My Gums Shrank Considerably And Now I Look 5 Years Older. Can Anything Be Done To Bring Back My Youthful Appearance?

May 6th, 2014
Q.

Hello Dr Hughes. I am a young looking 65 year old.
My dentist misjudged my gums while
preparing them for 8 span bridge he was having made for me. He removed too much and as a result I needed to have a crown lengthening. My gums
shrank considerably after I was healed.
I now look at least 5 years older than I
did before the surgery. Can anything be done to bring back my youthful
appearance? Should I reporting him
to the peer review board? Thank you. I look forward to your reply.


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 Missing Central Incisor. What Would Be The Best Type Of Bridge For This Situation?

May 6th, 2014
Q.

Hello Andrew, I need your advice. I have had a missing central incisor for around a year and I am currently wearing a denture at the moment. What is the best material for a bridge in this situation? Strength wise and aesthetically? I have been advised to try a Zirconia bridge. Could you tell me the material this is made from and how long is it likely to last and is it the best? My teeth and gums are healthy otherwise. Would bleaching affect already existing tooth coloured fillings or damage them? Thank you for your time.


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 Get Embarrassed Whenever I Smile With My Large Front Teeth. I Wonder What Can Be Done?

May 6th, 2014
Q.

Hello Mark. I am 21 years old and my 2 front teeth are bigger than normal ones. I get embarrassed whenever I smile with them and I’ve also got a tooth growing out the top of my gum. I’ve got a couple of bottom teeth that are wobbly too, even though I clean them twice a day and I’m a non-smoker. Also, I’ve got a tooth missing next to the front tooth but the tooth from the gum covers it up. They don’t get any cleaner no matter how much I clean them. I am just wondering what there is to be done as I’m only 21 and it’s not looking good for me in the future? Thank you in advance for any help you can offer 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

I’ve Been Diagnosed With TMJ. I’ve Been Told The Muscles Will Never Get Out Of Spasm. Is This True?

May 6th, 2014
Q.

Hello Dr Moore. I have been diagnosed with TMJ disorder and it’s due to clenching my teeth after 18 months of trying to get to the bottom of the problem. I have had an X-ray which shows no damage to the jaw joint and it’s been recommended that I ask my dentist for a bite splint which I’m worried will make it worse. The worst thing is the tightness and muffled feeling in my ears. At times it almost feels like my neck is tight and is pulling on everything. I’ve been told the muscles will never get out of spasm once it’s happened and my ears may always be muffled.  Is this true? I hope you can help me with this as it worries me. Thank you for your time.


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 9 Teeth Extracted. Would There Be Some Kind Of Payment Plan Available To Have Implants?

May 2nd, 2014
Q.

I am having surgery done this soon. I’m having all the back teeth have been removed. I only have 11 bottom teeth and have had root canal treatment on 6. I know eventually these will have to be taken out at some point. I have looked after my teeth but right from the age of 5. I was always having work done. I went into hospital at 21 and had an operation on my upper gum resulting to gum disease and this left me absolutely horrified with the result. More treatment was needed resulting to crowns which kept falling out. My last dentist left the practice and I felt let down as he helped build my confidence up but now I am really scared of the what might happen. The only option on NHS is a full denture plate. I am very nervous and worried about this as the feed back I’ve heard about dentures I would like to have implants instead. Would I be able to get them on some sort of payment plan?


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

An X-ray Showed My Wisdom Tooth Inclining. It’s Starting To Hurt. Is There Anything That Can Be Other Than Extracting It?

May 2nd, 2014
Q.

Hi Andrew. I’ve got wisdom tooth in below right jaw
and it is hurting a lot. On X-ray it showed it is becoming inclined and it is touching the teeth either side. My dentist says I should go for surgery and remove the wisdom tooth since it is inclined and can cause harm to next teeth. Should I go for surgery and remove it or should I wait for some time for pain to go?  I am scared of surgery so I’m wondering if there is any possibility of avoiding it? Also, I’d like to know if the wisdom tooth will keep pushing and hurting in future?

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 Front Tooth Sticks Out. I’d Like To Know A Way To Fix It Without It Being Extracted?

May 2nd, 2014
Q.

Hello. I’m 47 and one front tooth sticks out really bad, my dentist said there is nothing he can do, because of gum problems, apart from taking it out. I tend not to smile very much because its very noticeable and I think its gotten worse over the years. If there is anything you can consider for me to bring my smile back I would be very grateful. If there is something you can do without taking it out? I am really frightened of the dentist at the best of times. He also said a crown would not work because it would make my tooth look long.


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 Much Does It Cost To Have A Retainer Fitted And Will I Have To Wear It Forever?

May 2nd, 2014
Q.

Hello Andrew. I would like my front teeth to be straightened but I am not sure if the six month smile will be the right treatment for me. Do you have to have the brace tightened like with conventional braces and how much does it cost each time this is done? Also, how much will it cost to have a retainer fitted and will I have to wear it forever? If the brace is the same colour as the teeth, is there a danger that the brace will become stained by food and drink?

Thank you for taking the time to answer my question.


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

A Had A Bad Slip And Snapped My Teeth. Would It Be Better To Use Cosmetic Bonding Or Veneers To Rebuild My Teeth?

May 1st, 2014
Q.

Hi Mark,

I’ve unfortunately slipped on a wet floor last week and landed on my jaw face down and have snapped off a third of both of my front teeth horizontally. There are also some minor cracks in the enamel which go up to the gum line in one tooth. My family’s NHS dentist covered the exposed roots over with a temporary white filling. I’ve got to leave it on for 2 weeks to see if the root decides to die off. He then suggested opting for composite bonding to re-build my teeth. I would really appreciate a second opinion from a cosmetic expert whether this was a sensible approach or whether veneers would be a better investment from the outset. Would the bonding method look okay and match the top half of my teeth? Can it be used to cover the cracks up to my gumline? Can it snap off easily as it’s quite a large area and further damage my existing teeth? Would be great to get your thoughts. 


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 Misplaced Mid-line Down To Sucking My Thumb. Will My Dentist Allow Me To Get Braces?

May 1st, 2014
Q.

Hello Andrew. I like to ask you a question. I’m 14 turning 15, and my teeth are pretty straight for the most part but my incisors are a bit crooked but for the most part, they look straight. My problem is, that I have a misplaced mid-line because I sucked my thumbs for 11 years. I just noticed a couple weeks ago. I measured it and it’s about 3.5mm off. It’s also very irritating to bite because the lip feels weird. My mum pointed out that my face is now a bit asymmetrical. Will my dentist allow me to get braces? Thank you for your time.


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