Cosmetic Dentistry: Tooth Whitening, Porcelain Veneers, Cosmetic Composite Bonding
Teeth Alignment: Invisalign, 6 Month Smiles, Inman Aligner, Clear Smile
Missing Teeth: Bridges, Implants, Cosmetic Dentures
Headaches/Migraines - Holistic Dentistry
Dr Jasmine Piran is focused on helping you to feel totally relaxed and comfortable in the dental chair. Her priority for you is to achieve optimum oral health, from a preventative approach. In registering with her as your dentist you will benefit from regular oral health evaluations and hygiene treatments, in order to prevent the need for invasive dental treatments in the future. Her aim is to help you avoid the need for fillings and other treatments wherever possible. With all the increasing evidence on the importance of good oral health in preventing other medical issues (such as heart disease), committing to achieving optimum oral health is a very wise investment.
Your gums are the equivalent to the foundations of a house. Your teeth are held securely in place by your bone and gum tissue. An ongoing build up of plaque and tartar, if left unremoved, can lead to gum disease. This is a worryingly common condition within our population, which can lead to a weakening of the foundations of your teeth and then loosening of your teeth. Regular dental hygiene treatments will help to ensure your home daily cleaning measures are achieving optimum results and remove the calcified tartar that you cannot removing with normal brushing and flossing alone. Just imagine how furred up your kettle would get if you didn’t descale it regularly! Rather than using a ‘one size fits all’ approach, Dr Jasmine Piran will tailor your dental hygiene treatment protocol to your own individual specific needs, in order to help you achieve long term oral health, with stable teeth and gums. Your appointments will be advised at a frequency and length that is appropriate your own individual treatment requirements. Maximum Comfort¬
Traditionally, people often avoid having hygiene treatment because they may have had unpleasant experiences in the past. Jasmine values your comfort and works very hard to ensure that your hygiene treatments are as comfortable as possible.
As part of your regular oral health evaluations we will assess your saliva. The level of your saliva can be a valuable indication of your overall health. Dehydration can cause a myriad of general health issues and a reduction in your saliva flow can be one of the earliest signs of this condition.
We also test the PH of your saliva to assess if it is acidic. Acidity in your mouth can cause erosion of your tooth enamel – once lost this is irreversible damage that can lead to tooth sensitivity and weakening of your teeth. Acidity in your mouth may also be a sign of increased acidity within your digestive tract. Again, this can have implications for your overall well-being. Dr Jasmine Piran takes a very holistic approach to your care and wherever possible she aims to help your oral health contribute to your overall health.
As part of your oral health evaluation your bite will be assessed. The way in which your upper and lower teeth meet will impact on the efficiency of your chewing (which can affect your digestion) and it also impacts on the condition of your teeth. If you have areas of your teeth that are worn down then this may be due either to a poorly functioning bite or a tooth grinding and clenching habit. Either way, your bite will be assessed to see if it is serving you optimally. Within your mouth, certain teeth are designed to perform certain specific roles – your bite analysis will aid in diagnosing any current or potential future deviation from the ideal. Some people can experience chronic pain, headaches and migraines, and even severe tooth fractures as a result of a poorly functioning bite.
Wherever possible, Dr Jasmine Piran will discuss your preventative treatment options, in order to help you avoid the need for active restorative intervention and dental treatment. She is focussed on helping you limit the amount of actual dental treatment you need now and in your future.
Dr Jasmine Piran has practiced exclusively mercury-free dentistry for the last 8 years. Any fillings you require can be tooth-coloured and will not contain any mercury. If you already have fillings in your mouth that contain mercury, although you may wish to have them all removed, Jasmine will discuss your individual case with you and establish how best to proceed. From a preventative perspective it may be best to be as minimally invasive as possible by staging your filling replacement treatment, rather than carrying out a large amount of invasive treatment all in one go. Jasmine’s priority for you is always to achieve the optimum result, in the least invasive way, while ensuring your maximum level of comfort possible.
If you have a tooth that has been extensively broken down, either through deep decay or dental breakage, the resulting cavity may be too large to be reliably restored with a simple tooth coloured filling. In this type of situation you may be advised to consider a stronger type of restoration which will not only replace the lost tooth tissue but will also rebuild and reinforce your tooth, to help prevent it from further breakage. These restorations are called inlays and onlays. They are bespoke, custom-made restorations that are often made from reinforced tooth-coloured porcelain and they can be very aesthetically pleasing, as they provide you with a full sized replica of your original tooth. Traditionally, these restorations were made out of gold and this is still a strong and durable option if you are happy for your restoration not to be tooth-coloured.
These were traditionally the restoration of choice for teeth that were heavily decayed or broken down. Modern bonding techniques have enabled us to be much less invasive when protecting and rebuilding these teeth so quite often you may be able protect a broken down tooth with an onlay now instead of a more-invasive crown restoration. This is a very specific and individual treatment concept and you will be able to discuss all of your options with Dr Jasmine Piran before choosing exactly how you wish to proceed.
Crowns aim to rebuild your tooth, in order to recreate a full tooth-sized replica of your original tooth. They may be made out of reinforced porcelain, a combination of porcelain and metal, or a gold alloy.
Teeth whitening treatment is one of the least invasive cosmetic procedures available today. It enables you to get your own natural teeth to look their very brightest and whitest. If carried out by a qualified dental professional you will not cause any damage to your teeth or gums.
will help you to make sure that your gums are healthy first and ready for you to start your tooth whitening treatment. It is important to have your teeth and gums checked thoroughly to avoid any unnecessary discomfort or damage during your tooth whitening.
This depends on the natural level of opacity of the enamel and dentine layers within your teeth and how many staining factors you have in your daily life (such as smoking, tea, coffee, red wine and curries). Generally it should be possible to reach a tooth colour that is a similar level of lightness to the white part of your eyes.
Your dentist will help you to predict your potentially achievable whitening results by assessing your current tooth colour. This will help in predicting how long you may need to continue with your tooth whitening treatment in order to reach your desired tooth shade.
Improve the shape, size and colour of your teeth with porcelain veneers. These are thin porcelain shells that are bonded to the front of your teeth. If you choose to have porcelain veneers you will go through a smile design process involving clinical photographs and accurate moulds and models of your teeth, so you will see and feel how porcelain veneers may feel and look in your mouth.
You may choose to experience a ‘Trial Smile’. This allows you to try out a plastic mock-up of your veneers in your mouth over a few days. This is done without any preparation or damage to your teeth and it enables you to really try out the idea of having porcelain veneers before deciding for sure if it is something you want to go ahead with.
We work with you to understand exactly what you are hoping for with your new smile. We analyse your face closely so your new teeth will fit your face ideally, in terms of smiling, chewing and speaking, your face and smile centre lines, your bite level, your gum line and tooth shape. You may prefer a specific tooth shape – examples are square, oval, ‘squoval’ and tapered. Often the best choice of tooth shape for you is linked to your natural face shape. You will consider these options during your smile design process.
Take a look at the Smile Gallery to see examples of porcelain veneers results.
Dr Jasmine Piran will always be as minimally invasive as possible, to preserve the health
of your teeth. In the past, veneers required teeth to be shaved down considerably.
Modern techniques involve far less damage to the outer enamel layer of teeth and in
some cases it is possible to place ‘no preparation veneers’. The level of preparation
needed will be established during your smile design process and often you will be
shown the results achievable with different levels of tooth preparation.
How to maintain your veneers
It is important that you brush and floss around your veneers EVERY day, to keep your gums healthy and prevent tooth decay around your veneers. You should also attend professional hygiene treatments every 3 months and if you are given a protective nightguard you should wear this every night. By taking good care of your veneers you will help them to last as long as possible. Most people need to replace their veneers every 10 or so years.
Improve the shape or length of your teeth with direct composite resin bonding. This is generally a more conservative way of improving your smile than porcelain veneers. Often people will first have a course of Tooth Whitening treatment in order to get their teeth to the best colour possible naturally. Composite material is then bonded to the edges of teeth to rebuild any worn areas or adapt the natural shapes of teeth.
Composite bonding tends to work best for people with good natural tooth colour and size but with single factors that require improvement – such as small lateral incisor teeth or tooth edge wear.
Often people find they are unsure of whether they should choose porcelain veneers or composite bonding. In these cases we can help you by showing you what degree of improvement is achievable for you with each of the options.
We work with you to understand exactly what you are hoping for with your new
smile. We analyse your face closely so your new teeth will fit your face ideally, in
terms of smiling, chewing and speaking, your face and smile centre lines, your bite
level, your gum line and tooth shape.
Is Composite Bonding damaging to the teeth?
Dr Jasmine Piran will always be as minimally invasive as possible, to preserve the
health of your teeth. Composite bonding is traditionally a more conservative method
for improving your smile than porcelain veneers. Typically no removal of tooth tissue
is required. Book Now
It is important that you brush and floss around your composite bonding EVERY day, to keep your gums healthy and prevent tooth decay around your teeth. You should also attend professional hygiene treatments every 3 months and if you are given a protective nightguard you should wear this every night. Composite bonding can discolour or stain over time and areas of natural tooth wear may chip again with regular use. Composite bonding can be polished and repaired whenever required.
Take a look at the Smile Gallery
to see examples of Composite Bonding.
Align your teeth without people around you even realising that you are wearing braces!
The Invisalign system uses barely visible clear aligners to gradually move your teeth from their current position towards a more favourable alignment. These aligners are removable so you don’t wear them for eating and drinking. You will replace the aligners every 1-2 weeks and generally you would need to see your dentist every 8-10 weeks throughout your treatment. Book Now
This depends on how crooked or crowded your teeth are to begin with. Before you start a course of Invisalign treatment it is important that you prepare yourself for the process and commit to being disciplined at wearing your aligners EVERY day for 20-22 hours. Your teeth will only move if your wear the aligners! Invisalign treatments are in 3 categories (‘i7’, ‘Lite’ and ‘Full’), depending on the initial predicted length of treatment you require.
Take a look at the Smile Gallery to see examples of Invisalign results.
It’s very important to plan your retention to prevent your teeth from returning to where they were before. In fact many people choose to have Invisalign treatment because their teeth have relapsed after they wore braces as a teenager and didn’t wear a retainer for long enough after finishing treatment. There are a few different types of retainer available and your dentist will discuss these with you to make sure you have the best chance of maintaining your new well aligned smile!
People often choose to carry out a course of tooth whitening once they have finished their Invisalign treatment. If after your teeth are aligned you notice worn or chipped edges or uneven shaped or sized teeth, then you can enhance your final result with composite bonding.
These are clear fixed braces that are bonded to the front surfaces of your teeth. They are a modern twist on the traditional metal ‘train track’ braces and, as the brackets and wires are quite close in colour to your own teeth, they are much less conspicuous. Complex cases should be undertaken by a specialist orthodontist. However, if your bite is stable and you only require relatively minor tooth movements in order to improve the aesthetics of your smile and also to improve the accessibility for efficient dental cleaning, then this may be an excellent option for you to optimise your own natural smile without damaging your teeth. Book Now
Dr Piran can carry out this treatment for you within 6-9 months. Once your teeth have reached their optimum position you will need to wear a retainer, which can either be bonded to the back of your teeth or a removable night time clear guard. Many people will choose to have tooth whitening at the end of their 6 Month Smiles treatment and also some minor cosmetic composite bonding. Take a look at the Smile Gallery to see examples of Invisalign results.
This is short term removable alignment appliance that, if used correctly for the ideal case, can achieve excellent rapid movements in tilted teeth. At the end of treatment you would need to have a retainer fitted which can either be a wire that is permanently bonded to the back of your teeth or it can be a removable retainer worn at night time. People often choose to have tooth whitening and cosmetic composite bonding carried out once they have completed their Inman Aligner treatment.
If you have lost a tooth (or several teeth) you may have several options available to you
If you feel you would like to replace the lost tooth (or teeth) then you may be able to consider dental implants. These function as an individual and independent new tooth, by way of placing a new titanium ‘root’ inside your gum and bone, which your bone can accept and integrate with, rather like a joint replacement. Once this integration has taken place we would then be able to attach a crown to provide you with a functioning tooth surface in place of your lost tooth (or teeth). Book Now
An alternative to implants would be to have a bridge fitted. Bridges rely on teeth adjacent to your gap to support a restoration that is bonded in place. Unlike implants, bridges do place additional load on your remaining teeth in order to support the restoration that is replacing the lost tooth (or teeth). Various designs of bridge are available, combining different amounts of tooth preparation and different materials (combinations of reinforced porcelain and metal).
Cosmetic dentures are a removable tooth replacement option. They are less often used now than they used to be, given the success often achievable with implants and bridges. However, cosmetic dentures are still a very viable option in many situations and you can achieve excellent aesthetic results in the appropriate situation.
If you are seeking to replace a missing tooth or teeth it is important that you fully understand the various options available to you so that you can make a fully informed choice for your future oral health and smile. Dr Jasmine Piran will take all the time you need to ensure you fully understand this process and feel happy and confident with your decision.
Many people suffer from regular headaches and migraines. There can be many causes, including dietary factors and lifestyle habits. In some cases your bite may be a significant contributing factor. Dr Jasmine Piran will assess your bite and your jaw muscles carefully to check if your symptoms of migraines or headaches may be improved with a protective therapeutic mouth splint and/ or specific accurate bite adjustments. Dr Piran has undergone extensive training in this area both over here in the UK and also in America. She is focused on helping you achieve long term comfort and relief from your symptoms.
Dr Jasmine is also certified in the provision of Cerezen ™ a revolutionary non-invasive treatment providing relief for migraines, headaches, neck and shoulder pains caused by tooth clenching and grinding. This is a wonderful adjunct to deep muscle relaxation and splint therapy and it is proving very successful for a wide range of patients.
Dr Piran will always aim to help you achieve optimum oral health as part of your overall general well being.
She practices mercury-free dentistry and has done so for nearly 10 years. Wherever possible she as a minimum intervention approach, favouring a preventative ethos to providing your dental care. As more and more people are experiencing sensitivity to various products within the modern world, Dr Piran has ensured that she has access to a selection of different materials which can meet each individual’s specific requirements. For example, she is able to use BisGMA-free and BPA-free composite resin materials for you if that is your preference.