Synergy Clinic, Synergy House
24C High Street, Addlestone
Surrey, KT15 1TN

Losing a front tooth has an immediate impact on your appearance. Our Addlestone dentists offer advice.

DentistTooth loss is inevitable with our first, or baby, teeth. This is a natural part of life. Once our adult teeth have come through though, they will be the last natural teeth that we have and need to be looked after.

Generally speaking, it is perhaps the teeth at the rear which are more prone to decay as they do much of the chewing of foods, including sweets, and are also more difficult to keep clean.

Front teeth can also decay of course, and are particularly vulnerable to enamel erosion. Perhaps one of the leading causes of front tooth loss that we see at the Synergy Clinic though is where a tooth has been knocked out.

Whether the loss of a front tooth has been caused by decay or an accident, it still leaves the patient with the dilemma of what to do about it. In today’s blog, we take a look at the options that are available to you.

Leave the gap

This is an option,, but not a good one. For obvious reasons, most people, and especially younger ones, will not want to leave a gap in their front teeth. This gap would be all too obvious when talking, laughing or even smiling. This is likely to cause embarrassment and can even lead to a few speech issues as well which could cause the person to become more withdrawn.

In addition to this; where there is a gap in the teeth, it allows space for other teeth to encroach into and can eventually result in the rest of the teeth becoming crooked and uneven.


This is probably the first thing that comes into most people’s mind when they lose a tooth. It is a well tried and tested solution and, without a doubt, the quality of dentures has improved greatly over the years. Modern dentures offer a reasonably realistic replacement tooth and some offer a flexibility which makes them more comfortable. They are also reasonably affordable and usually require no invasive treatment.

Why then wouldn’t you want to have dentures? The fact is that dentures aren’t for everyone. Some people find that they are unstable and prone to moving around when they are speaking. Because they only replace the crown part of the lost tooth and not the root, they are not as secure as a natural tooth and may cause problems when eating. Some denture wearers deliberately choose their food options around what they ‘can’ eat, rather than what they would ‘like’ to eat. Cleaning dentures can be fiddly too, adding to the inconvenience.



A look at financial aspects of cosmetic dentistry

Beautiful teethMost dentists will have heard patients say that they would dearly like to have nicer looking teeth but that cosmetic dentistry treatments are too expensive. It is true that these treatments are not available on the NHS and therefore, without any government subsidy, the full treatment has to be paid for by the patient.

This doesn’t mean that they are unaffordable though, and patients sometimes tend to look at the ‘headline’ price rather than the benefits they will gain over a long period of time. Like many other dental practices, the Synergy Clinic also offers a range of payment plans that helps to spread the cost of any treatments to make them more affordable.

Before we look at a few examples, it is worth asking yourself why you want to have the treatment in the first place. In the vast majority of cases, it is because you are unhappy with the way that your teeth look at the moment. This is often less about vanity and more about how you feel about yourself and the knowledge that a confident white smile may be more attractive in certain circumstances. This clearly applies in social situations but research also suggests that a nice smile can be beneficial in work situations such as an interview.

Let us take a look then, at three of the main cosmetic dental treatments that we offer our Addlestone patients.

Teeth Whitening

This is a treatment that is very accessible for a lot of patients. We offer a range of affordable  teeth whitening treatments designed to improve the whiteness of your teeth, depending on their current levels of discolouration. These are customised to your own needs and are provided in kits so that you can whiten your teeth at home.

The trays that carry the whitening gel are made from scans and impressions that we take of your teeth. These ensure a comfortable and safe fit. The trays are yours to keep which means that although the initial outlay is a little more expensive; for those who wish to whiten their teeth in an ongoing manner, the only thing that you have to pay for future whitening sessions is the gel which currently costs just £80. This means that for those who wish to maintain white teeth over a period of time, this is a very affordable option.

Dental Veneers


As the duller days recede, is now the time to start thinking about a smile boost?

White teeth smiling ladyAlthough at the time of writing this blog the weather is looking very Autumnal, we have at least recently had a glimpse of the sunnier weather that hopefully lies ahead. Many of our Synergy Clinic patients will have noticed blossoms and buds appearing in their gardens, bringing with it the promise of brighter and warmer weather. In addition to this, the vaccine rollout is going well and there is every likelihood that in a short while, we will be starting to get our lives back to something approaching normality.

With this improvement in both weather and circumstances, we will hopefully start to meet with friends again, going out to parties and restaurants and probably meeting new friends as well. Naturally, we will want to look our best for this and given the fact that many of us will largely have lived at home for the last year, lots of us will be looking to refresh our wardrobes. There are other things that you may wish to consider ‘refreshing’ too; one of which is your smile.

A new smile for Spring

Lockdown and the various restrictions may have taken their toll on the way that your teeth look. Even those of you who regularly see the hygienist or have their teeth whitened may not have done so, preferring to avoid contact with people as much as possible. Some of us will have resorted to drinking more tea and coffee, and maybe even wine, all of which are known to stain our teeth.

Although good quality brushing will help to slow the staining process down, it won’t eliminate it entirely and you will need the help of one of our Addlestone cosmetic dental team to restore your teeth to their former glory. Whilst there may be some patients whose teeth are now very stained or discoloured and may even require veneers to restore them, the majority will probably be able to restore the whiteness of their teeth using a non-invasive, more accessible method.

Dental hygienist


Invisalign – a more attractive smile and potentially healthier too!

Invisalign braceDental braces have been in use for many years. In fact, they are believed to have been used as far back as 2000BC by the ancient Egyptians. The use of metal and animal parts wrapped around the teeth which have been found in mummies is not something that most of us would recognise as dental braces these days!

Even some modern traditional braces can seem off putting for some people though. The thought of having to wear metal braces that are visible for all to see means that some people choose instead to settle for having crooked teeth.

Thankfully, advances have been made over the years and some, like the Invisalign orthodontics that we provide at the Synergy Clinic in Addlestone, offer patients the opportunity to have an even smile without the visibility and inconvenience of traditional metal braces.

Why have braces at all?

Most of you will probably associate orthodontics with cosmetic dentistry and you would be largely correct in doing so. There is little doubt that this is the main incentive for most people who choose to have their teeth straightened and it is true that a smile that reveals a set of crooked teeth is far from ideal.

A smile that you are unhappy with can also have a ‘knock on’ effect on your confidence and may mean that you choose to avoid certain situations and are reluctant to smile when mixing with others for fear of revealing your crooked teeth.

Whilst aesthetics are the main reason most people choose orthodontic treatment, it is also worth noting that having straighter teeth usually means that you have a better chance of having healthier teeth and gums. Where teeth are crowded or overlap, pressing against each other, it can be very difficult to get the bristles of a toothbrush in these areas and even flossing may be a challenge. Where areas such as these are not properly cleaned, the risk of tooth decay and gum disease is heightened as sugars and bacteria collect in these hard to reach places.

Discreet teeth straightening


Synergy Clinic Dental Hygienist, Adam Mohsen, offers some useful advice on having a healthy mouth

Hygienist Adam MohsenWhen we think about dentistry, we tend perhaps, to think largely about our teeth. After all, anyone who has neglected their teeth and had a painful toothache will know just how bad that can be.

Whilst focussing on our teeth, it is possible to forget that we also need to look after the soft tissue in our mouth. Increasingly this, and especially gum disease, is being linked to other health issues as well as being a contributory factor for tooth loss.

In addition to being linked to heart disease, Alzheimer’s and other health issues, there are now claims that people with gum disease are nine times more likely to die of Covid-19 than those with healthy gums ( ). Whilst this doesn’t necessarily mean that if you have gum disease, this will happen to you, it seems clear that should you be unfortunate to find yourself seriously ill in hospital with the virus, your chances of recovery are better if you have a healthy mouth.

Hopefully, most of our Addlestone patients will already carry out most of the tips below, but we suspect that most will find one or two of these tips that they can add to their routine to keep their mouth in the best health possible.


Taking advantage of this important part of oral health care during lockdowns and restrictions.

FlossingAs some of you will be aware, many dentists are currently having to limit the number of patients they can see each day due to the Covid restrictions. The essential cleaning of equipment and practice areas between patients means that we currently aren’t able to see quite as many patients as before. This does mean that there may be longer gaps between your usual check up appointments and it is important that you are even more diligent with your personal care regimen and keep your teeth and gums as healthy as possible during this time.

We have covered general oral care a number of times in our blogs and it is important to stress that you need to maintain good brushing and flossing at all times, but especially perhaps, under the current restrictions.

One thing that you can do which will really help to protect both teeth and gums is to make an appointment to see the dental hygienist at the Synergy Clinic in Addlestone.

The role of a dental hygienist

Whilst a dentist can perform restorative procedures where damage has already occurred to your teeth, the dental hygienist’s role is more of a preventative one. Gum disease prevention is one of the most important roles that they have, and this in turn, helps to protect your teeth as well.

We have discussed before how teeth can become loose or fall out if periodontitis is present, but even where gum disease is not present, tartar can form on the teeth and gum line creating a rough surface where bacteria can easily collect, increasing the risk of problems in the future. A professional clean helps to remove this roughness and helps to prevent issues arising.

There are three key roles that a dental hygienist has.


An important part of a hygienist’s role is to talk to you about your current oral health and its care and discuss ways in which this can be improved. This may involve a discussion on your current lifestyle choices such as whether you smoke or drink a lot of alcohol, but may also include suggestions on what type of toothpaste or mouthwash to use. Your diet might also be looked at and changes suggested.

None of this means that you will be ‘lectured’ by the hygienist. Their role is to offer advice and encouragement, but ultimately the action taken will be yours alone. We do recommend that you follow advice though as the more you do, the less likely you are to need dental treatment later on.

Checking and Cleaning


2021 will hopefully be a better year for our Addlestone patients and give us all reasons to smile!

Facial aestheticsFew of us will have found many reasons to laugh or smile over the last year. Without a doubt, it was a terrible year and sadly some of us may have lost friends or relatives who succumbed to Covid-19. Others will have been affected by it either through illness or through the effect on jobs or even lack of social interaction.

Most of us are keeping our fingers crossed for 2021 and whilst the numbers are currently very bad indeed, there are glimpses of light with the vaccination programme now starting to gather pace. Eventually, our lives will start to become a little more like what they used to be.

With all the worry and stress of last year, it is likely that some of us will have noticed new ‘frown lines’ appearing on our faces. The lack of fresh air and possibly a less healthy diet caused by lockdown and comfort eating may well have left our skin looking less than youthful.

Optimism for Spring

With the current high levels of Covid-19 and the dull relentless grey and damp weather, it may be hard to imagine the better days ahead. Eventually though, many of us will have had our vaccines and the sun will be shining (well, some days anyway, after all, this is the UK!) It may even feel like we are emerging from our cocoons when we finally start to socialise with our friends again.

When the time comes, it makes sense that we will want to look our best and, no doubt, many of us will be spending on clothes and fashion items again for the first time in what seems like ages. What better time than now then, to start to think about what we can do to look our best?

Lose the wrinkles

A lack of fresh air and sunshine may well have left us looking a little tired and our skin more wrinkled than usual. We do offer a range of beauty treatments at Synergy Clinic that can help to refresh the skin, but for those of you who have noticed an increased number of lines and wrinkles on your face, our facial aesthetic treatments are just what you need to restore your youthful looks.

Which facial aesthetic treatments are available?


Dr Mani Virdee offers our Addlestone patients some seasonal dental advice

Dr Mani Virdee Synergy Clinic DentistAs this will be our last Synergy Clinic blog of 2020, we thought that it would be timely to take a look at the festive season ahead and the sorts of things that you can do to keep your teeth and gums in good health at this time. Although year round dental care is very important, there is little doubt that Christmas and New Year pose some particular challenges to our oral health. In addition to that, many dental practices will be closed for some of the time making seeking treatment more tricky if you do have a problem.

On that subject, in the event that you do need to see a dentist urgently, either because of a severe toothache or significant damage to your teeth, please call us in the first instance. If it is on a day when we are closed, please listen to the recorded message which will advise you on what steps you need to take next in order to receive treatment.

So, onwards to our advice. Christmas and New Year are times when we tend to over indulge in many things, some of which are potentially harmful to our teeth. With the year that we have all just had, it may well be that this is even more so the case this year. You can still have a great Christmas though, without causing harm to your teeth and gums. The following are a few suggestions to help you do just that.

Moderate your sugar intake

Ask any dentist at the Synergy Clinic and they will tell you that sugar is one of the worst things for our teeth. That fact is pretty well known but still we consume large amounts of it. This is likely to be even more the case over the festive period as we eat our way through chocolates, cakes, mince pies and numerous other foods that are laden with sugar.

It doesn’t matter how bad these are for our teeth, we all know that we will eat them. The key is to try to do so in moderation and remember that we should leave some time between each one so that our teeth can recover and our saliva wash some of the sugars away before we eat any more. This is a better approach than the constant ‘nibbling’ that we are likely to do throughout the day.

Drink sensibly


Addlestone implant dentist, Dr Andrew Gough, explains your options following the loss of several teeth

Multiple implantsTooth loss is not uncommon. For most people that lose teeth, it is usually the odd one or two, perhaps caused by an accident rather than poor oral health care. This is not the same for everyone though and some people can suffer from numerous oral health problems or have a traumatic accident that results in the loss of a significant number of teeth.

When this happens, few of us would choose to leave large spaces where our teeth should be. Whilst we could, perhaps, ‘hide’ a single missing tooth (though we recommend that you don’t do that) if it was a less visible one, this becomes next to impossible when multiple teeth are missing.

What are the options then, for any of our Addlestone patients that find themselves in this situation?

Seek professional advice

It should go without saying, but if you are looking for the best way to replace missing teeth, then you shouldn’t rely on searching the internet. Although there is some good advice available there, there is also a lot that isn’t, and even the best advice can not take account of your own individual circumstances. In order to make the correct decision as to the best tooth replacement method available to you, a visit to the Synergy Clinic to discuss your case with us is essential. We will then be able to examine your mouth and discuss your aims and any other relevant information such as your medical history, so that the correct treatment can be recommended.

Your options


The Synergy Clinic team discusses this common dental issue

Head and jaw painDo you remember, as a child, when you had competitions with friends to bite into an iced lollipop and see who could keep their teeth there the longest? If you did, you would probably not do so now, and for some of us, just a second of doing this could cause a lot of discomfort.

For many of us, the pleasure of consuming a hot drink on a cold day or an ice cold one on a hot day, is tempered by the discomfort caused by having sensitive teeth.

This is a relatively common problem that your local Addlestone dentists see on an almost daily basis. Unlike tooth decay, it is unlikely to cause constant discomfort and occurs only in circumstances such as those just mentioned. It is still uncomfortable though and is also a potential  warning sign that further trouble could lie ahead if ignored.

What causes tooth sensitivity?

Although teeth that are overly sensitive can be caused by tooth decay, and this will be checked by us if you have this symptom; in many cases it is caused by the erosion of the external tooth enamel. This is the protective layer of our teeth and once it has thinned or become cracked, the more porous dentin layer beneath it allows the sensations of hot and cold to reach the nerves in our teeth much more easily.

Sensitivity can also be caused by receding gums. This tends to happen as we become older, but can also be a symptom of gum disease. As the gums recede, they expose the root part of the tooth which is less well protected and therefore more sensitive to hot and cold.

Keeping enamel healthy

If we can keep the enamel on our teeth healthy, this will help us to avoid problems such as sensitivity, but also decay and root canal infections. It actually isn’t all that hard to do providing that accidents are avoided. Good healthy enamel care should start from a young age with diligent brushing and good oral health habits taught. For those of us too old for that though, it means having a solid brushing routine, but without exerting too much pressure as this can wear away the enamel. Acidic foods and drinks are also responsible for much enamel wear and should be kept to a minimum. Naturally, having regular checks of your teeth at the Synergy Clinic is also essential if you want to maintain healthy teeth and gums.

Managing sensitive teeth