Cosmetic Dentistry Guide » bone grafts

I need to straighten my tooth is my age a concern?

admin — Thu, 12 Nov 2009 12:32:24 +0000

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

Can I have implants if I have bone loss?

admin — Thu, 12 Nov 2009 01:44:20 +0000

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

Is one day implant recommended considering bone loss?

admin — Thu, 05 Nov 2009 06:17:47 +0000

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

Is bone graft painful and is it safe?

admin — Wed, 28 Oct 2009 03:38:40 +0000

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

Should I worry about a bone fragment left after my tooth removal?

admin — Tue, 27 Oct 2009 01:40:00 +0000

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

How long the splint may last?

admin — Tue, 20 Oct 2009 02:24:03 +0000

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

I worried that my synthetic collagen are leaking please advice

admin — Sat, 17 Oct 2009 04:43:23 +0000

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

I need a stable lip support to enable me to play brass band pls advice

admin — Sat, 17 Oct 2009 03:24:38 +0000

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

What is the success rate for implants on people with gum disease?

admin — Mon, 12 Oct 2009 01:12:34 +0000

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

Do you need bone grafting before having partial or full dentures

admin — Thu, 08 Oct 2009 10:53:41 +0000

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