Cosmetic dentistry may be booming, but when it comes to putting money where your mouth is, caution is key. Here, Katie Withington curates a guide to navigating the new age of dental care
The desire for a perfect smile isn’t a modern phenomenon. Records of aesthetic dentistry date as far back as the Ancient Egyptians, who used teeth-bleaching pastes made from pumice and wine vinegar. In more recent history, the invention of porcelain veneers in 1928 (designed by a Californian dentist for a Hollywood actor) made glistening white teeth an essential aspect of a celebrity’s image. Pristine alignment, an expertly carved shape, twinkling shine and a harmonious ratio between visible gum and tooth all became familiar features of the signature movie-star smile.
Lately, though, some of the shine has come off that smile, with critics observing that immaculate dentures can look out of place in period dramas and reduce the capacity for expression in an actor’s face. In the same way that the popularity of one-size-fits-all dermal fillers has declined in the aesthetics industry, dentists are seeing a move away from artifice and towards a more believable look, achieved through delicate, personalised adjustments.
‘Subtle smile elevation is a huge trend right now,’ explains Dr Sam Jethwa, the president of the British Academy of Cosmetic Dentistry and the founder of Bespoke Smile, a cosmetic-dental surgery. ‘Patients crave a smile with character, unique to them, with teeth that are a natural shade of white, smooth and aligned.’
By 2026, the global market for cosmetic dentistry, incorporating services such as teeth whitening, veneers and orthodontic treatments, is projected to reach more than £45 billion. ‘We’ve seen a boom over the past five years, with patients investing in their smile from a younger age,’ says the cosmetic dentist Dr Shabri Chandarana. ‘Social media has helped transform people’s perceptions of going to the dentist from an experience that’s intimidating and uncomfortable to one that can be rewarding.’ With dentistry now seen as part of a holistic beauty-and-wellness experience, clinical settings are increasingly being replaced by luxurious treatment spaces with high-end interior design and cutting-edge facilities.
There is still, however, a vast disparity in the quality of services on offer, with the cost of veneers ranging from £500 to £1,500 a tooth. Perhaps more concerningly, certain inexpensive treatments offered outside the UK can result in thick, ill-fitting and unnaturally white teeth, as well as painful complications. ‘Quick fixes in dentistry are not a long-term solution,’ advises Dr Chandarana. ‘Treatments should be conservative and preserve the beauty and longevity of natural teeth.’ Read on for advice on finding a trusted provider who can protect your pearly whites at every stage of life.
Changing Faces
Chelsea Dental Clinic’s Dr Rhona Eskander on how your teeth are likely to evolve over the decades
Just like skin, the appearance and health of your teeth and gums will decline as you age. Genetics play a significant role in natural enamel strength, tooth alignment and susceptibility to gum disease, while a range of lifestyle factors – from diets high in sugar and acid to smoking and teeth grinding – can also contribute to accelerated dental ageing. Nonetheless, there are a few common risks to watch out for in each decade.
In your twenties… Teeth are generally healthy, with strong enamel and minimal wear, though it’s common for wisdom teeth to cause crowding. Some people may experience signs of grinding due to stress and should consider using a gum shield.
In your thirties… Teeth will begin to show minor wear and cases of gum inflammation increase. Old fillings might require replacement. Whitening products can be used to alleviate discoloration.
In your forties… Flossing becomes essential as gum recession is more noticeable, often leading to increased sensitivity. Teeth may appear shorter or more yellow due to thinning enamel, while dental alignment may also shift due to missing teeth or gum disease.
In your fifties… There is a tendency to encounter more cracks or chips due to a weakened structure, and bone density in the jaw may start to decline if missing teeth are not replaced. It is best to switch to a soft-bristled toothbrush to protect your gums while still removing plaque.
In your sixties and beyond… Teeth may appear more worn and have a darker shade, so visit your dentist regularly for check-ups and cleaning to avoid decay and advanced gum disease. It is vital to get regular screenings at this age, as the risk of oral cancer increases significantly.
Do try this at home
Expert tips for improving your everyday dental routine
- Take oral probiotics.
These help maintain a balanced microbiome, potentially reducing bad breath, gum inflammation and the risk of decay.
- Try hydroxyapatite toothpaste instead of fluoride.
It re-mineralises enamel naturally and is effective at preventing cavities, strengthening teeth while being gentle on sensitive gums.
- Try tongue scraping.
It’s an important way of removing bacteria and dead cells, contributing to a cleaner mouth.
- Chew sugar-free gum after eating.
Dental hygienists recommend this as a way of neutralising acids.
- Floss first.
Always use interdental brushes or floss before brushing for maximum effectiveness.
- Change your toothbrush every three months.
This avoids a build-up of bacteria. You should also replace it after being unwell with any form of infection.
- Brush before breakfast.
Without an initial clean, teeth are more vulnerable to the drop in pH as soon as you eat something sugary or acidic. Wait 30 minutes before you eat.
