Archive for the ‘Dr. Hughes’ Answers’ Category

My Teeth Are Pushing Further Forwards, What Treatment Is Best?

Tuesday, March 5th, 2013
Q.

hi i was just wondering if you could hep me. I am currently 27 years old and am unhappy with my teeth due to the fact that i was a thumbsucker untill about the age of 23. Although i had a brace as a child so do have quite straight teeth i can see that they are now further frward than they were and wondered if its possible to get them pushed back at all or what options there wud be to deal with them. As i say i have only had slight movement from one of my teeth in terms of crossing and do therfore have a straight smile but just generally would like them moving back si they are less dominant as i only have a fairly small face..
Any advise or help would be appreciated thankyou.

A.
There a whole host of orthodon… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I Had A Crown On A Twisted Tooth Now It Is Infected And Causing Pain, Should I Have Had Root Canal Treatment Beforehand?

Monday, March 4th, 2013
Q.

Hi,

My front tooth was very twisted so had some by drilling some of the tooth away and a crown, which looks much better. This was done privately as it was for cosmetic reasons. About 18months later I have had pain and infections but doesnt show up on X-rays. I have been suffering with this for about a year as the dentist just kept saying clean better as there is a pocket that food can get into. I clean thoroughly and regularly and it doesnt help and am still suffering. I was given antibiotics eventually but it didnt work at alll. I have continual pain and much discomfort when I speak. The dentist has recommended specialist root canal treatment but he said due to the very thin root he cannot do it himself. I am normaly an NHS patient so this is becoming very expensive for me. This makes me question should I have been given root canal treatment before the crown?

I would very much appreciate your help.  Thank you.

A.
It is not common or good pract… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I Have An Overbite, Discoloured Teeth And A Gap, Will The NHS Help Me With Procedure Costs?

Friday, March 1st, 2013
Q.

Hi, I have a large gap in my tooth from where a part of it has been knocked out, I also have quite a large over bite, and very discoloured teeth. I have always been affected ted by my teeth ever since I was young. It really knocks my confidence during everyday life and makes things difficult. Especially social occasions, for example; I won’t smile at people or for photos and I cover my mouth when I speak. I was wondering if porcelain veneers would sort these problems out and if so would I be able to claim them off the NHS as I’m a single mother of a 2 month year old baby and would not be able to afford them without the NHS’s help

A.
I am not able to advise you on… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Can I Have Veneers If I’m Only 22?

Tuesday, February 26th, 2013
Q.

Hello Doctor Hughes, I have been suffering with abscesses in my gum for as long as I can remember I’m only 22 and have about 10 if not more a year…some bigger then others, I have asked my dentist what I can do but haven’t really got any good advice off them. I have had one of my teeth drilled and drained but it keeps refilling. my bottom teeth come away from the gums and cause pain and unpleasent feeling. I brush my teeth twice a day some times more, just can’t take the pain no more and need to do something about them. I have been told to look into veneers but I do like my teeth there not horrible … And do think I am young to have them. Just need help or pushed in the right direction to stop all this pain thank u for taking time to read this.

A.
Hello there, and glad to help
… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Painful root canal experience lead to partial upper dentures which wobble and cause discomfort.

Friday, February 15th, 2013
Q.

Hi I hope you can help me with my problem. After a very painful experience of a root canal, i ended up loosing two teeth and have had partial upper dentures made. I have just recieved my new partial upper denture ( two teeth attatched ). This is the second set made as the first was so bad, I find that they wobble up and down each side. when i bite one side goes up the other down, visa versa. I tried to eat with them and the food just lodged behind one of the teeth. It was very nasty. Should i go back as i dont believe they fit correctly and its causing me a lot of discomfort.

A.
I would recommend that you eit… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Skiing accident caused damage to teeth. what would you recommend in terms of Lumineers/Veneers?

Friday, February 15th, 2013
Q.

Dear Dr Hughes

I have just come back from Chamonix where I had a skiing accident involving trauma to my face, which included a lacerated lip and a broken front tooth. I work as a clinical pharmacist at The London Clinic on 20 Devonshire Place and I was wondering what you would recommend in terms of Lumineers/Veneers. I am extremely conscious about discolouration of the tooth. At present I have a composite in place but acknowledge this is a temporary measure for 6 months if not 3 months according to the NHS dentist as the root may die, but only time will tell. The dentist said the best thing to get was a lumineer – is this true? If i get one lumineer on the broken tooth does this mean I will need my whole upper set of teeth done also. I dont want to have to go through ridiculous expense but I am so paranoid now, I wont smile or open my mouth too much for fear of anyone seeing my teeth. I used to love my teeth after 2 and half long painful years of orthodontal treatment. Please could you advise me on what the best options are for me and the time frame from which I should proceed with getting a permanent tooth. I want to be confident in at least my smile. Its very important in the day job to converse with patients and I do not want the first thing they notice to be a bad tooth.

Kind Regards

A.
Poor you. I hope you’re feelin… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

22 teeth are declining at an alarming rate.They are crooked, yellow, cavities, and have gum disease. Advise?

Friday, February 15th, 2013
Q.

Hi! I’m 22 years old and I feel like my teeth are declining at an alarming rate. I can’t afford the dentist since I moved and I have no insurance.
They are crooked, yellow, cavities, and the most annoying of all is the gum disease. I also grind my teeth 24/7.
The left side of my mouth doesn’t seem to have gum disease, but the right side where I grind my teeth the most is red, like a red outline around each tooth. The bottom fronts are the worst. The gums are receding and 2 of them seem to be loose. Which leads to my question.
While I wait to have the chance to get this smile I have been dreaming about since I was little, what can I do to prevent these teeth from falling out? The disease isn’t SUPER severe, but will they still fall out sooner than later?

A.
The best advice I can give you… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Are the implants the same for dentures and for the bridge? Why the big differance in price?

Friday, February 15th, 2013
Q.

I have no teeth in the upper jaw and only 5 teeth in the lower jaw. I would like to know. If the implants are the same for dentures and for the bridge.
it cost 2900 for 6 implants with a denture and 8800 For 8 implants and a fixed bridge. Why the big differance in price. And if i had the 6 implants with the denture. Can i use the 6 implants In 1 years time to then have a bridge made when i have more money. Thank you very much. 

A.
Thank you for your questions.
… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I have a small gaps between my four front teeth and I want to close them! Please advise.

Friday, February 15th, 2013
Q.

Hello could you help me. I have a small gaps between my four front teeth and I want to close them! The gaps are bad to my appearance and I really hate my smile because of them. I will try anything to make my smile better! I want my smile to be something people like, not dislike.
I don’t want to wear braces and can’t afford Invisalign Teen. Is there a retainer that could help me with my situation? Is there anything that I can do or buy that will close this gap? This gap MUST go, please help! There is nothing more bothering than this gap to me! Please give me advice on what to do!

A.
Hi thank you for your question… (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Have medical condition Nail Patella Syndrome. Advise on what can be done?

Friday, February 15th, 2013
Q.

Dear Dr Hughes I am a 45 year old male who has a medical condition known as Nail Patella Syndrome. One of the problems that is common in people with NPS is a lack of enamel on the teeth and, as a result, those with this problematic hereditry disease is crumbling teeth. I have lost, bar the roots, all but 10 of my teeth and, while I had the full support of my local dentist and the local hospital, the dental school at Liverpool University refused to do anything and said that I should have them all removed. My local hospital actually asked me, having seen the x-rays, when I was diagnosed with NPS because I should have been referred to a specialist with my condition at the time. They were surprised to learn that I was diagnosed at birth and if the dentistry had still been practicing I could have taken legal action so, as you can appreciate, I am somewhat annoyed at this news. I was hoping that a mistake by an NHS practice should be resolved by one and as a musician it is important for me not to have dentures because it can be difficult to play a brass instrument. I would, therefore, be interested to know what can be done as this is causing me undue stress. I look forward to your reply.
Regards

A.
I treat a lot of musicians in … (Click here to read the rest of the answer)

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes