest tooth surfaces which often get missed where the teeth touch each other, you will probably need dental floss or an interdental brush in order to reach these areas.

Can dentistry cure your headache? Possibly, if it’s caused by bruxism…

July 27th, 2018

CAN DENTISTRY CURE YOUR HEADACHE?What is a headache?

According to Wikipedia:

Headache is the symptom of pain anywhere in the region of the head or neck. It occurs in migraines (sharp, or throbbing pains), tension-type headaches, and cluster headaches. … Treatment of a headache depends on the underlying cause, but commonly involves pain medication.

There have been many articles written on the various causes of headaches, including Many articles on how to treat those headaches… but did you know that a dental malocclusion and bruxism can also create throbbing and pounding headaches?

Headaches when eyes moving

This is a very common symptom of headaches, there is a huge range of causes for these symptoms but generally dental problems are not the cause of headaches when moving eyes.

Bruxism – Grinding teeth in sleep

So, let’s look at how dental problems can cause headaches. One of the biggest ones is bruxism.

What causes bruxism?

Bruxism has two primary causes:

  • Clinical/physical
  • Habitual

Clinical/physical causes of bruxism can often be due to the way the teeth meet, known as a malocclusion. Various treatments such as re-equilibration (selective grinding) by the dentist of parts of the tooth which interfere with one another can help enormously, as can orthodontics to move teeth to new positions so that they meet without these interferences. As well as headaches, bruxism can also lead to significant tooth wear.

Habitual bruxism can also develop as a result of the dental malocclusion but it will be significantly exacerbated by external factors such as stress.

The treatment of dental related  headaches

Both types of bruxism can be treated with orthodontics and also night splints.

Orthodontics can help to move teeth in to positions where they don’t interfere with each other in normal use. Sometimes your back teeth cusps may knock against each other when your teeth slide from side to side, the muscles around your jaw, face, head and neck will compensate for this so you may not even notice. It’s this compensation that can cause the headaches.

Orthodontics can move teeth to positions where this doesn’t happen and night splints can help to reset those muscles at night, therefore helping them relax. Night splints are a smooth clear plastic night guard, similar to a sports protection guard, that are worn on the lower teeth usually. They are thin and comfortable to wear and simply stop the teeth from meeting – because the teeth can’t meet the muscles ‘forget’ to compensate and relax over night.

If you have headaches and believe it may be caused by your teeth then speak to your dentist who will be able to advice on the best course of action.

I am dropping a note to say thanks for all the work you have done for me, I am aware that I am not the easiest of patients. Your patience and explanations whilst work is underway was very much appreciated. The bridge work is really outstanding, here’s hoping I need nothing more than routine checks for some time.
- Mr R G
we are registered and regulated by
General Dental Council BDA goodpractice member CareQuality Commission