Cosmetic Dentistry Guide » cracked tooth

A protruding tooth is affecting me playing my trumpet

admin — Tue, 03 Nov 2009 05:53:40 +0000

Q. I am a professional trumpeter with a protruding upper tooth which affects my playing. I am wondering if having it removed and a dental implant inserted would help. How long after initial consultation would you typically be doing the surgery? How long after surgery would I be able to play trumpet? How many appointments are normally required?

A. Because you are a professional musician the procedure would need careful planning . Same day implants are suitable in some cases, although the success rates are higher if there is a delay of 3 to 6 months before restoration. an initial consultation at the stjohns dental practice is free contact amy for details 01216430610

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

Need replacement for naturally lost teeth

admin — Sun, 01 Nov 2009 11:55:04 +0000

Q. Hi, I am a 49 year old male and i have lost all but 3 of my top teeth, and dont have that many left on the bottom, can you help me please?

A. The treatment for you will probably be a combination of dentures and implants. The best result would be a fixed bridge attached to implants but this depends on the amount of bone available for the implants and of course cost

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

What would you recommend other than braces?

admin — Fri, 23 Oct 2009 01:11:38 +0000

Q. hello there, i’m 23 years old and i hate my teeth. i have 2 large front teeth and have fangs either side. my bottom teeth are really crooked. can my front teeth be cut down? i don’t really want braces on show. what do you reccommend? roughly how much does it cost? and how long will it take? thank you

A. Although you don’t want a brace it might be your best option in the long-term. You could try a fixed brace such as 6-month smile cost approx £2500 or Invisalign from £3000. These treatments would take around 6-12 months to complete.
please feel free to contact me if you would like me to take a look for you – 01245 268 494

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Would a porcelain onlay or crown suitable for chipped tooth?

admin — Tue, 20 Oct 2009 05:03:14 +0000

Q. I am about to have a crown replaced. the preparatory work has been done. Initially my dentisit said i could have a porcelain crown ..it is the last but one bottom tooth .. i have had my wisdom teeth removed.When he had prepared it adn i mentione dthe porcelain crown he said he had prepared for a gold crown .. that he CIULD prep for a porcelain but it would invlove more destruction of the tooth and i could have a metal base with a white covering ..to which i agreed ..but having thought about it psoke to him again becasue i wasnt sure about the appearance of this tooth . At which point he said this was the best chioce and that we were lucky to have been able to have a second bit e of the cherry in replacing the crown. He had not mentioned this before. So the new metal base crown is due to be fitted on Monday .I am hoping it will beok ..i spoke to a freind who had some and he was happy wiht his. meanwhile part of a large filling in the back tooth next to it ..the last one .. has chipped .. Would a porcelain onlay or crown be suitable for this tooth in theory??? Last time he repaired a back filling ( large one ) he saaid only amalgam was suitable . I am quite anxious to not have any more mercury in my mouth and i do not like the appearance even on back teeth.

A. You do not have to have aalgam flings if you don’t want to. Granted, amalgam is a strong choice of material- but I agree that it is not the most aesthetic!!! There are strong choices of material available such as lava crowns.
Porcelain bonded to metal crowns can be quite aesthetic- and for a back tooth is quite a good compromise. These type of crowns are not recomended for the anterior teeth (ron teeth) as they can often show the metal underneath and from a cosmetic point of view- this can look quite unnatural.
I hope all goes well.

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

Could you advice any way to replace my bad teeth?

admin — Tue, 20 Oct 2009 04:47:57 +0000

Q. Hi I have quite bad teeth, they are all crooked and miscoloured. I am looking to get them all replaced with brand new teeth so they are straight and white and makes my smile better. Could you advise any way I can get this done and what an example price could be? Thank you and I look forward to hearing from you

A. hi many thanks for your email, the best thing would be to seek the advice of a cosmetic dentist to assess and plan your new smile, if your existing teeth can be used as a foundation then the cost may be around £15,000 – £25,000, if all your teeth need to be removed and dental implants used to give you new teeth the cost could be as much as £30,000 to £40,000. hope this is helpful.

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

Is a horizontal crack at my tooth margin would cause problem?

admin — Tue, 20 Oct 2009 03:48:09 +0000

Q. When I was a child I fell on my bike, cracked my front tooth (tooth #10), had a root canal done, then a composite attached to reshape the tooth from the crack. 9 years ago, the composite fell off and I went to the dentist to have a new one done and she said a crown would have to be done as soon as possible. She said the best one was a porcylain fused to gold crown and assured me that no black lines would show because it is not metal, it is gold. (I was young and uneducated in this department…) She immediately drilled down the tooth, took impressions, put a hidious bulky temporary crown on it and I left with a black and blue and extremely raised gum line. I returned 2 weeks later to have another hidious bulky permanent crown put on. The crown was longer than all the teeth in my mouth because she drilled my tooth so high up the gum line that my #10 tooth had a “new” gum line. The gum line is not only still much higher than all the other margins, but the “gold” from inside the hideous crown has darkened my gum line and the bulky crown does not slide under my gum line at all. The gum around the crown not only is dark at the margin, but almost appears to be dark farther up the gum than the actual margin, if that makes any sense. I don’t know why this is. I tried having this dentist resolve these issues, and it was an endless battle, so I decided to give up for now. I did not have the money at that time to persue the situation, or to have the problem fixed by another dentist. Now, 9 years later and financially fit, I have braces that are almost finished. I went to my local dentist to start preparing for the crown to be replaced (after braces come off) who said he could put a new crown on and it would look normal again. I asked him “what about the gum line, how are you planning on making the receeding gum look normal again and come down over the new crown and in line with all the other gums” and he then decided to add that I should see a perio before a new crown is done. I immediatly went to a local perio, he examined the area and told me that he would not be able to graft gum because the tooth was drilled as high as the gum line sits, so there would be nothing to graft to. I asked him if it would be wise for me to have my othodontist bring the #10 tooth down and hope that bone will come with it (and maybe even the gum) and if that would resolve my problem. A lightbulb lit over his head and he said that would be an excellent idea. I went to my ortho the next day, explained what the dentist and perio told me, and he said it is a 50/50 chance that the bone and gum would actually come with the tooth if he brought the tooth down. After all this controversy, I decided to go to a dentist out of the area and in a larger city that was referred to me by a friend. He is a cosmetic dentist (or so he says). He examined my tooth and felt with his instrument that there was a crack on the tooth just above the margin of the crown. He took a close up xray, and there in fact is a horizontal crack on my tooth between the crown margin and the gum line. He said he needs to cut the crown off soon so he can see what we are looking at. He also said a new post would need to be inserted to replace the existing post, as it is too short and not really supporting the tooth anymore. He said if the tooth can be saved (which he says is very very likely) he would put a temporary crown on, have my gum examined by his perio, have my ortho bring the tooth down with the temp crown in place, and return to have a Lava crown put on when all is ready. My questions are: All these professionals are giving me different advise on my gum line situation, I can’t be the only person out there with this problem. Will the gum most likely come down with my tooth and temp crown and avoid the need for perio work altogether? Is it normal for a gum to appear slightly discolored from a gold fused crown all the way up, and not just at the margin? Is a horizontal crack at my margin a cause for concern? (The last thing I want is an implant…) Is a Lava crown the best choice for a 100% natural look? I’m sorry this is so long, but after speaking to the dentist out of the area (that noticed the crack) he seemed to need to know everything from the beginning to be able to better help me. My lack of trust is explainable based on all these professionals telling me different things, and after my initial experience with a horrible crown. I would just like some other professional opinions, if possible. Thank you…

A. hi many thanks for your email, ok to try to explain everything i will use bullet form:

1: when a tooth is root canal treated the tooth can discolour all the way to the top which is the probably reason for the discolouration past the margin of the crown.

2:the horizontal crack is not a problem as long as its superficial and does not run through the whole crown, the crack can be caused by the post.

3:there is unfortunately more than one way to crack a nut and the same can be said to fix a tooth. there are always risks and benefits with all treatments.

4:the gum coming down is a possibility but unfortunately it is an unpredictable science, the orthodontic extrusion is the option i would try doing it very slowly.

5:make sure there is at least 3mm of tooth tissue above the gum line around the new post to ensure the crown will be sucessful.

6:if a new metal post is to be used to support the crown the best all porcelain crown is lava to replace the crown as it will not allow the metal post to shine through but does not contain metal so is aesthetic.

finally the option of an implant if done properely maybe better than the other alternatives.

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

How can I preserve the broken teeth?

admin — Tue, 20 Oct 2009 03:32:33 +0000

Q. If a child breaks a front tooth in half horizontally and you have the piece can it be reattached? What should be done with the broken tooth piece to preserve it and how long do you have to get it to the dentist?

A. I would keep it clean and safe and see your dentist as soon as possible as it can often be bonded back together.

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 all teeth removed and dentures fitted?

admin — Tue, 20 Oct 2009 03:27:57 +0000

Q. need help not confirmed but know i have gum diesease front teeth crooked and one loose,can i get all removed and dentures fitted.if so how long from removal can they be fitted and roughly how much.please help.live in north lincs

A. hi many thanks for your email, if the teeth are of poor prognosis then yes this could be an option. the cost of the extractions will vary but could be as much as £1000 per arch, the dentist would make you a set of immediate dentures to begin with these are dentures placed on the day of the extractions and are worn for approximately 3-6 months while the healing takes place. the cost of these dentures per one is around £500 – £1000. once all the healing has taken place the final set of dentures dependant on quality can range from £1000 to £4000 for a set. hope this is helpful.

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

Is its correct to place cap on cracked tooth?

admin — Tue, 20 Oct 2009 01:15:18 +0000

Q. I have pain in one of my back teeth which had an existing filling. My dentist took xrays and advised of a crack. He has now cut away half of the tooth and is intending to place a Prcelin cap on it in two weeks time costing £650. There is still a large crack running down the back of the tooth that is now visible. It it correct to place cap on this now? Thanks

A. They are trying to b ond the tooth together and prevent the crack spreading. If this works your tooth should be fine for many years

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 denture fitted by having most of the teeth pulled?

admin — Mon, 19 Oct 2009 03:12:02 +0000

Q. Hi Dr Caplan, My front left tooth has gone very crooked and exposed a large part of the root and is extremely loose, the 3 teeth to the left of that are missing and i wear a bridge which has contributed to the twisting, the next 3 teeth are not in good condition and the gum has receeded. on the right side my front tooth is chipped, the next 2 teeth are slightly longer and the gum is receeding, the molars on the right are not bad but there are just gaps and 1 is missing. would it be better to have most of the teeth pulled and a denture fitted as there are only about 8 teeth on my upper jaw and most are not up to the job. could you give me advice and a rough estimate of cost. I live in North London, not too far from St Albans. Many Thanks

A. Thank you for your questions. Apologise for not getting back sooner but I have been away lecturing. In your situation I have often used a precision retained denture. In America they are called removable bridges because of the accuracy of their fit. There may be other solutions but ti sounds like this may be a likely treatment for your problem. Treatmetn costs vary depending on the type of treatment you desire. Please contact my receptionist to make an appointment for me to assess your specific problems Kind regards 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