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. My 23-year-old daughter has a 6 tooth bridge across one incisor to the other. This was because she was missing 2 laterals. This was done instead of implants because of severe bone loss of the missing laterals and not enough space for implants. She did have braces but unfortunately had an orthodontist that didn’t know what he was doing, causing these problems. An excellent prosthodontist suggested either redo braces and gum grafting or a bridge. For monetary reasons and my daughter not wanting go through this all over again for years she chose a bridge. This is when she was 19. Is it possible for her to get implants and crowns or once a bridge, always at bridge?
A. It doesn’t sounds like anything has changed regarding the space or bone for implants and now the teeth have been trimmed (i presume) it isn’t really worth considering replacing everything. If the bridge starts to fail then the situation may change and implants may become an option then.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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. recently i can wiggle my front teeth slightly.spent years wearing braces and had jaw realignment. now told i have bone loss and im only 35 can this be rectified and if so how as i do not want to loose any teeth
A. Get yourself referred to a periodontist
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 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. 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
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
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. My wife is currently undergoing implant treatment to replace her upper 4 front teeth. This started out because one of her root fillings cracked and our regular dentist felt that he couldn’t coninue to reset the crown indefinately. On the recomendation of our dentist she saw a local cosmetic dentist who recommended replacing all 4 crowns with 2 implants and a bridge, despite reservations about the amount of expected gum/bone resession which the dentist assured us should not, in his opinion be excessive. As the gum resessed more than he expected, my wife undertook cow-bone relacement therapy prior to the implants being placed. At this stage she was also shown a wax-up of the proposed crown&bridge work which she rejected as they did not resemble her original crowns, or the temporary denture (which is an acceptable appearance) she had been given, as the ‘teeth’ were visibly & significantly smaller. At her last appointment she was presented with what to all intents and puposes should be the ‘Finished Article’. However, not only are the ‘teeth’ significantly longer than those of her denture with very little gumline, there is also a significant backward incline which would give the appearance of her having ‘buck-teeth’. On top of this there is a significant gap between the proposed bridge and her gum which results in a significant lisp when she talks. As she is a praticing Occupational Therapist who spends most of her time talking to clients and other profesionals this is unacceptable. Should we be insisisting on having the work redone to a standard we are happy with or do we just have to accept or reject it as beeng the best on offer. my wife feels particularly pressured as the dentist is wanting to permanently place the offered implants at her next appointment which is in two weeks time. Your advice on this would be much appreciated.
A. I would speak to him before the next appointment so that they can change these provisional teeth to something more acceptable to your wife before the final ones are made. There are always some compromises to be made in these cases but it doesn’t sound like she should accept something so different than what she really wants. It would be good to tell the dentist that the denture is quite close to what she wants for the fianl teeth.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi, I would like to request a consultation for my Mother. She has over the last 8 months lost the majority of her teeth. After recently visiting a Dentist from the National Health Service in London, she has been told that she does not have sufficient bone to recomment implants. I was researching on the Internet where I say your advert regarding Sinus Lifting. I would like for you to speak with my Mother in regards to this procedure. I am a little confused about why we were not recommended anything like this from the Dentist she went to visit. I look forward to hearing from you.
A. Dear. I am sorry to hear about your mothers predicament. There are number of ways to deal with the problem of lack of bone for implant dentistry. In the upper jaw one way is to bone graft within the floor of the sinus. Please contact my surgery to make an appointment for your mother. I look forward to meeting both of you.
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. Dear Dr Butt I am a 32 year old female having been diagnosed with acute periodontal disease. I have already lost 5 teeth and Guys hospital have given a poor diagnosis. I have severe bone loss and a denture top right has been recommended for now. I was devestated when told but now having got used to the info, I realize the out come is poor. My treatment is being paid for by HC2 certificate. Can you tell me about implants and bone grafts and the cost. Any info would be greatly appreciated. I am in West London. I have everything going for me and this is a particularly grim time for me. Kind regards
A. hi,
this is quite complex as it depends on where the bone is deficient and how much is left .
the price can vary a great deal.
i can offer you a free consultation with an implantologist at one of our practices , or i can recommend avenue dental based in ealing who may be closer to you.
Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex
Q. Hi. About 6 weeks ago, I got told by my dentist that my four front teeth were decaying, and he was replacing with a denture. But then 3 weeks latley i had two of my teeth: one side and front tooth knocked out (two of them were the decaying ones.) And i’ve had the other two taking and out, and I’ve got a denture now. But i find it weird to wear and I’ve got special needs aswell so it’s diffcult for me to get use too it, but I was wondering because I’ve got a denture now, could I still have Implants done? or is it to late to have them?
A. Yes you can still have implants provided the bone is healthy and enough exists to create a stable base for the final teeth. Ask your dentist for a referral to an implant clinic for a 2nd opinion if he doesn’t do them himself.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. hello i have periodontal disease i already had the bone implant and its been about 5 month since and my tooth is still loose will it improve how long should it take before any results? and if it doesn’t work is their more i can do about my bone loss as far as tooth replacement if i was to lose it? i am only 26yr old and i don’t want to lose my teeth. Please any hope
A. There is always hope. Obviously periodontal disease at 26 is quite young for the amount of bone loss necessary for a tooth to loosen. You should discuss your concerns with your dentist and I would recommend that you be referred to a specialist periodontist.
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. Hi I would like to know if an implant has a better chance of grafting to your bone if done at the same time as the faulty tooth is extracted. Or if a period for the hole to heal is preferable. Thanks
A. This greatly depends on the site, bone quality, whether infection is present and any medical or social aspects that could affect healing. Each case should be assesed individually to determine the best option. If there are compromising factors it is often best to allow the extraction site to heal for 6 weeks prior to implant placement ( Straumann protocol)
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
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