Archive for the ‘Experts Answers’ Category

I have a crown but would like to have my teeth whitened, what can I do?

Tuesday, January 3rd, 2012
Q.

Hi,
I’m 18 and have really bad teeth, they make me self conscious and insecure about my appearance. My front left tooth is a crown as I had an accident which broke my natural tooth. The tooth to the left of that is in bad shape, and possibly needs removing and a new one putting there. My teeth are also discoloured and this is a major issue for me these past couple of years. I haven’t tried any whitening products that you can buy etc because my crown matches the colour of the rest of my teeth so if I had them whitened then the crown right at the front would stand out. I just want to smile with confidence, and would like some advice on what I should do? Would it be possible to sort my teeth out in one day? because I don’t want to be walking around with even more dodgy looking teeth as I go to university and I would be really embarrassed. Hope you can offer my some advice. I am very self conscious about my smile. I am also very nervous!


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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What can be done about the large gaps between my front teeth?

Friday, December 23rd, 2011
Q.

i have not really got a perfect dentition which gives me low self esteem i have got large spaces inbetween my frontal teeth,which prevents me from smiling and expressing my self for long.its just with the incissors and canine set.but every other set(the premolar and the molar) is perfect,i need ur advice,i was wondering within my self if there would be a best way to go about it besides surgery,i will be pleased,cheers


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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I have sensitive teeth and receding gums, what advice can you give me?

Friday, December 23rd, 2011
Q.

Hi Dr. Bohara. I need some advice please. I have extremely sensitive teeth and my gums are receding. I am a diabetic also. My teeth at the back of the top and bottom of my mouth are very sore. Especially when I eat. So painful i need painkillers. I have several teeth missing at the back of my mouth at the top and bottom and sometimes when the pain is so bad i feel like i could pull them all out. Two of my teeth at the front lower jaw have very severly gum recession and are a little loose. Could you please advise me on any treatment. I currently receive free nhs treatment. Any advice would be much appreciated.


dr kalpesh bohara

Dr Kalpesh Bohara

The Dental Suite
36 Frederick Street, Loughborough, Leicester, LE11 3BJ
Web: www.dental-suite.co.uk  Tel: 01509 231144
3 Rutland Street, Leicester City Centre, LE1 1RB
Tel: 0116 312 0054

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What options do I have for straightening my pointed canines?

Thursday, December 22nd, 2011
Q.

Dear Dr. Hughes,
I am a 20 year old female. My upper canines have basically been bugging me all throughout my teenage years and whether I like it or not, they make me very self conscious. My left upper canine is very pointy and sort out jolting out, whilst the right one is slightly less ugly but still pointy. I have been to a dentist some years ago who had said I need to get braces but this is an option which I really am not keen on as it would take a long time and I just don’t want them. What other options might there be for me? Would I be able to undergo some form of surgery? It is a dream to ever have a normal healthy-looking smile one day and I really hope braces is not the only option there is out there for me.

Many thanks for your time

Kind regards, 


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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What is the best option for my worn front teeth?

Thursday, December 22nd, 2011
Q.

I require a veneer to the top quarter of one of my front teeth. The enamel here has completely worn away. I am not presently looking for any further treatment. I have recently seen a dentist and other minor works required can wait until I can afford the cost. I cannot have the tooth whitening process as I have tried this and am allergic to it. Could you possibly offer an approximation of cost for a front tooth veneer? I am not sure if it is possible to cover just the affected top quarter of the tooth or if the whole tooth has to be covered? Thankyou


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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What is the recommended amount of enamel you can remove from a tooth for Invisalign treatment?

Wednesday, December 21st, 2011
Q.

Dr Hughes,

Could you please tell me what is recognised as the safe maximum amount of IPR per tooth?
I am getting Invisalign next month and to due to the fact that my teeth are protruding and I have crowding issues, to get the required result it appears I need to have .5mm taken off each side of my top teeth and .3mm off each side of my bottom teeth. Is there any risk to the long term health of my teeth?
Thanks


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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Have I made the right choices concerning my damaged front teeth?

Wednesday, December 21st, 2011
Q.

I recently broke two of my front teeth in an accident and so far I have had to have 1 removed as it couldnt be saved and currently it has been replaced with a temporary cap which is attached to 3 post. This tooth that has to be removed currently still has the roots and my denstist has already killed off all the nerves before replacing it with the temporary fixture as mentioned above.

On the second tooth which is one of the two front ones,it broke half way which my dentist has fixed with some filling materials that has covered the broken part. After a month from this treatment, I have had to return to get a root canal treatment on this tooth as it was giving me a lot of problems. My dentist after hearing my description of the pains as well as my xrays had given me two options which was to do a root canal or provide me with some antibiotics for a couple of months to see the reaction. I had opted for a root canal as I thought that down the line I will probably have to get it done anyway as my teeth had broken half way and the nerves had been exposed. Now I dont know if I had made the right decision by opting for a root canal this early and the thought of having to deal with discolorations etc had been really disheartening. Please advise if I did make the right choice, I am awaiting my next round of review so I could get it crowned and I wondering if it is also a good idea to get it crowned this early as the current fixture placed on it is not giving me to much problems.

My last question is this, according to my dentist the tooth that he has removed which I had mentioned above can be replaced with a crown that can attach to middle tooth that I had broken which will also be crowned. he has suggested that I pull out the root and have this procedure done. Is this the same as having a bridge??furthermore I had wanted a post and core done but he had advised against it as there hasnt been much teeth left after he had pulled it out and whatever is left is above the gum line and any post and core treatment will require that they pill off part of the gum to get it done. I had sort a second opinion from another dentist and he had advised that it could be possible to still do a post and core. Now I am confused as to what I need to get done. I want something done so that I wont have to worry about it falling off or giving me any problems in the next few years and so therefore would appreciate any advise that could give me some comfort and direction on what procedure to undertake before I make any decisions. Thanks


dr rob tennet

Dr Rob Tennet

St Johns Dental Practice
18 Bennett’s Hill, Birmingham, B2 5QJ
Web: www.e-dentalpractice.co.uk Tel: 0121 643 0610

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How do I find the best cosmetic dentist for veneer treatment?

Friday, December 16th, 2011
Q.

Hi there, I am really interested about getting veneers on my top teeth, having had braces and asthma when I was younger they are discolored and have moved in shape.
I live in Milton Keynes but my question to you, is how do you know the best place to go to get them? I don’t want a fake looking smile, which makes me really scared but I look at images on the internet and a few of my friends and most look amazing. Could you recommend anyone to me? and what price should I be looking at paying.

Many Thanks 


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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I do not feel like I have been properly informed about my treatment, what should I do?

Thursday, December 15th, 2011
Q.

Recently i had a dental treatment and doctor offered me a further treatment of root canal and crown which is going to cost me £204. Two months ago same doctor checked my front tooth and done the filling on it which came off with in two months and i was told that they will redo the filling for me. Last night, i went to a same dentist for a filling and i mentioned him that my gums are bit swollen around that same tooth. He checked my tooth and done some Xrays and told me that there is same decay on the back of my teeth which is causing this swelling. He tried to remove the decay and drill it and after a while he told me that tooth is gone, its half broken. Then he showed me an xray and told me that tooth was there just becuase of big filling and no actual tooth was left. My complain is that; 1- Why didn’t he treat it properly two months ago when he done the filling. 2- Why didn’t he tell me about the consequences of my treatment. 3- Why did he try to clean the decay when he had already seen my xrays. Before starting a treatment i should have informed about that consequences. 4- During my all treatment i wasn’t informed about anything like what can be happend to my tooth in the future and i was not given any options for the treatment. 5- I have asked them for a second opinion but they said that i can’t have it becuase my treatment has already started but it hasn’t started yet. To me it feels like they want to do their job quickly without doing it properly. Just in hurry of completing all appointments in a day. As a patient it is my right to have a second opinion.


dr andrew moore

Dr Andrew Moore

Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 08443 87 87 88

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Could you please explain root canal treatment?

Wednesday, December 7th, 2011
Q.

i want to ask about infected root canal with abscess my treatment plan is prescription of antibiotic with frequent irrigation and inter appiontment the canal left open with cotton fiber without temperory filling or close it with temperory filling?

and what is the proper antibiotic should be prescribe to this case ?

and deep cavities in subgingival caries what is the type sub base used in this case? thank you for your time 


dr safeer butt

Dr Safeer Butt

S3 Dental – Synergistic Smile Studios
Clinics in Kent, Surrey & Sussex
Web: www.s3dental.co.uk Tel: 020 8398 6322

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