Posts Tagged ‘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 veneers be fitted if one has gum disease?

Monday, November 2nd, 2009

Q. I suffer from severe teeth grinding and i also have bad gum disease although i am only 34 and have never had a filling. i went away travelling and have not seen a dentist for over 5 years. i would like to know if i am treatable and what my options are for a smile makeover as my teeth are now yellowing, there is some movement and the gums are tender sometimes, I have started to become very self conscious and upset about it. Can veneers be fitted if someone has gum disease, what costs am i looking at or do you think i need false teeth?

A. hi many thanks for your email, it is difficult to say whether your teeth are savable or not the best thing would be to come for a free consultation where i can assess your mouth and give you some options on how to improve things for you.

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

Is there a private dentist to treat our son who has abscess?

Monday, November 2nd, 2009

Q. Hi, our son has special needs (learning difficulties etc). We have seen the community dentist who wants to give him G.A and remove all his teeth that have cavities/ gone bad. We’ re not happy with this- we feel any tooth that can be filled should be!! We’re wondering if there’s a private dentist that would treat our son, and keep as many teeth as poss!! He’s waited 6 months already for an appt to have a bad tooth removed that we know has had an abcess on it!! Please help!!

A. hi many thanks for your email, the issue is how cooperative your son is while having dental treatment and what age he is. other options are sedation for treatment but he does need to be a minimum age of 16. hope this is helpful. i would be happy to assess your son and give you some more options that are available in the private sector.

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

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

Is crown the most suitable treatment due to the risk of fillings falling out?

Friday, October 23rd, 2009

Q. Hi Dr. Solanki, I’m a bit clueless when it comes to dental treatments to be honest. I had an absolute butcher of a dentist in my teens which resulted in me having to go along to the hospital to fix all of the random holes she’s drilled into my teeth. (Of course they were filled with lovely silver fillings and I now have a hideous metal mouth). She also hit nerves left right and centre so as you can imagine I wasn’t in a hurry to go back. I haven’t seen a dentist for quite a few years now – I was holding out until I’d finished university, at which point I planned to get the whole works privately. However, yesterday evening (ironically, I was chewing a piece of gum to freshen my mouth a bit before I could get home to brush my teeth) quite a substanial piece of tooth broke off. It came from a molar which consists mainly of amalgam filling actually. There is no pain but as the filling is quite exposed and at risk of falling out I realise I need to get it seen to asap. I know it’s difficult for you to say without seeing the tooth but do you think a crown is likely to be the most suitable treatment here? If so, I want to get the best looking and most durable type, which I’m led to believe is a CEREC one, is that correct? I know I will need some other teeth seen to as well, for which I’d like some white fillings. My problem is that this is all a bit costly for someone on a student budget! If I were to register as an NHS patient at a surgery which provided these services would I pay only for the treatments not available on the NHS (ie not have to pay full examination charges etc) or would I have to pay the same as a fully private patient? Sorry this email is so long, but as I said, I really don’t have a clue. Many thanks!

A. hi many thanks for your email, the tooth which has broken sounds as if you may need a crown, a crown is usually advocated if the filling is over half the size of the tooth.

Secondly you can register with an NHS dentist and the options that are not available on the NHS will be available on a private basis but just at a higher cost.

CEREC is an option but if we look at data the best type of crown on a molar is a gold crown followed by a porcelain bonded to metal. If you want an all porcelain crown on a back tooth i would recommend a material called zirconia.

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

I m on benefits due to epilepsy can I hv free dental treatment?

Thursday, October 22nd, 2009

Q. I would like some advice on dental treatment which I maybe entitled to . Please could you tell me if and when I have fillings and a crown put in can I have it done in white because I am on benefit , I don’t like gold tooth even though it is at the back and because I am young. I suffer from epilepsy and am on benifits, does that mean i get free dental treatment?

A. NHS direct can give details specific to your benefits. generally it is for th dentist to provide treatment that works , the cosmetic appearance is not a factor. 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 teeth needs fillings could I go to nhs?

Thursday, October 22nd, 2009

Q. hello my teeth were knocked out after a bike accident when i was 13 they are also crumbling how can i get my yellow and black teeth fixed i have no confidence im 28 there discusting the 2 front ones now they are all black at the front well 3 and 4 lower teeth and need loads of fillings as well i scared of the dentist could i go on nhs pls 4 treetment its destrying my life

A. I guess you need to find an NHS dentist who might be able to treat you perhaps with sedation to help you over your phobia and to get your front teeth crowned or filled

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 I ve veneer bonded to the tooth rather than a crown?

Wednesday, October 21st, 2009

Q. Hi, I am getting a root canal on one of my front teeth (upper right incisor). I had some work done on this same tooth last yr by a different dentist, it was already slightly discoloured so he did something to it and made it nice and healthy looking again (I think it may have been a composite filling or something?) I have been advised by the dentist I am having the root canal from that this tooth will discolour after the root canal. Will this still be the case despite the composite filling? If so, would it be possible to have a veneer bonded to the tooth rather than a crown? If I did have a crown would it be more noticeable than a veneer? Thank you

A. hi many thanks for your email, once a tooth has been root canal treated one main risk is that the tooth can discolour, a veneer can help to improve the colour it just depends on how dark the tooth ends up. also with a veneer in the future if the tooth discolours more this can lead to the veneer looking darker!. A crown will help to block more of the discolured tooth and if done using a skilled dentist and technician the crown can look just as natural as a veneer.

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

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 payment scheme for implants?

Monday, October 19th, 2009

Q. hi i feel i need implants as many of my teeth are going rotten my dentist have done fillings but they have either cracked or broken so i fell it is a lost cause. I am only 24 i wont to get my teeth done more then any thing. Will they have to be paid for by each appointment or is there a payment scheme each month as i hear they are not cheap? Many thanks

A. Hello, You will need to budget around £1500-2000 per tooth. Payment plans are often available subject to status. At my clinic we offer 1-2 years credit to help pay for extensive treatment such as implants.

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 front teeth dont meet when I bite Plz advice

Monday, October 19th, 2009

Q. Hi, i had a brace when i was about 13 for 10 months and had to have some teeth removed to make space for them to straighten out, well i am now 20 and during the last couple of years i have started to grind my teeth, they have become sensitive and look awful my two front teeth are the worse one is shorther then the other and 3 of my bottom front teeth have been ground down aswell so all my back teeth are fine but when i bite my front teeth dont meet, what is the best way to sort this and least expensive? Thankyou so much

A. hi many thanks for your email, the best least expensive way to sort this out is rebuild the front teeth using white filling material and then invest in a nightguard so if you do grind your teeth at night it will be the nightguard which is ground away and not your teeth.

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 m 17 Can I get silver cap for my front tooth?

Monday, October 19th, 2009

Q. my front tooth is very sensitive and hurts everytime i drink hot or cold drinks could i get a silver cap over it and would it help im 17 by the way.

A. You need to see a dentist and get an x-ray it may just need a simple filling.

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 true that white fillings are provided by NHS?

Monday, October 19th, 2009

Q. Hi. I read in ‘Guide to NHS dental Services’ that white fillings are provided by NHS(doesn’t specify front or back). I called a few practices to ask this and I was told that white fillings are available only for the front teeth. But my children had white fillings at the back and didn’t pay anything. So which is the truth?

A.

I would recommend that you contact the BDA as I have not been involved with NHS dentistry 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

My filling causing pain What shall I do?

Monday, October 19th, 2009

Q. I was told by my dentist I had a leaking filling. He has re-filled but my tooth is lose and I am still in alot of pain. I am unable to eat or drink as the hot or cold causes me pain. What shall I do

A. hi many thanks for your email, if the tooth in question which was filled is loose then it is safe to say there is bone loss around the tooth and the tooth is infected probably from the bone loss and gum disease around the tooth. my advice will probably consider extraction of the tooth as i think root canal treatment may not work.

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