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Perfect smile3/15/2023 When trying to turn coffee-stained incisors to alabaster, it’s worth visiting a dentist, because while all whitening gels contain the same active ingredient – hydrogen peroxide or carbamide peroxide – products deployed by professionals have a higher concentration than those sold in pharmacies. To be able to change somebody’s smile in one sitting, by hand, and without drilling their teeth, is pretty exciting”Īre your teeth yellowing? Or wonky? Or perhaps just oddly shaped? Treatments can roughly be divided into bleaching, alignment and sculpting procedures. Both treatments take one to two hours, cost from £900 to £2,300, and patients can return to work the next day. The fix? A gum graft, whereby Dr Reena extracts skin from the roof of the mouth and stitches it over the exposed area. Conversely, gum recession is when the root of the tooth becomes exposed – often due to overzealous brushing – which can look unappealing and be sensitive to touch. “It feels like you’re having a filling it’s just a bit of water and some buzzing,” says Dr Reena (as she prefers to be known). Targeting smiles in which more pink tissue is on show than desired, it involves removing a sliver of gum and sometimes bone. The London periodontist – a gum specialist – has seen demand for gum lifts (or crown lengthening) go “through the roof” in the past year, especially among women in their 30s and 40s. Gummy grin? Dr Reena Wadia has you covered. The road to a fetching smile starts at the base of the teeth. The treatment room at RW Perio, where ‘gum lifts’ are popular © Richard Washbrooke photography RW Perio, a peridontal gum specialist clinic in London © Richard Washbrooke photography “Almost every dentist in the US has seen a boom in demand for cosmetic services,” says Dr Jon Marashi, a leading Los Angeles practitioner, while Glaister says this is probably the busiest he’s been in 25 years. In April, Invisalign, the Californian clear-aligner behemoth, reported that revenues were up by 56 per cent year on year. During the pandemic, constant video calls alerted people to the state of their teeth – and because they were unable to splurge on travel, many had the cash to fix those crooked canines. In the past five years, awareness of cosmetic dentistry has increased twentyfold thanks to “before and after” smile shots on Instagram, says Apa. Whether it’s attained through bonding or porcelain veneers, gum lifts or aligners, people are looking for a smile that “doesn’t walk in the room before they do”, says Dr Michael Apa, the Manhattan dentist behind the Olsen twins’ grins. Gone are the horsey veneers of the ’90s and the dazzlingly white gnashers reminiscent of Ross Geller’s glow-in-the-dark smile in Friends. This natural look is the aesthetic that most top cosmetic dentists are delivering today. Four hours and £2,250 later, the bride-to-be’s pearly whites were transformed. “From changing the shape, angulation and colour of teeth, there isn’t much you can’t do with bonding,” says Glaister, who is known for his mastery of this finicky procedure. Recent advancements have made the material stronger and much better at mimicking the look of enamel. The cosmetic dentist got to work using composite bonding, a resin that’s painted onto teeth, in layer upon layer, to create more shapely forms. “She said, ‘I want this to look super-natural, I don’t want anybody to know I’ve had done,’” recalls Glaister. There could be no unsightly gaps at the altar and in the photos. Seeing herself on Zoom call after Zoom call had made her self-conscious about the spaces between her teeth – and she was getting married soon. A woman in her early 30s recently arrived at Dr Justin Glaister’s Harley Street practice in search of an “urgent” smile makeover.
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