Q.

Dear Dr. Hughes,
I am a 20 year old female. My upper canines have basically been bugging me all throughout my teenage years and whether I like it or not, they make me very self conscious. My left upper canine is very pointy and sort out jolting out, whilst the right one is slightly less ugly but still pointy. I have been to a dentist some years ago who had said I need to get braces but this is an option which I really am not keen on as it would take a long time and I just don’t want them. What other options might there be for me? Would I be able to undergo some form of surgery? It is a dream to ever have a normal healthy-looking smile one day and I really hope braces is not the only option there is out there for me.

Many thanks for your time

Kind regards, 

Q.

hi im looking for advice and help i suffer from cystic fibrosis im 30 years old and years of doing physio and spitting up mucus up my tongue has pushed my top teeth forward i think its called an overbite (buck teeth) i would like to get them sorted i went to two inman aligners dentists one said he could reduce my bite by 80 percent the other one said he couldnt but im worried that i spend the money getting them done my tongue will just push them back and it will be worse if i get a permanant retainer and it will push more teeth out as i heard theres alot of relapses with the inman i was also considering invisalign or six month smile but i havent been to see about them hope you can help thanks .

Q.

helllo, i have a slight over bite and my fang teeth need pushing down a little, with my two front teeth needs straightening, the bottom of my teeth are fine and straight howevere the dentist have said i ned braces but i dont want the normal train tacks as they are too obvious i am really concience of my teeth and i am 16 years old, i would like to know how muhc averagly would this treatment cost thanks

Q.

Hi I have been wanting my teeth sorting out for a very long tiime now have been soo scared but i have to do it! ive had a online consultation at harley street and have been told more then likelyto have 8 veeners. i have like a thang? dont know the technical term for it but thats my main concern. ive been to the dentist like 3 days ago. and have to wait for an appoint ment to have about 5 teeth taken out then once healed she ses 6 months down the line then will talk about brace ect .. now i really dont want braces if i could id have the invisaline but i really want quick results. since having my baby 5months ago im not so confident in my body anymore so now its everything getting to me. feeling like i dont want to go back to work as i work in a beauty deoartment with dior just dont feel good enough and to top this im getting married next summer and would love a perfect smile . i know this wasnt a question as such but owuld really love your advice and help about where to start . thank you so much for your time and look forward to hearing from you soon.

Q.

CLEARSTEP VS INVISALIGN

I have a few questions about invisible braces:

What are the differences between the two?

How long will it take? I have been prompted to take action as I am getting married at the end of the year and although from the front my teeth look quite straight from the side they look really uneven. If I started it asap would it make much difference by December? I am happy to continue for longer, I would just like some difference by then.

How much does it cost? Which one is more cheap/expensive?

Are the effects lasting? I had a metal brace as a teenager that improved my teeth a bit but I don’t think it was kept on long enough. I would be willing to wear a retainer if it keeps my teeth nice.

Is Clearstep a suitable alternative to cases where Invisalign would work?

Does Clearstep require attachments to the teeth the same as Invisalign?

Could you suggest me a good professional cosmetic dentistry expert in Oxford?

Thank you in advance for your attention

Q.

 I am a 25 yr. old male with spacing of my upper front teeth as well as an open bite developed from a tongue thrust condition. This also causes my chin to appear recessed somewhat. I have been in Invisalign treatment for about 6 months. I already had mild lip and chin strain due to the open bite. Upon wearing the aligners I felt a lot more discomfort and strain with the added thickness of the aligners over my teeth. I explained this to my orthodontist who suggested I could just wear one aligner at a time, 12hrs. a day. I have been doing this but I feel like the compensation the muscles around my mouth had to make for the aligners changed the shape and appearance of my chin and lower lip muscles causing some “rippling.” I now wish I had gone with Lingual braces which go behind the teeth, but they are not provided by this orthodontist. Is it possible to seek another orthodontist providing lingual braces and just get them done on the top teeth and continue invisalign on the bottom? I have also been looking into having a chin advancement (genioplasty) done to correct the recessed chin and hopefully relieve some of the lip strain. But could you give me any information on types of surgery that can be done to correct the open bite itself? As I have been told braces alone cannot correct the open bite. Thanks so much for your help.

Q.

Hi Sunita,
I just wanted to ask about what treatment you could recommend for my teeth. I am 18 and have never been confident with my teeth, so much that I don’t like smiling at all in photo’s and feel really held back by them. They are fairly crooked and the front two are pushed more to the front that the rest. Not only this but it looks slightly crowded and my canine on one side is much smaller than the other. It’s sounds picky, many people say they are okay, but I feel really bothered by them and my dentist did say they needed straightening out with a brace or something. I wanted to ask your advice on this. I am funding myself as I am 18 and wanted to know whether a brace or the new Invisalign would be better, and if veneers would be appropriate? I hope you understand how this has affected my confidence,
Thank you, 

Q.

Hi doctor
i really want to get veneers fitted as i have 1 crooked front tooth and im not really happy with the rest but how much would this cost also i would want to be sedated as i panic just being in the room im on benefits is there anyone that can help me get the smile ive always wanted please give me some advice on this and how must would it cost??? many thanks 

Q.

Hi, I recently had invisalign treatment to straighten my teeth. My consultant suggested that this might also improve my overbite, but it hasn’t made any discernable impact on that which was disappointing. What’s worse though, I have noticed that I’ve been getting more frequent and worse jaw pain since finishing my treatment. I’ve always had the odd twinge, which I put down to the fact that my bite’s off, but it is definitely worse – do you think the invisalign treatment could be the reason? Do you think surgery would be the best option?

Thanks in advance for your time.

Q.

I had braces for 4 years when I was a teenager, and wore my retainer for 6 months longer than was required. Despite this my teeth have grown back to their original position. This is quite upsetting as you can imagine, since I spent my adolescence being ridiculed and going through quite a lot of pain for the braces, and it turns out it was all for nothing. I’m now 22, and don’t want to have to pay for the mistakes my orthodontist made. What treatments are available to me?