Posts Tagged ‘dental anxiety’

I am depressed about my teeth condition

Thursday, November 12th, 2009

Q. Hi After years of neglect ,all my top teeth have badly decayed ,and broken off . Im so embarrassed about this ,and hence cant face a dentist because of the shame that I let my teeth get into this state. Unfortunately I cant afford private ,so will have to go nhs , I would like to know what is available ,as I know I am probably going to have to have them all taken out and have dentures,but I have been told nhs wont cover this? Also ,what would you advise me to tell the dentist before my appointment ,as I want to let him know the state my mouth is in before he actually sees them ,im so depressed about this and really need some help .

A. You will be able to get denture treatment on the NHS. I would be worried about what the dentist might say, thats our job to fix peoples teeth and we are very used to seeing less than perfect mouths!

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 have had series of teeth problem causing tooth decay

Tuesday, November 10th, 2009

Q. I’m quite young, Actually just 21! I used to always hate going to the dentist when i was little so i had Pretty teeth in the front but horrible ones in the back. When i finally went to one when i was 16 he did 4 root canals on 2 of my back teeth on both sides. I had medicaid at the time and didn’t tell me that medicaid wouldn’t pay for the rest so basically i couldnt do anything about it. From then on i had to get 2 back teeth pulled (on the same side) which doesn’t bother me.. I’m goin to have to get the other teeth pulled soon and some on top in the back. My question is. well my front teeth are decaying and almost gone. What are my options that i can get done. I will save up the money to pay for it but just trying to get info on what i should be getting done! and its about 4 teeth up front! Thanks so much for your time!

A. It depends on the extent of the decay if the teteh can be saved root canal treatmnet and crowns may be an option, if the decay is quite shallow you might be able to have fillings.  if the teeth need to be removed your options are dentures, bridges or dental implants.

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

Is there a way to get me relaxed during my dental treatment?

Tuesday, November 10th, 2009

Q. I have an abnormal physcological fear of dentists which is a result of a face slap by a dentist when I was a child (he pushed a sore tooth with his finger and I bit his finger) The last time I visited a dentist was 1972 they pumped me full of “happy gas” to try and get me to relax, I burned it up quicker than they could pump it in. When I get hurt I become violent, subsequently I have to be put under with a general anesthetic. My teeth need to be sorted out and some implants out in for ones that are missing and others that will have to be removed, but feel it would have to be done under proper hospital op conditions Is this possible please.

A. Hi, there are other options, certainly you might be able to have treatment under general anaesthetic at a hospital.  In my clinic we treat so many nervous patients who have had similar problems to you.  You need to find a dentist you can trust.  in my practice we use IV sedation but we also use a medical anaesthist you can combine a number of drugs to relax you.   I find this works very well.

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

I am scared of dentist and cant afford treatment costs

Monday, November 9th, 2009

Q. hi there im a 25 year old male with a huge problem i have very very bad teeth in fact i have neglected them for so long i barely have any left!now the problem i have is that 1 i am petrified of the dentist and 2 i do not think i can afford to get them fixed or replaced please could you advise me of what i can do several years of agony and funny looks has got to come to an end

A. for NHS treatment contact your PCT ( Primary healthcare trust) dental contracts division and ask for details of local sedation services for dental anxiety .
for private options check the practice offers IV sedation then investigate a few local ones before deciding on the best one for you.
Sounds like you are ready.
Good Luck
Rob

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

How much does it cost for a perfect smile makeover?

Sunday, November 1st, 2009

Q. Hi,I’m a very unhappy lady when it comes to my teeth , it sometimes brings me to tears i have never been able to smile for a photo and would love to. Im about to turn 40 and for once im my life would like to smile.My front three teeth are not straight,and seem to be going see through,one has had an rct and is now going grey , can you tell me what can be done and how much it can possible cost . im terrified of the dentist as well. Please help, thank you

A. Firstly if you are nervous we provide sedation to help.  It is likely that you need vneers or crowns.  It is dificult for me to give you a cost but I can say that our veneers and crowns start form £675 per tooth.  Please make a free cosmetic consultation with me to see how I can help you

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

Scared to visit dentist for my discoloured rotting teeth

Wednesday, October 28th, 2009

Q. Hello, I have a front tooth that is rotting, it has turned black and does not look nice, I know I need the dentist but I have not had any good experiences with the dentist hence why I’ve put it off for so long, I know I have to go sooner rather than later but I’m worried about what they will do with the tooth in question, will they take it out or can they repair it?

A.

You need the check up before you can get down to details. The good thing is that you dont have to have anything done at the first visit , just decide on some likely options.
Rob

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

Please advise on bad breath with bleeding gum

Wednesday, October 28th, 2009

Q. hi could you help me please my 10 yr old daughter as bad breath her teeth bleed when brushing them.her gums look darker and her teeth dont look right she is also very tierd and feels sick ..because i have never had dental problems b4 i am unsure if this needs emergancy treatment asap she is not in pain with her teeth. or could it wait til tomorrow thank you

A. I am sure your dentist has cleaned your girls teeth to remove the offending plaque

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

I need to fix the shaky front tooth

Wednesday, October 28th, 2009

Q. i seem to have a habbit of pushing my front teeth with my tongue and then pushing them back again and now, i find myself doing it all day without realizing it and now i think one of my front teeth are shaky, it seems to move a bit more now, out of place when i push it and instead of stopping, i do it alot more now to see if it really is shaky or not. im terrified as im only 21. what can i do if they fall out? i also grind my back teeth in my sleep and during the day which is a new thing during the day. what are dental implants? are they screw ins? if my teeth come out could i get them on nhs? in the morning i feel as though if i just push my teeth theyl pop out so i try to avoid doing that 1st thing in the morning. im terrified on dental jags so cant go to dentist, i would go if i could get put to sleep tho, please help

A. Start by forcing yourself to visit 3 different practices that seem friendly to anxious patients.  You can be adamant that you only want an opinion not treatment. ( check prices for assesment before you go )
One of them will feel better and more in tune with you. Then start with some simple treatment to boost your confidence.
Rob

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

My front teeth are chipping away may i know why?

Wednesday, September 16th, 2009

Q. All of a sudden my front teeth are chipping what is the cause of this

A. Most common causes are (1) tooth: tooth contact, (2) tooth : other  ( E.g. finger nail / pen chewing etc)
Clenching , grinding and lack of supporting back teeth all make it worse.
I suggest you investigate preventing further damage, possibly a spilnt might be appropriate. Then repair the damage.
Rob

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

After tooth filling my upper teeth are slightly tilted plz advice?

Wednesday, September 16th, 2009

Q. Hello, I had my first crown installed over a tooth that had broken. I was not in pain, it was a tooth that had been filled years ago. The tooth is a bottom, left, two teeth back from the canine. In any event, I have developed a slight lisp since the installation and it appears that my upper teeth are tilted (with the right side being lower). I went back to the dentist, he said he sees nothing wrong but that he would redo the crown if I wanted. He also offered the explanation of perhaps that perhaps air is now channeling differently through my mouth due to the width of the crown being less??? Is thsi a common occurence?

A. not really, but as it is being redone I wouldn’t worry.

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

My wife has implants but due to gum recession discontinued plz advice?

Tuesday, September 15th, 2009

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

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

I have overcrowded and crooked teeth can i go for invisalign?

Monday, September 14th, 2009

Q. I have over-crowded and crooked teeth (dracula type of teeth). Would invisalign work for me or should I go for cosmetic dentistry? I am also a nervous patient and have a phobia for dentist.

A. If you’re nevous of the dentist Invisalign is a great treatment. Its simple to set up and with only a minor amount of dentistry, great results can be acheived. Have a look at our website: invisalignguide.co.uk

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 got my molars removed will that cause problems in future?

Monday, September 14th, 2009

Q. when i was 14 years old i got 4 bottom molars pulled out would that over time effect my bite.

A. This may effect your bite but usually the mouth adapts to these changes over time

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

I have broken and decayed teeth but i fear dentists plz advice?

Monday, September 14th, 2009

Q. I am 47 years old and have not been to a dentist for 27 years after a quite terryfying experience. I have lost alot of teeth and apart from a few at the front bottom and top the others remaining are broken or decaying. I am scared stiff of the dentist and get panicky just thinking about it. Could you give me some idea of how I will accepted if I go. I do not want to be lectured as i am well aware of my situation. What I need is a sympathic and calming approach but I am really scred this may not be the case.

A. When I see patients such as yourself I am certainly not judgmental but concerned about treating your mouth back to health.  For patients who are scared of dentistry there are a number of ways to help you through the process.  In my experience most patients who are as scared as you find IV sedation a great help.  They find that this technique makes them very relaxed during the treatment and also they have little memory of the event.  This also allows me to carry out the best treatment possible.  If this is of interest to you please contact my practice for an appointment.  i look forward to meting you. 

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

My 8yr old has a tooth condition how can it be treated?

Monday, September 14th, 2009

Q. Dear Dr. Moore, My 8 year daughter has a rare tooth condition and I am looking for someone who has heard, seen, or treated a similar case. Her top front 4 teeth have come in as two large teeth. She is a beautiful, outgoing, young girl but is already getting teased by the other kids. Any suggestions?

A. Its is very diffucult to treat this sort of problem at an early age as the mouth is changing all the time and any treatment can sometimes affect the new teeth coming through or made ned correcting every 6 months or so. However when the child is being teased and it  starts to affect their confidence I have been known to start the treatment very early and add or adjust things as the child grows and as new teeth come through. It case needs treating on its merits so if you would like me to take a look please contact me on enquiry@advancedentalclinic.com and I will be happy to arrange a full consultation.

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 got fitted with veneers but they are sore and painful

Monday, September 14th, 2009

Q. I wanted a pretty smile so I had my upper 4 front teeth fitted with veneers a little over a year now. The veneers were way to long and bulky. I looked like Buggs Bunny and talked with a hisp. The dentist and I have yelled at each other. He said he will not replace them but keeps grinding them down. I have had pain and throbbing ever since, especially at night (I do wear a night guard because I clench my teeth). The pain at night keeps me awake. I cannot lay on my back or my side without feeling like my front teeth are being pushed around. I cannot get releif. The teeth look OK now but the throbbing at night won’t go away. What do you suggest? I really depressed about this.

A. Please come and see me for a free cosmetic consultation to allow me to assess your problems and hopefully find a solution for you.

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

Can a underbite be corrected?

Friday, September 11th, 2009

Q. Hello, I have a slight underbite & I am 14. I am very, very self consisous about it & really want surgery to correct it. Would the orthodontis allow me to have it corrected at 14?

A. If your bite is how I imagine it to be, it is very unlikely that your Orthodontist would recommend surgery until you are at least 18-19 yeras old as the jaw continues to grow until that age.

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

Im 33 and have gappy teeth would u suggest dentures or crowns?

Friday, September 11th, 2009

Q. Hi, i am a 33 year old male with very gappy front teeth. Not just the front two, but most of the upper teeth have gaps which obviously affects my confidence. Having consulted my dentist and had my teeth impressions sent to the lab, was told 4 to 7 crowns would be the best option and due to my age, a partial denture would not be recommendable. The cost involved was quite daunting however, i acknowledge that a smile for life is priceless. Do you agree that at my age this would be the best course of action to take, and a partial dentutre should be avoided. Many thanks.

A. Yes avoid a denture as I think this might affect your confidence even more, crowns and veneers should work well and last a long time.

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 had root canal work on my tooth but the pain persists plz advice?

Friday, September 11th, 2009

Q. Dear Dr Moore 6 months ago I had root canal work on my tooth, having been told that there was some decay and I would lose the tooth if I did not have it. It was a terrible ordeal for me as I am a very nervous patient anyway and the dentist clamped my face to my jaw with a metal clamp which I found unacceptable and was unable to tolerate. It took 3 hours and cost over £600. A few days ago I started to have an unremitting pain in my mouth, gums and cheek which seem to be encompassing the area where I had the root canal work. I fear from all the information I have been able to glean that I have an abscess and may have to lose the tooth. I have been to see my GP who doesn’t know what is causing the pain but has given me antibiotics and told me to see my dentist for ex-rays. I have an appointment on Tuesday but don’t see any point in having the ex-rays until the antibiotics have cleared up the infection. I will not go back to the dentist who did the root canal treatment (a specialist in root canal work and not my usual dentist) as I am absolutely terrified of him. The way he pulled and clamped my face showed complete inconsideration for a woman’s feelings and when I finally emerged from the dentist after 3 hours I was inconsolable from the ordeal that I had tolerated. If I do lose my tooth I will definitely want to have an implant. I am now on my 3rd day of taking antibiotics and as of yet the pain I am suffering is just as bad as on day one so I am not sure if they are working or not. Please would you kindly advise me of my options regarding treatment and what you see as the likely outcome. Kind regards,

A. Hello, it does sound like an abscess which if the antibiotics haven’t helped, may mean you will lose the tooth. It might be best to remove the molar then consider an implant or bridge once the tissues have healed and the infection has cleared.

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

Im diabetic i noticed a gap btw my front teeth plz advice?

Friday, September 11th, 2009

Q. hi am 23 year old female, i have type 1 diabetes. i have recently noticed that i am getting a small gap in between my front two teeth, its only small but i am really self conscious am find myself looking at the mirror every hour or so. what would you recommend. thank you

A. it is common for diabetic patients to be unable to fight infection once they get it as well as a completely healthy individual.this is why there is usually a higher occurrance of gum disease . it is possible this applies to your case as a minor gum inflammation.
i would advise a good clean  by a hygienist and allowing time for the gum to heal as it may only be a minor fluctuation in the tissue

dr safeer butt

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