Q. Dear Dr Caplan, I had a bridge fitted last July on the front tooth attached to my good front left tooth. I got knocked over today by youngest son and it has become slightly lose. Will it be repairable?
A. Maybe but visit your dentist asap for an Xray to check for fracture etc
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, Dr Solanki. I have a hole in the top of of my front tooth which looks absolutely horried. What would be the best course of action considering that I’m both unemployed and Diebetic.
A. hi many thanks for your email, the best course of action would be to search for an NHS dentist in your area.
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
Q. I have Sjogrens and 3 of my teeth have crumbled and fallen out leaving parts of the teeth in the gum which the dentist will remove. What options do i have when it comes to rplacement teeth, the dentist says a bridge is out of the question. I have a NHS exception card
A. A denture may be your only choice
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 have a fractured back tooth. My dentist finds that the nerve is not infected and I agree because it is not sensitive to hot and cold and if the tooth isn’t touched it feels okay. However, my concern is that the tooth is sensitive when under pressure and I presume this is because any pressure allows movement, however small, of the fracture. At the moment I have a temporary crown in place, awaiting a permanent fitting. Would it be expected that when the gold crown is fitted that will stop the ability of the tooth to flex. Can anything be done underneath the crown to gain stability? Many thanks.
A. When teeth have cracks we can never be deinite about whether the nerve has been affected. Your dentist sounds as though he is doing the correct thing for you. You may still need nerve treatment on the tooth if the tooth does not settle down
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. following treatment for a recurring abscess my dentist has told me i’ve got a fractured root canal. He has taken impressions of my teeth. As a nervous patient what can i expect to happen next?
A. hi many thanks for your email, if the root canal treated tooth has fractured then the next stage of treatment will be to extract the fractured tooth. hope this is helpful.
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
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
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 have a chipped tooth in the front and i was wondering just because it is chipped will it decay or get worse?
A. If it has chipped because of decay then i will get worse very quickly. If there is no deacy present at the moment get it checked by your dentist as soon as possible.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. hello sir Dr.Solanki,got 2thoot missing and 1front thoot in bad cond.wish to fix them asap,but havnt got all the money,so want to ask if ist possible pay any deposit,then pay monthly?i com from cz,live here from 2005,have ni number,bank acc.reference from my provident loans.thank you very much for replay.
A. Thanks for your enquiry, at a lot of practices, it is possible to apply for finance to spread the cost of your treatment. At many practices this can even be interest free, as you have been resident in the United Kingdom for more than three years, you should be able to make an application. I would expect you to have to provide both a proof of address and a proof of signtaure but I foresee no problems in qualifying to make an application. I hope this helps. Many Thanks.
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
Q. hello dr andrew moore my question is since having 5 children my teeth have broke at the back of my mouthand they are horriable i dont think i have smiled properly for about 8 years i need alot of work doing on them and carnt afford it as i am a single parent could you give me some information on how to get help as i just want to smile again
A. You may qualify for fre treatment on the NHS, ask your NHS dentist for advice.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi, I’ve had a molar tooth removed recently after it fractured from eating food. I took some photos with my camera to see if it was healing well and i noticed that at the base of the cavity it looked quite dark, almost silvery like my other fillings. Is it normal to be this colour?, could the dentist have just left the lower part of my tooth etc in my jaw? Can i send the photo to get your judgement? Thanks
A. if you come to the StJohns Dental Practice in Birmingham I will look for free. Call Amy for details 01216430610 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 need to know of where I can get vampire teeth at?
A. Veneers or lumineers would be the normal way to achieve a semi permanant look but be aware that the human bite does not naturally conform the enlarged teeth and a higher rate of fracture / restoration debond is likely.
Also consider if you want Nosferatu middle fangs or Christopher Lee Style corner fangs
guide price £400-600 per tooth
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 was born without incisor teeth but the eye teeth grew in where the incisors should be. On the left side there is no gap for an incisor to go and on the right side, the gap is very small. My incisor teeth are right next to my front teeth. How do I get these teeth when there is no room in my mouth? what are my options?
A. You need to have a consultation the options would either be closing the residual spaces or opening the spaces and then adding 2 new teeth.
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 had an accident on ll5 and a porcellain crown above I feel it trapped a nerve I had tooth removed and the pain went to ll4 strange….. Symptoms are: sucking sound, toxins, blockked ear and a popping ear on the swallow..nothing on xray or mri I would like to know if root treating the ll4 would help as it is sensitive to hot and cold drinks I don’t think it’s tmj as get toxins in mouth can you help me? Thanks
A. Please consult a general dentist and go from there as without assessing your mouth I cannot be of help.
Kind regards
Dr Justin Glasiter
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. hi i am depserate need for some advice !!! i had accident when i was 4 lost my milk teeth have posted crowns since 28 years now i think i have a fracture !!! my gum is so sore cannot bite on teeth will i loose my tooth ??? am so upset i have battled with dentists all my life !! many ops and treatments pls help me !! so worried cannot afford implants !!
A. Please book in with your dentist asap. Wothout him/her tking an x-ray and looking at the root, it would be impossible to make a diagnosis.
Kind regards
Dr Justin Glaister
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. hi i have some very bad broken off teeth and their decaying. i have had an abcess for three days now but i went to the dr and got penicillin i plan to have the tooth removed in a week or so. but my question is this the pain in my tooth has been pretty bad i started takeing the meds yesterday the penicillin and they gave me hydrocodone 5/500 the pain has eased off but today when i woke up i noticed that a part of chin has a numb sensation about it i can feel when i touch it but it just dont feel right what could be causeing this? its got me really worried thanks.
A.
The cause of your numbness is compression of the nerves in that part of your face due to an abscess on your tooth. Once this swelling has gone your sensations should return to normal. Please try and have your teeth treated. If you are very nervous sedation is a good option to help you cope. We certainly offer this service at Aviva Cosmetic Dentistry
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 there i am a boxer i was in a fight and one of my front big teath got hit and it has been very slightly wobbly its very slight wobble but i push it back it hurts what can this be i went to the dentist he told me just to leave it but now its been 6 mounths and its still the same since then i havent realy brushed my teath much what can you recomend
A. Your tooth may have a fracture within its root . Please visit your dentist to have an Xray taken and to be properly examined
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 there i am 18 in march .i fell off my bike when i was younger and totally shattered all my front teeth.they look terrible.i am increasingly aware of how bad they look.i would love to have full teeth and have them all white.what do you recommend and how much will it cost me.please email me back as soon as possible.i am looking to have the procedure done just after march 2010.
A.
I would suggest that you have a few different consultations with cosmetic dentists and also preview their work to discuss what your desired results are and what would be achievable.
Each individual practice will have different prices for there treatments and also use different laboratory’s so the cost is dependant upon which practice you decide to have your treatment with.
I would highly suggest you shop around to find a dentist you feel confident in achieving your desired aesthetic result.
Justin glaister
www.umbrellasmiles.com
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. Dear Dr.Safeer Butt DURING THE EARLY YEARS OF MY STUDENT LIFE in SCHOOL I HAD A FALL AND SUSTAINED A FRACTURE RIGHT UPPER CANINE AND LOSS OF VIABILITY OF CENTRAL INCISOR ON UPPER RIGHT TOOTH. INITIALLY THERE WAS NO ANY PROBLEMS. AFTER COMPLETING MY SCHOOLING I HAD STEEPED IN TO THE COLLEGE IT HAD STARTED GIVING ME PROBLEMS LIKE PAIN AND SWELLING. IT USED TO SUBSIDE WITH ANTIBIOTICS USAGE. AFTER COMPLETING THE SCOOLING STEPPED IN TO THE PG COURSE ALSO IT WAS THE SAME SCENARIO. THEN STARTED EXPERIENCING SEVERE PAIN IN TOOTH. IT WAS SO HAPPENED I CONSULTED THE DENTIST HE HAD SUGGESTED ME THE CHOICE OF RCT AND ALONG WITH THE EXTRACTION OF THE FRACTURED TOOTH CANINE. UNDERWENT THE EXTRACTION. RCT WAS CARRIED OUT. NO PROBLEMS FOR THE LAST 5 TO 7 YRS. GADUALLY THE PAIN RE APPEARED AND STARTED WITH ANTIBIOTICS IN BETWEEN THERE WAS A FACTURE OF CROWN 1 YR AGO AND THE BRIDGE WAS RE CONSTRUCTED. NOW THE PAIN RE APPEARS ONCE IN 6 MONTHS. SUBSIDES WITH ANTIBIOTICS. WHAT SHOULD I DO NEXT? KINDLY GIVE ME YOUR VALUABLE SUGEESTIONS, OPINIONS AND FURTHER MANAGERIAL LINES. THANKING YOU.
A. you need to isolate the pathology and if the tooth has already been root filled consider the place ment of an implant
Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex
Q. have had a permnement 5 teeth 2front eye tooth ,2 sides next to them bridge 12 yrs in..just fell out on it’s own . no hurting, just fell out. same day went to dentist, said it broke off both teeth that held the bridge on..put in plastic barb one side medal barb where front tooth was.been very painful for 2 months under the front tooth only,i have no 5 teeth mind you. just bridge.he said i probably fractured the root. never ever hurt before he really driled out the ,i assume the excess part of the tooth broken off at gum line both doctors are stumped as to why it hurts so bad.. i’ve also had root canal on it , over the yrs.never a problem in 12 yrs, till bridge was reattached..can’t front bite like hamberger bun or soft slices of peaches, without it causeing pain,sometimes very bad through the whole night.been on z-pac 5 days now another z-pac.any idea of what is happening? any answer would be very much appreciated.
A. Sounds like the root has fractured ask for an x-ray the tooth may need removal.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
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