Should You Have A Chipped Tooth Treated Or Can You Just Ignore It?

Dr David Nolte

Bedford dentist, Dr David Nolte looks at the options available when a tooth is chipped.

However well we look after our teeth, there is always a risk that they can suffer some damage, however minor. The better we look after our teeth though, the stronger they are likely to be.

However strong they are though, minor damage can still occur and one of the most common types of damage that we see is when a tooth becomes chipped.

If this happens to a patient and their next regular appointment at The Dental Centre Bedford is some time away, it can leave the patient with a bit of a dilemma; whether to simply leave the chip or make an additional appointment to have it looked at.

Always play it safe

The first piece of advice that I would give a patient who this has happened to is to be on the safe side and have it looked at by a professional. Although it may appear to you that just a tiny piece of tooth has been lost; with closer examination, it is possible that more of the enamel may have cracked with it. If left untreated, this could allow bacteria to enter the tooth through the cracked enamel and lead to infection and decay. Catching problems like this at an early stage will mean that you are less likely to need more extensive treatment later on.

Treating a chipped tooth

There are a number of options available to restore a chipped tooth. We take a look at some of these below, starting with the least invasive; no treatment at all.

Leave the chip

If the chip in the tooth is very tiny and has not compromised the enamel to any significant degree, it may be perfectly possible to leave the chip as it is. This will depend on a number of factors though, such as does it have a sharp edge that is causing discomfort and whether it weakens the structure of the tooth.

Smoothing the enamel

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Millennials, How Well Are They Looking After Their Teeth?

Reports suggest that this generation is failing to brush their teeth as well as they should.

‘Millennials’ is a word that seems to be bandied around quite a lot these days. For those who don’t know, it means those born from 1981 to 1996 (or who are now 22-37 years old). Life, it is claimed, is going to be harder for this generation, whilst others ‘mock’ them for expecting things to simply fall into place.

We are not going to look at those aspects of a millenial’s life however, but address another concern that has been raised following research carried out in Germany. It should be said, of course, that the same results may not be found in the UK, but working on the assumption that similar results might be expected, here is what it had to say. Of course, this won’t apply to everyone one, but on average, the research does suggest that the millenial generation hasn’t quite got it right when it comes to personal oral care.

A random sample of around  100 people of this generation were asked to perform their daily oral health cleaning in front of a camera so that they could be recorded. The results were then studied to see how well they actually cleaned their teeth on a daily basis. Although this group seems to have taken on board the 2 minute rule and brushed their teeth for longer than a previous study of a similar age group in 1992, both groups tended to ‘scrub’ their teeth rather than use the gentle circular action which is now widely recommended. It was also noted that both groups tended to brush the front surfaces of their teeth, neglecting, or only giving a cursory brushing, to the rear of their teeth.

What can millennials expect?

Whether front, back or side, the enamel surface of our teeth is always vulnerable to attack from acids and plaque that builds up on the surface. Wherever it is, if not cleaned properly, it is more than likely that tooth decay will soon set in. It would seem that this age group are storing up problems by not cleaning their teeth correctly.

This is also a generation that possibly consumes more convenience food, drinks more and also possibly smokes more too. Combined, the prospect for their oral health does not look too good.

Investing in the future

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Looking After Your Teeth During The Cold And Flu Season

dental check

Colds, flu and other winter viruses can have an adverse effect on our teeth.

Despite the fact that winters seem to be generally milder than in the past, cold spells are still quite possible. In addition to the cold weather, this is also a time of the year when many of us will be struck down with colds, or even worse, with the flu.

There are a number of ways that you can reduce the risk of these, including the flu vaccination and making sure that you wash your hands regularly. Even then though, the risk of colds and flu are still ever present.

There is no doubt that we feel rotten when we are ill with these viruses, and even our teeth can be affected by them. In today’s blog, our Bedford dentists look at how you can avoid the worst effects of both colds and flu on your teeth.

Stay hydrated

They old saying used to be that you should drink plenty of water to help ‘flush away’ the virus. Whilst this has since been challenged, it is still a wise and valid point when it comes to your teeth. Illnesses can make us dehydrated and lethargic. We have mentioned before that water is great for helping to avoid gum disease and for flushing food debris from the mouth. Given that you may be more easily dehydrated when you are ill, and your oral bacteria probably also affected, drinking plenty of water is definitely a helpful thing to do.

Sensitivity and discomfort

It isn’t unusual to feel a little discomfort in your teeth when you are ill. This can lead some patients to suspect that they have a cavity, an abscess or other dental problem. Whilst this may sometimes be the case, it is often due to pressure building in the sinus cavity, or inflammation. As a general rule of thumb, a tooth cavity usually leads to a throbbing kind of discomfort, whilst discomfort caused by sinus cavity inflammation is likely to be a constant level of discomfort. If the discomfort persists after you have recovered from your illness, you should have the issue checked at The Dental Centre Bedford.

Throw away your toothbrush

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Looking After Your Toothbrush

Dentist in a surgery

How we look after this everyday piece of personal care equipment could make a real difference to the health of our teeth and gums.

The humble toothbrush; a fairly ‘boring’ piece of equipment that we (hopefully) use twice a day to clean our teeth. Even after the initial appeal of electric toothbrushes, we doubt that many of our Bedford patients give them a second thought very often, or even at all.

Despite this, the humble toothbrush is the patient’s main weapon in the fight against tooth decay and gum disease. Even those of us who avoid sugar as far as possible will still be at risk if we don’t clean our teeth and gums properly.

We have discussed your options about whether to buy a manual or electric toothbrush in a previous blog. Whichever you choose though, it is important that you look after it well to ensure the best cleaning experience possible.

Keep it clean

What do you do once you have brushed your teeth? The chances are that most patients of The Dental Centre Bedford will simply rinse the head of the brush, give it a shake and put it back where it came from. This is unlikely to kill bacteria that has collected on the bristles and whilst some may die naturally when exposed to an external environment, this may not be the case with them all. We would recommend that you clean the brush head by immersing it in boiling water for a few minutes or soaking it in antibacterial mouthwash periodically. This is especially important if you have had a cold or flu virus. In that situation, you may prefer to throw it away and replace it instead.


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What Can You Remember From This Year’s Dental Blogs?

eating an apple with good teeth

A quick end-of-year ‘refresher’ quiz for our Bedford dental patients.

Over the last year, we have written many blogs covering different topics relating to oral health care. Some of these were related to everyday issues such as tooth decay and gingivitis, whilst others related to less well known and common problems such as peri-implantitis. We hope that our patients have enjoyed reading our regular blogs and have learned something useful from them.

We are always happy to write a blog on any dental subject that you would like us to, so please let us know if there is anything you would like us to cover in the new year ahead.

As this year is now drawing to a close, we thought that it would be fun to use our last blog of 2018 to see how much you can remember. Unfortunately there are no prizes, other than a reminder of ways that you can look after your teeth better, or improve the way that they look. We wish you all good luck with the quiz, and, of course, a very merry Christmas and a happy New Year to all patients of The Dental Centre Bedford.

Your quiz:

  1. If a tooth is knocked out, it can sometimes be saved if you see a dentist straight away. What is the best way to preserve the tooth until that time?
  2. What specific role does an endodontist have, and what is the treatment most commonly performed by them?
  3. Name three of the five possible causes of enamel erosion which we discussed in a blog back in March?
  4. Name a key reason why it may not always be possible to place a dental implant straight away
  5. What is the difference between plaque and tartar? (clue – both are related to gum disease)
  6. Name two serious oral health issues which are significantly more likely if you smoke, or use tobacco products
  7. Unlike many other dental practices, where they have to be sent to a dental laboratory, we are able to produce crowns and bridges at our own practice while you wait. Name the technology that is used to achieve this.
  8. Patients seeking smoother skin are able to take advantage of the treatments that we offer, including Botox and Dermal Fillers. Which of these two is specifically used to plump up thinning lips?
  9. What is an ideal food to eat at the end of a meal to rebalance the acidic environment of your mouth?
  10. How often should you see your dentist?


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Planning Your Festive Smile Makeover

Whiter teeth example

Whether you want to boost your smile in time for Christmas or are planning further ahead, we can help.

The New Year tends to bring out the optimist in many of us and the idea that we will suddenly become fit enough to run a marathon or lose enough weight to fit into the slimmest of clothes, seems eminently possible at this time of the year.

As those of us of a certain age know though, many of these aims are left unfulfilled due to lack of time or determination. There are other resolutions though, that can be achieved and these are often best done with the aid of a professional to help us along the way. One case in point is the desire to have a more attractive smile.

Your pre Christmas boost

Although it is cutting it a little fine, it is still possible to give your smile a real boost before the Christmas festivities begin. The most effective way to make this change in such a short time is to have your teeth whitened. Because this does involve the production of trays which fit over the teeth, you will need to act quickly. With a quick appointment, the production of the trays and a treatment time of around two weeks, your treatment may just be complete in time for Christmas day. Even if it is not, as long as you act quickly, you will be well on your way and should still see a significant improvement in the colour of your teeth by the 25th.

For those who do leave it too late to have this procedure, all is not lost. Although less effective than a whitening procedure, a scale and polish, performed by the hygienist at our Bedford practice, may also brighten your teeth a little, removing some surface staining. It will also help in making sure that your overall oral health is in a good condition before festivities begin.

Longer term improvements

In the event that you simply don’t have time to organise teeth whitening procedure before Christmas, you might wish instead, to look to the longer term, taking your time to get the results just right. The best way to do this is to arrange to have an initial consultation with one of our cosmetic dental team at The Dental Centre Bedford. During this consultation we will discuss with you, your hopes and aims, as well as practicalities such as budget and payment plans. We will also need to ensure that your mouth is healthy before any work starts. There is little point in having beautiful looking teeth if they will soon need to be filled or extracted because of tooth decay!

Your personalised smile makeover may consist of a single treatment, or, where required, a combination. This will vary from person to person.

The first step

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Common Oral Infections

Dr David Nolte

Dr David Nolte takes a look at some common oral health issues.

As dentists, we not only see problems with the teeth, such as decay or breakages, but also with the rest of your mouth, as we examine you. This offers an excellent opportunity to monitor your overall oral health and offer advice where any problems are noted.

Whilst there are some potentially very serious oral health issues that can be detected in this way, there are also others which may still need to be treated, albeit less serious.

Even non serious conditions in the mouth can cause a lot of pain and discomfort. They can also make everyday tasks such as eating, very difficult and often uncomfortable. They may even cause us to stop brushing our teeth completely if the discomfort is too significant and as our Bedford patients will know from our previous blogs, this could be a recipe for disaster!

In today’s blog, we take a look at some of the other more common oral health problems that we come across from time to time at The Dental Centre Bedford.

Tooth decay

Yes, tooth decay, or dental caries, is actually caused by bacterial infection. As the bacteria multiply, often due to poor oral care, they produce acidic bi-products which then start to damage the tooth, leading to cavities which will need to be cleaned and filled. For anyone interested, the bacteria which is a main contributor to this problem, is called Streptococcus mutans.


We have touched on this a few times before, but essentially, gingivitis is the earlier stage of gum disease. It is caused by a number of different bacteria which, when not removed, accumulate in the hard to reach spots in the mouth, such as just below the gum line. They then produce substances which cause the gums to become inflamed and sore. There is an ever growing school of thought that some of these bacteria can enter the bloodstream and may contribute towards other illnesses, not just problems in the mouth.


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Illegal Drug Use – How It Affects Your Oral Health

Dentist Dr Sarah Nackasha of The Dental Centre Bedford

‘Street drugs’ are known to cause many health issues, but did you know that they can also be harmful to your teeth and gums?

Firstly, we want to say that, as oral health professionals, we certainly do not condone illegal drug use!

Even some regulated medical drugs can have a negative effect on your teeth and gums, but those that are unregulated and can be variable in potency, are particularly dangerous for both your general health and your oral health.

A study, carried out earlier this year showed, amongst other things, that around 8.5% of adults between the ages of 16-59 in England and Wales had taken an illegal drug within the last year. Whilst this figure may include a number who do so very irregularly or maybe even just the once, it does indicate a higher number of drug users than many of us may like to believe. There are, of course, a number of arguments as to the best approach to take to reduce this usage, but in the meantime, health professionals and users families have to deal with the consequences.

We obviously encourage our Bedford patients not to risk their teeth and gums by using illegal substances and to help indicate the serious health risks involved, below we take a look at some of the risks of some of the more common substances.

Cannabis (Marijuana)

Perhaps one of the most widely used illegal drugs in the UK. It is sometimes considered to be non addictive and relatively harmless by some users. Although not strictly ‘addictive’, dependency is common and long term heavy usage has been widely linked to psychosis issues. From an oral health angle, cannabis is usually smoked, often combined with tobacco. This will often lead to a very dry mouth, with the associated heightened risk of gum disease. Studies have indicated that heavy cannabis smokers are around 60% more likely to have gum disease than those who don’t.


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Specialist Dental Care – What Is It?

Specialist dentist using a microscope

A review of specialist dentistry services at our modern Bedford clinic.

Most patients who visit a dentist will usually do so for their regular check up, hygienist visit or minor treatment, such as a filling.

This isn’t always the case though, and, from time to time, more extensive treatment may be needed to save a natural tooth.

Some of these treatments fall into the category of ‘specialist dental care’ and usually require additional training by the dentist who carries them out.

The Dental Centre Bedford is pleased to offer three of these specialisms at our modern dental practice. Each one plays an important role in restoring a patient’s teeth when a minor procedure would not be sufficient. Our experienced dentists are here to make sure that everything possible is done to help you to keep your natural teeth. Where this is not possible, through decay or damage being too extensive, our prosthodontist can help to replace any lost teeth using artificial means.

Let’s take a closer look at the three specialisms that we currently offer.


The endodontist is primarily concerned with what happens inside of the tooth. This generally means looking after a tooth that has been infected in the root canals. This is a problem that cannot be ignored and can lead to intense pain if not treated promptly. The only way to save a tooth that is infected in this manner, is through the use of root canal therapy. We have discussed this role relatively recently, and more information about it can be found over at this blog.


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Maintaining healthy, attractive teeth long term

Dentist in a surgery

Fundamental oral care guidance from your local Bedford dentist.

Given a choice, no doubt we would all like to have nice looking teeth.

Hopefully our parents gave us a good start and we arrived in adult life with healthy teeth; but even if not, then it’s not too late to correct this, as we will see later.

By and large, how we look after our teeth on a daily basis will help to determine how nice and attractive, or otherwise, they are. In today’s blog, we take a look at how what we do day-to-day, contributes to maintaining our oral health and smile.

Keep them clean!

The most essential thing that you can do for your smile is to make sure that both your teeth and gums are healthy. This can only be done through a combination of a tooth friendly diet, regular brushing and flossing, along with ongoing monitoring during check ups at our Bedford dental practice. This everyday groundwork will lay the foundation for you to have healthy and attractive teeth over the longer term.

Remember too, that decay often starts in the most hard to reach areas. Make sure to take time to brush those areas well. Dental floss should always be used between the teeth, an area that is often affected by tooth decay. Although we do offer almost invisible tooth coloured fillings, it is far better to avoid the need for them in the first instance!

Don’t smoke

If you want to have teeth that stay naturally white for as long as possible, then don’t smoke and guidance to help quit starts here at the NHS website. If you have previously been a smoker, there are ways to rectify that which we will discuss later. Smoking is bad for your teeth in so many different ways, as well as for your general health; for example, not only does it increase the risk of gum disease but will heavily stain your teeth too. Our teeth are not as smooth on the surface as you may think, and tar and other staining substances in tobacco smoke will soon find their way into the tiny spaces on our teeth surface, leaving a discolouration that is very difficult to remove.

Reduce staining food and drinks

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