Is it necessary to remove tooth tooth can what can be done to fill gap?

February 5th, 2010
Q. I recently had an abcess near the front of my mouth on my tooth which has a root filling and had cracked and got infected. I have just finished my course of antibiotics and was told the root has died and the tooth needs to come out. I am reluctant to do this, as it is going to leave a gap near the front of my mouth. What would you suggest I do to fill in the gap? And is there any other options? many thanks,
A. I would consider replacing the tooth with a temporary solution then consider either a bridge or dental implants.
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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What can be done for jaw problem?

February 5th, 2010
Q. i have experienced ‘Jaw clicking’ for a few years, (left side) on 3 occasions after waking up, it has locked. I have never mentioned it, or discussed it with my dentist, as I have learnt to live with it.During my last check up it was noticed and they recommend a bite guard, I also need a plate (LL 5,6,7)the dentist said this could not be done until the clicking is cured,Could you confirm if this is correct? sadly i do not have much faith in them, during the check up they had a quick look with the mirror, a probe was not used, and no x-ray taken.many thanks,
A. It is difficult for me to give you guidance on your jaw matter without seeing you in person and perhaps performing a few tests.I would be more than happy to see you regarding this. I understand how important it is to find a dentist who you trust.Justin glaisterwww.umbrellasmiles.com
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Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
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Is dentist trying his best to make my treatment most expensive?

February 5th, 2010
Q. Dr. Moore, I recently cracked a tooth a few months ago. I went to my dentist who did a crown and B/U. Before he started, he stated, “Gee, I hope we don’t have to do a root canal“. It seemed like he drilled very far down for the crown. Seveal wks went by and it still hurt. I went back and he said if it didn’t get better in a few months, I would have to get a root canal. My wife also went to get a new bridge put in. He also seemed to drill too deep to connect her bridge and told her the same thing. Is this coincidence or is he setting us up for more expensive procedures? thanks.,
A. I can’t really comment on individual cases as I haven’t seem the teeth so I wouldn’t know how deep he had to drill- sorry
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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How can canine be brought down when labally placed?

February 5th, 2010
Q. how to bring down canine when labally placed,
A. Are you referring to orthodontic treatment? We have an orthodontist who works here every other Tuesday who may be able to help you.Justin glaisterwww.umbrellasmiles.com
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Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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How can canine be brought down when labally placed?

February 5th, 2010
Q. how to bring down canine when labally placed,
A. Are you referring to orthodontic treatment? We have an orthodontist who works here every other Tuesday who may be able to help you.Justin glaisterwww.umbrellasmiles.com
dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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What questions should I ask dentist about dental implants?

February 5th, 2010
Q. Apart from the obvious questions of costs when researching dental implants. What are the other questions that you need to be asking the dentist. Should you be forthright and ask what make they use etc, do they have an inhouse lab etc etc. I am in the process of acquiring a dental implant for one of my front teeth and I want to now what I’ll be getting for my money without coming across rude. Kind regards,
A. You should really ask about the experinece the dentist has and how many implants he places a year as this will give you an idea of the experience of the dentist. Other relevant questions maybe the length of time he has been using implants and the post graduate qualifications he has obtained in the subject
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Can I get invisalign if two of my teeth feel loose?

February 5th, 2010
Q. Hi, I am thinking of having Invisalign treatment, but I have 2 very loose teeth and these teeth are the ones which would need the most adjustment. Is Invisalign still an option or is there another treatment available?,
A. If your teeth are loose then it sounds as though you have a serious periodontal condition. I would recommend you see either a Hygienist or Periodontist before you commence your Invisalign treatment.We have some here at Umbrella Smiles who would be able to assist you.Justin glaisterwww.umbrellasmiles.comph: 0207 612 9810
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Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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What is the procedure for tooth extraction?

February 5th, 2010
Q. approx 5 yrs ago I had a root canal and crown put on my lower “canine” tooth. I was referred to an endodontist for re-treatment root canal and he diagnosed it as extra canal invasive resorption and chronic apical periodontis. He advised that I have the tooth extracted because I would eventually lose it and get an implant. How would the extraction be done? Would they have to cut the crown off first then extract the tooth, or can they extract the tooth with the crown on it? Thank you,
A. The tooth will probably be removed with the crown attached
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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What is the price for teeth straightening?

February 5th, 2010
Q. how much would it cost to get my teeth straightend and to have them white in the uk,
A. It depends on who you see and what type of straighteneing procedure you require. Invisalign at our surgery would cost you anywhere between £1450 – £4000. Fixed braces would cost you between £4500 – £8000. Whitening costs between £450 – £1000 depending on the type that you chose.Hope this was helpful, call if you have any queries, ph: 0207 612 9810Justin Glaisterwww.umbrellasmiles.com
dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Can you give me some advice about the labial frenectomy procedure?

February 5th, 2010
Q. Hello, my 15 yr old son has been referred to our local max fax unit for a labial frenectomy in 7 days time under local anaesthetic. He is now quite worried about the extent of the procedure.Is the frenulum excised at surface of the gum or beyond the point of insertion ie into the gum tissue?bewteen the front teeth excised? thanks for your help,
A. The surgery is very straightforward and performed normally under a local anaesthetic the incision is made just under the surface of the gum.
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Why has my bite suddenly changed?

February 5th, 2010
Q. Hi, could you help me My bite became open around jan, for no apparent reason. My front teeth stopped meeting and my back molars started meeting, this led to clenching, then ear noise and now my head goes into a locked spasm, and my jaw and occupit muscles, and the only way to release this is to tap on my teeth with my nail whilst rotating my neck. The muscles seem to get hard and snappy, then sort of sticky. Every one has a different diagnosis. I can find no reference to this sort of release with teeth tapping anywhere. I can also release the spasms by tapping my head/scalp. I feel like a freak and it is affecting my health badly. I was advised that having the molars at the back reduced in size my bite could be re-aligned. I have amalgams so they would need to come out first, I am wary of this as it seems more risky than building up a bite, if it didn’t work or made matters worse…what then. I need to know what is going on and why my bite changed to begin with, and why this situation is really affecting my sense of wellbeing. any advice would be very appreciated,
A. It is difficult for me to give you guidance on your jaw matter without seeing you in person and perhaps performing a few tests.I would be more than happy to see you regarding this.Justin glaisterwww.umbrellasmiles.com
dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Can braces treat overbite?

February 5th, 2010
Q. I have an overbite and was wondering if braces could fix it. I have always been self conscious about it but have only found out it can be fixed by going to an orthodontist. thanks.,
A. Yes i’m sure it can be fixed using various types of braces
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Can crowns help my child?

February 5th, 2010
Q. My 12 year old has cp and several dental problems. Many of which cannot be fixed due to the doubling of the gums(caused by meds) Is there any way to fix this problem?Also is it true that crowns are impossible to put on teeth that grow outward instead od straight?,
A. It is very difficult to answer your questions without seeing the state and condition of your childs teeth. I would be more than happy to do this.Justin glaisterwww.umbrellasmiles.com
dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Is implant a good option for me now?

February 5th, 2010
Q. Hello Dr. Moore, I have a dental cantilever bridge for missing teeth for past 18 years, at first PM, 24. In order to strengthen the present alignment and for cosmetic looks I was considering an implant not available as option when I did the bridge. My bridge was very tight in contact with my canine, 23 and I feel 23 is pushing it. I did visit my dentist to help in this matter. She told me is not problem with this tight contact. Is almost 4 year from the time I had cemented this bridge, and my 23 is coming out, day by day like orthodontic pressure…and is move more frontal, now is over erupt because is not antagonist to stop, and is bone lost vertical and pocket 10mm, at mesial side of 23. What I can do?,
A. You may benefit from a implant for the tooth 24 but you will need to treat the canine tooth 23 first, perhaps with gum treatment.
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Is ooze coming from sinus on gums normal?

February 5th, 2010
Q. I have a dental implant which was fitted about two years ago. All was well until about a month and a half ago when I noticed that the gum around the implant was becoming increasingly sore. I saw my dentist who referred me to a dental surgeon (the surgeon who fitted the implant no longer works at the practise). I have a “sinus” on the gum which is constantly oozing in to my mouth and that part of the gum often throbs. I have been advised to scrub the sinus on the gum with cordysl gel and to take mouth washes. Is this normal? The surgeon reckons it is improving and antibiotics are not allowed.,
A. It is difficult for me to give you guidance on your Implant situation without seeing you in person and perhaps performing a few tests.I would be more than happy to see you regarding this.Justin glaisterwww.umbrellasmiles.com
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Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Can dental crowns be whitened?

February 5th, 2010
Q. Although my dentist failed to tell me I have read enough to see that my coffee stained crowns are irreversable! This is devastating to me due to the fact I had all my front teeth crowned in the whitest on the chart for looks! my question is.. Are there ANYTHING that will whiten or brighten them any at all? I’ll be praying you can give me some tips! thank you so much! judy,
A. Porcelain doesn’t stain even with coffee. If it is stained it should only be superficial and will polish off with the hygienist
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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What damage has jaw knock done to me?

February 5th, 2010
Q. Hello Dr. Glaister, I was wondering if you could help me with my jaw pain. Five days ago I was playing with my dog and when she was trying to get away from me, the top of her head hit right underneath my jaw. I was not knocked out or anything, but did have extreme pain. I was holding and rubbing my jaw all day, as well as opening and closing it, which did and still does cause pain. Mainly when I open my jaw is when it hurts. There is no clicking. I have placed a call to my dentist and awaiting a return call. Any advice as to what is going on with my jaw?,
A. It is very hard to say without seeing you in person and performing a few tests.I would be more than happy to see you about your condition.Justin glaisterwww.umbrellasmiles.com
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Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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Are veeners the best option to close tooth gap?

February 5th, 2010
Q. Good morning, I have a 5mm diastema between my upper two front teeth, my dentist advised that i have a crown put in, however I dont want to have that done because it will look as though i have three front teeth, how long will i need to wear braces for, I am 26 years old and I had a frenectomy done when i was in primary school, will porcelain veneers be my best option even if i have to leave a 1mm gap, just as long as it will look better than it does now.,
A. It does sometimes look better to leave a small gap so that the 2 front teeth don’t look too big with veneers on. Alternatively a brace could close the space. this normally takes 9-12 months to complete
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Can you tell me if surgery has led to nerve damage?

February 5th, 2010
Q. hi. i recently underwent surgery for the removal of a brain tumour (right side). When i awoke from surgery i noticed limited movement to one side of my jaw, movement from right to left. Also, my top and bottom teeth do not meet together on the right side. I cant open my mouth as wide as i use to. Eating solid food has become very difficult as my upper and lower teeth are bashing together on my left side. My main priority is ensuring i recover fully from the brain surgery. I realise that i may have undergone some nerve damage however it really feels like my jaw could have been knocked, perhaps during surgery, and i am wonderering whether it is possible to check and rectify this? I would be most grateful for your opinion. I am a 37 yr old healthy, fit male. Kind regards.,
A. It is very hard for me to tell you what I can do for you without seeing you in person and perhaps performing a few tests. I would be more than happy to see you regarding this matter.Justin glaisterwww.umbrellasmiles.com
dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

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What can be done to combat tooth gap?

February 5th, 2010
Q. Hi, i have recently found teeth effect bands to close gaps on teeth. they are little rubber bands which slip on to teeth to pull them together. they work as ive tried them, but when they are took off the gap reappears. if i kept them on for a few months, do you think they woud work? i cannot afford braces. i have a small gap in my two front teeth thanks,
A. The gap will always come back unless you wear a retainer to stop them moving
dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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