Posts Tagged ‘fractured teeth’

I extracted a fractured tooth and pain resurfaces after 6 years advice

Monday, August 31st, 2009
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

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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Posted in Dr Butt's Answers, Experts Answers, Q. Broken teeth |

what might be the cause for the bridge to fall out?

Monday, August 24th, 2009
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

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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Posted in Dr Moore's Answers, Experts Answers, Q. Dental Bridges, Q. General dentistry |

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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Is there any treatment for my hairline fractured teeth?

Monday, April 6th, 2009
Q. Hello, I have a horizontal hairline fracture in one of my front teeth. The fracture is closer to the bottom of the tooth. I’ve been told that there’s nothing that can be done and that I should just be careful with it. I was wondering if there is any treatment for this condition that might prevent the tooth from finally breaking off. Thankyou

A. It is very diificult to comment without examining tooth. My advice would be to seek a second opinion if you have concerns

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
36 Frederick Street, Loughborough, Leicester, LE11 3BJ
Web: www.dental-suite.co.uk  Tel: 01509 231144

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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 fractured a tooth my front tooth

Wednesday, December 17th, 2008
Q. Hey i fractured a tooth my front tooth straight across the top a little more then half way up and i dont see or feel a crack on the other side and its still in. i was wondering what i could do to save it. i dont want to have to walk around with out a front tooth. please help me out im in the military and the hospital we have hasnt been to helpful.

A. WIthout examining you it is difficult to give you a solution.  However many times in similar cases the tooth needs a nerve treatment followed by some type of white filling, veneer or 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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hi hows it going ive really got a phobia about going to a dentist

Thursday, November 13th, 2008
Q. Hi hows it going ive really got a phobia about going to a dentist which has led to me neglecting my teeth so my front teeth have some tartar stains on the 2 front teeth and on one of my fangs and a few cavitys on my front and back teeth and one of my front tooth has crackec completely in half and is hanging on by the front surface of the enamel even tho there isnt much of that left.I got an appointment to see my new nhs dentist in a few weeks times and ive been reading up about what procedures they would use for this kind of treatment and it says the composite filling will match my natural teeth color and that is what has kind of confused me as i have abit of tartar stains and my 2 front teeth have discolored quite a bit to a light brown (due to i drink a lot of teas) and i was wondering if the composite filling would match the tea stained teeth or the colour of my teeth before they became discolored and stained or is there another procedure they do to restore a brighter whiter smile and by the way im going for free nhs dental treatment. thanks alot cant wait for your reply

A. Hi

If you are nervous about dental treatment, there are a number of ways this can be managed

1. distraction techniques
2. listening to music from an ipod
3. hypnosis
4. iv sedation or oral sedation
etc

White fillings can make teeth look cosmetically better if properly done.

Regards

dr kalpesh bohara

Dr Kalpesh Bohara
The Dental Suite
36 Frederick Street, Loughborough, Leicester, LE11 3BJ
Web: www.dental-suite.co.uk  Tel: 01509 231144

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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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WHAT CAN BE DONE ABOUT 2 LOOSE FRONT TEETH

Wednesday, October 22nd, 2008
Q. WHAT CAN BE DONE ABOUT 2 LOOSE FRONT TEETH AND WHAT WOULD BE THE COST OF THESE TREATMENTS AS NEED THIS DONE ASAP THANKS

A. The cause of your 2 loose teeth needs to be properly diagnosed prior to any treatment.  The possible causes are trauma, gum disease or sever abscesses above the teeth.  Of these gum disease is the most likely.  This can affect the other teeth as well. Once this is treated your options are splinting the teeth together , removing the teeth if severe bone loss has occured and having a denture/bridge or implants to replace the missing teeth.  It is not possible for me to give you a costing unless I was able to give you a proper examination but I hope the above helps.

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 recently had a white filling crack and fall off

Monday, October 6th, 2008
Q. I recently had a white filling crack and fall off. the dentist then put some medicene on it and said to leave it on for a few days and then he would see if he could save the tooth. i wenr back and he said he could save it and gave me 2 injections and attemted to drill it however he then said the nerve was too infected/bad to save and the tooth would have to come out. i am booked in for wednesday but i dont want a gap in my mouth what are the alternatives or options?. also this filling was done not soo long ago and cost me £100 is this fair for this to happen?

A. There are some circumstances where a recent filling fails through no fault of the patient or dentist. Without having seen the filling done or the failure I wouldn’t know.  You might find that they waive or reduce the fees for extraction / further treatment, sometimes it depends on why the dentist thinks it failed.

Root canal treatment might be possible. If your dentist doesnt carry out this treatment you can be referred to a Specialist “Endodontist”.

If the tooth is not savable, options such as bridges, implants , & dentures.

You need a clinical examination to determine the correct option for you. We offer a free initial consultation at our central birmingham practice. For details please follow the webLinks 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 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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Front teeth fractured in Africa my NHS veneers fallen off

Saturday, June 28th, 2008
Q. Hi Dr. Suri, I am a 42 year old woman who due to a road traffic accident 18 years ago in Africa, had my front teeth fractured and weakened. About 3 years ago an NHS dentist was kind enough to restore my smile and began the long and scary process of vaneers, for which I was very grateful. Unfortuantly my vaneers are constantly falling off and breaking. It has now got to the point where I do not know where to turn next as I\’m constantly driving an hours drive back and forth to fix a tooth only to be back in the dentists chair within weeks. I can see this is not going to get sorted out as I have tried to talk to the NHS dentist who obviously can only work within the NHS guidelines and budget! As I type this to you I have awful tooth ache as a vaneer has come off once again and I can only be seen mid July for a consultation ONLY! If you have any advice that you could give me to end this nightmare I would be very much appreciative. Hope you can help?!!

 

A. If your veneers are constantly breaking and falling off then this tells me that they are some how intefering with your bite and chewing patterns. This can easily be evaluated through a simple examination with a dentist that has training in ‘occlusion’ the science of jaw movements and how they relate to teeth.
Veneers are not available on the NHS any more and when they were the materials were extremely basic. This could also account for the breakage.
The pain may be coming from sensitivity from the exposed tooth, or you may have recurrent decay underneathe the other teeth.

Please find a private dentist that has knowledge of cosmetic, restorative and occlusal procedures. If you are within commutable distance of my practice in Buckinghamshire I would be pleased to offer you an opinion and advice.

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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Posted in Dr Suri's Answers, Experts Answers, Q. Broken teeth, Q. Dental Veneers |