Posts Tagged ‘front tooth’

I have a 40 year old root canals with discoloured and fragile teeth

Friday, November 6th, 2009

Q. Dr Tennet, My upper two front teeth have 40 year old root canals. What is left of the teeth themselves is a very fragile & dark brown. What is the best cosmetic choice for covering them? I currently have porcelain crowns with white (titanium?) cores. They are ok, but not super. Any other options? Also, the gum above one of the crowns protrudes a bit more than its neighbor. That developed after the crowns were replaced a few years ago. My doctor has x-rayed and it doesn’t show an infection. I’m guessing a lot can go wrong with old dental work? Any advice would be appreciated

A.

Discoloured Root filled teeth can be a problem to shade match All ceramic Zirconia cores are a good route but the level of opaque will need to be judged by trial and error it usually requires a few visits. The crown margins should be about 1mm below the gum line to hide the dark root emerging. If this is not possible then some periodontal plastic surgery  to reshape the gum using grafts  / emdogain etc might be an option.
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

Infected front tooth is drilled and treatment is causing lot of pain

Friday, November 6th, 2009

Q. I have been suffering wit a dead front tooth (top) for over a month. The dentist has drilled a hole in the back of the tooth, and initially left the tooth open in order for the bacteria to be killed off by the oxygen. This alleviated the pain initially. The tooth was then padded with soaked disinfectant on cotton wool. Following this after a week or so the tooth was repacked but left open. After the following week the tooth was packed with cotton wool and then sealed with a temporary filling. This felt ok for a while and then the pain was too great and so I removed the temporary filling and the padding and left the tooth open. This alleviated the pain once more. The tooth has now been packed again and sealed over with a temp filling and the pain at this point is quite bad with pain now at the gum and painful to pressure. Should I leave the filling in place or remove it and let the air in again? Is there a better method, this all seems a little ludicrous for this day and age!!!

A. You may need to consider removing the tooth if the infection doesn’t clear soon. Alternatively  you could ask your dentist to refer you to a specialist endodontist, they might have more success in saving the tooth and completing the root canal

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 dentist is reluctant to suggest a treatment could you please help?

Thursday, November 5th, 2009

Q. Hi, I have a quick question I hope you might be able to answer. One of my front teeth is slightly twisted and is particularly noticeable when you look at it from the side. It makes me self-conscious when I smile, although my other teeth are still in place and I would be happy to leave them where and how they are. I wore a fixed brace and then a removeable brace as a teenager and have recently had my top 2 wisdom teeth removed due to overcrowding (perhaps this may have caused the front tooth to twist?). I asked my dentist about possible treatments but he seemed reluctant to suggest anything as the tooth is healthy. I wouldn’t want to wear another fixed brace and ideally would want a quick, long term solution, preferably not too expensive. I was wondering what might be the best option? Thanks.

A.

Thanks for your question, probably the quickest method to improve the appearnace and position of a tooth would be to place a veneer on the tooth. The dentist may be able to prepare the tooth, so that a veneer would sit in line with your other teeth, however depending on how much preperation is involved, it may require root treatment of the tooth as well. The other alternative would be a straightening system. I know that you are reluctant to wear fixed braces again, but you may be interested in the Inman aligner, which can acheive results in as little as six weeks, and is also one of the most cost effective straightening systems. I hope this will help you mae a decsion.
I wish you well.
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 front teeth are not proper what are the options other than braces?

Monday, November 2nd, 2009

Q. my two front teeth sick way out what could be done to fix them other than braces

A. hi many thanks for your email, the other option would be to use veneers/crowns to bring them back in the smile. however the teeth may require root canal treatment. there is a case on my website under goofy teeth which give you an idea of the type of treatment that can be achieved.

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 had bridge fitted which has become loose will it be repairable?

Monday, November 2nd, 2009

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

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

I have hole in the top of my front teeth what can I do as I m unemployed?

Monday, November 2nd, 2009

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

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

Need to fix receeding gum for a nice smile

Sunday, November 1st, 2009

Q. i think i have receeding gums,my top front tooth is getting longer then the rest,can it be fix with a nice smile?Or am i doomed!

A. Yes it can!  You may have gum disease but you may just need a brace to move your teeth into a more stable position – teeth keep on growing if they are not in a stable position

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 dental treatment post abcsess

Sunday, November 1st, 2009

Q. i had a fronr tooth capped due to absess some years ago i came out some time ago and a dentist said that the rest of the tooth has to come out i agree with this but i am terrified of dental work i want to have either an implant or a bridge inserted but the gum where this tooth was has receeded [where they cut my gum to remove the absess]please advise me of the best option i am 65 and suffer with copd

A.

Usually I would recommend an implant because the research shows that they last the longest.  However you would need to be assessed for bone volume for the implant and have the aesthetics carefully assessed

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 a total makeover for my teeth issues

Sunday, November 1st, 2009

Q. hi Mr caplan i hope you can help me I am 36 years old and i have gaps in the first four front teeth at the top not massive gaps but enough to be obvious and they are overlap the bottom teeth quite a bit this affects my confidence and i dont want to smile how much would it generally cost to cure and to bleach my teeth also as they are not completley yellow but are not white either!! I need to have two teeth out also that have decayed the teeth behind the fang tooth on both sides these obviously need to come out first. Please can you give me some advise as i would really like to resolve me confidence issue with my smile

A. Invisalign may be your answer.  We would provide a free clean and free bleaching ( worth £570) when patients have invisalign.  Our fee for invisalign is £3300.  If you are intereseted please contact my receptionist for a free consultation

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

Can I hav just one veneer for my front tooth?

Friday, October 30th, 2009

Q. Hello, i have a front tooth the goes back, the rest of my teeth are fairly straight, Could you tell me, would it be possible to just have one veneer on that tooth or would i have to have the whole lot done? best regards

A. Thanks for your question, it is possible to have a single veneer, to improve the aesthetic appearance of your smile. However, whethervthis would be successful for you would depend on hoe far back the tooth is. I would recommend that you attend your dental practice for a consultation to discuss your options.
Kindest 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

I have two chipped front teeth can I get crowns veneers from nhs?

Friday, October 30th, 2009

Q. I’m 17 and still in college, I’ve got 2 chipped front teeth due to rough play as a child, also some of my adult teeth are missing according to an x ray they aren’t there so I’m stuck with rather worn down baby teeth. I never smile in photos and my teeth severly effect my confidence. Can I get crowns/vineers on the NHS?

A. You might qualify for NHS treatment but it is cosmetic treatment so I can really say for sure whether you will get your teeth sorted out on the NHS. Go to your NHS dentist and see what they can do for you.

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 ll have lower front teeth extracted could you advice whether to ve dentures or bridge?

Thursday, October 29th, 2009

Q. I am about to have lower front pincer tooth extracted, can you please advice on what to get, a partial denture or a bridge and what type. My dentist has not explained the options, please can you help me decide I am at my wits end with worry. As soon as possible.

A. A denture is the quickest and simplest method to fill the gap.  I would recommend this for immediately after having the tooth removed, after this you could have a bridge or an implant if you want a permanently fixed in tooth.

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

Scared to visit dentist for my discoloured rotting teeth

Wednesday, October 28th, 2009

Q. Hello, I have a front tooth that is rotting, it has turned black and does not look nice, I know I need the dentist but I have not had any good experiences with the dentist hence why I’ve put it off for so long, I know I have to go sooner rather than later but I’m worried about what they will do with the tooth in question, will they take it out or can they repair it?

A.

You need the check up before you can get down to details. The good thing is that you dont have to have anything done at the first visit , just decide on some likely options.
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

I need to fix the shaky front tooth

Wednesday, October 28th, 2009

Q. i seem to have a habbit of pushing my front teeth with my tongue and then pushing them back again and now, i find myself doing it all day without realizing it and now i think one of my front teeth are shaky, it seems to move a bit more now, out of place when i push it and instead of stopping, i do it alot more now to see if it really is shaky or not. im terrified as im only 21. what can i do if they fall out? i also grind my back teeth in my sleep and during the day which is a new thing during the day. what are dental implants? are they screw ins? if my teeth come out could i get them on nhs? in the morning i feel as though if i just push my teeth theyl pop out so i try to avoid doing that 1st thing in the morning. im terrified on dental jags so cant go to dentist, i would go if i could get put to sleep tho, please help

A. Start by forcing yourself to visit 3 different practices that seem friendly to anxious patients.  You can be adamant that you only want an opinion not treatment. ( check prices for assesment before you go )
One of them will feel better and more in tune with you. Then start with some simple treatment to boost your confidence.
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

What is the best way to cover discoloured teeth?

Wednesday, October 28th, 2009

Q. I damaged my front tooth when i was younger this made it slack I was then given root treatment and in time my tooth started to discolour, it was then suggested i get an veneer, this venner looked good but after 3 yrs it chipped and I needed to get it replaced,my second veneer was only in for 2 weeks when it cracked from the inside.I was then given my third within 6 months this one became noticeably darker, my dentist advised me to get yet another, I am just home from appt and this veneer is slightly better but at my gum area all you can see is blackness. I did say that I was’nt happy with it but he expressed that is the best he can do with what he has to work with, my own tooth is black and yellow as he showed me. i am wondering if you could advise on any other options. thanks

A. Thanks for your questions, you may wish to consider having a crown on the tooth instead of a veneer. Although it would involve more preperation of the tooth, a crown would be much less transparent hence consealing the discolouration. I would recommend that you speak to your dentist to gain his professional opinion on the merit of this in your case. I hope that his helps.
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

What are the symptons of acid erosion?

Wednesday, October 28th, 2009

Q. My two front teeth appeared to be thinning and therefore appearing darker for the last few months, however recently I managed to look behind my front teeth using a mirror and saw that there is a black mark on each one. Is this acid erosion and how do I get rid of this problem?

A. You need to review your diet to prevent this worsening and see your dentist

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 is the best treatments for crowded teeth?

Tuesday, October 27th, 2009

Q. Dear Mr. Patel Let me allow that I introduce my problem.I am 21 and my cief complaint is my upper and lower crowding. Info – Relationship of frontal teeth: Overjet: 2-3mm Overbite 2mm, Midlines upper is OK lower 1,5mm to the left, Dental crowding severe, Crossbite UR2-LR3. Next year year I’ll study at London Business School and I think that this is good opportunity to correct my teeths aswell. I want to ask you is in this case possible to correct teeths with Veneers, removable braces or Invisaglin braces? Because I realy want fast solution and I think that veneers are the best but on the other hand I am also prepared for longer treatment and wear braces but only which I mention in upper text. I just want to hear your advice because everywhere offer me just Damonbraces and similar braces which I realy do not want to wear because they do not fit my lifestyle. I am looking forward to hearing from you soon. I am also prepared to send you photos of my teeths,smile,x-ray scans if this help you to give me advice. 

A. Veneers can create a lovely smile but the downside is your teeth have to cut down, this means they will need a lifetime of treatment. As your teeth are already crooked it would be very difficult to create a nice smile with veneers without removing a lot of natural tooth. My preferred treatment would be orthodontics, invisalign is the most discreet, 6 month smiles is the quickest and damon braces are very good for very crowed mouths.

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

Need solution from veneer teeth grinding

Tuesday, October 27th, 2009

Q. I have had 4 porcelain veneers done in Sept 2009 on my front teeth and wish I hadn’t now as have had problems in that after the permanent ones were placed on one came off after 3 days as it appears I grind my teeth at night. I know the veneers are slightly longer that original teeth which i didn’t agree too and so now everytime i talk, they ‘catch’ with the bottom teeth. I am concerened this catching will lead to other falling off prematurely so want them altered so they are same length as original teeth. Will there be damage to underlying teeth if these veneers are taken off to be replaced?

A. They can be replaced without causing problems but the first thing to do is go back to your dentist and see if the bite can be adjusted.  You may benefit from a nightguard that can reduce grinding.

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

What could be done for chipped out front tooth?

Tuesday, October 27th, 2009

Q. Hello, My son has fell tonight and hit his mouth on a corner of a table and taken quite a large chip out of his front tooth !! he is 11 so its his permanent tooth. What can be done ???? A worried Mum !!!!!!!!!

A. See your dentist as soon as possible

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

Could you please analyze my teeth problem

Tuesday, October 27th, 2009

Q. Several yrs ago I had 5 front teeth worked on. 3 are on a bridge 2 were on posts. 2 yrs ago one of the teeth broke off at the root (abssesed) and had to have it pulled. Now one of the front teeth which is on a post is loose. I went to a dentist and he tried to remove cap but couldn’t. He used what he called a blue bos. Felt like a hydaulic hammer. Now he says he will have to cut the cap off, replace the post & make a bridge for the front tooth, the tooth next to it (currently have to wear mouth piece and use one of my incisors for the bridge. My concern is what if the root which has had 2 prior root conals done on it (freak, yes) also breaks off at the root. The other side of this is fron tooth capped, next tooth capped, next tooth incisor tooth missing and part of bridge. So we are talking about my entire front teeth. I hope you understand and can help. I am worried. My dentist can’t get me in until Dec. 3rd, although he got me in in a week of never seeing him before and then again that very same day.

A. It sounds like you need to have the teeth fully assessed if they are that weak you may need to think about dental implants, which will provide you with new teeth and last a lot longer.

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