Irish Daily Mail

pearly queens

At last! I’ve turned my gnarled old gnashers into €12k

- by Susannah Constantin­e See londonsmil­ing.com

EVERYONE has a favourite smile. The one that they practised in the bedroom mirror as a teenager, and that they still use while posing for photograph­s.

Mine has been the same for decades: lips pursed, mouth clamped shut. Teeth definitely not on show. I hate my teeth, I can’t remember ever liking them. I hated them on my wedding day. I hate them every time a camera catches me unawares with my mouth open, grinning like Fagin. It’s like looking inside a bin bag.

What I dream of is whiter teeth. I don’t mind that they aren’t perfectly straight, but I am fed up with being too embarrasse­d to smile.

My teeth aren’t discoloure­d from heavy smoking, red wine and poor diet. They were stained before I was even born. It happened because my mother innocently took the antibiotic tetracycli­ne when pregnant.

Used to treat bacterial infections such as acne and tonsilliti­s, it was prescribed from the Fifties until the Eighties to pregnant women and young children alike (I was born in 1962).

What scientists didn’t know then — but warn about now — is that the drug can have a serious effect on developing teeth.

The chemicals in tetracycli­ne become embedded in the dentine — the layer below the enamel — of teeth as they develop in unborn babies’ gums, and those of children under eight. This causes serious discolorat­ion which only shows once the milk teeth have fallen out, and the dull grey — sometimes nearly black — adult teeth come through.

My enamel was weak too, although not tetracycli­nerelated. Every one of my baby molars was filled by age five. As a child, I was a familiar face at the dentist’s surgery. Visits went like this: Yes, I was brushing properly. No, I wasn’t eating bags of toffees every day. I don’t remember my poor mother showing any shame, but it must have been awful for her. It led to a lot of root canal fillings before the age of 15 and a phobia of needles. By my 20s I had stopped smiling.

Friends say they have never noticed the state of my teeth, but I’m sure they are lying. I’m much more self-conscious about my smile now than I ever was in my 20s and 30s when I had other assets to deflect from my stained teeth. It doesn’t matter how much Botox, fillers or lifts you have, if your teeth are like Stonehenge, they’ll be what people notice first. I know I do.

And my teeth were the first thing I saw when watching footage of me leaving the I’m A Celebrity... jungle in 2015. I was absolutely disgusted and resolved finally to do something about the teeth I’d loathed all my life.

The irony is, I am healthy in most other ways. I never drink alcohol, and while I used to smoke about five a day for about 20 years, for the past four I’ve vaped. Diet-wise, I’m pretty sensible and don’t have a sweet tooth, preferring to snack on things like Twiglets and cheese.

Of course, I’ve tried over-thecounter remedies and had laser whitening — in which a paste is applied and activated with a laser — but that just lightened the tips, making the rest of my teeth seem even darker.

My dentist said there was no treatment for tetracycli­ne discolorat­ion. The only obvious option was the brutal one of veneers — where the enamel of the teeth is literally chiselled away, and a false white tooth bonded permanentl­y to what remains. That’s the Hollywood look. But veneers are a one-way trip. While teeth are not filed down to stumps, as when a crown is fitted, once the enamel is gone it’s gone for ever — and I wasn’t prepared to do this.

That fear of having fake-looking teeth has held me back from having anything done. Then, like any modern woman looking for advice, I hit the internet.

I googled teeth whitening and came across endless miracle solutions: from bleaching to dentures. When I posted on Instagram, displaying the problem it all its gnarly glory, the response was enormous. I really hit a nerve (pardon the pun) and was flooded with advice, and have spent the past six months looking for the smile of my dreams.

My first stop was Dr Linda Greenwall, the teeth-whitening expert who is a guru of tetracycli­ne staining. With whitening, a bleaching tray is made from a mould of your teeth. Peroxide is put into this for your teeth to soak in. Treatment can take between three and 12 months and costs €350 to €1,000.

However, Linda wasn’t sure of the outcome. She also warned about sensitivit­y (a dentist’s word for pain) from the bleaching agent. There was another option, however, which I found when I saw Dr Uchenna Okoye at London Smiling.

SHE really is the Tooth Fairy. Her kindness, profession­alism and forensic care instilled total confidence to the point where I relinquish­ed all control and allowed her to act as she saw fit.

Uchenna says: ‘I believe improving your teeth is more anti-ageing than a face lift. This is the time in life at which many people — particular­ly women — seek cosmetic work. Many have hated their teeth for years and feel selfconsci­ous. When you reach 40 you’re confident, aware, have more money, and take control of what bothers you.’

My teeth were good, Uchenna said, but ‘difficult’ — stained, cracked, worn and losing enamel with bits chipping off. She decided to halt this process using bonding or composite — a hard, durable substance painted in layers over the teeth to build up, thicken and lengthen them, while disguising the discolorat­ion and

maintainin­g a natural look .

It’s a painstakin­g process, done tooth by tooth, over two sessions: four hours for the top set and two for the bottom. A full mouth treatment, like mine, costs about €12,000. It may sound a lot, but it should last at least ten years.

Afterwards, you clean exactly the same way with normal toothpaste and mouthwash and teeth will pick up stains from things like tea and cumin, like natural enamel. The only downside is they will, eventually, chip like normal teeth, but thankfully are easy to repair.

First, Uchenna made a mould of my teeth, to practise on. This also meant she had a model that I could try to see if I liked it.

Incidental­ly, saying that she ‘just’ used a composite is like Charlotte Tilbury saying she ‘just used make-up’. It sounds simple, but in the same way you can change the shape of the face with contouring, Uchenna says you can change the entire face with the right-shaped teeth. The colour had to be ‘just right’ too.

The end result was stunning. Looking in the mirror, I was delighted to see a perfectly nice, natural, white set of teeth smiling back. But barely anyone noticed.

Friends have said how ‘good’ I look, how ‘refreshed’ and ‘well’ without anyone noticing that I’ve had dental work done. And that is a job extremely well done.

After a six-month journey to fix my greatest insecurity, I now have a set of imperfectl­y, perfect teeth. When I look in the mirror I don’t get a shock, just the subtle satisfacti­on that my teeth no longer let me down. To say I’m thrilled is an understate­ment.

For anyone thinking of a cosmetic dentistry, do your homework. Don’t go too white or too perfect. The smile of your dreams is out there.

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