Q. Dear Dr Caplan, I had a bridge fitted last July on the front tooth attached to my good front left tooth. I got knocked over today by youngest son and it has become slightly lose. Will it be repairable?
A. Maybe but visit your dentist asap for an Xray to check for fracture etc
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
Q. hi I would just like to know about the metal chrome cobalt denture -the factors that need to be considered before the denture is prepared. thankyou
A. This seems like a question a dentist would ask. Broadly speaking you need to assess the patients general health. Then local factors such as bone pathology, gum health, tooth health. Finally design needs to be considered such as path of insertion, clasping, pretreatment tooth adjustment etc
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
Q. I am interested in permanent fangs. I’ve heard of two options– one where you can have your teeth sanded down to a certain point, and have veneers placed over them, and they would be like that, permanent, for 15 or so years before they needed to be replaced. And then the more expensive sort– titanium rod implants where the actual bone is modified to give VERY permanent-no-changing-your-mind-later fangs. Is there any more infortmation on these? More specifically, I’d like to know about the former, because I am interested in having it done. Are these permanent to the point where they will not fall off even eating tough things such as steak? To sleep with the
m on, and have them until the 15 years or so is up? Can you give any more infortmation about these, and if you do them? For how much, if so, and every fifteen years, will I have to pay again? And in the event that I may want to switch over from these to the titanium rod fangs– could I? Thank you.
A. You would need to visit your dentist
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
Q. I had 2 caps done that I wasn’t really sure about the way they did it. That is, they joined the two teeth together, rather than making them individual caps. The first go around they were individual caps but alot of food was getting stuck in between and so they join them…I’m not sure I like that idea…two caps joined together, what do you think?
A. May be a good idea if the height of the underlying teeth is poor or the teeth are mobile
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
Q. i want to know if NHS will suport me in my circumstances.I start a full muoth restauration at private dentist last yaer but cant aford anymore.MY SITUATION CHANGE i M on long term incapacity benefit,have HC2 certificate.Basicaly i have manage to put six implants on my upper jaw and still have four teeths left who requier crawns.do you thik Nhs will help to finish upper part because I need six abutments.I can’t eat properly ,I lost alots off weights ,i have constantly pain.I have the implants one year ago
A. You will need to register with an NHS dentist to see if this can be continued on the NHS
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
Q. i think i have receeding gums,my top front tooth is getting longer then the rest,can it be fix with a nice smile?Or am i doomed!
A. Yes it can! You may have gum disease but you may just need a brace to move your teeth into a more stable position – teeth keep on growing if they are not in a stable position
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
Q. Hi, I had a brace as a child to correct two prominent front teeth. Which was done successfully, but over the years they have slowly returned to how they were. My question is would it be possible for these teeth to be replaced by implants, or is the only option the lengthy process of having another brace fitted?
A. The most likely option for you would be brace work – possibley invisalign that would be more socially acceptable
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
Q. dear, doc my wisdom teeth are coming in and i wanted to know if i had to get them cut and if i didnt get them out would they cause me trouble.
A. If they become impacted and the overlying gum becomes infected they will may need to be removed
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
Q. l was diagnosed with oestioporosis 2 years ago have been taking Didronel but have had facial pain and in the last 6 months 3 three have become loose and have been removed. Rx now stopped but can people with this condition have dental implants.
A. Yes they can but it is not ideal
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
Q. Hi,I’m a very unhappy lady when it comes to my teeth , it sometimes brings me to tears i have never been able to smile for a photo and would love to. Im about to turn 40 and for once im my life would like to smile.My front three teeth are not straight,and seem to be going see through,one has had an rct and is now going grey , can you tell me what can be done and how much it can possible cost . im terrified of the dentist as well. Please help, thank you
A. Firstly if you are nervous we provide sedation to help. It is likely that you need vneers or crowns. It is dificult for me to give you a cost but I can say that our veneers and crowns start form £675 per tooth. Please make a free cosmetic consultation with me to see how I can help you
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
Q. Hi, I am a 49 year old male and i have lost all but 3 of my top teeth, and dont have that many left on the bottom, can you help me please?
A. The treatment for you will probably be a combination of dentures and implants. The best result would be a fixed bridge attached to implants but this depends on the amount of bone available for the implants and of course cost
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
Q. I have a question I recently notice that a little gum is surrounded between my tooth is there anything to worry about its not red or swollen. I went to my dentist to have my teeth clean and he didnt mention anything
A. It may be a normal feature that you have just notice – if you are still worried visit your dentist to find out exactly what it is
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
Q. Dear Dr Caplan, have the fillings in my front front teeth an the look horrible i have had them since a child an now i am 23, however on my left hand side im missing a canine so i have a latral.An on my right i have a canine which has been made to look like a latral. both side have centrals. my right side has a root cannl which has started looking darker is there anything i can do ie whitening all my teeth or have crowns an these but i want my other teeth to look whiter to please help
A. A combination of bleaching , crowns and veners should give you the stunning smile you are looking for
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
Q. I have an overbite and i’m losing my 4 front teeth.I’m thinking of removing the teeth and getting partial acrylic dentures and wearing them for a year and then switching to the flexi partial or dental implants whichever will be easeier on my wallet.My question is should i get braces first and then worry about my teeth falling out later? The reason i ask is because another dentist recommended just that and thought it was odd but then again i’m not a dentist.I will appreciate your response in this matter cause i’m so confused and i need to decide which will be the most effective dental plan for me.Thank you so much.
A. If your remaining teeth would benefit form a better position and if your gum line will be improved for future implants for your 4 front teeth I would also recommend a brace. Hope that helps
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
Q. i had a fronr tooth capped due to absess some years ago i came out some time ago and a dentist said that the rest of the tooth has to come out i agree with this but i am terrified of dental work i want to have either an implant or a bridge inserted but the gum where this tooth was has receeded [where they cut my gum to remove the absess]please advise me of the best option i am 65 and suffer with copd
A.
Usually I would recommend an implant because the research shows that they last the longest. However you would need to be assessed for bone volume for the implant and have the aesthetics carefully assessed
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
Q. I am having a root canal treatment for a very sensative back tooth & a crown, this is being done on the nhs but i have to pay. Can you tell me what quality the nhs crown will be & what it is mad of? and do i have a choice ? I ask this because i have a heart condition “AF” [Atrial Fribulation] & i have been told that metal in the mouth such as lead or amalgom can cause this AF that i have. What nhs crown do you suggest i have fitted ?
A. I have seen no scientific evidence to support what you have been told regarding lead or amalgam and atrial fibrillation. I would suggest you discuss this with your cardiac surgeon or doctor to get a clear picture of the facts.
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
Q. hi Mr caplan i hope you can help me I am 36 years old and i have gaps in the first four front teeth at the top not massive gaps but enough to be obvious and they are overlap the bottom teeth quite a bit this affects my confidence and i dont want to smile how much would it generally cost to cure and to bleach my teeth also as they are not completley yellow but are not white either!! I need to have two teeth out also that have decayed the teeth behind the fang tooth on both sides these obviously need to come out first. Please can you give me some advise as i would really like to resolve me confidence issue with my smile
A. Invisalign may be your answer. We would provide a free clean and free bleaching ( worth £570) when patients have invisalign. Our fee for invisalign is £3300. If you are intereseted please contact my receptionist for a free consultation
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
Q. i had bridge work done all of the upper not happy with the results, one side seen lower the teeth seem too big, did have some adjustments, still not happy, also this took almost 3 months to complete. what are the procedure to have this redone. not happy
A. Very sorry to hear that you are not happy with the result of your bridge. The only thing to be done now is to have it redone. If you came to see me I would firstly assess exactly what you are not happy with using photographs and possibly imaging. Impressions of your existing bridge would be taken and a diagnostic mock up of your teeth would be made in wax on the model. When your bridge is removed this mockup would be used to produce a beautiful temporary bridge and any adjustments would be made at this stage until you are happy. This would then be copied to make the final bridge. In this way the aesthetics are very carefully controlled. This could be completed before Xmas but you will need to contact my surgery as soon as possible as my clinical time is limited due to lecture commitments. I hope to see you soon.
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
Q. hi could you help me please my 10 yr old daughter as bad breath her teeth bleed when brushing them.her gums look darker and her teeth dont look right she is also very tierd and feels sick ..because i have never had dental problems b4 i am unsure if this needs emergancy treatment asap she is not in pain with her teeth. or could it wait til tomorrow thank you
A. I am sure your dentist has cleaned your girls teeth to remove the offending plaque
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
Q. At the age of 15 I had four teeth removed and was given a temporary brace to move my teeth, then a fixed brace on my lower teeth for 9 months and one on my top teeth for only 2 months. My teeth were never completely straight at the time I had the brace removed and I stated my worries to the orthodontist. He ignored my request to keep the braces on longer. When removing the braces he cut my gums severely and did not polish them afterwards. I was given a retainer to wear and was never invited to a check up. I have expressed my concerns to my NHS dentist as I have marks on my teeth from the braces and my top teeth sit slightly behind my two front teeth. I am 18 now and a student I would really like the perfect smile I thought I was getting. Is there any way I can be referred to get the treatment I should have got at the younger age? Thank you for your time.
A. You are limited as the NHS will not treat you for mior discrepencies
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
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