Cosmetic Dentistry Guide » gum shrinkage

I have about 2mm – 5mm of gum recession on most of the teeth advice

admin — Wed, 23 Dec 2009 05:39:02 +0000

Q. I am a fit and healthy 22 year old non smoker on Limecycline for acne. My dentist and periodentist say i have generalised recession and no periodental disease, i have a thin gum biotype and have flares on my canines as well as many other teeth. What do you think the best treatment option is for me as the recession is about 2mm – 5mm from most of the teeth and due to staining looks more prominent?

A. The thin biotype is a bit a problem and most perioplastic surgical treatments for recession are going have a high risk. My first approach in a young healthy with generalised recession and a thin biotype would be careful use of an electric toothbrush with a main brand toothpaste and regular careful top up cleans from a dental hygeinist then monitor and act during flare ups. It maybe a case when an everyday mouthwash like Colgate PEROXYL would be an assistance.Rob

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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Need to fix my bite and get gum graft, please suggest.

admin — Mon, 07 Dec 2009 06:54:10 +0000

Q. I am nearly coming to the end of invisalign treatment and have found that my top front teeth have gone forward and caused me to have a bit of an overbite. Also my lower left canine gum has receded, which must be due to brushing too hard as I don’t have gum disease. Will invisalign refinements be able to push my front teeth back a bit? or is there any other treatment that can fix my bite? Where can I go to get a gum graft, as it is causing me a lot of anguish.

A. I guess refinement might help although this is very case specific.At my clinic in Chelmsford we have a periodontist who could carry out a gum graft, please call us on 01245 268 494 and we will be happy to arrange a visit to the clinic for an assessment.Regards Andrew

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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Can I gum disease be stopped from spreading further without teeth loss?

admin — Mon, 07 Dec 2009 06:48:11 +0000

Q. Hi, I am terribly worried. I am 52 and when I went for a routine 6 month check up the other day, I was told by my dentist that I have gum desease. she took an x ray and a lot of the bone on my lower gumms has eroded away. I am devastated! I have always looked after my teeth and never had a dentist show any real concern. I was told about 4 years ago that I had some slight pocketing but to keep flossing etc which I do daily and I have had my teeth de-scaled for years now. I have now been refered to a dental hygienist. Will I lose all my teeth? I am really scared and can’t sleep with worry. The thought of having false teeth terrifies me. Can this be reversed or even stopped in it’s tracks? I will do anything to remedy it. Please can you help?

A. The bone loss cannot really be reverse however with excellent treatment from your Hygienist and home maintenance the gum disease can be treated with out the loss of any teeth.

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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Confused as I cannot find a reason for my smelly and rotting teeth.

admin — Mon, 07 Dec 2009 06:11:31 +0000

Q. I had a veneer on my lateral incisor around 4 years ago. Last year I noticed that the tooth was discoloured around the gum line and had a bad smell/taste and feeling of pressure – never pain. After several courses of antibotics my Dentist performed root treatment, twice as it was unsuccessful the first time. My tooth still smells and tastes bad and my dentist is baffled – any ideas? I think perhaps there is a gap between the veneer and my tooth and that the front shell of my tooth is rotting, could that be the case – is there anything can be done? Thanks

A. You either have the abscess still present, gum disease or decay underneath your veneer.

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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Due to grinding I have gum receeding and loosing my smile.

admin — Fri, 04 Dec 2009 04:00:34 +0000

Q. Dear Dr Tennet, For as long as I can remember I have suffered from bruxism. I sleep with a nightguard which my NHS dentist made for me but my gums seem to be receeding as a result of the grinding, which I think has now led to gum disease, and my upper anterior teeth are becoming very thin and I’m terrified of them snapping off altogether. I’m only 27 and hate my smile. My teeth seem to be wearing down and decaying very quickly and I’m terrified of having to wear a denture. Do you think crowns and possibly gum grafts may help me? I really don’t want to lose my teeth and my NHS dentist doesn’t seem to care.

A. Wear, tooth decay and receeding gums are normally caused by separate problems. It is likely that advanced treatment planning is needed. I can offer a free initial chat at our private practice to assess the likely way forward.Rob0121 643 0610

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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Need to get back my smile from a history of dental problems.

admin — Fri, 04 Dec 2009 03:47:52 +0000

Q. Hi, i am 28 an have had problems with my teeth for years i have advanced gum disease and have recently had 2 taken out at the front on each side so when i smile it doesnt look very nice also the majority of my bottom teeth are wobbly, they are discoloured some crooked and i hate them. My family has a history of dental problems my grandfather,2 aunts an uncle all had their teeth removed before the age of thirty. I would like to have mine removed but dont know how to go about it or what to even ask for. Money is an issue i am a single parent but am so unhappy with my teeth an always embarrased when i laugh or smile and it is affecting my life. I have however considered long term payment plans which would suit if i you can do that with cosmetic dentistry?. My aunt says she has plates but they dont cover the whole roof of her mouth an fit into her gums and look really natural can you tell me what this is and cost etc. I am considering travelling abroad to get something done as my dentist is very unhelpful, i am looking for some help and guidance please….please help me.

A. A free initial consultation is available at StJohns Dental in Birmingham as well as some other cosmetic practices. I recommend getting some rough prices and price plans from a couple of cosmetic dental practices before deciding on your next move.Rob

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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Is full-mouth periodontal debridement good for treating gingival recession.

admin — Fri, 04 Dec 2009 03:30:51 +0000

Q. I have mild chronic periodontitis with areas of mild gingival recession. My dentist recommends a conventional full-mouth periodontal debridement. Is this procedure correct?

A. Sounds good to me. You need to have all the bacteria removed to remove the infection in your gums followed by regular visits with the hygienist to maintain the results – at least 3 monthly

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After root filling I have dark line on the gum please advise.

admin — Thu, 03 Dec 2009 12:27:37 +0000

Q. 2 months ago I had my teeth all made into crowns. Where I have a couple of implants and a root filling, there is now a dark line at the gum line. I have told my dentist about it and he says I should brush my teeth and make them bleed. I got a firm toothbrush and have scrubbed these gums and they will not bleed and the dark is still there. Also one of the teeth above these implants and root filling is very sensitive to cold and sometimes if anything hard gets into it it hurts. Because I am 68 years of age and went to the dentist for my teeth to be straightened, a decision was made by the dentist that I was too old for my teeth to be successfully straightened and that it would take a long time, that is why I have a mouthful of crowns. Is there anything I can do to make this ddark line around these 3 teeth disappear?

A. You need to discuss this with your dentist – the implants are made out of titanium and can be difficult to mask if you have thin gums – gums can be thick or thin – this is called their biotype.

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Can NHS dentist answer why my front teeth gap has widened?

admin — Thu, 03 Dec 2009 12:05:37 +0000

Q. Hi I am a healthy and fit 52 and for all my life have had a small gap between my 2 top front teeth. However over the last 6 months or so the gap has widened so far that I can get my tongue in between them! I have been to my dentist who said that she cant see why as I have no sign of gum disease and have healthy teeth. As I cant find an NHS dentist she siad she would refer me to an orthodentist but this is going to cost i just know it!!!I am not that worried about the gap itself butr am concerend that there is something causing it that I should be concerend about. Any suggestions? and also is there any way I can be referered for NHS treatment by my GP?

A. I’m not sure an NHS dentist will be the answer to this largely cosmetic problem. Teeth can move throughout life and if there is definitley no underlying gum disease or loss of the back teeth (this can cause the front teeth to drift) then it might be something you have to live with?

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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Small gap in front teeth is getting bigger may be due to gum disease.

admin — Thu, 03 Dec 2009 11:52:45 +0000

Q. I have consulted a few doctors (dentist) So far answers were not very positive. I have gap in between my front lower teeth. They are moving and gap is becoming bigger. What can be done to either cover the gap or close it?

A. The gap could be closed with either a brace, veneers or by bonding White filling to the teeth it would be good to find out why this gap is getting bigger though as it might be asign of underlying gum disease

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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