Q. how many incises have we got
A. I guess you mean Incisors. You should have 4 top and 4 on the bottom
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi, I had a really bad diet throughout my youth years and now i’m in to my late 20’s it is catching up with me (I suffered a food disorder and now i have cured that over the last year and massively improved my diet i also suffered from regurgitation due to the poor diet and stomach acid coming back up has not helped the situation) I have lost 3 lower bottom teeth (on my left side) And have massive decay on the bottom 3 on the right (I think on my next visit i will have to have an extraction on one) What options do i have as i really need to rebuild the back teeth in my mouth or i fear further trouble in the future! Any help/advice will be of great benefit! Thank you for your time!
A. If you can save the teeth on the right you could try crowns. If not then you may need to consider either removable teeth- a denture, or fixed false teeth – dental implants.Implants are probably the best solution as fixed teeth tend to be easy to maintain and are generally more comfortable.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. My 23-year-old daughter has a 6 tooth bridge across one incisor to the other. This was because she was missing 2 laterals. This was done instead of implants because of severe bone loss of the missing laterals and not enough space for implants. She did have braces but unfortunately had an orthodontist that didn’t know what he was doing, causing these problems. An excellent prosthodontist suggested either redo braces and gum grafting or a bridge. For monetary reasons and my daughter not wanting go through this all over again for years she chose a bridge. This is when she was 19. Is it possible for her to get implants and crowns or once a bridge, always at bridge?
A. It doesn’t sounds like anything has changed regarding the space or bone for implants and now the teeth have been trimmed (i presume) it isn’t really worth considering replacing everything. If the bridge starts to fail then the situation may change and implants may become an option then.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
Q. I have been suffering wit a dead front tooth (top) for over a month. The dentist has drilled a hole in the back of the tooth, and initially left the tooth open in order for the bacteria to be killed off by the oxygen. This alleviated the pain initially. The tooth was then padded with soaked disinfectant on cotton wool. Following this after a week or so the tooth was repacked but left open. After the following week the tooth was packed with cotton wool and then sealed with a temporary filling. This felt ok for a while and then the pain was too great and so I removed the temporary filling and the padding and left the tooth open. This alleviated the pain once more. The tooth has now been packed again and sealed over with a temp filling and the pain at this point is quite bad with pain now at the gum and painful to pressure. Should I leave the filling in place or remove it and let the air in again? Is there a better method, this all seems a little ludicrous for this day and age!!!
A. You may need to consider removing the tooth if the infection doesn’t clear soon. Alternatively you could ask your dentist to refer you to a specialist endodontist, they might have more success in saving the tooth and completing the root canal
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
Q. In early March this year, finally my “baby tooth” cut through – in the roof of my mouth, just behind my eye/front tooth at a pointing outward angle. Nothing special really, except that I’m 43 years old. I needed dental surgery, as it was pushing my front tooth forward and making loose my 3 tooth bridge. I had the surgery at Guy’s Hosipital under the care of a lovely team. It was pretty drastic I must admitt, drilling through the front of my upper gum line to the left of eye tooth and incision/hole drilled in the roof of my mouth to extract said tooth. Nine months later however, I’m left with a widening gap of the eye/front tooth and my 3 tooth bridge is loose, and lower than my gum line. My whole gum line has changed above the bridge so that now you can actully see the metal structure of the bridge itself. The bridge used to fit snug and I never had a gap either at the top of this structure or as is now a gap between my front and eye tooth. I don’t think my upper jaw bone structure would support implants following my surgery. What would you suggest? At this point I am seriously considering a denture of some form, one that does not involve invasive surgery, but then what about the gap between front tooth and eye tooth?
A. Hi it sound like you’ve been through a lot so a denture would seem like an easy option. It might be a good short term option however I guess in the long run you would probably be more comfortable with fixed teeth. This could probably be acheived using an implant supported bridge although it sounds like the bone would need rebuilding firts. Perhaps you could go back to Guys and ask them for their opinion as they have very experienced surgeons who might be able to help you.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
Q. Hi Due to gum disease I lost all of my teeth last year. I would like to know how much it would cost to have full upper and lower implants. i have been quoted from the ridiculous £40,000.00 to the even more ridiculous £6,000.00 (some difference) this is a procedure i will definately be having as soon as possible. Can you please let me know what the correct cost would be? Many thenks
A. Its very difficult to give you a quote without seeing you and assessing the amount of bone you have, how many implants you need and how many teeth to finish things off. As a guide, assuming you will need some bone rebuilding we would charge in the region of £12-15,000 per jaw for 12 fixed teeth held with 8 implants.
let me know if you would like me to take a look and give you a better idea of the costs involved
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
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
Q. I have recently completed a course of cosmetic dental treatment which included a porcelain veneer on one of my front teeth. I don’t feel at all happy with it as it is rough to the touch and not the same colour as the other tooth. It appears almost stained!I am concerned to speak to my dentist as a complaint seems an insult to his work, however, the treatment was expensive and I am not happy with the result. Your advice would be appreciated as I don’t believe a pocelain veneer should be rough. Thank you for any help you are able to offer.
A.
Thanks for getting touch, I would recommend that you do return to your dentist and explain your concerns. I would much prefer my patients to be happy with their treatment and be able to recommend my work. It may be that there is a little excess cement left from when the veneer was fitted. However in respect of the colour, the veneer should be enhancing your smile without standing out, and so the dentist may have to consider remaking the veneer in a shade which better matches your natural teeth shade. I hope this helps.
Many thanks
DR Kailesh Solanki
Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
Q. Hello, i’ve had braces for a while now, and for the last couple of months, i’ve noticed brown marks around one of my brackets, i’ve been frightended to go forth and ask my orthodontist about this, and i am now worried about it, any help would be appreciated.
A. It might be decay or stain, go to your orthodontist as its best to catch these things early
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Dr. andrew i am 18 yrs old and i lost my right front tooth at age 7 at a car accident.I need to implant a tooth , i visited a dentist once and he said that i would need to implant bone and gum. I wanted to know if you could tell me if he is right and if i am a good candidate for the one day implant if not how long will the WHOLE precedure last (weeks,monthes). thank you for your attention .
A. I can’t really tell you without a thorough assessment and x-ray whether you would be suitable for an immediately loaded implant or whther the bone needs rebuilding first. As a guess if the tooth was lost 11 years ago i would assume the bone needs rebuilding 1st then the implant placed at a later date. this type of treatment usually takes 6-9 months to complete
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Thank you for your very useful earlier advice. With regards to the ’six month smile’ braces – do they really only take six months or can they end up taking longer? How reliable are they long term, i.e. would my teeth move back afterwards? Many Thanks.
A. Thanks for your questions, the average treatment time for these braces is six months, although some cases can take a little longer. As with all orthodontic treatment, your teeth will naturally want to return to their pre brace position, and so it is necessary to wear a retainer on completion of the treatment. This can be a removable retainer to wear at night, or a fixed retainer, but your dentist will advise you of the best option for you. I hope this will help you.
Kindest Regards
Dr Kailesh solanki
Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
Q. I had a crown on my front incisor, next to big tooth, and the tooth broke at gum level. I have had a root filling and a post put in with a temporary crown. My dentist wants to do a crown lengthening procedure and fit a new crown. Is this the best solution and will it affect my being able to have an implant if there was a problem with the tooth in the future as I understand they remove some bone? Thanks
A. As long as there is enough bone left after the crown lengthening an implant will still be OK.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I wanted to get my teeth whitened but i have a crown on my right front tooth and on my left front tooth the anamel wore away really bad so my dentist put some sort of layer on top of it , can i still whiten my teeth and if i do will it change the color of my crown?
A. Thanks for your question, whitening procedures will only whiten your natural tooth tissue. Therefore any restorations which you have had placed in the past would remain the same colour. When my patients, who have a crown or veneer wish to whiten their teeth, they would normally have the restorations replaced afterwards. I hope this helps.
Kindest Regards
DR Kailesh Solanki
Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
Q. What is bridge work and does it involve any injections …. thankyou
A. A bridge is a way of filling the gap left after a tooth is removed. it normally requires injections as the teeth either side of the gap need to be drilled down to receive the bridge.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi, I visited an orthodontist in Cambridge who was very helpful. He said my teeth have an 8mm gap from top to bottom, they are also quite crowded at the top.So i would have to have 2 teeth extracted. The answer to straightening my teeth was take 2 teeth out one each side at the top (premolars)and then have a fixed brace for 18 months. I am quite happy with his answers to my questions.The cost was £2800 which i thought was reasonable. When i got home i looked into it more on the internet and found out about 6 month smiles. Would that be more suitable for me. The orthodonist i saw does’nt fit 6 month smiles.I guess he knows about the procedure and probably thought it wasn’t suitable for me, but would it be worth me making an appointment with yourself or someone nearer to my town to see if that treatment would be better.
A. Thanks for your questions, it sounds like you could be a candidate for the six month smiles treatment. However it would be impossible to say for certain without a consultation. I would recommend that you search for a certified six month smiles provider and visit them for a consultation. If you decide the treatment is not for you, you can still proceed with the Orthodontists recommendation, so will have lost nothing. I hope this helps.
Many Thanks
DR Kailesh Solanki
Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
Q. I have been trying to wear a nightguard /splint. But it’s causing me pain especially on one side where I have a bridge. In the morning it seems like the pain is in the gum under/behind the bridge area. It’s like one side feels alright but this side isn’t. I was hoping maybe you could shed some light on why this might be happening. Your thoughts on this are much appreciated. Thank you.
A. I guess the splint is either rubbing on the gum or causing pressure on the bridge. pop back to your dentist and ask him to adjust it
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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