Posts Tagged ‘gum’

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

Monday, December 7th, 2009
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

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.

Monday, December 7th, 2009
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

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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Posted in Dr Caplan's Answers, Experts Answers, Oral Hygiene, Q. General dentistry |

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

Friday, December 4th, 2009
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

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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Posted in Dr Tennet's Answers, Experts Answers, Q. Cosmetic Dentistry |

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

Friday, December 4th, 2009
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

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.

Friday, December 4th, 2009
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

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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Posted in Dr Caplan's Answers, Experts Answers, Q. General dentistry |

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

Thursday, December 3rd, 2009
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.

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

Thursday, December 3rd, 2009
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

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. Orthodontics |

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

Thursday, December 3rd, 2009
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

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. Orthodontics |

Best option to repair or restore bad gum?

Monday, November 30th, 2009
Q. My gums are very poor at the bottom of my mouth and have been pushed down by plaque etc ?? due to bad gum disease, I am in the process of rectifying this and also looking into implants for the teeth that it has effected. Is there anyway that the gums can then be repaired or restored so that theres not big gaps etc ??

A. Unfortunately horizontal bone loss can not be re-grown to allow you to have the black triangles filled in.  A restorative solution will be your best option

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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Can I smile again with a crooked teeth and gum recession?

Monday, November 30th, 2009
Q. I am 55 and have discloured crooked teeth with recession of gums due to long standing disease. I really want to smile. Is it possible to help me with crowns/veneers?

A. This is often a great solution to aesthetic issues following stabilization of the gum health.  Once they have been fitted it will be very important to see the hygienist 3 monthly to keep the periodontal disease under control.  Please come and see me for a free consultation for me to give you a more informed view

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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Posted in Dr Caplan's Answers, Experts Answers, Q. Smile Makeovers |

My front tooth causing discomfort when I tap.

Monday, November 30th, 2009
Q. I have a toothforth from the front at the bottom,not sure whats its name is,its not really hurting and not overly sensitive to hot and cold,but its uncomfortable if I tap on it,however if I apply pressure to it and tap it I feel no discomfort,the gum nearest to it is shrinking,I am due a checkup in a few weeks but wondered what my dentist is going to say the treatment is going to be.

A. Tender to tap on usually means an infection is present, either at the root tip or around the gum.  This may mean the nerve or the gum may need treatment.  Another possibility is that you may be grinding at night time on the tooth that can make it tender – often brought on by stress

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 want to have dentures but I am concerned too.

Friday, November 27th, 2009
Q. I have chronic gum disease and have done for 20 years or more. Have gone through deep cleans but find it frightening, nerve wracking, emotionally upsetting all due to hate needles, loathe dentristy anyway ie: smell, tools etc and get in a panic to the extent I vomit whenever have finished suffering the treatment. I have asked for my teeth to be pulled out and replaced with dentures of which the dental hospital have actually listened. I am awaiting news from them now as they have to get an xray from my dentist and take it from there. I have thought about having dentures for years. Cannot go through another treatment of needles and scaling etc. I just can do it. It just keeps coming back and I am always being told off and made out that I am not doing what they ask and yet I do, I do everything and yet still the gum disease comes back to haunt me. My teeth are disgusting. Stained and gums very very sore. I have bone showing where the gums receded that much. Teeth are wobbly also. I feel a freak. I have done for ages and hate smiling. When you have dentures I know it is drastsic and I know it is a sore process etc but I want it done. What I want to know is can they say take out the top row of teeth and fit dentures and then do the bottom row of teeth so as to avoid having no teeth at all. I really want an end to this horrible problem and am getting very depressed over all of this.

A. It is possible to have immediate dentures to prevent you being without teeth – these may need to be remade 6 months later as your mouth will change drammatically once the treatment is complete

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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Need the cause and solution for my overbite issue?

Friday, November 27th, 2009
Q. Dear Experts, I have had 2 front teeth replaced by crowns and implants as a result of an accident. Unfortunately there are some discoloring at the top of the crowns where it meet the gumline which is unsightly. What can be done to rectify this? Also, it may sound silly, but it feels as if my teeth are too short and the bite is all wrong. My jaw and jaw muscles gets really sore when I close my mouth, trying to rest the top and bottom jaw on each other. So as a result, trying to compensate for the pain, I try and rest it on the front teeth. Unfortunately, then it creates an uncomfortable, clenching overbite. It is a very uncomfortable and painful situation and I would appreciate advice on how to correct this.

A. Firstly the crown may need replacing to correct the aesthetic problem. The bite problem is more complex and will need thorough investigation and teatment, perhaps involving a bite guard worn at night and the possible correction of the crowns.

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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Receeding and loose tooth due to low bone density.

Friday, November 27th, 2009
Q. I have been told that my bone density is very low and as a result have a loose tooth and receding gums, what can be done, im 45

A. If the tooth needs to come out you could consider a dental implant. a a rule though bone density is less important than the way you look after your teeth, your diet and oral hygiene procedures and the condition of the gums. I would find out if this is a general problem rather than a localised one, if the gums are receeding you may need to consider gum treatment to save the rest of the teeth.

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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Would like to know the cause of my discoloured teeth?

Wednesday, November 25th, 2009
Q. I am 50 years old and I had braces fitted to my upper teeth just over two & half months ago. Since having the brace fitted I have noticed that one of my front teeth is going grey at the top near the gum. What is the cause of this? Can I do anything to stop it or can it be treated once the braces come off?

A. This may be stain – please visit your dentist to have this checked

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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Does implants not fix a denture with bone loss issues?

Wednesday, November 25th, 2009
Q. I am due to begin work for a full upper denture on 17/11 due to the loss of all byt 4 of my upper teeth. This was due to gum disease causing bone loss, passed down from my parents! My dentist tells me that an implant to fix a denture in would not stay put due to bone loss? Is this correct? Glad I found this site, and someone to answer my question, thank you!

A. Implants can usually be placed but you may need bone grafting to increase the amount of bone available

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

View My Profile Dr Caplan

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Dentures fitted causing pain in the gums

Wednesday, November 25th, 2009
Q. Hello I had ValPlast dentures fitted and got a pain in the upper gums on wearing them. I persevered before 4 months before I had a tooth pulled from that side and thought it might be the reason and it would get better over time. Now the other side hurts as well. Sometimes one side hurts and I can chew on the other and another time the other side hurts. I thought it might be cavitations? I recently did a heavy metal detox. Do you have any idea what could be causing this?

A. Your bite may need to be evened out to prevent excessive pressure on any one part

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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Replaced tooth is causing gum to discolour

Monday, November 23rd, 2009
Q. HI Dr Patel, I ‘ve broke two front teeth years ago, I replaced those now my gum is gettng black, I can’t smile anymore is horrible, what shoul I do? Should i send youa picture before I make any appointment? thanks

A. You are more than welcome to send me some pictures.  The crowns you have had may contain metal which can leave grey / black edges.  One option may be new restorations which are metal free.

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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Dental treatments to fix gum recession issues

Monday, November 23rd, 2009
Q. Dear Dr Patel Despite regularly attending my dentist and hygenist for twenty years I have now been told that gum recession on two lower front teeth is now so bad that I am not a candidate for gum grafting. As you may appreciate I am very annoyed with my dentist for not being more proactive over my recession issues given that I raised this with him from day one of attending all those years ago. On the positive side, radiographs show a substantial amount of bone remaining and I have no mobility whatsoever. My questions are these: Even with such severe gum recession would it be possible to place implants if required in the future? Are there any techniques for gum to be ‘built-up’ to accommodate implants after tooth extraction? By the way the (very) little tissue that remains is healthy and recession has been caused apparently by crowding, thin tissue-type.

A.

At my practice we get sent alot of people for implants who have very little bone , it is something you can have assessed. I am sure you could have implants , if the bone is short it can usually be added to.

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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Gum recession has made me depressed and want to consider plastic surgery

Friday, November 20th, 2009
Q. Andrew, I am 24 years old and i have mild gum recession at the top and bottom of my mouth, the front 2 top teeth and the bottom 4 teeth. This is making me very depressed and stressed i have considered plastic surgery to help orevent this from getting any worse, would i be able to do this? What sort of cost would this incur? Thank you your advice is very much appreciated

A. At my clinic in Chelmsford my Periodontist Roberta, charges from £300 to treat this type of recession if you are suitable. If you would like to come in for us to take a look please feel free to call the clinic on 01245 268 494 so we can assess your suitability and give you an accurate idea of costs.

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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