Posts Tagged ‘fractured root’

My main concern is a vertical fracture on my front tooth can you advice on it.

Sunday, August 16th, 2009
Q. My teeth are generally irregular but I am realistic that this is probably something I have to live with. However, my main concern is a vertical ‘fracture’ on my front tooth. I am very nervous that the tooth will soon break in half but I don’t want to consider crowns as I’ve seen the horrid tell tale sign of the grey as the tooth enters the gum…URGH! Please can you help? ps I’m a scuba diver.

A. It is hard to assess whether this is a true fracture or just superficial without seeing you (for example like the plaster on your walls at home can have ‘crack’ lines but the house is stable)

If it is a crack I would advise it is treated as soon as possible. Crowns now (when treated by a cosmetic dentist and their technician) are metal free so you don’t get the grey margins and are indistinguishable from your natural adjacent teeth

dr justin glaister

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

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My crown is fractured now can u get a replacement crown on NHS?

Thursday, August 13th, 2009
Q. I had a crown fitted 10 yrs ago and a few months ago it began to annoy me as it was catching on my tongue causing minor ulcers .I made an appointment with my dentist and he smoothed my crown off ,since then i have had problems eating when eating cold n hot food .On returning to the dentist he is now saying that I have fractured my crown although I think it was him when he smoothed my crown off . What is my best move now I am on tax credit just now but dont know what to do for the best ? can u give me options of what to do next ? Personally i think he is dodging the issue and trying to palm me off with telling me to apply colgate sensitive paste on tooth every night to calm my pain .can u get a replacement crown on nhs?

A. If the tooth underneath is sound you should be able to get a new crown on the NHS

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

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my crown has fractured and it now feels like waffer thin what i need to know

Tuesday, June 16th, 2009
Q. I had a porcelain crown fitted in October 08. The crown fractured at the back in April. The dentist who fitted the crown said it was not too bad and ground it smooth. Since then the crown has fractured again. It now feels waffer thin and will snap at any time. What I need to know is, am I entitled to this crown being replaced free of charge. It is a lot of money to pay and 6 month is not a long time considering they should last 10 years.

A. There is no standard guarantee but most dentists would replace without further charge in this situation (As long as no external trauma was resposible)

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

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About a year ago i got a couple of teeth knocked now my jaw and face feel uncomfortable advice

Friday, June 5th, 2009
Q. About a year ago i got a couple of teeth knocked backwards in a football game they was wobbly at first but then stayed in there misaligned position a few months later my jaw and face started to feel uncomfortable and gums seem to bleed easy any advice appreciated.

A. Hi
it is quite possible you have fractured the roots of the teeth or the bone around them leading to the infection.
you have made a seriously bad mistake not seeing a professional at the time and would urge you to do so immediately as you could possibly lose the teeth

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

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my upper central incisor is chipped and lateral one fractured what are the options?

Monday, April 20th, 2009
Q. Hi I slipped and fell on tiled floor yesterday. just been to emergency dentist. upper cntral incisor is chipped and lateral one fractured at the gum level. xray showed root is ok. what are the options? can the fractured tooth be saved or it will have to be removed? will root canal treatment be required. thanks regards

A.

The lateral incisor that has fractured at root level will need treating as soon as possible. It will need root filling and perhaps a post-crown. Post crowns may not last as long as a regualar crown and may need to be extracted in future if it fails.
The root can be extracted- you can have a partial denture or a bridge to fill the gap. Alternatively, you can consider the best long term option- which is a dental implant retained crown. this costs a considerable amount more, but as I said, it is a LONG TERM option.
The central incisor can be repaired with composite or crowned. It alll needs to be assessed thorughly and your options considered very carefully.
Hope all goes well.

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

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Can the root canal treatment cause the fracture in my root

Tuesday, April 14th, 2009
Q. 9 months ago I had cosmetic dentistry done on 6 of my top front teeth. I had one root canal, 4 crowns, and 2 veneers. After the root canal was done I had discomfort running down the front of my tooth whenever there was any front to back pressure on my tooth. It was crowned anyway thinking it would go away. My dentist now thinks I may have a hairline fracture in the root. We already redid the root canal once with no improvement whatsoever. There was a little bit of a halo effect in the xray at the tip of the root. She had thought it might be an overfill problem. I am going in tomorrow and I am afraid they are going to tell me that the front tooth will have to be extracted and an implant put in. Did the root canal cause the fracture? Am I now liable for costs to repair this damage? Also what is the procedure/recovery etc for a front tooth extraction and transplant? Thank you very much.

A. It might be worth a 2nd opinion from a root canal specialist however it does sound like an implant might be your best long term option. It would recommend removal of the tooth and placement of an immediate implant if at all possible to minimise treatment time

dr andrew moore

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

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I think my dentist compromised my tooth

Thursday, April 2nd, 2009
Q. On the bottom left/I have a three piece bridge.the back tooth needed a root canal,so the dr. drilled through the crown….the filling he used was darker than my tooth..it cost me 28oo.oo.my dentist drilled out the dark filling and put in a whiter one..the root must have cracked/he claims i have to now get an implant/and i think he compromised my tooth. what are your thoughts?

A. Difficult to tell what has happened from your description however it is quite common for a tooth to break after a root canal filling

dr andrew moore

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

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I have a vertical fracture and dentists suggests tooth removal

Thursday, April 2nd, 2009
Q. I have a vertical fracture in one of my maxillary first premolars. My dentist says that nothing can be done to repair the tooth and that at some stage it will need to be extracted. Please could you advise me whether this is true? I am not currently experiencing any pain, but I am obviously trying to avoid using the tooth for biting. Thanks.

A. Most vertical fractures are not repairable and end up with extraction. Often the fracture is a line of weakness that cannot be sealed which allows bacteria to cause extensive bone loss in the area around the tooth.
the occasions when vertical fractures don’t cause these problems are when they are very small and can be protected by crowns or onlays

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

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i had a fracture on my two upper front teeth and the dentist told me one f them was broken to the root

Monday, March 30th, 2009
Q. I had a fracture on my two upper front teeth and the dentist told me one f them was broken to the root.i fixed a crown after some years on the worse one because it has started to discolor…presentl, the crown has also discolored which is not good looking what can i do??

A. There are few choices if the root is discolouring most of the options are about hiding the discolouration. Replacing crowns etc, but you need to have a clinical exam to assess the best option for you.
An initial consultation is free of charge at StJohns Dental Practice Birmingham. Please mention the weblink from the Cosmetic Guide when you call (0121 643 0610)
Rob

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

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My new crown, looks great but I can’t eat on it, so sensitive when I try to chew or bite into anything, the pain is so severe it’s unbearable

Sunday, March 29th, 2009
Q. I have got clearstep braces which is costing quite a bit but because of this treatment I need to stay with the dentist I have however before my braces I had to undergo other necessary work, ie fillings in two back lower teeth and a crown on another back lower tooth which he claimed needed redoing. My new crown, looks great but I can’t eat on it, so sensitive when I try to chew or bite into anything, the pain is so severe it’s unbearable. My dentist says just use sensodyne toothpaste and it will be okay??? I have been doing this for six months now! On the other lower side (new fillings) I have had terrible toothache with swelling which he said was an abscess, gave me amoxicillin which did’nt get rid of it! I have now been told to go back after christmas! I am still in agony, my face is swollen and I am unable to eat and now looking forward to a very painful christmas. I don’t know what to do as I have so far spent thousands of pounds and don’t really want to go elsewhere, what can I do to ease the pain?

A. Hi many thanks for your enquiry, the problem with doing a deep filling or crown, is that the nerve of the tooth can sometimes be affected which can lead to the tooth flaring up and needing root canal treatment. the crowned tooth sounds like the nerve of the tooth is dying and will need a root canal treatment to resolve the problem. the same treatment is needed for the tooth with the new filling which is swollen. it is unfortunate this has happened but sometimes can not be predicted. hope this is helpful. if the amoxicillin has not touched the pain it maybe better to open the nerve of the tooth up and remove the infected nerve tissue, this will get you out of pain instantaneously. 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

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I have had a absess tooth for about 3 weeks.

Sunday, March 29th, 2009
Q. I have had a absess tooth for about 3 weeks. i was treating it with meds. But the absess broke today. The taste is horrible. And my gum continues to bleed and is draining. what can i do for this ? Or what should I do ?

A. A dentist must remove the infection by carrying out a root treatment or taking the tooth out. The infection will always return if treated by antibiotics alone.
Dr Rob Tennet

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

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The only cure available to my sensitive tooth is removal of the nerve

Sunday, March 29th, 2009
Q. My front tooth and one my doubles at the side have become very sensitive – on the front one it seems to be at the very top inside I have been back to my dentist three times and he gave me some brown flouridge to apply each night but this has made no difference – he says the only way to cure it now is to remove th nerve. Years ago I remember that there was some type of coating that was put over the teeth and ultra violet light was used to harden it in fact I had a very tiny tooth next to my large front tooth and my dentist at the time made it a bit bigger using this method and it has lasted some 30 years – do you still use this method or have I no alternative other than to have the nerve removed and I assume a cap put on. I need to keep costs to a minimum.

A. I think the first option would be to flow some tooth coloured material over the defect and see if that helps if not a root canal treatment may be needed.

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

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i have had all my teeth extracted

Sunday, March 22nd, 2009
Q. I have had all my teeth extracted in 2 sessions the most recent being a month ago my dentist has told me i have to wait another month before she will consider doing temporary dentures, is this right or could i have some done sooner, thanks

A. I don’t personally wait and try to fit the dentures at the same time as when the teeth come out. perhaps you should go back and see if they can do something sooner

dr andrew moore

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

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I have two molars that are showing signs of fracture

Monday, November 3rd, 2008
Q. I have two molars that are showing signs of fracture. My dentist wants to put a silver or “composite” crown on each one but the procedure of drilling away a good portion of the teeth is upsetting to me. Is there a bonding procedure that will serve the same purpose- that is, hold the tooth together to prevent it breaking completely?

A.
if your teeth have cracks in them, it is only a matter of time before you start to get symptoms. This may be in the form of cold or hot sensitivity. Studies show that teeth that have cracks and symptoms will have an 80% chance of needing root canal treatment when crowned. When teeth are symptom free there is only a 6% chance of needing root canal treatment. It is a difficult situation and I understand your concerns . You caould ask your dentist if the tooh would be suitable for a porcelain onlay. If he/she says that they don’t know how to do one then you need to change dentists because you are not being offered all of the options available
Kind Regards

Dr Komal Suri

Dr Komal Suri
Smile Design Dental
33 High Street, Wendover, Buckinghamshire HP22 6DU
Web: www.smiledesigndental.co.uk  Tel: 01932 223 479

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crown or teeth whitening after root canal

Wednesday, October 22nd, 2008
Q. Hi, I am only 16 years old and about 6months ago i underwent a root canal treatment on one of my bottom-front teeth. I am really disappointed at the unsightly look of the tooth, as it has gradually darkened over this period. My dentist recommended me to get a crown, but only when i am around 20 years old. I am at a loss at what to do as i want to ‘fix’ the tooth immediately, but i am scared of the drawbacks of fitting a crown in now. Can you please give me any advice?

A. My recommenation would be to have internal bleaching of the tooth to lighten the crown .

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

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I have fractured my tooth root do I need a denture

Monday, August 18th, 2008
Q. My post crown fell out last week and when I went to the dentist he said that I had fractured my root and the only option was to remove the root and have a partial denture fitted – is this correct advice?

A. If the root is fractured, then the only option is to have it extracted.
Privately you have the option to fill the space with a bridge or an implant. On the NHS a partial denture is available.

dr justin glaister

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

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I have had my front teeth fractured above the gums

Tuesday, August 12th, 2008
Q. I was in an accident on vacation involving a scooter, I fractured my two front teeth well above the gum line and had them almost immediately bonded in once in the emergency room. Upon returning back I had two root canals done on each respective tooth and had the bonding re-done for an ameliorated hold. I went in once a week for almost 3 months and had my root canals scraped and medicated in order to ward off infection. After infection ceased, a specific kind of medicine (used to help fractures heal) was put into each tooth and sealed for roughly two months. After many x-rays done almost bi-weekly it seemed as though the fractures where indeed healing well. After six months of this (all the time still wearing my bonding) the x-rays revealed that while my fractures where nearly healed my body was rejecting the fractured teeth and they were not going to be saved. The next step now (I have been told) is too remove the fractured teeth (extract roots and all), let my gums heal for an x-amount of time and from there possibly go ahead and shave down up 4 teeth (2 incisors and 2 canines at most, possibly only the 2 incisors at least) and have me fitted and prep for a bridge. I understand that a bridge has a negative connotation in the realm of dentistry these days. It last significantly less than implants, does not sustain or promote viable bone in the jaw, and need endless maintenance. My worries are the following: Given the area of my injury, I understand it is difficult to put in implants (the nose is directly above, there is a greater risk of infection etc. etc.), but would I still be better off opting for the implants? would the bridge work well for me in this situation? I am 23 years old and in good health, I just want to be able to smile again without looking like I have a white caterpillar with a silver streak crawling across my mouth. I am running low on patience and want to put an end to this. Please advise and thank you for your time and consideration, Daniel Martinez

A. An Xray of the area would answer many of your questions. In principle Implants do sound to be one of the better options, a clinical exam ( with Xrays ) would provide a clearer picture.

Bridges are not necessarily bad, some bridges are supported by implants, however dentists are a little more cautious about cutting down healthly teeth for crown retained bridges.

Implants are one of the most predictable restorations but still require maintenance.

the success of implant therapy will depend on maintaining a normal bone volume in the area that was traumatised after the roots are removed. I would expect a treatment time of 6-8months to final restorations.

If you would like a preliminary clinical assesment with a dentist ( no charge ) please contact me as below

Dr Rob Tennet
www.e-dentalpractice.co.uk
stjohns.dental@btconnect.com
0121 643 0610

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

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I hit my tooth while weightlifting and chipped it have I damaged my nerve

Thursday, May 29th, 2008
Q. Hi, I hit my mouth today with a metal bar quite hard while weightlifting and my front tooth is chipped, even worse it has been moved forward slightly and is no longer flush with the rest of my teeth. I am in a state of panic as i am unsure if it can be fixed simply. I havent seen a dentist for over 10 years and im quite worried about the procedure to put it right again. Please could you shed some light on the procedure to help settle my nerves. Is it simply pushed back or is the tooth going to have to be removed. I am not in any pain and the tooth seems healthy, it needs to be corrected by moving it back 1mm or 2. Any advice would be greatly appreciated. Thank you

 

A. It is important that you go to your local dentist and have an xray of the area where you hit your teeth to assess if there is any nerve damage or fracture of the roots of the teeth.

Once this is established it will be possible to assess the best method of repositioning the tooth which has moved

dr justin glaister

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

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