Posts Tagged ‘night guard’

Tongue thrust is causing my front teeth to separate

Thursday, November 12th, 2009

Q. Hi There, I have a tongue thrust, and it is causing my two front teeth to separate in an upside down V. This is concerning to me because I wore braces for 4 years (about 7 years ago) and did speech therapy to re-train my tongue. I have a night guard that I wear although not regularly because it is uncomfortable, despite that it is in rest that the pushing occurs. Would veneers be a viable option to correct this cosmetically, while continuing to wear a guard at night?

A. Yes veneers might help but you’ll need a new reatiner to stop them moving

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

Could nightguard be possibly causing pain in my gum?

Thursday, November 5th, 2009

Q. I have been trying to wear a nightguard /splint. But it’s causing me pain especially on one side where I have a bridge. In the morning it seems like the pain is in the gum under/behind the bridge area. It’s like one side feels alright but this side isn’t. I was hoping maybe you could shed some light on why this might be happening. Your thoughts on this are much appreciated. Thank you.

A. I guess the splint is either rubbing on the gum or causing pressure on the bridge. pop back to your dentist and ask him to adjust it

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

Can Invisalign correct teeth grinding?

Tuesday, September 8th, 2009

Q. Can teeth grinding be corrected with Invisalign? And does a dentist have to have special training in Invisalign care?

A. Teeth grinding is basically an in built trait of some people.  It seems to be related to stress but there is no treatment presently available to stop people grinding.  However the damaging effects of tooth wear can be reduced or prevented by a patient wearing a protective splint over their teeth.
Invisalign treatment does require special training for a dentist to provide this type of care

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 u advice me about teeth fillings and mouth shields

Wednesday, September 2nd, 2009

Q. Dear Dr Caplan I am 56 years old I have regular dental treatments. My latest dentist who I have been seeing for about 3 years now isn very good, he comented on the fact that my lower jaw sticks out more than my upper jaw and asked if anyone ever mentioned treatment for this, I said no and was not awere that I could have or had treatment, although of course i have always been aware of the problem. he sent me to a dental hospital as my teeth are also chipped and said this is because I grind my teeth at night and they may fit me with a dental shield to wear at night. The speciaist I was to see was not there that day so I see someone else, she seemed to ask me odd questions one being did the teeth alignment bother me I said not really as to be honest I am 56 years old I have lived with it this long. She said I needed fillings to repair he chips and a shield to wear at night and my dentist would do it. i have an appoinment soon, is this the best thing, do you think will it look odd, I do not fancy a tooth shield.I am a national health patient and do not pay anything for my dental treatments as I am a carer for my husband. If I was a private patient what would you suggest I have done? thank you for your time.

A. Initially i would advise a mouth guard and to restore your teeth with fillings.  this treatment could last a long time.  If the patient wished to go further I would even the patients bite out and possible restore the teeth with veneers if there were aesthetic concerns – still getting the patient to wear a night guard. Diagnosis of the cause of your chipping is the key thing

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

Is it advisable to remove partial dentures at night?

Tuesday, September 1st, 2009

Q. i have just been fitted for partial dentures to my upper front teeth i havnt had any problems so far. do i have to remove the denture at night. i feel very embarassed about it as iam so youg.

A. It is advisable to remove it at night, also for cleaning. Maybe you should think about Implants so there is no need to remove a denture at night.

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

Ive a severe acid erosion and bruxism what can i do and can i prevent further damages

Tuesday, July 21st, 2009

Q. Hi I am quite upset about recent findings from 2 different dentists that I have severe acid erosion and bruxism. 2 years ago I had no problems at all, although my diet/drinking habits have not changed. There are no problems with my gums or x-rays and I have never had a filling so now I am gutted about this. What I’d like to know is that I have been told different things by different dentists about the effects of swimming on teeth. I swim 3 times a week for 1 1/2 hours a time. This has been a new thing over the last 2 years. Could this be the problem and how can I check the PH levels of my local pool? My current dentist is insisting that I grind my teeth but I do not believe this to be true but at one time I was on a high dose of Citalopram and have read that this can cause grinding and I think it did in my case. I was on this for about 3-4 years. I am also a vegetarian and have been told this is the problem!!!??? so confused. What can I do and can I prevent further damage. I cannot stop swimming as this is now for me a form of anti-depressant. I am miserable. Thanks for you help.

A. From your post it would seem that the two key factors here are the medication, which may trigger grinding, and your diet
Many vegetarians have diets with high acidic fruit content eg oranges, lemons, grapefruits
The combination of teeth grinding and acid erosion can cause rapid tooth destruction.

I would recommend going through a diet analysis with your dentist and at the least a nightguard to prevent further grinding on already weakened teeth

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

One side of my veneers had fallen off, can it be bonded back together with less cost?

Sunday, June 14th, 2009

Q. Hello, I had veneers put in 2 years ago and had a broken front one replaced free of charge last year. Unfortunately one of the side ones has now cracked and half of it has fallen off. I have contacted my dentist and asked about ‘fixing’ it back on but he is saying a brand new veneer at £600.00 is the only option. Can Veneers not be bonded back together is it is a clean break? Maybe I’m just getting fed up of spending more on top of the original £10,000! thanks

A. The joinbetween the two halves will always be detectable. As you spent a lot on the appearance of your teeth, I guess this would annoy you in the long term. At current fracture rates You should look into if any changes need to be made to your bite. Possibly wear a night time guard. It is worth asking for a reduced fee on the replacement.

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 do grin my teeth so could i use a sleepright dental gaurd comfort by sleepright is it safe?

Tuesday, June 2nd, 2009

Q. Hello I do grin my teeth in the night and was wondering whether I coul use a SleepRight Dental Guard Comfort by SleepRight. Is it save? How long can you use it for? they say it is a product that has been approved by the British Dental Health Foundation. Any advise will be vey welcome thanks :)

A. Some people find wearing an appliance at night reduces the amount of tooth grinding there are so many different devices available I am afraid it is difficult to give you advice without seeing you.  These appliances are non-invasive so you have nothing to loose by trying it.  I would recommend seeing a dentist who understands how the jaw works as 90% of tooth grinding is often due to an uneven bite. 

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

my daughter is in jaw pain so she can not close her jaw completely what would be the reason

Tuesday, June 2nd, 2009

Q. My 25 year old daughter has been having bouts of jaw pain ever since she had her braces removed about three years ago. The pain can become so severe it goes into her neck. She is unable to close her jaw completely so that her back teeth touch and her jaw clicks. Her orthodontist didn’t say anything about any jaw problems when her braces were put on. Any ideas on what could be wrong and what she can do to alleviate her pain.

A. She may need to see a dentist to construct a bite raising appliance, worn at night, this allows the jaw joint and facial muscles to settle into a new position, she is probably clenching or grinding them at night possibly as a result of the new position the teeth have adopted after the brace.

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

im considering a night guard how much do they cost and how can a dentist fix cracked tooth?

Monday, May 25th, 2009

Q. Dear Dr. Bohara, I think I have pretty good oral health but I’m considering a nightguard because I occasionally grind my teeth. I was curious how much they cost? I think I sometimes clench my teeth during the day and I have a slight overbite. I think I may have slightly cracked one of my front teeth as a result of this. I’ve looked in the mirror and did not notice any crack whatsoever nor do I feel any pain to pressure or sensitivity to hot or cold but I feel there may be a crack in the back of the tooth. I’m pretty sure of it. If there is a crack, how can the dentist fix it? Would he drill it out and replace it with some resin or composite or place a veneer on it? I don’t think it’s too serious as it’s not causing me any pain but it is annoying and I can sense it with my breath when I exhale. Can you please help me by offering me some suggestions or peace of mind? If the crack is in the center of the tooth can the dentist still treat it? Thank you very much for any response. Sincerely

A. Hi

1. There are differenet types of nightguards available. They cost from £200 to £500
2.  The type of treatment for a crack in a tooth depends on the type of fracture. I would recommend a consultation with a dentist to diagnose this and offer options

dr kalpesh bohara

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

i find my self clentching my jaw and pushing my tongue into my bottom teeth whats next step

Thursday, May 21st, 2009

Q. I have had a problem with my 2 front bottom teeth for just over a year. It comes on worse a times of stress, I find myself clentching my jaw and pushing my tongue into my bottom teeth on a regular basis, even weight training brings on pain. It hurts so bad i can feel the nerve pulse. My dentist has refused to give me a root canal filling or even take the teeth out even though I think both would help. What is my next step I am at my wits end with this as the pain is too much??

A. It maybe that you need a bite guard to stop grinding up against them unless there is a definite problem with the roots, in which case a root canal or extraction might be best. Maybe you could ask for a second opinion from another dentist??

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

Could the problems with my bite be due to TMJ?

Saturday, April 4th, 2009

Q. My question is what would cause my teeth to feel as if my bite has changed. I am 40+. I see my dentist for reqular yearly checkups. In January 09 I got a cleaning done, and at that time I told the hygienist that my right side teeth feel different as if they are longer or that my bite is off. She said sometimes tartar is like a sliver and makes things feel funny. Had bite wings and only showed a couple of watches, no cavities. Well a month later they were still feeling like my bite is off, I went back to the dentist and he said that I probably am grinding and need a night quard. So I booked an appointment for the night guard, and was seen by another dentist this time. I told him my teeth still feel like they are not feeling like they bite together properly, in fact I noticed that before I was able to bite off a broken finger nail and now I cannot because of the space. He said a night guard would not help and wasn’t at all sure what to do ?What would cause a shift like this or what could be happening? Could it be my TMJ?

A. It is likely to be due to the TM Joint so a bite guard would be the first thing to try to realign your bite

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 only worry is that I am 28 and believe whitening only lasts a few years

Friday, April 3rd, 2009

Q. Hi there, I have booked myself an appointment to get my teeth whitened, I’m going to good dentist I have checked them out. They use the zoom whitening treatment. My only worry is that I am 28 and believe whitening only lasts a few years. Will my teeth look worse when whitening wears off or will they just go back to how they originally were prior to whitening.

A. You should get a set of home mouth guards with your treatment so after your whitening you can buy extra gels to maintain your whitening.

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

Fixed braces were removed too soon causing the overbite to return

Sunday, March 29th, 2009

Q. I have a 15 year old daughter who was referred to my local orthodontist practice with an overbite. They attached fixed braces to her teeth which they removed within 4 months. After which they gave my daughter plastic retainer to wear at night. But the retainers became mottled and stained so when i asked for new oes the practice said only at a charge of £40 which at the time I could not afford. Subsequently my daughter discontinued wearing the retainers and now her overbite has returned to it original state. I believe the fixed braces were removed far too early in treatment and had no knowledge that it was her one and only chance to have them free of charge and now I’ll have to pay to have them refixed which I cannot afford. Were’nt the practice at fault for removing them in haste and not fully explaining the situation. My daughter is sad/distressed at the state of her teeth and her fellow classmates have had fixed braces for 18 plus months not just 4months. Please could you advise me many thanks.

A. If you have an issue you can follow an NHS complaint through the local Primary Care Trust (PCT)
If you failed to follow the instructions provided I would expect the dentist would be likely to resist your claim.
Dr Rob Tennet

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 have venners on my teeth and I grind. Do I need night guard?

Sunday, March 29th, 2009

Q. I have venners on my front four teeth I grind and clinch in my sleep but I dont know how much? Do I get Nightguard for the top, Bottom, Both, or what? Should the guard be Soft or Hard The Reason I’m asking is because I already spent a great deal on my veneers and whitning and I dont want to spend $800 Dollars on a niteguard.

A. I think you need to get your dentist to check how your teeth bite together and make sure they are biting evenly.  I would recommend an upper hard niteguard.

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

Headaches and facial pain is due to grinding in my teeth

Sunday, March 29th, 2009

Q. Hi, I have recently been advised that I am suffering from headaches, and facial pain as a result of grinding my teeth at night, and clenching my jaw when anxious. My dentist advised me that I should purchase a special guard to protect my teeth-but that it would cost me £198. I am a Full time student and cannot afford to buy this at that price. I have been told that if you go via your Dr you can sometimes get this for free, is this true, or is there a cheaper alternative? Please help!

A. I do not know of doctors providing this treatment as this is usually provided by dentists.  A hard night time appliance properly made should reduce your muscle spasms.  This is a very exact appliance, hence the costs.  I obviously understand you are a student .

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 am a teeth grinder am I a candidate for Lumineers

Tuesday, January 13th, 2009

Q. I am a teeth grinder – mostly at night I think. Am I a candidate for Lumineers ( top only) Many thanks

A. Hi Anyone who grinds their teeth is more likely to have a veneer pop off (debond). With this in mind if you have any type of veneer you should wear a night time guard to protect your new smile

Regards  Andrew

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 top front teeth have tooth erosion caused by fizzy drinks

Thursday, December 4th, 2008

Q. Hi, My top front teeth have tooth erosion caused by fizzy drinks. They don’t look to bad at the moment, but you can notice if you look closly. My enamal is coming off the tops of my teeth and the bottoms look a little see-through. I am rather concerned about this and was wondering what the cost and procedure would be, without having to get porcelan veneers as i do not have the money for that.

A. The other options that you have are to alater your diet to exclude eroding substances such as acid containing drinks, to wear a night guard to reduce the wear on your teeth, to have composite bonding on your teeth to replace the missing enamel.

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

My husband one week ago had a 6 tooth bridge

Wednesday, November 26th, 2008

Q. My husband one week ago had a 6 tooth bridge(front teeth) put in. There are gaps at the top of the teeth. He had bone disease due to an injury when he was young. Is there any thing that can be done, we are discussing a partial so he would not have the gaps when he smiles. He has a gummy smile and was very upset having 4 teeth pulled and two crowns and his top of his teeth look bad and he talks like he has a mouth gaurd in! Thank you for your help!

A. It can sometimes be very difficult to get used to a big change at the front of the mouth. This does tend to affect the way you speak at first but normally settles in after 2-3 weeks. The best thing is maybe to wait until the tissues heal after the extractions, then see if its possible to explore other options, including implants. However the bone may need rebuilding prior to placing implants, especially if there has been extensive bone loss due to bone disease

Regards  andrew

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 grind my teeth and have acid erosion and need crowns

Thursday, July 10th, 2008

Q. I have bad acid erosion on my teeth I also grind them in my sleep. I have two front crowns and will soon need the other teeth around them done the crowns are really horrible and my teeth are quite yellow. can you help me please.

 

A. the acid erosion on your teeth and grinding is one area which we need to control. the grinding is something dentists cant stop you doing but we can prescribed night guards which means if you are going to grind at least you grind the guard away as apposed to your teeth. the crowns can be replaced for more aesthetic crowns using all porcelain material. however first you could have some whitening to improve the natural colour of your teeth and then replace the crowns to match the new colour. hope all this is helpful.my advice would be to seek the help of a cosmetic dentist. if i can help please email back.

Dr Kailesh Solanki
Kissdental
157 Woodsend Road
Flixton Manchester M41 8GN
0161 748 5250
www.kissdental.co.uk
Winner of Best Private dental practice 2007