Archive for the ‘Experts Answers’ Category

Should I floss once or twice a day and before or after brushing?

Tuesday, November 17th, 2009

Q. should i floss once or twice aday and before or after brushing?

A. I would floss every day once is usually enough although morning and night would be great if you have the time!!

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I have lost my denture can I get a quick replacement?

Tuesday, November 17th, 2009

Q. I have lost my denture ( 4 front teeth ) can I get a quick replacement.

A. At my clinic in Essex we can normally make one in a few days please call us tomorrow on 01245 268494 if you would like us to arrange this regards andrew

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I feel some funny clicky popping feeling under my gums plz advice

Tuesday, November 17th, 2009

Q. Hello Dr, For the past couple of months (even in between Dentist visits) I have a feeling on my gums. Its a funny clicky, popping feeling as if air was getting under a layer of my gum and then requires for me to press down to pop it away. I hope I’m explaining myself right. I feel so frustrated since I do a lot of public speaking and I’m so afraid of loosing my teeth. My husband calls me paranoid, but what do you think I’m experiencing. At times the feeling last days. Sometimes its a little painful, mostly uncomfortable but mostly frustrating. One dentist ranked out gum disease. I brush three times a day and after i brush the feeling subsides for a while until I eat, chew gum the noise comes back. I even feel it behind my two front teeth’s upper gum. HELP!

A. It is very difficult to give you a diagnosis without seeing you, if you feel your dentist is not examining your problem please find a good dentist or periodontist (gum specialist) so you can have a full examination.  It sounds like the gums may have lost some of their “attachment” to the teeth.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

My 7 yr old still has no sign of permanent teeth should I worry?

Tuesday, November 17th, 2009

Q. Hi.. Good Day Dr Moore! I have a 7 year old daughter who lost(she was six year old then) her front milk teeth but it’s almost a year there’s still no sign of the permanent teeth..should I worry already for this..Pls help..

A. It might be worth checking with your dentist although they can take a while to come through even when the baby tooth has come out

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Can an inman aligner push my front teeth back to get a perfect smile?

Tuesday, November 17th, 2009

Q. Hello I am a 17 year old and my front two teeth are forward and so they are not straight and alinged with the other teeth.Can an inman aligner fix this and push these front teeth back so my teeth would be perfectly straight? Also, would I have to remove teeth for this? Thanking you

A. It really depends on how your teeth look an Inman aligner may straighten them if not a fixed brace or invisalign may be other options.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

My dentist is going to cut my cap into four pieces to remove it, is this correct?

Tuesday, November 17th, 2009

Q. Hello, my dentist done a cap on my tooth a year ago, but it was the wrong size, it has recently started to smell and cause me some discomfort. When he put the cap in the dentist filed the tooth below, is this good practice? Also he didn’t remove the nerve in the remaing part of the tooth, sould he have? I have now been informed by my dentist that it needs to be replaced (me footing the bill!). I am about to book my appointment, and am concerned about the dentists experience, he said that he will cut the cap, that’s already on my tooth, into four, for removal. Does this sound right, because I am very concerned about the remaining part of tooth underneath. Thank you

A. It’s best to cut the crown into pieces before removing it as this protects the tooth underneath You would normally only reomve the nerve if the tooth causes pain or an infection is present

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I often bite the inside of my cheeks a lot how can I stop it?

Tuesday, November 17th, 2009

Q. I bite the inside of my cheeks alot, almost ever day since almost 10 or more yrs im 23 now.I don’t know what trigged this behavior but i cant stop. Every time im idle, i tend to do it.Even when im studying i do it the most also when im anxious. Im scared that it might lead to cancer since its a chronic habit. I really need help to stop it.Do you know by any chance why i do it and how i can stop it. Thank you

A. It can be because your teteh angle outwards or do not meet properly which can be corrected by orthodontics(tooth straightening).  Sometimes wisdom teeth can cause this go to your dentist so your teeth and bite can be checked.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

My gums have receded to the extent would lumineers be the way forward?

Tuesday, November 17th, 2009

Q. I have 15 year old veneers on 8 teeth and my gums have receded to the extent that the old scraped down teeth is now visible behind the veneers and is ugly and extremely sensitive. Unfortunately I had one replaced by my dentist last year and it looks even worse, he had to shave half of it away so I could close my teeth, not a great job, and I am terrified of the dentist!! Would lumineers be the way forward for me, and how expensive are they? Thank you :)

A. Lumineers are a type of very thin veneer more suitable for people who have never had treatment on their front teeth so I don’t know if they would be the best option for you. It sounds like you just need the veneers all replaced with good quality veneers made using an experienced dentist and technician.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Is it possible to have implants where I had 2 of my teeth extracted?

Tuesday, November 17th, 2009

Q. i want to have 2 possibly 3 dental implants these are to fill a gap where i had 2 back teeth extracted many years ago,the remainder of my teeth are excellent and i have only 1 filling in a back tooth on the other side of my mouth.can you fore see any problems arising,also can you advise me of the costs for the treatment. Thank you,

A. It is difficult to give you exact ideas without seeing you.  If the space is in the bottom jaw then it really just depends on how much bone is available for the implants.  If it is the top jaw it can be more complicated as there is a sinus(pocket of air)  in the back of your mouth.  This can mean you may need a bone grafting (adding) treatment first.  Make sure you find a good cosmetic / implant dentist who can carry out these procedures.  You may not need 3 implants and could even have 2 implants and have 3 teeth supported from them.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

Is it possible to change the post that are in the gums?

Tuesday, November 17th, 2009

Q. Dear Dr. Moore, I have four crowns (in the front in the top rig)that are now showing a black line and so need replacing with Porcelain ones, but also my gum is quite dark and not pink. Is it possible to change the posts that are in the gum, or is it possible to lighten the gum in any way? Thank you for your help! Regards

A. Hello the gum can’t really be changed but the posts might be taken out and replaced with White posts and porcelain crowns

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

what are other options on correcting spaced teeth in front?

Tuesday, November 17th, 2009

Q. what are other options on correcting spaced teeth in front of mouth to make a nice smile?

A. It depends on how your teeth are spaced, the size of your teeth and how your teeth bite together.  You may be able to orthodontics to close the gaps, you may need dental implants to fill larger spaces or cosmetic treatment to make your teeth wider to close the gaps.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

My 2 molar teeth are missing is it possible to fill the gap?

Tuesday, November 17th, 2009

Q. Hi, just wanna ask. My 2 molar teeth was missing is it possible to feel the gap on my teeth? also, how much is the cost of it? Thank you.

A. The costs depend on what is put in the gap. a denture is the cheapest option bridgework the next  and implants the most expensive. expect to pay between £3500-4000 for 2 teeth held with implants

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

My teeth are pushed forward can i get braces to push them back?

Friday, November 13th, 2009

Q. i am 16 and my teeth are pushed forward really bad because i use to suck my thumb and its starting to affect my speech can i get braces to push them back??

A. Yes braces would be a good thing for you to arrange ASAP

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Is root canal required before having a crown in my case

Thursday, November 12th, 2009

Q. i asked my doctor to give me a nice smile or correct spaced teeth in the front of my mouth and he is giving me a crown and root canal on the damaged tooth first, but what about the other teeth in the front they are still spaced will i need a root canal on the other teeth in order to get them unspaced and looking nice?

A. It is difficult for me to say without seeing you, all I would say is that you don’t always need root canal before  crown or veneer is fitted

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I need general anaesthesia for my dental treatment but can’t find one

Thursday, November 12th, 2009

Q. dear dr moore i am hopeing to have some implants but i have a extreme fear of dentists so i have been trying to find one who will give a general anesthesia i have found two clinics which say they do and wene you phone them they talk you out of it and say they wont do it and its there in black and white. so could you help me or do you know of any one. hpoe you dont mind me asking you this.

A. Hello, It will be very dificult to find someone to do this for you but you could try Ashok Sethi in Harley Street as he has access to Hospital services at a nearby medical centre. You could also try sedation which is cheaper safer and more readliy available

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Half my front tooth is broken and NHS is the only option

Thursday, November 12th, 2009

Q. I have recently had one of my front teeth break off half way down, and I basically have a mouth full of fillings including a root canal job. My confidence has been knocked so much and I really don’t know what can be done to help me under the NHS? I’m really hoping you can advise me as it’s getting me really down.

A. You can get basic treatment on the NHS although cosmetic treatment may need to be paid separatly for the front tooth.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Can’t make up my mind to have a porcelain or a metal crown

Thursday, November 12th, 2009

Q. I’ve had cosmetic crowns placed on my 6 upper front teeth (eye tooth to eye tooth). There were multiple issues and I am having them redone. The issue that I’m faced with now is whether or not to have the back of the crown porcelain or metal. If I go with porcelain, I may need another root canal (they will have to remove more of my tooth to make the back thinner). If I go with the metal, I’m afraid that it will show when I laugh or yawn and that later it may look dark. What would you advise?

A. It is unusual to see the back of upper front crowns and metal would be stronger, if you are very worried about the apperance you may have to risk needing a root canal under the porcelain crown

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I need to quit smoking to have implants so is bonding an option?

Thursday, November 12th, 2009

Q. I am aged seventy two and I have had upper crowns and bridges for about twenty five years, now two of the teeth are crumbling inter palatally. This involves the left central incisor and the canine tooth. The remedy which has been suggested is to cut of my bridge between the central incisors, have the teeth removed on the upper left and then have implants. Until I get a new bridge I will need to wear dentures, the estimated cost for this is £9k. There will be two dentists involved in this; one says that I must stop smoking and the other dentist say that I do not need to. At present I am hoping that “cosmetic bonding” is an alternative. My questions are. Could “cosmetic bonding” prevent the offending teeth from additional crumbling? If implants are the only solution, will I need to stop smoking? Many thanks.

A. Bonding is a good temporary solution although if the teeth need to come out then it might not work that well. If you have implants stopping smoking will help improve the success rate.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

I need to straighten my tooth is my age a concern?

Thursday, November 12th, 2009

Q. Hi ive got a cannine that sticks out.My dentist dosnt advise me to have treatment as i am 44 and have lost bone density. Is there anything I could have done to straighten it?

A. A brace maybe an option although you’ll need to treat the bone/gum problem before this is carried out

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Any difference in cost between normal Invisalign and Invisalign teen?

Thursday, November 12th, 2009

Q. Is there a difference in cost between normal Invisalign and Invisalign teen?

A. it really depends on the complexity of the case.

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ