Archive for April, 2008

My front tooth is growing out of my gum and I cant afford braces

Thursday, April 3rd, 2008
Q. Hiya, one of my very front teeth grew on the gum so it protrudes quite a bit plus I knocked it when I was younger and it is now discoloured due to it dying. What is the best and quickest procedure to fix my smile other than braces. I\’m 23 and nither have the money or time for braces. Regards

A. Dear T
thank you for enquiry. The quickest way to fix your tooth is to have a veneer or crown placed over it. Due to the fact that the tooth has been traumatised and has discoloured it probably has died and if you haven’t already had root canal treatment, your tooth will probably need one. Always be careful of quick fix plans. This is your front tooth and you need to have the best treatment possible.

If your tooth has been root canal treatment”>root treated you can have internal bleaching done on it to lighten the colour. This will improve the appearance of the tooth without being too destructive. It will not however change the position of it. A crown or veneer is the best treatment option for changing the position of the tooth if you are unwilling to consider having braces. This will give you the result that you want but depending on how far forward the tooth is, could be quite destructive and weaken the tooth. You may end up having a combination of bleaching and restorative work. Crowns and veneers range from £500 to £1500. Front teeth always need to be treated with care. We have to make sure that in order for it to look natural the colour shape and texture of the new restoration matches the teeth on either side of it. Usually I will send my patients to the laboratory to have the colour match done. The process will probably take between 2 and 4 weeks.

The best thing to do is to try and find a cosmetic dentist in your area that has experience in a full range of cosmetic procedures and has a portfolio. This way you know that you will be getting the best treatment for your tooth. I hope this answers your questions
Kind Regards

Dr Komal Suri

Dr Komal Suri
Smile Design Dental
33 High Street, Wendover, Buckinghamshire HP22 6DU
Web: www.smiledesigndental.co.uk  Tel: 01932 223 479

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Posted in Dr Suri's Answers, Experts Answers, Q. General dentistry, Q. Smile Makeovers |

I replaced a silver filling and now my tooth is sensitive

Thursday, April 3rd, 2008
Q. I had a silver filling on a back tooth replaced with a white composite filling 3 months ago. I have had a lot of sensitivity in that tooth ever since. Sensitive to hot cold and sometimes bite. It doesn’t occur without stimulus and isn’t prolonged. However, it is enough that it bothers me and I dont want to feel it. I use sensodyne which does help, however my other teeth are not particularly sensitive. I have been back to my dentist twice, she has x-rayed it and says sensitivity is normal and not to worry. She also put another ‘layer’ of something on it. I have read a great deal about this subject and dont know what to do next?! change dentist, replace it with a silver filling or onlay? This filling has caused a lot of discomfort and never felt right from the start. Would appreciate your opinion. Thanks Q

A. Hi Q, this is a common problem, sensitivity under a white filling can be caused due to many options :

1: the filling was deep and the nerve has been affected, i don’t personally think this is the issue in your case as the pain in not prolonged in nature.

2: the white filling has been placed in one large instalment, this can cause shrinking of the filling when it is set and causing the tooth to become sensitive due to the pressure of the shrinkage on the tooth tissue.

3:the cavity was not sterilised properly and all the acid which is used to prepare the cavity before the filling has not been removed causing sensitivity into the tooth.

In my opinion the filling should be removed and replaced using the white filling material but the filling done under rubber dam, which is a device that causes the tooth to stay very dry, the cavity properly sterilised, the filling placed in small increments to prevent the shrinkage sensitivity. In my opinion this should solve the problem.

Hope this is helpful, if you require any thing else please do not hesitate to contact me.

dr kailesh solanki

Dr Kailesh Solanki
Kissdental – UK Practice of the Year 2007
157 Woodsend Road, Flixton, Manchester, M41 8GN.
2 New Street, Altrincham, Cheshire, WA14 2QS 13
Stanley Street, Manchester, M8 8SH
Web: www.kissdental.co.uk Tel: 0161 748 5250

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Can I have teeth whitening on my front crowns

Thursday, April 3rd, 2008
Q. I have 2 crowns at the front and i would like my teeth whitened, is this possible? or could i have veneers on these front teeth?

A. Dear A,

teeth whitening“>Teeth Whitening is only effective on natural teeth, things such as crowns, Veneers and fillings will not whiten. If you would like a whiter smile you could whiten your natural teeth first and then ask your dentist to replace your crowns to match the new shade.

It is not possible to place a Veneer on a tooth which has an existing crown. This is not a problem though as with the right dentist and technician you should not be able to tell the difference from and crown, Veneer or natural tooth.

Kind regards
Dr

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Would an old fake gold tooth cause my tooth to start to decay

Thursday, April 3rd, 2008
Q. I put one of those fake gold teeth on one of my tooth say about 16yrs ago give or take anyway my question would that cause my teeth to start to decay my teeth.

A. Dear R,

I would suggest it is more likely that diet and brushing techniques are more to blame for the decay – your dentist will be able to correct or remake the gold crown but the underlying problem needs attention first.

I recommend you book an appointment with a dentist and a hygienist to restore any decaying teeth and to give you some advice on where you may be going wrong.

Kind regards
Dr

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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My daughter has an open anterior bite and needs an NHS orthodontist

Thursday, April 3rd, 2008
Q. My daughter is 11 years old with an open anterior bite, she has all adult teeth on the upper arch with just a couple of deciduous teeth left to loose on the lowers, I have not asked for orthodontic treatment on her before now as I did not want to put her through treatment only to have to be repeated with the loss of baby teeth. So now I am looking for an orthodontist, and please dont laugh, I am in need of somebody who would except her on the NHS, I would dearly love for her to recieve orthodontis without the removal of teeth however I feel I will struggle trying to find a NHS dentist, can you please help, advice, anything, We would be very grateful.. Kindest regards

A. It is still worth going for an orthodontic consultation at this stage.

There are still a lot of orthodontists working on the NHS; an appointment can be made available for your daughter through a referral from her dentist. Your first appointment will just be an assessment of your daughter’s mouth and will give you the chance to discuss non-extraction braces.

It is perfectly within your remit to be able to insist on a non-extraction basis but whether this is available on the NHS I could not tell you.

Kind regards
Dr

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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how are lumineers affected by brushing and flossing?

Thursday, April 3rd, 2008
Q. Hi Dr, I am interested in the lumineers. I have questions about what happens to my own teeth after the lumineers are placed over it. I mean when I brush or floss, would my teeth benefit from it, thanks for your time.

A. Dear O, thank you for your question.
Lumineers are veneers made by a specific company and they are marketed to the public by saying that they can correct problems with your smile without any preparation of your teeth. Lumineers are only suitable for simple cases, i.e if your teeth are straight and have discolouration or if there is only mild crowding. The company assumes that there are no problems with your bite and your teeth are not worn. Please make sure that you have a consultation from a dentist that does normal veneers as well as lumineers to make sure that you are suitable. If your teeth are not ideal for lumineers then you may not get the result that you want or the veneers will fail if there are bite problems you may have to have normal veneers which involves shaving some enamel from your teeth. This is something that needs to be considered because having veneers with preparation of your teeth is an irreversible procedure.
veneers and lumineers fuse to your teeth and are very strong once bonded. They should be looked after just like your normal teeth. You brush and floss them regularly and you should still visit the hygienist. Anything that will break and chip your actual teeth would chip and break a veneer/lumineer. I don’t think that you need to worry about having veneers or lumineers but please make sure that you find a dentist that has knowledge of both procedures and has a background in cosmetic dentistry. Ask to look at a portfolio.
i hope this answers your question

Kind Regards

Dr Komal Suri

Dr Komal Suri
Smile Design Dental
33 High Street, Wendover, Buckinghamshire HP22 6DU
Web: www.smiledesigndental.co.uk  Tel: 01932 223 479

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I have a pit on my fang at the gum level abrasion cavity is veneer the only option

Wednesday, April 2nd, 2008
Q. I have a pit to my ‘fang’ just below gum line, no pain, about 1mm squared, looks like just enamel has eroded. Can\’t it just be filled? Is a veneer the only option?

A. Dear H
It sounds like you have an “abrasion cavity” where some of the enamel has been worn away at the gum level. It can usually be filled very simply with a bonded tooth coloured filling. The procedure is very straight forward and often no tooth has to be drilled away. A veneer would be a very aggressive option.

I hope this helps

dr riten patel

Dr Riten Patel
The Mulberry
18 Ashley Road, Walton on Thames Surrey, KT12 1HS
Web: www.mulberrydental.co.uk  Tel: 01932 223 479

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I had an implant for a incisor and it fell out due to infection and lack of bone

Wednesday, April 2nd, 2008
Q. I have a front upper central incisor tooth missing which is replaced by denture. I had implant done last year which had to be removed due to lack of bone and infection, my dentist said. I am 30 year old healthy female apart from chronic sinusitis for which i had surgery called FESS. Is the sinusitis anything to do with my implant failure. I was suggested to take next time with bone graft. Would u recommend that how much does it cost in UK?. Many thanks

A. Hi M,

I am sorry to hear about the problems you have experienced with your dental treatment.

Implant failure whilst uncommon does occur in some situations. Your chronic sinus infection should not have caused the loss of your implant since an anterior implant is away from the maxillary sinus.

I personally, inform all my patient of the risk of implant failure, but there are reasons why the implant treatment might not work, and many of these are often identifiable prior to the commencement of treatment. For example, prior to treatment you can assess the amount of bone that is present. Whilst there is a risk of infection, you have to look at the reason for the infection. i.e was the infection due to bacteria from the previous tooth? Did the infection arise post surgery? How good was the periodontal hygiene following implant healing?

Another factor for implant success is if the implant had a crown placed on it straight away or time was allowed for the implant to heal, and then the crown was placed.

Following on from that, you have mentioned that your dentist is now recommending bone grafting. The price of bone grafting varies according to the amount of bone required, and the type of bone to be used. You have the option of having bone taken from your own body, either another part of the mouth or the hip, or having it from a donor.

Bone from a donor can be from another human or animal. The cost of the grafting is then dependent on the answers to this.

Bone grafting does increase the price of the implant and you will be on average looking to pay at least about £1900 for bone grafting in the maxilla.

I hope i have helped

Regards

dr safeer butt

Dr Safeer Butt
S3 Dental – Synergistic Smile Studios
Clinics in Kent, Surrey & Sussex
Web: www.s3dental.co.uk  Tel: 020 8398 6322

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Posted in Dr Butt's Answers, Experts Answers, Q. Dental Finance, Q. Dental Implants, Q. Missing teeth |

Ive had dental implants at easman hostital in london and my tooth feels sensitive

Wednesday, April 2nd, 2008
Q. I received dental implants to replace my two front teeth approximately 6 – 7 years ago. The work was done by dentists at the Eastman’s hospital in London. The implants have been great for the past few years, but in the past few weeks I’ve experienced odd sensations in one of them. the tooth feels tingly and the gum around it is a little sensitive, it’s not painful but there is a ‘throbbing’ sensation. I noticed the feeling shortly after I had a wisdom tooth extracted on the same side and wondered if this could’ve had anything to do with it?

I’m due to go away to South East Asia for four months in just a couple of weeks and the waiting list for a consultation at the Eastman hospital is 18 weeks. Is this something that I can leave until I return, or is it likely to get worse? Also do you have any idea of what the problem might be, I’ve had trouble finding information on problems with implants after they’ve been completed. Thanks in advance for you help. H

A. Dear H

I am afraid it really is impossible for me to give you a definitive diagnosis from the information you have given. The pain could be gum related, could be coming from the dental implants“>dental implants, could be coming from neighbouring teeth, it could be a sinus infection etc. My advice to you is since you are going away I would recommend you find a dentist with a good reputation preferably with an implant background and have a consultation. It is impossible to predict if your tooth pain will get worse or get better, however, when travelling on planes the pressure changes can increase any toothache so advise you to get some help before you go away.
I hope this helps

dr riten patel

Dr Riten Patel
The Mulberry
18 Ashley Road, Walton on Thames Surrey, KT12 1HS
Web: www.mulberrydental.co.uk  Tel: 01932 223 479

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can i drink mineral water while wearing invislaign

Wednesday, April 2nd, 2008
Q. Is it possible to drink pure bottled mineral water whilst wearing invisalign.html” title=”invisalign“>Invisalign. I understand you cannot eat whilst wearing them, which is understandable. Thank you!

A. I think mineral water is the only thing you can have with your aligners in. For anything else I recommend removing them and then brushing and flossing or rinsing your mouth well before putting them back.

I Hope this helps you

dr riten patel

Dr Riten Patel
The Mulberry
18 Ashley Road, Walton on Thames Surrey, KT12 1HS
Web: www.mulberrydental.co.uk  Tel: 01932 223 479

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Posted in Dr Patel's Answers, Experts Answers, Q. Invisible braces |

My invisalign tray had air bubbles how long will my treatment take

Wednesday, April 2nd, 2008
Q. I have paid for a treatment for invisalign.html” title=”invisalign“>Invisalign. My first impressions were taken on 18th Dec when i paid about 80% of the payment of the treatment. On 8th Jan i was called in again for a second impression as there were some air bubbles. Since then the doc is unable to give me a date when the treatment will be available. I am getting a bit anxious about the whole thing . Could you please advise on how long it could take for the treatment to begin after the moulds have been sent . Many thanks for your reply.

A. I am sorry to hear thats things are taking a bit longer than expected. Firstly it is very important to get the impressions perfect as they effect the final outcome. I am sure your dentist is probably working up your case to get it just right. Some cases take longer to plan and it really does vary all I can advise you is to keep phoning.
I hope things work out well for you

dr riten patel

Dr Riten Patel
The Mulberry
18 Ashley Road, Walton on Thames Surrey, KT12 1HS
Web: www.mulberrydental.co.uk  Tel: 01932 223 479

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my gums are receeding and crowns dropping do i need new crowns

Wednesday, April 2nd, 2008
Q. Hello i would like some advice regarding replacing crowns i had 4 crowns fitted about 20 years ago i had no problems with them , but i had new ones fitted about 5 years ago due to receding gums,after about 6 months one of the crowns seemed to be dropping, i was told this was the root of the tooth. it has continued to drop, i changed dentists and was told i should not have been given new crowns as i have a gum disease i would have to have a plate. i have changed dentists again and was told i need new crowns i am worried the tooth will drop again would i be wasting my money on crowns or was the other dentist right and i should have a plate?

I would apreciate some advice as i really dont know what is the right decision to make , i dont want to pay out a lot of money and 6 months down the line be in the same situation. many thanks for your time in replying to my question

A. It is definitely in your best interest to hold on to the teeth you have as long as you possibly can. I recommend that you book an appointment with a Periodontist to assess your gum and bone levels and there findings will give you a good idea whether it is a beneficial to change the crowns now or to whether some attention to the gums is needed first.

Kind regards
Dr

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Can i drink hot drinks while wearing invisalign

Wednesday, April 2nd, 2008
Q. Can I drink hot drinks whilst wearing invisalign.html” title=”invisalign“>Invisalign or will it damage them? Is it OK to drink just pure water?

A. Hi S,

Whilst it may seem like a dumb question but how hot is hot? Given that you are wearing the aligner, the sensation of hot and cold is going to be dampened by them, whilst your tongue and other oral tissues are not covered by them, you can risk burning yourself at least once! . That said, it is not recommended to have hot drinks or anything which may stain your teeth whilst wearing the aligners as it will actually take the shine off the aligner making it more noticeable. So whilst you can have the odd drink or two, i would be careful about frequent drinks. Perhaps when it is coming time to change the aligner, you can indulge yourself a bit, and you will eventually find what works for you!

Hope that helps, but any further questions, please do not hesitate to ask!

Regards

dr safeer butt

Dr Safeer Butt
S3 Dental – Synergistic Smile Studios
Clinics in Kent, Surrey & Sussex
Web: www.s3dental.co.uk  Tel: 020 8398 6322

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Posted in Dr Butt's Answers, Experts Answers, Q. Invisible braces |

should a dentist or implantologist extract the tooth prior to implant placement

Wednesday, April 2nd, 2008
Q. Should the patients dentist or the implantologist extract teeth for proposed implants to be fixed

A. Hi P, many thanks for your enquiry, this is a good question, as I am an implantologist as well as a general dentist, I have my own views on this. I believe that the implantologist wherever possible should aim to extract the tooth prior to implant placement. The main reasons being:

The implantologist understands about the bone and what is needed to be preserved in the site to then place a successful implant.

There are tools which an implantologist can use to help decrease the trauma of the extraction and also the condition of the socket.

If the extraction is favourable then the implant could actually be placed on the day of the extraction so saving you the patient time.

Hope this is helpful.

dr kailesh solanki

Dr Kailesh Solanki
Kissdental – UK Practice of the Year 2007
157 Woodsend Road, Flixton, Manchester, M41 8GN.
2 New Street, Altrincham, Cheshire, WA14 2QS 13
Stanley Street, Manchester, M8 8SH
Web: www.kissdental.co.uk Tel: 0161 748 5250

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Posted in Dr Solanki's Answers, Experts Answers, Q. Dental Implants |

will botox help with scars around my mouth

Wednesday, April 2nd, 2008
Q. I have had on and off for many years cracks in corner of mouth now i have scarring would Botox help get rid of scars my mouth looks 3ft wide thanking you

A. Hi R
I am afraid Botox is not a service I provide – I think you would be better off talking to a dermatologist (skin expert) to get a fully informed opinion on this matter

Many thanks

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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I have 2 crumbled teeth and my canines stick out can you help me

Wednesday, April 2nd, 2008
Q. Hi i’m a 21 year and have had an embarrassing problem with my teeth since i was young. They are in a bad way. Two of my teeth near the back crumbled away just over a year ago and more importantly my two canine teeth stick out!! I was due to have braces as a teen but it was delayed and didn’t want them as i got older. Is there any cosmetic surgery i could get done?

A. Hi T
There are lots of options possible here. I will try to point out some choices that might be suitable.

The crumbling back teeth need to be sorted quickly. Small to medium sized holes can be filled with tooth coloured filling at £70-100 per tooth. Large holes may need crowns / inlays / onlays; tooth coloured types average cost £350-500 per tooth. If the nerve has died in the tooth you may need root canal treatment which adds £2-300.

The Canine teeth ( I’m impressed that you know your teeth names) you can treat by veneers usually at least the front six teeth to blend in average cost £400-600 per tooth. Why six teeth? Its because you have to lean the canines back into a small space between the lateral and premolar, to help disguise this you need to borrow some width from the adjacent teeth. Adult orthodontics is still worth considering, look at clearstep or invisalign systems if you want something socially acceptable.

If you want a free consultation you can come to the Birmingham practice for further advice . Please mention that I have offered this via the weblink.
0121 643 0610

Regards

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
18 Bennett’s Hill, Birmingham, B2 5QJ
Web: www.e-dentalpractice.co.uk  Tel: 0121 643 0610

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Posted in Dr Tennet's Answers, Experts Answers, Q. Broken teeth, Q. Orthodontics |

I lost my teeth in an accident and have dentures could I have Implants

Wednesday, April 2nd, 2008
Q. I lost all my teeth in an accident when I was 24 I had brilliant teeth before this and I am now 32 I have dentures but this has made my self confidence to zero and will not have relationships with anyone because of it and I want to know if someone like me could ever be a candidate for dental implants?

A. Sorry for the delay in getting back to you – my practice just re-opened today

Whether you would be a candidate for implants would depend on the quantity and quality of bone you have to accept the dental implants“>dental implants.
You would need to book an assessment with your local Implantologist and they can determine this via xray and specific scans whether implants is your correct option.

If implants are suitable this could be a great option to restore your confidence

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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I have periodontal disease and wobbly crowns can i just replace the crowns

Wednesday, April 2nd, 2008
Q. I have two crowns at the front of my mouth which I have had for approx 15 years. I would like them replaced – as I have periodontal disease and this has caused them to move. One of the crowns is slightly wobbly. Would I be right in thinking that if they were replaced this would resolve the wobblyness! My dentist (NHS) has said to take out my 4 front teeth and replace them with a temporary denture before having a fixed bridge. But surely it would be better to keep my own teeth and have the two crowns replaced wouldn’t it? I really do not want to have to wear a denture as I have very bad gag refelexes – I am only 38 – so surely it would be better to replace the crowns.Many thanks for your answer.

A. Hi L, many thanks for your enquiry, the problem sounds like it is your gums and not the teeth or crowns that is the problem. If you replace the crowns it will unfortunately not stabilise the teeth. It may be that your dentist is right in that it may be better to have the front four teeth extracted. However this does not mean you have to have a denture in the interim period. You could have a temporary bridge placed for three months till all the gum tissues heal. Then finish everything off with a final bridge. You could also look at dental implants depending on your budget.

If you require any further information please do not hesitate to contact me.

dr kailesh solanki

Dr Kailesh Solanki
Kissdental – UK Practice of the Year 2007
157 Woodsend Road, Flixton, Manchester, M41 8GN.
2 New Street, Altrincham, Cheshire, WA14 2QS 13
Stanley Street, Manchester, M8 8SH
Web: www.kissdental.co.uk Tel: 0161 748 5250

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i want dentures that look like my own teeth

Wednesday, April 2nd, 2008
Q. I have a complete set of dentures, which are 9 years old that move about in my mouth and people can tell straight away that i am wearing them as the gum part can be seen when i smile which i am finding embarracing. i am 51 years old and would like to be able to smile as if the teeth i was wearing were my own. please can you help me . how long does it take from start to the completion of the dentures awaiting your reply thanks L

A. There are several ways to manage this problem. Obviously new teeth that are secure is a priority. You might consider dental implants to help anchor a denture www.adi.org.uk has some more details. The costs are around £6-10,000 it depends on how many implants and the type of dentures. Top end dentures have shaped and multi tinted gum work, they really can fool people that they are real teeth &gums.
A botox approach to relax the top lip and reduce retraction on smiling needs careful consideration but can work in some cases.
Replacement dentures without implants but with the tinted gum work £1200 for both upper & lower
Replacement dentures improved fit, shaped gum work, good quality materials / specs £750 upper & lower

As you can see there is quite a variation in cost depending on the route taken. If you would like a free assessment in Birmingham call 0121 643 0610 but please mention I have agreed this via the website.

I hope this helps,

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
18 Bennett’s Hill, Birmingham, B2 5QJ
Web: www.e-dentalpractice.co.uk  Tel: 0121 643 0610

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Posted in Dr Tennet's Answers, Experts Answers, Q. Dental Implants, Q. Dentures |

I need a full set of dentures and teeth extracting what would this cost?

Wednesday, April 2nd, 2008
Q. I need a full set of teeth pref dentures but i am only 33 and dont want them coming out or loose. i also need the decayed remaining teeth extracted i have a fear of dentists and panic due to an experience when i was younger.what would be the best solution? and what would it cost approx? thank you.

A. Dear G

The full answer depends on why you have to loose so many teeth at a relatively young age. A patient that has extensive tooth decay but good gum / bone support might be suitable for dental implant supported dentures, very stable & predictable.
2 or more implants per jaw and dentures £6-10,000 guide price completed. ( You need to include an first set of teeth then the final posh set )

Intravenous sedation would cope with your anxiety on the visits such as extractions & implant placement.

A free assessment is available in Birmingham if you explain the link to this website. 0121 643 0610

I hope this helps

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
18 Bennett’s Hill, Birmingham, B2 5QJ
Web: www.e-dentalpractice.co.uk  Tel: 0121 643 0610

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