Posts Tagged ‘ct sjaw scan’

I have particles getting stuck between two crowns, what can be done?

Tuesday, December 8th, 2009
Q. Dear Dr, I had two crowns put next to eachother on the lower jaw at the far back a year ago.While I was waiting with temporary ones they came out a few times and so I had to have them re-done and on the last occasion there were a couple of days with nothing on them. Ever since I always get meat trapped between the two crowns which can only be removed by flossing. This is awkward if I am out and so I have to have a vegetarian option or be careful to chew on one side only as it often feels uncomfortable with the meat stuck. My dentist says that nothing can be done and that he has the same problem. Is this correct? The original tooth was badly broken.

A. If there is a gap between the crowns then meat will always get stuck, it might be worth getting it checked with a view to replacing one of the crowns to create a tighter contact

dr andrew moore

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

View My Profile Dr Moore

Tags: , , , , , , , , , , , , , ,
Posted in Dr Moore's Answers, Experts Answers, Q. Dental crowns |

May be I need a surgery for my assymetrical jaw, please advise.

Friday, December 4th, 2009
Q. Hi, I have an assymetrical jaw. I suspect that I might have the TMJ disorder. It doesn’t cause much pain, but there is two symptoms is obvoius. -There is a shifting in the position of the teeth, or a change in the bite. -Hard to open the jaw fully, or the jaw may shift to one side after opening. I amlooking a solution on my problem. May I know the estimation cost for the surgery if it need to be done. Thank you,

A. You may not need surgery.  Your joint can often be treated with bite splints followed by equilibration of your bite if required. However a full examination to assess your particular problems is necessary before a proper diagnosis and treatment plan  can be decided

dr julian caplan

Dr Julian Caplan – Director on the board of the BACD
Aviva Cosmetic Dentistry
101 St Peters Street, St Albans, Hertfordshire, AL1 3EN
Web: www.avivacosmeticdentistry.co.uk Tel: 01727 854429

View My Profile Dr Caplan

Tags: , , , , , , , ,
Posted in Dr Caplan's Answers, Experts Answers, Q. General dentistry |

Post Orthognathic surgery my jaw has moved can this be reversed?

Friday, November 27th, 2009
Q. I had orthognathic surgery where my lower jaw was meant to be moved only. I found out after the surgery my upper was moved too…impacted and advanced and has caused unwanted facial changes. Can this be reversed. Can my jaw now be setback and downgrafted…I do not wish to take legal action…just to get this rectified.

A. It would be almost  impossible without more surgery

dr safeer butt

Dr Safeer Butt
S3 Dental – Synergistic Smile Studios
Clinics in Kent, Surrey & Sussex
Web: www.s3dental.co.uk  Tel: 020 8398 6322

View My Profile Dr Butt

Tags: , , , , , , , , ,
Posted in Dr Butt's Answers, Experts Answers, Q. General dentistry |

Tooth filling is causing pain while chewing

Wednesday, October 28th, 2009
Q. Hi doc, I am 25 year olf female. I had a filling done at the end of the jaw a month ago and did tooth cleaning. But apparently after the filling in last teeth upperjaw 2 teeth adjacent to it have become sensitive and cause pain when i chew. There should not be cavity coz i recently had a dental checkup. Only 1 teeth was treated that i already mentioned Is it coz i did cleaning and that has hurt my teeth ?

A. The area may need to settle or you may have to have the bite changed

dr julian caplan

Dr Julian Caplan – Director on the board of the BACD
Aviva Cosmetic Dentistry
101 St Peters Street, St Albans, Hertfordshire, AL1 3EN
Web: www.avivacosmeticdentistry.co.uk Tel: 01727 854429

View My Profile Dr Caplan

Tags: , , , , , , , , , , , , , , , , ,
Posted in Dr Caplan's Answers, Experts Answers, Q. General dentistry |

I hv pain on my right jaw plz help

Tuesday, October 13th, 2009
Q. I have been experiencing pain on my right jaw for a week now and giving me headaches. painful when i open my mouth to yawn or eat. My right ear is starting to ache too. i am currently wearing retainers up and down for 2 months now after my braces.how will dis stop? please help..tnx..

A. It sounds to me like you may be ecperiencing some TMJ after orthodontics. I see many cases like yours, varying form slight symptoms to lifee changing symptoms. for more information please visit www.tmjpainrelief.co.uk. Alternatively feel free to call my practice as speak to someone on my team on 020 7612 9810.

Kind regards

Dr Justin Glaister

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

View My Profile Dr Glaister

Tags: , , , , , , , , , , , , , , , , , ,
Posted in Dr Glaister's Answers, Experts Answers, Q. Invisible braces, Q. Orthodontics |

I m 51,should I undergo jaw joint replacement operation?

Sunday, October 11th, 2009
Q. I am due to have a jaw joint replacement op later this year. I am 51 years old and have undergone many surgeries mainly to my spine. For some reason this surgery scares me and I am feeling reluctant to go through with it. I know I can’t really go on in this much pain and have had many procedures done before being told this is the only way left. Can you reassure me please.

A. Please visit my website www.tmjpainreleif.com.uk . I have only had to refer 1 of my patients for surgery in the  years i have been practicing and would always advise other methods first.
I would be happy to talk to you about your symptoms, please call my surgery on 020 7612 9810.
Kind regards
Dr Justin Glaister

dr justin glaister

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com  Tel: 020 7612 9810

View My Profile Dr Glaister

Tags: , , , , , , , , , , , ,
Posted in Dr Glaister's Answers, Experts Answers, Q. Orthodontics |

Is the pain due to sinus or crownless tooth?

Sunday, October 11th, 2009
Q. Dr. Patel, I had a major sinus infection for about a week now. My dentist took an x-ray of #2 and #3 (both had root canals in the past with no complications)with no issues. Apparently, I have deep sinus cavities. Some info recently: #2 crown broke a month ago and was reordered for replacement next week. It’s been crownless. Now, #3 hurts bad. The dentist gave me pain relieve and antiobiotic. But #3 still #3 hurts. Is it sinus related? Is it becuase #2 crown is not there and things are shifting?

A. It could be a sinus infection which mimics toothache, unfortunately you can not be sure, if the pain lasts more than 10 days it may be tooth related.

dr riten patel

Dr Riten Patel
The Mulberry
18 Ashley Road, Walton on Thames Surrey, KT12 1HS
Web: www.mulberrydental.co.uk  Tel: 01932 223 479

View My Profile Dr Patel

Tags: , , , , , , , , , ,
Posted in Dr Patel's Answers, Experts Answers, Q. Dental crowns |

Can u gimme some information about why my lower jaw goes to the right?

Tuesday, September 1st, 2009
Q. Hiya, im 21 and have recently noticed that my lower jaw goes to right. I never really noticed it until it was mentioned to me about 6 months ago. I have tried looking on the net but all i can find is info on overbites, and nothing regarding anyone with there jaw going to the right. Best regards

A. This can be caused by asymmetirical growth of your jaw sometimes caused by trauma at a young age. If your teeth fit together corectly, the upper teeth being on the outside of the lower teeth the chin can be reshaped to improve the appearance by a plastic surgeon. I the teth do not fit together properly you may be able to have youtr jaw broken and repositioned correctly.

dr julian caplan

Dr Julian Caplan – Director on the board of the BACD
Aviva Cosmetic Dentistry
101 St Peters Street, St Albans, Hertfordshire, AL1 3EN
Web: www.avivacosmeticdentistry.co.uk Tel: 01727 854429

View My Profile Dr Caplan

Tags: , , , , , , , , , , ,
Posted in Dr Caplan's Answers, Experts Answers, Q. Cosmetic Bonding, Q. Cosmetic Dentistry, Q. General dentistry |

Please advice me on lowering the floor of the mouth and building up mandibular band

Monday, August 24th, 2009
Q. Dear Sir, I’ve been “selected” for a procedure that I am not familiar with and want to find out more information…I have been waiting for approval though a county dental facility to have the rods or implants for witch the denture can be attached to…My oral surgeon called and said that while I wait for the OK for those rods/ implants..He would like to perform something..I am not sure of the exact label for the surgery..it involves Lowering the floor of my mouth..? and building up mandibular area..they want to take a skin graft from my buttocks and use it as a graft for my mouth..They want to do this because my lower jaw was without a denture for 8 years..not that I didn’t have one but got poor dentistry at the time and it did not fit and cut me badly..result..stopped using lower denture to my detriment. Does any of this sound familiar to you..I am 56 years old and in fairly good health in spite of wheel chair status…part of the reason I am in a wheel chair and lost my teeth was because eight years ago I was misdiagnosed as having end stage breast cancer to the bone…I didn’t though but was placed in a Morphine induced comatose state for a year..till they figured out their mistake and withdrew the medications…however I lost most of my teeth..then when I woke up I had to have the rest of them removed…I need some direction here..I am scared to go under anesthesia for 2 hours! In addition I need to know the possible side effects for such a procedure. He said it would be that long…scares me when you consider all of the medical mistakes I have endured in one life time…maybe I am over thinking this..but I need to do research..But don’t no where to turn..he did say this procedure was a common one before implants…what is he talking about..I will have further instruction next week when I go in but want to be educated enough when I go to ask the right questions..Can you please direct me to some educational material..I would appreciate it. Thanks for your time.

A. Hello 

This procedure effectively increases the height of the mandible by lowering the level of the tissues around it making the denture more stable and les likely to rub on the floor of the mouth, something that can still happen even if implants are used to anchor the denture. Its quite a complex procedure and not commonly used in dentistry these days. Talk things through with your oral surgeon agian the next time you see him i’m sure he will be able to give you a bit more information especially if he uses the technique a lot.

dr andrew moore

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

View My Profile Dr Moore

Tags: , , , , , , , , ,
Posted in Dr Moore's Answers, Experts Answers, Q. Dental Implants, Q. Dentures, Q. General dentistry |

Hi my 9 yrs old son has been badly hurt on a zip wire swing

Monday, March 30th, 2009
Q. Hi my 9 yrs old son has been badly hurt on a zip wire swing. He’s lost 2 top teeth. On his bottom jaw he’s had an op but think he will lose 4 there. His jaw is broken across his chin. this happend yesterday. Is this something that you would or could fix so he can smile without me crying. If this is not something you would deal with could you point me in the right direction please Many thanks

A. I’m very sorry to hear of your son’s accident, I could definitley do something with the teeth once the oral surgery department has sorted out the fractured jaw and more superficial soft tissue injuries

Please call the practice on 01245 268 494 and arrange an appointment with me to take a look and I will be able to give you an idea of what we can do

regards  Andrew

dr andrew moore

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

View My Profile Dr Moore

Tags: , , , , , , , , , ,
Posted in Experts Answers, Q. Dentures |

Infection around the implant

Saturday, March 28th, 2009
Q. I have an implant of the 4 teeth at the upper front for the last 4 years, never had a problem until recently when I could feel something swelling at the back of the front teeth, it eventually burst and a lot of puss came out, I went to see my dentist and took an x ray and told me that I have a big infection near one of the implant, at present he is not sure what to do, he gave me antibiotics for one week and then I have to see him to decide what it could be the best procedure. Can you please advice me? options at present are: to remove the implant and replace it or to open up the implant and wash it off but before to take a scan in 3 dimention.

A. Hi many thanks for your enquiry, it sounds that if you are getting a large infection around the implant it maybe the implant is failing. my advice would be on the first instance to get the CT scan done which will give you much more information, secondly if your dentist is not a experienced implantologist to seek the advice of an experianced surgeon on what would be the next best course of treatment. hope this is helpful.

Dr Kailesh Solanki
kissdental

dr kailesh solanki

Dr Kailesh Solanki
Kissdental – UK Practice of the Year 2007
157 Woodsend Road, Flixton, Manchester, M41 8GN.
2 New Street, Altrincham, Cheshire, WA14 2QS 13
Stanley Street, Manchester, M8 8SH
Web: www.kissdental.co.uk Tel: 0161 748 5250

View My Profile Dr. Solanki

Tags: , , , , , , , , ,
Posted in Dr Solanki's Answers, Experts Answers, Q. Dental Implants |

I fell and knocked my teeth out ive had infection and bone loss

Sunday, July 6th, 2008
Q. When I was young I fell and knocked my 2 front teeth as a result I had an operation and the root of one of the teeth was removed. A few years later I has the tooth crowned and not long after I got an infection in the roof of my mouth. An x-ray showed that this infection was going right from the crown up into the palet of my mouth, the specialist told me I need ot have an operation to remove the infection but I have had bone removed during my first operation which I was not aware of and there is a 50/50 chance I could lose the tooth during or not longer after the operation. What would be my best option if I do lose the tooth? Would a dental implant be suitable? And whatever the necessary treatment can you give me an idea of the price I would be looking at?

 

A. If I understand it correctly you have one tooth completely missing and one root just about surviving.

The points I notice here are the past history of trauma, infection and surgical bone removal. It is probable that the lifetime chances of the remaining tooth surviving are risky.

An implant will need some healthy bone to anchor it and the past trauma/infection/surgery will have reduced the available bone. You would need to check this out with a thorough clinical exam maybe a CT jaw scan. One implant costs around £2000 -2500 including the crown on top ( You will be able to find a range of practices within this bracket and this figure is from start to finish ) One implant carrying two crowns around £3000-3500 two implants with single crowns £4000-5000. If you don’t have enough bone, you may need a bone graft which has a very variable cost. Bridges, Adhesive bridges, & dentures would be among the alternatives

I hope this helps

dr rob tennet

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

View My Profile Dr Tennet

If you need a free consultation to provide more specific information please contact Amy on 0121 643 0610 ( mention the link)

Tags: , , , , , , ,
Posted in Dr Tennet's Answers, Experts Answers, Q. Cosmetic Dentistry, Q. Dental Bridges, Q. Dental Implants, Q. Dental crowns, Q. Dentures |