Q. If I am getting one wisdom tooth pulled on wed., do you think i’ll be ok by sat.?
A. usually you will be but it depends on how difficult the extraction is.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. hi what is the best managment for patient with swelling on face due to abscess on molars is it ok to give antiboitics for 5 days then after swelling subside do the drainage and rct or extraction
A. Yes thats exactly what I would do except if you can get drainage earlier, perhaps through the tooth the antibiotics wil work quicker
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I am due to have my upper left molar extracted next month at the dental hospital under IV sedation. I was referred there by my dentist due to the tooth being too badly decayed underneath the filling to have root canal treatment on it. As it is causing me little or no pain at the moment I would like your advice as to whether I could wait until it does cause me pain and have it extracted then or would this just make things worse? Also, I am concerned about the gap it would leave behind and would like to know my options regarding this, as neither my dentist nor the dental hospital have discussed this with me. Thank You
A. Given that the tooth decay is bad, it will be getting worse over time. It is unlikely that you will be able to arrange, at short notice, extraction with sedation when the tooth starts to hurt. You need to have the tooth out at the time that is convenient to you not when you get toothache ( eg on your holiday etc )
Gaps can be filled with dentures, bridges & implants if the adjacent teeth are healthy. All need regular care & maintenance.
StJohns Dental Practice in Birmingham City Centre offers a free initial Implant consultation to find out likely options in your case. Call 0121 643 0610 for details
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. hi there im 19 yrs old and have been told i have to have 6 adult teeth out and im pregnant and cant have them taken out while awake im scared of pain what would you say i could do and also do you think my dentist will do something to replace the missing teeth.?
A. You won’t have a full anaesthetic if you’re pregnant so talk to your dentist to see if he can do something until after you have had your baby, then you might be able to have the teeth out under sedation.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I wonder if you could give me some advise please.I had a bridge that had bercome loose, when i visited my dentist he said that i could not have it re-cemented as the two teeth anchoring the bridge had worn away and the only solution was to extract the two teeth and then he would replace with a new bridge. I went ahead and had the teeth surgically removed. when i returned for him to check the stitches he informed me that i could not have a bridge as the gap was too large and the only option was to have dentures or costly implants. I now have nasty plastic dentures that are very uncomfortable i have a constant lisp and find them very diffiucult to eat with. Did he have the right to extract my teeth without giving me options? the extractd teeth were fine, i had no decay, they had just worn down to the gum so the bridge could not adhere. After some research i found out that i could have had them posted and crowned. he did not give me that option. On my return visits he keeps trying to convince me to have implants, i cannot afford to go dow that route (£6000) I feel he is purely profiteering.|I am so upset as they are my near front teeth and used to have a perfect smile. I am devastated and constantly have to cover my mouth if i laugh or smile. do i complain to him? do i have any rights? can you confirm that i could have had crowns? please can you advise. Thankyou.
A. In these situations you need to voice your concerns to your dentist. He will have a complaints procedure and should be able to explain to you the reasons for the steps that he has taken
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 have 19 teeth left in my mouth!! They are all giving me a lot of problems, and I wake up crying due to the teeth pain!! I do not want to spend 800.00-1000.00 on each tooth. I want them all pulled and I want full dentures. How do I go about doing this?? What steps do I have to take?? Please help me!!!!
A. get three opinions from different dentists, see where they agree and where they differ. Maybe you need stable dependable teeth without spending 800 per tooth and this is possible without extracting everything.
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. hi there! I recently (about a month ago) had one single lower molar removed due to an infection, i took antibiotics and now everything is healed, i am 30 yrs old, should i get a bridge, implant, or just leave it alone? thanks!
A. It is always best to replace the tooth if at all possible. An implant is an independent tooth that stimulates the bone while a bridge ususally entails trimming down the adjacent teeth. Ask your dentist for more detailed advice
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’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
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
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
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. when i was 14 years old i got 4 bottom molars pulled out would that over time effect my bite.
A. This may effect your bite but usually the mouth adapts to these changes over time
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. About 6 weeks ago, I got told by my dentist that my four front teeth were decaying, and he was replacing with a denture. But then 3 weeks latley i had two of my teeth: one side and front tooth knocked out (two of them were the decaying ones.) And i’ve had the other two taking and out, and I’ve got a denture now. But i find it weird to wear and I’ve got special needs aswell so it’s diffcult for me to get use too it, but I was wondering because I’ve got a denture now, could I still have Implants done? or is it to late to have them?
A. Yes you can still have implants provided the bone is healthy and enough exists to create a stable base for the final teeth. Ask your dentist for a referral to an implant clinic for a 2nd opinion if he doesn’t do them himself.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I am 28 and my dentist has just told me that after 2 x-rays that I have abcesses above my 4 top front teeth. He says at the moment the abcess appears to be draining into the mouth but will get worse in time. He says that it is unlikely the teeth can be saved and will need to come out and be replaced by a removable plate. The teeth cause me no problems at present. He says he can refer me to the hospital to see what they say if I want. Should I just accept my dentists reccommendation and have the teeth out now or wait until they cause me grief. Or should I ask to be referred to the hospital? Also I’d much rather have dental implants rather than a plate but he made no mention of this. Is this an option? Obviuosly I wouldn’t mind normally but having to have the top 4 front teeth out in a row is rather a shock.
A. It might be a good idea to get a second opinion if only for what to put in the space instead of a denture. However you might have to wait for quite a while for a Hospital appointment. If you are in my area I would be happy to take a look or ask your dentist for a referral to an implant clinic as it is often possible to remove the teeth and fit implants at the same time. My e-mail is enquiry@advancedentalclinic.com
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 have asked my dentist to remove a tooth that is higher up in my gum, he has suggested once removed to have a cosmetic tooth put in its place and I asked then to have veneers but he suggested I have four to six of the front upper teeth crowned, will this make my teeth straight like a hollywood smile!!
A. Maybe – but usually to achieve a Hollywood Smile requires 8 to 10 teeth treated as your smile exposes this number of 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. Dear Dr Andrew Moore Recently I’ve had extremely hard pain on one of my front teeth so decided to pay a visit to my local dentist. After taking an x-ray he noticed my top tooth bone was eroding so told me he would have to remove the tooth the next time i visit. I’m thinking of leaving it and let nature take place and see if the tooth stays in place but if it gets bad to worse and have no choice and its left to the tooth being removed what would you advise me to do . Thank you. Kind Regards
A. I would advise you to follow your dentists advice
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 had a extraction recently and was fitted with a plate. that was about 6 days ago and im still in alot of pain, also the plate is very uncomforable and i keep getting very thirsty. Could you give me advice on make it the plate more comfortable, i dont like the poligrip so dont like to wear it! My dentist also said i wouldnt be able to get fitted for my crown until 6 months……can i ask him to do this sooner?
A. It seems like a long time to wear the denture but sometimes the bone can take that long to heal. Maybe ask your dentist to adjust the plate to make it more comfortable or to perhaps try a different temporary tooth such as an adhesive bridge.
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 have touth need to be fixed ,can you provid me a good dentist please,thank you very much.
A. StJohns Dental Practice in Birmingham City Centre. call 01216430610 for details of a free intial assesment
Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ
Q. Hi, I’m 22 years old and i have a big problem with my teeth, my teeth have always been weak but since I’ve had my two children they have gone really worse, the front of my teeth have badly rotten and are falling apart, I’m extremely embarrassed and scared to go to the dentist as I’ve had bad experiences with them, i have had some teeth out already at the back, i was just wondering if there is any way these teeth could be saved or if tooth implants are possible for me on the NHS as I’m only on benefits, thank you for taking the time to read my question
A. Hi I’m afraid implants won’t be availalbe on the NHS, you might need to ask your dentist if its possible to restore the teeth with crowns and bridges if at all possible.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I had my lower teeth removed(8 in all)on thursday 3rd.september and have dissovelable sticthes in and visited my dentist to-day saturday 5th. and he wants to take out my sticthes on monday 7th. i am wondering is to soon for him to take them out or should I let them dissolve themselves
A. I really would ask the question to your dentist, as he has carried out your case.
Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
Q. I have tartar on my front teeths on the gumline and I’m losing my teeth what will a specialist do?
A. If the teeth can be saved you might need extensive deep cleaning of the roots of the teeth, if the teeth are too loose to save you may have to consider removal and replacement.
Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG
Q. I got all my upper teeth pulled three weeks ago, my upper plate is very tight in back and makin my gums raw and sore, they fit to tight. Is there anything I can go to make them fit more comfortable?
A. You need to go back to your dentist who will be able to ease the tight areas and may be reline with a soft reliner such as viscogel whilst the healing process takes place
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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