Archive for the ‘Gum Disease’ Category

My teeth seem to change on a daily basis, what is the cause?

Friday, June 17th, 2011
Q.

Hello Doctor, 

Just got my 2 front teeth bonded to close a gap in my front teeth. I feel like they move from day to day. Sometimes looking really buck and long…other times ok.. I can also feel the teeth on my top lip sometimes…is that a sign that they are bucking out. I have always had a little bucking…but this seems like much more…
What should I do? I have been wearing a one of the night mouth guards…but not sure if it making is better or worse. As I said before…I take pics of my teeth…certain times ok and others not so happy. Can’t really get anyone to be honest with you about your teeth…so what can I do? Thank you very much for your time 
A.
Hello, the best advice I could… (Click here to read the rest of the answer)

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 have advanced Periodontitis, are dentures my best option?

Monday, June 6th, 2011
Q.

Hi
I have advanced Periodontitis and have been told that the pockets after having treatment for three years are still 12mm + deep in some areas. The shift in my teeth is quite horrendous especially the two front teeth which now have huge gaps between them and jut out quite badly so the bite is off. Its very embarrassing for me, once a gummy woman, now a long toothy one embarrassed to smile.

My dentist has told me that I could have the two front teeth (possible the ones either side) removed and to replace them with a partial chrome plate denture. I’m wondering whether there are other alternatives and if this is the right move at this stage?

Also if going down the road of having teeth extracted, wouldn’t a bridge work the same way and isn’t this available on the NHS? Won’t having a chrome partial denture affect the cleaning of the teeth?

I know that the bone in my jaw is not in good shape, so even if I had the money, implants wouldn’t be an option.

I am left with awful jutting teeth, with huge gaps and gums which seem to be disintegrating even though I try hard every day to keep on top of my health routine. Please can you tell me what the best options are? I’m worried I may make the wrong choice and have to live with being toothless.

Thank you

A.
If implants are not an option … (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

What can I do about my infected gums?

Wednesday, June 1st, 2011
Q.

Three months ago I visited my dentist because I had a slight gum tenderness around one of my front incisor teeth. He suggested that I should rub Corsodyl around it twice a day. This treatment didn’t seem to work so he took an X ray which revealed that there was an infection. Probably five years previously, this tooth had been capped. He then suggested that he should attempt a root canal treatment, which he did ten days ago. Sadly, for me he said that he had not been able to do this successfully. I think he said it was due to “corrosion” ! He said come back and see me on the 9th June and we will decide what to do. Obviously, I do not wish to lose this front tooth; – would it be a good idea to be referred to a specialist endodontis ? I do not have any pain – at the moment – a very slight discomfort when I eat. I f you do suggest that I go to a specialist should I do this before 9th June and are you able to recommend someone really good in the area OR has it to be London ? Many thanks indeed for your help. 

A.
Hello, sorry to hear about you… (Click here to read the rest of the answer)

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

I am receiving mixed information about dental sealants for children, what is you opinion?

Tuesday, May 31st, 2011
Q.

Hello,

We live outside but very near London. My daughter (8 years old) was recommended to have dental sealants in her 4 molars by our private English dentist. She had this procedure done at about 5 months ago.
When visiting our doctors abroad recently, they warned me about the dangers of dental sealants in children. They even suggested to remove them. My question would be if it is possible to remove those without damaging her teeth or making the whole issue worse.
Would you be able to do this (remove her sealants)?
Also, I wonder when is really the main danger: at the moment of placing the sealing or during the following time where the seal can be leaking in her mouth.
Thanks in advance for your precious help and advice.

A.
Hi and thanks for your questio… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Numerous health issues have lead to the deterioration of my teeth, what can I do?

Tuesday, May 31st, 2011
Q.

Hello, I am 20 and completely depressed about the state of my teeth, I feel embarassed, paranoid and have to cover my face to laugh as Im so embarassed. My career means I am always working with the public which makes everything harder. I can barely even eat theyre that bad.
I have very bad gum disease and the gum is receeding at the back of my front teeth, I have already lost most of my back teeth on each side and am in constant discomfort.
I try my hardest cleaning my teeth 3 times a day and used cordysl mouthwash to try n rid myself of gum disease, but as I am diabetic it seems to never heal.
I have also had stomach problems for over a year, which makes me vomit which aalso leads to my teeth weakening.
I know Ill be told I need dentures which I could not live with ,or I could pay for dental implants which I could never afford, I feel like my illnesses have caused all of the problems with my teeth. I have been on a liquid diet for weeks as I can no longer eat most solid food, this also compromises my diabetes. What advice do you have for me?

A.
Unfortunately when you lose te… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

X-Rays show no problems with my damaged tooth but it still hurts. What’s the deal?

Monday, May 23rd, 2011
Q.

I was assaulted Just over a week ago. The gum above my two front teeth was very painful and sore after the impact. One front tooth is very tender to bite on, it is not loose or broken. I did have an x ray in the hospital and it shows no signs of any damage.The gum around the front teeth is still quite sore and have some discomfort in the front teeth that comes and goes. Do you think there is damage to to the pulp in the tooth? Can an x ray miss something?

A.
Hi

Sorry to hear about your a… (Click here to read the rest of the answer)


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Why are my crowns turning black at the gum?

Monday, May 23rd, 2011
Q.

Hi
About 5 years ago I had 2 crowns fitted to my 2 front teeth.
I went to the dentist yesterday as I have noticed in the last year or so that one of the crowns has developed a grey line at the top at the gum line.

I seem to recall being told before that this was often an issue with crowns as the gum recedes. However when I asked my dentist about the cause, she said that it was nothing to do with gum recession but that she thought there was a problem with the crown. She thinks it might have a crack in it which is causing bacteria to get in and rot the remaining bit of tooth underneath and hence making it go black. She suggests replacing both crowns to ensure a colour match.

Could you give me your opinion please as to the likely cause of this dark line?
Her advice would be very expensive and disappointing after only having them done 5 years ago.

Thanks

A.
Hi

I’d love to be able to ans… (Click here to read the rest of the answer)


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I had a very bad reaction to implants and have been told that I may have to wear dentures, what are my options?

Monday, May 16th, 2011
Q.

Dear Dr. Glaister
I had an implant of one of my front teeth because one of the posts from my front bridge decayed and actually worked its way out through the back of my bridge which was following 2 years of trying to treat this by my dentist with cleaning, etc. I subsequently had the bridge removed (only 2 of the teeth, one tooth was left from the bridge) and had the root of the decayed tooth extracted. I was then given three options, one being an implant with an abutment, a bridge filing down a 4th tooth or a denture. I opted for the implant, as I thought this was the best option at the beginning of October 2009. I had to have a bone graft as the dentist commented after performing the implant that my bone wasn’t particularly good. I have had my third check up today and have been told that it doesn’t appear to have taken and although I have another check up at the beginning of February, it is likely that I will have to have it removed. I had a very bad reaction when the implant was initially done, a very swollen face and couldn’t face it again. I asked what would happen and was told by the dentist that I could redo the implant(!!) or resign myself to dentures! I am not very pleased about this, apart from parting with £1,000, as I was never advised that it might fail. If I had been told this, I might have chosen a different avenue. Could you advise me please?

A.
Sometimes this happens , even … (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

What advice can you give me on periodontal cleaning and root canal surgery?

Monday, May 16th, 2011
Q.

1. I was checked at dentist office recently and I have been told that I have gum disease. Do I need arestin put in pockets if my preiodental desease from1mm to 4mm,most of them 1mm-2mm? can they just do professional cleaning and tooth planning without using atibiotics? I was told that I need to pay almost $1300 for antibiotics and $700 for cleaning.
2. How soon I need to put crown over tooth w/root canal?
3. What is the best over counter whitening kit and best toothpaste?
Thank you for your time.

A.
Hi and thanks for the question… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I was told I would loose all my teeth to periodontal disease, what do you advise?

Tuesday, April 12th, 2011
Q.

I was diagnosed with severe periodontal disease at 38 and was told that I would lose all my teeth soon. My teeth were lose and I did not have much bone mass. My dentist said it could have been caused by stress, genetics etc. I have been really depressed as my teeth have moved out of alignment, I cannot bite anything with my front teeth due to an extreme overbite. I rarely smile anymore. I have been told that the best option is to remove my teeth (even though they are healthy below the gum) and to wear dentures. I have come around to this idea. However, I would like cosmetic dentures fixed with mini denture implants but I cannot afford this. Is there anyway that I can get funding for this as I cannot bite, I do not smile and I am depressed as I was told i will loose all my teeth when I was 38. I am now 43 and my hands are tied as I cannot afford to do anything about it. Please help!

Regards

A.
Hi Try your local NHS hospital… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes