I need to know once i get a price on my teeth how do i go about getting in touch with NHS

June 24th, 2009

Q. thank you very much for your e-mail now all i need to know is once i get a price on my teeth how much it costs how do i go about getting intouch with the nhs to see what they will pay or does my dentist do that because i have an appointment on 21st july at haymens green in west daurby in liverpool thank you

A. Hi I’m sorry but you’ll need to sort out those things yourself with your dentist in Liverpool

dr andrew moore

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

My front teeth are wobbly is it possible to get my teeth straighten without affecting front tooth

June 24th, 2009

Q. Dear Dr Bohara I would like to undertake cosmetic dentistry to straighten both sets of teeth. However when I was 13 I had an accident which resulted in trauma to my upper two front teeth. They both fractured at the root on impact of my fall and bent back in my mouth. I was taken to the emergency London dental hospital where they were able to push the teeth back into place. Two weeks later the nerve in my left tooth died and it was removed from the back during a root canal treatment. Unfortunately the dead nerve decayed and discoloured my tooth before it was spotted and removed and although I had some internal bleaching the tooth remains a yellow colour and has a very dead lifeless appearance. Both fractures are about two thirds of the way up the tooth and the top of the root fragments never fully fused back together with the rest of the tooth. I have the following questions; 1. Is it possible to have a brace fitted to straighten my teeth without subjecting the two front teeth to further trauma? (They currently wobble slightly if moved so I’m not sure if the root gives them enough anchorage to be moved) 2. Would it be wiser to opt for an implant for the two front upper teeth and then have a brace fitted during the healing process? 3. Is it possible to keep both teeth during the orthodontics? 4. Is it possible to whiten the “dead” tooth. 5. Are there any other options? 6. How much would this cost (ballpark)? I have been saving for treatment for a while but everywhere I enquire requires a paid consultation and I just want to know what the options are as I have already paid for two consultations which all required further paid consultations. I hope I have given you enough information on my case and really look forward to hearing back from you. Yours Sincerely 

A. Hi

My answers to your specific questions, would just be unapproprite without an examination and therfore would not be helpful for you.

To answer the questions, an xray would have to be taken to see the prognosis of the front two teeth and see if they are salavagble. If they are not then this would lead into other treatment options i.e possible dental implants.

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ

The 3 tooth from the back at the top left side hurts when i bite hard food can you please advice

June 24th, 2009

Q. Hello, The 3rd tooth from the back at the top left side of my mouth hurts when i bite something hard. The pain lasts for between 5-10 minutes and then goes. I try to move the food i am eating right to the back of my mouth but sometimes i accidentally bite with the problem tooth which is ok for soft foods but extremely painful for hard foods. I have now started to develop pain in my temple area and am begining to wonder if this is a direct result of whats occuring in the area where the problem tooth is. thnka you

A. It sounds like either a cavity developing or a cracked tooth, go to your dentist this week to get it checked and sorted out

dr andrew moore

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

I want my teeth whitened but my front teeth are held by dental implant and bridges advice

June 24th, 2009

Q. i was thinking to get my teeth whitend but my front four teeth are held in place by dental implants and bridge if not then can i get vaneers to sit on top of the bridge trhanks

A. hi
the teeth will not respond to whitening and you will have to have crowns on the implants changed if you want to change the colour

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

Do you know any dentist located in belfast area who can properly remove the algamalm

June 24th, 2009

Q. I would like to ask you a question about silver- Algamalm. irecently got my tooth filled today about 4 hours ago with a silver/mercury filling. I was looking about on the web and it says these can cause a number of problems? What i am asking you is do you know a dentist located in the Belfast Area in northern ireland. That can properly remove the algamalm with the safety precautions ie oxygen nose mask vitamins, as i do not know where to look for a competant dentist who isn’t going to fill me up with poisoness metals. thanks.

A. Hi The evidence against Amalgam is at best anecdotal, saying that I personally don’t use amalgam because of the effects it has on the enviromnet and now there are more viable alternatives with a better cosmetic appearance.

I don’t know of a specailised practice in this area although you could try Belmore Dental in Enniskillin as they have a very good reputation

dr andrew moore

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

My dentist said to me to have more space for my bite gap what does she mean about it?

June 24th, 2009

Q. When I was getting measurements for my two front teeth for crowns this week, my dentist measured it twice. She said she wanted me to have more space for my bite gap. what did she mean by this? Does this mean I’ll have a gap between my teeth, I’m getting crowns to correct my front teeth to not have a space. In dental terms what did my dentist mean? thankyou.

A. hi the dentist is referring to thespace between the teeth when you bite together in a verticaldirection, ideally there needs to be a light contact or space so the teeth do not feel proud when you bite together.

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

I think i have cracked my crown is it possible to get it filled and fixed in the same day

June 24th, 2009

Q. I THINK I MAY HAVE CRACKED MY CROWN IM NOT FOR SURE ALL I KNOW IS I WAS EATING SOMETHING AND I FELT LIKE I MAY HAVE OVER BIT MY FOOD AND PUT TO MUCH PRESSER ON MY CROWN IS IT POSSIBLE IF I CRACKED MY CROWN IS IT POSSIBLE TO GET IT FILLED THAT SAME DAY I GO TO THE DENTIST.WHAT DO THEY DO IF YOU CRACKED YOUR CROWN?I CAN’T SEE IT BUT MY TOOTH JUST DOESN’T FEEL THE SAME AND IM PRETTY SURE IT’S COMING FROM THE CROWN. IF YOU CAN EMAIL ME BACK AS SOON AS YOU CAN. I HAVE AND APPOINTMENT THIS THURSDAY

A. Unfortunately it is impossible to say what is the appropriete treatment without looking the tooth. I am sure your dentist will be able to diagnose the problem.

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ

Im student and i want to straightened and whitened my teeth can i get six month smile in NHS

June 24th, 2009

Q. Hi, I’m a student at Scarborough Sixth Form college and am looking to get my teeth straightened and whitened. Iwas thinking of the “six month smile” method do you know roughly what this would cost and if it was avaliable free under NHS? As for the whitening of the teeth i was thinking of a home whitening kit because they are’nt that bad, which kit would you recomend? Thanks

A. Hi, You might get some orthodontic treatment if you are 16 or under but you’ll need to find a dentist who offers this. The home whitening kits are very hit and miss although the crest whitening strips work quite well

dr andrew moore

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

My upper front teeth are big in width as well as height can the width and height be reduced

June 24th, 2009

Q. Two of my upper front teeth r big in width as well as height…Can they be cut down to reduce their height?Can their width be reduced?

A. In some circumstance teeth can be slightly smoothened to reduce the height (within reason). If you wanted the length and width reduced then veneers may be a possibility, but an examination would be required.

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ

My gum are discolored and my dentist said veneer is the right option what do you think?

June 24th, 2009

Q. Hello I was just wondering if you could possible help me please. The problems with my teeth are that at top by the gum they are discoloured, and and my dentist said that the best way in with to deal with it is to have veneers and for me that seems a little harsh??? Regards

A. hi
it alldepends on how dark they are .
you need to ask your dentist if they would respond to bleaching.
the other alternative is to have the surface tooth layer in this area removed and replaced with white filling.
this is irreversible

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

I have a deep decay in my tooth do i need a root canal

June 23rd, 2009

Q. Hi - I have been advised by my dentist that because of deep decay I need a root canal (last molder). But the tooth in question has no infection, no pain. My dentist now has cleaned the decay and closed the tooth with a provisional filling. In a few weeks I face a root canal treatment in excess of £1000 (incl. crown). My question is: do I really need a root canal? The tooth is calm, and if a precision crown is fitted, would it not seal the tooth effectively to avoid bacteria infecting the pulp? I just want to avoid killing a tooth just because of some decay … Some 20 years ago I had a similar case (I believe) and didn’t opt for the root canal; that tooth is still going strong. What are my options? Does it make sense to ask my dentist to only fit a crown without the underlying root canal treatment? Or am I asking for trouble?

A. If there is decay under the tooth then you can’t have a crown as the decay will continue causing pain in the future. If the decay is that deep then the tooth should really be root canalled as a precaution prior to crowning. The only other option you have is to clean out the tooth and if the nerve/root canal isn’t exposed you could wait for 3 months to see if the tooth settles down without a root canal

dr andrew moore

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

Is it unusual to have a cavity form under a cap less than 3 years after it was installed?

June 23rd, 2009

Q. Is it unusual to have a cavity form under a cap less than 3 years after it was installed?

A. It is, but you need to analyse your diet to see if you’re eating too many sugary foods

dr andrew moore

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

Ive gaps in my teeth and they are smaller in size can i get veneers in NHS

June 23rd, 2009

Q. hi, i have gaps in my teeth, they smaller than regular size and spaced out and braces can’t solve the problem because it will leave gaps at the back. I’m a student and the cost to get the veneers is unaffordable for me. Can i get covered by NHS?

A. I don’t think you can get veneers on the NHS but you could try to use resin bonded to the teeth to make the teeth slightly larger, this might be a more affordable option

dr andrew moore

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

My dentist filed down one of the healthy teeth for partial fitting is it correct procedure

June 23rd, 2009

Q. I recently had a mold done for a partial and when it came back it did not fit. My dentist proceeded to file one of my teeth down with a procedure called a “repiscus” or something. It happened so quick…no explanation or anything I just have a crooked tooth in the back. Now the once health tooth is painful to chew on and sensitive. I have a follow-up appointment but wanted to know if you know of this process of filing down adjoining helathy teeth for partial fitting.

A. Sometimes it is necessary especially if the tooth is slightly misplaced or out of line, get your dentist to check it over for you.

dr andrew moore

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

My daughter is 14 and orthodontist said her two teeth should be removed to have braces

June 22nd, 2009

Q. Hello - my daughter is 14 years old. After two years of regular orthodontic assessments while she has waited to lose all of her milk teeth she has recently started treatment, and has had her bottom braces fitted. She has spacing between her teeth, but the orthodontist has told us that she needs to have the two number 4 teeth removed from her top gum before he can fit the top brace. I don’t understand this - surely the teeth can be pulled back into the existing spaces, so why create further space by removing two teeth? Also, our dentist, who has been asked by the orthodontist to remove the teeth, has said he cannot understand why he is removing teeth when there is spacing rather than crowding, and will not do this without a second opinion, which we are currently seeking. What is your view? Thank you.

A. Go for the 2nd opinion and find out what they say. It does sound like the removal of the teeth may leave you with too much space??

dr andrew moore

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

I gonna DDS and i am really interested in cosmetic dentistry which is the best place

June 22nd, 2009

Q. hello Dr.Rob its so nice to find this web site and the experts to ask thire advice ..so thanks 1st this year i gonna graduate as DDS from the uni of kalamoon syria & im realy intresting in cosmatic dentistry ,want to be one of the best in this aspect so what should i do now? staring to study cosmatic or just corses ?frankly i don’t know yet what’s the next step after graduation?so i think its better to ask an expert !! its gonna be one of my plesure to hear your advices about what to study & where the best place for that? thanks alot again regards

A. Cosmetic Dentistry is a technical skill and a personality skill. First practice your listening skills so that you really understand what your patients want. Once you know what they want;  reading and courses will help you to know what is available to solve your patients problems. Finally hands on courses to be able to deliver a top quality, elegant solution to the problem they wanted solving.

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

When i touch around the teeth it hurts alot do you think it show that it is no healthy tooth

June 22nd, 2009

Q. 3 months ago I went to my dentist with a painfull tooth. He filled the tooth and as soon as I came home terrible pain started. I stayed 2 weeks with the painkillers help and I went again to my dentist. He changed the filling and I was OK for 2 weeks and my pain started again. This time he said I am grinding my teeth and he couldn’t do anything for me. My question is when I touch around this tooth it hurts alot. Do you think it shows that it is not a healthy tooth and should be removed thank you

A. Certainly removal is an option for a very painful tooth. You might also consider root canal treatment to take away the discomfort. Either way you should really get it sorted out as toothache is a very unpleasant thing to put up with

dr andrew moore

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

My daughter has a perfect teeth but she has been refered to the orthodontist can u tell why

June 22nd, 2009

Q. My 16 year old daughter went to our new dentist for a dental exam and I was told she needed to see an orthodontist. My daughter’s teeth are perfectly straight and her bite appears to be just fine. She has gone to the dentist over the last 10 years and this is the first time that we have ever been told she needs to see an orthodontist. I was so upset when we were given a referral that I decided to end our Dr. patient relationship. Is there some reason that is completely invisible to the naked eye and x-ray that would cause a dentist to refer a patient? I feel like I can’t trust this dentist. Please give me your opinion.

A. I can’t tell you without seeing your daughter, perhaps you should get a 2nd opinion from another dentist?

dr andrew moore

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

My lower front teeth has become loose with gum and has started moving please advice

June 22nd, 2009

Q. Sir i have problem with my lower front teeth ,its joint has become loose with gum and has started moving ..means i cannot crack any hard stuff with that teeth and also some tiny portion of root of my teeh is broken while i touch it with my tongue ….so ,remedy i need for that

A. You need to visist a dentist, an Xray may be needed to make a proper assessment.

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

Ive gap between my front teeth and canines look like thangs should i continue treatment with nhs

June 22nd, 2009

Q. hi, I am really relieved that there is someone i can ask about my teeth. It is very kind of you. well after much trouble, i finally got a referal to Kings college at the age of 18.Im worried if i can get my teeth fixed on the nhs because i suffer bdd over my thangs arrg. I have Class 1 malocclusion complicated by the congenital absence of both upper lateral incisors.crowding of upper and lower arches and in occlusion class 1 buccal relationship. My adult canines ,next to my 2 front front teeth look like thangs and they ache, they said they would like fill in the gap? with restorative orthodontistry? do u reckon i could get this on the nhs? it really bothers me effcting the way i behave ;i hide my teeth ,cant smile,depressed, focus on them, if i told them this would this help? and i just left college and september i will do an art foundation course which is free .ooow please help. 

A. If you are being referred to Kings then the treatment you need should be done on the NHS. It sounds like a combination of orthodontic (brace) treatment and restorative dentistry (fillings) will work best

dr andrew moore

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