Archive for the ‘Dr Suri's Answers’ Category

Could i have 1 mini implant

Friday, March 27th, 2009

Q. I have 3 teeth missing top left 1 tooth left in top corner and 2teeth next to front 2 i have adenture there with 3 teeth on which i dont like could i have 1 mini implant and a bridge instead thank you

A. It all depends on the amount of bone you have left in your upper jaw. Normal implants are much better than mini implants and will be much stronger especially if you want to retain a bridge. The best thing to do is to have a consultation with an implant dentist so that you know all of the options
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

i have malocclusion in my teeth. is it safe to get orthodontic treatment at 30

Friday, March 27th, 2009

Q. hi, i am 30year old, i have malocclusion in my teeth. is it safe to get orthodontic treatment in this age and how much accuracy we can expect and what are the side effect? thanking you,

A. It is perfectly fine to have orthodontic treatment at your age. As with any treatment there are always s

mall discrepencies in the final result but for the most part it will resolve any malocclusion that you have.
Side effects to orthodontic treatment are very occasionally a nerve can die or a root can begin to dissolve. These occur extremely rarely and it should deter you from having the treatment done
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

i have crooked front teeth top and bottom

Thursday, March 26th, 2009

Q. I am 52 years old and have crooked front teeth top and bottom. My top 2 front teeth are straight but are a funny shape but the two at either side are set back. My bottom set are also misaligned. I have always wanted to get them sorted but thought I was beyond help especially now at my age.

A. It is possible to have veneers or crowns placed on your teeth, it is also possible to have braces at your age but I’m not sure if you would want to have them carried out.
The best thing to do is to seek the advice of a dentist that has experience carrying out cosmetic procedures, ask to see a portfolio of before and after photographs. Most dentists will say that they can carry out veneers but they may not have had appropriate training.
I hope this helps
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

can i have a plate with a tooth and a cover tooth for my incisors

Tuesday, March 24th, 2009

Q. i have a tooth missing at the front next to my 2 main front teeth. Can i have a plate with a tooth and also like a cover tooth for my incisors to make the colour the same as my other crowns,A1. so that would be in effect a plate with 3 teeth but i only have 1 gap? sorry to be complicated.

A. You can have a denture to replace the missing tooth and you can have veneers over the teeth that are discloured. If you are not keen on the idea of veneers then you could have your teeth whitened.
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

HI can you help ,can you tll me how much will it cost

Monday, March 23rd, 2009

Q. HI can you help ,can you tll me how much will it cost for complete restorration of my upper teeth ,what are my options I dont want a plate, I dont have to much money £2500 what can you do for me, can you give me some inplants with a fix bridge,have you any special offers at the moment, I am despreat for some teeth , thanks

A. Hello Kevin, thank you for your question. If you need implants and bridges you are probably looking at a treatment cost of not less than £10,000.
If your budget is £2500, implants would not be a feasible option for you but bridges may. You would proabably have to go to an NHS dentist that also offers private work.
I’m sorry I couldn’t be much help
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

I am 38 years old and am very unhappy with my teeth are wearing away

Monday, March 23rd, 2009

Q. I am 38 years old and am very unhappy with my teeth as they are very small and am very uncomfortable when i smile as my teeth are not very visable. The dentist that i attend says my teeth are waring away very rapidly and was wandering if anything can be done through dental surgery and how much it will cost. please help as this has been quite a worry for some time.

A.

You definately need to go and see a dentist that has training in occlusion. This is the study of how teeth fit together and why they wear. Obviously if your teeth aren’t treated the problem will get worse and the treatment will get more complicated.
If you live within commuting distance of my practice I would be happy to see you for a consultation, If you are in the north of England then you should go and see a dentist by the name of Ken Harris at Riveredge dental practice in Sunderland. It is very important that you have your treatmet carried out as soon as possible

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

Restorative work and Orthodontics

Monday, March 23rd, 2009

Q. Hello. I am 50 yrs old and was treated for severe periodontitis in Feb 2008. I already have overcrowded teeth and they are now protruding because of drifting. In addition I was told I suffer from bruxism. I have always had dental checkups and been assured “everything was ok” in spite of complaing about recession around a crown an pain on biting. I am destroyed by how my teeth now look and am suffering panic attacks and depression. All this was a huge shock as I had no idea. I want some restorative work, but my new dentist has suggested I think about orthodontics instead. I’m not sure the teeth will have a good appearance even if I endure it as they are now yellowing with large gaps. I have nearly sent myself mad looking at solutions on the web and am terrified of choosing the wrong dentist after a catalogue of poor treatment in the past and also am not in a postion to pay a colossal amount of money. Am I doomed to dentures? Thank you.

A. You are definately not doomed to dentures so please don’t worry yourself about that. The most important thing for you now is to make sure the gum disease does not return. This means that ideally you should see the hygienist at least every three months because this is how long it takes for the bacterial biofilm to build up in the periodontal pockets. If you are keen to have appearence corrected then braces are definately an option. The extent of movement however may depend on how much bone loss there has been and if you are not concerned about the appearance of braces this may be a very good treatment option for you.
The other option is crowns but this is more destructive to your teeth.
If you are happy with your current dentist and he has training in the fields of occlusion and restorative dentistry then ask him to send you for an orthodontic consultation. If not then you should find a dentist that does have training these fields and that has a good hygienist. I am sure that your problems can be resolved and in the worse case if you loose some teeth there is always the option of dental implants
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

There are hairline cracks in the veneers and crowns on my teeth and the dentist says that it is due to grinding

Monday, March 23rd, 2009

Q. I had veneers and crowns applied to the top 6 of my teeth 5 months ago. My two front teeth are actually crowns. I went in for a cleaning today and the dentist advised me that I have 2 hairline cracks. One on my front (crown) and one on a side veneer. He believes that I’m grinding my teeth at night and that is what caused this. I don’t think I grind my teeth at night. Isn’t it awfully early for me to be already getting cracks in the veneers/crowns? He is replacing both for free but does not know how well they will match the remaining 4 when complete and wants me to start wearing a mouthgard at night.

A. There is a huge misconception about grinding. Actually very few people grind thier teeth at night. If you do do then you have something called para function which meand the condition is habitual or you have a neurological disorder.
 In both cases if this was the reason then your teeth probably would have exhibited signs of wear before the veneers were placed and you should have been advised of fracture of veneers before hand.
 Also you would definately see some signs of wear on your back teeth. You may have muscle or joint problems. If you had none of these signs or symptoms then you are not a grinder. Without seeing you it is difficult to tell the cause of the wear but usually the reason for vertical fractures of anterior veneers is increased pressure on the teeth. Studies have shown that this is happens during chewing. The constant knocking of the lower teeth against the top teeth causes the bond to fail and this in turn causes the veneer to fracture because without the bond the veneer is extremely weak. This is all backed up by resaerch and studies. If your dentist places the new veneers in the same position as the old ones then the same thing will happen. It won’t make any difference if you wear a mouth guard or not.
Either your veneers were too long or they were locking your lower jaw back, or the palatal incline on them on them is too steep.
I hope this helps
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

Is it better to have an Implant or a bridge for a missing tooth

Monday, March 23rd, 2009

Q. i have a front tooth missing am 40 what is the best thing to have a bridge or a implnt thankyou

A. An implant is by far the best restoration to replace the missing tooth. It has the highest success rate of any treatment and it doesn’t depend on the adjacent teeth for support. You will probably only have to have the implant done once whereas with a bridge this would have to be replaced within your life time
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

I have had lumineers done . Now they are breaking

Monday, March 23rd, 2009

Q. I have had lumineers done . Now they are breaking and I want to know why this has happened . I have been in contact with my dentist but he hasn`t gotten back to me yet . I would like to know why this is happened i don`t want thei to happen againe thank you .I hope to hear from you as soon as possible .

A.

I am sorry that your Lumineers are breaking. As a dentist that carries out all types of restorative treatment, lumineers are only suitable for certain people. This is why I advise people to very careful before they have Lumineers. If your dentist has placed these restorations and they are not suitable for you probably because of your bite then breaking is inevitable.
You need to have your bite checked, maybe by another dentist. Usually, and I can’t speak for your dentist but dentists that carry out Lumineers don’t have training in other aspects of dentistry. You might want to ask your dentist if he has training in occlsion, if he hasn’t then iI would go to someone that does
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

The crown on my teeth is too large

Monday, March 23rd, 2009

Q. Hi Dr Suri! Last week I had a root canal on my #14 molar and had a crown put on. After the root canal I had my temporary crown on for about a week and a half with no problems. My dentist put my permanent crown on two days ago and it seemed much larger than the temporary and the adjoining teeth. I experienced a lot of pain for the first day and could not chew on it. Yesterday I went back to the dentist complaining that the crown was too large and I wanted him to change it. He told me he thought it was ok and the pain should go away in a few days. I’ve had 4 crowns done before and never had that kind of pain afterwards. Right now the pain has pretty much subsided (except for a little tightness) and I can now chew on it, however I still feel the crown is too large. Should I insist that he changes this out since I feel I shouldn’t have had pain for 2 days afterwards and cosmetically it does not coform with the size of the adjoining teeth?

A. If you are not happy with the treatment you can insist that it is changed. Your dentist will probably offer to file it down but if you stick to your guns then you can get it changed
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

I have gap in my teeth and I haven’t got confident to smile

Monday, March 23rd, 2009

Q. My front two teeth are a bit stick out and gap. Gap is getting more obviously seen between these I think , due to missing of one back tooth. I remove back tooth in last three years because of cavity. What should I do now. I haven’t got confident to smile.

A. It probably isn’t due to the fact that the tooth was extracted. Do you have gum disease. This is a reason that your teeth could be moving. My advice would be to go and see a dentist and ask him/her to check for periodontal disease. If you want to have the gap filled then you could have a bridge or an implant
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

My local NHS dentist recently informed me that most of my teeth are loose

Monday, March 23rd, 2009

Q. hi Dr my local NHS dentist recently informed me that most of my teeth are loose and very sensitive i have 7 top teeth, 2 which are very loose, and 10 bottom teeth,i have a partial denture(5)which causes me to urge from time to time,i am 80yrs old would appreciate your advice please. regards 

A. I think the best thing to do is to have the very loose teeth extracted and added to the denture and then make sure that the remaining teeth are well looked after. You will need gum treatment around the rest of your teeth so that you don’t have to have them extracted as well
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

I have been told to have full dentures as I have gum disease

Monday, March 23rd, 2009

Q. Hi i have an upper partial denture, i have been told basically i will have to have full dentures as i have gum disease, can a normal dentist do this procedure or would i have to go into hospital for this, and would they take them all out in one go and also how long would i generally be off work for. Kind Regards.

A. A normal dentist can carry out this procedure. You will probably have the teeth removed and your new deture placed in the same appointment.
 If you have gum disease the teeth should come out fairly easily so there is no need to worry. You may need some sutures depending on how many teeth are removed
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

Is it possible to have all my teeth removed and implants put in and if so how much would it cost?

Sunday, March 22nd, 2009

Q. Hello, i am 21 and have had problems with my teeth for the last few years, my local dentist says that my oral hygene is fine but i keep getting holes in my teeth,which has resulted in an one of them being removed and several being filled. this has cost me a fotune in dental bills and its becoming painfull sometimes. is it possible to have all of my teeth removed and implants put in and if so how much would it cost?

A. There is a reason your teeth are failing. You may have weak enamel, there may be things in your diet that are contributing to the decay that is occuring in your teeth. This needs to be sorted out and if your own dentist doesn’t know what is going on then you should go and see someone else for a second opinion. I would always advise you to hold on to your own teeth if you can. There is no point in taking out healthy teeth and you probably wouldn’t find a dentist that would remove all of your teeth. Full mouth implants would cost you in excess of £40,000.
 Think very carefully about your choices and seek a second opinion
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

What is the life span of composite veneers?

Sunday, March 22nd, 2009

Q. Hi Komal I am 33 and over the past few years I have undergone extensive dental treatment and maxillofacial surgery on my lower jaw. I am quite happy with the results, however my 4 front upper teeth are still not straight and there is a dark triangle/space inbetween my two fron teeth. I recently visited a cosmetic dentist who advertised lumineers. After a consultation costing £200 the dentist told me that composite veneers would be best for the 4 upper teeth. He suggested that I could get ones at £400 per tooth or £500 per tooth as he didn;t think limineers were best for me at £900 per tooth? I was quite happy with the results of the mock up and he told me the £500 composites per tooth would last 10 years. I have been reading up on the internet and am now a little concerned as the life span doesn’t seem to be as long. Also I didn;t want any reduction of my own teeth so he said composite was best. The overall treatment for 4 teeth will cost £2100 plus the £200 consultation. Can you advise if you think the composite veneers are best for me and if so if this price is reasonable?

A. Composite veneers may last for 10 years but they won’t look very good. They stain with time, especially with red wine, tea, coffee etc. They need to be regularly polished for them to maintain the appearance  they have when they are firdt placed. You could always try them if you want but I’m not sure you will like them and they may last but won’t maintain their appearance
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

Is it possible to have any gaps between teeth filled in at the same time as having veneers fitted and also if it is possible to have my smile widened?

Sunday, March 22nd, 2009

Q. Hello, I was wondering if it was possible to have any gaps between teeth filled in at the same time as having veneers fitted and also if it is possible to have my smile widened? my teeth are in an absolutely terrible state and my fear of dentists has stopped me going regularly, i have had a couple of really bad experiences with dentists and have been very ill after 12 Major operations over the past 15 years. unfortunately, because of the amount of painkillers and other tablets i have been on, approx 36 tablets a day, i was not aware when i was suffering any tooth pain and have subsequently lost a lot of my teeth. I am not long out of hospital after a bad bout of Pneumonia and have cut down massively on my tablet income, i feel my illnesses have had my best years and i’ve always been so self concious of my teeth i would like to have a complete makeover of mouth!! I’m sorry to have gone on a bit but if you could help me i would be very gratefull, thank you in advance for aswering my questions and giving me any advice.

A. Hi, thank you for your question.
It seems like you’ve been through a lot of the years.
It sounds like the treatment you needis a full mouth rehabilitation. This will restore the aesthetics as well as the function of your mouth.
It sounds like you need the stability back so that the pressure that is put on your existing teeth is reduced.
The treatment will probably involve different treatment modalities so that all of the problems are resolved.
If you would like to come to the practice for a consultation then I would be more than happy to chat with you. If you do not live in travelling distance of the practice then it is best to go and see a private restorative dentist for an opinion.
My practice phone number is 01296 624163
Kind regrards

dr komal suri

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

Advice for teeth straightening in West Wales

Sunday, March 22nd, 2009

Q. I am 32 years old, my teeth at the front top and bottom over lap baddly. I have decay on the gum line and discoloured teeth. I use a phillips sonic tooth brush and all the usual and have for years. I have not looked at my teeth in a mirror for 2 years. 2 days ago I bit a label of a new jumper and a chip came of my bottom tooth! I have asked a number of dentists about straightning my teeth (as they comment that they are bad and why had nothing been done when I was younger) but they tell me I will have to go somewhere else and offer no advice! What can I do about my soft enamel? Where do I go for advice about straightning my teeth? I live in West Wales and dont want to travel to London. Help me please, Thanks

A. Hi,
 it is not a question of soft enamel. If you have decay at your gum line this would indicate erosion of some sort. This could be from stomach acids or diet.
The question I have is how can you not haved looked at your teeth for 2 years!
 Whenever you brush your teeth you should look at them afterwards so that you know that they are clean! The fact that you use a sonic toothbrush will not exempt you from decay.
 My advice would be to go and see adentist straight away and see ahygienist so that they can show you how to look after your teeth in the right way. If you would like your teeth straightened then braces is always an option but your oral hygiene regime will have to be much more vigorous
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

I need to have my teeth straightened

Sunday, March 22nd, 2009

Q. Hi, my bottom teeth are not straight and i have one front tooth at the top which is overlapping the other front tooth,to have these straightened what is the best option to go for. Also when i smile my top teeth seem to stick out more is there any way that can be corrected.

A. Orthodontics is probably the best and least destructive way of correcting your crroked teeth. If you are not keen on braces then you could investigate the possibility of restorative work, crowns and veneers
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

my two front teeth are curved as a result of tongue sucking

Friday, March 20th, 2009

Q. My two front teeth are curved, as a result of tongue & thumb sucking. What procedure would you recommend for this to be rectified? Also, could you recommend a dentist who could give me the necessary treatment please? Thanks.

A. I think that the best and probably the only treatment that is suitable for you. All orthodontists will be able to carry out this procedure so if you look on the internet for orthodontists in your area you will beable to go for a consultation
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