Q.
I was in an accident on vacation involving a scooter, I fractured my two front teeth well above the gum line and had them almost immediately bonded in once in the emergency room. Upon returning back I had two root canals done on each respective tooth and had the bonding re-done for an ameliorated hold. I went in once a week for almost 3 months and had my root canals scraped and medicated in order to ward off infection. After infection ceased, a specific kind of medicine (used to help fractures heal) was put into each tooth and sealed for roughly two months. After many x-rays done almost bi-weekly it seemed as though the fractures where indeed healing well. After six months of this (all the time still wearing my bonding) the x-rays revealed that while my fractures where nearly healed my body was rejecting the fractured teeth and they were not going to be saved. The next step now (I have been told) is too remove the fractured teeth (extract roots and all), let my gums heal for an x-amount of time and from there possibly go ahead and shave down up 4 teeth (2 incisors and 2 canines at most, possibly only the 2 incisors at least) and have me fitted and prep for a bridge. I understand that a bridge has a negative connotation in the realm of dentistry these days. It last significantly less than implants, does not sustain or promote viable bone in the jaw, and need endless maintenance. My worries are the following: Given the area of my injury, I understand it is difficult to put in implants (the nose is directly above, there is a greater risk of infection etc. etc.), but would I still be better off opting for the implants? would the bridge work well for me in this situation? I am 23 years old and in good health, I just want to be able to smile again without looking like I have a white caterpillar with a silver streak crawling across my mouth. I am running low on patience and want to put an end to this. Please advise and thank you for your time and consideration

Q.
Dear Komal I have had a top set of dentures since I was about 24yrs old as I lost a lot of teeth when pregnant and hated dentists so it was easier to have them remove my top set and I’m now 50yrs old. I haven’t been to the dentist for about 20+ years either, partly due to money and partly due to anxiety and embarrassment. Having put 2 children through University on my own and now having the chance to take voluntary redundancy I have considered possibility of having dental implants and sorting out my teeth but am unsure of how much it may cost for a full top set and whether I would be suitable – could you advise please? Also, as I live near Chester could you recommend a more local expert I could approach? With all my heart I wish I had my own teeth and know that implants would give me more confidence in myself and make me feel much happier too. I would just have to find the courage to go along for a consultation too. Kind regards