Posts Tagged ‘bacteria’

Could you list worst foods that could stain teeth?

Tuesday, October 20th, 2009

Q. hi dr butt i was wondering if u could tell me the worst foods that stain teeth kind regds

A. tea coffee, corsodyl mouthwash
green tea
smoking

dr safeer butt

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

What is the best way for root canal treatment?

Monday, October 19th, 2009

Q. Two years ago I went to the dentist for my regular scaling and check up. My dentist told me I had a cavity and thus would need a filling. I got my scaling and my filling done that day. He then told me to come back if I feel discomfort in my just-filled tooth (which I thought was weird because fillings aren’t associated with post-procedure pain). My tooth did hurt a bit, but I thought I’d survive, so I didn’t go back to my dentist for about a year and a half. Now (it’s been 2 years since I got the filling) I find myself getting a root canal. Can I please know exactly why my tooth got so sensitive, when, before the filling and discovery of the cavity, my tooth was absolutely fine (feeling wise). I feel as if the dentist I got my filling from did something wrong. That tooth was sensitive to hot and cold things from time to time, but I could survive. Was is a good choice to have got a root canal anyway? I am regretting having done this, and now I’m wondering if I really needed it. Thank you, Jessica

A. Teeth that have decay in them can often be symptom free.  That is why dentists take Xrays to confirm that there is no hidden decay.  When the decay is removed it can sometimes be close to the nerve of the tooth. When a filling is placed in this situation the nerve inside the tooth can still die and give you pain.  It does not sound as though your dentist has done anything but the correct treatment for you and it is unfortunate tha the decay and bacteria had infected the nerve of your tooth

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

Can I hv free treatment for my teeth as I cant afford?

Wednesday, October 14th, 2009

Q. hello dr andrew moore my question is since having 5 children my teeth have broke at the back of my mouthand they are horriable i dont think i have smiled properly for about 8 years i need alot of work doing on them and carnt afford it as i am a single parent could you give me some information on how to get help as i just want to smile again

A. You may qualify for fre treatment on the NHS, ask your NHS dentist for advice.

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

Could you advice me on oral thrush

Monday, October 12th, 2009

Q. What is oral thrush? How do you get rid of it? Thanks

A. Oral thrush is a viral infection caused by candida it can has a number of causes you need to go to your dentist and they will give you a prescription for some anti-viral medication.  If you wear a denture that can be a cause of it the denture needs to disinfected and you would need to keep it out for about 4-6 hours a day to let the tissues in your mouth breath.

dr riten patel

Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS

Will the root canaled tooth be sensitive if it cracks Plz advice

Monday, October 12th, 2009

Q. I had gum contouring done 3 weeks ago. On Friday (3 days ago), my dentist relined my temporary to add more acrylic along the gum margin where tooth was exposed. He tried to adjust the tooth (which had been root canaled) and the bur hit the tooth. After that, he applied bonding material to the tooth before replacing the temporary. Now the tooth is sensitive. He inserted the cord on gum when he relined the temporary. Could the sensitivity be from the gum tissue? If a tooth that had been root canaled crack, will it be sensitive? I am afraid to ask him but I hope it did not crack.

A. IF the tooth has been successfully root treated you should not have temperature sensitivity. It might be from the gum, It is worth returning explain your sensitivity. Dont worry about getting it checked out.
Rob

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

Could you plz advice on an estimated timeline for treatment

Monday, October 12th, 2009

Q. Dear Dr Glaister, I consulted your site in 2006 and was delighted with your speedy and informative response, therefore, now that I have saved enough money to pay for the dental work that I need, I hope you will be able to help me once again. I decided to send my qustions to yourself as i understand you have great experience with cosmetic surgery and feel my question slighlty steps over the line from required treatment to cosmic treatment. From the start I should say that during childhood and my early teenage years I neglected my teeth insofar as I didn’t brush them at all; I didn’t even go to the dentist until I was seventeen. Four years on from my first visit and I have finally found a dentist who actually seems like he wants to help rather than inform me that I should have looked after them when I was younger in a patronising yet cheerful tone as my previous dentist often did. I have been going there for around six months now and as such my check up is due. When I visit at the end of this month there are a few things I will be asking the dentist, but thought I would get your opinions first: One thing I noticed since I first started going to the dentist is that after I had received all the necessary treatment, a few weeks later I would need to go back to the dentist after experiencing tooth pain, only to find I need another filling, and also by the time my next check up was due, I needed a whole host of work. Even though I brush my teeth twice a day with Colgate total and use Cordosyl daily (as recommended by my dentist) my teeth still seem to be going from worse to worse every few months, or in some cases weeks, and have been for the last few years. To the stage where I am sure the next time I go I will be told I have gum disease as lately my breath has an unpleasant odour and one of my teeth has started to hurt; a pain that I can only describe as being inside the tooth, yet not part of the tooth but rather up inside the gum. This is the main factor that I am holding back from spending my life savings on private treatment, i.e. crowns/bridges. Insofar as I do not want to spend every penny I have if the teeth the crowns are fixed to will still be rotting away underneath and thus the crowns fall out and I have wasted my money and am left with small stumps for teeth and no money to fix the situation. So could you please advise me as to whether it is possible for the teeth to still rot away underneath the crowns? Or if, once treated the gum disease is likely to cause problems for the crowns/bridges? I understand that you obviously cannot comment on me specifically, and even if you could, would need to examine my mouth before answering, but I am asking, based on the information provided, i.e. teeth keep decaying and worsening even with proper care and attention, is it possible and if it is how likely, that the teeth and will rot away underneath and cause the crown to fall out. Could you also please advise; on an estimated timeline from the start to the finish of treatment, detailing what procedures are involved. I am looking to have sixteen teeth fixed and would greatly appreciate your advise, because as you can imagine with my current smile of autumnal colours I have no confidence and do not even want to go to job interviews or out with friends as my teeth become the focal point for everyone, and there is only so much abuse and embarrassment you can take. Even going to the dentist themselves has become a struggle as I feel as though everyone must be talking about me, as I am told I have the worst teeth he has seen in someone my age. Plus it has now become a practical decision, in that even eating is now becoming more of a challenge as hot and cold foods and drinks seem to aggravate different teeth on different days as and when they desire. If you think having crowns would be a bad idea as it is the likelihood that the teeth will indeed continue to decay underneath, is their anything you could advise as an alternative as I don’t really know what to do. I have a budget of £8000 and obviously cannot afford to have implants. Also, it is the upper and lower front four teeth on the left and the right that I want the work to be carried out on. Thank you for your help, I hope to hear from you soon.

A. Only a dentist that has assessed your mouth can answer questions in so much detail.
Please book in for a consultation with a cosmetic dentist and go from there.

Kind regards
Dr Justin Glaister

dr justin glaister

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

I hv gum disease and gappy teeth due to bulimia Plz advice

Monday, October 12th, 2009

Q. hi, i suffered with bulimia for 5 years and have not made myself sick for almost 4 years now, as a result i have now got gum diesese and have gaps inbetween my teeth, i also have clear patches on my 2 front top teeth and have a large white patch which my parents were told was because i had too much calcium as a child, im 28 and am now very insecure about my teeth and would like to know whats the best option for me?

A. You would need to consult a dentist for a full check up and x-rays so that they can make sure your teeth are healthy. From there you can book in with a cosmetic dentist to see what can be done aesthetically.

Kind regards

Dr Justin Glaister

dr justin glaister

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

What could be done to cure heavy Plague and Gum disease?

Saturday, October 10th, 2009

Q. HI MY TWO CENTER BOTTOM TEETH HAVE HEAVY PLAGUE AND I HAVE GUM DISEASE PLUS I DID CHIP ONE OF THEM WILL I LOOSE MY CENTRE ONES DUAL TO THE PLAGUE IAM TAKING MOUTHWASH FOR GINIVTIS AND BRUSHING TWICE A DAY WAT ELSE CAN I DO AS I DONT WANT TO LOSE THEM.

A. Please book in for a check up with your general dentist who will then refer you to his dental hygienist to treat your plague and gum condition.
Kind regards
Dr Justin Glaister

dr justin glaister

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

My front teeth are crumbling due to usage of steroids what can i do?

Wednesday, September 16th, 2009

Q. 2front teeth slowly crumbling due to long term use of steroids&sweet tooth!15yrs since laast saw dentist.so frightened&money shortage,have to only eat soft food now

A. Contact NHS Direct for details of how to find a local dentist and help paying dental charges

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

My tooth implant has a bone infection what treatment can i get?

Wednesday, September 16th, 2009

Q. I have a loose implant which on X ray today shows I have a bone infection, is there anyway this can be treated other than removing the implant. Would it really need to be removed for 3 months, mortified

A. If the implant is loose it will need removing before you lose too much bone. Sometimes it is possible to replace the implant at the same time or if the infection is severe wait 3-6 months prior to placing the new implant

If the implant is near the front ask your dentist for a temporary solution such as an adhesive bridge while it heals.

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 have bad rotten teeth what treatment do u suggest me?

Tuesday, September 15th, 2009

Q. Hi, I’m 28 years old and i have always had bad teeth and oral hygiene in general. The last time i visited a dentist was around 14 years ago. The teeth that didn’t have to be extracted had fillings so my mouth was already in quite a mess. Now it has got to the stage where at least 50% of my teeth have completly rotted away right down to the gum line and below. All i see now when i open my mouth is big black holes in my gums. The remaining teeth, mostly being the front visable ones have very bad cavities and are discusting to look at. Having done research online i am absolutly petrified of related health issues caused by bad oral hygeine. I’m so depressed right now i just dont know what to do, I have no friends, people think i am ignorent because i never smile and dont like to look at people when they speak to me incase they look at my teeth. I am jobless at the moment, i wanna go back to work but too worried about what the interviewer will think when he see’s my teeth. I really want friends and to socialise but im just so embarassed to go anywhere or speak to anyone. I currently recieve social security benefits so spending thousands of pounds to fix my teeth is not an option for me. I just don’t know what to do or where to turn, i just want to be able to smile and laugh without looking at the floor or putting my hand over my mouth. I have a partner of 8 years who keeps telling me to sort it but she just dosn’t understand why i carn’t face going to see a dentist. I carn’t even smile in front of my 3 children because im so scared of them seeing my bad teeth and asking questions about them, even my own kids think im ignorent and misrable. I’m quite sure i’m way past the help of a regular dentist because i don’t believe any of my teeth can be saved and its actually my gums that look pretty messed up now. Please help me turn my life around and smile again. Your help and advice is very much appreciated.

A. Hello, I’m sorry to hear of your predictament. I thin k you’re right, a regular dentist probably isn’t going to be able to help you at this stage. Perhaps you hould look into being treated a  dental hospital where treatment is free or subsidised and carried out under the supervision of a specialist?

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 have broken and decayed teeth but i fear dentists plz advice?

Monday, September 14th, 2009

Q. I am 47 years old and have not been to a dentist for 27 years after a quite terryfying experience. I have lost alot of teeth and apart from a few at the front bottom and top the others remaining are broken or decaying. I am scared stiff of the dentist and get panicky just thinking about it. Could you give me some idea of how I will accepted if I go. I do not want to be lectured as i am well aware of my situation. What I need is a sympathic and calming approach but I am really scred this may not be the case.

A. When I see patients such as yourself I am certainly not judgmental but concerned about treating your mouth back to health.  For patients who are scared of dentistry there are a number of ways to help you through the process.  In my experience most patients who are as scared as you find IV sedation a great help.  They find that this technique makes them very relaxed during the treatment and also they have little memory of the event.  This also allows me to carry out the best treatment possible.  If this is of interest to you please contact my practice for an appointment.  i look forward to meting you. 

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

I have glue left on my teeth after brace removal what can be done?

Monday, September 14th, 2009

Q. Hello Dr Moore I have what seems to be glue left on my two centre top teeth from when my braces were removed when I was 17 (8 years ago). I presumed this would wear away with time but this has not been the case and now the surface of the teeth is very uneven. Not only this, but the bottoms of only these two teeth seem to be wearing away and are now almost transparent! I am very worried and these teeth are also extremely sensitive. Please could you tell me my options and is there anything to be done on the NHS, particularly as this seems to have been caused by my previous dentist?

A. The glue can be removed very easily by your dentist. The wear on the tips of the teeth is a separate issue. Try a desensitsing tooth paste such as Proenamel but also ask your dentist to check things over as you might be grinding your teeth at night to cause the wear in the 1st place.

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 had root canal work on my tooth but the pain persists plz advice?

Friday, September 11th, 2009

Q. Dear Dr Moore 6 months ago I had root canal work on my tooth, having been told that there was some decay and I would lose the tooth if I did not have it. It was a terrible ordeal for me as I am a very nervous patient anyway and the dentist clamped my face to my jaw with a metal clamp which I found unacceptable and was unable to tolerate. It took 3 hours and cost over £600. A few days ago I started to have an unremitting pain in my mouth, gums and cheek which seem to be encompassing the area where I had the root canal work. I fear from all the information I have been able to glean that I have an abscess and may have to lose the tooth. I have been to see my GP who doesn’t know what is causing the pain but has given me antibiotics and told me to see my dentist for ex-rays. I have an appointment on Tuesday but don’t see any point in having the ex-rays until the antibiotics have cleared up the infection. I will not go back to the dentist who did the root canal treatment (a specialist in root canal work and not my usual dentist) as I am absolutely terrified of him. The way he pulled and clamped my face showed complete inconsideration for a woman’s feelings and when I finally emerged from the dentist after 3 hours I was inconsolable from the ordeal that I had tolerated. If I do lose my tooth I will definitely want to have an implant. I am now on my 3rd day of taking antibiotics and as of yet the pain I am suffering is just as bad as on day one so I am not sure if they are working or not. Please would you kindly advise me of my options regarding treatment and what you see as the likely outcome. Kind regards,

A. Hello, it does sound like an abscess which if the antibiotics haven’t helped, may mean you will lose the tooth. It might be best to remove the molar then consider an implant or bridge once the tissues have healed and the infection has cleared.

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 have abscess above my 4 front teeth should i get them extracted?

Thursday, September 10th, 2009

Q. I am 28 and my dentist has just told me that after 2 x-rays that I have abcesses above my 4 top front teeth. He says at the moment the abcess appears to be draining into the mouth but will get worse in time. He says that it is unlikely the teeth can be saved and will need to come out and be replaced by a removable plate. The teeth cause me no problems at present. He says he can refer me to the hospital to see what they say if I want. Should I just accept my dentists reccommendation and have the teeth out now or wait until they cause me grief. Or should I ask to be referred to the hospital? Also I’d much rather have dental implants rather than a plate but he made no mention of this. Is this an option? Obviuosly I wouldn’t mind normally but having to have the top 4 front teeth out in a row is rather a shock.

A. It might be a good idea to get a second opinion if only for what to put in the space instead of a denture. However you might have to wait for quite a while for a Hospital appointment. If you are in my area I would be happy to take a look or ask your dentist for a referral to an implant clinic as it is often possible to remove the teeth and fit implants at the same time. My e-mail is enquiry@advancedentalclinic.com

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

How can i get rid of bad breath?

Thursday, September 3rd, 2009

Q. Hi Dr Caplan, I have never had my teeth checked or clean all my life and I have very bad breath and can not get rid of it. I have the sonic care tooth brush and brush all the time. also on my bottom teeth on the inside I have some green stains that are on my teeth can this be causeing my bad breath. or is it something else now I really need my teeth cleaned in and out and in between how do I get rid of this bad breath for good.I Live in Haskell,ok and the Dentist are Just to much and I have medicaid bu it does not cover it can you please help me with this bad breath.

A. You have to go and see a dentist. Your bad breath will be caused by decay or gum disease.  You need urgent treatment- please do not delay

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

my bottom tooth fell out

Sunday, October 19th, 2008

Q. when i was 12 years old i fee from a tall building and all my bottom tooth fell out, now at 44 i hate the site of my teeth, they are all twisted and torn but that is not my problem, i brush them 2 or 3 times daily and all the front ones are all stained and ugly. i need your help

A. The best thing for you to do is to conact my surgery for a free consultation for me to give you some idea of treatment possibilities and costs.

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

dentures causing mouth ulcers and infected gums

Wednesday, September 24th, 2008

Q. my partner has a top set of dentures, he cant eat with them, they cause mouth ulcers and also infected gums,and bad breath, his always taking pain killers and using mouthwash, however his bottom teeth are his own but they are loose and again where there is teeth missing his getting infected gums, its ruining his social life he doesnt want to socialise or smile because its causing anxiety!! please help!

A.

The denture may need adjusting. I recommend that you partner goes to see the dentist that fitted the denture and tell him his problems with it so that the dentist can make the suitable ammendments to it. Dentures are very difficult to get used to so he may want to consider going to a dentist that specialises in dentures to see if they can make him a set that will be more confortable for him. He also may want to consider implants, but these are expensive- starting at £2500.00 per tooth. 

Dentures cannot cause infected gums and bad breath. So I recommend that he goes to see his dentist to investigate what the cause of these factors are.

dr justin glaister

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

can you treat bleeding gums

Sunday, September 14th, 2008

Q. Hi Komal,I am looking for some sort of treatment for my bleeding gums.My gums bleed everytime I brush my teeth although its not painful. Also, I need to get my teeth pushed back (as I am buck-toothed) and I have been advised that I need to have my gums treated first.Can you pls advise how do I go about getting all this done and the costs involved.

A. thank you for your question.
The advice you have been given is correct. The gums may be bleeding due to gingivitis or gum disease. If it is gingivitis this is easily resolved with a few visits to the hygienist. If it is gum disease this does take longer to treat because the disease is more serious however after some gum treatment with the hygienist this will also solve. The teeth can then be pushed back with braces or they can be reshaped and veneers can be placed o the teeth.
The best thing to do is to have a consultation with a cosmetic/restorative dentist that has a hygienist as part of the team so that you can be told all of your options.
If you are within travelling distance of my practice I would be happy to see you for a consultation.The practice phone number is 01296 624163
Kind regards

dr komal suri

Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU

what can you do for bad breath in india

Monday, September 8th, 2008

Q. writing from india almost 3 yearse back there was a small developement of a crack with one of my teeths later it appeared with other as well,i was told by a docter that the way i brushed caused the problem and i have a bad breath also .what shall i do to get rid of this problem ?and can i go for artificial teeth,if it is possible how expensive and usful it is …please answer my quistion thanking you and looking forward to hear from you

A. Your bad breath may be caused by tooth decay or gum disease.  you need to get this diagnosed and treated as soon as possible.  There are many possibilities for tooth replacement but you need a dentist to examine you first.

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN