Archive for the ‘Dr Moore’s Answers’ Category

Should I be worried about continued dental pain after root canal treatment?

Monday, April 2nd, 2012
Q.

I finished root canal treatment yesterday,after checking the xray, a tiny bit at the very top of the root has been missed, this morning it feels the same as it did at the beginning before ant treatment began.I ,ve had 1 weeks course of antibiotics,it was cleaned out as this was being done it was very smelly and the pulp had rotted away. It was covered & i went back 9 days later,it stil felt odd sort of tingly numb feeling & the smell was back.When it was being recleaned yesterday i could smell it again it was also a bit swollen and tender at the top, she finshed the job & then checked the xray where it was noticed a tiny bit has been missed,she seemed to think it would be fine i have to go back in 10 days,but at the minute it feels the same as it did right at the beginning about 6 weeks now


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

Is my dentist right to be attempting dental implant treatment again after they failed the first time?

Monday, April 2nd, 2012
Q.

Good Morning Dr Moore,
I embarked on implant treatment in 2003 and had my last six upper teeth removed and eight implants placed. One failed but I have seven which are fine and firmly sited. However, the bridgework (which took many months to get right, both in look and fit) keeps coming loose and I have had to return several times to get them removed and re-cemented in.
The dentist says this may be happening due to my strong bite (I have to wear a night guard because I grind my teeth).  My implants are placed around the front section (which he says is normal and that seven implants should be more than enough to support a full top bridge) however, because they kept coming loose he suggested removing the back teeth from the bridge leaving me with ten teeth. He thought that possibly because the bridge was not supported at the back it was rocking and coming loose?
This option has not worked and the bridge came loose within a few months again. I have now had a scan to see if there is sufficient bone further back to place another implant either side.
After looking at the scan he thinks he could place the implants at an angle just in front of where my sinus cavities are? Personally, I was hoping that they would be able to be placed further back creating a secure hold at the back of the bridge therefore allowing no movement. Apparently this is not an option without bone grafting.
Because I had an extremely traumatic time during my initial procedure (it took fourteen months to get everything right) I am obviously apprehensive about embarking on yet more treatment. He seems very confident that it would solve this problem.
Because of the issues I have experienced and also because we have built up a good relationship over the years he says he will do the work at basically cost price ?  but it still means me spending in the region of seven thousand pounds (two implants and new bridgework).
He also admits that the angled implants are a new thing and he has never placed them before but is confident.  I am concerned because of the proximity to me sinuses.  I feel a little lost as obviously I cannot discuss this with anyone qualified to give me advice and found this site online.
Please could you give me your independent view on things? Do you think what is suggested is the best option and is the price fair?
Thank you for your advice


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

Could you give me the general costs of implants, veneers, crowns and white fillings?

Monday, March 26th, 2012
Q.

hi
can you help
my boyfriend needs dental work done. he had two false teeth placed due to a fall as a teenager and now they are bad he needs two replaced but also the rest of the top set he would like either veneers to match or crowns. i need to know the difference between veneers and crowns and difference in cost also.
he may need some white fillings and the rest of the teeth whitened to match. alot of work, any idea of what this would cost and could you break it all down pricewise for me please? that would be great thank you for your time doctor moore 


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

Can Invisalign be used unnoticeably with a dental bridge?

Monday, March 26th, 2012
Q.

Hi,
I have recently been reffered to an orthadontist to have invisalign braces, i am really excited about starting my treatment but have been told i need a tooth removed as it is a milk tooth, i have had previous treatments but the tooth is unable to be saved, i also had a bridge fitted on the opossite side for the same problem which also needs to be removed as it is ill fitting, my question is as i will have noticeable gaps at the front of my mouth, when the tooth and bridge are removed can the invisalign help to hide this hile my teeth are being moved? i work in a environment where i am constantly talking to people/customer and am worried that i will feel very concious with gaps.
Please help!!
Thankyou


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

Can I receive free dental implants on the NHS because of my cleft palate?

Monday, March 26th, 2012
Q.

I am 21 and have a cleft lip and palate. Many of my teeth are missing and others are weak and in bad condition, when i was younger dental implants were discussed, is this something i would be entitled to on the nhs? I would also like to inquire about fixed dentures, as i dont want to start wearing adhesives so young and have my jaw reduce, i also don’t want to have to show future partners etc. Please help because i really am so upset at the lack of confidence this issue has ensued. I just want to know what the best free treatment is for someone in my situation before i go abroad and have second rate surgeries at the cheapest price possible. Thanks


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

Could a bridge be a good alternative to braces to treatment my impacted adult teeth?

Friday, March 23rd, 2012
Q.

Hello,
I have 2 baby teeth where my adult canine teeth should be. The adult teeth are impacted up very high. They are actually perfectly placed and not anywhere touching any nerves or disrupting any bones. I was told the best option would be to have my baby teeth extracted and have braces put on my whole mouth as well as drill up into my mouth and slowly bring my adult teeth into their proper place. I know this is the best option for me to keep my given teeth. However, I was wondering if putting in a bridge would be another available option. I do not have a lot of money or any dental insurance so this is a very costly method and I know bridges are a lot cheaper. I’m also 28 years old and I would really not like to have braces for the next 3 years of my life. My childhood/adolescent dentist swore i would never need them, which is why I am just now finding this out. I’m not sure implants would be an option because I’m not sure there is enough bone from the baby teeth. I would just like some advice on getting a bridge in place of a canine or any other cost effective options. Thank you!


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

My adult teeth have not erupted, could I fill in the gaps with a dental bridge?

Tuesday, March 20th, 2012
Q.

Hello,
I have 2 baby teeth where my adult canine teeth should be. The adult teeth are impacted up very high. They are actually perfectly placed and not anywhere touching any nerves or disrupting any bones. I was told the best option would be to have my baby teeth extracted and have braces put on my whole mouth as well as drill up into my mouth and slowly bring my adult teeth into their proper place. I know this is the best option for me to keep my given teeth. However, I was wondering if putting in a bridge would be another available option. I do not have a lot of money or any dental insurance so this is a very costly method and I know bridges are a lot cheaper. I’m also 28 years old and I would really not like to have braces for the next 3 years of my life. My childhood/adolescent dentist swore i would never need them, which is why I am just now finding this out. I’m not sure implants would be an option because I’m not sure there is enough bone from the baby teeth. I would just like some advice on getting a bridge in place of a canine or any other cost effective options. Thank you!


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

I think my wisdom teeth are moving my teeth, can I have Invisalign to correct this?

Thursday, March 15th, 2012
Q.

At the moment my wisdom teeth are coming through, as they are their pushing all my teeth forward and causing overcrowding and crookedness at the front. On a daily basis my teeth are moving. I did have braces when I was 13 but almost all the work they did is being accelerated to return my teeth to there original state. The other problem is that I can feel a small amount of swelling and have got some pain. How quickly can I be treated, everyday I don’t my teeth move more and I am simply becoming embarrassed to smile anymore. I’m basically 20 I annoyingly I think after alreadying having braces in my teens for 4 1/2 year I would like to look at invisalin. But what can I do about the movement. The retainers I was giving don’t fit and the orthodontist and my dentist are not where I live? What can I do ?


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

How much do veneers cost and is this price per tooth?

Monday, March 5th, 2012
Q.

how much would it cost for a durathin venneer for the whole of the top front teeth? including consultation fee, also how much would it cost for the top and bottom sets combined as when described as one veneer on the internet i am not sure if they mean one tooth or the one complete veneer on the gum shield covering the whole of the top or bottom set of teeth, as i have seen on the internet that show pictures of before and after results it seems that it does not matter if you have capped teetth as the veneers would still work? and is the whiteness of the patients veneers variable as again in before and after pictures there are smiles that look better but not in the whiteness of the original teetth although they look more natural to the orignals they are not as desirable unless improved by several shade of white without being over the top


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

I have damaged my tooth in an accident, how soon is too soon to have orthodontic treatment?

Monday, March 5th, 2012
Q.

I suffered injuries to my front teeth in a serious cycling accident two months ago. A blow to the mouth damaged four teeth and I also had an abcess a week after the accident.

I have a minor chip to a canine, but the other three are more complicated.

1.1 is fractured, but vital, and has had a composite temporary restoration with a plan to crown it once 2.1 settles down.

2.2 has has RCT performed by an endodontist. 2.1 is pushed inwards and my dentist has discussed various options, including watch and wait, RCT and crown or an implant. The endodontist suggested being referred to an othodontist to have it “straightened” back to its original position, but not doing anything surgical. The tooth is vital, but my dentist advises that it might need RCT at some point in the future. What options might an othrodontist consider to “push out” from behind a single central incisor in a case like this?

Thanks for any advice offered!


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore