Why Is My Tooth So Sharp?

September 18th, 2014
Q.

Hello Dr Hughes,
I have a question to ask you about one of my bottom teeth and I hope you can help me. Over the past couple of months it has been very sharp and cuts my tongue whenever I slide it across my bottom teeth. The dentist I regularly go to has filed it down to give it a smoother feel, but the sharpness is still constantly there. I also got tooth bonding done after it was filed, and the sharpness is still there. What do you suggest this could be, and what would I be able to do to get rid of this sharpness on my tooth? Thank you for your time.                                                          

I hope you can help 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

Sometime in February 2013, I had a sensation on my canine tooth. This is even felt more whenever I eat or drink. As soon as I feel that way, I have to stop eating or drinking. This went on for a couple of weeks. A few weeks later, there was a chip on the

September 18th, 2014
Q.

Dear Dr Gambroudes. 

Sometime in February last year, I had a weird sensation on my left canine tooth. I felt this sensation even more strongly whenever I had something to eat or something to drink. As soon as I could feel it, I’d have to stop eating or drinking because it got too intense. This went on for a couple of weeks. A few weeks after I first felt it, there was a chip on the tooth, which then left a hole in the tooth. A few days after that, I noticed that the affected tooth was changing colour. What could be the problem, and what do you advise I do in these circumstances? Thank you.

Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

What is the Best Treatment for Severely Misaligned Teeth?

September 18th, 2014
Q.

Hello Dr Hughes. What can I do about my situation? I have an extremely misaligned teeth, and it’s very embarrassing to smile. How much would it cost to get my misaligned teeth straightened? My teeth look like a zigzag road on both the top and the bottom, and I really think I’d need an extreme makeover to transform my smile. What am I supposed to do to achieve this? I’m  28 years old, and I’d ideally like a short-term teeth-straightening solution. The problem is, I don’t know if I can afford the cost of that kind of straightening treatment. what would you suggest the best treatment for me would be? Thanks. 


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

Would Cosmetic Bonding be Suitable For My Daughter?

September 18th, 2014
Q.

Good morning Dr Gambroudes, I’m hoping you can offer some advice for my daughter. My daughter is 18 years old, and in the process of having her teeth straightened in a brace. unfortunately my daughter has severe enamel erosion due to over exposure to fruits such as pineapples as a child. She has recently under gone surgery to remove overcrowding. She is very nervous with dentists, which is part of the reason as to why her teeth became a problem. Her teeth are thin in apperance, and on the yellow side. I would like to know if cosmetic bonding can help her? Please help as I’m so worried that she will have no teeth when she grows older. 


Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

The Back of My Crown Feels Rough. What Should I Do?

September 17th, 2014
Q.

Good afternoon Dr Gambroudes, thank you for taking the time to read my question. I have just had a back crown replaced today with a CEREC crown. I have been asked to wait a week and see how it feels, and then by all means go back to the clinic if there are any problems. At the moment, it’s obviously quite sore and feeling a bit strange which is of course to be expected, but I have realised as the anaesthetic is wearing off that the back of the crown feels very rough against my tongue when other crowns I already have feel smooth. Is this normal? What should I do please? Thank you in advance. 


Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

How Much Should a CEREC Cad/Cam Inlay Cost?

September 17th, 2014
Q.

Dear Dr Hughes, I have just had an estimate for £899.00 to have the old filling removed from a molar and a CEREC CAD/CAM inlay / overlay procedure carried out to the same molar. Does this sound to you to be a fair estimate for this treatment? I have not decided yet whether to go ahead with this procedure. I would very much like to have the procedure done, but it seems quite expensive to me. The filling that is in place, but loose at the moment, is the older mercury amalgam type. Does this make any difference to the cost of this procedure? Many thanks, I hope you can help me come to a decision.


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 Damage Could 0.01% Sodium Perborate Do To My Teeth?

September 17th, 2014
Q.

Hello Dr Gambroudes. Please can I ask you what damage 0.01% sodium perborate could do to my teeth? I am so confused with the legal aspects and safety and sensitivity.

I would really like to have my teeth whitened professionally, but I have very sensitive teeth already, so I couldn’t stand or bear a procedure that would cause me any excruciating pain in the process. I have been advised that sodium perborate causes no damage whatsoever, and more to my shock as I didn’t think it would be possible, no sensitivity at all during treatment or after? Please could you advise me on this?   Thanks in advance.


Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

Would it be Possible to Have an Implant to Replace a Broken Crown?

September 17th, 2014
Q.

Hello Dr Hughes. My crown (second from middle) recently became loose. My dentist removed it and stuck it temporarily, but it came out the next day. About ten years ago my crown broke off and the then dentist replaced it by putting a post into the tooth, and this has now apparently broken. My current dentist has told me that he now cannot drill into my root and crown and so I need to consider having the root out and a bridge put in, or would it be possible to have an implant? The root seems to be OK from what I can see, it’s not loose. I don’t understand why the dentist cannot put in another post. Can you make any suggestions please?


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

How Strong are Replacement Teeth, and How Long Should They Last?

September 16th, 2014
Q.

Dear Dr Gambroudes. How strong are replacement teeth? Also, how long are expected to last? I had one of my wisdom teeth replaced, but it came loose and fell out after two years. Now I only eat with the left side of my mouth. I feel very uncomfortable with the tooth missing, what should I do? I feel that I should replace it to enable me feel comfortable and enjoy my meals. I will also want to change my dentist.
I will also want to know how often one needs to visit the dentist so as to take care of the teeth before any problems occur. What is cosmetic teeth surgery? How often should one go for teeth cleaning? Thank you. 


Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

Could Veneers Have Worked Instead of 4 Years of Braces?

September 16th, 2014
Q.

Hello Dr Hughes. I am 44 years old and had traditional braces on for four years. They have just been removed and now I have demineralization white spots on my teeth around where the brackets were. I was told that these spots are permanent and cannot be removed. The dentist recommended veneers, after 4 years and $6000 worth of braces. Could I have just gotten the veneers without the braces 4 years ago? Is it true the the white spots are permanent and cannot be removed? If so, what are the major differences between the veneers: durathin, Lumineers, porcelain, composite, MAC, Da Vinci. Thank you. 


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