Archive for the ‘Dr Tennet's Answers’ Category
Monday, November 9th, 2009
Q. Dear Rob, I am a 17 year old who used to wear braces about 2 years back.I wore retainers for a year (day and night) but after that I stopped wearing it. Recently I noticed my wisdom tooth starting to grow and I feel my front two teeth have come forward a bit. Is this possible? The rest of my teeth are strait but the front two teeth are a bit forward-unlike how it was before. How do I push it back again? Do I need braces? If so do I have to take off teeth again to move it back?
A.
Hi the teeth can crowd at the same time that wisdom teeth appear but it is less clear whether its caused by the wisdom teeth. You could start using a retainer again. Reversing the effect would need a thorough clinical assesment before answering.
Regards Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: braces, clear fixed braces, fixed brace, fixed braces, invisalign brace, invisalign braces, invisible braces, invisile braces, lingual braces, orthodontic treatment, orthodontics, orthodontist, retainer
Posted in Dr Tennet's Answers, Experts Answers, Q. Orthodontics | No Comments »
Monday, November 9th, 2009
Q. Hello I am type 2 diabetic ( controlled at present with diet and excercise regime ) I have lost teeth to upper left 3no and 2no to lower right. I am considering implant replacements . Would my diabetes compromise implant surgery . Also if positive what type of implant system is the best ?
A. Uncontrolled Diabetes is a contraindication to surgery and does adversley affect the predictability of dental implants. care should be taken if you lost your teeth due to gum problems.
Most of the main systems have “Bioactive” sufaces like Osseospeed (ASTRAtech) SLA active (straumann) and Nobelbiocare, Biomet etc, I mainly use Astratech dental implants because it is proven to maintain the surrounding bone in later years.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: dental implant, dental implants, dental implants costs, gum, gum disease, gum graft, gum grafting, gum loss, gum recession, gum shrinkage, gums, healthy gums, immediate dental implants, implant, implant dentist, implantologist, implants, receeded gums, receeding gums, shrinking gums, swollen gums, teeth implant, teeth implants, tooth implant
Posted in Dr Tennet's Answers, Experts Answers, Q. Dental Implants | No Comments »
Monday, November 9th, 2009
Q. my teeth are really bad i am only 20 years old and dont want to smile anymore how can u help and how much will it cost???
A. An intial assesment is free then you can be given a rough guide on costs. Call amy on 0121 643 0610 for details.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cost cosmetic dentistry, cost dental implants, cost teeth whitening, smile, smile makeover, veneerswhite smile
Posted in Dr Tennet's Answers, Experts Answers, Q. Smile Makeovers | No Comments »
Monday, November 9th, 2009
Q. i am thinking of getting tooth whitening but im not sure how to get it. the dentist i am currently with do not do it. do i just ring a dentist that does tooth whitening and book an appoitmnet
A. Call amy 0121 643 0610 and ask her for details and prices of tray whitening against power whitening like Zoom! you can discuss what might be avaialable for you. then you can ring round and compare practices.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cost teeth whitening, enlighten teeth whitening, teeth whitening, tooth whitening, zoom teeth whitening
Posted in Dr Tennet's Answers, Experts Answers, Q. Teeth Whitening | No Comments »
Monday, November 9th, 2009
Q. hi there im a 25 year old male with a huge problem i have very very bad teeth in fact i have neglected them for so long i barely have any left!now the problem i have is that 1 i am petrified of the dentist and 2 i do not think i can afford to get them fixed or replaced please could you advise me of what i can do several years of agony and funny looks has got to come to an end
A. for NHS treatment contact your PCT ( Primary healthcare trust) dental contracts division and ask for details of local sedation services for dental anxiety .
for private options check the practice offers IV sedation then investigate a few local ones before deciding on the best one for you.
Sounds like you are ready.
Good Luck
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cost cosmetic dentistry, cost dental implants, cost teeth whitening, dental anxiety, NHS, nhs crowns, nhs dentist, nhs dentistry, scared of dentist, sedation
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Monday, November 9th, 2009
Q. I very recently attempted at a local dentists office to have my canine tooth (which had bonding on it) re-bonded. I wanted it to be a solid color and shaped appropriately without harming my gum. The dentist was highly unsuccessful. The bonding looks varigated (two colors) and was either too large (looked like a dog tooth) and now too small/short. Question: should it not be simple to mix a color to match the tooth and not be varigated? Also, I had one hour whitening done and it didn’t really whiten my teeth very well. It has been less than two weeks and what whitening occurred is going away quickly. I asked if I had enough enamel for the treatment (I am 51) and did not get a reply. Any suggestions on how to get my teeth very white and a my canine to match? I do take good care of my teeth, brush, floss, etc daily FYI. Thank you!
A.
Start with sudy casts of your teeth then modify the cast to the shape that you want balanced with potential conflicts in the Occlusion / bite. Then veneer the teeth with an opaque ( normally Porcelain) Veneer. AN assesment is needed to find out if a single veneer or the visible smile (?? 8 teeth) is needed.
Contact us for more details.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: bonding, ceramic veneer, composite bonding, composite veneers, dental bonding, dental veneer, dental veneer costs, dental veneer gum line, dental veneers, emax veneers, empress veneers, lava veneer, porcelain veneer, porcelain veneers, root canal. veneer, tooth bonding, tooth veneer, veneer, veneers, veneerswhite smile
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Friday, November 6th, 2009
Q. Dr Tennet, My upper two front teeth have 40 year old root canals. What is left of the teeth themselves is a very fragile & dark brown. What is the best cosmetic choice for covering them? I currently have porcelain crowns with white (titanium?) cores. They are ok, but not super. Any other options? Also, the gum above one of the crowns protrudes a bit more than its neighbor. That developed after the crowns were replaced a few years ago. My doctor has x-rayed and it doesn’t show an infection. I’m guessing a lot can go wrong with old dental work? Any advice would be appreciated
A.
Discoloured Root filled teeth can be a problem to shade match All ceramic Zirconia cores are a good route but the level of opaque will need to be judged by trial and error it usually requires a few visits. The crown margins should be about 1mm below the gum line to hide the dark root emerging. If this is not possible then some periodontal plastic surgery to reshape the gum using grafts / emdogain etc might be an option.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: bone graft, cosmetic dentist, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, Cosmetic+dentistry, cost cosmetic dentistry, cost dental implants, front teeth, front tooth, gum graft, gum grafting, root, root canal
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Friday, November 6th, 2009
Q. My front teeth have got a gap. A small one. what could be done for this? I feel really down about it. thank you
A. Cosmetic bonding to add tooth coloured filling, or porcelain veneers would be common solutions to diastema closure (tech term for gaps)
The best treatment in your case can be decided after a free 15 minute initial consultation. Call Amy on 0121 643 0610 for details.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: bonding, composite bonding, composite veneers, dental veneer, dental veneer costs, dental veneer gum line, dental veneers, emax veneers, empress veneers, gappy teeth, lava veneer, porcelain veneer, porcelain veneers, root canal. veneer, teeth gaps, tooth bonding, tooth veneer, veneer, veneers, veneerswhite smile
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Friday, November 6th, 2009
Q. HI DR i am so scared of having my teeth looked at , And I know I need some teeth removed because some are black and chiped . Can I be put to sleep ?
A. contact your local primary Healthcare Trust (PCT) ask for Dental Contracts and they will tell you who has a NHS sedation contract in your area. For Private treatment search for practices offering IV sedation.
Sedation is probably your best route which is why I given those details although you need to speak to the provider to wexplain what this be be like in your case. The risks associated with general anaesthetics mean it is rarely indicated for dentistry, and if it is you would need a hospital refferal from a dental practice like the sedation services mentioned.
Good Luck Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: scared of dentist, sedation
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
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
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Tags: bonding, ceramic veneer, composite bonding, composite veneers, crown, crowns, dental bonding, dental crown, dental crowns, dental veneer, dental veneer costs, dental veneer gum line, dental veneers, emax veneers, empress veneers, gold crown, lava crown, nhs crowns, porcelain crowns, porcelain veneer, porcelain veneers, root canal. veneer, tooth bonding, tooth veneer, veneer, veneers, veneerswhite smile
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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
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: bridge, bridges, cantilever bridge, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, Cosmetic+dentistry, cost cosmetic dentistry, cost dental implants, cost teeth whitening, crown, crowns, dental bridge, dental bridges, dental crown, dental crowns, dental implant, dental implants, dental implants costs, gold crown, immediate dental implants, implant, implant dentist, implantologist, implants, lava crown, maryland bridge, nhs crowns, porcelain bridge, porcelain crowns, root canal
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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
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cosmetic dentist, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, Cosmetic+dentistry, cost cosmetic dentistry, cost dental implants, cost teeth whitening, cracked tooth, dental implant, dental implants, dental implants costs, immediate dental implants, implant, implant dentist, implantologist, implants, teeth implant, teeth implants
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Tuesday, November 3rd, 2009
Q. Hi, i’m 18 and i had braces for 2 years when i was 13. since then i havent had any trouble until recently when my lateral incisor has felt slightly loose. this was one of the teeth which moved the most during my orthodontic treatment. in the past few weeks it has felt slightly painful in what im assuming is the root. i have noticed it has moving so i’ve had to wear my retainers every night nd they feel tight around this tooth whenever i put them in. is this normal? i have also read that these sort of symptoms can be related to sinus problems, is this likey? i did mention that my tooth felt loose to my dentist but he said it was about 0.5 on the scale of looseness and not to worry, did he miss something? generally my teeth are healthy and i have not noticed any abcesses.
A. a radiograph to exclude resorption might help. Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: abscess, braces, clear fixed braces, fixed braces, invisalign brace, invisalign braces, invisible braces, invisile braces, lingual braces
Posted in Dr Tennet's Answers, Experts Answers, Q. Orthodontics | No Comments »
Tuesday, November 3rd, 2009
Q. I have a hairdressing salon. A friend is investing in laser teeth whitening products including a laser machine. my friend is not a dentist and is thinking of having someone who is n ot trained in any form of dentistry to do the treatments. My friend is asking me to rent some space for his little business. I do not feel comfortable about this and am concerned with public liability issues. I beleive it is illegal for someone not trained in the dentistry field to administer teeth whitening by laser.
A. you are correct the general dental council has been prosecuting similar cases. their website gives details. Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cost teeth whitening, enlighten teeth whitening, white teeth
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
Tuesday, November 3rd, 2009
Q. I have a loose front tooth due to a cracked root. I go in a few days for my impressions for my flapper. My tooth is very loose and I am worried that it may fall out before I go for my apointment. I am not using it to eat at all. I am just afraid it will fall out.
A. do your best with a soft diet
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: loose teeth, loose tooth
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
Tuesday, November 3rd, 2009
Q. I chipped my front tooth in two small places and my dentist fixed it by slightly filling the tooth put some kinda tooth color stuff and then buffed it a little, but the shape of my new tooth is very uncomfortable and is bothering me can the stuff he put on my tooth be removed….
A. generally speaking it should be possible to polish back.
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: chipped teeth, chipped tooth
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
Thursday, October 29th, 2009
Q. Why is it so important if you have herpes 1 and 2 to know as a dentist. The reason why i ask because i am becoming a dentist ass. and i need to know why is it so important to know if a someone had herpes.
A. herpes virus can be spread in the aerosol spray that dentistry creates. it can be a serious infection in some patients and can cause permanent damage if it is spread to the eyes
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: infection, oral hygiene, orthodontic treatment, orthodontics, orthodontist, periodontal disease, teeth pain
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry, Q. Orthodontics | No Comments »
Wednesday, October 28th, 2009
Q. Hello, I have a front tooth that is rotting, it has turned black and does not look nice, I know I need the dentist but I have not had any good experiences with the dentist hence why I’ve put it off for so long, I know I have to go sooner rather than later but I’m worried about what they will do with the tooth in question, will they take it out or can they repair it?
A.
You need the check up before you can get down to details. The good thing is that you dont have to have anything done at the first visit , just decide on some likely options.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, cost cosmetic dentistry, dental anxiety, dentist, dentistry, discoloured tooth, discoloured teeth, free consultation, free consultations, front teeth, front tooth, rotting teeth, scared of dentist, teeth discolouration
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Wednesday, October 28th, 2009
Q. i seem to have a habbit of pushing my front teeth with my tongue and then pushing them back again and now, i find myself doing it all day without realizing it and now i think one of my front teeth are shaky, it seems to move a bit more now, out of place when i push it and instead of stopping, i do it alot more now to see if it really is shaky or not. im terrified as im only 21. what can i do if they fall out? i also grind my back teeth in my sleep and during the day which is a new thing during the day. what are dental implants? are they screw ins? if my teeth come out could i get them on nhs? in the morning i feel as though if i just push my teeth theyl pop out so i try to avoid doing that 1st thing in the morning. im terrified on dental jags so cant go to dentist, i would go if i could get put to sleep tho, please help
A. Start by forcing yourself to visit 3 different practices that seem friendly to anxious patients. You can be adamant that you only want an opinion not treatment. ( check prices for assesment before you go )
One of them will feel better and more in tune with you. Then start with some simple treatment to boost your confidence.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cost dental implants, dental anxiety, dental implant, dental implants, dental implants costs, front teeth, front tooth, grinding habit, immediate dental implants, implant, implant dentist, implants, loose teeth, loose tooth, NHS, nhs dentist, nhs dentistry, scared of dentist, teeth grinding, teeth implant, teeth implants, tooth implant
Posted in Dr Tennet's Answers, Experts Answers, Q. General dentistry | No Comments »
Wednesday, October 28th, 2009
Q. Hi I have two bottom teeth missing and currently where a plate, how much roughly would it cost to have these two teeth as implants
A. If a single implant can carry both teeth a guide price of £3-4000. If each miising tooth is replaced by an implant then £4-5000. ( Average Birmingham Prices)
If you would like a free initial consultation to determine the best option in your case call Amy on 0121 643 0610 for details.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Tags: cosmetic dentist, cosmetic dentistry, cosmetic dentistry drugs, cosmetic dentists, Cosmetic+dentistry, cost cosmetic dentistry, cost dental implants, dental implants, dental implants costs, dental plate, immediate dental implants, implants, teeth implants, teeth removed
Posted in Dr Tennet's Answers, Experts Answers, Q. Dental Implants | No Comments »
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