Posts Tagged ‘periodontal disease’

I am having problems with my veneers and have additionally developed periodontitis, what should I do?

Wednesday, January 26th, 2011
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 .


Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

I am looking at getting my veneers replaced but I have peridontal disease, is it worth it?

Tuesday, January 25th, 2011
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.


Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

What will happen as a result of tartar build-up in my bottom teeth?

Wednesday, January 5th, 2011
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?


Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

What are the best options to save my smile if I suffer from advanceed periodontal disease?

Wednesday, December 8th, 2010
Q.

hi , i am 43 and have quite advanced periodontal disease , also an overbite on my top teeth and tmj disorder . i have already had 5 teeth removed , and today i saw a periodontist and he said i need another 3 out but not replace them .. this periodontal disease started about 5 years ago . i do smoke , which i know is a huge factor in the disease .. what i want to know is if i had all my teeth removed , would that end the disease ? and could i then have implants to replace all my teeth ? or is it not possible because of gum and bone reduction ? my dentist is always saying they are trying to save my teeth , but whats the point if they are destroying whats underneath ??? Any assistance you can offer would be greatly appreciated as at present I am finding this deeply depressing at the moment in time 


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

I have periodontal disease at 27. Is there anything that can be done?

Tuesday, November 23rd, 2010
Q.

Hi Dr Moore,

I am REALLY desperate. I have been told I have periodontal disease at the age of 27. I already have an extreme occlusion and my teeth are already moving and loose. I need some reassurance really….I just want these things out of my head! I hate them but I don’t know what I would do if they fell out either. Mainly I really need some advice as I would love a full reconstruction but don’t think I could ever afford it 🙁 Please help!!!


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

I have periodontal disease. Is there anything that can be done?

Monday, November 22nd, 2010
Q.

I was recently referred to a dental hospital by my dentist, the consultant says I have periodontal disease and there is nothing that can be done. Not even implants due to extensive bone loss. I wanted veneers and my dentist had discussed fitting a splint and then veneers. Are there really no options available to me cosmetically??


Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki

How long would it take to close gaps in my teeth with braces& what would be the cost?

Friday, November 19th, 2010
Q.
Dear Dr Patel, I would appreciate if you could answer to my below questions; My problem is that I have a Periodontal disease and I lost few teeth’s. At the moment I have a partial metal denture. Some of my teeth’s are moved and crate a big spaces between them and it look’s ugly. I believe that some of the orthodontic treatment has to take place, before any additional action to my perfect smile. The teeth’s which needs orthodontic treatment are the upper R2 and L2. Could you please let me know how long I need to wear the braces to straighten them and the cost. (appox).,

Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

I have gum disease and would like to know my options for replacing my teeth?

Tuesday, September 28th, 2010
Q.
I am 30 and just been diagnosed with periodental gum disease, what are my choices for replacement teeth? i am devastated at this news and do not fancy dentures so young many thanks,

Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

What can I do if all of my teeth fall out due to periodontal disease?

Wednesday, July 14th, 2010
Q.
i am only 20 yrs old and i have been diagnosed with periodontal disease. It has taken all my happiness away. Is there anyway i can get veneers if my teeth where to fall out? The Dr said the disease had already spread to my bone,

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

Should I have teeth removal after being diagnosed with periodontal disease?

Wednesday, June 23rd, 2010
Q.
Although I have a plaque free mouth, I have developed periodontal disease quite severely. I see the hygienist every three months, but I know that the disease has been spotted far too late and I have severe bone loss on at least 6 teeth. I am now at a cross road and although my dentist wants to continue with the three month hygiene regime, my quality of life is very poor, i.e great sensitivity, difficulty in eating and my mouth is permantly thobbing. I would like to loose the 4 molars which are causing me problems, together with one premolar and in incisive which although healthy do not have any bone to support them anymore. what are my options? and how much would it cost for 6 implants, bone and gum restoration? Also how can the denist not have spotted the severity of the problem as I always had 6 month check up previously? I am really upset that find myself in this situation as I have always taken care of my teeth, PS I am 43.,

Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore