This patient disliked the slight protruding of her upper canines. The patients’ options were discussed in detail, taking into account the patients time constraints, budget and lifestyle. It was decided that 6 months smiles was the best option for the patients needs.
Duration of treatment: 10 months (with regular adjustments)
Cost of full treatment: €3200 (includes at home whitening treatment)
Result: This patient was absolutely thrilled with the results achieved using 6 month smiles. She now has a stunning smile with all teeth moving in-line beautifully.
Dentist: Dr. Gina Kilfeather
For more information on orthodontic treatment and to see more before and after pictures see here
Dr. Kilfeather is currently on maternity leave, however if you would like to discuss ortho treatment further please contact us on T: 01 4542022 or E: email@example.com. You can use our online booking form here (book online via our website) to book a new patient exam.
There are many different causes of halitosis, but the good news is most of them can be easily managed.
Our brilliant hygienist Juliet spoke with the Independent newspaper this week to tackle the very common problem of bad breath… we’ve all experienced it at some point in our lives!
Julia Molony (Independent newspaper)
Articled appeared: April 10 2018
Do you suspect you suffer from halitosis (bad breath)? Then here are some helpful ways to check for the problem, and a range of treatment options which will hopefully eradicate this social scourge. If your best friend won’t tell you…
1 Keep gum disease in check
One of the most common causes of bad breath is periodontal disease, according to registered dental hygienist Juliet Gwasira from the Portobello Dental Clinic in Dublin. “The bacteria involved in causing periodontal disease can actually produce some compounds or gases which will then result in someone having bad breath,” she says, explaining that the two conditions often go hand-in-hand.
Gum disease needs to be treated by a professional, who may carry out a scale and polish of your teeth or prescribe a treatment regimen.
“Your dentist or hygienist can then go through oral hygiene instructions on how to control the bacterial growth in your mouth and maintain a healthy oral environment, using interdental brushes, flossing, and brushing twice a day,” Gwasira says. They can show you the best techniques using an electric or a manual toothbrush, and highlight areas you might be missing where you would be getting more plaque accumulation. If the problem is not going away when you’ve tried to target or treat it at home then you would definitely need to see a professional,” she says.
2 See your doctor
Although in 80 to 90pc of cases the source of halitosis is the mouth, “certain systemic diseases, namely diabetes mellitus, chronic renal failure and cirrhosis of the liver can give rise to particular bad odours in the breath,” according to Ireland’s Dental Health Foundation. When these illnesses cause changes to the breath, it can indicate a serious medical problem which requires prompt attention from a doctor.
Other more common and less sinister medical causes of halitosis include tonsillitis, sinusitis, post-nasal drip and gastroesophageal reflux disease. In each of these cases, appropriate treatment of the underlying infection or condition should resolve the problem.
3 Manage the microbes
“Halitosis is mainly caused by excessive amounts of volatile sulphur compounds (VSCs) being produced by bacteria in the mouth,” according to Ireland’s Dental Health Foundation. “The amount of VSCs in a person’s breath can vary greatly during the day and is influenced by factors such as eating, drinking, oral hygiene, sleeping and the effect these activities have on saliva flow.”
The latest research around halitosis has focused on how an individual’s oral ecology – or the particular balance of different types of bacterial colonies in the mouth – affects breath odour. We all have between 100 and 200 different types of bacteria living in our mouth. Some species of bacteria have been found to help reduce volatile sulphur compounds, while others produce them.
Probiotics have been proposed as a possible weapon in the fight against bad breath, particularly those containing a bacterial strain called Streptococcus salivarius K12, which has been proven to keep bad bacteria in check. One small study carried out at the University of Otago, New Zealand demonstrated that participants taking a week-long course of a probiotic streptococcus salivarius experienced a significant reduction in types of bacteria which are known to be associated with bad breath.
4 Ask a friend to check
It can be difficult for someone to determine whether they really have bad breath or not. Blowing into your hand is unreliable. Licking your forearm, letting it dry for about 10 seconds and then smelling the skin can provide a guide as to whether your breath is sweet or not, according to Dr Harold Katz, founder of the California Breath Clinics, but the most reliable indicator is to ask a trusted friend or family member, whom you can count on for their honesty, to check.
Transient bad breath, like morning breath or a temporary unpleasant odour caused by eating strong smelling food such as garlic or onion affects everyone from time to time. But for up to 25pc of the population, having foul breath is a chronic problem.
A significant number of people, however, believe they suffer from bad breath when they don’t. Dr Katz estimates that up to 25pc of people seeking help for halitosis do not actually have the condition but are instead suffering from a psychological condition called halitophobia, or delusional halitosis.
Delusional Halitosis is related to hypochondria and obsessive compulsive disorder. Sufferers become paranoid that they have unpleasant smelling breath, and become fixated with repetitive behaviours such as using mouthwash, brushing their teeth or chewing gum. The appropriate treatment for this is a psychological one, such as cognitive behavioural therapy.
5 Eat yoghurt
Parsley used to be the food of choice for those hoping that they could eat their way to fresh breath. But research into its effectiveness has found little evidence that guzzling the herb is of any benefit.
You’d be better off giving yogurt a go. In a small study conducted by microbiologists at Tsurumi University in Japan, the researchers found that volunteers who ate 6oz of unsweetened live yogurt daily for six weeks experienced a reduction in the levels of “bad breath” bacteria and their by-product, hydrogen sulphide, in most cases by more than half.
6 Use a tongue scrape
“The tongue has a lot of follicles, it’s a rough surface in your mouth and it does tend to trap food and bacteria,” says registered dental hygienist Juliet Gwasira. “It is a big source of halitosis for some people. Tongue scraping does help to get rid of the food debris and the bacteria from the tongue surface. You can get tongue scrapers from the pharmacy. Or otherwise you can just use your toothbrush.”
7 Get prompt treatment for cavities
Cavities provide the ideal environment for bad breath to fester. “If you’ve got a hole in your tooth that hole can pack food and bacteria, which can go bad if it’s not removed from the cavity, and then that can produce an odour,” explains Gwasira.
8 Keep your dentures sparkling
“We advise our patients who wear dentures to remove them every night before they go to sleep, and to clean them properly,” says hygienist Juliet Gwasira. “If they don’t carry out good hygiene and maintenance on the dentures then they can develop a foul odour,” she says.
“Pharmacists can be very good with advice on what cleaning products to use,” she adds. “You can get a toothbrush specifically for dentures as well to remove all food debris around the dentures and keep them clean.”
9 Quit smoking
Smoking, according to Gwasira, along with eating strong flavoured food, is a common cause of transient halitosis. Smoking is also known to be an important cause of gum disease.
Her first recommendation is to give up the cigs. Failing that, she recommends following a cigarette with a good brush of the teeth or chewing on sugar-free gum “to increase the saliva flow in your mouth”.
“That can help to get rid of the odour.”
10 Cut out the crash diet
Certain types of weight-loss regimes are known to cause halitosis, especially those that involve extreme limitation of carbohydrates. Those who embark on juice fasts or intermittent fasting are also at increased risk of bad breath. These regimes are based on triggering a metabolic state known as ketosis, when the body begins to burn its own fat stores. This prompts the release of ketones into the bloodstream which in turn can cause an acetone, or an unpleasant ammonia-type smell on the breath.
It can be a scary moment when you hear your dentist or hygienist utter the words ” you have some gum recession“, automatically you have visions of your teeth hanging on without supported gums or worse- visions of them all falling out! However, rest assured this is not the case- there are different stages of gum recession with most people falling into the “mild” category. Even if you have a more severe case, know that it can be treated and there are solutions for you.
What is gum recession? (Gingival Recession)
Gum recession is where the gum recedes below the tooth and pulls away from it leaving more of your tooth exposed at the root. When this happens, disease causing bacteria can start to build in the pockets of the gaps between the tooth and the gum line.
What causes gum recession?
Brushing your teeth too aggressively– you should always use a soft bristle toothbrush or an electric one and not be attempted to scrub your teeth!
Genetics – unfortunately the health of your gums can come down to genetics, if one or more of your parents suffered with gum recession there is a high likelihood that you will too.
Teeth grinding – grinding can cause undue stress on your teeth – a nigh guard can help with this. Teeth grinding can cause many dental issues so it is always worth investigating if you think you may suffer with it.
Not looking after your teeth– may be an obvious one, but not brushing your teeth at least twice a day, not flossing and not having regular dental checks all add greatly to the risk of developing gum recession.
Hormones – women have an increased risk of developing gum recession due to fluctuations in hormone levels seen in puberty, pregnancy and the menopause.
If you are diagnosed with mild gum recession catching it early and addressing it straight away will ensure you keep it under control. Your dentist can help identify the causes for it and instruct you on measures to address it and stop it developing it further. Your dentist will give you advice on what toothbrush you should use and how to use it properly, how to floss correctly and if needed as with teeth grinding, they can advise you on the different types of night guards. They will also recommend regular hygienists visits to keep the pockets free from bacteria.
If you are diagnosed with more developed stages of gum recession you may be referred to a periodontist (a gum specialist). A periodontist will do a deeper more intensive cleaning of your teeth and gums. How often this occurs will depend on the stage of the gum recession. Depending on the cause of your gum recession, your periodontist may advice you to have a surgical treatment also know as a gum draft. ( We will do a separate blog on gum drafting shortly!)
If you have any questions on gum recession or feel you may suffer with it you can call us on T: 01 4542022 or E: firstname.lastname@example.org and we can advise you accordingly.
It’s true, and is an excellent reason for choosing to have orthodontics in Dublin. Most people choose to have their teeth straightened purely for cosmetic purposes, and while this is also a good reason, possible improvements to your oral health are well worth taking into consideration, especially if you currently find it difficult to floss and brush properly. Not being able to floss properly increases the risk of gum disease and tooth decay, both of which could eventually lead to tooth loss.
Misaligned teeth are more likely to bite together incorrectly, and this is something that can put stress on individual teeth, leading to them becoming worn or even fractured due to the fact that they will have to absorb more of the biting forces than your other teeth. In time this could mean that you require restorative treatment for these teeth, such as fillings or even crowns.
Choosing orthodontics in Dublin will mean you end up with a more cosmetically pleasing smile, but it could mean that your teeth and gums will remain healthier for longer. Of course some people will only need a few teeth repositioned, and in this case it may be possible to select one of the more cosmetically oriented braces such as Six Month Smiles or the Inman Aligner, both of which concentrates on only moving the teeth visible when smiling. Otherwise many will opt for Invisalign in Dublin, a system that is able to correct quite a few common bite problems, and which is renowned for providing very predictable results.
One of the orthodontic treatments offered by Portobello Dental Clinic is Invisalign. This is an extremely popular orthodontic system, and one of the reasons why it’s so popular is due to its near invisibility. It uses clear acrylic aligners to gradually move the teeth into their new positions. Most people will be hard-pressed to notice these aligners unless they’re looking at your teeth rather closely. Your treatment is accurately planned in advance, using specialised computer technology that plots the movement of your teeth. One thing that is rather nice about this system is that you will be able to see this plan before you decide to go ahead with treatment, so you can see just how successful it will be.
Most people will need to wear these braces for approximately a year, but of course this can vary quite a lot. You’ll be given several sets of aligners to take home with you, and will need to change them every two weeks as your teeth begin to move. They are super easy to keep clean, as you can take them out whenever you eat or drink something, so all you have to do is brush your teeth before you replace them. Although the aligners can be left out for the occasional special event, you must wear them for approximately twenty two hours a day if you wish to see results predicted by your treatment plan.
Once you have completed treatment then you will need to wear a retainer. This can consist of a thin metal wire that is bonded onto the back of your teeth, and which will be invisible, or we can provide with a clear retainer that will need to be worn for specified periods of time, but these are all things that can be discussed during your initial free assessment.
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New patient examination (what’s included) *From December 1st 2013 we will refund the cost of your consultation on all extensive treatment plans (all plans over €1000)
Six Month Smiles (Eligible for Med 2 Tax Relief) Note – fee includes all orthodontics, as well as additional treatment to the value of €625; including fixed and removable retainers, an extensive hygienist appointment, and free upper and lower teeth whitening.
€2200 one arch
€2995 both arches
Silver amalgam fillings
€75 – €99
White composite fillings
€88 – €165
€90 – €165
Root treatments (eligible for further 20% reduction from MED II tax relief)
Root canal treatment
€420 – €590
Airflow (Ideal for surface staining)
Slow release tooth bleaching
Crowns & Veneers (eligible for further 20% reduction from MED II tax relief)
All-porcelain cosmetic crown
(usually most suitable for front teeth)
Tooth coloured crown, metal inside (the best combination of strength and appearance)
Cerec one visit crowns and inlays
Bridge (dependent on design)
Da Vinci Porcelain Veneers
There are still circumstances in which a removable plate is the best option. Newer materials make them stronger and less obtrusive. Sometimes they can be held in tightly by using a press stud technique to hold them to suitable remaining roots.