Archive for the ‘Q. Orthodontics’ Category

Do I really need to have healthy teeth removed for orthodontic work?

Monday, August 22nd, 2011
Q.

hello doctor
i got braces two months ago …i had two missing incisors (congenitally) so my ortho. decided to fill the gaps with my canines then reshape them as incisors … now i will get braces for my lower jaw . my lover teeth are totally fine and straight but the ortho decided that i should extract two lower teeth just because i have two missing teeth in the upper jaw and not to make space for moving the lower teeth !!! i am really scared because i don’t like to extract those perfectly fine teeth while people are paying hundreds of dollars on teeth implants … and i hears also that my face will never look the same once those teeth are removed !!!! my question is that should i need to extract those two teeth ? or there is another option? please help!


dr sunita verma

Dr Sunita Verma

Sparkle Dental Boutique
311 Boston Road, Hanwell, London, W7 2AT
Web: www.sparkledental.co.uk Tel: 020 8567 4344

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My fixed retainer is hurting, what could be the cause of this?

Wednesday, August 17th, 2011
Q.

Dear Dr. Verma

Near the end of my treatment, a bonded retainer was permanently attached to my lower teeth from canine to canine two decades ago. I never had any problems with it until recently. A few days ago, I went to a dentist for a regular cleaning. After the scaling, I noticed that there was some discomfort between my lower two front teeth – it felt like there was something stuck in between there. I addressed this issue with the dentist, but she cannot find the reason for my discomfort, and she also claimed she did not damage my wire.

It has been three days since my cleaning, and I am now experiencing some mild soreness around the retainer area (ie. the same type of tightness one would feel when a wire is changed on one’s braces), especially near the left canine and the neighbouring incisor. Chewing gum and eating vegetables is a bit painful. I cannot find any damage, but is it possible for my wire to have been bent during cleaning? Has this ever happen to other patients of yours, and if so, what was done about it? Can an orthodontist, who has never seen me before, know if my bonded retainer is damaged or not? Or, can there be a different reason for my symptoms?

(For clarification: the wire is held in place by a dop of glue on each tooth)

Thank you for taking the time out to read my email. I am a bit anxious at the moment since I do not want my teeth to become misaligned again. I look forward to your reply.

Sincerely, 


dr sunita verma

Dr Sunita Verma

Sparkle Dental Boutique
311 Boston Road, Hanwell, London, W7 2AT
Web: www.sparkledental.co.uk Tel: 020 8567 4344

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My daughter needs specialist treatment, are you able to recommend anyone?

Thursday, July 28th, 2011
Q.

Hello,
Our 12 week old daughter was treated for tongue tie at Kings hospital last week (under her tongue), and we think she may also have a labial frenum under her top lip in at the front that is getting in the way of her flanging her top lip and latching on to breastfeed properly. However this is not treatable at Kings (nor anywhere on the NHS as I understand it). Also we are wondering if it is left untreated it may lead to her requiring orthodontic treatment later on. I have been told that if left this piece of skin gets thicker and is a bigger issue to remedy later on. Is this a surgery that you would recommend for this age? Is it a simple procedure? Can you give a guide as to cost? Thank you


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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Will the space left after my extraction be filled?

Monday, July 11th, 2011
Q.

Hello Doctor 

i am 23 yrs old. i have been recommended for 4 tooth extraction (4 pre molars) for the treatment of class 2 div 1 and sub div and moderately severe crowding with mandibular arch and braces for one and a half year. but am worried whether the space left out after extraction will b filled ?
what is the success rate of this treatment .
does age factor plays any role in this treatment.
and moreover i have to go for crowning of my upper incisor so whether it is done before braces or after braces when i get proper alignment thank you for your time 


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 difference between Clearstep and Invisalign?

Monday, July 11th, 2011
Q.

CLEARSTEP VS INVISALIGN

I have a few questions about invisible braces:

What are the differences between the two?

How long will it take? I have been prompted to take action as I am getting married at the end of the year and although from the front my teeth look quite straight from the side they look really uneven. If I started it asap would it make much difference by December? I am happy to continue for longer, I would just like some difference by then.

How much does it cost? Which one is more cheap/expensive?

Are the effects lasting? I had a metal brace as a teenager that improved my teeth a bit but I don’t think it was kept on long enough. I would be willing to wear a retainer if it keeps my teeth nice.

Is Clearstep a suitable alternative to cases where Invisalign would work?

Does Clearstep require attachments to the teeth the same as Invisalign?

Could you suggest me a good professional cosmetic dentistry expert in Oxford?

Thank you in advance for your attention


dr sunita verma

Dr Sunita Verma

Sparkle Dental Boutique
311 Boston Road, Hanwell, London, W7 2AT
Web: www.sparkledental.co.uk Tel: 020 8567 4344

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Is my dentist using Social 6 braces correctly?

Wednesday, June 29th, 2011
Q.

Hi Doctor, I am a bit confused. My lower arch teeth are a bit crooked. I went to a dentist a few days ago and he proposed to fix them with minimum impact with “Social 6″. This would imply scraping off a bit of the enamel of my teeth to provide for some extra space for the teeth to move back into position.
I liked the dentist, and I was quite pleased the treatment did not imply removing my wisdom teeth, but reading some comments in this forum I gather that fixing the front 6 teeth (as apposed to the whole arch) and, above all, scraping the enamel off my teeth is not “good practice” and should not be done. What’s your view about it?
Many thanks for your time.

Kind regards 


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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Braces have stained my teeth, would you recommend veneers or lumineers?

Friday, June 24th, 2011
Q.

Hey Dr. Mark,  A female,I live in Jordan middle east, am 23 with a very bad experience with braces for 8years, which caused badly stained teeth, and i have been using dental composite (teeth facing) for the past 5 – 6 years.
I hate the way my teeth look, i wish to re-size them and make them brighter and get a perfect smile.

oh and i have 2 implants i did them 3 weeks ago.

My main question what do you think is better in my case lumineers or Vaneers? and for how long they last?
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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What type of veneers are best for my teeth?

Monday, June 20th, 2011
Q.

i am thinking about having veneers on my upper 6 front teeth, and my dentist said to use vita veneers, one dentist said take the veneers to the tooth tip the other said take it over the tip and around, over the incisor edge. what do you advise?
they also said about having temporary veneers but didn’t explain exactly how these stick to my teeth while i wait for the real ones to be made?
I do not have any decay and my gums are healy the teeth are just very crooked and i would like them to appear staighter and fresher looking.
how long doyou think they will last also?

thank you


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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My teeth has shifted slightly since wearing a brace, what can be done?

Friday, June 17th, 2011
Q.

hi, i was wondering that i had braces wihen i was younger but four years later i notice that they have shifted slightly, would i need to get braces again. Also my front two teeth have been extremely sensitive since i had braces and ive never been able to bite straight on, its always been at an angle. Thirdly i have this discolouration on my front tooth and i was wondering what is the best way to get rid of that mark without altering the actual tooth’s structure itself. thanks.


dr sunita verma

Dr Sunita Verma

Sparkle Dental Boutique
311 Boston Road, Hanwell, London, W7 2AT
Web: www.sparkledental.co.uk Tel: 020 8567 4344

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I don’t know which brace treatment is the best for me, what do you recommend?

Friday, June 17th, 2011
Q.

I am told I qualify for all types of braces. I am most interested in Lingual braces – realistly whats the absolute cheapest I could get these for?

I have about 2.5K max…! Should I settle for a standard brace?

Also are they as effective as other braces. I work in sales so would prefer a clear brace. So confused as if you look on the internet it quotes so many different prices.

Please help.


dr mark hughes

Dr Mark Hughes

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

View My Profile Dr Hughes