The Word Of Mouth Blog


Not just because of the gap it leaves behind, but also because of the way your mouth, teeth, jaw and face will move to accommodate and rectify the loss.


When you lose a tooth, a few things will start happening. The most obvious effect of missing teeth is aesthetic – the way you look affects the way you feel, and the psychological and social consequences of tooth loss can also be profound.


The less obvious, but probably the most impactful effect of missing teeth is not so much about teeth as it is about bone, which needs stimulation to maintain its form and density. Alveolar bone surrounds and supports teeth, and requires stimulation from the teeth in order to hold its density. When you lose a tooth, you lose the stimulation to this bone and without stimulation, this bone will lose height, width and eventually volume which will cause problems with chewing, speaking and your overall appearance.


Bone loss will change the shape and form of your face, changing your entire appearance. Spots where teeth are missing will droop and could even collapse over time. So getting proper support when you lose a tooth is vital to your overall health, wellness and appearance.


The dental technologies we use in our practice are chosen and used with the specific aim of offering patients the best solutions available. So when you come to OptiSmile for implants, bridges or veneers, you can be assured that we’ll work with you to design the best possible smile for you.


12th September 2017 Dental Health

Yes. Yes they are.

Sure, you could brush your teeth for the recommended 2 minutes a day after each meal, you could floss twice a day and you could abstain from sugar, coffee, wine and smoking. These things will improve the overall health of your smile – but even if you followed every recommendation made by your dentist at home, you will still need to schedule regular professional cleanings.

Professional cleanings are not just vital for your oral hygiene, they give us a chance to thoroughly examine the mouth and investigate any potential problems. Hygienists are trained to detect potential dental issues and can advise your dentist of these issues during/after your cleaning so they can be treated before they become serious.

That being said, they are also vital for your oral hygiene. No matter how good your dental hygiene habits are, food particles and plaque will still be present. Plaque builds up to form tartar – a layer of hardened plaque on the tooth surface. This tartar can only be removed by special tools and someone trained to use them – a dental hygienist.

So yes, having a good cleaning regime is important for your dental health and including regular professional cleanings in this regime is vital to the overall health and wellness of your smile. Give us a call if you have any questions about dental hygiene, our friendly staff are happy to help. Our dental practice in sea point is equipped with the latest in dental technology, even our cleanings are done using top of the line equipment.


3rd August 2017 Dental Health

The short answer is no – you do not need a full range of x-rays for every dental issue you encounter.


Often, dentists will order multiple x-rays in order to thoroughly examine the mouth and oral structures. There are times when dentists overdo it though – usually with new patients – and order multiple x-rays which aren’t actually necessary as part of their protocol. The radiation produced by x-rays are minimal, but every effort should be made to reduce exposure and minimize the use of x-ray machines.


For this reason, each consultation needs to be personalised and x-rays should only be ordered when necessary. Your dentist should first thoroughly examine the mouth and oral structures to determine whether there are problem areas before ordering x-rays to further examine these trouble areas.


A full-mouth series of x-rays should be reserved for patients who have had extensive dental procedures performed or have excessive active decay, and patients who have a higher risk of decay should only have x-rays ordered every 6 – 18 months. A patient who is not at high risk should only have x-rays done every 2 – 3 years and children, who are more sensitive to radiation, should hardly ever have x-rays done.


There are various types of dental X-rays, including:


  • Bitewing X-rays, which reveal cavities between teeth. They are called bitewings because you bite down on a wing-shaped device to hold the X-ray film in place.


  • Panoramic X-rays, which require a special machine that rotates around the head to provide a detailed image of all the teeth and the underlying bones in a single X-ray.


  • Periapical X-rays, which capture images of two or three teeth at a time. They can reveal an abscess caused by an infection or root caries, which are lesions at the base of the tooth. Film is placed on a holder, then put vertically in the mouth to take the x-ray.


  • Dental cone-beam CT (CBCT) scans, which provide 3-D X-ray images of the teeth, their roots and the jaw.


If you have concerns about the number of x-rays your dentist has ordered, ask them to explain the purpose of each one. If your dentist tells you that it’s their protocol or policy to order multiple x-rays, you can decline the x-rays and request that only the absolute necessary x-rays be performed.

If you are interested in making permanent improvements to your smile, or have any questions, contact OptiSmile today. Our experienced team can answer your questions and help you with dental treatments you require.

17th June 2016 Dental Health


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Product info

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Offering a relaxed, comfortable and caring experience


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Opalescence Go is the perfect touch-up solution for patients who are looking for convenient, ready-to-go whitening. A professional strength whitening gel delivered in prefilled, disposable trays, Opalescence Go can deliver dramatic results in only 15 minutes per day.


Phone: 087 702 6886



7th October 2015 Dental Health

We recognise that it can be difficult deciding on a new dentist for you and your family. Without the advice of a trusted friend who may know the crème de la crème of dentists in Cape Town, you may be faced with having to Google and choosing a name, at random. This is obviously a very nerve-wracking task, seeing as though this random person will be the one making you say “AAAAAAAAAAAAH!”

With over 28 years of international dental experience, Dr Clifford Yudelman provides the latest, high-tech, personalised care for all the members of your family. Our comprehensive dental services encompass general, preventive, restorative and cosmetic dental treatment, and we take pride in keeping up with the most innovative technologies. Here are just a few we are currently using:

Leica Microscope

Microscope Enhanced Dentistry is practice by about 2% of dentists worldwide. We now routinely do ALL of our restorative dentistry at a magnification of 16-25 times with our latest Leica M320 Dental operating microscope. This allows us to refine the edges of crowns and inlays more accurately, as well as treat cavities in the most conservative way.

Dr Yudelman likens it to the latest keyhole surgery on gallbladders and knees, with minimal invasion and repair of the defect, allowing quicker recovery and less collateral damage. The microscope is connected to a 10 megapixel video camera and we can capture images of the conditions for complete record keeping.

Numbing Wand

Our patients have also been very enthusiastic about the Numbing Wand that we started using in early 2011, as most of the time they don’t even know they have had an injection. With this great instrument, we are able to numb a single tooth instead of leaving the patient with the awkward feeling of a numb tongue or lip.

DiagnoDent Laser

Our diagnostic laser, the DiagnoDent, allows us to find cavities before they become a problem. This means teeth can be restored or sealed with very conservative white fillings long before they show up on an x-ray or get close to the nerve (root canal). We also make use of another diode laser for various treatments to the gums, especially when fitting a crown.

CEREC Restoration

No one wants to sit at the dentist all day, right? Not to mention having to return for follow-up visits. Don’t worry, that won’t happen here at OptiSmile. Why, you ask? Simply put, we offer CEREC restoration services, which allows our specialist to complete crowns, veneers, inlays and fillings in one single visit. CEREC provides a computer-designed restoration for your tooth in less than two hours – No mess, no fuss.

Give us a call today to optimise your smile. Whether you are in pain with toothache or have an urgent problem, we will always do our best to see you on the same day that you called.


Yours in dental excellence,

Dr. Clifford Yudelman

7th October 2015 Dental Health

Dentist Sea Point gives tips on products

Not a day goes by that a patients doesn’t ask me “What kind of toothbrush should I use?” or “Can you recommend a good dental floss?” With millions of products flooding supermarket shelves, it can be difficult to know the difference between a quality product and the latest fad that was solely invented to empty your pockets.

To help make the choice easier, I’ve compiled a short list of essential items that will do just fine in keeping your mouth and teeth healthy.

Here are my recommendations for overall dental health:

Dental floss

Most dental flosses do what they need to do, but a waxed floss is easier to use and one with a great flavour just makes the whole exercise that much more rewarding – There’s nothing better than feeling fresh. Remember, you don’t have to floss all your teeth… Just the ones you want to keep!

My product recommendation: Johnson & Johnson Expansion Plus

Inter-proximal brushes

Many people can’t floss, won’t floss, hate floss or “just ran out” of floss. After 25 years I have heard every excuse in the book. Yes, flossing can be a drag. Luckily, there is an alternative for those of you who just can’t seem to face flossing. Inter-proximal brushes are tiny brushes that fit between your teeth. I’m not talking about the larger ones that will only fit under a bridge, next to an implant or if you have had periodontal disease – these are different. And they work like a bomb!

My product recommendation: Gum Trav-Ler or Gum Bi-Direction


The least you can do is pick your teeth after eating, right? I don’t mean with toothpicks you get in your Martini or with the corner of an old business card… I am talking about special triangular ones made from soft wood. These are specifically made to gently remove bits of food from your teeth and best of all, they don’t damage your gums.

My product recommendation: Gum Soft-Picks


There will always be the humble, manual toothbrush (which should be soft, by the way), but an electric or power toothbrush is really where you should be spending your money. Either way, if you’re going to invest in a tool for your teeth, get the best, whichever option you choose. Many patients do better with a manual brush than the cheap throw-away electric ones.

My product recommendation: Curaprox Super Soft 3960

Tongue scraper

A tongue cleaner or scraper is an essential tool for fresh breath. These work much better than brushing the tongue. We give all our patients one that I personally developed called the “Breath-So-Fresh”. Some pharmacies now have a few different ones in stock and I urge you to try several, as all tongues are slightly different. Find one that reaches the back third of the tongue and isn’t too sharp, but still effective.


Most of my patients don’t need it. I will soon be posting about the controversy surrounding oral cancer and strong alcohol mouthwashes. In some cases, I recommend Curasept Chlorhexidine 0.12% non-staining toothpaste and mouthwash, but in my opinion, staying away from the newest, cure-all wonder washes is your best option.


I’m not a fan of expensive toothpastes containing millions of ingredients. All you really need is a mild abrasive and fluoride, and of course a great flavour doesn’t hurt!

My product recommendation: Colgate Total 12 or Colgate Maximum Cavity Protection Plus Sugar Acid Neutralizer

Plaque disclosing tablets

Yes, I know, they’re ancient. But the little tablets that you chew that make all your teeth go pink are still around. The pink colour indicates all the plaque you’ve missed after brushing – Simple and effective! New tablets are now available that show old plaque in blue.

My product recommendation: (Insert product name)


You cannot possibly brush effectively in less than 2 minutes no matter what your technique. It feels like forever, but come on, it’s only 2 minutes! Very little work for very big results – What’s not to love?

Yours in dental excellence,

Dr. Clifford Yudelman

7th October 2015 Dental Health

Bad breath is a real confidence killer. Not only is it embarrassing, but it also negatively affects both your personal and professional relationships, and causes social rifts that can be so easily avoided.

The good news is that bad breath can be prevented, but it all comes down to identifying exactly what’s causing it. Usually you’ll find that it’s caused by a coating of odour-causing bacteria at the back of the tongue, but it can also be egged on by certain foods, poor oral healthcare, improper cleaning of dentures, Periodontal disease or Xerostomia (dry mouth).

Whatever may be causing this humiliating problem, rest assured that there is without a doubt a solution and that we’ll help you find it. Check out OptiSmile’s fresh breath tips below, call us or stop by our brand new practice on the 3rd floor of the Point Mall in Regent Road, Sea Point. Our dental hygienists will take your (bad) breath away 😉


  • First of all, get control over the problem. Ask a family member to tell you whenever you have bad breath or not.
  • Gently clean your tongue with a tongue scraper.
  • Brush twice daily.
  • Floss daily or use inter-proximal brushes.
  • Have your teeth cleaned periodically by our dental professionals to ensure your gums don’t bleed easily and that there is no gingivitis or periodontal gum disease.
  • Eat fibrous vegetables, such as carrots and celery. This helps to keep the tongue clean.
  • Clean your mouth after eating and drinking proteins, such as milk products, fish and meat. Bacteria on your tongue breaks down protein to produce (smelly) sulphur. Chewing sugar free gum helps when you can’t brush.
  • Drink plenty of liquids, especially water, but be aware that drinking too much coffee may make the situation worse.
  • If you wear dentures, it’s vital to clean them correctly with a denture brush and soak them overnight in a antiseptic solution as recommended by your dental professional.
  • If you suffer from a dry mouth, your tongue coating will be worse, increasing the chances of bad breath. Chat to your doctor to see if your medication is the cause of your Xerostomia.
  • Post-nasal drip due to allergies or illness will also make your breath worse, as continuous protein mucous is being broken down by the tongue coating, which gives off sulphur. Again, chat to your doctor about whether your medication may be causing this.
  • If odour comes from your nose and not from your mouth, see a doctor immediately as it may be caused by medical problems.
  • Contrary to popular belief, bad breath, also commonly known as Halitosis, does not come from the stomach or lungs. In most cases, a simple cleaning of the tongue will do the job just fine.

Yours in dental excellence,

Dr. Clifford Yudelman

Suite 303, The Point Mall,
76 Regent Rd,
Sea Point
Cape Town
Western Cape
South Africa

+27 087 702 6886


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