Cosmetic Dentist Dental Health

Losing a Tooth is a Big Deal

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.

Dental Health

Are All These X-Rays My Dentist Gives Me Necessary?

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.

Dental Health

Dental health in a nutshell

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

Dental Health

Are Professional Cleanings Really Necessary?

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.

Dental Health

Teeth Whitening Cape Town South Africa


If you are looking for a dentist to professionally whiten your teeth in Cape Town why not give OptiSmile a call to whiten your teeth and smile with confidence

Product info

Relax while our experienced professionals whiten your teeth in an hour in the dentist’s chair – with guaranteed results

Professionally whiten your teeth at home using a pack of 10 whitening trays


OptiSmile uses painless, state-of-the-art products to whiten your smile.

Offering a relaxed, comfortable and caring experience


White teeth help you look younger and healthier. NATURAL + is a painless and effective whitening system, with an all natural formula, that will restore your youthful smile. In the professional hands of OptiSmile, NATURAL + offers you whiter teeth in an hour – guaranteed.

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



Dental Health

Smile Tips Help Achieve Beautiful Looking Teeth

Having beautiful looking teeth that make you want to smile is easier than you think!

Good oral care:

Firstly, good oral hygiene is essential. A clean and healthy mouth is always more appealing….not just to you but to those around you. Brushing twice a day, flossing once a day and having regular oral hygiene and dental check ups all help to ensure a healthy mouth and definitely helps towards achieving a healthier body.

Oral health always comes first, so any cosmetic work should take a back seat until their is no more infection in your mouth, such as decay or inflamed / infected gums.

Brushing your tongue is also something that needs to be done twice a day, and there are great tongue scrapers on the market to help you control the bacteria and debris that can collect and cause bad breath.

Water / Chewing gum:

Drink plenty of water and chew sugar free, preferably xylitol chewing gums especially after meals that are high in acid and natural sugars e.g. coffee, pineapple, lemon, vinegars, fruits. Only chew until the flavour is gone, just enough to stimulate the saliva and neutralize the pH in the mouth.

Never brush immediately after eating or drinking anything with high acid or sugar as it causes chemical erosion on the tooth surface and you can brush away the enamel more easily this way.

Breakfast is the worst time as we often rush and brush and head off to work. Rather brush first, and use a good mouthwash after breakfast and head to work, or wait 30 minutes and then brush.

Teeth Whitening:

When it comes to whitening your teeth, always speak to your dental professional. Whitening products over the counter can be very acidic and abrasive, whereas most professional ones that are used according to your hygienist or dentist’s instructions will not cause damage to the teeth or gums.

Toothpastes and mouthwashes can remove surface stains only but professional whitening, known as bleaching, change the internal colour of the teeth, giving you a beautiful pearly white smile. Each mouth has a different whitening potential and you can’t simply choose the colour you would like your teeth to be.

Your dental clinician should be able to guide you here, but if its glow in the dark, light up pitch black alley type teeth you are looking for, then you can only achieve that with crowns and veneers.

Old fillings:

Replacing old and discoloured fillings is a also easier than you think. Discuss doing this after your whitening so they can match them to your newly brightened smile.

.Smile Tips Help Achieve Beautiful Looking Teeth 5


Correcting overlapping / crowding teeth also helps improve the way you smile, the way you are able to clean, and of course saves the teeth from unnecessary wear from opposing teeth as a result of an incorrect bite.

This can be done using braces, or an easier method which is even more appealing to every day busy lifestyles, Invisalign. The latter is a series of clear aligners which are like hard clear trays, worn about 20-22 hours a day for 6-12 months to achieve amazing results.

We offer FREE Invisalign consultations with Dr Smeyatsky on Mondays and Wednesdays, so give reception a call on 087 702 6886 and book your free slot to see what he can do for your smile. Read up a little more here:

Emma King, our Teeth Whitening specialists also offers 20 minute FREE consultations to have a look at your teeth and gums and work out a whitening program to suit you and your teeth.


Implants have been a life saver for so many people that have lost teeth for a variety of reasons. In some cases, same day implants are possible, but most require a few appointments and even a little bone work.

We have a great periodontist, Dr Feheem Bhamjee who can help you with individual missing teeth, full mouth implant cases, and more.

No more loose dentures and restricted diets! Being able to chew your food properly is also an essential part of your overall health, so its not always just about the aesthetics. Read more here:

Lip Balms:

Lip balms help to prevent your lips from cracking and create a beautiful healthy frame around your teeth. I absolutely love the natural ones like Burt Bees, as well as the Aloe and Tea tree ones.

Check out Takelot and Faithful to Nature. Otherwise, Blistex is a must have item in your bag, car or office desk drawer! You can buy Blistex at Clicks.

If you’re thinking of an entire smile makeover then its best to combine your overall treatment with what both your dentist and oral hygienist have to offer. At Optismile we work together as a team, and we always know what the other clinicians are doing as we plan our treatment together.

Oral Hygiene / dental work:

Oral hygiene and whitening is sorted out first and any dental work is always done once the colour has settled, but thorough dental check up with X-rays and photos is required before on embarking on any dental journey. You need to wait atleast 2 weeks between bleaching and the bonding of any new fillings.

Reason to smile:

Making sure you give yourself a reason to want to smile every day is also important. Think of things that make you happy and keep doing them. There’s a definite mental side to this that shouldn’t be ignored or underestimated.

Surround yourself with good friends and loving family and make sure to take off to enjoy the more important things in life. For most people, a smile is the first thing they notice when they meet someone for the first time.

If you want your smile to be your most important feature, give us a call on 087 7026886 and book a consultation today.

Smile Tips Help Achieve Beautiful Looking Teeth 6
Dental Health

Bad breath getting you down?

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

Dental Health

We go where technology takes us

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