Posts Tagged ‘receeding gums’

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
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

How does diabetics influence implant surgery?

Monday, November 9th, 2009

Q. Hello I am type 2 diabetic ( controlled at present with diet and excercise regime ) I have lost teeth to upper left 3no and 2no to lower right. I am considering implant replacements . Would my diabetes compromise implant surgery . Also if positive what type of implant system is the best ?

A. Uncontrolled Diabetes is a contraindication to surgery and does adversley affect the predictability of dental implants. care should be taken if you lost your teeth due to gum problems.
Most of the main systems have “Bioactive” sufaces like Osseospeed (ASTRAtech) SLA active (straumann) and Nobelbiocare, Biomet etc, I mainly use Astratech dental implants because it is proven to maintain the surrounding bone in later years.
Rob

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

Any issues in cutting my wisdom teeth?

Sunday, November 1st, 2009

Q. dear, doc my wisdom teeth are coming in and i wanted to know if i had to get them cut and if i didnt get them out would they cause me trouble.

A. If they become impacted and the overlying gum becomes infected they will may need to be removed

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

What is the best way to cover discoloured teeth?

Wednesday, October 28th, 2009

Q. I damaged my front tooth when i was younger this made it slack I was then given root treatment and in time my tooth started to discolour, it was then suggested i get an veneer, this venner looked good but after 3 yrs it chipped and I needed to get it replaced,my second veneer was only in for 2 weeks when it cracked from the inside.I was then given my third within 6 months this one became noticeably darker, my dentist advised me to get yet another, I am just home from appt and this veneer is slightly better but at my gum area all you can see is blackness. I did say that I was’nt happy with it but he expressed that is the best he can do with what he has to work with, my own tooth is black and yellow as he showed me. i am wondering if you could advise on any other options. thanks

A. Thanks for your questions, you may wish to consider having a crown on the tooth instead of a veneer. Although it would involve more preperation of the tooth, a crown would be much less transparent hence consealing the discolouration. I would recommend that you speak to your dentist to gain his professional opinion on the merit of this in your case. I hope that his helps.
Kind Regards
DR Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Is bone graft painful and is it safe?

Wednesday, October 28th, 2009

Q. I’ve always had lovely teeth & visited the dentist regularly.About a year ago I noticed that every time I brushed, my gums would bleed.My dentist suggested various gels for gum disease,but now my top front tooth is slightly twisted and I still bleed.After having some x-rays Ive been told I have lost bone tissue and the next tooth may also come loose.I asked about implants. It has been explained to me that because there is a loss of bone an implant would not be possible at the moment.A bone graft/implant has been suggested.Can you give me some information on this.Where is the bone taken from? Is it done under general anisthetic? I am extreemly worried. I want my teeth to look good and I dont like pain.

A. Thanks for your questions, it is possible to carry out the procedure using an artificial bone, to prevent the need for a graft from another site on your body. This procedure can be carried out under local anaesthetic, although some clinicians will be able to offer Intravenous sedation, if you feel this would help you. The aartificial bone is then allowed to integrate for a period of months, before the process to place the implants would begin. I hope this heglps.
Kind regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

How to whiten my teeth with veneers?

Tuesday, October 27th, 2009

Q. Hi, I have had lumineers for about 2 years,and I had bulimia for most of that time, I noticed recently that they are yellow, especially towards the gumline, I bought white strips, but it says it doesn’t work on veneers, What is the best way for me to whiten my teeth? is it possible to whiten them? please advise. Thank you.

A. If the underlying tooth is dark it is very difficult to whiten them. Whitening gels may damage your veneers the only option may be to replace them.

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

Need all the information on veneers for my discoloured teeth

Tuesday, October 27th, 2009

Q. i have had a root filling on one of my front teeth years ago which has discoloured it thus making me a little uncomfortable when i have to smile!! unfortunate for me i work as an air hostess so i have to be all smiley smiley all the time!! i am considering having veneers but want to know alot more about them, ie cost for a full set? what the ups and downs are? do my teeth get damaged? how long do they last? i smoke, so would that effect them? and i am a little scared to just go to anybody as i dont want to be one of those cases where things go wrong and im left with infection or no teeth!? sorry!!

A. hi
if the discolouration of the tooth is really bad then a crown may be more suitable.
for that perfect smile your other teeth may be suitable for veneers which is a thin porcelain covering on the outer surface of the tooth , this usually means that the tooth needs to be drilled to avoid bulkiness when the veneer is placed . the downside is that you are comitting to a non reversible procedure . as time goes on and if your gums receed you will begin to see the join to the tooth near the gum -which is more of a problem if you have a gummy smile otherwise you will be ok.
smoking increases the efects of gum disease and also helps initiate gum disease so can contribute to the long term look of your veneers
costs per tooth vary between 475 to 700 per tooth depending on level of cosmetics
if just the position of your teeth apart from the dark one bothers you but not size and shape consider orthodontics like invisalign

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

Can I have my implants done in nhs?

Friday, October 23rd, 2009

Q. I am a 24 year old type 1 diabetic. As a result I suffer from gum disease, and 1 of my bottom front teeth has fallen out. I receive free NHS medical care and medication and was wondering if an implant is what I need and if it is available for me on NHS?

A. An implant would work well but it is unlikely that you would be able to have an implant on the NHS. You will also need to make sure your gum disease is controlled before considering a replacement tooth.

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 m not happy with my dental implants can anything else be done?

Thursday, October 22nd, 2009

Q. I am 21 years old and have a dental implant either side of my upper front teeth. I have had them for three years and am not happy with them. Originally they met my gums far higher than my other teeth which just looked wrong, so they then gave me new ones which had gum colour at the top of the tooth to look more in line. However it still looks pretty awful to me and I was wondering if anything else could be done about it. I think this was all because of lack of bone. Thank you.

A. Unfortunately this is a very difficult problem to solve now the implants are in place if there has been extensive bone loss prior to placing implants the bone would be rebuilt first, in your case the implants are present so to rebuild the bone the implants would need to be removed. This is a big step to take but is the only way to acheive the best aesthetic result the only other option might be to try a gum graft although the stability if this is questionable if the underlying bone has receeded.

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

Is its true that crowns cannot last for long?

Wednesday, October 21st, 2009

Q. Hi Dr Solanki, I had 3 crowns done over 25 years ago and theyre still going strong but above 2 of them, the gums are receding slightly. Is there anything I can do, to alleviate this. My dentist wants me to have them redone but I am concerned about the expense and also I have been told that these days, crowns only last 10 years. Is this true and why. I would like to hold onto mine for as long as possible as I have a fear of the dentist. Thankyou.

A. hi many thanks for your email, the receeding gums are a normal occurance, but your dentist is right the only way to improve the aesthetics at the gum line would be to replace the crowns. all crowns on average last for around 10 years, your crowns have lasted for twenty, some last for 5-7 years so on average that is why a figure of ten years is said.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

I hv receeding gums around my teeth Plz help

Tuesday, October 20th, 2009

Q. pls help im very worried, just got back from my nhs dentist my gums have started to pull away from some teeth, my dentist said this is due to my age, but im only 27, in the past i did brush to hard, my biggist mistake, i have booked an apoinment at red sky dental spar this is a cosmetic dentist, could they help me to retore my gums around some teeth that have reseeded thanks

A. hi msny thanks for your enquiry, firstly if your gums have receeded around some teeth this can be caused by a number of factors: hard brushing, grinding teeth, stress, gum disease, poor oral hygiene, hereditary. My advice would be to seek a consultation with a periodontist who is more qualified to discuss your recession and also give you some predictable solutions. Red Sky Dental are a good cosmetic practice however have no speciality in periodontics.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

How would I make a claim on dentists fault?

Tuesday, October 20th, 2009

Q. I had a root canal about 5 years ago, earlier this year I developed an infection in the gum above this tooth. Xrays show that the end of a metal tool was left in the gum. Is it possible that my dentist was not aware of this, as I think it unlikely. She never told me about it and I have been told that I must have the tooth extracted due to the infection. This dentist also broke off a drill bit under my sisters tooth, who had to go to the dental hospital to fix it so this is by no means a one off. Is this a regular thing that happens? Is there anyway, seeing as part of one of her tools would be missing, she would have not known about this to inform me. Another dentist has told me that I can take it further, is there a ‘offcom’ for dentists? And as I now face a large bill to sort this how would I go about trying to make a claim of she was at fault.

A. I would go back tothe original dentist to see if you can come to some arrangement regarding paying for the new treatment. You may need to take a copy of the x-ray to show the dentist what is going on. This is usually the easiest way to sort out a  dispute regarding treatment.

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 hv gum recession Can I get my lower teeth straightened?

Monday, October 19th, 2009

Q. Dear Dr Caplan I am in my 50’s and would like to have my lower teeth straightened. I do have some gum recession. Would the recession prohibit me receiving this treatment and would the treatment be more likely to cause my teeth to loosen?

A. Your bone support would

need to be assesed using Xrays.  If you have enough support to your roots orthodontics should be fine

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 I hv 6 month smile system to close the gaps in the front of my teeth?

Monday, October 19th, 2009

Q. I have had Perodontal surgery on my upper and lower gums due to Gum disease. I have been doing great for 4 yrs now. Would it be a problem for me to have the 6 month smile system to close the gaps in the front of my teeth? I have even teeth, I just always had a small gaps between my teeth, it just got worst with due to gum disease.

A. You need to be careful because your bone support to your teeth may be compromised.  Movement of the teeth may cause the support to these teeth to be damaged.  Pleas consult an orthodontist before commencing with treatment

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 hv titanium showing up does it concern my implant?

Wednesday, October 14th, 2009

Q. If slight showing of Titanium after 6 years, is this of any concern to my implant?

A. This can happen., just like gums may recede on natural teeth. I would recommend you see a dentist regularly to keep it under review

dr kalpesh bohara

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

Can I hv denture fitted Plz advice

Tuesday, October 13th, 2009

Q. I have had a partial denture for 20years but my upper teeth have got progressivly worse, my left central incisor has twisted and has receeded the gum quite considerably and is very loose,and has left a large gap between the other central incisor, the next 3 teeth on left upper are missing, the final 3 molars have gum recession also and dont look good. The right central incisor is chipped with slight gum recession, the lateral and canine on the upper right seem to be slightly longer and have slight gum recession, the next 2 molar seem ok, mising the 1st molar and 2nd molar seems ok. Also my teeth do have gaps Would it be better to just have them all pulled and a denture fitted as about half are already missing or need to be pulled. . I am 40yo, your suggestions please.

A. It would be impossible to advise you on this for two reasons, firstly I have not seen your teeth and secondly because I do not work with dentures. I recommend you book an appointment with a dentist who frequently places braces and get an scurate opinion.

Kind regards
Dr Justin glaister

dr justin glaister

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

Could you plz advice on an estimated timeline for treatment

Monday, October 12th, 2009

Q. Dear Dr Glaister, I consulted your site in 2006 and was delighted with your speedy and informative response, therefore, now that I have saved enough money to pay for the dental work that I need, I hope you will be able to help me once again. I decided to send my qustions to yourself as i understand you have great experience with cosmetic surgery and feel my question slighlty steps over the line from required treatment to cosmic treatment. From the start I should say that during childhood and my early teenage years I neglected my teeth insofar as I didn’t brush them at all; I didn’t even go to the dentist until I was seventeen. Four years on from my first visit and I have finally found a dentist who actually seems like he wants to help rather than inform me that I should have looked after them when I was younger in a patronising yet cheerful tone as my previous dentist often did. I have been going there for around six months now and as such my check up is due. When I visit at the end of this month there are a few things I will be asking the dentist, but thought I would get your opinions first: One thing I noticed since I first started going to the dentist is that after I had received all the necessary treatment, a few weeks later I would need to go back to the dentist after experiencing tooth pain, only to find I need another filling, and also by the time my next check up was due, I needed a whole host of work. Even though I brush my teeth twice a day with Colgate total and use Cordosyl daily (as recommended by my dentist) my teeth still seem to be going from worse to worse every few months, or in some cases weeks, and have been for the last few years. To the stage where I am sure the next time I go I will be told I have gum disease as lately my breath has an unpleasant odour and one of my teeth has started to hurt; a pain that I can only describe as being inside the tooth, yet not part of the tooth but rather up inside the gum. This is the main factor that I am holding back from spending my life savings on private treatment, i.e. crowns/bridges. Insofar as I do not want to spend every penny I have if the teeth the crowns are fixed to will still be rotting away underneath and thus the crowns fall out and I have wasted my money and am left with small stumps for teeth and no money to fix the situation. So could you please advise me as to whether it is possible for the teeth to still rot away underneath the crowns? Or if, once treated the gum disease is likely to cause problems for the crowns/bridges? I understand that you obviously cannot comment on me specifically, and even if you could, would need to examine my mouth before answering, but I am asking, based on the information provided, i.e. teeth keep decaying and worsening even with proper care and attention, is it possible and if it is how likely, that the teeth and will rot away underneath and cause the crown to fall out. Could you also please advise; on an estimated timeline from the start to the finish of treatment, detailing what procedures are involved. I am looking to have sixteen teeth fixed and would greatly appreciate your advise, because as you can imagine with my current smile of autumnal colours I have no confidence and do not even want to go to job interviews or out with friends as my teeth become the focal point for everyone, and there is only so much abuse and embarrassment you can take. Even going to the dentist themselves has become a struggle as I feel as though everyone must be talking about me, as I am told I have the worst teeth he has seen in someone my age. Plus it has now become a practical decision, in that even eating is now becoming more of a challenge as hot and cold foods and drinks seem to aggravate different teeth on different days as and when they desire. If you think having crowns would be a bad idea as it is the likelihood that the teeth will indeed continue to decay underneath, is their anything you could advise as an alternative as I don’t really know what to do. I have a budget of £8000 and obviously cannot afford to have implants. Also, it is the upper and lower front four teeth on the left and the right that I want the work to be carried out on. Thank you for your help, I hope to hear from you soon.

A. Only a dentist that has assessed your mouth can answer questions in so much detail.
Please book in for a consultation with a cosmetic dentist and go from there.

Kind regards
Dr Justin Glaister

dr justin glaister

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

What can be done to cure teeth decay caused due to pregnancy?

Saturday, October 10th, 2009

Q. Hi, I will start by saying, when i was pregnant two yrs ago my pregnancy took everything out of my teeth! They just started decaying very quickly and have continued to get extremley worse! Most of my teeth are falling apart, look rotten, break,and casue pain all the time. No matter what i do i feel i can not stop them from continuing to decay! So my question is what to do? implant?vaneers? Or??? I really could use some help, i would like to have a smile i can be proud of! thank you!

A. Firsly it is important to find out the cause of the decay by visiting a dentist. The main reasons for this are too much sugar in the diet or the patients oral hygiene. After this it would be important to stabilise the decay, so that it does not get worse. Once everything is healthy in the mouth then it can be discussed what options you have to improve the cosmetics of your teeth.

dr kalpesh bohara

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

What can I do,to reduce the pain in gums when exposed to cold?

Saturday, October 10th, 2009

Q. Hi Doctor, I live in a cold climate and have a very painful experience in my gums each time I have been exposed to the cold. The throbbing and shooting pains start about half an hour after the walk and last for about 15 minutes. The pain is in all my gums. My teeth also become very sensitive during this time.My gums and teeth, although there is gum receeding happening, are in very good condition. I have my teeth cleaned regularly, and keep my teeth very clean. Please help, what can I do?

A.

please consult your dentist so that he can take an x-ray and examin your teeth and advise you on the way forward.
Kind regards
Dr Justin Glaister

dr justin glaister

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

Is its necessary to undergo grafting before implanting dentures?

Saturday, October 10th, 2009

Q. Dear Sir, I’ve been “selected” for a procedure that I am not familiar with and want to find out more information…I have been waiting for approval though a county dental facility to have the rods or implants for witch the denture can be attached to…My oral surgeon called and said that while I wait for the OK for those rods/ implants..He would like to perform something..I am not sure of the exact label for the surgery..it involves Lowering the floor of my mouth..? and building up mandibular area..they want to take a skin graft from my buttocks and use it as a graft for my mouth..They want to do this because my lower jaw was without a denture for 8 years..not that I didn’t have one but got poor dentistry at the time and it did not fit and cut me badly..result..stopped using lower denture to my detriment. Does any of this sound familiar to you..I am 56 years old and in fairly good health in spite of wheel chair status…part of the reason I am in a wheel chair and lost my teeth was because eight years ago I was misdiagnosed as having end stage breast cancer to the bone…I didn’t though but was placed in a Morphine induced comatose state for a year..till they figured out their mistake and withdrew the medications…however I lost most of my teeth..then when I woke up I had to have the rest of them removed…I need some direction here..I am scared to go under anesthesia for 2 hours! In addition I need to know the possible side effects for such a procedure. He said it would be that long…scares me when you consider all of the medical mistakes I have endured in one life time…maybe I am over thinking this..but I need to do research..But don’t no where to turn..he did say this procedure was a common one before implants…what is he talking about..I will have further instruction next week when I go in but want to be educated enough when I go to ask the right questions..Can you please direct me to some educational material..I would appreciate it. Thanks for your time.

A. I am not familiar with this exact procedure but graftings are often done.  In my practice we use block grafts for large procedures.  Speak to your dentist so they can put you at ease.

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