Q.

hi, im a nineteen year old boy and im really unhappy with my smile it causes me too slip into depression because it dictates a lot of my life.
my mother never from a young imposed any sort of dental hygiene and through out my adolescents i continued oblivious to everything and for this i have suffered, i have a horrible smile and was wondering what you might suggest i do in this situation because its ruining my life and i just dont want to be disgusted when i smile in a mirror. help?
i have severe staining on my front upper teeth and i believe i suffer from periodontitis.
ever since my dentist told me about everything i have been on a very strict hygiene routine im doing everything i can to stop things getting worse but they still are i just need someone to offer me help, im sorry if this sounds dramatic but its getting to a desperate point where i breakdown and im worried it will make things worse i want to change and will do anything to make it happen, i will be eternally great full for help.
Many thanks 

Q.

Please could you advise me i am so worried and although i know the situation is terrible some sound advice would at least help me to rest. I have aggressive periodontitis. With the result that i am only 34 and my bone loss is so sever on my front bottom teeth that my dentist said that i won’t them for much longer. I have moved around a lot in my life and seen different dentists and therefore not been under the care of one. This dentist said she will refer me to the hospital after my next hygienist visit but this will be in three months time. Meanwhile she said that there is nothing i can do but wait for my teeth to fall out (aside of course from impeccable hygiene).

My question is this. Would it be better to have my teeth pulled out to preserve any bone that remains. And is it possible if the bone loss is so severe that i may not be able to have dentures? This is my worst nightmare.
I have researched online and would like to know if periodontal laser therapy might be an option.

I do appreciate how busy you are but would so greatly appreciate any advice you are able to give me.
P.S I currently get help with NHS costs as although iam a professional I am a single parent. Thank you so much for taking the time to respond. 

Q.

Hi, I am 43 years old and have aggressive periodontal disease.
I have lost a few teeth already and this has totally destroyed my confidence, I brush,floss and use a mouthwash every day but I feel the damage done is so severe I can’t really reverse what has been done.I don’t smile if I can help it and was wondering if you had any advice for me,I regularly go for check ups and cleaning.
Many thanks

Q.

hi i am suffering from recieding gums and i am petrefied that my teeth are goin to fall out i clean them twice a day with corsodol tooth paste plus i use mouthwash but the only thing is i smoke is there any chance of having an opperation and how much would it cost please

Q.

Hi.I ws diagnosed with periodontitis some 3 yrs back. Though I keep my teeth clean but it seems to still aggravate n my teeth r weakening day by day. Plz let me know if there is something which can b done, who to contact n how much is it going to cost.

Q.

My gums bleed and on my last dentist appt. she told me i might loose my teeth pretty soon cause they getting fragil and am so scare>>>> please tell me what can i do to prevent this from happening. my doctor did not tell me what can she do..therefore, am asking you for your HELP!!

Q.

Good Morning,
I hope you may beable to help ?
Since July 09, i have had 2 scale and polishes at different Dentists.
The first one said i have Gingivitis,
and to use Corsadyl gel.
I have been using this and the bleeding stopped after 4 months, but keeps returning.
I am in constant pain, and have had Anti biotics but they havent worked.
The second Hygienist said my Gums were very red and swollen, but i dont have Gum disease ?
I also have an Overbite and suffer with
TMJ, where my left jaw joint dislocates it’s self when im asleep !
I have tryed a Night Guard, but its not helping.

Please advise ?
Many Thanks.

Kind Regards.

Q.

I am writing to ask for some advice about the problems I am having with my gums and teeth.

I was given fluoride tablets as a child which led to me having mottling and discolouration on my adult teeth. My mother decided, when I was 15 that having veneers would be the best course of action (and this was recommended by my dentist) I had veneers fitted on my 6 front top teeth. These veneers were effective and remained ok until 1999, when 2 of them had chipped, which I understand is not unusual, veneers having a limited life span.

In 2003 I had new veneers fitted by my local dentist. Since then I have had repeated problems, in particular with two of these veneers. These veneers repeatedly come off and I have been back to my dentist several times to have them refitted. More problematically though, the veneers would come off whilst I was out and unable to go to the dentist. The teeth underneath are noticeably small, discoloured and have no enamel. I experience some sensitivity in one of these teeth. Thus I bought some temporary dental cement and used this when the veneers come off . 2 of my veneers are now fixed on (badly!) with this cement. Ideally I would have no veneers at all, but I can’t do this as my teeth underneath would be exposed, with no enamel.

One enquiry I have is whether I could qualify for NHS veneers, given that I am not now seeking them for purely cosmetic reasons, I have no real choice about it. I also had limited choice when the original veneers were fitted when I was 15, and was not mature enough to make a properly informed decision. If this was not possible I would like to find out where the best place to go for private veneer replacements.

A complicating and worrying factor has now come about however. I have now got periodontitis. I only noticed the symptoms of this 3 weeks ago. My dentist took ex rays and made an appointment for me to go back for cleaning at the end of this month. She intended also to remove the 2 veneers around which the problem is worse. I feel unsure about undergoing this procedure and having new veneers fitted there, because of my past experience. My gums also are getting worse on a daily basis and I’m quite alarmed at the rapidity of the deterioration. I therefore found and saw a private periodontist. He did a thorough examination and diagnosed periodontitis. He suggested deep cleaning of my teeth and gums, before replacing the veneers This made sense to me, but I am concerned that the two venners that are causing me the most problems will either come off and maybe break during the cleaning, or stay in place, still harbouring infection and/or causing aggravation to my gums because they are ill fitting. The fee for treatment privately is also unmanageably high for me, though if it was likely to be the best course of action I would consider taking a loan. I just don’t want to go down the wrong route and end up with more long term problems, as I’m aware of the associated health risks from periodontitis.

I am also unsure if periodontitis can be treated by an NHS dentist. I would like to know more about the differnece in quality of NHS veneers versus private ones. I don’t want a ‘hollywood smile’, just to have teeth that look like mine would have done. My original veneers from the NHS both looked fine and lasted long, but maybe quality varies (these would have been fitted in the 1980′s). Ideally I would have the periodontitis treated by an NHS dentist and perhaps ‘shop around’ for the best veneers I could afford (if they are very different from NHS ones), but it would also be nice to have everything dealt wirth under one roof .

Q.

I have periodontal disease which I have had treatment for, and visit the dental hygienist 3 times a year. I now maintain excellent daily oral hygiene. (My dentist did not tell me I had this disease, but when the dark pockets appeared I looked it up on the internet and asked him to make me a referral). I was a smoker at the time but he did mention that I should give it up because it causes bone loss but he clearly was economical with the truth. I was horrified. I lost 3 back teeth before diagnosis.
I have 6 veneers which were carried out by my previous dentist 20 years ago.. i still maintain them but of course I have periodontal pockets in between. I had the main treatment for the disease 5 years ago and have had no problems since. I am currently 54 years old and wondered whether it is worth the cost of replacing these given that perio. disease is chronic. I have been quoted £600 per tooth. Many thanks.

Q.

hi

i have a lot a tatar at back of my bottom teeth, i found out that my middle two bottom tooth are slightly wobblely, i scared i will loose them, please help?