Cosmetic Dentistry Guide » Dr Tennet’s Answers

Not wearing retainers has caused the front teeth to move forward

admin — Mon, 09 Nov 2009 06:12:07 +0000

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?

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

How does diabetics influence implant surgery?

admin — Mon, 09 Nov 2009 06:08:21 +0000

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

Need to smile but have bad teeth

admin — Mon, 09 Nov 2009 06:04:21 +0000

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

Need to book an appointment for teeth whitening?

admin — Mon, 09 Nov 2009 05:56:47 +0000

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

I am scared of dentist and cant afford treatment costs

admin — Mon, 09 Nov 2009 05:50:35 +0000

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

Rebonding and teeth whitening was not done as expected

admin — Mon, 09 Nov 2009 05:44:11 +0000

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!

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

I have a 40 year old root canals with discoloured and fragile teeth

admin — Fri, 06 Nov 2009 04:56:49 +0000

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

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

What can be done for a small gap in my front teeth?

admin — Fri, 06 Nov 2009 04:46:04 +0000

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

Can I be put to sleep while being looked at by dentist?

admin — Fri, 06 Nov 2009 04:37:04 +0000

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

Please help me in reshaping my teeth

admin — Fri, 06 Nov 2009 04:29:50 +0000

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