Posts Tagged ‘crown’

Need to stop inflamation from spreading

Friday, November 20th, 2009

Q. my dentist recently x rayed my teeth finding inflamation under one of my crowns which is supported b a post he said i may lose the tooth .he gave me two options to try and retreat it giving a 50%chance of success or leave it and keep a close eye on it . i am worried the inflamation will spread to other teeth . what is your advice to me .

A. Try the retreatment to prevent the posibility of the inflammation spreading then review the tooth in a few months to see how its settled

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

Best solution to fix new bite?

Friday, November 20th, 2009

Q. Hello Dr Moore, I am 42 years old. I had my mouth half full with crowns by 20 yrs old. By 34, many were needing to be replaced. I begged the dentist to give me an upper plate. I made a good case and I got it. He made me 4 or 5 before I got a good fit. I still have to use a large amount of Fixodent daily to keep it in. Now, at 42 I have had most of my bottom teeth extracted and Im down to 5 in the front. THere are no other teeth/replacements on the bottom at all. The plan is to remove the 5th tooth and I will be left with 4 in the front, and get a partial bottom plate. And make a new top plate to fix the new bite. How will the teeth in the back stay down? I will need to glue down with fixodent? Will it somehow hook on to my front teeth? People Ive known with this, had hooks onto back teeth which I do not have. Please let me know. At this point I just want to be able to chew again.

A. Anything put into the lower jaw will help you to chew although a denture is very difficult to wear if there are only a few teeth to anchor it in place. You might want to consider a denture held in place with dental implants this maybe your best solution in the lower jaw in the long term

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

Relatively large front teeth needs treatment

Friday, November 20th, 2009

Q. i have two large front teeth and absolutely detest them. its giving me really low self esteem and i would really like to do something about them. What are my options and honestly how much will this kind of treatment cost? My two front teeth are longer than my “wedding finger nail” (short) just to give you a rough idea. im getting increasingly depressed about it what can i do?

A. The cost depends on what you have done. If they need veneers this will  normally cost from around £500 per tooth. If the teeth need removal then you could be looking at £500 for a small denture or £4000 for fixed implant supported crowns.

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

My dentist is going to cut my cap into four pieces to remove it, is this correct?

Tuesday, November 17th, 2009

Q. Hello, my dentist done a cap on my tooth a year ago, but it was the wrong size, it has recently started to smell and cause me some discomfort. When he put the cap in the dentist filed the tooth below, is this good practice? Also he didn’t remove the nerve in the remaing part of the tooth, sould he have? I have now been informed by my dentist that it needs to be replaced (me footing the bill!). I am about to book my appointment, and am concerned about the dentists experience, he said that he will cut the cap, that’s already on my tooth, into four, for removal. Does this sound right, because I am very concerned about the remaining part of tooth underneath. Thank you

A. It’s best to cut the crown into pieces before removing it as this protects the tooth underneath You would normally only reomve the nerve if the tooth causes pain or an infection is present

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

Is it possible to change the post that are in the gums?

Tuesday, November 17th, 2009

Q. Dear Dr. Moore, I have four crowns (in the front in the top rig)that are now showing a black line and so need replacing with Porcelain ones, but also my gum is quite dark and not pink. Is it possible to change the posts that are in the gum, or is it possible to lighten the gum in any way? Thank you for your help! Regards

A. Hello the gum can’t really be changed but the posts might be taken out and replaced with White posts and porcelain crowns

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

Is root canal required before having a crown in my case

Thursday, November 12th, 2009

Q. i asked my doctor to give me a nice smile or correct spaced teeth in the front of my mouth and he is giving me a crown and root canal on the damaged tooth first, but what about the other teeth in the front they are still spaced will i need a root canal on the other teeth in order to get them unspaced and looking nice?

A. It is difficult for me to say without seeing you, all I would say is that you don’t always need root canal before  crown or veneer is fitted

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

Can’t make up my mind to have a porcelain or a metal crown

Thursday, November 12th, 2009

Q. I’ve had cosmetic crowns placed on my 6 upper front teeth (eye tooth to eye tooth). There were multiple issues and I am having them redone. The issue that I’m faced with now is whether or not to have the back of the crown porcelain or metal. If I go with porcelain, I may need another root canal (they will have to remove more of my tooth to make the back thinner). If I go with the metal, I’m afraid that it will show when I laugh or yawn and that later it may look dark. What would you advise?

A. It is unusual to see the back of upper front crowns and metal would be stronger, if you are very worried about the apperance you may have to risk needing a root canal under the porcelain crown

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 need to quit smoking to have implants so is bonding an option?

Thursday, November 12th, 2009

Q. I am aged seventy two and I have had upper crowns and bridges for about twenty five years, now two of the teeth are crumbling inter palatally. This involves the left central incisor and the canine tooth. The remedy which has been suggested is to cut of my bridge between the central incisors, have the teeth removed on the upper left and then have implants. Until I get a new bridge I will need to wear dentures, the estimated cost for this is £9k. There will be two dentists involved in this; one says that I must stop smoking and the other dentist say that I do not need to. At present I am hoping that “cosmetic bonding” is an alternative. My questions are. Could “cosmetic bonding” prevent the offending teeth from additional crumbling? If implants are the only solution, will I need to stop smoking? Many thanks.

A. Bonding is a good temporary solution although if the teeth need to come out then it might not work that well. If you have implants stopping smoking will help improve the success rate.

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

Need a gold crown fitted to my tooth

Thursday, November 12th, 2009

Q. i want a gold tooth/cap or window fitted on one of my teeth. i would like to know where i can get this done and how much it costs. i live in east london and as you can read this is for cosmetic reasons. thanks.

A. I would call round a few local dentists in east London. I’m sure there will be a practice that can do this for you.

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

Suggested crown for my cracked teeth is not affordable

Wednesday, November 11th, 2009

Q. Hi, Today at work one of my back teeth has cracked- it has a 10 year old filling inside. I’ve been advised it’ll probably need a crown. However I’m petrified of the dentist and have to be sedated when I go. How much will the work cost and if I took out private dental insurance, would it cover the work? I know it’ll be about £400 but that’s half my wages so won’t be able to afford it! Please advise in anyway possible. Many Thanks

A. Thanks for your questions, I am unsure as to whether taking out a dental insurance policy at this stage would help, as the need for treatment already exists? However, many detal practice are able to offer payment plans, such an interest free credit. I would suggest that you ask your dentist about the payment plans they have available, or alternatively reasearch dentists in your area who offer suitable schemes. I hope this helps.
Kind regards
Dr Kailesh Solanki

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

A small bit of tooth has come out want to prevent from further damage

Wednesday, November 11th, 2009

Q. Hello Dr I have just had a small bit of tooth come out. The bit has come out from my bottom 2 teeth. I cant feel or see a gap at the front but can feel a small hole just above the gum. What can I do to prevent further breakage and to fill the hole

A. you need to get the tooth seen by a dentist who will advise if you needa filling or crown

dr safeer butt

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

Underneath the crown I found huge black filling

Tuesday, November 10th, 2009

Q. Hi I’ve just had a a crown done and very disappointed as from the underneath it looks like two huge black fillings. Is there anything that can be done to disguise this such as a veneer? Many Thanks for your time.

A.

Go and see your dentist and tell them what you do not like.  You can always have a metal free crown made.

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

Teeth problems have severely affected my confidence

Tuesday, November 10th, 2009

Q. I’m 17(nearly 18) but I’m still in full time education (colledge). My teeth severly affect my confidence, I never smile in photos, I have 2 chipped front teeth from rough play as a child and still have 4 worn down baby teeth where my adult teeth haven’t grown through and according to an x ray aren’t there. Is it possible to get vineers/crowns on the NHS?

A. It is go and see your NHS dentist and I am sure they will be able to do something.

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

The replaced crown has not changed my cosmetic appearance

Monday, November 9th, 2009

Q. Hi Dr Moore My dentist recently fitted a new (procera inceram) crown for me to replace an old crown. It is my big front incisor on the top. He has done a good job with the shape and colour but I can still see a blue line at the margn. My natural smile shows my gum line and the main reason I asked for a new crown was that several friends got crowns that seem to be like real teeth and have subgingival margins. When I asked my dentist for a new crown I made it clear money was not a consideration and that cosmetic appearance was my priority regardless of cost. But on fitting my new crown it is most definitely at least half a mil short of my gums and not much of an improvement over my last crown. Should I sack the dentist I have had since a child on the grounds he is a dinosaur. or should I quietly go behind his back?

A. Go back to him to voice your concerns, it maybe that the crown could be remade with a more sub-gingival margin.

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

What is crown lengthening?

Sunday, November 8th, 2009

Q. what is crown lengthening ?

A. Crown lengthening is surgery to increase the length of a tooth usually by removing the gum and / or bone to improve the cosmetic apperance of teeth or help retain a crown

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

My diet problems has caused severe dental issues

Saturday, November 7th, 2009

Q. Hi, I had a really bad diet throughout my youth years and now i’m in to my late 20’s it is catching up with me (I suffered a food disorder and now i have cured that over the last year and massively improved my diet i also suffered from regurgitation due to the poor diet and stomach acid coming back up has not helped the situation) I have lost 3 lower bottom teeth (on my left side) And have massive decay on the bottom 3 on the right (I think on my next visit i will have to have an extraction on one) What options do i have as i really need to rebuild the back teeth in my mouth or i fear further trouble in the future! Any help/advice will be of great benefit! Thank you for your time!

A. If you can save the teeth on the right you could try crowns. If not then you may need to consider either removable teeth- a denture, or fixed false teeth – dental implants.Implants are probably the best solution as fixed teeth tend to be easy to maintain and are generally more comfortable.

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

Please help me in reshaping my teeth

Friday, November 6th, 2009

Q. Dear Dr Moore I am Writing concerning a special case of cosmetic dentistry i am interested in. I am looking for a way of reshaping 8 of my teeth (the top and bottom canines and top and bottom lateral incisors). I wanted to consult you as to the feasibility of this, and secondly if it is a service you can provide as it is reshaping the teeth rather than trying to return them to a normal shape. The effect i am after is for the canines themselves to be slightly expended (approximately 1 or 2mm) and both them and the lateral incisors to be more pointed. The intent is to be a subtle effect and must be acceptable for still eating/chewing etc. I realize in itself this request is rather unusual, but i was hoping even if you yourself cannot provide this service you might be able to point me in the direction of those who could. On that note, if you can provide this service, how much would it cost? for all 8 teeth and which would be the best way of approaching this? I would greatly appreciate any help your expertise could lend to this matter.

A. The reshaping of teeth can be carried out in a number of ways including simple bonding of white filling to the teeth (cost £50) or veneers/crowns (starting from £450). The choice depends on the durability of the material needed, the extent of the correction required and the position of the opposing teeth.
The next step is to come in for a full consultation in order to find out the type of treatment you require. If you are interested please call the clinic on 01245 268 494 Regards  Andrew

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

What can be done to a half broken tooth surfacing below gum-line?

Friday, November 6th, 2009

Q. Hi, I have just returned from a visit to my dentist today. My appointment was for preparation for a crown on upper molar, second from back. This tooth had broken in half followng root canal treatment and filling 5 years ago. My current dentist put a temporary cover on it and we left it for six months to ensure that the seal hadn’t been breached. When he removed the temporary today he advised he would be unable to save the tooth as what was left of the tooth was partially below the gum-line rendering a crown that would not be viable. He suggested either a bridge, which he felt was not a good option due to the grinding down of the adjacent teeth and suggested an implant at a cost of £2,000. Having done some research on the internet some sites have said that crowns can be placed even if there is only a root left (that has had root canal treatment) and a post can be inserted into the root for the crown to be attached to. Can you advise if this is a possibility please? I look forward to your response. Many thanks.

A. the details are all important here. some teeth can be managed with crowns some are better extracted.
the size, shape and location of the residual tooth : filling are all important.
Before implants there were several common ways to solve the problems. But the fix might only last 5-10years, Implants can be more predictable in some cases. so tend to be increasing in popularity.
If you are near our city centre Practice beside New Street shops contact Amy for details of a free initial assesment. 0121 643 0610

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

Will crown lengthening procedure affect in having an implant?

Thursday, November 5th, 2009

Q. I had a crown on my front incisor, next to big tooth, and the tooth broke at gum level. I have had a root filling and a post put in with a temporary crown. My dentist wants to do a crown lengthening procedure and fit a new crown. Is this the best solution and will it affect my being able to have an implant if there was a problem with the tooth in the future as I understand they remove some bone? Thanks

A. As long as there is enough bone left after the crown lengthening an implant will still be OK.

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 does teeth whitening work with a crown in place?

Thursday, November 5th, 2009

Q. I wanted to get my teeth whitened but i have a crown on my right front tooth and on my left front tooth the anamel wore away really bad so my dentist put some sort of layer on top of it , can i still whiten my teeth and if i do will it change the color of my crown?

A. Thanks for your question, whitening procedures will only whiten your natural tooth tissue. Therefore any restorations which you have had placed in the past would remain the same colour. When my patients, who have a crown or veneer wish to whiten their teeth, they would normally have the restorations replaced afterwards. I hope this helps.
Kindest Regards
DR Kailesh Solanki

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