Q. my teeth have become shorter by youthful grinding !!!can you offer a solution ?
A. Normally veneers or crowns are the only option in these cases however very good aesthetic results can be acheived.
let me know if you’d like me to take a look. Our clinic number is 01245 268 494 Regards Andrew
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. i seem to have a habbit of pushing my front teeth with my tongue and then pushing them back again and now, i find myself doing it all day without realizing it and now i think one of my front teeth are shaky, it seems to move a bit more now, out of place when i push it and instead of stopping, i do it alot more now to see if it really is shaky or not. im terrified as im only 21. what can i do if they fall out? i also grind my back teeth in my sleep and during the day which is a new thing during the day. what are dental implants? are they screw ins? if my teeth come out could i get them on nhs? in the morning i feel as though if i just push my teeth theyl pop out so i try to avoid doing that 1st thing in the morning. im terrified on dental jags so cant go to dentist, i would go if i could get put to sleep tho, please help
A. Start by forcing yourself to visit 3 different practices that seem friendly to anxious patients. You can be adamant that you only want an opinion not treatment. ( check prices for assesment before you go )
One of them will feel better and more in tune with you. Then start with some simple treatment to boost your confidence.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Q. I am considering implants in my lower jaw as I have lost all the double back teeth. They were havily filled and all abcessed and I had to have them removed. I grind my teeth at night and in the day and wonder if this would have been a factor in my losing them to abcesses. I have had a mouthguard in the past but don’t use one now. Would the tooth grinding adversely affect the implants? Thank you
A. Yes tooth grinding might damage the implant crowns. They will need to be made to fit into your bite very precisely, you might need to wear a bite guard to protect them during the night.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. please can somebody help me i am 37 years old and had all of my teeth pulled out when i was 18 with 2 wisdom teeth so with not a tooth in my mouth i have worn dentures for nearly 20 years and as im sure you know what im just about to say i wont be able to have any more dentures due to no bone and gum left im getting quite distressed about this as the plates do not fit in my mouth now and the teeth on the plate have grinded so i cant eat or chew my face feels is collapsing.would i not be able to have this done on the nhs.can there be a positive outcome
A. Hi, many thanks for your email. the first thing that should be ascertained is how much bone you have generally i have found in my experiance that once a CT scan of the jaw bones is done, there is usally more bone in the jaws than you think. The next step once the true answer is known about how much bone you have is deciding on the the way the teeth are to be restored. th reason for the CT scan would be to see if you are a candidate for dental implants.
Preferribly four implant in each jaw would give you fixed teeth which would not require removing, the cost of which would be approx £12,000 per jaw.
Two implants per jaw fixed to a denture would be removable but when in very secure. the cost per jaw would be £5000
The alternative would be dentures which is what you already have, but with a better fitting surface and new teeth, these are not ideal, but cost wise may range from £1000 – £4000
There are many practices that offer interest free credit to help finance the treatment. hope this is helpful.
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
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
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I now have the “Old-fashioned ectremely expensive complete top veneers – the type that they had to grind down all of my teeth. This was recommended because I had gum disease which was supposedly cured after surgery. Now, I have receeding gums – just one tooth at the top that shows my own tooth and the space between! It looks awful! Can anything be done to correct this?
A. Please consult a periodontist to see if a gum graft would be possible.
Kind regards
Dr Justin Glaister
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. I grind my teeth at night for this i now wear a bit plate which has helped the problem now is my teeth have become promanant can any thing be done
A. Book an appointment with your dentist and ask hi if a different type of nightguard can be made. Perhaps one that just sits on your anterior teeth holding the posterior open.
Kind regards
Dr Justin Glaister
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. Hi there i have always had a great smile untill i staryed grinding my teeth at night a few years ago. now my bottom right molars are much thinner, and my upper right side is worn far more than the other side causing a crooked effect. can this be repaired?
A. Yes this can but often requires relatively complex treatment to reestablish your correct funtion. Once this is done you need to wear a night time splint to protect your new teeth as the muscle emgrams( muscle memory) will likely keep you grining your teeth
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
Q. I WAS IN ITALIAN RESTAURANT YESTERDAY AND ONLY TOOK X3 BITES FOOD AND FELT SHARP PAIN DOWN LEFT HAND SIDE OF JAWLINE FROM BOTTOM OF LEFT EAR DOWN TO LEFT HAND SIDE OF LOWER CHIN. I WAS IN AGONY ALL SUN NIGHT AND TOOK X2 LOTS CO-CODAMOL PAINKILLERS WOULD NOT BUDGE PAIN AND TOOK X2 LOT SAME THING THIS MORNING. NOT SEEING DENTIST TILL TOMORROW. CAN YOU PLEASE ADVISE. MY DENTIST ONE OCCASION SAID I MAY GROUND MY TEETH. I HAD BEREAVEMENT OF LATE AND WAS STRESSED AFTER FEW THINGS GOT ON TOP OF ME. WHEN I MOVE MY TEETH UP AND DOWN IT ACHES SO. CAN YOU ADVISE PLEASE. MANY THANKS. PAIN IS UNBEARABLE. I WAS IN TEARS.
A. Your dentist definitely needs to xray the area to determine if there is infection present
If nothing can be found then you can try wearing an Aqualizer www.aqualizer.co.uk to determine if the pain is due to your grinding or have your dentist make a guard to prevent this problem during stressfiul periods
Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF
Q. What does it mean by a “hard” bite?
A. The chewing pressure between upper and lower sets of teeth varies from person to person. If you have a hard bite it means that you use a lot of pressure when chewing & possibly also clench, keeping your teeth together for longer. My favourite description is an “abusive occlusion”.
Rob
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Q. Dear Dr. Julian, Good Day to you! Hoping that you can help me with my teeth problem it was 10 years ago that my old dentist told me that Im having full denture, to shorten my words that time we dont have money coz i came from poor family, im a filipina and recently working here in Dubai, Im planning to have my vacation and fix my teeth.. Now at this point my upper teeth is all fad
ed i dont know what the exact term or words to used. some of my teeth gone already to the point that only left little in my gums, im using false teeth for 10 years, nearby tooth is damaged. please advice me what to do and what to have? please let me know the budget i shoukd pay… thank you.. With best regards
A. It sounds like your teeth are not savable. Your options are now to have new dentures, dentures supported by implants or bridges supported by bridges. You would need to find a dentist to discuss the fees for these procedures
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
Q. Hi my teeth are all ground down so there quite close to my gums from grinding my teeth together and quite allot of my bottom teeth are also broken and have holes in from where old fillings have come out, i have’nt got a dentist at the moment and have’nt been to the dentist in a very long time im 25 years old and i claim working tax credit because im on a low wage so i have an NHS Exemption Card and i realy dont know what i should do and what i would need doing and weather i would have to pay with the NHS Card, What would you suggest i do and what would be the best option for my teeeth condition. Regards.
A. The best thing to do is to try and register with an NHS dentist then see what you will be allowed to claim for on the NHS
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. Hi I grind my teeth (bottom row) at night and my dentist has told me the only treatment is dentures or teeth implants can you please let me know if there is any other treatment such as crowns or veneers. I am an extremely nervous patient. I thank you in advance for your help.
A. If the supporting structures to your teeth have been severely damaged ( predominately the bone) then implants or dentures may be necessary. If you have worn teeth only crowns may be an option. Please contact my pratice if you wish for a second opinion and possibly treatment. I have treatment many wear cases with great success
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
Q. Hi I have a tooth grinding problem which has cracked a bottom tooth. My dentist has repaired this twice with a small filling but it keeps coming off. I went to my practice last week (met a new dentist) who suggested having a veneer which was ‘really tough’ and would not come off. I was quoted £700. However, my previous dentist said a veneer would not hold and he wouldn’t sell me one, he suggested a night guard £400, but I am not convinced I ‘grind’ at night I think it is when I chew food. My dentist raised the height of a rear filling to stop me grinding and now I am having trouble chewing food. I therefore have three expensive options (veneer, night guard or constant fillings) and have no idea what to opt for. Can anyone help? Regards
A. Hi . We met last week and hopefully things are feeling better after I removed that buildup. Look forward to seeing you soon
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
Q. Hi, Ive recently been to the dentist and have always had good teeth with no pain or alignment issues. But during my last visit my dentist said that my bottom row of teeth is making contact with the inside of my top row of teeth at the front. There has been some minor wear and my dentist says over time it will get to the point where the top teeth could break. Is there any treatment that is available for me and is it at all likely that my teeth could break over time? Thank you
A. hi
at this early stage a splint to wear at night if you are grinding your teeth , or a more drastic step of building the teeth back up with white filling to restore the bite but this is not always easy
Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex
Q. what is the causes of myofascial pain dysfunction sundrome? thank you
A. hi
its what we diagnose uptight neurotics with generally, but there are certain patients who experiance this due to stress and grinding of teeth or if they have had a lot of restorative work done at once
a splint would be the first line of treatment along with a study of the occlusion
Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex
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
The Mulberry
www.mulberrydental.co.uk
Tel: 01932 223 479
18 Ashley Road
Walton on Thames Surrey
KT12 1HS
Q. Hi, I am in my early 20’s and had 8 porcelain crowns (costing a small fortune!) on my upper front teeth about 4 months ago. The reason for this was mainly cosmetic as I grind my teeth at night and had severely damaged them over the years. My bite is ‘out’ (so I am told) therefore could not have veneers. The problem I have now is after originally adjusting my bite, I am now continuing to grind my teeth at night. I do wear a guard for this but can still notice the edges of the crowns becoming flattened and worry that they will not last me the year! My question is what should I do now? is there a way of putting a stop to my teeth-grinding? how many times can crowns be refitted and what are the options when crowns can not be refitted…false teeth? I would be extremely grateful for your help.
A. hi many thanks for your enquiry, firstly, unfortunately no one can stop you grinding, this is a subconscious thing which occurs while you sleep. the second thing to note is if you are grinding the porcelain on the crowns is much tougher than the opposing natural teeth so should not wear, if anything the night guard should wear down. if you are really concerned you could wear a night guard over your crowns. crowns can be replaced many times the dentist just has to be careful to not remove more tooth tissue. if there ever can a stage when the crowns could not be replaced then there is always dental implants. hope all this information is helpful.
Dr Kailesh Solanki
kissdental
ps if you are really concerned please go and discuss all this with the dentist that carried out the work
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
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
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
Q. Hello, I am 38 and my teeth (I assume because of night grinding) have been steadily wearing away. They are now all much smaller than they should be which really reflects in my smile. I no longer have incisors as they are the same height as the rest of my teeth. Is there anything dental surgery or wizardry that can help? Many thanks
A. There certainly is!!. This is quite common in this day and age due to more people keeping their teeth for longer. Very often the treatment involves increasing the length of the teeth in the upper /lower or both to rebuild the lost tooth height and to improve the function of the teeth. Once this is done it is usual to give a night guard to protect the new restorations from damaging night time grinding. Pleae ring my practice to make a free cosmetic consultation appointment and I will be able to discuss this further with you.
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
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