Archive for the ‘Dr Caplan's Answers’ Category

Does cerec bridges have any advantage?

Wednesday, October 28th, 2009

Q. I have a missing tooth needing a bridge. I have been advised that a CEREC replacement would be better than a normal bridge because the CEREC materials are chemically bonded to your neighbouring healthy teeth. This would enable my dentist to save as much healthy tooth tissue as possible. Is a CEREC bridge preferable as it allows the dentist to save more of your neighbouring healthy teeth?

A. I would not advise a Cerec bridge as the materials available at the moment are only plastic for bridges

dr julian caplan

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

Tooth filling is causing pain while chewing

Wednesday, October 28th, 2009

Q. Hi doc, I am 25 year olf female. I had a filling done at the end of the jaw a month ago and did tooth cleaning. But apparently after the filling in last teeth upperjaw 2 teeth adjacent to it have become sensitive and cause pain when i chew. There should not be cavity coz i recently had a dental checkup. Only 1 teeth was treated that i already mentioned Is it coz i did cleaning and that has hurt my teeth ?

A. The area may need to settle or you may have to have the bite changed

dr julian caplan

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

Teeth look long after gum receding

Wednesday, October 28th, 2009

Q. My top four front teeth have been on a denture for over 20 years. During that time my gums have receded quite a lot. Both teeth on either side of the four now look silly as the teeth themselves look very long as the gums have receded so much. I have quite a wide smile/laugh but over the years I have tried to limit this as I am very aware of how noticeable the ‘long’ teeth are. Have you any ideas??

A. You probably need a new denture with the teeth correctly placed and the correct amount of gum

dr julian caplan

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

Could NHS dentist help with my teeth infection?

Wednesday, October 28th, 2009

Q. hi im 29 and ive got 4 teeth out at the top the dentist i went to was temp he said i need to find a dentist because i need a lot of work doing but all my top teeth are ifected and cant find a dentist on nhs ive filled forms in but no repliy my moth keeps lockin and some times i have to crack it back in place is this to do with my teeth

A. Finding an NHS dentist can be difficult

dr julian caplan

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

What are the symptons of acid erosion?

Wednesday, October 28th, 2009

Q. My two front teeth appeared to be thinning and therefore appearing darker for the last few months, however recently I managed to look behind my front teeth using a mirror and saw that there is a black mark on each one. Is this acid erosion and how do I get rid of this problem?

A. You need to review your diet to prevent this worsening and see your dentist

dr julian caplan

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

Veneers are too wide can it be filled?

Wednesday, October 28th, 2009

Q. HI! I RECEIVED VENEERS A WEEK AGO. THEY ARE NICE BUT I THINK THAT THEY ARE TOO WIDE. CAN THEY BE FILED?

A. sometimes recontouring can help

dr julian caplan

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

Can bone loss cause loosing a teeth?

Tuesday, October 27th, 2009

Q. recently i can wiggle my front teeth slightly.spent years wearing braces and had jaw realignment. now told i have bone loss and im only 35 can this be rectified and if so how as i do not want to loose any teeth

A. Get yourself referred to a periodontist

dr julian caplan

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

Does NHS dentist charge to fix chipped tooth?

Tuesday, October 27th, 2009

Q. I chipped of half my tooth next to my front teeth last night and a tiny chip on one front tooth and the one next to it on the other side. Does it cost at an NHS dentist and how much roughly would it cost to repair it??

A. You will need to discuss this with your dentist

dr julian caplan

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

What could be done for chipped out front tooth?

Tuesday, October 27th, 2009

Q. Hello, My son has fell tonight and hit his mouth on a corner of a table and taken quite a large chip out of his front tooth !! he is 11 so its his permanent tooth. What can be done ???? A worried Mum !!!!!!!!!

A. See your dentist as soon as possible

dr julian caplan

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

Total cost to replace all my teeth with dentures?

Tuesday, October 27th, 2009

Q. Almost al my teeth are dead or decaing. How much would it be to get all my teeth pulled out and dentures?

A. You need to discuss this with your dentist

dr julian caplan

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

How much does it cost to have transparent braces?

Tuesday, October 27th, 2009

Q. how much does it cost to have transparent braces fitted overseas?

A. We charge £3300 for upper and lower braces with a complimentary clean and bleaching

dr julian caplan

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

Please suggest the type of braces or veneers for my uneven teeth

Tuesday, October 27th, 2009

Q. Hi im 30 years old and my upper and lower eye teeth on the left side sort of stick out, i assume there wasnt room for them when they came through so my top one is higher up then the rest of my teeth. Im not worried about the bottom as no one sees those teeth but it is getting me don when ever i look at pictures and see a horrid smile. What is the best option for me? Im not to keen on the idea of braces as im self conscious enough but maybe there is a better type of brace you could suggest than the traditional metal train tracks or would veneers be any good?

A. Invisalign may work well for you possibly in combination with veneers

dr julian caplan

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

Should I worry about broken temporary veneer?

Tuesday, October 27th, 2009

Q. What do i do if i broke my temporary veneer?

A. If it is at th back do not worry – at the front see your dentist

dr julian caplan

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

Is plastic teeth caps better than others?

Tuesday, October 27th, 2009

Q. hello, I’m considering having my two discolored front teeth capped. the only affordable option is with plastic caps. given today’s technology, are plastic caps of a higher standard than a few years ago, please? thank you. pat

A. They are but I would recommend porcelain for long term treatment

dr julian caplan

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

Can porcelain crown be reshaped?

Tuesday, October 27th, 2009

Q. i had acrown put on my pre molar 3 days ago it fits properly after the dentist ground the bottom to seat against the bottom tooth but it feels like it is too wide on the inside pf my mouth, it looks and feels too wide compared to the other side, can it be ground or reshaped so it feels more comfortable withoutdamaging the porcelain finish or integrity of the crown?

A. This may be possible if there is enough porcelain to be reshaped

dr julian caplan

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

Can infected implant be treated?

Tuesday, October 27th, 2009

Q. My question is this, I had an inplant put in next to a 3part bridge. Unfortunately it did’t tak. A few months later we tried agasin, and again it didn’t take. As the second implant was being put in, I could feel my brain rattling and that is no exageration. I left the office and my whole right side of my face swelled up, to the point that I stayed in my bedroom for 3-4 days in the dark. I was on antibiotics and pain meds, but nothing helped. My doctor came in on a sun to see me and I didn’t have parmacy coverage so he gave me a left over antibiotic from his sons. Now my bride was damaged and cracked, and I had to have my teeth pulled due to such infection under bridge. Also my implant on left side is abcessed. What should I do?

A. You need to see your dentist and discuss your way forward

dr julian caplan

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

Does NHS provide treatment for teeth straightening?

Tuesday, October 27th, 2009

Q. the problem is, is that my teeth need straightening and i dont no how to go about it. does the nhs provide treatment for this?

A. Depending on your age the NHS do provide some ortho

dr julian caplan

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

How to get my tooth removed?

Tuesday, October 27th, 2009

Q. hi there ya went to the dentist to day they said got have all my teeth out in hosptial what happens when i go in hospital i tell the dentist that i want to be put under for it bec got a wisdom tooth

A. Discuss this with your dentist

dr julian caplan

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

What is the cause for my uneven teeth growth?

Tuesday, October 27th, 2009

Q. hi, my teeth are quite small for my age. i’m 16 and only noticed this 1 year ago after an orthodontist pointed it out to me. My molars are maybe 2-3mm out of my gums and my other teeth are less than an inch out of my gums. is this strange or common, furthermore, my to front teeth overlapped as i grew up. is this related?

A. Size of teeth and crowding/spacing are related.  The size of your teeth oftens relates to your general body size.

dr julian caplan

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

When does the gum become tender and white?

Tuesday, October 27th, 2009

Q. I have had one place on my lower front tooth that has been receded for 10+ years. When I first noticed it I started using the Sonicare toothbrush and have used one twice a day since that time. I have obviously purchased new ones over the years, and do not let the head of toothbrush get old and frayed. My overall dental health is excellent, my gums do not bleed when brushing or flossing. Recently (approximately two weeks ago) I noticed the gum area below the tooth was very tender and when I looked, I saw that it was extremely white all around the base of the tooth. I had been using one of those peroxide whitening mouth rinses once a day for about one year. I thought it may have been related so I stopped using it. Since then the area is still very white, with no pain (unless I mess with it.) The gumline below the white area is somewhat more red in color that the rest of my gumline, but again no tenderness or pain. I do not smoke,have never chewed (I am a female)I drink about 3-4 cups of coffee per week. I take a blood pressure med once a day and am 51 yrs. old. Should I be concerned and see a dentist or am I being an alarmist?

A. Go and see your dentist for them to assess the situation

dr julian caplan

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