Archive for May, 2009

does orthodonics treatment only help to push teeth inward? what abt for gums?

Sunday, May 31st, 2009

Q. Hi, am currently under orthodonics treatment. Bt after 1 yr the although my teeth are moving, gums seem to be still protruded, nt able to close my mouth.doed orthodonics treatment only help to push teeth inward? Wht abt for gums, is there any treatment?

A. I would recommend you consult your dentist

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ

I am thinking about getting complete dentures can i get an estimate of how much they cost

Sunday, May 31st, 2009

Q. I am thinking about getting complete dentures. My insurance only pays half can i get an estimate of cost so i know how much money i will be spending out of my pocket.

A. Complete dentures vary widely in price but as a guide, at my clinic in Essex we charge around £600 per denture and £1000 for both

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have a really bad overbite is there any way to fix it using retainers instead of braces

Sunday, May 31st, 2009

Q. I have a really bad overbite and I want to get it fixed without braces. When I went to an orthodontist before, they were going to remove 2 of my top teeth to help push them back faster and make more room in my mouth. Is there any way I could do that but use a retainer instead of braces?

A. A retainer is used after a brace to hold the teeth in place. You might be thinking of an Aligner. this can move the teeth often without using fixed braces although there application can be limited to only certain types of cases. Look up Inman Aligner dentists on google in your area and see if they can give you another option

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Are porcelain fused to metal crowns removable? i wish to have porcelain crown please advise

Sunday, May 31st, 2009

Q. Are PFM crowns removable? I just got two porcelain-fused-to-metal crowns over my canine teeth but HATE them- they look so unnatural (opaque, color doesnt match the rest of my teeth, thick-looking- I look like I am wearing teeth I got at a halloween store)! I wish I had known porcelain crowns were an option. please advise- I am desperate!

A. They are removable but are usually destroyed in the process. If you opt for all porcelain crowns the PFM will be removed and new impressions taken so you’ll be starting again, although by your description this might be a good idea

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

i have recieved a quote for 7000 pounds for dental implant but i feel this is a lot of money

Saturday, May 30th, 2009

Q. Hi Dr i currently have 4 front crowns in my upper jaw that are continously coming loose due to fractures and wear and tear. i only have 1 to the left and 3 to the right of my natural teeth left in the upper with no molars left in lower jaw either. i have recieved a quote of £7,000 for impalnts but feel this is a lot of money for only 4 teeth when i could have a complete upper denture fitted for less, i am also concerned that although i now take care of my remaining teeth the damege is already done and i will only have to spend thousands of more pounds throughout time having individual implants fitted.

A. £7000 is a lot of money but it might be worth paying it to avoid full dentures. Fixed teeth should be more comfortable than dentures in the long run

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

does medicade pay for invisalign?

Saturday, May 30th, 2009

Q. does medicade pay for invisalign?

A. Unfortunately I have not heard of medicade but no insurer will pay for cosmetic work.

Kind regards

Dr Justin Glaister

dr justin glaister

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

i feel a little click occasionally when i try move my front teeth with my tongue any ideas?

Saturday, May 30th, 2009

Q. I am 24 years old. I just felt this week that one of my front teeth feel a little loose. I can’t see it move but I feel a little click occasionally when I try to move it with my tongue. Any ideas? and any way to help it get better?

A. The teeth can sometimes feel loose but it is just slight movement in the socket. It might still be worth your dentist checking it out.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have many teeth cooped up in my head would you let me know the cost of correcting?

Saturday, May 30th, 2009

Q. hi, down to the point.. my teeth are not the best, i have to many teeth cooped up in my head, fangs at the front “16″ on the top row. could or would you let me know the cost of correcting? thnk you for reading..

A. There are lots of options avaible for improving teeth aesthetics from braces to veneers- costs differ for each treatment. Without assessing your mouth i would not be able to advise you on which is most suitable.

I recommend you book in with a cosmetic dentist or orthdontist to explore your options.

Kind regards

Dr Justin Glaister
www.umbrellasmiles.com

dr justin glaister

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

Ive got Nail Patella Syndrome and is there any permanent options other than maryland bridges

Saturday, May 30th, 2009

Q. Hiya Dr Moore I’ve got Nail Patella Syndrome which has affected my teeth. I’ve had lots of work done on my teeth since I was a child. When I was 15 – 18 I had four maryland bridges put in which have lasted 15 years. The problem is one keeps coming out now and my nhs dentist keeps cementing it back in but it just keeps coming out again. I asked my dentist if they could do anything different ie implants as he said they use maryland bridges as temporary measures these days. He more or less said i’d have to go private as they would lose out on money if they did another type of bridge. What happened to patient care. It’s really distressing me now as i take pride in how I look and it’s embarrassing as it’s right at the front of my mouth. Any advice, can they do inplants or any other type of bridge that will be permanent. Many thanks for your advice. I couldn’t afford to go private and I don’t see why I should when I pay my taxes. The nhs in useless these days isn’t it.

A. Unfortunately implants have never been (or probably never will) be available on the NHS. Your dentists hands are tied with regard to the type of treatment he can offer you on the NHS. Adhesive bridges work well but are unpredictable, perhaps he could start again and make you a new one, this often works better than repeatedly sticking the old one back in

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

i had 2 root canals and now have chronic infection in all of them could my dentist be a fault

Saturday, May 30th, 2009

Q. Last year I had 4 replacement crowns fitted (for cosmetic reasons) and 2 new root canals I now have chronic infection in all, The old crowns with 1 post were in for 25 years with no problems could my dentist be at fault?

A. hi
unfortunately when any tooth that has had a long standing post is disturbed infections can flare. this also applies to any root canal.your dentist is not at fault but you should have had an explanation that this may occur when you made the choice.in most cases where the crowns have been on the teeth for so long the underlying tooth is quite weak and rone to the need for root canal treatment

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

My front teeth has been lose for a year do i really need to wait for the embarrassing moment

Saturday, May 30th, 2009

Q. Hi, Im 23 years old and have 4 crowns on my 4 upper front teeth. My dentist recommened them after an assault 3 years ago, He said the impact caused abcesses?I had them all route canaled but only 1 has a post. (I dont know why) The very front right has been lose for almost a year I can feel it move slightly when I suck on my tooth and I can push it with my tounge. I saw a dentist a few months back that said he didnt want to “mess with it” because it may be the tooth thats loose, not just the cap. But after living with this for a year, I’m growing impatient with not being able to bite into anything with my front teeth. Do I really just have to wait for the embarrassing moment when it finally comes off or out all together? Its killing my self esteeme, not to mention I paid heavily for my teeth in the first place. Thanks.

A.

Its very difficult for me to advise you on this as i have no seen your teeth before or after your accident. If your dentist thinks that the tooth may be lose then simply replacing the crown would not be sufficiant. You would most probably need this tooth extracting and animplant put in its place. This is why your dentist is advising to leave it for as long as possible.
I recommend that you book in to see a dentist that specialises in gums and implants (peridontist/implantologist) to examin whether it is the tooth that is lose and what the tooth prognosis is.

Kind regards

Dr Glaister

dr justin glaister

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

I need to take my teeth out in the hospital but i am phobia of going to hospital can you advice

Saturday, May 30th, 2009

Q. hi visited the dentist about year ago and was told that i needed to go to hospital to get remainder of teeth out and appointment was made but i cant bring myself to go because my fear of hospitals is unbelivable just dont know what to do my teethare not salvagable and i know i need them out but this phobia of going to hospital is depressing me so much and am in pain again an i dont want to go back to dentist for what they will say

A. Could you have the teeth out at a clinic specialising in sedation, this is much less traumatic for someone wooried about hospitals why don’t you ask your dentist for a referral?

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have pain in the tooth would the pain be caused by invasion? is any chance i can have implants?

Saturday, May 30th, 2009

Q. Dear Dr Moore I have a crown(fixed bridge) on 22,23,24,25,26,27. The dentist told me this was the best solution since I have partial dentures attached at 22 and 27. Is this true? 22 is hurting, it had root canal done, the dentist who did it says everything is ok with the root canal and I have invasion of the biological width and I need gum grafting. Could the pain which started after the crown was fixed be caused by this invasion? If I am 56 and have osteoporosis is any chance I can have implants ? Thank you very much.

A. The most important thing about the bone for implants ar the local factors such as infection or bone loss priort to the removal of the teeth. it would be a good idea to get a scan of the jaws to measure your bone in detail. You coud then consider implants especially if tooth 22 has a very poor prognosis

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

i have been bulimic for years and now i need to replace my veneers would i be covered

Saturday, May 30th, 2009

Q. Hello, I have been bulimic all my teenage years therefore suffered with rotting teeth. I had veneers put on them when I was younger and more financially independent. I have however had them replaced when I wa pregnant six years ago and obviously didn’t have to pay then. But they are starting to feel a bit wobbly now and going a bit brown and there is no way I can afford new veneers. I am so scared I am going to be left with no teeth. Would I be covered?

A. Sometimes you might be able to get the veneers replaced on the NHS. You need to discuss this with your dentist to see if they will do this for you -  andrew

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

my top front teeth started to decay is it possible to get them crowned in white

Saturday, May 30th, 2009

Q. hi my four top front teeth has started to decay really bad. is their any possibility that i can get them crowned in white without removing my teeth.

A. This depends on how decayed they are, if it is possible to save them then your dentist maybe able to do this with root treatments and crowns

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I had a crown fitted 5 months ago and now it fell out is it reasonable to ask for a refund

Saturday, May 30th, 2009

Q. I had a crown fitted 5 months ago, it cost me approx £300 for a white one, it fell out tonight along with nearly all of the tooth underneath, I don’t think it can be repaired? all I’m left with is a big hole and no tooth above the gum line. Is it reasonable to ask for a refund? If i’d been warned it may not last long I wouldn’t have gone to the expense.

A. 5 months isn’t long for a crown to last, go to your dentist and see what they offer you as a solution

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have 3 broken molars on my left quadrant maxillary surface do i need a bridge or dentures

Saturday, May 30th, 2009

Q. I have 3 broken molars on my left quadrant maxillary surface they right next to eachother is tooth 2 3 4 i am 22 years would i need a bridge or dentures am i to young for this work

A. If the teeth can’t be repaired then maybe removal of the teeth and a bridge or denture maybe your only option. You might also consider using implants for missing teeth

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have a very large gaps in my upper and lower teeth what can i do to get my smile back

Saturday, May 30th, 2009

Q. Hi Dr Moore, I have a very large gaps in my upper and lower teeth. This is really eating into my self-esteem. What can i do to be able to smile and feel confident enough to talk to people?

A. The gaps could either be filled with resin or veneers or closed with brace. You should consult your dentist to discuss the various options in detail

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have enough size of gap on the right side is it necessary to spend on implant?

Saturday, May 30th, 2009

Q. I got both of my upper back second tooth removed. First one (left) was remove about 8 yrs ago now that the gap got really small the wisdom tooth from that side growth out. The second one (right) side got removed 1 yr ago. I recently just got all the other three wisdom teeth removed because they under the gum and grow horizontally. My question is that since I still have enough size of gap left on the right side, it’s necessary to spend $ 3000 on implant? That gap is in the back, if I don’t do anything, what will happened?

A. The implant will support the bite on that side preventing further drift of the opposing and adjacent teeth, thus reducing the stress on the remaining teeth.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

i had brace as a child the dentist told the teeth wouldnt go any further back is it true?

Saturday, May 30th, 2009

Q. I have a couple of teeth that are slightly crooked in the front top. I wore a brace as a child which straightened them slightly, but my dentist at the time said they wouldn’t go any further back. Is this true?

A. Teeth can always be moved provided there is space for them to move into. It might be that you need a different type of brace or space creation using a technique known as stripping. This creates small spaces between the teeth to allow the teeth to straighten more easily.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG