What can a cosmetic dentist do to make my teeth look brighter and my gaps smaller?

November 4th, 2011
Q.

Hi there, about 8 years ago I was unfortunate enough to be injured by a stranger in an unprovoked attack. My two front teeth were broken, one so far up the nerve was showing. My dentist had to perform root canal and I have porcelain caps on the two front teeth and a white composite on the teeth next to them. I have had many problems since then with these teeth but more recently I had a gum infection above these teeth due to my gums being swollen and not being able to clean into the caps properly. After a course of antibiotics and the hygienest clearing the plaque that had gathered above and inbetween these teeth i have been left with big gaps between my gums and teeth. My dentist said there is nothing they can do and I will have to just live with this. Is this true or can I go to a dentist that specialises in cosmetics and have the four teeth (caps and composites) replaced so they dont look as ‘dirty’ and the gaps arent so big and unsightly. I have really good oral hygiene and have never had any other work needed done to my teeth in my 30 years. A response would be much appreciated as it is really getting me down that my lovely teeth will now be like this forever. Many thanks for any advice you can give me. 


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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Can you help me find a gum specialist to help me with my gum recession problems?

November 4th, 2011
Q.

hello doc
i am looking for a gum specialist to check my receeding gums. i think i might need a replacement. been to few hygienist and my gums are healthy though very sensitive and lower than they should be especially the lower frontal one.thanks a lot. i am having some gum problems different like pain in teeth, more than pain is pressure.like they fight and press against each other, got few a the plasting denture you put on night to notb grind teeth but not help. at the dental hospital in glasglow suggested even antidepressant since the cause could be of nervousism. the sensation is worsening prob for the receeding gums. i need somwhere in london.thanks


dr andrew moore

Dr Andrew Moore

Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 08443 87 87 88

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What are the differences between NHS and private practice crowns?

November 2nd, 2011
Q.

Subject : NHS or Private Crowns ?

My dentist has described some differences :
NHS = ‘flat’, unnaturaly opaque white with metal eventually showing at gum edge as I age.
Private = Translucent white, MUCH more like MY real teeth.

But I was surprised he couldn’t show me examples of Private ones to compare with my existing ageing NHS ones (saying I could only really tell once they are in MY mouth – a bit late I thought !)

Its very hard to justify the extraordinary extra cost (as I need 4 Crowns) when I’ve never been ‘teeth-conscious’ before.

Matching my existing yellowy teeth OR suffering (or risking) whitening them is another new issue I’m sure I must decide before choosing crowns.

Can you help me make these important and expensive decisions ?


dr andrew moore

Dr Andrew Moore

Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 08443 87 87 88

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My teeth are really chipped and cracked, what are my options?

October 27th, 2011
Q.

i have let my teeth get in a really bad state over the years and now i am scared to smile and show my teeth, my front tooth is chipped and cracked, 2 rear teeth have got holes in 1 really bad and decayed, and the enamel on my teeth has worn down and my teeth are slightly stained, i get tooth ache really bad at times but dont want any teeth removed wat would be your best advice? and any idea how much in general the treatment would cost


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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I am not happy with crown treatment from my private dentist, is there anything I can do?

October 27th, 2011
Q.

I recently had a private crown fitted on one of my top front teeth. This cost me 450 pound. The dentist did not discuss with me the actual materials that would be used pior to the impession being made. I did make it clear that I did not want any darkness where the crown fitted into the gum. When the crown arrived, I was most unhappy as it was a different colour, more creamier than my other teeth, although the colour the dentist chose appeared to be correct. Also the crown was more rounded and not flat like my other teeth. But I did notice that the crown had a metal interior, which I have to be honest I did not expect. I was told many years ago by another dentist that a private crown is not made with the metal. So I am asking should a private crown be made of porcelain alone or are there occasions where the inside is still metal ?
I have had the crown fitted now but still am not totally happy wit it. It still looks creamier in certain lights. Is this because of the metal interior. Also it is wider than my other front tooth. I did ask my dentist to replace a tiny filling which was at the top of my tooth beside the crowned tooth but he drilled the whole tooth down and then the impression was taken for the crown which I believe has caused my tooth to be wider. Thie crowned tooth now feels jammed against the other front tooth and is sometimes causing some sensitivity. What do I do ?. Did I not have the correct quality of a private crown fitted ?


dr andrew moore

Dr Andrew Moore

Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 08443 87 87 88

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My new crowns do not match my teeth, is there anything I can do?

October 26th, 2011
Q.

Hi. I had my front top teeth crowned many years ago due to them being discoloured and ‘ridged’ (lots of cough medicine as a child). They looked great, but over the years I’ve had to have some replaced. Now I seem to have a mouth-full of non-matching crowns! (In shape, size & colour). Is there anything that could be done to change the colour of a crown or add a veneer’| I also have a crown on a post which is about to break off. My NHS dentist advised to have the root removed and have a small denture – I really don’t want this. I’ve asked about an implant but he doesn’t seem keen. What can I do? Thanks.


dr rob tennet

Dr Rob Tennet

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

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Are you sedated during implant surgery?

October 24th, 2011
Q.

hi there My mum really wants an implant on her front bottom tooth but is really nervous in going through with it. Could you reassure her what pain or discomfort she would go through during the process, and how many injections they will put in, and is she allowed valliam for the surgery she is 75 years old. Also how many times would she have to go back. She is already got a dentist in mind but can you recommend details of any one who is good with simpathizing with her nervousness including yourself. Hope you can help Thankyou


dr andrew moore

Dr Andrew Moore

Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 08443 87 87 88

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Can you give me any advice about receiving implant treatment abroad?

October 21st, 2011
Q.

coul you please advise me as to the best place to recieve full dental implants abroad ,i have several teeth that are broken at the gumline but have not had them extracted yet as i thought this would start bone loss of the jaw and would make treatment more difficult.i am in need of a full set of implants on both upper and lower jaw and unfortunately,am a extremely nervous patient so would require a general anesthetic while undergoing treatment , only have a budget of approx 10000 pounds so going overseas is my only option, ive been told instanbul and hungary are very good but would value youre opinion and advise on how to start this procedure .


dr rob tennet

Dr Rob Tennet

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

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My dentist tells me that I can’t have a bridge on the NHS. Is this true?

October 21st, 2011
Q.

My dentist has just told me l need a new bridge as my old one is leaking, and any bacteria getting in could rot my teeth underneath. I asked if l could have it done on the nhs at the band three price of £204 he said no? I asked why….he said the nhs remedy…we are talking the realms of dentures.!Is this correct? All information l have read says that a bridge that is needed is available at £204 on the nhs. I do not want to challange him or complain as i’m sure all dentists are the same and l dont want to be left without a dentist. If this is correct l think all the literature out there saying you can get a bridge on the nhs at the band three price is a total myth, and is giving people false hope. I have been told in the past that all dentists undertaking all dental work under the nhs are adequately recompensed for anything they do. Can you clarify the situation for me please. It seems as usual the people with money will have nice teeth the rest of us dentures!! Thank you.


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

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I think my orthodontic treatment is moving my teeth incorrectly. What should I do?

October 21st, 2011
Q.

Hi,
I am 26 years old and have been undergoing orthodontic treatment for 5 months now to correct my grade 3 underbite.
My concern is that my back teeth (where the brackets are) have gradually raised up since the treatment started. This is the case on both sides of my mouth and it is my lower jaw.
I have tried to discuss this with my orthodontist but he just dismissed my question.
Have I got a viable concern?
If so can it be avoided with different treatment management and what has caused this to happen?
Your response will be very much appreciated. Thanks


dr mark hughes

Dr Mark Hughes

Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981

View My Profile Dr Hughes