Archive for the ‘Dr Patel’s Answers’ Category

My front tooth has turned grey following root canal treatment, what would you recommend for this problem?

Monday, September 3rd, 2012
Q.

Hello, I hope you are well, so here is my problem: I have a greying front tooth following root canal treatment, a few months ago. I have received conflicting information from several dentists when I have asked what to have done about it. Some of them have recommended that I have a veneer, others say I should try internal bleaching, or crown treatment. As it is my front tooth I want to be sure I select the best treatment, I understand that this is a cosmetic treatment so just wondered what you would personally recommend for this problem?


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

How much would it cost to receive: 3 crowns, 3 root fillings and to have 2 teeth extracted?

Friday, August 31st, 2012
Q.

I am looking to have replacement crowns of my upper front 3xteeth, also require bridges to fill gaps on my lower back teeth x 2 to fill gap where 2 x teeth have been extracted (maybe x4) I also need 3 xroot fillings, and would like veneers on remaining teeth visible when I smile, back teeth to be whitened. 11x teeth upper(including 3 crowns) Could you 11x teeth and 2 gaps on lower. What do you think the cost would be for all the work? Also could you recomend a good dentist in the Chehire area, WA6.
KInd Regards J
P.S I have already had a consultation, which cost me £140, after having the special xrays, also 2 x teeth removed which cost £198 per tooth, I was under the impression that this would be the cost if surgical removal was required, although one of the teeth took a while to extract 5 to 10 minutes the other came away easily(both were broken and only had a sml amount above the gum remaining) I did not require surgery, but when I went to pay was charged £396, I coudn’t question this as I had had cotton buds put in the gaps, and couldn’t speak. Please please please, let me know if this sounds ok, or should I question it? I just want nice smile, it’s really getting me sown now, I don’t have the money and am using a credit card to finance my treatment. Have as for a quote on all work that I require, but up to yet not received one; it’s been over 6 weeks since my anitial consultation and it’s already cost £396 extractions+£140 consultaion+£35 for antibiotics(week after first consultation, got an absess on the tooth which was due to be removed)£579. Am a single mum earning £12,000 a year, can have free treatment on NHS, but not the kind I need. Really effecting my confidence. (43year old)


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

My veneers keep falling off, what permanent solutions are available for me?

Friday, August 31st, 2012
Q.

hello i have two composite veneers on my two front teeth as they broke in half a while back. i have been having a problem as every time they have fallen out iv asked to have something a bit more permanent and i have had this problem since i was 18 and it’s getting too much! i am now 24 and i am just wondering if there is some reason my army dentist wont give me something that will last longer? he told me to never use my front teeth or they would come out and not being able to eat with front teeth is quite difficult with certain foods. he can’t expect me not to use my front teeth can he? also they discolour very fast witch is not a good look at all. thank you for your time and i look forward to hearing back from you.


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

I don’t want to travel to and from Budapest so can you fit my dental implants in London?

Thursday, August 30th, 2012
Q.

Hi there, I have had all my teeth extracted to get ready for implants, 4 upper and 4 lower. I am with vital Europe at moment but I require two more trips to Budapest. I saw your ad and wondered what the cost would be for same day teeth? I do not need a sinus lift and my gums are healing nicely. Having to go twice more to Budapest is kind of putting me off now, once for two days for insertion of implants and then I have to go back again in twelve more days to have the final clip bar system fitted.
Is this necessary or could you sort it out in London?
I have so far paid £ 2200 for extractions with £10k to pay for implants and teeth. Can you match this? I eagerly await your reply.
Many thanks.


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

Are there any good alternatives to crown treatment?

Thursday, August 30th, 2012
Q.

Hi, I have broken one of my front teeth when I was about 10 years old, my dentist put one of these cosmetic fillings that you put around a pin that he inserts in your tooth, when I became 16 I changed that filling because it was starting to decay and my tooth looked much better. However, when I turned 18 I chipped a small piece of that filling and now it doesn’t look as good as it used to be. when I went to my dentist to change it again he told that the only way to replace is to file the whole tooth and put a crown on it, but he also discouraged me to do so because of the nature of putting a crown on a fore tooth and how it would be hard to fix when it changes color. His opinion was is to keep my current filling for as long as I can then put the filling so it can last me longer. Is there any possible way to fix my tooth without reserving to crowns that would be much stable and less risky. If not is there any possible way to fix my current filling so it can last me longer, something that will make it feel and look better?

thank you very much


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

One of my new crown feels tight and one tooth is now sensitive. Is there inflammation? What should I do?

Wednesday, August 1st, 2012
Q.

I had the crowns on my two front teeth replaced six months ago after root canal treatment. The crowns have felt “tight” ever since they were placed, and one of the teeth is sensitive to touch. My dentist has buffed them down four times now (including, last time, filing one of the lower teeth) to try and correct the bite, but to no avail. I had a consultation with another dentist who saw a very slight shadow on the x-ray that he thought might possibly be inflammation, but he wasn’t sure. Subsequent x-rays taken by the dentist who fitted the crowns showed no inflammation (according to him). Post root-canal and pre-crowns I had no pain or discomfort. What would you advise? More filings, a second opinion? I’m not in bad pain, just some discomfort, but the situation isn’t very satisfactory. My dentist is very thorough, but he isn’t a specialist in cosmetic dentistry, could that be a factor?


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

The temporary crowns I was given and I am now worried the prospect of final restorations. Can you advise?

Friday, July 27th, 2012
Q.

I discussed with my regular dentist about having my 15 year old crowns replaced, as I thought that they looked bulky and fake. She agreed, and said that she could improve on them. She took several photos and impressions and I went yesterday to have the temporary crowns fitted. They are hideous! They are longer than the original ones, they project more and there is a gap to one side which wasn’t as large before. She had to do some modification to the temporaries in order to achieve something I can live with until 2 Aug, however, I am extremely worried about the final outcome. What are my options if the final crowns are not to my liking? I am begininng to think I have made a big mistake trying to improve on my teeth. Many thanks for any advice you can give.


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

I am not happy with the veneer treatment I have received, how can this be fixed?

Tuesday, July 10th, 2012
Q.

Hi,  can you please advise me with an issue? Today i had my very first veneer on my front tooth as it was badly stained due to nerve infection and also my second tooth is discoloured too which has not been veneered yet. I am not happy with it, I can still see the original grey stained colour through the veneer and its upsetting. I have already paid, do you think that my dentist will change the veneer?

As i am not happy with the veneer, and I wanted to book appointment with yourselves, how much will the veneer cost? Or Can i have the veneer whitened if that can happen? The dentist did not inform me on which type of veneer she had done. I am happy to send a picture. Thank you for your time. 


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

Will I need dentures before I am 50?

Tuesday, July 10th, 2012
Q.

Hello Dr Patel. I have had advanced gum disease for about 20 years owing to my fear of going to the dentist, previous traumatic experiences at the dentist and poor hygeine. At the age of 42 I have now fortunately overcome my fear and found a lovely gentle dentist and I am now having regular checkups and hygeine sessions. I also been referred for and have undergone peridontal treatment in the last two years, and I am maintaining good dental hygeine every day. However my degree of gum disease has led to a significant amount of bone loss. I currently have most of my teeth, but many of my upper teeth are loose and my dentist does not hold out much hope for me holding on to them long term. I have a crown on one front tooth, and a veneer on the other front tooth. My gums have receded so far that the crown peg is visible now and the tooth with the veneer is similarly receded, exposing the part of the tooth which originally would have been hidden in the gum. My other top front teeth are discoloured and gappy and I am very self conscious about my teeth. My bottom teeth are reasonably secure. I really would like some advice about what to do next. My dentist is reluctant to replace my front veneer as the tooth is already loose and he doesn’t want to disturb it further. My crown will have to be replaced shortly I think. I would like to know what the options might be for someone like me who has significant bone loss. Are implants out of the question, or am I really now facing the prospect of wearing dentures before I am 50? I would really appreciate your advice regarding my options and the possible costs involved if implants could be an option – at least for my top front teeth.

Many thanks. 


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

How good is the quality of CEREC crowns?

Tuesday, July 10th, 2012
Q.

Hi there dr Patel, I recently had my front top right crown replaced because it was a metal – ceramic and a shadow was visible at the top.However I am not happy with the new crown which is all ceramic but the colour is not quite right.
Do you only do CEREC crowns or do you use ceramic/porcelain also . I am very keen to have a good match and my current normal teeth have been whitened and are fairly translucent. Are CEREC teeth as good looking as a good porcelain tooth. I am really upset with the work that has recently been done and I want to have the best possible work done. Thank you for your time. 


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel