Archive for June, 2009
Tuesday, June 30th, 2009
Q. My 13 year old daughter has a large white mark on her front tooth. She is very self conscious of this and people often say to her that she has something stuck on her tooth. It covers about 40% of just one tooth. What is the best way to get rid of this mark? Our dentist was quite dismissive and said she should wait until she’s 18 to do anything, but didn’t really tell us what could be done?
A. I see a lot of children with these white marks it is very common it is often due the tooth not forming correctly. You should find a dentist who has air abrasion so the outer surfaces can be gently removed and then a cosmetic filling can be placed to block it out. I have carried out this procedure out on children as young as 10 as they were getting bullied at school.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: composite fillings, cosmetic dentist, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, Cosmetic+dentistry, cost cosmetic dentistry, dental fillings, fillings
Posted in Dr Patel's Answers, Experts Answers, Q. Cosmetic Dentistry, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. Hey, I want my teeth to be as white as possible, what products are the best for this? I want my teeth to be bright white, thanks.
A. The best natural way is by deep tooth whitening using products from your dentist such as enlighten. However if you want incredibly white teeth you can have porcelain veneers made, however this involves cutting your natural teeth down, you can then choose how white you want your teeth. Be aware when teeth are to white they look very cold and false. I would advise whitening first.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: teeth whiten, teeth whitening, teeth whitenning, tooth whitening, zoom, zoom teeth whitening
Posted in Dr Patel's Answers, Experts Answers, Q. General dentistry, Q. Teeth Whitening | No Comments »
Tuesday, June 30th, 2009
Q. Hi Dr Patel, I am hoping you may be able to give me some advice; I have recieved conflicting info so far and I’m unsure! Basically I have veneers to my upper teeth and unfortunately one of them now needs a root canal on it as it was damaged during the prep for the veneers and is very painful. My dentist says the rct can be done from the back of the tooth and not affect the veneer. However another dentist has told me that the tooth will likely go dark and show through the veneer, spoiling the look from the front. I am really worried about this. Is there a technique that can be used to avoid the tooth darkening after a root canal? And are you aware of similar cases where the veneers appearance has not been affected after the rct? Many thanks for any advice or info you can give
A. If the root canal is successful and then sealed well the tooth will not go dark however root canal treatment involves hollowing the tooth out so it is weakened due to this it may need a full crown with post. You should be prepared that you will probably need a crown but try to have the root canal treated from the back without damaging the veneer. The veneer can sometimes be removed first using a laser and then re cemented.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: dental veneer, dental veneer costs, dental veneer gum line, dental veneers, root, root canal, root canal treatment, root canal. veneer, teeth discolouration, tooth, vaneers, venee, veneer, veneers, veneerswhite smile, venner, venners
Posted in Dr Patel's Answers, Experts Answers, Q. Dental Veneers, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. my son is 6 years and 9 months old .his upper canine teeths fell off 8 months ago .still there is no sign of teeth eruption .wondering if anything needs to be done.lower canines fell after upper ones and they erupted completely. he was a thumbsucker .
A. He is still young for his canine teeth to be coming out they normally erupt around the age of 9. If you are concerned ask your dentist to take an x-ray to assess that all the teeth are present and developing normally.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: canine, canines, teeth, tooth
Posted in Dr Patel's Answers, Experts Answers, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. I have 2 missing teeth at the top either side of the middle two. My two front teeth are also receeding. It sometimes hurts when i brush them. I was wondering would i be able to get veneers on the top teeth, if so how much would it cost. My bottom teeth are not too bad, but i really hate them. Im embarrassed when people see them, and hate smiling!! Need to do something…
A. You need to have you teeth assessed by a cosmetic dentist to get the best result you may need your teeth moved by orthodontics first of have some gum grafting to improve the look. You could have implants to fill the missing gaps.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: dental veneer, dental veneer costs, dental veneer gum line, dental veneers, front teeth, front tooth, missing teeth, missing teethj, vaneers, venee, veneer, veneers, veneerswhite smile, venner, venners
Posted in Dr Patel's Answers, Experts Answers, Q. Dental Veneers | No Comments »
Tuesday, June 30th, 2009
Q. am is there some kind of visual change in your lower lip after having a lower frenectomy?I mean is my lower lip going to drop or change or something of the sort?
A. everyone is different but you lower lip may have a little more movement but I do not think there will be major changes although it is difficult to predict without seeing you.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: cosmetic dentist, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists
Posted in Dr Patel's Answers, Experts Answers, Q. Cosmetic Dentistry | No Comments »
Tuesday, June 30th, 2009
Q. hi there dr.andrew moore. i fell over last night my 2 front teeth one is broken and one is wobbly. and other one next to the wobbly one is also broken with nerve showing. my front tooth that is broken got filling done to it and my other broken one with the nerve showing is gonna get a root canal. i just want to ask what is the best way to treat my wobbly one? due to my dr said to leave it and see what will happen to it. i would like to hear other advice. thanks
A. If it is very loose it should be held firm by sticking it temporarily to the adjacent teeth. If it is only slightly loose then it would be best to leave it.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: front teeth, front tooth, wobbly teeth
Posted in Dr Moore's Answers, Experts Answers, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. hi i have extreme overbite and they said that i need retainers so how long will i need them
A. After orthodontics I recommend removable retainers to be worn 6 months day and night, followed by 6 months at night after that I like them to be worn at least 2 nights per week forever.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: orthodontic treatment, orthodontics, orthodontist, overbite, retainer
Posted in Dr Patel's Answers, Experts Answers, Q. Orthodontics | No Comments »
Tuesday, June 30th, 2009
Q. Hi Almost 20 years ago as a child I had an accident where I broke my 2 top front teeth and chipped the edge of the adjacent lateral incisor. these were all infilled with cement (or something like that) and veneered. The dentist at the time did say that by age 18 or so I should look to get them capped. They;ve never really given me problems and although I have been aware of gradual deteriation through wear, I think they are on the verge of breaking now. Is their any benefit to capping them over veneering if they seem to last so long anyway? What would you recommend? Thanks
A. I would probably recommend staying with veneers if they have lasted a long time, caps or crowns need the teeth to be drilled down more than veneers although they are stronger.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: dental veneer, dental veneer costs, dental veneer gum line, dental veneers, vaneers, venee, veneer, veneers, veneerswhite smile, venner, venners
Posted in Dr Moore's Answers, Experts Answers, Q. Dental Veneers, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. I was told by my dentist that i needed a veneer on my front tooth as it is chiped on the surface. However someone has told me that i would need all teeth in my smile line does as the tooth which is chiped is on my smile line and this would be free on the NHS as i am only 17 years of age. Please could you confirm this for me.
A. Unless you are undergoing extensive cosmetic treatment which is not sanctioned by the NHS then you only need the one tooth treated either by a bonded white filling or porcelain veneer.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: dental veneer, dental veneer costs, dental veneer gum line, dental veneers, NHS, nhs crowns, nhs dentist, nhs dentistry, vaneers, venee, veneer, veneers, veneerswhite smile, venner, venners
Posted in Dr Patel's Answers, Experts Answers, Q. Dental Veneers | 3 Comments »
Tuesday, June 30th, 2009
Q. I had a filling replaced on my upper right 2nd to last tooth. then had a piece of on top of the tooth fixed on the bottom left. after ward my bite was so off my front bottom teeth hit my top on the inside. went back and the dentist said it wasn’t from the work I needed a night guard. went to another dentist who said the same thing. sill don’t think they were right because my bite got worse to the point I couldn’t chew gum anymore because it bothered me so much. went back to my dentist recently and he took a drill to the back of my front teeth and shaved some off to correct it. now the back of my front teeth are very sensitive. is that normal and should that have been done. because now I am thinking he drilled off the enamel please let me know your thoughts.
A. I can’t really tell without seeing you to analyse your bite. If the bite does feel normal now the sensitivity should get better over the next few weeks
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: front teeth, front tooth, orthodontic treatment, orthodontics, orthodontist, sensitive teeth
Posted in Dr Moore's Answers, Experts Answers, Q. General dentistry, Q. Orthodontics | No Comments »
Tuesday, June 30th, 2009
Q. hi, i have milk canine tooth, while the adult one traped in a gum, and i have some crowding (all in upper jaw). can 6 month smile braces work for me? thank you.
A. You really need traditional braces. The impacted caine tooth needs to be exposed and dragged down if your teeth are crowded I would recommend Damon Braces as in 80 % of cases I do not need to take any natural out.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: fixed brace, fixed braces, invisailgn, invisalign, invisalign brace, invisalign braces, invisible braces, invisile braces, invislaign, orthodontic treatment, orthodontics, orthodontist
Posted in Dr Patel's Answers, Experts Answers, Q. Invisible braces, Q. Orthodontics | No Comments »
Tuesday, June 30th, 2009
Q. I have a crown that covers 3 teeth, looks like 3 teeth and now 2 of the tooth posts under the crown have broken off in the crown? Please is there a way I can still have the crown? I spent so much on it, I am still paying the loan, I don’t know what to do.
A. i think you are talking about a bridge. If the posts are broken the foundation has gone so the bridge might be unsaveable. Perhaps you should go back to the dentist to see what they can do if it isn’t that old they might be able to fix it for free??
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: bridge, bridges, crown, crowns, dental bridge, dental bridges, dental crown, dental crowns
Posted in Dr Moore's Answers, Experts Answers, Q. Dental crowns | No Comments »
Tuesday, June 30th, 2009
Q. is smoking permissable w/dentures?
A. Ideally you should not smoke you know that. If you smoke with your dentures in they will get stained dark yellow.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: dentist, dentistry, denture, dentures
Posted in Dr Patel's Answers, Experts Answers, Q. Dentures, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. can you have you teeth whitened wen you are pregnent
A. No we advise you to wait until after the baby is born
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: Q. Teeth Whitening, teeth bleaching, teeth whiten, teeth whitening, teeth whitenning
Posted in Dr Moore's Answers, Experts Answers, Q. Teeth Whitening | No Comments »
Tuesday, June 30th, 2009
Q. i have a front tooth which is a crown and have a infection under the tooth but its also loose im on medication for the infection if the tooch fals out can i get it put back on.?also is a bridge now the best option
A. If the tooth can not be saved the best option is an implant. You can have a bridge but this will put stress and strain on the teeth next door to the gap, they will also need to be shaved down.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: bridge, bridges, crown, crowns, dental bridge, dental bridges, dental crown, dental crowns, front teeth, front tooth
Posted in Dr Patel's Answers, Experts Answers, Q. Dental Bridges, Q. Dental crowns, Q. General dentistry | No Comments »
Tuesday, June 30th, 2009
Q. My teeth had always been healthy, up until I got braces when I was 14. They ruined my teeth.. since then its been downhill..I have 4 teeth that are so decayed and broken and I am so embarrassed b/c I am so young. I was also bulemic when I was younger as well. I just had a baby too, and I found that pregnancy drained my teeth! I need to know what I should do. 3 teeth are broken to the gumline. I have an appt july 13th and I want to be prepared to ask the right questions and have the right care!
A. You need a full assessment and you need to find a dentist you feel comfortable with. First step is to assess the teeth and gums and decide which teeth can be saved, get your gums healthy, improve your own cleaning of your teeth so you can look after them better. Once this stage is done options can be given to improve your smile and fill gaps.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: broken teeth, gum, gum disease, gum graft, gum grafting, gum loss, gum recession, gum shrinkage, gums, healthy gums
Posted in Dr Patel's Answers, Experts Answers, Q. General dentistry, Q. gums | No Comments »
Tuesday, June 30th, 2009
Q. i have had pain in my front tooth and i had a filling 6n month ago and its been fine.but recently its caused me pain what do yoiu think it could be ?
A. You need to go and see your dentist and have an x-ray you either need a new filling or a root canal treatment
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: dental fillings, fillings, front teeth, front tooth, root, root canal, root canal treatment
Posted in Dr Patel's Answers, Experts Answers, Q. General dentistry | 1 Comment »
Tuesday, June 30th, 2009
Q. Dear Dr Patel I have recently been told that I need to have a brace fitted. I have a baby tooth which has not yet fallen out as the tooth above has not come through. I am 26 years old and I am most distressed about this. I do not know why it wasn’t picked up before and as I already have many self issues I feel a brace is going to upset me even more. Please could you tell me about what kind of procedure I would need. I have been advised that I would need to have the roof of my mouth drilled and then the tooth would have to be pulled through and fitted to a brace. Is this correct? I hope to hear from you soon. Kind Regards
A. It does sound like a very daunting treatment but I assure you alot of people have braces at your age. The need to expose this impacted tooth is also very common, you will feel a bit of pain as you go through the procedures but the final outcome will be worthwhile. This is the best treatment for you.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Tags: braces, fixed brace, fixed braces, orthodontic treatment, orthodontics, orthodontist
Posted in Dr Patel's Answers, Experts Answers, Q. General dentistry, Q. Orthodontics | No Comments »
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