Cosmetic Dentistry Guide » Q. Broken teeth

Teeth with root canal seems to be broken, what are my options?

admin — Fri, 20 Nov 2009 03:44:47 +0000

Q. I HAVE A ROOT CANAL.AND I WAS EATING SOMETHING VERY CRUNCHY WHEN I BITE I FELT THAT MY TEETH MOVE. MY DENTIST TOLD ME THAT I NEED TO WAY UNTYL THE CROWN COME OUT TO SEE IF THE PORTION OF THE TEETH IS OK BECAUSE WHEN HE CHECKED HE FELT THAT THE TEETH IS BROKE TOO. IS THERE OTHER ATERVATIVE.IS ONE OF MY FRONT TEETH

A. I would ask him to remove it and fit a temporary plate then consider a bridge or implant

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

What are the options for replacing my 3 crumbled teeth

admin — Mon, 26 Oct 2009 06:47:45 +0000

Q. I have Sjogrens and 3 of my teeth have crumbled and fallen out leaving parts of the teeth in the gum which the dentist will remove. What options do i have when it comes to rplacement teeth, the dentist says a bridge is out of the question. I have a NHS exception card

A. A denture may be your only choice

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 a horizontal crack at my tooth margin would cause problem?

admin — Tue, 20 Oct 2009 03:48:09 +0000

Q. When I was a child I fell on my bike, cracked my front tooth (tooth #10), had a root canal done, then a composite attached to reshape the tooth from the crack. 9 years ago, the composite fell off and I went to the dentist to have a new one done and she said a crown would have to be done as soon as possible. She said the best one was a porcylain fused to gold crown and assured me that no black lines would show because it is not metal, it is gold. (I was young and uneducated in this department…) She immediately drilled down the tooth, took impressions, put a hidious bulky temporary crown on it and I left with a black and blue and extremely raised gum line. I returned 2 weeks later to have another hidious bulky permanent crown put on. The crown was longer than all the teeth in my mouth because she drilled my tooth so high up the gum line that my #10 tooth had a “new” gum line. The gum line is not only still much higher than all the other margins, but the “gold” from inside the hideous crown has darkened my gum line and the bulky crown does not slide under my gum line at all. The gum around the crown not only is dark at the margin, but almost appears to be dark farther up the gum than the actual margin, if that makes any sense. I don’t know why this is. I tried having this dentist resolve these issues, and it was an endless battle, so I decided to give up for now. I did not have the money at that time to persue the situation, or to have the problem fixed by another dentist. Now, 9 years later and financially fit, I have braces that are almost finished. I went to my local dentist to start preparing for the crown to be replaced (after braces come off) who said he could put a new crown on and it would look normal again. I asked him “what about the gum line, how are you planning on making the receeding gum look normal again and come down over the new crown and in line with all the other gums” and he then decided to add that I should see a perio before a new crown is done. I immediatly went to a local perio, he examined the area and told me that he would not be able to graft gum because the tooth was drilled as high as the gum line sits, so there would be nothing to graft to. I asked him if it would be wise for me to have my othodontist bring the #10 tooth down and hope that bone will come with it (and maybe even the gum) and if that would resolve my problem. A lightbulb lit over his head and he said that would be an excellent idea. I went to my ortho the next day, explained what the dentist and perio told me, and he said it is a 50/50 chance that the bone and gum would actually come with the tooth if he brought the tooth down. After all this controversy, I decided to go to a dentist out of the area and in a larger city that was referred to me by a friend. He is a cosmetic dentist (or so he says). He examined my tooth and felt with his instrument that there was a crack on the tooth just above the margin of the crown. He took a close up xray, and there in fact is a horizontal crack on my tooth between the crown margin and the gum line. He said he needs to cut the crown off soon so he can see what we are looking at. He also said a new post would need to be inserted to replace the existing post, as it is too short and not really supporting the tooth anymore. He said if the tooth can be saved (which he says is very very likely) he would put a temporary crown on, have my gum examined by his perio, have my ortho bring the tooth down with the temp crown in place, and return to have a Lava crown put on when all is ready. My questions are: All these professionals are giving me different advise on my gum line situation, I can’t be the only person out there with this problem. Will the gum most likely come down with my tooth and temp crown and avoid the need for perio work altogether? Is it normal for a gum to appear slightly discolored from a gold fused crown all the way up, and not just at the margin? Is a horizontal crack at my margin a cause for concern? (The last thing I want is an implant…) Is a Lava crown the best choice for a 100% natural look? I’m sorry this is so long, but after speaking to the dentist out of the area (that noticed the crack) he seemed to need to know everything from the beginning to be able to better help me. My lack of trust is explainable based on all these professionals telling me different things, and after my initial experience with a horrible crown. I would just like some other professional opinions, if possible. Thank you…

A. hi many thanks for your email, ok to try to explain everything i will use bullet form:

1: when a tooth is root canal treated the tooth can discolour all the way to the top which is the probably reason for the discolouration past the margin of the crown.

2:the horizontal crack is not a problem as long as its superficial and does not run through the whole crown, the crack can be caused by the post.

3:there is unfortunately more than one way to crack a nut and the same can be said to fix a tooth. there are always risks and benefits with all treatments.

4:the gum coming down is a possibility but unfortunately it is an unpredictable science, the orthodontic extrusion is the option i would try doing it very slowly.

5:make sure there is at least 3mm of tooth tissue above the gum line around the new post to ensure the crown will be sucessful.

6:if a new metal post is to be used to support the crown the best all porcelain crown is lava to replace the crown as it will not allow the metal post to shine through but does not contain metal so is aesthetic.

finally the option of an implant if done properely maybe better than the other alternatives.

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

How can I preserve the broken teeth?

admin — Tue, 20 Oct 2009 03:32:33 +0000

Q. If a child breaks a front tooth in half horizontally and you have the piece can it be reattached? What should be done with the broken tooth piece to preserve it and how long do you have to get it to the dentist?

A. I would keep it clean and safe and see your dentist as soon as possible as it can often be bonded back together.

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

I was wondering if my chipped teeth might decay?

admin — Mon, 19 Oct 2009 01:41:22 +0000

Q. i have a chipped tooth in the front and i was wondering just because it is chipped will it decay or get worse?

A. If it has chipped because of decay then i will get worse very quickly. If there is no deacy present at the moment get it checked by your dentist as soon as possible.

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

Can I hv free treatment for my teeth as I cant afford?

admin — Wed, 14 Oct 2009 12:05:51 +0000

Q. hello dr andrew moore my question is since having 5 children my teeth have broke at the back of my mouthand they are horriable i dont think i have smiled properly for about 8 years i need alot of work doing on them and carnt afford it as i am a single parent could you give me some information on how to get help as i just want to smile again

A. You may qualify for fre treatment on the NHS, ask your NHS dentist for advice.

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

Can my wisdom tooth make my bottom teeth crook?

admin — Wed, 14 Oct 2009 11:35:31 +0000

Q. Hi there i have a question for you i have a impacted wisdom tooth its my lower right side my dentist told me i could take it out whenever i want and its not a big deal, well my question is can that wisdom tooth cause my second molar to start raising up and make a couple of my bottom teeth crooked? because that is happening but like i said he said it wasnt a big deal!? can you please help me? thanks

A. Hi

It is very unlikely for the wisdom tooth to cause the crowding, but an examination would be required.

If you are getting repeated infections or it is causing damge to you adjacent tooth then it may require removal. Your dentist would discuss all your options.

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

What would be the cost for repair of chipped teeth?

admin — Tue, 13 Oct 2009 12:52:12 +0000

Q. my two top front teeth are chipped and i am concerned they will chip even more is it possible to repair them, will i have to go private and hoe much roughly will it cost, as i am having trouble finding an nhs dentist.

A. I recommend you call around to find an NHS dentist in your area taking on new patients or visit www.nhsdirect.nhs.uk/
If you decided to go down the private route then after your examination your dentist can inform you on the costs involved in repairing this.

Kind regards
Dr Justin Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

I m 20 Will I be missing two teeth as they hv turned black?

admin — Tue, 13 Oct 2009 02:15:53 +0000

Q. yesterday my two front lower teeth moved and when i got home i notice their where turning black from the bottom and is soo weird because my teeth are healthy soo my question is am i going to be a 20 year girl missing two teeth?:(

A. It may be that you have hit these these causing them to become lose. Otherwise it maybe that over time your teeth have moved and you have only just noticed.
Please book an appointment with a dentist.

Kind regards

Dr Justin Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

What would be the treatment for my crooked tooth?

admin — Tue, 13 Oct 2009 01:01:34 +0000

Q. hi, i have one tooth that is crooked what treatment would i need to fix this my front right tooth is slightly in front of the left one

A. Depending on how misaligned your teeth are it would be either Veneers or orthodontics.
Please see a cosmetic dentist or and orthodo

ntist who can assess your mouth for an acurate opinion.
Kind regards
Dr Justin Glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF