Hi Doctor Moore,

My brother was involved in a car crash 20 years ago which resulted in him losing his front two teeth and a titanium plate being inserted into the top palette of his mouth. Two front replacement teeth were drilled into the plate by the NHS at that time.

Twenty years later, he is very conscious that his teeth have moved and he now has a large gap between these front two teeth and the teeth on each side of these are crooked, discoloured and overlapping. His bottom teeth could do with some attention also. He does not smoke or have gum disease.

I keep encouraging him to get his teeth sorted but he’s concerned about a few things:
a) How painful or difficult would it be for him to have his teeth reconstructed under these circumstances?
b) The cost – could you give an indication of how much he would need to spend to correct all 4 teeth at the top of his mouth and correct a couple of crooked teeth at the bottom?
c) How long could he expect his teeth to last? He’s worried that, in his words, “once he starts messing”, he’ll have to continually fund replacement of any veneers or false teeth.

Thank you for answering my questions. I think it would transform his life if I could persuade him to take this step.

Kind regards