Archive for the ‘Q. Cosmetic Dentistry’ Category

Please help me in reshaping my teeth

Friday, November 6th, 2009

Q. Dear Dr Moore I am Writing concerning a special case of cosmetic dentistry i am interested in. I am looking for a way of reshaping 8 of my teeth (the top and bottom canines and top and bottom lateral incisors). I wanted to consult you as to the feasibility of this, and secondly if it is a service you can provide as it is reshaping the teeth rather than trying to return them to a normal shape. The effect i am after is for the canines themselves to be slightly expended (approximately 1 or 2mm) and both them and the lateral incisors to be more pointed. The intent is to be a subtle effect and must be acceptable for still eating/chewing etc. I realize in itself this request is rather unusual, but i was hoping even if you yourself cannot provide this service you might be able to point me in the direction of those who could. On that note, if you can provide this service, how much would it cost? for all 8 teeth and which would be the best way of approaching this? I would greatly appreciate any help your expertise could lend to this matter.

A. The reshaping of teeth can be carried out in a number of ways including simple bonding of white filling to the teeth (cost £50) or veneers/crowns (starting from £450). The choice depends on the durability of the material needed, the extent of the correction required and the position of the opposing teeth.
The next step is to come in for a full consultation in order to find out the type of treatment you require. If you are interested please call the clinic on 01245 268 494 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

What can be done to a half broken tooth surfacing below gum-line?

Friday, November 6th, 2009

Q. Hi, I have just returned from a visit to my dentist today. My appointment was for preparation for a crown on upper molar, second from back. This tooth had broken in half followng root canal treatment and filling 5 years ago. My current dentist put a temporary cover on it and we left it for six months to ensure that the seal hadn’t been breached. When he removed the temporary today he advised he would be unable to save the tooth as what was left of the tooth was partially below the gum-line rendering a crown that would not be viable. He suggested either a bridge, which he felt was not a good option due to the grinding down of the adjacent teeth and suggested an implant at a cost of £2,000. Having done some research on the internet some sites have said that crowns can be placed even if there is only a root left (that has had root canal treatment) and a post can be inserted into the root for the crown to be attached to. Can you advise if this is a possibility please? I look forward to your response. Many thanks.

A. the details are all important here. some teeth can be managed with crowns some are better extracted.
the size, shape and location of the residual tooth : filling are all important.
Before implants there were several common ways to solve the problems. But the fix might only last 5-10years, Implants can be more predictable in some cases. so tend to be increasing in popularity.
If you are near our city centre Practice beside New Street shops contact Amy for details of a free initial assesment. 0121 643 0610

dr rob tennet

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

I am not happy with the outcome of my cosmetic dental treatment

Thursday, November 5th, 2009

Q. I have recently completed a course of cosmetic dental treatment which included a porcelain veneer on one of my front teeth. I don’t feel at all happy with it as it is rough to the touch and not the same colour as the other tooth. It appears almost stained!I am concerned to speak to my dentist as a complaint seems an insult to his work, however, the treatment was expensive and I am not happy with the result. Your advice would be appreciated as I don’t believe a pocelain veneer should be rough. Thank you for any help you are able to offer.

A.
Thanks for getting touch, I would recommend that you do return to your dentist and explain your concerns. I would much prefer my patients to be happy with their treatment and be able to recommend my work. It may be that there is a little excess cement left from when the veneer was fitted. However in respect of the colour, the veneer should be enhancing your smile without standing out, and so the dentist may have to consider remaking the veneer in a shade which better matches your natural teeth shade. I hope this helps.
Many thanks
DR Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Invisalign recommended for straightening with crown and bridge already present?

Thursday, November 5th, 2009

Q. Dr Solanki, Would a product like Invisalign be suitable for someone who has a crown on one of their two front top teeth and a double winged bridge on one of their lower left teeth? Are there any other options that could be used that have the same effect of straightening teeth that have gaps between them that could be used? Thank you for your time

A. Thanks for your questions, it is still possible to have Orthodontic treatment when you have crowns and bridges, Although I would recommend that any new restorations are delayed until after orthodontic treatment. There are many different methods for teeth straightening, each with their own advantages, such as invisble braces and braces which can work in as little as six weeks. I would recommend that you consult with a dentist or orthodontist to gain advise on which system would be best suited to your particular case.
Many thanks
Dr Kailesh solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Is gum contouring done along with veneers treatment?

Thursday, November 5th, 2009

Q. I beleive I may need 1 or 2 implants to replace 2 vineers I already have. I would also like vineers on the other 6 front teeth to perfect this. I need some gum contouring on the right side as my gum shows to much when I smile. Could the gum contouring be done before or after the vineers/implants or would the contouring have to be done in conjunction with the vineers/implants? I am also considering going to Poland to save money rather than Harley st. Whats your professional opinion on this ?

A. The contouring is normally done at the same time as the veneers. You could also consider going to a dentist outside London rather than Harley Street that tends to be quite expensive rather than travel all the way to Poland

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 grinding habit has caused my front teeth to look terrible

Thursday, November 5th, 2009

Q. would you be able to mend my teeth idf I am a grinder, I grind my teeth across my dentist told me. would it be possible to do my 2 front teeth with Cerec, I need a good smile this is ageing me terribly

A.
It should be possible to have your front teeth veneered or crowned to improve their appearance. However I would recommend that once you have had this procedure, you should wear a nightguard. This will help to protect the restorations, and prevent you from grinding them down.
Many Thanks
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

My dentist is reluctant to suggest a treatment could you please help?

Thursday, November 5th, 2009

Q. Hi, I have a quick question I hope you might be able to answer. One of my front teeth is slightly twisted and is particularly noticeable when you look at it from the side. It makes me self-conscious when I smile, although my other teeth are still in place and I would be happy to leave them where and how they are. I wore a fixed brace and then a removeable brace as a teenager and have recently had my top 2 wisdom teeth removed due to overcrowding (perhaps this may have caused the front tooth to twist?). I asked my dentist about possible treatments but he seemed reluctant to suggest anything as the tooth is healthy. I wouldn’t want to wear another fixed brace and ideally would want a quick, long term solution, preferably not too expensive. I was wondering what might be the best option? Thanks.

A.

Thanks for your question, probably the quickest method to improve the appearnace and position of a tooth would be to place a veneer on the tooth. The dentist may be able to prepare the tooth, so that a veneer would sit in line with your other teeth, however depending on how much preperation is involved, it may require root treatment of the tooth as well. The other alternative would be a straightening system. I know that you are reluctant to wear fixed braces again, but you may be interested in the Inman aligner, which can acheive results in as little as six weeks, and is also one of the most cost effective straightening systems. I hope this will help you mae a decsion.
I wish you well.
Dr kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Can you give more details on treatment cost?

Thursday, November 5th, 2009

Q. Hi there. I noticed on your website that it says the cost of treatment can be between £1000 and £2500 per treatment – does that mean ‘Per trip for treatment’ or the treatment as a whole (ie: by set of aligners).

A.
I thnk from the details that you provide, you are loking into different teeth straightening methods, so I can tell you that £1000 – £2500 would be the price range for the different systems. That would be a full set of aligners in the case of Invisalign for example. I hope that helps.
Kind Regards
DR Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Invisalign treatment has changed my normal bite

Tuesday, November 3rd, 2009

Q. Hi Dr Solanki . i had treatment to straighten my teeth using invisalign and i have just finished my treatment of using Invisalign. i have been told just to wear it while im sleeping. the problem is that my teeth were normal before i started the treatment just not straight but now they are straight but i cant bite properly. only my wisdom teeth are touch when i bite the rest do not touch. this really hurts. i was wondering if this is common and is it suppose to happen? will it sort itself out or will i need to see a specialist? if it will sort itself out how long would this take? How can this problem be rectified? your help would be greatly appreciated

A. Hi
Thanks for your question, this is a problem which can occur if the Invisalign aligners do not extend as far back as the wisdom teeth, possible because they have erupted since the start of the treatment. As you will have worn your aligners for most of the day, your teeth don’t come into contact due to the plastic being in the way. If the aligners are not sitting over the wisdom teeth, then they will continue to erupt until they are touching each other (uppers & lowers). Hence when the aligners are finished the only teeth which bite together are the wisdom teeth. I would recommend that you visit your Invislaign dentist to discuss the problems and the ways to solve this at your earliest convenience in order to stop the pain and discomfort. these options in the short term will be to make a hard splint, take out the upper or lower wisdom teeth or grind down the wisdon teeth so that your other teeth meet. I hope that this helps and wish you well.
Kindest Regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

A protruding tooth is affecting me playing my trumpet

Tuesday, November 3rd, 2009

Q. I am a professional trumpeter with a protruding upper tooth which affects my playing. I am wondering if having it removed and a dental implant inserted would help. How long after initial consultation would you typically be doing the surgery? How long after surgery would I be able to play trumpet? How many appointments are normally required?

A. Because you are a professional musician the procedure would need careful planning . Same day implants are suitable in some cases, although the success rates are higher if there is a delay of 3 to 6 months before restoration. an initial consultation at the stjohns dental practice is free contact amy for details 01216430610

dr rob tennet

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

Is invisalign treatment safe for pregnant?

Tuesday, November 3rd, 2009

Q. I have been for a consultation and am a suitable candidate for Invisalign. I am keen to start this as soon as possible however I am also trying to conceive and have been unable to find any information as to whether Invisalign is safe and recomended for pregnant women. Would I be able to continue my treatment as planned if I was to become pregnant?

A. Thanks for your question, if you were to become pregnant during your Invisalign treatment, it should not be a problem. You should be able to carry on with the treatment as planned. I hope this helps.
Kind Regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

I hav two caps joined together Is dat a good idea?

Monday, November 2nd, 2009

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

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 I have silver fillings to be replaced with composite materials in molar tooth?

Monday, November 2nd, 2009

Q. I thought of going to have my silver fillings to be replaced with composite materials in one of my molar tooths. But some of the current silver fillings stick to my gums, how does the dentist going to remove it? Will it cause my gums to bleed during the drilling? I am concern that the harmful silver particles will get into my gums.

A. hi many thanks for your email, the silver fillings that are placed close to your gums will still be removed and can be replaced with the white filling material. the silver filling material will not harm your gums.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Need dental treatment post abcsess

Sunday, November 1st, 2009

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

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 prices for cosmetic bonding?

Friday, October 30th, 2009

Q. Hello, I am interested in the option of cosmetic bonding as my teeth are slightly even and discoloured. I would like to know the kind of prices that this would involve (I understand this will vary from dentist to dentist so just a rough idea would be great) Thanks

A. Thanks for your question, you are right in that the prices will vary between practices, but you should expect to pay between £80 – £150 for this treatment.
Many Thanks
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

What are pros and cons of teeth filling?

Friday, October 30th, 2009

Q. I had braces when I was 17. At the time there was an issue with overcrowding on the bottom teeth. There was discussion of pulling a tooth, but it was not done. I’m now 33 and have overcrowding of my lower front 6 teeth. My orthodontist suggested pulling a tooth or filing the teeth down. What are the pros and cons of filing the teeth down? Does this ruin your tooth enamel?

A. Slight adjustments using a techniwque known as interdental stripping helps to create the space in order to align the teeth. The loss of a tooth often causes an asymmetrical final result but might be your only option if the teeth are very crowded.

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

Do I have to wear a retainer after I take off my braces?

Friday, October 30th, 2009

Q. Hey I have research about lingual braces and i am very interested in getting them… my question is do your teeth still move over time after the braces are taken off and do I have to wear a retainer after I take my braces off? Another question would be is that if I was to get lingual braces… is it possible to make payments by installments? Please get back to me

A. Thanks for your questions, as with most teeth straightening treatments, it would be recommended that you wear a retainer once your treatment is completed in order to prevent your teeth from moving back to their natural position. If you feel that you would not wear a removal retainer regularly, you may wish to consider a fixed retainer. Although payment options will vary between practices, many will have the facility to offer payment plans such as interest free credit to halp you spread the cost of your traetment.
Many Thanks
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Need latest treatment to fix my uneven crowded teeth

Wednesday, October 28th, 2009

Q. Hi, I had braces on my top teeth when I was 17. I’m now 30 and I’m very self conscious of my ‘goofy’ teeth. The braces did straighten my teeth but my top teeth have always stuck out over my bottom ones. When I close my back teeth I am able to slide my little finger between the gap. When I had braces they never addressed my crooked bottom teeth and so I never have elastic bands to help the alignment of my teeth/jaw. As an adult now I feel I was possibly mistreated. I’m incredibly self conscious of my smile and I find I’m beginning to hide my teeth and mouth when I speak and laugh. All of this infuriates my husband who insists its part of what makes me me but I hate it! Is there anything that could help?

A. Thanks for your questions, there are many teeth straightening systems available now, with some that can acheive results within six weeks. I would recommend that you attend an orthodontic or cosmetic dental practice for a consultation, at which they should be able to advise you of the systems which are avilable to suit your case, the approximate treatment time and the price. Many of these practices will offer a free inital consultation, so that you can obtain the necessary information without any financial commitment and often have interest free credit facility to help spread the cost. I hope this helps.
Kindest Regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Need long lasting remedy for discoloured gappy teeth

Wednesday, October 28th, 2009

Q. I have had braces and yet i have a small gap between my two front teeth, my orthadontist said i should go and see my dentist for bonding or venners as there is nothing else she can do. i was just wondering which technique is better and longer lasting and if they are stain resistant. Also i may consider home teeth whitening kits, and was wondering if they the veneers or the bonding will whiten also. morevover can you please tell me the NHS prices fro these and if there is a significant reduction in prices if you are a university student.

A. Thanks for your enquiry, firstly these procedures would be classed as cosmetic, and so would probably not be available on the NHS. If you are considering having your teeth whitened, then I would encourage you to do this before you have any restorations placed on your teeth, as whitening only works on your natural tooth. The material which is then used would be matched to the whitened shade of your teeth. There are benefits to both tooth bonding and to veneers, as tooth bonding is a less invasive treatment however veneers would lead to a more aesthetically pleasing result in my opinion. I hope this helps.
Many thanks
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

What is the best way to cover discoloured teeth?

Wednesday, October 28th, 2009

Q. I damaged my front tooth when i was younger this made it slack I was then given root treatment and in time my tooth started to discolour, it was then suggested i get an veneer, this venner looked good but after 3 yrs it chipped and I needed to get it replaced,my second veneer was only in for 2 weeks when it cracked from the inside.I was then given my third within 6 months this one became noticeably darker, my dentist advised me to get yet another, I am just home from appt and this veneer is slightly better but at my gum area all you can see is blackness. I did say that I was’nt happy with it but he expressed that is the best he can do with what he has to work with, my own tooth is black and yellow as he showed me. i am wondering if you could advise on any other options. thanks

A. Thanks for your questions, you may wish to consider having a crown on the tooth instead of a veneer. Although it would involve more preperation of the tooth, a crown would be much less transparent hence consealing the discolouration. I would recommend that you speak to your dentist to gain his professional opinion on the merit of this in your case. I hope that his helps.
Kind Regards
DR Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007