After Cracking A Tooth I Didn’t See The Dentist For A Long Time. Now The Root Canal Treatment Hurts. Is This Normal?

June 30th, 2014
Q.

Hi Mark. I am looking for a bit of expert advice as I am a bit weary of the dentist I have been using. I cracked my tooth and left it for a long time. When the pain was too much I went to the dentist and he said I needed to root canal. I have been going to him for the past 3 weeks and he has inserted a rod in one of the canals but not the others yet. I am in constant pain. I am still on my antibiotics but I keep telling him how sore it is and it is like he keeps dismissing me. Is it normal to be in so much pain? Thank you in advance for your reply.

A.
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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 Clean Chip In One Front Tooth Which Has Left A Huge Gap. Which Treatment Would I Need To Build It Back Up?

June 30th, 2014
Q.

Hi there Dr Moore, I have one tooth which is just right of the front in the top set which has a clean chip in it, meaning that its completely flat and is now only coming out all but millimetres, so you can see there is a tooth there but at the same time it leaves a huge gap

would this be able to be built up on or would an implant be the only option? I need something done. I’m just unaware of the different types of treatment available and I’d appreciate your advice. Thank you for your time. It would be great to hear back from you.

A.
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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 Husbands New Bridge Has Fallen Out After 5 Weeks. Surely This Shouldn’t Happen?

June 27th, 2014
Q.

Hi Mark. My husband had a Maryland bridge fitted to replace another bridge he had fitted by an army dentist almost thirty years ago, (this one had started to become loose after 26 years) for his 2 upper front teeth, how should this be priced? By the unit the 2 teeth are attached to or per tooth? Also the new bridge has also fallen out after 5 weeks, surely this shouldn’t happen and his dentist is refusing to replace it unless he pays again. Thank you.

A.
The question about price alway… (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

Other Than A Bridge, What Are The Best Treatment Options For A Missing Tooth?

June 27th, 2014
Q.

Hello Dr Moore, I hope you can help me out. I have one upper canine missing, I would like to know how much would it cost me to fill the gap?
I don’t like the bridge options available because I don’t want the dentist to file the tooth down next to it. Could you please tell me about any other options available and the prices/costs available? It really bugs me as it’s really noticeable whenever I try to smile. Thank you for taking the time to respond.

A.
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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 Tongue Thrust At Night And It’s Made The Lower Portion Of My Face Look Out Of Proportion. Would I Need Jaw Surgery To Correct This?

June 27th, 2014
Q.

Hey there. For many years my teeth have appeared as perfect although I do have a slight open bite. However, this is not my main concern as I tongue thrust every night and this has pushed both my top and bottom teeth forward which has projected my mouth beyond the straight line between the tip of my nose and chin. The combination of this and my facial features makes the lower third of my face look out of proportion to the rest of my face. It seems my jaw protrudes the straight line between my forehead and mouth. I am not sure what you think of think about this you would probably need to see a picture if I am right? Could this be solved by simply closing the open bite with braces or is jaw surgery to reduce the size of the lower jaw needed? Would a lip reduction benefit me?

Thanks so much for your reply in advance. 

A.
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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

Is There Any Way I Can Close The Gaps In My Teeth Naturally?

June 27th, 2014
Q.

Dear Dr Moore. I have a small gap between my front teeth. I consulted a dentist recently but they told me that if I wear braces then one of my front teeth will come under the other. But this gap is really annoying. Is there any way to close the gaps naturally without having to fill gaps and all? I feel very disappointed with these gaps. I don’t like to use artificial methods to fill gaps. Do you know how much treatment would cost? Thank you for your time.

A.
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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

Should My Dentist Attempt To Whiten My Tooth Prior To Fitting My Crown. Is This Something You Could Help Me With?

June 26th, 2014
Q.

Hi Mark. I noticed a reply you made concerning internal whitening and wondered whether you’d be able to offer me some advice please? I’ve had a porcelain fused to metal crown replaced by a porcelain crown on my front tooth. Unfortunately what’s left of my tooth underneath is almost black and shows through the crown and gum itself. I was really disappointed by this as whilst the crown itself is better it’s more blue than the previous one. I’ve read some comments online that perhaps my dentist could have attempted to internally whiten my tooth prior to fitting the crown and/or tried masking the tooth. My question is; can this be done now that the crown has been fitted or would this require my crown to be replaced? I assume that removing my current crown would ruin it and so I would need a whole new one if that was the case? Also, is this something you could help me with at your practice? As I fear that my general dental practice (whilst very good) may lack the expertise to help me on this one.

Any guidance would be hugely appreciated! 🙂

Thank you.

A.
Hi. Yes you are correct usuall… (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

My Dentist Made Slits In My Retainer So It Was Easier To Get On. Is This Right, Will It Still Work?

June 26th, 2014
Q.

Hi,

I have just had retainers fitted by a local orthodontist. A few of my teeth have moved over the past few years and the dentist suggested having a mould created and then adjusted the mould so that the mould/teeth were then forced to be perfectly aligned and hopefully this would push the few non-aligned teeth into a straight position. However, when the dentist fitted the retainer, he created slits in the top and bottom so that they were easier to get on. I am slightly concerned, that a) if there is a gap in the retainer, how is it going to move my teeth? and b) I have just paid £400 for technically, a broken retainer.

Please can you advise whether this is normal procedure, (to cut retainers so that they are easier to fit on) and if so, will it actually move my teeth?

A.
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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 Decay In My Roots. My Dentist Tells My It Needs To Be Extracted. Is This Correct Or Is There A Viable Alternative?

June 26th, 2014
Q.

Hi Mark. I have sensitivity in an upper molar. My dentist X-rayed and reported decay at the junction of the roots. He said that due to the position of the decay the only remedy he could recommended was an extraction.
My gums have receded somewhat due to my age but if possible I would like to avoid extraction. Is this advice correct or is there a viable alternative? I have an implant next to this tooth and I am worried that the gap left after an extraction could lead to weakening of the implant. Thank you.

A.
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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 Want Natural Looking Cosmetic Treatment. Do You Know How I Can Achieve This?

June 26th, 2014
Q.

Hello Dr Moore. I recently had a faulty dental procedure on my upper anterior teeth and I am extremely anxious and disappointed with the outcome. To explain what happened:
I had an extremely small cavity between my front upper anterior teeth whose fillings have been changed over the last couple of years because of staining. Approximately five months ago, I asked the dentist to redo that filling but she couldn’t acquire the right shade after three attempts. I was travelling for work the next day and I visited another dentist that was referred to me by a friend. This dentist literally sawed deep into my teeth, and after creating a deeper cavity, filled it and my teeth began to look bigger. So I went back to my original dentist and she removed the excess filling. While performing this procedure she chipped off a portion of my teeth.

I finally went to a cosmetic dentist that then refilled and bonded the chip but my teeth look big and bulky and artificial which has left me depressed and extremely sad. I had perfectly normal and natural teeth but this is the outcome. I would like to find out if you can help me achieve my goals at a reasonable price? How do I get this problem fixed before another dentist ruins my teeth. I don’t like the look of artificial teeth and the shape of my teeth. Please help.

A.
Hello and thank you for your e… (Click here to read the rest of the answer)

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