Top 5 Causes of Gum Recession and How to Stop It

Gum recession is a common dental issue that can lead to discomfort, tooth sensitivity, and even tooth loss if left untreated. In this comprehensive guide, we'll explore the top five causes of gum recession and effective strategies to prevent and stop it. Plus, we'll review the Curaprox CS 5460 brush, a potential solution to maintain gum health.

Understanding Gum Recession

Gum recession occurs when the gum tissue surrounding the teeth starts to wear away, exposing more of the tooth's root. This can lead to a range of oral health problems. Let's delve into the primary causes:

1. Aggressive Brushing

Brushing your teeth too vigorously or with a hard-bristle toothbrush can erode gum tissue over time. It's crucial to use a soft-bristle toothbrush and gentle brushing techniques.

2. Gum Disease (Periodontitis)

Advanced gum disease is a leading cause of gum recession. Bacterial infections can damage the supporting structures of the teeth, including the gums.

3. Tobacco Use

Smoking or using tobacco products not only increases the risk of gum disease but also impairs blood flow to the gums, hindering their ability to heal.

4. Genetics

Some individuals are genetically predisposed to have thinner gum tissues, which can make them more susceptible to recession.

5. Poor Dental Hygiene

Neglecting regular dental check-ups and failing to maintain proper oral hygiene can contribute to gum recession.

Preventing and Treating Gum Recession

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A. Gentle Brushing

Use a soft-bristle toothbrush and gentle, circular brushing motions to clean your teeth effectively without harming your gums.

B. Regular Dental Check-ups

Schedule regular dental check-ups to catch and address early signs of gum disease or recession.

C. Tobacco Cessation

Quitting tobacco use can significantly improve gum health and reduce the risk of further recession.

D. Oral Hygiene Routine

Maintain a consistent oral hygiene routine, including daily flossing and using an antiseptic mouthwash.

E. Curaprox CS 5460 Brush:

Let's take a closer look at the Curaprox CS 5460 brush—a promising solution for maintaining gum health.

Curaprox CS 5460 Brush Review

• Gentle Bristles: The Curaprox CS 5460 brush features ultra-soft bristles that clean teeth and massage gums without causing irritation.

• Compact Design: The compact head design allows for precise and comfortable brushing, even in hard-to-reach areas.

• Efficient Cleaning: With 5,460 densely packed bristles, this brush provides thorough cleaning and removes plaque effectively.

• Long-lasting: The brush's durability ensures long-term use, making it a cost-effective choice.

• Gum Massaging: The soft bristles gently massage and stimulate the gums, promoting blood circulation and gum health.

• User Satisfaction: Many users report a comfortable brushing experience and improved gum condition after using the Curaprox CS 5460 brush.

Remember that gum health is essential for overall oral well-being. If you notice signs of gum recession, consult your dentist promptly for a comprehensive evaluation and personalized treatment plan.

Conclusion

Preventing and stopping gum recession involves a combination of gentle oral care practices, regular dental visits, and, potentially, using products like the Curaprox CS 5460 brush. By addressing the underlying causes and maintaining a proactive approach to gum health, you can enjoy a confident smile and optimal oral well-being.

Mastering Dental Photography: A Comprehensive Guide to DSLR Settings

In the field of dentistry, precise and accurate documentation of cases is crucial for effective treatment planning and assessment. Dental photography has become an indispensable tool for dentists and specialists, enabling them to capture high-quality images of patients' oral conditions. To achieve professional-grade dental photographs, understanding DSLR camera settings is essential. In this guide, we will explore the fundamentals of ISO, F-stop, and shutter speed, along with recommended settings for dental photography. Additionally, we will shed light on white balance, metering mode, sRGB, and picture control style mode for optimal results.

So here is the guide to camera setting for dental photography.

MANUAL MODE

You want as much control over your settings as possible so its a no brainer that you should chose the Manual (M) on your camera wheel then we are ready to go.

ISO 100

ISO refers to the sensitivity of your camera's sensor to light. For dental photography, maintaining a low ISO setting is preferred to reduce noise and graininess in the images. A recommended ISO range of 100 is suitable for most dental scenarios, where ample lighting can be achieved.

Here is an example of a same image with low and high ISO.

So put your ISO on 100 and do not change it again for dentistry.

Mastering Dental Photography: A Comprehensive Guide to DSLR Settings

Shutter Speed: 1/200

Shutter speed determines how long the camera's sensor is exposed to light. In dental photography, a faster shutter speed is generally preferred to avoid motion blur, especially when photographing patients' mouths. A shutter speed of 1/200 th of a second is recommended to freeze any slight movements during the capture.

Set your Shutter speed on 1/200 to minimise any movement and blurriness and your images will be as sharp as a knife…(metaphorically speaking that is).
On Nikon cameras shutter speed can be quicker so take advantage of this if you are a Nikon hero

F-Stop (Aperture): 11, 18, 25

F-Stop (Aperture): F-stop controls the size of the aperture or the opening through which light enters the camera. It affects the depth of field, which is critical in dental photography for isolating the subject from the background. For capturing intraoral images, a larger F-stop is ideal to ensure the entire dental arch is in focus.

This also effects the depth of field in the picture. 

The lower the F stop the less depth of field on your camera meaning that the objects off the centre of image and further from the lens become blurry. Whereas, the higher the F stop the higher the depth of field meaning the objects off the centre of the image and further away from the lens became more clear and crisp.

F Stop 11

F 11 is recommended for full face shots as we do not require full depth of field as we do with pictures intramurally.

F stop 18

F18 is recommended for artistic extra oral pictures such as this.

F stop 25-32

This is what I would recommend for intra oral pictures. The higher the F stop the clearer the image so why stop at F22 when you can go higher and your ring flash can provide enough light to get crisp picture.

Raw + L JPEG

Now that you have this set up ready, make sure to choose to save the images on your camera as Large JPG and Raw File.

Raw Files can not be edited and if they are they leave a trail meaning that the original photo can be recovered. This is useful for medicolwegal purposes and publishing purposes. One catch… RAW files are large in storage. 20mgb per picture.

Large JPEG format is smaller in size (5-6mgb per picture) which makes it easier to transfer and they are also compatible for editing in term of marketing and production.

TIP: You may need an external storage to store all your images.

White Balance - Flash

White balance is essential for achieving accurate color representation in your dental images. Different lighting conditions can create color casts, affecting the authenticity of the photographs. In dental photography, the "Auto" white balance setting may not always be reliable. Instead, use the "Flash" white balance setting.

Here is an example of a picture with different white balance.

In dental photography you want to stick to flash photography, thus you want the natural colour of the objects in the shot to be render when exposed to flash.

So, go to settings, Select White Balance and Chose Flash.

Metering Mode: Centre Weighted

Metering mode determines how your camera measures the light in a scene to set the exposure. For dental photography, it is recommended to use the "Centre Weighted" mode. This allows you to meter the light specifically on the most critical area, such as a tooth or a restoration, ensuring proper exposure for the subject.

Mastering Dental Photography: A Comprehensive Guide to DSLR Settings

sRGB Color Space:

When saving images for web use or digital documentation, sRGB color space is the standard choice. It ensures consistent color representation across various devices and platforms. However, when shooting in RAW, the color space can be set during post-processing.

Picture Control Style Mode: Faithful (Cannon users) and Vivid (Nikon users)

This feature allows you to control the sharpness, contrast, saturation, and other parameters of your images. In dental photography, a neutral or flat picture control style mode is preferable, as it provides more flexibility during post-processing and avoids any excessive contrast or saturation.

Mastering Dental Photography: A Comprehensive Guide to DSLR Settings

Conclusion

Mastering the DSLR settings for dental photography is a valuable skill for dentists and specialists seeking to enhance their documentation process. Understanding ISO, F-stop, and shutter speed allows you to control exposure and depth of field, resulting in professional-grade images. Customizing white balance and metering mode ensures accurate color representation and proper exposure for the subject. Furthermore, using the sRGB color space and appropriate picture control style mode streamlines post-processing and delivers consistent, high-quality results.

With this comprehensive guide at your disposal, you can confidently embark on your dental photography journey, capturing clear, detailed, and visually appealing images that aid in precise treatment planning and patient communication. So, grab your DSLR camera, set the recommended parameters, and unlock the potential of dental photography to elevate your practice to new heights.

Happy shooting!

Drilling down into Dentist Stress: 7 Tips for a Healthier Practice

As a dentist, your job is to keep your patients' smiles healthy and bright. But who's looking out for yours? The truth is, being a dentist can be a stressful profession, with long hours, demanding patients, and the constant pressure to perform flawlessly. If you're feeling the pressure, you're not alone. In this article, we'll explore what causes stress for dentists and share seven helpful ways to tackle those stresses head-on.

1. Overbooking and scheduling issues

One of the most common causes of stress for dentists is overbooking and scheduling issues. Running behind schedule or having to juggle multiple patients at once can be overwhelming. To tackle this, consider using scheduling software to manage your appointments more efficiently. Block out time in your schedule for breaks and emergencies, and don't be afraid to delegate tasks to your staff when necessary.

2. Dealing with difficult patients

Every dentist has had to deal with difficult patients at some point. Whether it's a patient with dental anxiety or someone who refuses to follow your recommendations, handling these situations can be stressful. The key is to remain calm, empathetic, and professional. Consider taking courses on communication and conflict resolution to help you better manage these situations, or alternatively read our articles on these subjects.

Consider using essential oils, such as lavender or peppermint, which are believed to have calming and stress-reducing properties.

3. Maintaining a high level of accuracy and precision

As a dentist, you're expected to provide the highest level of accuracy and precision in your work. This can be stressful, especially when you're dealing with complex procedures. To tackle this stressor, focus on honing your skills through continuing education courses and staying up-to-date with the latest dental technology. Furthermore, don’t be afraid to tell your patients how difficult the procedures are and give them enough time to digest the pros and cons. This can help you to mange your patients expectations.

4. Financial pressures and managing overhead costs

Running a dental practice can be expensive, and financial pressures can be a significant source of stress for dentists. To manage these stresses, consider working with a financial planner to create a budget and plan for the future. You can also look for ways to reduce overhead costs by negotiating with suppliers, using technology to streamline processes, and outsourcing non-essential tasks. Don’t forget that sometimes it require money to make money. So don’t neglect your marketing and business coaches.

5. Long work hours and lack of work-life balance

Long work hours and a lack of work-life balance are common causes of stress for dentists. To combat this, it's important to prioritize self-care and set boundaries. Make time for exercise, hobbies, and spending time with loved ones. Consider delegating tasks to your staff or hiring additional help to reduce your workload. Life is truly short.

6. Fear of malpractice or litigation

The fear of malpractice or litigation can be a significant source of stress for dentists. To reduce this stress, make sure you have adequate malpractice insurance and stay up-to-date with the latest regulations and guidelines. You can also take steps to improve patient safety and reduce the risk of litigation, such as using informed consent forms and following proper sterilisation procedures. A great defence is a great offence.

7. Coping with physical pain and discomfort

Dentistry is a physically demanding profession, and many dentists suffer from physical pain and discomfort. To cope with these stresses, consider investing in ergonomic equipment and practicing good posture. You can also incorporate exercises and stretches into your daily routine to help alleviate pain and reduce the risk of injury.

In conclusion, being a dentist can be a stressful profession, but there are ways to manage those stresses and create a healthier practice. By prioritizing self-care, staying up-to-date with the latest technology and regulations, and seeking support when necessary, you can continue to provide excellent care to your patients while maintaining your own well-being.

Mastering Dental Photography: A Guide to Flashes, Brackets, and Diffusers for Stunning Results

As the field of dentistry advances, so does the importance of dental photography in capturing precise and detailed images. Whether for documentation, patient education, or case presentation, high-quality dental photographs are crucial. In this comprehensive guide, we will explore the various types of flashes and their uses, the benefits of using diffusers, and the advantages of utilizing owl brackets and studio strobe light flashes.

Ring Flash: Illuminating the Subject

The ring flash is a popular tool in dental photography due to its unique design. It consists of a circular flash that surrounds the camera lens, providing even and shadow-free illumination. One of the key advantages of a ring flash is its ability to reduce harsh shadows, which can be particularly beneficial when capturing intraoral shots. By evenly distributing light, it minimizes the risk of misleading or obscuring important dental features.

Uses of Ring Flash

- Macro photography: For capturing close-up shots of teeth, gums, and small dental objects, the ring flash is unparalleled in its ability to provide uniform illumination.

- Portraits: When taking patient portraits, the ring flash can deliver a flattering and captivating catchlight in the eyes, enhancing the overall appeal of the image.

Canon MR-14EX II Macro Ring Lite Flash

YONGNUO YN-14EX Macro Ring Flash

Twin Flash: The Power of Dual Illumination

Twin flashes consist of two separate flash units that can be independently positioned around the camera lens. This configuration allows for greater control over the direction and intensity of light. Twin flashes are versatile tools, especially in capturing intricate dental details.

Uses of Twin Flash:

- Dental Restorations: When photographing dental restorations, such as crowns, veneers, or fillings, twin flashes can highlight fine surface details and textures effectively.

- Shade Analysis: For shade matching in restorative dentistry, twin flashes help to accurately depict the natural color of teeth, aiding in precise shade selection.

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MEIKE MK-MT24II

YONGUNO TWIN WIRED

Using Owl Brackets for Mounting Twin Flash:

Owl brackets are specialized brackets designed to hold twin flash units securely. They attach to the camera's hot shoe and allow for precise positioning of the twin flashes. By providing stability and flexibility, owl brackets ensure consistent and repeatable lighting setups, crucial for dental photography.

Diffusers: Softening the Light

Diffusers are essential accessories for any dental photographer. They serve the purpose of softening and diffusing the harsh light emitted by flashes, resulting in a more natural and pleasing appearance in the photographs.

Why Use Diffusers:

- Reducing Glare: Diffusers help to reduce glare on shiny dental surfaces, such as dental mirrors or metal brackets, making them more visible and easier to document.

- Enhancing Textures: By softening the light, diffusers can bring out the natural textures of teeth and gums, creating images that are more realistic and aesthetically appealing.

- Avoiding Overexposure: Diffusers prevent overexposure in close-up shots, where the flash's direct light might otherwise be too intense for the subject.

Studio Strobe Light Flashes: Optimal Control and Versatility

Studio strobe light flashes are powerful lighting tools commonly used in professional dental photography setups. Unlike on-camera flashes, studio strobes are not attached to the camera itself but are placed on light stands or other mounting options. This setup provides a high level of control over the light direction and intensity.

Why Use Studio Strobe Light Flashes:

- Professional Results: Studio strobes offer studio-quality lighting, resulting in images with exceptional clarity, color accuracy, and sharpness.

- Flexibility: With adjustable power settings and various modifiers like softboxes and beauty dishes, studio strobes allow for a wide range of lighting setups tailored to specific dental photography needs.

- Portrait Photography: Studio strobes are ideal for capturing professional-looking patient portraits with controlled lighting and minimal shadows.

Conclusion:

In conclusion, dental photography is an invaluable tool for dental professionals, aiding in documentation, communication, and patient education. Understanding the various types of flashes, such as ring flashes and twin flashes, and their respective uses allows for precise and stunning image capture. Combining these flashes with diffusers softens the light and enhances the overall quality of the photographs, while studio strobe light flashes offer unmatched control and versatility.

By mastering the art of dental photography, dental professionals can elevate their practice, showcase their expertise, and deliver an exceptional patient experience. The right equipment, combined with technical know-how, can lead to remarkable results and make a lasting impression on both patients and peers alike.

Dental Photography Made Easy - The Set U

Generally speaking, as dentists, we inherit the skills to restore and design new smiles and improve the confidence and consequently the life of our patients. However, the problem is that we don't showcase this enough to our patients and the public

Unfortunately an area which majority of dentists fall short on is the ability and skills to capture, persistently, high quality images of before treatment and after treatments. Not to mention any artistic shots to further enhance the beauty and details that we put in to the smiles we create as a result off many years and countless hours of practice and study. 

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I graduated with very little knowledge of Clinical photography in dentistry but after spending countless hours I managed to grasp the art of photography and I've made it my mission to make it easier for all dentists. 

'in photography there is a reality so subtle that it becomes more real than reality.'

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I get many questions in the hands on sessions that I run around UK but the most popular question is ‘what camera should I get?’

The answer is simple…

For high quality of representable pictures I would always recommend a DSLR camera....

Now, I appreciate there are many different makes out there but the two that are very popular and very durable are Canon and Nikon.

Which DSLR camera to get?

Personally for my pictures I use Canon because it's very user-friendly and you can start snapping instantly.

Truth of the matter is that you can buy a second-hand DSLR camera body to save yourself a few pennies here or there, and it will do the job just fine. However many people would rather own the camera from new.

Remember this camera will last you many years to come and it will repay itself in many grounds such a self improvement, communication to your patients and increased turnover.

The prices on the body varies.

Here I have listed some of the bodies and I have categorised them from beginners to advanced with a link that will take you directly to the site should you want to order them.

Canon 100d £220

https://amzn.to/3rJuHQI

Nikon D3200 £349.99

https://amzn.to/3Q8mPSQ

Nikon D7100 £844 (on offer)

https://amzn.to/3Kg9xQr

Canon EOS 80D  £861.99

https://amzn.to/3q6Veqr

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The most important equipment of this trio setup is the lens. 

The answer for dental photography is macro lens. This is how you achieve close up pictures of teeth in the highest quality to show up all the intricate details that you as a clinician implement in your work.

There is a bit of confusion when it comes to macro lens and that is the question ‘which macro lens should I get?’.

Here are my top 4 recommendations

Nikon AF-S DX Micro NIKKOR 85mm f/3.5G ED VR Lens £389 (on offer)

https://amzn.to/2QhpIPP

Canon EF 100 mm f/2.8 Macro USM Lens £469.99 

https://amzn.to/2QjZHQ0

Tokina AF 100mm F/2.8 Macro AT-X 100AF PRO D £352

https://amzn.to/2x3AyQR

Sigma 105mm f/2.8 EX DG OS HSM Macro Lens  £359

https://amzn.to/2Qll0Ro

Now I will mention that it is better to pair up your camera body to the same lens for compatibility, however the third and fourth lens, as I mentioned does come compatible with both Nikon and Canon and what's more it is that it saves you a little money as well.

I personally have a Canon macro lens 100mm to go with my Canon body.

What about Flash?

No we're not talking about the superhero here. This is just as important as any of the other pieces required to get that high end picture you always wanted.

In this post I will discuss the basic flash that is needed in order to take complete arsenal of photos from you patient for diagnosis, treatment planning and before and after treatment views.

Ring flash is the most common flash that we use in dentistry in order to snap a quick picture.

Now, again, you can purchase a ring flash from the well-known High Street companies such as Canon and Nikon, however there are other alternatives which I will recommend which can save you some money while giving you an equally Sharp picture.

Nissin MF18 Macro Flash for Nikon £279

https://amzn.to/2N1qbYH

Canon Flash Macro Ring Lite MR-14EX £369

https://amzn.to/2wZVxU

K&F Concept Ring Flash Light KF-150C E-TTL Macro Flash Ring £129

https://amzn.to/2QBn1sO

Sigma EM-140 DG NA-ITTL Macro Flash £329

https://amzn.to/2QdX6al

I had both Canon and k&f concept Ring Flash and truth be told there is no difference between them. Only difference is the price.

Now that we have discussed the basic equipments for basic dental photography we are ready to take some pictures.

You can read ‘ Configure your camera settings’ on my tutorials articles page.

Happy snapping!