Posts Tagged ‘shrinking gums’

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

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

I ve a lump on my gum could you help with what this might be?

Friday, October 23rd, 2009

Q. I had surgery on my jaw in january for orthodontic purposes. my jaw was broken on eash side and slid forward to correct my bite. It was done on my bottom jaw. In august they discovered the plate was infected. I had this removed. Since then i have had a lump on my gum and small bits of bone have been coming out. can anyone help with what this mite be? my dentist is worried the bone in my jaw is crumbeling away. but my orthadontist says it is fine

A. You might asked to be referred back to the surgion who carried out your bilateral saggital split to check on what is going on.

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 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

What is the best way for root canal treatment?

Monday, October 19th, 2009

Q. Two years ago I went to the dentist for my regular scaling and check up. My dentist told me I had a cavity and thus would need a filling. I got my scaling and my filling done that day. He then told me to come back if I feel discomfort in my just-filled tooth (which I thought was weird because fillings aren’t associated with post-procedure pain). My tooth did hurt a bit, but I thought I’d survive, so I didn’t go back to my dentist for about a year and a half. Now (it’s been 2 years since I got the filling) I find myself getting a root canal. Can I please know exactly why my tooth got so sensitive, when, before the filling and discovery of the cavity, my tooth was absolutely fine (feeling wise). I feel as if the dentist I got my filling from did something wrong. That tooth was sensitive to hot and cold things from time to time, but I could survive. Was is a good choice to have got a root canal anyway? I am regretting having done this, and now I’m wondering if I really needed it. Thank you, Jessica

A. Teeth that have decay in them can often be symptom free.  That is why dentists take Xrays to confirm that there is no hidden decay.  When the decay is removed it can sometimes be close to the nerve of the tooth. When a filling is placed in this situation the nerve inside the tooth can still die and give you pain.  It does not sound as though your dentist has done anything but the correct treatment for you and it is unfortunate tha the decay and bacteria had infected the nerve of your tooth

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

The base of the cavity is bit dark after having molar tooth removed Is its normal?

Wednesday, October 14th, 2009

Q. Hi, I’ve had a molar tooth removed recently after it fractured from eating food. I took some photos with my camera to see if it was healing well and i noticed that at the base of the cavity it looked quite dark, almost silvery like my other fillings. Is it normal to be this colour?, could the dentist have just left the lower part of my tooth etc in my jaw? Can i send the photo to get your judgement? Thanks

A. if you come to the StJohns Dental Practice in Birmingham I will look for free. Call Amy for details 01216430610 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

Will the root canaled tooth be sensitive if it cracks Plz advice

Monday, October 12th, 2009

Q. I had gum contouring done 3 weeks ago. On Friday (3 days ago), my dentist relined my temporary to add more acrylic along the gum margin where tooth was exposed. He tried to adjust the tooth (which had been root canaled) and the bur hit the tooth. After that, he applied bonding material to the tooth before replacing the temporary. Now the tooth is sensitive. He inserted the cord on gum when he relined the temporary. Could the sensitivity be from the gum tissue? If a tooth that had been root canaled crack, will it be sensitive? I am afraid to ask him but I hope it did not crack.

A. IF the tooth has been successfully root treated you should not have temperature sensitivity. It might be from the gum, It is worth returning explain your sensitivity. Dont worry about getting it checked out.
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

I m 35, Is there any remedy for my shrinking gum?

Saturday, October 10th, 2009

Q. Hello. I have worn false teeth for 35yrs. My bottom gum has shrunk so there is hardly any ridge for my dentures to sit on and I now look as if I don’t have bottom dentures in! Can anything be done to remedy this?

A. Nothing can be done to bring back the shrinking gum, however you may be able to have a new denture made that is more aesthically pleasing. However this would have to be done privately as no cosmetic procedure is availableon the NHS.
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

I have bad rotten teeth what treatment do u suggest me?

Tuesday, September 15th, 2009

Q. Hi, I’m 28 years old and i have always had bad teeth and oral hygiene in general. The last time i visited a dentist was around 14 years ago. The teeth that didn’t have to be extracted had fillings so my mouth was already in quite a mess. Now it has got to the stage where at least 50% of my teeth have completly rotted away right down to the gum line and below. All i see now when i open my mouth is big black holes in my gums. The remaining teeth, mostly being the front visable ones have very bad cavities and are discusting to look at. Having done research online i am absolutly petrified of related health issues caused by bad oral hygeine. I’m so depressed right now i just dont know what to do, I have no friends, people think i am ignorent because i never smile and dont like to look at people when they speak to me incase they look at my teeth. I am jobless at the moment, i wanna go back to work but too worried about what the interviewer will think when he see’s my teeth. I really want friends and to socialise but im just so embarassed to go anywhere or speak to anyone. I currently recieve social security benefits so spending thousands of pounds to fix my teeth is not an option for me. I just don’t know what to do or where to turn, i just want to be able to smile and laugh without looking at the floor or putting my hand over my mouth. I have a partner of 8 years who keeps telling me to sort it but she just dosn’t understand why i carn’t face going to see a dentist. I carn’t even smile in front of my 3 children because im so scared of them seeing my bad teeth and asking questions about them, even my own kids think im ignorent and misrable. I’m quite sure i’m way past the help of a regular dentist because i don’t believe any of my teeth can be saved and its actually my gums that look pretty messed up now. Please help me turn my life around and smile again. Your help and advice is very much appreciated.

A. Hello, I’m sorry to hear of your predictament. I thin k you’re right, a regular dentist probably isn’t going to be able to help you at this stage. Perhaps you hould look into being treated a  dental hospital where treatment is free or subsidised and carried out under the supervision of a specialist?

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 have 4 tooth removed nd braces fixed but my jaw looks misaligned?

Tuesday, September 15th, 2009

Q. Hello there,i was wondering if you could help me.When i was about 12 i had 4 larger teeth removed towards the back of my mouth.2 on the top and 2 on the bottom.I had these removed due to overcrowding.I then had fixed train track braces fitted on the top and bottom of my teeth.I had these fixed for about a year but i had them removed as i was getting constant headaches and we thought this might be causing the problem.Since having the teeth removed and the braces fitted my appearence has totally changed.My jaw is completely crooked which is totally noticeable, especially in photographs where i cannot stand to look at myself.My face itself has become alot longer and thinner and the the pallet in my mouth has caved in.Instead of being a nice u shape it is much more like a v shape and it feels as though i am biting on the side of my teeth.When i have seen my dentists they say that there is nothing wrong but this has being really bothering me for years and it is my crooked jaw that really upsets me and i am desperate to try and sort this out and have a straight face again.Please can you help me.Look forward to hearing from you. Thank you.

A. If your problem is purely a tooth position issue a brace will sort out your issues.  However it sounds as though your jaw growth has been uneven over the years.  This is unlikely because of your tooth extractions.  If this is the case you may need surgery to reposition your upper and lower jaws possibly in combination with a fixed brace

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

Are dentures very realistic to the teeth?

Wednesday, September 2nd, 2009

Q. HI, 2 YEARS AGO I HAD TO HAVE SOME BOTTOM FRONT TEETH REMOVED DUE TO GUM DISEASE. I HAD THEM REPLACED WITH DENTURES. I HAVE ALSO LOST MOST OF MY GUM AT THE BOTTOM. THE DENTURES ARE NOW QUITE LOOSE AND AS THEY HAVE SETTLED MY TEETH AT EITHER SIDE OF THEM ARE NOW HIGHER, WHICH MAKES ME FEEL UNCOMFORTABLE. MY DENTURES DO NOT HAVE ANY GUM UNDER THE TEETH WHICH MAKES THEM LOOK LIKE FANGS. COULD YOU PLEASE ADVISE ME AS TO WHETHER A DENTIST CAN MAKE FALSE GUM DENTURES WHICH WOULD NOT MAKE MY DISAPPEARING GUM SO VISIBLE WHEN I TALK OR SMILE? I HAD MY TEETH DONE WITH A PRIVATE DENTIST BECAUSE AT THE TIME I HAD THE SPARE MONEY AND I HAD LOST TWO TEETH AT THE FRONT WHICH NEEDED ATTENTION VERY QUICKLY. I LOOK FORWARD TO YOUR REPLY, REGARDS,

A. Dentures can be made to look very realistic, replacing not only the teeth but the underlying gum as well.  I suspect you had your denture placed immediately after the removal of your teeth.  A new denture should solve your concerns

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 teeth are very sensitive and gums appeared to be shrunk what can i do?

Saturday, April 18th, 2009

Q. Last year during a routine check up, my dentist told me my gums are not attached to my teeth correctly. Recently my teeth have become very sensitive and little gaps have appeared at the top of my gums as if they have shrunk. What can I do? I am so scared I will lose my teeth. I don’t want to smile at the moment and am very self-conscious.

A. It sounds as though you have some pocketing around your teeth. The treatment I would advise is an extensive hygienist visit and improving your oral home care routine.
The hygienist may possible do some pocketcharting (to determine how big the pockets are), show you some good brushing techniques and demonstrate flossing and cleaning inbetween your teeth.
The problem needs to be addressed now- if left any longer, then the teeth may start to loosen.
Hope this has been useful.

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 have crooked front teeth, gums which bleed and scared of dentist. I’d love to get them fixed

Thursday, April 2nd, 2009

Q. Hi i am 36 years of age and i detest my teeth. Some are rotting i have sore / bleeding gums when i brush. Front teeth some are crooked and discoloured. I am scared of dentists since i was a kid and i suffer a lot from bad breath. What can i do ? I’d love to get them fixed and have a smile that my partner would love and boost my self confidence. What are the costs etc. I am living i ireland but willing to travel to fix my teeth.

A.

” salvage ” dentistry is not easy to give even a ball park figure. The cheapest option will often be extraction of hopeless teeth , replace missing teeth with a denture and fillings if the holes are smaller cost might be under £1000 At the other end we use crowns, bridges veneers, orthodontics and dental implants costs might be over £20,000. In the middle lots of other options.
One approach might be a simple start to build your confidence in your dentist then do some more advanced work later.
We would love to see you if you can’t find a dentist locally. In the first instance I would recommend a huge leap of courage and visit a couple of your local dentists and see if you feel comfortable with them.

Questions to think about before you go

Do you mind dentures
Can you wear dentures for a while ( during a longer treatment )
What is the budget
Should you do it on Finance
Do you need sedating ( tablets of valium or similar injection )

If you have no joy please feel free to contact me.

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

Menapause caused gums to shrink creating a gap exposing tooth base uniformly

Wednesday, April 1st, 2009

Q. female, 62, full porcelain fused to gold crown uppers. Menapause caused gums to shrink, creating a gap exposing tooth base uniformly. Otherwise beautiful expensive crowns….any regenerative gum procedure out there?

A. You could consider a gingival graft to cover the margins of the crowns if enough bone exists around the roots of the teeth.

Please consult a Periodontist for this treatment or contact our practice if you need help finding one

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

Hi I have just been to my dentist for a checkup

Monday, November 17th, 2008

Q. Hi I have just been to my dentist for a check up as I have a problem with shoting pains and aching pains from my top teeth up into my nose I had a nose operation 9 months ago which the ent says has healed well and there is no problems with my nose my two front canines have gun receeding very badly and my dentist suggested a toothpaste for sensitive teeth and a flouroide mouth wash I have done this for a week and it has improved slightly but can you tell me do you think this reedeing gums is causing me these problems and how long will it be before the problem has disappeared as i do not want to go back to the ent unless it is a problem with my nose and are there any other things that I should do to help this many thanks

A.

It sounds like the gum shrinkage is causeing the problems your dentist could place some fillings over the exposed / recessed parts of the teeth which should help the pain.

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

I have a very slight lisp from thumb sucking

Monday, September 8th, 2008

Q. I have a very slight lisp, I pressume this is from years of sucking my thumb until my late teens.My upper teeth are slightly overlapping my lower teeth.I am interested in invisalign but i am unsure if these are the correct braces for my teeth?

A. There are many different braces available. You would need to consult an orthodontist to assess which ones would be suitable for you.

dr justin glaister

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