Archive for the ‘infection’ Category

Is my change of mouthwash the reason behind my white tongue?

Friday, June 3rd, 2011
Q.

I have a slightly loose lower molar which is not painful but affects the bite and seems to have abraded the edge of my tongue. My dentist recently performed de-scaling and deep cleaning and suggested leaving it for a few months in anticipation that healing would tighten it up again. He advised me to use corsodyl for 2 weeks, in addition to my usual brushing (oral b 9000, bicarb paste) and flossing (waterpik) regime.
A few days later, whilst on holiday in Wales, I was unable to obtain corsodyl so I tried listerine cool mint instead. This produced an uncomfortable burning sensation, followed by change of taste and an astringent-like sensation when tasting wine, fruits or cheeses, coupled with a dry-mouth feeling despite normal saliva flows. I stopped using the listerine after 2 days but the uncomfortable sensation remained. Two days later my tongue showed white spots, particularly adjacent to the loose molar and a local pharmacist diagnosed oral thrush. After 5 days of daktarin oral gel there was no significant improvement and so I visited a dentist, who confirmed thrush and prescribed Nistan. I have almost completed a 7-day course and although there has been some improvement I am still not symptom-free. I shall, of course, visit my own dentist or GP after this vacation, but is it likely that the loose molar is acting like an ill-fitting denture and initiating/prolonging the thrush? Am I not diabetic, have not taken antibiotics or any other medication and (as far as I know) am not immuno-suppressed, being generally in good health with fast-healing wounds. Thank you in anticipation of your kind advice.


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

What can I do about my infected gums?

Wednesday, June 1st, 2011
Q.

Three months ago I visited my dentist because I had a slight gum tenderness around one of my front incisor teeth. He suggested that I should rub Corsodyl around it twice a day. This treatment didn’t seem to work so he took an X ray which revealed that there was an infection. Probably five years previously, this tooth had been capped. He then suggested that he should attempt a root canal treatment, which he did ten days ago. Sadly, for me he said that he had not been able to do this successfully. I think he said it was due to “corrosion” ! He said come back and see me on the 9th June and we will decide what to do. Obviously, I do not wish to lose this front tooth; – would it be a good idea to be referred to a specialist endodontis ? I do not have any pain – at the moment – a very slight discomfort when I eat. I f you do suggest that I go to a specialist should I do this before 9th June and are you able to recommend someone really good in the area OR has it to be London ? Many thanks indeed for your help. 


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 am receiving mixed information about dental sealants for children, what is you opinion?

Tuesday, May 31st, 2011
Q.

Hello,

We live outside but very near London. My daughter (8 years old) was recommended to have dental sealants in her 4 molars by our private English dentist. She had this procedure done at about 5 months ago.
When visiting our doctors abroad recently, they warned me about the dangers of dental sealants in children. They even suggested to remove them. My question would be if it is possible to remove those without damaging her teeth or making the whole issue worse.
Would you be able to do this (remove her sealants)?
Also, I wonder when is really the main danger: at the moment of placing the sealing or during the following time where the seal can be leaking in her mouth.
Thanks in advance for your precious help and advice.


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

My filling has fallen out twice and I am in a lot of pain, what do you suggest?

Tuesday, May 31st, 2011
Q.

Hello Doctor 

i have recently had a filling done the first filling came out within three months,i went back they filled another,but im now suffering with alot of pain around the area,i went in as an emergency and they informed me that the filling was too high so they smoothed it over for me,however im still in pain they have informed me if continues it may be the nerves been damaged and would have to do an root canal is this necessar? and what has caused this? thank you very much for your time 


Dr Sunita Verma Sparkle Dental Boutique 311 Boston Road, Hanwell, London, W7 2AT Web: www.sparkledentalboutique.co.uk Tel: 020 8567 4344 View My Profile Dr Verma

Numerous health issues have lead to the deterioration of my teeth, what can I do?

Tuesday, May 31st, 2011
Q.

Hello, I am 20 and completely depressed about the state of my teeth, I feel embarassed, paranoid and have to cover my face to laugh as Im so embarassed. My career means I am always working with the public which makes everything harder. I can barely even eat theyre that bad.
I have very bad gum disease and the gum is receeding at the back of my front teeth, I have already lost most of my back teeth on each side and am in constant discomfort.
I try my hardest cleaning my teeth 3 times a day and used cordysl mouthwash to try n rid myself of gum disease, but as I am diabetic it seems to never heal.
I have also had stomach problems for over a year, which makes me vomit which aalso leads to my teeth weakening.
I know Ill be told I need dentures which I could not live with ,or I could pay for dental implants which I could never afford, I feel like my illnesses have caused all of the problems with my teeth. I have been on a liquid diet for weeks as I can no longer eat most solid food, this also compromises my diabetes. What advice do you have for me?


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

X-Rays show no problems with my damaged tooth but it still hurts. What’s the deal?

Monday, May 23rd, 2011
Q.

I was assaulted Just over a week ago. The gum above my two front teeth was very painful and sore after the impact. One front tooth is very tender to bite on, it is not loose or broken. I did have an x ray in the hospital and it shows no signs of any damage.The gum around the front teeth is still quite sore and have some discomfort in the front teeth that comes and goes. Do you think there is damage to to the pulp in the tooth? Can an x ray miss something?


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

My teeth are extremely senstive after crown and veneer treatment. Why?

Thursday, May 12th, 2011
Q.

hi Dr Mark

i would like to ask you regarding to a problem that i have with a crown and veneer. i have just fited a crown and veneer recently but the problem have started since the day i fited them. with the veneer tooth i cant even bite at all, and if i touch it hurts like a bruise in a body. the crown one i feel a gap in the right hand side of the tooth and everytime i breath i feel pain because of that or eat smth cold or hot it hurts like a nerve. i have been several times to my dentist which thinks that everything is perfect and try to find the cause to other teeths. well for the crown one i use to have it before in crown but the dentist decided to replace it with new one for the veneer to match better. i must emphasise that when this tooth was on crown before didnt had any problem and felt like your own tooth.i m not using this teeth(crown and veneer at all) as they both are painfull and is a bigg thing for me as i cant chew nothing. could you please let me know your opinion in that!


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’m scared to have treatment after failed attempts.Can you help?

Monday, May 9th, 2011
Q.

Hello Dr Hughes,

 The maxillary lateral incisor (22)was root-filled in March 2009. since then there has been recurrent periapical infection
I was referred for a apicectomy.
1. I am had Zoledronic acid (Aclasta) for osteoporosis on 3/2011.

Do you think that it is possible to have the dental treatment? As my last dentist has now retired and i have found it difficult to find a dentist i can trust after all the problems i have suffered with my teeth. I also read that apicetomies have a low success rate. Could this be why infection keeps coming back, i hope to hear from you soon.

Kind regards

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