Monthly Archives: June 2013

Same day Cerec crowns, inlays, onlays, veneers

Cerec restoration

Cerec restoration in place

Cerec crowns

Sometimes, coming back for multiple appointments can be inconvenient.

At The Old Orchard Dental Practice, we know that it can be frustrating having to take additional time off work for a fit appointment. That is why we are pleased to announce that we expect to have a Cerec system in place very soon which will mean that you can have crowns, inlays, onlays and veneers made in a single visit, from a strong block of porcelain or composite.

These are bonded in place using biomimetic principles, and means that you can have the crown fitted at the same appointment as the preparation.

These are metal free, and are highly aesthetic. We will also have a glazing unit to make the appearance even better.


The process

A Cerec crown, inlay, onlay or veneer is prepared in exactly the same way as usual. After preparation, optical “impressions” are taken. This involves coating the teeth in a fine powder before using a scanner to load the images into a computer. A design is then produced, and the design is then precisely milled from a solid block of the desired material. While this is happening, you can sit back and enjoy a coffee.

After milling, the restoration MUST be bonded into place using the correct adhesive system.

The results

I have placed several hundred Cerec restorations, and can honestly say that the process is easy, quick and straightforward IF the dentist has invested the time and energy in getting to know the system well. It’s like anything else, if you don’t put the effort in, you don’t get the results.

There have been numerous studies done on the longevity of Cerec inlays, and they actually outperform every other restoration, so not only does it look great, it also lasts a long time as well.

Tooth whitening Edinburgh

Tooth whitening

Tooth whitening and what it can do for you

A lot of people are unhappy with the colour of their teeth. Tooth whitening has been around since the late 1800s, but only in the last few years has it reached the point where we can get reliable, predictable results.

Your teeth will naturally become yellower with age, as the outer shell of enamel becomes thinner and you pick up staining from tea, coffee or red wine.

If we use tooth whitening, your teeth will develop a more youthful appearance.

Enlighten tooth whitening

I have used several different tooth whitening systems, such as Zoom whitening, Britesmile, and many of the tray-based systems, and I can confidently say that NOTHING on the market beats Enlighten.

I have been using it for the last 6 months and have never been disappointed by the results.

Many people worry that the whitening doesn’t give the results they want, or have been disappointed by other systems and the regression: see what Lisa had to say after having Enlighten whitening in the following video.

Will tooth whitening work on fillings or crowns?

Categorically, no. There will be no whitening of synthetic materials. It simply doesn’t happen.

This is a claim that we have seen repeated by several “tooth whitening salons” and it is simply untrue.

Will it be painful?

Tooth whitening is normally a straightforward process with no pain. However, there can be an increase in tooth sensitivity during the process, and this normally disappears after the process is complete. This is normally easily controllable by using a paste containing ACP, such as Enlighten’s “Tooth Serum”.

During the in-surgery treatment, you may get what are known as “zingers” which give a small pulsing sensation during the treatment. The feeling is like a mild electric shock, but disappears very quickly.

What about using a laser?

So-called “laser” tooth whitening actually uses a light to “activate” the gel. Does it work? The evidence says no – it doesn’t really do anything. However, we know that simply drying the teeth for an hour or so will give a temporary whiteness, and often so-called “laser” whitening is simply a way of forcing you to keep your mouth open for an hour or so. Your teeth may look the right colour to begin with but will regress very quickly. This approach is fine if you want whiter teeth for a day, but the effects are short lived. Enlighten whitening gives long lasting results without regression.

What about buying gels?

Under recently introduced laws, it is illegal for non-dentists to sell you tooth whitening gels that contain more than 0.1% hydrogen peroxide. There are no other agents that can safely whiten your teeth – so while you may be able to buy chlorine dioxide gel, it is very damaging to your teeth. Similarly, many salons have tried to get around the rules by using sodium perborate – well… Actually this was used in dentistry previously, but it was abandoned due to being toxic. Furthermore, it is also still illegal as it releases hydrogen peroxide.

How much does it cost?

Enlighten tooth whitening costs £450, and this includes the making of very close fitting trays, which you can still use after the treatment. The results are guaranteed and Enlighten will provide additional gels if you do not reach the guaranteed shade.

I have yet to use the guarantee.

Over the longer term there is a need to top up, and so long as you still have the trays, you can buy the gels from us to do this – there is no need to do the whole process again, unlike other systems.