Cosmetic Dentistry Guide » Dr Suri’s Answers http://www.cosmeticdentistryguide.co.uk/blog Fri, 20 Nov 2009 04:10:25 +0000 http://wordpress.org/?v=2.8.2 en hourly 1 My teeth are yellow and I brush two times a day http://www.cosmeticdentistryguide.co.uk/blog/my-teeth-are-yellow-and-i-brush-two-times-a-day/ http://www.cosmeticdentistryguide.co.uk/blog/my-teeth-are-yellow-and-i-brush-two-times-a-day/#comments Sat, 28 Mar 2009 12:47:46 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/my-teeth-are-yellow-and-i-brush-two-times-a-day/ Q. hi doc i would to ask you about my teeth they r very good and straight but i have aproblem that they r yellow and i brush them 2 times aday i want something to make them whiter or some kind of tooth paste and thankkkkkkkkks

A. There isn’t a toothpaste that will whiten your teeth. The best thing to do is to have a whitening home kit from the dentist. There isn’t any other way to get around it unfortunately
Kind Regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/my-teeth-are-yellow-and-i-brush-two-times-a-day/feed/ 0 I suffer from the injection procedure , http://www.cosmeticdentistryguide.co.uk/blog/i-suffer-from-the-injection-procedure/ http://www.cosmeticdentistryguide.co.uk/blog/i-suffer-from-the-injection-procedure/#comments Sat, 28 Mar 2009 12:20:49 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/i-suffer-from-the-injection-procedure/ Q. Dear doctor, I suffer from the injection procedure , this means that i do not like the pain at that moment , is there any dentist that uses the new wand system on the nhs. thanks for your time

A. I have tried the wand and it isn’t pain free. I have had it done on myself and it does hurt a little bit and it takes about 3 times as long as a normal injection. It also still involves a needle!
I would ask the dentist to use anaesthetic gel first and then apply the injection.
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/i-suffer-from-the-injection-procedure/feed/ 0 I have a missing upper left molar I have been recommended to have a bridge. What are my options http://www.cosmeticdentistryguide.co.uk/blog/i-have-a-missing-upper-left-molar-i-have-been-recommended-to-have-a-bridge-what-are-my-options/ http://www.cosmeticdentistryguide.co.uk/blog/i-have-a-missing-upper-left-molar-i-have-been-recommended-to-have-a-bridge-what-are-my-options/#comments Sat, 28 Mar 2009 11:55:38 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/i-have-a-missing-upper-left-molar-i-have-been-recommended-to-have-a-bridge-what-are-my-options/ Q. I have a missing upper left molar due to the fact that I had acrown fitted which did not take. I have now been recommended to have a bridge fitted, but do not feel that I have had the different types explained to me. I have been quoted £450 & £600. I have been told that one of the proceedures is called Maryland but after reading the details on the website I am even more cofused, The procedure shown to fit a bridge seems to consist of two crowns with a false tootha attached would this be the higher quote do you think. What procedure would you recommend? Regards 

A. The best thing to replace the tooth is an implant. If you have a bridge a marland probably wouldn’t work. It is less destructive than a normal bridge but they have a tendency to fall off especially when replacing a back tooth because these teeth take more pressure.
A normal bridge requires the two teeth on either side to be drilled down and then the false tooth is joined to both of them. These bridges do have a finite life and will ultimately fail. They can last between 10-15 years depending on the strength of the retaining teeth.
An implant is the best option because it has the best success rate, and it doesn’t rely on the other teeth for support
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/i-have-a-missing-upper-left-molar-i-have-been-recommended-to-have-a-bridge-what-are-my-options/feed/ 0 Can ceramic crowns be built up? I suffer from TMJ in the worst way http://www.cosmeticdentistryguide.co.uk/blog/can-ceramic-crowns-be-built-up-i-suffer-from-tmj-in-the-worst-way/ http://www.cosmeticdentistryguide.co.uk/blog/can-ceramic-crowns-be-built-up-i-suffer-from-tmj-in-the-worst-way/#comments Sat, 28 Mar 2009 11:23:17 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/can-ceramic-crowns-be-built-up-i-suffer-from-tmj-in-the-worst-way/ Q. Can ceramic crowns be built up? I hope that’s not a dumb question. I suffer from TMJ in the worst way. My dentist put crowns on all my molars to correct my TMJ. Now it’s worse than ever. I think the top crowns are too short. i think he did this to get my bite in line. the pressure on my joint is constant now not to mention everything else. my front teeth are now banging against each other when i talk. i really believe they are too short. I’m in debt because of this dental work. I cant afford to have them taken off and redone. I’m hoping they can just be built up.

A. They cant be built up but this is will cost as much as having them replaced and unfortunately if you don’t have this problem sorted out it can result in worse problems with your tmj and eventually your teeth will start to break or it will begin to affect your gums.
There is some good news, if you have some splint therapy and your bite is equilibrated your jaw problems may subside and you may only have to have 1 or 2 replaced. Don’t go back to your dentist, it doesn’t seem like he knows what he is doing.
There are 2 options to go for, one is a Dawson trained dentist and the other is a Kois trained dentist. These are 2 schools of occlusion in the USA, and these dentists will beable to help you.
You may find this information out on dentists websites or by asking them. If you live within commuting distance of my practice I can offer advice and splint therapy, I am Kois Trained. In the north of England there is Dr Ken Harris in Sunderland at Riveredge dental practice, he is also Kois trained and in the Wyrell there is Dr Ian Buckell, he is Dawson trained. You can find their details on the website
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/can-ceramic-crowns-be-built-up-i-suffer-from-tmj-in-the-worst-way/feed/ 0 With the replacement of crowns and addition of lumineer veneers will gums recede and create more plaque? http://www.cosmeticdentistryguide.co.uk/blog/with-the-replacement-of-crowns-and-addition-of-lumineer-veneers-will-gums-recede-and-create-more-plaque/ http://www.cosmeticdentistryguide.co.uk/blog/with-the-replacement-of-crowns-and-addition-of-lumineer-veneers-will-gums-recede-and-create-more-plaque/#comments Sat, 28 Mar 2009 10:54:49 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/with-the-replacement-of-crowns-and-addition-of-lumineer-veneers-will-gums-recede-and-create-more-plaque/ Q. My dentist is going to replace crowns on the 2 front teeth. He has also suggested to put lumineer vaneers on the two teeth next to the crowns, for cosmetic reasons. Will he have to scrabe the teeth first? Will there be any problems in the future ie if the gums recede? ( I am 53 years old). Will the teeth be affected in any way because of the vaneer ie collect more plaque? especially near the gums?

A. There is a possibility that you will collect more plaque by your gums above the lumineers, your dentist need to make sure he doesn’t leave a ledge and you need to make sure that you are meticulous with the cleaning. Your teeth will not have to be shaved down, if they are then your dentist is not carrying out lumineers. I am not a fan of them and they are only suitable for particular situations but if it means that the teeth don’t need to be prepared then it will be worth a go.
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/with-the-replacement-of-crowns-and-addition-of-lumineer-veneers-will-gums-recede-and-create-more-plaque/feed/ 0 Hi can you tell me if a crown with a post comes out can it be fixed back http://www.cosmeticdentistryguide.co.uk/blog/hi-can-you-tell-me-if-a-crown-with-a-post-comes-out-can-it-be-fixed-back/ http://www.cosmeticdentistryguide.co.uk/blog/hi-can-you-tell-me-if-a-crown-with-a-post-comes-out-can-it-be-fixed-back/#comments Sat, 28 Mar 2009 10:29:44 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/hi-can-you-tell-me-if-a-crown-with-a-post-comes-out-can-it-be-fixed-back/ Q. Hi can you tell me if a crown with a post comes out can it be fixed back also if a back tooth has broken a lot becaue the crown came off can i have it crowned again

A. In both cases it all depends on the the quality of the tooth left. In the case of the tooth with the post it will be best if you have an implant. Having a new post and crown made will be money down the drain. Posts are the last thing that you can do to a tooth. Once this fails it really should be taken out. I would have to see an x-ray of the tooth where the crown has fallen off. Usually if there isn’t any decay it is possible to be crowned again
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/hi-can-you-tell-me-if-a-crown-with-a-post-comes-out-can-it-be-fixed-back/feed/ 0 roughly how much would it cost to remove my teeth and have dentures made,also how long do i have to have no teeth for while waiting for the dentures http://www.cosmeticdentistryguide.co.uk/blog/roughly-how-much-would-it-cost-to-remove-my-teeth-and-have-dentures-made-also-how-long-do-i-have-to-have-no-teeth-for-while-waiting-for-the-dentures/ http://www.cosmeticdentistryguide.co.uk/blog/roughly-how-much-would-it-cost-to-remove-my-teeth-and-have-dentures-made-also-how-long-do-i-have-to-have-no-teeth-for-while-waiting-for-the-dentures/#comments Sat, 28 Mar 2009 08:09:43 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/roughly-how-much-would-it-cost-to-remove-my-teeth-and-have-dentures-made-also-how-long-do-i-have-to-have-no-teeth-for-while-waiting-for-the-dentures/ Q. Please can you help me,i have very bad teeth,4 whole top ones plus 3 stumps,8 bottom whole ones plus 1 root,i have a phobia of dentists but i really need to go now,my confidence is now zero,i cannot talk to people as im so embarresed by my teeth,roughly how much would it cost to remove my teeth and have dentures made,also how long do i have to have no teeth for while waiting for the dentures.Thankyou so much,

A. Hi,
thank you for your question
You could have treatment carried out on the NHS. You may be eligible for exempt treatment which means that you wouldn’t have to pay anything at all. The difficulty is finding a NHS dentist still has openings and is taking on new patients. You would have to have the treatment carried out under local anaesthetic. The dentures would probably be made first and then on your last denture appointment the teet would be extracted and the denture would be fit.
 If you jave to have the treatment done privately the procedure would be same, the dentures will be better quality and there may be a chance of having treatment carried out under sedation which means that the teeth can be extracted and you won’t remember anything.
Obviously private dentistry costs more. You could be looking at £3000 for the entire treatment
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/roughly-how-much-would-it-cost-to-remove-my-teeth-and-have-dentures-made-also-how-long-do-i-have-to-have-no-teeth-for-while-waiting-for-the-dentures/feed/ 0 Can a veneer be applied to a crown? http://www.cosmeticdentistryguide.co.uk/blog/can-a-veneer-be-applied-to-a-crown/ http://www.cosmeticdentistryguide.co.uk/blog/can-a-veneer-be-applied-to-a-crown/#comments Sat, 28 Mar 2009 07:48:58 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/can-a-veneer-be-applied-to-a-crown/ Q. Hello Dr Suri I have a bridge and crowns, the bridge is still v good, but the crown on the left side is showing the grey metal near the gum. Can you apply veneer to a crown? 

A. Hi
thank you for your question
You can apply a veneer to a crown but is not usually a satisfactory end result. It is better to have the crown replaced as it is probably the same price and you will get a much better end result. The new crown can be matched to you bridge if you are concerned about the restorations will look
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/can-a-veneer-be-applied-to-a-crown/feed/ 0 Can porcelain veneers be placed over my crowns. I do not want lumineers http://www.cosmeticdentistryguide.co.uk/blog/can-porcelain-veneers-be-placed-over-my-crowns-i-do-not-want-lumineers/ http://www.cosmeticdentistryguide.co.uk/blog/can-porcelain-veneers-be-placed-over-my-crowns-i-do-not-want-lumineers/#comments Sat, 28 Mar 2009 07:13:20 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/can-porcelain-veneers-be-placed-over-my-crowns-i-do-not-want-lumineers/ Q. Dr. Suri, I am interested in porcelain veneers for my upper and lower front teeth. Two of these teeth are crowns. Can porcelain veneers be placed over my crowns. I do not want lumineers. Thank you, 

A. thank you for your question
If you are considering having veneers placed on your upper and lower teeth I would strongly advise that you have the crowns replaced as well. It will ensure that your new restoratipns match and they will be made in the correct proportion. You will compromise the end result if you keep the 2 crowns especially if they are at the front of the mouth.
Also when cosmetic treatment is carried the bite is also taken into account and if this needs to be altered in any way to improve the longevity of the new restorations it may be necessary to replace the crowns. It is very to let you know for sure without seeing you first.
My advice would be to have a consultation with a cosmetic / restorative dentist and find out what your options are
I definately agree with you about not having lumineers,
kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/can-porcelain-veneers-be-placed-over-my-crowns-i-do-not-want-lumineers/feed/ 0 What is the cost of Inman Aligners http://www.cosmeticdentistryguide.co.uk/blog/what-is-the-cost-of-inman-aligners/ http://www.cosmeticdentistryguide.co.uk/blog/what-is-the-cost-of-inman-aligners/#comments Sat, 28 Mar 2009 06:52:03 +0000 admin http://www.cosmeticdentistryguide.co.uk/blog/what-is-the-cost-of-inman-aligners/ Q. Hi,I have been looking into Inman Aligners do you know what kinda cost i would be looking at? Many thanks

A. I am probably not the best person to ask this question to. I refer all of my orthodontic work to a specialist orthodontist. You could pose this question to Kailesh Solanki
Kind Regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

]]> http://www.cosmeticdentistryguide.co.uk/blog/what-is-the-cost-of-inman-aligners/feed/ 0