Dear Dr Moore,
I had a crown put on one of my front teeth 6 years ago due to discolouration of the tooth after root canal treatment. Last few days, my tooth felt loose and I organised an emergency dentist appointment. After taking the crown off and looking at the xrays, there is a clear horizontal fracture line near where the tooth ‘stump’ meets the gum. The dentist strenghten the tooth with cement and put the crown back on as a temporary measure. She explained it might only last a couple of months before the tooth breaks completely. She offered me two options: a post crown or an implant. I was wondering which option do you think would be more appropriate in my situation? I am 24 years old and would like a long-lasting but safe option. I feel I would like to try the post crown first but was told that this might only last 10 years. Would having a post crown put in first make it more difficult to have an implant at a later stage?
Thank you
Archive for the ‘Q. Missing teeth’ Category
My crown has just fallen off, should I replace it with another crown or an implant?
Friday, June 17th, 2011My brother lost two teeth in a car accident, could dental implants be the answer?
Friday, June 17th, 2011Hi Doctor Moore,
My brother was involved in a car crash 20 years ago which resulted in him losing his front two teeth and a titanium plate being inserted into the top palette of his mouth. Two front replacement teeth were drilled into the plate by the NHS at that time.
Twenty years later, he is very conscious that his teeth have moved and he now has a large gap between these front two teeth and the teeth on each side of these are crooked, discoloured and overlapping. His bottom teeth could do with some attention also. He does not smoke or have gum disease.
I keep encouraging him to get his teeth sorted but he’s concerned about a few things:
a) How painful or difficult would it be for him to have his teeth reconstructed under these circumstances?
b) The cost – could you give an indication of how much he would need to spend to correct all 4 teeth at the top of his mouth and correct a couple of crooked teeth at the bottom?
c) How long could he expect his teeth to last? He’s worried that, in his words, “once he starts messing”, he’ll have to continually fund replacement of any veneers or false teeth.
Thank you for answering my questions. I think it would transform his life if I could persuade him to take this step.
Kind regards
Are my daughter’s loose teeth causing her fever?
Friday, June 17th, 2011 my 7 year old has lost a couple of lower teeth and her top two frount ones are becoming loose, i think she is late as she was a prem baby, my question is she has been haing very high temps and feeling unwell witout any other symptoms.
when she was a baby and got her first teeth she was very unwell vomiting all the time with high temps ? could the temps be related.
i have a question also for myself i am getting a pain outside my right ear i have seen a gp who have checked my ears and cannot see anything, i know i clench my back teeth alot and more at night the pain is like a sharp qiuck stabbing pain that is intermittent but becoming alot more now hope you can help
I am 27 and am unsure if braces or veneers are best of my condition, what do you suggest?
Monday, June 13th, 2011Hello Dr Patel.
I am hoping that you can advise me with regard to my enquiry. I am 27 years of age and never had braces fitted as a child.
During childhood when second set/adult teeth were coming through one of my incisors erupted through roof of mouth behind my canine and was putting pressure on it and pushing it forward or outwards.
Due to this I had that tooth extracted and was advised by my dentist to have a fixed brace fitted to straighten my teeth.
Now, many years on I have realised that I should have had it done but because I didn’t I have misaligned teeth now where my 2 front incisors are offset and are actually not in the centre of my mouth but a whole tooth over to the left where the removed incisor should have been. I now have 5 teeth that are visible on top jaw instead of an even number of six (canine and incisors).
This has caused me great misery as I have not smiled with my teeth in a photo for over 10 years as they look out of line and are odd. Recently I went to visit an Orthodontist and was told that with a fixed appliance or brace I could have the 2 incisors moved to the centre of my mouth to line up with nose but in order to achieve this, the other remaining incisor that would have been paired with the extracted incisor would have to be removed also.
This essentially would cause a gap between my incisor and canine so that my 2 front teeth can be pulled into new position via brace and give me symmetry which is what I want.
My concern is that with a tooth missing (approx 8mm) is it really possible for a brace to shift that gap closed and pull my teeth to centre?
Surely due to the fact that I am 27 years of age and all adult teeth have come through and jaw bone has stopped growing that the bone is set solid and it is impossible to close a gap where a tooth has been removed?
I am getting mixed opinion and being told that a brace simply cannot achieve this and I would have to have either an implant to disguise the gap or have veneers fitted to mask the fact that my 2 front incisors are offset.
Also, I have a deep bite and was told even before tooth extraction I would have to be much patient and have a fixed metal brace on lower teeth to correct the bite and lift up teeth so that end result will be satisfactory.
What are my options and will braces fix the removed tooth and shift the teeth to create a balanced smile?
Thank you.
Is cosmetic bonding the best option for my teeth?
Monday, June 6th, 2011Hello Dr. Sunita Verma i just have a quick question about bonding. I am 15 years old and i just have gotten my canines replaced because i was missing my upper laterals, so they made my canines that replaced my laterals look like laterals but i still have my baby canines that have never fallen out and (they are my 3rd teeth from my centrals) and my dentist said eventually they will fall out. What would be my options if they do fall out? Also i have a minor gap in my two front teeth. What would be the cost to bond those together and make them longer? or what do you think is my best option with my situation? Thank you for your time and hopefully hear back with a response 🙂
I have buck teeth, what is the best course of treatment?
Friday, June 3rd, 2011hi can you help i have buck teeth but the two teeth to the left are missing i feel very self consious and never show my teeth wen i smile please can you help as a result ov this problem i have missed out on so much as i find it difficult to talk to pleaple knowing that they are looking at my awful teeth i was considering having the two buck teeth removed and a part denture made for the four front teeth thank your for your time
Can a back tooth support a neighbouring false tooth?
Tuesday, May 31st, 2011can a metal very back tooth crown support a neighbouring false tooth w out a bridge to other tooth?i know the best thing is a bridge but to save cutting another healthy will one crown be strong enough? the missing tooth is second from d back so it will be tooth colour but the very back tooth can be metal because it cannot be seen then i will get partial dentures attached to the bottom very back tooth so the opposing tooth to the false tooth will be a denture many thanks for you time
I have four missing teeth at the front, what are my replacement options?
Tuesday, May 31st, 2011Hello doctor,
I find my dentures very uncomfortable to wear, what are my other options?
Tuesday, May 31st, 2011Hello Doctor,
I want implants to replace my 5 missing teeth. Can this be done?
Tuesday, May 31st, 2011I HAVE 5 TEETH MISSING 2 TOGETHER ON TOP RIGHT NEXT TO MY EYE TOOTH 2 TOGETHER BOTTOM LEFT NEXT TO LAST INCISOR AND ONE ON BOTTOM RIGHT SECOND MOLAR. WHAT WOULD THESE COST TO REPLACE WITH IMPLANTS CONSIDERING THAT THE BONE IS HEALTHY ?
