Archive for September, 2008
Monday, September 29th, 2008
Q. hi, im thinking about having botox around my eyes, what are the minimum qualifications and training the practioner has to have in order to carry out the procedure? Kind regards
A. Hi
Firstly I would only recommend dentist or doctors to carry out theses procedures. The reason for this is that during their 5 year training they would have learnt anatomy in great detail. I personally think that this is very important when carrying out this procedure.
Also ask the following questions:
1. how many cases have they done
2. see their portfolio
3. what are the potential complications and how would they deal with these complications.
Regards

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
Tags: botox, botox injections
Posted in Dr Bohara's Answers, Experts Answers, Q. Botox | 1 Comment »
Monday, September 29th, 2008
Q. my gums keep bleeding in the same place every time i brush my teeth although i have always brushed and flossed twice a day could this be a start of gum desiese.
A. If you are regularly flossing and brushing then the bleeding should settle down. You should also make sure that you are visiting the dentist and hygienist regularly. If the blleding does not stop then consult your dentist.
Kind regards
Dr Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Tags: gum disease, gum loss, gums
Posted in Dr Glaister's Answers, Experts Answers, Q. gums | No Comments »
Monday, September 29th, 2008
Q. I used to have a brace and my teeth became straight, but have now become wonky again. I wanted to have veneers on my two front wonky teeth but the dentist told me, because genetically my teeth are wonky, even vaneers will move and become wonky. Is this true?
A. This is not correct. With time and age teeth with naturaly move but there are methods that can be put in place to prevent this. If you wanted to get another brace to fix this, when they are taken of, the orthodontist will place a retainer (small wire) on the back of your teeth to stop them from moving back. He may also give you removable retainers to wear to bed every night.
If it was Veneers that you would like to go for, then I supply all of my patients with a mouthguard to wear to bed to prevent any movement.
Hope this has been of help to you.

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Tags: wobbly teeth, wonky teeth
Posted in Dr Glaister's Answers, Experts Answers, Q. Orthodontics | No Comments »
Monday, September 29th, 2008
Q. My lower teeth are jutted out, is possible to get a reconstructive surgery on NHS and am I too old to have them done as I am 53 years old and am wearing denture on my upper jaw?
A. You cannot be descriminated against on grounds of age. You would need to have a sound reason why you need treatment age 53 and not before. Your appearance alone would not justify NHS treatment, the end result would have to deliver a health benefit.
Your Dentist or GP should be able to advise you and refer if appropriate.

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: NHS, nhs dentist, nhs dentistry
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry, Q. Invisible braces | No Comments »
Monday, September 29th, 2008
Q. Hello. I am having orthodontic treatment for the past five years but still my bite has not improved and my front teeth are protruding. Please give me some advice.
A. Hi
Five years seems like a very long time! I would advice you to ask your dentist these questions.
Regards
Kal

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
Posted in Experts Answers | No Comments »
Monday, September 29th, 2008
Q. Hi There Dr. Suri, How do temporaries fit onto your teeth, I know that they are probably attached all together and not separate. I am wearing temporaries now but can’t tell if my own teeth has been slotted into a space…sort of like a mouth guard. they do feel that this may be the case as the underneath of the top teeth feels very high and my mouth does not relax totaly when I close it.? I live in London.
A.
Temporary veneers are all attached together. They are not very comfortable but you should be able to relax your mouth. If you can’t then the veneers need to be adjusted.
You should go to the dentist that placed them and let them know your symptoms. If you would like a second opinion I would be happy to see you for a consultation.
Kind regards

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU
Tags: cosmetic dentist, cosmetic dentistry
Posted in Dr Suri's Answers, Experts Answers, Q. Cosmetic Dentistry | No Comments »
Saturday, September 27th, 2008
Q. I am 28 years old and in need of orthodontic treatment to correct overcrowding of teeth in my upper jaw (due to a narrow arch). Because of my age (and the social stigma of traditional braces) I am looking for a subtle treatment that is also as quick as possible – I am not looking for a “Hollywood Smile” just the confidence to smile that I haven’t had for a decade. I do not have the budget to spend more than about £3,000. I read about the “6 month smile” treatment on www.cosmeticdentistryguide.co.uk and yours is the only UK clinic listed as providing the service. I live in London – please can you recommend a clinic that offers the treatment in London? Many thanks
A. Hi
If you go to the six months smile website, you will be able to find someone in London.
regards
Kal

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
Tags: orthodontic treatment, orthodontics, orthodontist
Posted in Dr Bohara's Answers, Experts Answers, Q. Orthodontics | No Comments »
Saturday, September 27th, 2008
Q. Have had a “knot” in my upper gum around tooth #2 and #3 for almost 2 years. Dentist said nothing to worry about. Now after reg. Dr. said to have CT scan of this “cyst” it was found to be an abscess at the root of an old root canal. This infection has been here for 2 years….could this explain chronic fatigue, and stomach conditions with this untreated infection in body? Also endodotist now says he can do apicoectomy, but I’m wondering if at this point if an extraction may be best. Why is it so important to “keep this tooth if at all possible” if I can always get a bridge or implant later? Please advise… sooo tired mom.
A. Your question is at the sharp end of current debate in dentistry. You will find some experts convinced that focal (localised ) infections can cause general health problems. More specialists in the field would not make a strong link ,The British Endodontic Society for example would not link chronic fatigue to symptom free infection.
I personally would deal with a tooth on its own merit. In general terms I would not apicect a tooth that I hadnt tried to resolve by reroot treatment . If that failed or was not possible, I often prefer an implant to an apiectomy .
I strongly recommend that you only follow advice that is based on a clinical exam. IF you would would like a free consultation with a dentist to discuss the broad idea please contact our practice.

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: gum, gum disease
Posted in Dr Tennet's Answers, Experts Answers, Q. Cosmetic Dentistry, Q. gums | No Comments »
Friday, September 26th, 2008
Q. Hi, I have a large gap between my two front teeth which I am looking to close. I have looked at the available options and would like to go for a clear brace. Is there any significant difference between clearstep and invisalign? Or would one treatment suit my requirements better? Could you give me a guideline for the price I should aim to pay? Can you recommend a dentist in the Plymouth area? Or can you offer any advice for choosing the best one. Many thanks
A. Fixed braces are always better at closing gaps than the clear braces are.
Also after brace treatment you will need a permanent retainer placed on te back of the teeth to make sure that gap doesn’t open up again.
The clear braces require a lot of will power. They have to be worn for 22 hours a day and you are unable to eat or drink with them in. I am undergoing invisalign treatment at the moment but like my food and coffee too much and I find I am not weraing it for the appropriate amount of time, I am now considering having fixed braces to just get the treatment over and done with and it doesn’t rely as much on my compliance.
Have a consultation with an orthodontist to find out what your options are. I can’t reccomend anyone to you in plymouth but if you look on the BACD website ( british academy of cosmetic dentistry) you will find a list of cosmetic dentiats in your area that could refer you an orthodontist.

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU
Tags: clear fixed braces, clearstep, invisalign, invisalign brace, invisible braces, invislaign
Posted in Dr Caplan's Answers, Experts Answers, Q. Invisible braces | No Comments »
Friday, September 26th, 2008
Q. Hello ive been thinking of having my teeth done but im not sure if its venneers that i want many people have said it will change my face structure will it??? its not good for your teeth??? also what cost am i looking at too
A. hi many thanks for your enquiry, firstly veneers do not change the facial structure. teeth do need to be prepared for veneers so this is a disadvantage but the advantage is the aesthetic result can be beautiful. the average cost of veneers are £600 – £1000 dependant on where you go.

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
Winner of Best Private dental practice 2007
Tags: veneers, venners
Posted in Dr Solanki's Answers, Experts Answers, Q. Dental Veneers | No Comments »
Friday, September 26th, 2008
Q. i ama 23 yr old male and i have very bad teeth from as long as i can remember i have cracked chipped and missing teeth along with rotting teeth. it is so unpleasant i actually don’t go out any more. i have zero confidence and zero self respect because of this. can you help?
A.
Sorry for the delay during my annual leave
please contact direct if you still require help
There is lots that can be done to sort this out. You need to start with a clinical asesment to find out what the problems are, and what the cost to fix it would be .

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: chipped teeth, chipped tooth, cracked tooth, rotting teeth
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
Friday, September 26th, 2008
Q. Hey, I wanted to get teeth bonding done as i have gaps between my front 2 teeth, also gaps on either side of them. Also my front 2 teeth are chipped and was wondering roughly how much it would cost. Thanks xx
A.
It sounds as though you may have a bite issue if your teeh are chipped. Bonding can be done to close gaps but you would need to be assessed properly before I could give you an estimate. Please contact my surgery for an appointment if you wish to proceed or contact your local dentist if you prefer.

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN
Posted in Experts Answers | No Comments »
Friday, September 26th, 2008
Q. My daughter is 13. She has an overbite due to thumbsucking. She is eligible for NHS treatment and to have a brace etc. However, the orthodontist is suggesting using the Damon system privately. The difference is between free treatment and £3,000! What are the real benefits beyond the marketing spiel for Damon and what are the key considerations we should be taking into account beyond the cost?
A.
Sorry for the delay during my annual leave
it depends on the individual case, I would suggest a second opinion from someone on the GDC (general dental council ) specialist list for orthodontists, Google GDC for data.

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: overbite
Posted in Dr Tennet's Answers, Experts Answers, Q. Orthodontics | No Comments »
Friday, September 26th, 2008
Q. hi Dr Kailesh.my teeth are not straight but i dont know which treatment i should have??? please reply. im getin married soon and would like nice teeth for my wedding.
A. hi many thanks for your enquiry, if your time frame is quite short there is a treatment called the inman aligner or the six month smile which could work to straighten your teeth. the best thing would be to seek a cosmetic dentist in your area who do these treatments for a consultation. hope this is helpful.

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
Winner of Best Private dental practice 2007
Tags: teeth alignment, teeth straightened
Posted in Dr Solanki's Answers, Experts Answers, Q. Invisible braces, Q. Orthodontics | No Comments »
Friday, September 26th, 2008
Q. I grind my teeth very badly, and wake up with aching teeth. It has been suggested i get my self a bite plate for the night-time. Could you advise me where i can get one of these, without necessarily going through my dentist Kind regards
A. I’m not sure whether you mean you do not want to go to your dentist ot any dentist. If you mean that you do not want to go through any dentist then a company called oprp offer mouthguard that you can order online although they are mainly for sports reaons.
If you meant not necessarily with your dentsit then most other dentists will be able to have a mouthguard made for you.
I do recommend looking into the reason why you are grinding. Beacause although a night guard will protect the teeth at night, you are not getting to the route of the problem, but willl simply be grinding onto the nightguard instead of your teeth. I am a neuromuscular denist and deal with patients like yourself every day. Neuromuscular dentistry looks into the alignment of the bite. Some of my patients also have headached, neck and back pain and other various symptoms
If you would like to find out more about this treatment, please contact my assistant Gina on info@umbrellasmiles.com and she will send you an information pack.
Kind regards
Dr J Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Tags: grinding habit, teeth grinding
Posted in Dr Glaister's Answers, Experts Answers, Q. General dentistry | No Comments »
Friday, September 26th, 2008
Q. Are dental implants done on upper front teeth.
A. hi many thanks for your enquiry, dental implants can be done in any area of the mouth. hope this is helpful.

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
Winner of Best Private dental practice 2007
Tags: dental implant, dental implants
Posted in Dr Solanki's Answers, Experts Answers, Q. Dental Implants | No Comments »
Friday, September 26th, 2008
Q. I would love to have my teeth whitened but im fobbed off by my dentist that my teeth are fine and are naturally yellow which i absolutely loath and affect my self esteem (ive had yellow teeth since i was a child) by the fact i’ll never have white sparkle smile and everything cost so much money and im a single parent wiht 2 children and have been solely single for 8 years approaching 40yrs of age next month and although ive lost almost 3sts in weight i am still lacking confidence cos of my teeth….. is there any ways my teeth can be white without costing me an absolute fortune, ive tried home kit and not worked. my dentist in the past reckoned i will always have yellow teeth cos had it since a child and up to about 9 years ago i became more self conscious of it was cos a guy shattered my confidence by saying i would be far more attractive if my teeth were white – i dont think ive ever recovered from that! Needless to say im no longer speaking to him!
A.
Whtiening had different results from person to person depending on the structure of your teeth. No dentist will be able to tell you the result you will acheive. Did you get your home whitening kit from your dentist? If so then did you wear your whitening trays every day for 2 hours for 2 weeks? If this has not worked then i doubt any sort of teeth whitening will work for you. Did you take tetracycline as a child? If so then this stains your teeth while they are developing and would therefore be impossoble to get a perfect result with whitening.
If you have not tried the home whitening trays from a dentist then this method is the least costly way to whiten you teeth (£395 at my Clinic). If you have already tried this but did not wear your trays for 2 hours for 7-14 consecutive days then i suggest that you buy some more whiteing gel from your dentist and try this method again (you trays will still be good to use and the whitening gel cost around £50 for a weeks worth).
If you have tried both of these above and/or have taken tetracycline as a child then then the next option is Veneers. Veneers are considerably more expensive than whitening (from £795 per tooth at my Clinic) and are a lot more invasive than teeth whitnening and need to be replaced every 10-15 years.
I’m sorry if this is not what you wanted ot hear but hopefully this information has been some help to you.
Kind regards
Dr Justin Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Tags: teeth whiten, teeth whitening, teeth whitenning, yellow teeth
Posted in Dr Glaister's Answers, Experts Answers, Q. Teeth Whitening | 1 Comment »
Friday, September 26th, 2008
Q. I had to have two fillings in the hand side of my jaw. After having the injections to numb the area, my vision was distorted (seeing double). My face looked as if i had a stroke, and was considerably swollen. I have never experienced this before, is this normal reaction to having gums numbed for fillings. Afterwards i could not see properly for about 2.5 hrs.
A. hi many thank for your enquiry, this can happen in around two percent of cases. it is not common but rest assured it could happen to anyone and dont worry there are no long lasting effects.

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
Winner of Best Private dental practice 2007
Tags: anesthesia, gum
Posted in Dr Solanki's Answers, Experts Answers, Q. gums | No Comments »
Friday, September 26th, 2008
Q. Dr. Tennet, I have four crowned front teeth. If I have them replaced, should I expect to pay a reduced price since a lot of the work has been carried out to prepare my teeth to take the crowns? I have been quoted Euros 2,000 total for the four crowns. Regards
A.
The work carried out does not actually make a big difference to the time taken and material fees incurred by the dentist. I would not expect a reduction.
2000 euros should be good quality crowns, try to get the material specifications before starting the work

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: crowns
Posted in Dr Tennet's Answers, Experts Answers, Q. Dental Finance, Q. Dental crowns | No Comments »
Friday, September 26th, 2008
Q. My 2 front teeth have been filled at the back -one more than the other. a filling came out recently and my dentist refilled . The teeth are slightly discoloured . Crowns have been recommended -1 as necessary and the other for obvious cosmetic reasons. My dentist has said that, because of the fillings, the teeth are thin and would not he would not recommend veneers? Opinion/advice please since crowns seem a drastic step Thank you
A.
Usually when a tooth is heavily filled a crown is required due to the weakness of the tooth. It may be an option to do a crown and a veneer onthe less filled tooth

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN
Tags: composite fillings, composite veneers, crown, crowns
Posted in Dr Caplan's Answers, Experts Answers, Q. Dental Veneers, Q. Dental crowns | No Comments »