Q. should i floss once or twice aday and before or after brushing?
A. I would floss every day once is usually enough although morning and night would be great if you have the time!!
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Which is the best superfloss for bridge flossing, eg Thornton’s, Oral B? Many thanks for any advice
A. I would recommend Oral B
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. i’m 22, and i brush my teeth at least twice a day and floss at least once every day… i haven’t been to a dentist check up in like 5 years… some of my teeth seem to be kind of loose, is not my finger or anything, i’ve tried with tweezers and they actually move a little bit…. i’m very concerned… I drink tons of milk and eat very healthy!
A. See your dentist as soon as possible because you may have gum disease
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
Q. I recently(3 months ago) had a crown done. When my dentist put the final crown on, the back side could not be flossed. After 30 minutes of trying he ended up drilling between the two teeth to make a gap. I now have what feels like a huge gap between my two back teeth. I can’t eat on that side because the teeth now are to sensitive. They weren’t that way with the temp crown. I went back to him and he told me I have pulpitis. What I want to know is this common to drill between two teeth?
A. I wold ask for a new crown to be made if this is what has happened as food will impact in the gap and cause problems in the future
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Since moving back to New Zealand 2 years ago I now suffer from dark staining on my teeth.I have not drunk tea or coffee for over 25 years , no red wine either.I do drink cammomile or peppermint tea. I use a good electric tooth brush & brush for over 2 mins twice per day & floss at night, my husband can attest to my oral hygeine standards, I used to nurse in the dental department of my training hospital.I am dairy & gluten free. Could it be something in our water? We have filtered on the fridge but not for the kettle on the main tap? We only used filtered water in the UK . Your advice would be appreciated as my dentist is at aloss to the cause, I see him every six months and the problem is getting worse between visits. With kind regards
A. Hi
Very strange. It is very difficult to give you an answer in thsi case without carrying out an examination. I would recommend you see also a a hugienist to remove the staining and see if this helps.
Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
Q. Hi, i am a smoker and i have one tooth my front canine which has gum shrinkage has been for a long while, and is now becoming sore and bleeds when i clean my teeth, please could you tell me what it could be.. Many Thanks
A.
This means that the area needs particular attention when brushing and flossing and that you should book in to see a hygienist to help maintain your teeth and gums. This is doubly necessary for a smoker.
Kind regards
www.umbrellasmiles.com
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. am only 17 and i hate my teeth i have a gum diease and the front 2 bottom teeth are fake. i really want something done i want to knoe what the best option for me is please help.
A.
You gum disease can be treatment easily by booking in with a Hygienist and having a course of treatment with her and then maintaining your oral health by brushing and flossing twice a day and up keeing you hygiene and dental examinations by attending the dentist once every six month.
If you are unhappy with the appearance of your two bottom teeth i am sure that they can be improved. You did not mention what type of restoration you have on the bottom, but a cosmetic dentist can certainly get things looking great for you.
Please see my clinics website for further details- www.umbrellasmiles.com.
Kind regards
www.umbrellasmiles.com
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. Hello! I am 21 years old and I recently had two root canals done on my lower right side(molar and premolar), but due to insurance issues I am waiting until January to get crowns for them. I have realized that my molars on the left side(both top and bottom) look a little worn down on the lingual and buccal side. I believe my dentist has shaved the cusps of the two root canal-ed teeth and this might have messed up my bite(I can’t really feel it while chewing though). I wanted to know if this could be the actual case. I’m worried that my other teeth are going to get really ugly by the time I can get crowns. Also I have realized that teeth with crowns tend to have receding gums. Is there a way to prevent that other than the regular brushing and flossing? Thank you
A. Wear of teeth takes a long to to happen – it is likely that this was there before you had the RCT and that you have become aware of your mouth since
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
Q. Hello, The teeth either side of my 2 front teeth sit more forward and are slightly crooked (think Kirsten Dunst’s teeth) It affects my confidence a great deal but to consider cosmetic dentistry I need to know what procedure I will need so that i can start researching it. Thank-you.
A. The best option is orthodontics to straighten your teeth. You should look at damon braces, invisalign and 6 month smiles.
Dr Riten Patel
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Q. hi. i am now 18 and have had a brace a number of years ago but now i have one tooth which has moved back into its original place. what procedures can i have done to get this corrected and can it be done by the nhs or will it have to be done by my dentist and if so what costs wouold i be looking at.
A. It is unlikely you will get this treatment on the NHS. You could ask your dentist for a quick aligner treatment such as the inman aligner. This works well for mild crowding.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. dear doctor my problem is that caries occure interproximally and i don’t know how to control this problem although i brush my teeth 3 times daily and i use dental floss after each meal and also i use chlorhexidine mouth wash thanx
A. Interproximal caries is traditionally associated with diet. Recent advice is that frequency rather than quality is most important, cut out snacking, stick to three meals a day and avoid drinks that are sweetened or fruit juices. Anything that a bacteria can ferment to get energy from will cause some decay.
Regards Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Q. I have recently got 4 front veneers, and i have now found that my breath is a bit smelly…is this normal and if so how do i combat it (other than brushing and using mouthwash day and night? It is REALLY getting me down! Thanks
A. Bad breath is not caused by veneers. Bad breath is caused primarily by sulphur producing bacteria. The key is to remove these completely with brushing, and especially flossing.
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
Q. Hi I was hoping you could give me an idea of what the best way of sorting out my smile would be and maybe a rough idea of how much it would cost. When i was younger my third tooth i think its called the canine grew twisted and closer to the front than it should have because of this my second tooth never grew so now i have one tooth in the middle of where two teeth should be with gaps on both sides. i don’t mind if my rogue tooth needed to be removed for the best results. But i would like to be able to smile properly as quickly and cheaply as possible as it is really beginning to get me down. Thank you in advance for your help & advice I look forward to hearing from you.
A.
Check out some dentists in your area that offer a free initial consultation, You should be able to get some rough prices for veneers, bridges, cosmetic bonding, or orthodontics (braces ) then balance the cost with the speed and the “smile” result.
Cheap & fast but ? result in your case would be cosmetic bonding.
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Q. Hi, I have radiating pain in my upper teeth. I believed it is one of the upper molar. There is nothing wrong with the tooth but I can feel sharp pain radiating. Sometimes, the pain goes away entirely. The gums are bleeding when I floss. Do I need a root canal? I’m scared since I’ve already had two in the past month.
A. You may have gum disease, a cracked tooth, food packing or an inflammed nerve. It is very difficult to let you know without examining you. the best thing to do would be to go back to your dentist to find out for sure
Kind regards
Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
Tel: 01296 624163
33 High Street
Wendover Buckinghamshire
HP22 6DU
Q. Complicated question for you ,, Hi, I have a narrow mouth, inherited overbite combined with years of thumbsucking which has pushed my teeth out further. I have bone loss in from periodontist issues. I have some lose teeth as a result ,what I seek ( which I believe is doable with right person) is a combination of lumineers, cerdec, bridgework perhaps. What wont work for me is implants or dentures. I was told that I would maybe only have 5 years of having a nice smile before I ran into issues but 5 years for me is a lifetime, as Ihave never had a nice smile. I believe there is so much new technology happening that in 5 years harvard may have completed growing bone tissue plus there is just so many advances in everything. If i remove all my teeth to gain 20 or 30 years ( I am 47) I stand to lose out on keeping my teeth! Circumstances have put me in this predicament so my question to you is ,, is it possible to do what I want? We all have egos when it comes to our professions I am no different in my own, yet I can work out of the box, have you ever heard of what I ask?? Thanks
A.
The first thing that needs to be done is treat your periodontal disease. The teeth taht are not saveable need to be removed and then a proper treatment plan needs to be formulated to give you a long term result. There does not seem to be any quick fixes from what you say in your Email. There are incredible advances in technology but we are still dealing with a biological system. The advances in technology give us many more options but at the end of the day they are only tools to help us deal with a complicated problem involving bacteria, immunity, damaging forces form your bite etc. Placing bridge work etc without treating the underlying the disease would probably quicken the loss of your remaining teeth if the underlying causes are not addressed
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
Q. Im having a crown fitted for one of my molars, and today i had the fillings done, impressions and was told it will be ready to be fitted in 2 weeks time, but after my meal today i was flossing my teeth and im not exactly sure what was stuck on my molar (i think it was a plastic crown) but it fell out after flossing, what should i do?
A. Hi,
I suggest you make an appointment to see your dentist, as it may be that the temporary you had has simply come loose and requires refixing. It does happen, and normally only takes a few minutes to correct.
Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex
Q. Part of my upper left 7 molar came away during flossing. My dentist began a root canal and then gave up on it due to my having denticle blocking off the roots. She then left the practice. My new dentist wants to extract the tooth (which is very sensitive to heat and cold)The tooth is the last one next to a wisdom tooth, and I’m worried about losing it. I’ve signed up to do a PhD- and the fees mean I have little spare cash for an implant
A. Unfortunately the 2 options you appear to have are to have the tooth extracted or to be referred to a private specialist root canal dentist – they may not be able to successfully treat the tooth but they use a special microscope to try and negotiate past the blockages.
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
Q. I got Lumineers on my front 8 teeth, I am now having problems with my gums, they have a smell to them, I am always brushing and flossing them and it is not helping. Is this going to get worse? I never had this problem until they got put on. What do I do?
A. As a restorative/cosmetic dentist I cannot condem Lumineers if done properly. Great care needs to be taken when placing any type of veneers to make sure that gum health is maintained and is is at an optimum level during treatment.
Lumineers are a marketed very well and seem like the solution to all smile problems but they are only suitable for a small number of patients. Although it is good to be as minimally invasive as possible when preparing teeth for veneers and it is obviously best not to have any preparation at all for the teeth, there are many other factors that need to be taken into account when improving a persons smile.
We have to look at the health of the gums and whether they need to be reshaped, if they do we have to make sure that we are within the correct parameters for correction, otherwise it can create gum problems.
We have to take into account whether there are any fillings present in the teeth to be veneered. Veneers shouldn’t be placed over existing fillings because this can create reasons for failure of the restorations. When the filling fails and it will, so will the veneer. By definition, Lumineers are no prep veneers so I must assume that they are placed over existing old fillings.
If the teeth were initially crowded, then by having non prep veneers ledges are created on the teeth by the gingival margin which can act as plaque retention factors and cause inflammation of the gums. If the margin of the veneers have been placed underneath the gum to hide the ledge then the biological width may have been invaded. This is a vital area in the gum. It is an area of approximately 3mm from the edge of the gum to the bone holding the teeth in. It provides protection of the area and helps fight bacteria and is the natural defence of the gum. If it is invaded by the porcelain it can lead to chronic inflammation.
I can’t tell the cause of the inflammation without looking at your teeth and talking to you about your procedure. Inflammation can always be cured and gums can become healthy, it may however come at a cost.
If it is due to the invasion of the biological width by the veneers then either the lumineers can be removed the gums can be treated and new veneers can be placed. If you want to keep your Lumineers, some gum surgery can be carried out to resolve the inflammation. You will find that the gums shrink after the surgery as they become healthy.
If the inflammation is due to the ledges in the porcelain then they can be smoothed off and recontoured. The downside to this is that the porcelain is roughened and can be polished but is not the same as glazed porcelain previous to adjustment.
My advice would be to go and see a private dentist that is used to carrying out all kinds of cosmetic procedures. A dentist that performs veneer and restorative procedures and has a good portfolio of before and after pictures should know what he/she is doing. Make sure that the dental practice that you go to has a hygienist.
If you want to go back to the dentist that did your Lumineers then address some of the issues I have brought up in this reply and ask if there is anything that can be done. Definitely ask to be referred to his/ her hygienist.
If you do want a second opinion then I would be happy to see you for a consultation at my practice.
I hope this helps
Kind Regards
Dr Komal Suri
Smile Design Dental
www.smiledesigndental.co.uk
33 High Street, Wendover,
Buckinghamshire HP22 6DU
Tel: 01296 624163
Q. Hi Dr, I am interested in the lumineers. I have questions about what happens to my own teeth after the lumineers are placed over it. I mean when I brush or floss, would my teeth benefit from it, thanks for your time.
A. Dear O, thank you for your question.
Lumineers are veneers made by a specific company and they are marketed to the public by saying that they can correct problems with your smile without any preparation of your teeth. Lumineers are only suitable for simple cases, i.e if your teeth are straight and have discolouration or if there is only mild crowding. The company assumes that there are no problems with your bite and your teeth are not worn. Please make sure that you have a consultation from a dentist that does normal veneers as well as lumineers to make sure that you are suitable. If your teeth are not ideal for lumineers then you may not get the result that you want or the veneers will fail if there are bite problems you may have to have normal veneers which involves shaving some enamel from your teeth. This is something that needs to be considered because having veneers with preparation of your teeth is an irreversible procedure.
veneers and lumineers fuse to your teeth and are very strong once bonded. They should be looked after just like your normal teeth. You brush and floss them regularly and you should still visit the hygienist. Anything that will break and chip your actual teeth would chip and break a veneer/lumineer. I don’t think that you need to worry about having veneers or lumineers but please make sure that you find a dentist that has knowledge of both procedures and has a background in cosmetic dentistry. Ask to look at a portfolio.
i hope this answers your question
Kind Regards
Dr Komal Suri
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