Posts Tagged ‘dental fillings’

Pain post tooth filling

Tuesday, November 3rd, 2009

Q. I’ve just had a filling – there was decay under an existing filling (spotted via X-Ray) and some of the original filling had to be removed to remove the decay underneath and then place new filling on top. It has been 18 hours since the filling and I am still very sore. Is this normal? It’s 4am in the morning and I cannot sleep because of the pain/soreness. I could not brush over the recently filled area before going to bed either as it felt very sore/sensitive. I have had fillings before and cannot remember the pain post-filling lasting this long. Thank you

A. Thanks for your questions, I am sorry to hear that you are suffering. I would advise that you return to your dentist at your earliest convenience to have the filling checked, as it is keeping you awake. It is possible that the filling may just need some slight adjustments, but I would encourage you to have it checked.
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

Can I have silver fillings to be replaced with composite materials in molar tooth?

Monday, November 2nd, 2009

Q. I thought of going to have my silver fillings to be replaced with composite materials in one of my molar tooths. But some of the current silver fillings stick to my gums, how does the dentist going to remove it? Will it cause my gums to bleed during the drilling? I am concern that the harmful silver particles will get into my gums.

A. hi many thanks for your email, the silver fillings that are placed close to your gums will still be removed and can be replaced with the white filling material. the silver filling material will not harm your gums.

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

My discolouring teeth needs to be whitened

Sunday, November 1st, 2009

Q. Dear Dr Caplan, have the fillings in my front front teeth an the look horrible i have had them since a child an now i am 23, however on my left hand side im missing a canine so i have a latral.An on my right i have a canine which has been made to look like a latral. both side have centrals. my right side has a root cannl which has started looking darker is there anything i can do ie whitening all my teeth or have crowns an these but i want my other teeth to look whiter to please help

A. A combination of bleaching , crowns and veners should give you the stunning smile you are looking for

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

Need extensive makeover to my teeth

Saturday, October 31st, 2009

Q. I’m 22 and my teeth are awful! I’m embarassed to smile, laugh and often get told to ‘cheer up’ because of my regular closed mouth expression. My teeth are discoloured, sensitive, and crooked. This is due to lack of dental care when I was a child. I regularly use whitening products, and sensitive toothpastes, I visit the dentist but just seem to have filling upon filling. I’m so scared of one of my front teeth completely falling out. I honestly feel like I would be happier with false teeth, which is a bit of a daunting prospect at the age of 22. Being a student, I cant afford cosmetic dentisty and even the financial plas seem to want £100+ a month, which just isnt an option for me. I don’t seem to have a local dentistry school, and even ones far away seem to have full waiting lists. I’ve considered using a student loan to go abroad to have ‘cheap’ dentistry work done but hav been advised this could make things even worse. What should I do?

A. Its very difficult to have extensive treatment on a budget. You might be able to get some done on the NHS which is usually cheaper than paying privately. You always take a risk when going abroad as often the cost isn’t that much different, especially as the pound is quite weak against the Euro at the moment. You might also have complications that require further visits abroad. I guess the best option would be to save up as much as possible and to start the treatment in stages perhaps using a finance plan to help spread the costs?

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 are pros and cons of teeth filling?

Friday, October 30th, 2009

Q. I had braces when I was 17. At the time there was an issue with overcrowding on the bottom teeth. There was discussion of pulling a tooth, but it was not done. I’m now 33 and have overcrowding of my lower front 6 teeth. My orthodontist suggested pulling a tooth or filing the teeth down. What are the pros and cons of filing the teeth down? Does this ruin your tooth enamel?

A. Slight adjustments using a techniwque known as interdental stripping helps to create the space in order to align the teeth. The loss of a tooth often causes an asymmetrical final result but might be your only option if the teeth are very crowded.

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 will be the cost for replacing the bottom front tooth

Monday, October 26th, 2009

Q. my sister recently lost half her bottom front tooth how much will it cost for a replacement thanks

A. hi many thanks for your email, if half the tooth has fractured there are two options to replace the tooth,

1: composite(white filling) build up around £100 – £200
2:crown around £500 – £900

hope this is helpful.

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

My wife suffering with lot of pain after filling Is this normal?

Friday, October 23rd, 2009

Q. Dr Moore, My wife attended the dentist last month for a routine check-up. The dentist told her that she needed a filling and made another appointment for her to attend for this. later on, after having the filling done, she was havig a lot of pain. She went back to the dentist and he told her that he would have to remove the nerve from this tooth. My wife was still having a lot of pain. within the last week, her mouth & face has swollen causing her extreme pain. She went back to the dentist again and he removed another nerve from a tooth at the front of her mouth. I am very concerned that my wife has been suffering with pain for several weeks now as a result of attending the dentist for a routine check-up. Is this normal?

A. Complications such as these can occur after a filling, however it is important that they are dealt with correctly. Perhaps she should go back and ask him to explain what has happened in her case

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 the crown be placed always over the tooth?

Friday, October 23rd, 2009

Q. Hi, I have just found out that my top right rear molar, is dying as a result of a deep filling, which is now beging to rest on the nerve of the tooth. The dentist has shown me the x-ray and said that as the root is so bent and not easily identifiable, he does not believe a root canal would be sucsessful. I have also had a bad expererience of root canal’s, where within months I had absess, and lost the tooth anyway. My dentist has said that my only option really is therefore too losse the tooth. My concern with this is that due to braces and overcrowding I had already had all my wisdom teeth removed and to loose this back tooth, I run the risk of my jaw bone disolving, there is already evidence of this on the x-ray following the wisdom extraction 3 years ago. I asked if there was any other options and he told me I would need splints and a crown which would cost about £2000. I am only 31 and worry that if I don’t make the right choice now it will be too late, I can’t afford £2000 for a tooth, but as it stands a booked for an extraction the week before xmas??!! Reading some of your other responses to questions indicate the crown can be placed over the tooth, can this not always be done? Any advise would be great. Thanks

A. hi many thanks for your enquiry, my advice would be to ask to be referred to an endodontist for a second opinion. THere are many teeth which general dentists just do not have the skill to treat. however an endodontist is highly experianced at root canal treatment and can give you an idea of whether they feel it can be treated and level of sucess. once the root canal treatment is done it is then best to crown the tooth.

hope this is helpful.

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

I had root canal done Should I have crown or filling?

Thursday, October 22nd, 2009

Q. Hi Dr. Moore, I just had a root canal done about a month ago on one of my molars (the 6th tooth on my right). And as recommended I went back to my regular dentist yesterday to get a crown . However, my regular dentist personally feels that it is better to just go with the filling as I have a lot of good teeth structure. Her only worry is that I grind my teeth at night. So I’ve got a night guard. She told me to give some time to consider whether or not I should really get a crown because she thinks my teeth should last for a long time if I’m careful. What is your recommendation and view towards this? Thanks

A. Hello, it is common practice to crown a tooth after a root canal as the tooth is more brittle. However if that involves extensive loss of tooth structure you could consider a ceramic inlay. This is stronger than a filling but less destructive than a crown. 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

Should I return to same dentist or consult another dentist?

Tuesday, October 20th, 2009

Q. Hello Dr Moore Last Friday i when to see my dentist for what thought was the last appointment as in this appt the crown was to be fitted.The dentist found the crown was too long from was requested and spoke to the tech. who re-aasured that he had made as per instruction.Then the dentist thought the teeth had moved but i had temp.crown and i am healthy non-osteoporotic patient.then the crown was fitted with additional filler and now my teeth are not alignment and the inplant grinds with lower jaw teeth.i phoned the dentist who suggested i visit her again but i an very uncomfortable about going back as i have lost all confidence her abilities as she may do more damage and i need to resolve the poor fitting crown.Ihave had an inplant previously from another dentist with no such complications.Please could you advise me on what action should takeie should i return even though i feel she may do more harm and should i see another dentist?i look forward to your advice

A. Go back as she is the best person to sort this problem out another dentist may not understand the situation you can always change when the problem is sorted out

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 its correct to place cap on cracked tooth?

Tuesday, October 20th, 2009

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

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 be the cost to replace silver fillings with white?

Thursday, October 15th, 2009

Q. Hi, i have about 11 silver fillings i want to get removed and replaced with white, can you tell me roughly how much you thing this would cost and if its adviseable? The dentist i went to did not give me a choice of white or silver and im so depressed with my mouth like this as my teeth are perfect on the outside…. thanks

A.

Hi

Thanks for your e-mail. The cost of replacing each amalgam filling for a white filling will vary between practices, I can only advise that at my practice the cost of white fillings starts from around £80. As you seem to be seriously considering this course of treatment, I would advise that you see a dental professional to assess whether this is adviseable as I would be unable to answer this question without a consultation. If I can be of any further assistance, please do not hesitate to contact me again.

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

What would be the cost for implants?

Tuesday, October 13th, 2009

Q. My two back teeth on the top left both have root fillings ,one has a gold crown being held in by a metal pin ! went to see my dentist today to be told that both teeth I will come out eventualy but because my jaw is out off line and clicks ,I need to replace them with i’ver plate or inplants .both teeth are giving me truble , I don’t like the sound of a plate as I am only 37yrs and really upset ! I know inplants aren’t cheep but could tell me how much I would be looking to pay and where I could get it done? I live in bromley kent , thankyou for your time .

A. hi
implant treatment costs between 2.5 to 5 thousand pounds and you should be assessed before you have the teeth out.
you are welcme to free implant consult at our eltham surgery if you are interested

dr safeer butt

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

Is its necessary to hv my fillings redone?

Monday, October 12th, 2009

Q. Hi there, I suffered from bulimia when I was 18 & 19, I’m now 36 and my 2 front teeth have several fillings caused by the bulimia. I’m happy with them at the moment, although the fillings did fall off and had to have them redone but my dentist has said that I should have crowns and that Lava crowns would be the best solution. He has said that I should have them on the front top 4 teeth. Is there a problem with me leaving it as I’m happy with the fillings and think that Lava means that I will have to have a lot of my real tooth filed down and think what is the point if it looks ok and isn’t really causing me too many problems.

A. If you are happy with the fillings you have, then the best option by far is to leave them as they are. If you want to change them in the future i dont see why you cant have them changed for fillings again or even veneers as these are both much less invasive than a crown.

Kind regards
Dr Justin Glaister

dr justin glaister

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

Are lumineers as good as porcelain veneers?

Monday, October 12th, 2009

Q. Hi there, I’m e-mailing from N. Ireland. After reading extensively regarding Veneers / Lumineers ( I have 2 crowns at the side of my front teeth). Firstly, before I start searching for a cosmetic dentist, what qualifications do I need to look out for ? Also, are Lumineers as good as a porcelain veneer and do they last as long. Also, If I need root treatment, fillings etc etc after having my lumineers/veneers fitted – can I go to my regular dentist to have this done – OR do I need to see a cosmetic dentist all the time thereafter ? Thank you so much

A. You need to find a good cosmetic dentist and have a consultation, lumineers are just one type of veneer and after a consultation you will know all the options.  Try to find a dentist with a good reputation or a personal recommendation.

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

What would be the reason for lock jaw pain Plz advice

Monday, October 12th, 2009

Q. I was diagnosed with slight TMJ many years ago and it show up now and again with a lock jaw and difficulty when eating. I used to sleep with a guard on my upper teeth. Do you think it is worth having another guard made? Also do you think an old filling on the bottom molar teeth could be contributing to the lock jaw pain? I plan to be in London during the summer. Thank you very much

A.

Yes the filling could be contributing and i do think you should get some sort of appliance to help you. Please take a look at www.tmjpainreleif.co.uk. If you are in london then you are welcome to come and see myself for a consultation, alternatively if you let me know where you are living i can put you in contact with the nearest dentist practicing the same method.

Kind regards

Dr Justin Glaister

dr justin glaister

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

Is its possible to smooth the tooth by polishing or buffing it?

Monday, October 12th, 2009

Q. I had a white filling placed on one of my front teeth a few years back, I don’t think the dentist was comfortable with the bonding procedure, and since then the surface of that tooth is lumpy and uneven. Would it be possible to have a dentist “smooth” the tooth out by buffing or polishing it? Thank you.

A. Go back and see your dentist and explain this I am sure they will be able to polish the tooth and make it smoother.

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 its possible to replace amalgam fillings?

Monday, October 12th, 2009

Q. Hi, I am 15 and have suffered from amelogenesis imperfecta my whole life. At the moment, all of my molars have stainless steel caps on them and most of my teeth are heavily restored with amalgam fillings. Apparently, these restorations were stronger when I was younger, but now I am getting bullied at school because it looks like I am chewing tin foil all the time! Is it possible to get these replaced with tooth coloured restorations and can this be done on the NHS?

A. It might be possible to get porcelain crowns on these teeth, ask your dentist to see what he might be able to do on the NHS 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

Can amalgam fillings be replaced with composite fillings?

Sunday, October 11th, 2009

Q. In my most recent dentist visit, my dentist had replaced several of my silver amalgam fillings with composite ones (not sure which exact type but it did involve UV light and some sort of bonding agent). One of the teeth was a Molar with pretty big cavity the filling covered most of the top of the tooth/chewing surface). Afterwards, I read online that specifically for Molars and certain cavities (not sure which ones) composite fillings are recommended less than silver (amalgam) ones due to increased problems with leakage, less longetivity (about 5 yrs less than amalgam), and if compromised higher chances of having to do a root canal to fix it. At the same time, I am pretty sure he used the most recent version of composite filling used in US – because he just recently started using it and was REALLY proud of it. So the material was the latest version, not sure about his technique though since its my first experience with this particular filling method. This made me concerned, since the cavity I had was pretty deep and another dentist (couple of years back) warned me that next time I might have to do a root canal because of the depth of the cavity. My question is was my current dentist right in replacing my old amalgam fillings for a big cavity in my molar – the cavity was at the top of the tooth (chewing surface) with composite fillings instead of using silver amalgam again?

A. I do not use amalgam in my practice, i only use composite for fillings, or if the cavity covers a large part of the tooth surface then i will use a lab made restoration called a porcelian inlay. However this restoration is a lot more costly.
 Without seeing your teeth, in my opinion your dentist did the right thing by replacing your fillings with composite as amalgam is not adhesive and in some cases more of the tooth surface has to be taken away in order for the filling to stay in. For this reason i do not use amalgam, along with the obvious reason of its appearance.

Kind regards
Dr Justin Glaister

dr justin glaister

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

Is dental cerment the best temporary thing to use for chipped tooth?

Sunday, October 11th, 2009

Q. Hi Doc I have a chipped upper left single tooth which is not broken. I have protected it with dental cerment for now. I live in a caravan and move every 28 days. I am also constantly looking after my pet dog who requires 24 hour home care due to an illness. Is the dental cerment the best temparly thing to use until I get to a dentist. The chip is at the awkward side. It is important that I protect this tooth is that correct. Any advise please. Kind regards

A. Yes thats probably your best bet but try to get it fixed ASAP

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