Q. Hi ive got a cannine that sticks out.My dentist dosnt advise me to have treatment as i am 44 and have lost bone density. Is there anything I could have done to straighten it?
A. A brace maybe an option although you’ll need to treat the bone/gum problem before this is carried out
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I have bone loss, non smoker all my life and no medical conditions. I am awaiting 3 top front teeth extrations (have been waiting 2 years), one hanging on by a small thread! hopefully I will be measured for a small plate. Taking daily pain relief and limited in what I can eat and very embarassing talking to patients myself as, I have a fractured tooth and it has dropped. Am I able to have implants if I have bone loss? was offered by dental hospital to have teeth splinted, but was told not a pretty sight, what do you think? Kind Regards
A. It sounds like implants might be the best option although you’ll need x-rays and an assessment to decide if you’ll a suitable candidate. Let me know if you’d like me to take a look.
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. 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. I’ve always had lovely teeth & visited the dentist regularly.About a year ago I noticed that every time I brushed, my gums would bleed.My dentist suggested various gels for gum disease,but now my top front tooth is slightly twisted and I still bleed.After having some x-rays Ive been told I have lost bone tissue and the next tooth may also come loose.I asked about implants. It has been explained to me that because there is a loss of bone an implant would not be possible at the moment.A bone graft/implant has been suggested.Can you give me some information on this.Where is the bone taken from? Is it done under general anisthetic? I am extreemly worried. I want my teeth to look good and I dont like pain.
A. Thanks for your questions, it is possible to carry out the procedure using an artificial bone, to prevent the need for a graft from another site on your body. This procedure can be carried out under local anaesthetic, although some clinicians will be able to offer Intravenous sedation, if you feel this would help you. The aartificial bone is then allowed to integrate for a period of months, before the process to place the implants would begin. I hope this heglps.
Kind 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. Dr. Moore! Hope you doing fine, i have a tooth out last week and the day goes by i feel that thier is a small particle tooth left, so i went back to the dentist yesterday and she said that thiers nothing to worry because its a bone..So why the bone comes out? and is it safe even the bone comes out? anyway thank you so much and hope to hear from you soon..
A. It might be a small fragment of dead bone, this commonly comes to the surface when a tooth is removed and will be no problem
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I had a splint put on my teeth about a month ago i have bone missing and my tooth was loose. how long will the splint last?
A. hi many thanks for your email, if the splint was placed to stabalise the tooth due to lack of bone support it sounds as if the splint will unfortunately be a permanant fixture, it should last around 12 months and then may need replacment.
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. Dear Dr I had a sinus lift today on the right, when the surgeon opened the gum he found out a bigger loss of bone than he expected and after he did the sinus lift he filled the gap around the tooth with synthetic collagen which he explained has 50% success rate to stick to the bone. When I came home I was all right for the first 10 hours and then I started feeling the collagen leaking in my mouth. It’s not a lot, but it has been dropping in my mouth for the past 2 hours so I wonder what has happened. Is it possible that a stitch got undone. I ate much earlier – around 7 hours after the op. I did rinse with a mouthwash as I had a lot of blood in my mouth, and I think after the rinsing I started feeling the collagen in my mouth. Have I messed it all up now? I can’t see my surgeon till Sat, he is off tomorrow, and I’m so worried I can’t go to sleep. I will be grateful for your advice. With thanks,
A. Don’t worry but stop rinsing as this will make it worse I’m sure it will be ok till tomorrow so be careful tonight and get it checked tomorrow
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I used to be a private patient but can no longer afford this due to life changes. I am not registered as an NHS patient, have not seen a dentist in many years and dont know what to do about accessing treatment and advice. I had most of my upper teeth removed a few years ago after I suffered tooth loss through failing crowns and bridgework. My teeth were replaced by a partial but almost complete deture I have two teeth remaining in my upper jaw one is a crown on one of my front teeth and one is a molar that is colapsing and will need extraction. I am reasonably sure I am suffering bone loss from the upper jaw as the denture now sits below the level of the crown. The denture is and has always been a poor fit and I reline this on a regular basis to stop it falling out all the time. Since having the denture fitted I have become very introverted and dont socialise much. My speach is not as clear as it was and this is affecing me in work. I think this is because I use my top lip to hold the denture in place as I am very embarrassed when it drops. I used to play a brass instrument but a combination of wearing the denture and other medical conditions stopped me doing this. Brass band playing was one of the most uplifting experiences I had to look forward to and without it I often feel dipressed. I have tryed to play but find my denture is too unstable to allow me to play with any degree of satisfaction. I had heart by pass surgery last year and dont know if my heart condition would preclude any sort of treatment. I was wondering if there was any way of providing stable lip support needed to enable me to play. I think this would help my mental and physical welbeing if I could get back into this. I hope you can give me some advice.
A. I’m sorry to hear about your situation. Dentures are often reported as being uncomfortable and embarrassing.
There are options to help regain fixed teeth such as dental implants. I personally treat many patients that have medical conditions such as heart problems etc, but as long as the necessary protocols are in place, this shouldn’t be a problem- but MUST be spoken to about with the performing surgeon. Dental implants can help to hold a denture in place to be more sturdy- they can also be placed so that a full upper fixed bridge can be placed. This would mean that the teeth stay put and you need not take them out at night etc As you mentioned before, your finacial situation has been hindering you and dental implants are not cheap. There are many dental practices that offer finance schemes and interest free facilities. This would need to be looked into. I hope this information will help.
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. Dear DOCTOR I suffer with periodontal disease which is controlled and my teeth are not loose. Recently I have had a sharp pain on chewing under a molar that is crowned. Following an x-ray I have been told that there is chronic infection low down irritating the nerve and that the tooth will have to come out. I am an NHS patient but am prepared to pay privately to have an implant which the NHS dentist would do. I am told there is no rush to decide providing the pain is only occasional . Does this mean it will not make me ill if I take my time . Also what is the success rate for implants on people with gum disease and would the infection need to be treated before commencing or is chronic infection something that does not go away.Thankyou
A. Chronic infection will only go away when the source of the infection is treated. In your case the dentist has diagnosed an extraction.
I would not be able to advise you on an implant prognosis as it depends on bone and gum levels and various other factors. I recommend you have a full assessment with the implantologist of your choice.
Kind regards
Dr Justin Glasiter
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. do you really need bone grafting when you are going to have partial or full dentures?
A. Bone grafting is normally for implants so maybe check with your dentist what he has planned for you?
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. How much does it cost for a bone graph to have an implant put in?
A.
For an accurate quote your bone and gum levels would need to be measured but anything from £3500. You will need to book in with an implantologist for a accurate quote and treatment plan.
Kind regards
Dr Justin Glaister
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. my friend is having treatment for an implant, she has the bone implanted and the stitches removed but still feels unwell would it be related to the treatment? she still has to get the tooth fitted but feels unwell all the time ie nausious
A. You need to have this checked out she may have an infection.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Q. hello i am 40 years old and im considering dental implants but i need a full mouth of implants when i was 20yrs old i went to my local dentist because i had a chip in my front tooth i also needed a back tooth removed i was put to sleep for the extraction and when i woke the dentist had removed my 4 front teeth but after going back there i experienced alot of pain which put me very scared of a dentist most of my teeth have chipped and fell out now i need information on implants is it possible to have a full mouth of implants thankyou
A. It often is possible to restore a mouth with implants. Sometimes bone grafting is required to provide enough bone to place the implants in. Please come in for an assesment. The treatment can be carried out under sedation if you are concerned.
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
Q. I need to have my front four teeth pulled I have lost bone over the years due to periondonal diease. I am looking at dental implants vs perm bridge? I have had a consultation regarding the dental implants and it was determined they would need to do a bone graph to build the bone back up. My quuestion is – will this last? What is your opinion on both procedures? Thanks
A. A bridge would mean drilling down 2-4 teeth which when it fails usually means the bridge has to be extended even more, sometimes this isn’t possible. i would recommend implants if possible to avoid the need to drill down teeth and to stimulate the bone to avoid loosing even more bone at the front of your mouth
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I had implants fitted to my lower jaw in 2007 and I am very happy with them. I am now looking at having work done on the top jaw. I lost all of my teeth when i was a teenage (now considerably older) and have been advised that i need bone augmentation prior to the implant surgery. I have been quoted £5000 for the bone augmentation alone, using bone from my hip. This is in the Manchester area and includes aneasthetist, surgical and hospital fees. Does this sound about the going rate or should i shop around.
A. hi many thanks for your email, the bone aumentation fee sounds reasonable. the best surgeon for this in manchester is Prof Coultard. hope this is helpful.
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 asked your advise before and hope you don’t mind if I ask a few more questions? What do you think about the mini, temporary implant. My daughter is 13-14 in Nov. We were told today that she could have a mini done now with a bone graft to repair the indentation in her bone and gum above her missing tooth, and change it for a perminant implant when she is 18 or 19 depending on the growth xrays. They also said that the mini and the bone graft can be done on the same day. Is this O.K. to do or should we do the bone graft, then wait a few months to do the mini implant? Thanks so much for your help.
A. I’m sorry but I would need to see your daughter for more complex questions in order for me to give you more detail on this type of treatment, but it does sound feasible to place a temporary implant now.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi ive got a rear lower tooth (2nd from back)thats is currently a crown that is causing problems. My dentist has suggested i should have it extracted and replace it with an implant. Could you give me some kind of indication of what cost im looking at for this please?
A. In my practice I charge £1900 for the implant and crown plus the cost of bone grafting if required.
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
Q. I have 19 teeth left in my mouth!! They are all giving me a lot of problems, and I wake up crying due to the teeth pain!! I do not want to spend 800.00-1000.00 on each tooth. I want them all pulled and I want full dentures. How do I go about doing this?? What steps do I have to take?? Please help me!!!!
A. get three opinions from different dentists, see where they agree and where they differ. Maybe you need stable dependable teeth without spending 800 per tooth and this is possible without extracting everything.
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. 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
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
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