How Could My Smile Be Improved?

August 20th, 2015
Q.

Instead of having 4 front top teeth, I only have 3. What is your recommendation to get a nice smile? I have no gaps/spaces between any of my teeth. My 4th teeth never grew in. I don’t believe I have a 4 tooth at all. I am 36 years old and never take pictures with my family. I have 4 children, 2 boys and 2 girls, and husband. They all love to smile and take pictures, however I don’t. I would love to take a family portrait, but I am not comfortable with showing my teeth. I have recently been going to the dentist to get my cavities taken care of. I would never go to the dentist in the past because I am afraid to let people look in my mouth.

A.
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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

Should I Use an Oral Irrigation System?

August 20th, 2015
Q.

I have had several crowns in for 7 years, and am in the process of having 3 implants where I had a bridge.

I am always having to use inter-dental brushes and floss, but don’t seem to be able to get all the debris out from between my teeth. My gums are healthy but have started to shrink away from my crowns a little. Would it be safe to use one of the recommended oral irrigation systems, or would it make my gums recede more?

A.
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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

How Can I Improve My Smile, And How Much Will It Cost?

August 17th, 2015
Q.

I have 5 top teeth, there’s two in the middle,1 to the left and two to the right, and on the bottom I have 8,  four at either side of the middle. All the teeth at the back are broken or missing due to lack of care over the years. I am embarrassed and talk carefully as not to open my mouth, which causes me to mumble as I don’t pronounce my words properly. I only smile with a closed mouth and have never had a real ‘show your teeth smile’. I hate not doing it due to the embarrassment caused. People see me as miserable as I don’t smile.What options do I have and what sort of costs are involved?

A.
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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

Should I Take My Dentist’s Advice About a New Bridge?

August 17th, 2015
Q.

I had a two teeth bridge on upper left side of my mouth. It came out ten times over two years. The dentist originally accepted responsibility but now has changed his mind. He now partly puts the blame on me because I kept the temporary bridge in too long but at no time did he ever express any concern. Now wants to place a four tooth bridge which I’d have to pay for. He is now saying he wanted this all along but I rejected it which is absolute nonsense. He never ever mentioned it to me as an alternative. Had he done so he would have been duty bound to advise that a one tooth implant would, according to his price list, be only £600 more and well worth the extra expense. I feel I have been done. He is making claims now that he never made before and his story changes every time I speak to him. What do you think? I do not have confidence that the new treatment is the right course or that it will work. What happens if that comes out? Will he try to blame me again?

A.
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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

Can My Dentist Make Changes to My Veneers Without Telling Me?

August 14th, 2015
Q.

Hello,
I had my veneers fitted last Thursday and the dentist made changes to both the colour I had decided upon and also the shape etc. without discussing with me (or gaining any consent) prior to them being fitted. He also didn’t show me the veneers before cementing them on.
He now says that he can’t fit me in until next week to discuss my concerns.
Is he allowed to have made changes to my veneers without consulting me about these changes first? I am now left with teeth half a shade darker and he has also taken the liberty of adding a mix to them, to make them natural – I wanted B1 and he said to me (only AFTER he had finished my veneer fitting treatment) that he had made them B2 – I am so disappointed and distressed as he has also shortened them and pushed them back..
Where do I stand – what can be done?
Any help would be gratefully received.

A.
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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

Can I Get My Braces Removed and a Partial Bridge Fitted?

August 13th, 2015
Q.

Hi my four front teeth were pushed sideways and back in a fall 3 weeks ago and the 2 front teeth are broken.The dentist at hospital pushed them back as best he could and braced them but they are very painful and not in the right place.I am really concerned about them and would like them removed and a partial or bridge fitted. I am 57 years old and this has affected me more than I thought. I am registered with a local private practice. 

A.
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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

Will it Take a Long Time to Get My Teeth Sorted?

August 13th, 2015
Q.

Dear Sir. My teeth are coming forward and they hit my lower lip and makes marks on it. Because of this my lips are also coming outward. It also creates a problem with speaking as my voice do not get clear and I feel problems when speaking continuously. I also feel odd whenever I speak. When I laugh my teeth come out, which makes me feel bad. I asked the dentist, he told me it could cost nearly £25000 and will take 1 year or more. Do you have any suggestions as to what I can do?

A.
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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

Could Flossing Be Irritating My Gums Under My Bridge?

August 13th, 2015
Q.

I have a bridge and it feels loose up on my gums. The bridge itself is not loose but I feel the sensation that it is. I saw my dentist yesterday and he did an x-ray which confirmed it is not loose but my gums are irritated. He advised rinsing with salt and warm water and also a non-alcohol mouth wash. I have a follow up appointment in 3 weeks. I first noticed this feeling after my normal check up after the hygienist flossed my bridge. I use a waterpik flosser and thought that maybe the flossing with dental floss vs. my normal waterpik irritated my gums. Do you have any suggestions as to why I may be feeling this moving sensation in my gums?

Thank you!

A.
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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

Would the Inman Aligner Be Suitable For Me And How Much Would It Cost?

August 13th, 2015
Q.

Dear Dr Moore,

I would like to consider the Inman Aligner and have visited my local dentist to ask further about this treatment. I suffer from gingivitis and have lost a few of my back teeth due to grinding and an abscess. The front teeth are apparently healthy and I wondered if this treatment was adequate for me. Also could you please confirm the price range for such treatment (upper and lower teeth) as I have been quoted over £4000 having mild crowding on the bottom and one tooth slightly out at the top creating a gap, but the rest are aligned. Many thanks for your feedback. 

A.
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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

Is There An Alternative to a Brace?

August 6th, 2015
Q.

After an accident when I was 9 years old, now at 33 years I have a composite filling on my front left tooth and a porcelain crown on my front right. Both have had nerves removed and the right is secured with a pin. They both stick out a lot and when I bite, I can get my index finger in the gap between the bottom teeth and my upper gum behind the front teeth. I hate the idea of a brace, is there an alternative? I’m happy to have them removed!

A.
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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