Archives for November, 2013

I was horrified at the cost of getting 3/4 implants supporting a bridge. Can you give me an estimate?

November 29th, 2013
Q.

I have recently had an examination for 3/4 implants supporting a bridge ; x-rays confirmed that no bone grafting was needed. I have been wearing a denrure for many years. the work would entail removing the present 3 teeth in the upper jaw. I was horrified at te enormous cost involved. I am very conscious of the discolouration of these existing teeth, which restrict my ability to smile. I was told the proceedure could be completed in one day. Could you please give an estimate of your charges please?

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

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Is it safe to get my infected tooth removed and immediately replaced with an implant?

November 29th, 2013
Q.

My top front tooth (left central incisor) is loose due to periodontal gum disease which I have been battling for over 20 years. I currently have an infection which has caused a small lump to form on my gum and there is a slight discharge where the tooth meets the gum. This is despite 3 monthly hygienist appointments throughout the 20 years at which I am frequently told my oral hygiene is good. I have been told that the tooth cannot be saved and will have to be extracted but that a dental implant can be inserted into the socket immediately after the tooth is removed and a temporary denture or maryland bridge put in place until a permanent crown can be placed. I am told that the bone around the tooth has gone but that there is sufficient bone further up to secure the implant without a bone graft and that the infection will clear as soon as the tooth is removed. I have always been given to understand by my own dentist that the bone loss is quite severe so I was surprised to be told by the implant dentist that a bone graft would not be necessary and I am also rather worried about the presence of infection as everything I have read about implants seems to stress that the gums must be free of infection if the implant is to be successful. I would appreciate your comments as I am feeling very confused and worried about being left with an unsightly gap if the implant fails.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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The price of getting dental implants for my missing teeth is too high. Can you advise?

November 29th, 2013
Q.

Dear Dr Fahey, i have all top teeth missing and I must say that I am extremely embarrased about this situation. I went to see my dentist about getting implants but they wanted me to have brdige implants costing 11k which i thought wasnt too different from wearing a denture because you still have this in your mouth. I was after the type of implant that goes into your gum and there is no plate or anything but the price shot away up to 18k after I told them that this was what I wanted for my teeth. Can you advice me of what i can do please. many thanks

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

I am thinking about getting my top crooked teeth extracted and replaced with implants. Is there an alternative?

November 22nd, 2013
Q.

I am female in my late 50’s. My two biggish front teeth seem to slope backwards and all other front teeth seem to slope forwards so the the lateral incisors stick out badly. A few years ago an orthodontist said I would need lower (I think) jaw surgery before any braces could be fitted. I didn’t go for this. I also have ‘highly restored’ teeth as one dentist put it and have a few crowns and have had a few root treatments. Also some top teeth at the side now look dark and unattractive. My four top incisors are healthy teeth but I’m wondering about getting the top crooked teeth extracted and replaced with implants to improve my smile. Is there any alternative? It is all beginning to affect my confidence badly.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Out of shape teeth make me look like a vampire. What options other than braces are available to treat this?

November 22nd, 2013
Q.

hello sir,
i am nineteen and i have a problem with my teeth. i am afraid to smile becuase i dont want people to see my teeth. my teeth are out of shape as if I i look like a vampire, if you get what i mean when I say this. Is there a way to fix this problem with my teeth that you know of? I know braces arean option but are there any other options as alternatives? a retainer perhaps to fix the problem?? i dont have gaps in between mt teeth as they are just out of shape. and its really hard to floss becuase i cant reach into every part. what can i do?

Dr Kalpesh Bohara

Dr Kalpesh Bohara
The Dental Suite, 27 Park Rd, Loughborough, LE11 2ED
Web : www.dental-suite.co.uk Tel: 01509 231144
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Is it best to remove tooth affected by periodontal pockets and get an implant?

November 22nd, 2013
Q.

Hi – I had a upper molar extracted. After this, Bone absorbsion must have taken place, leaving a slight depression, at the same time, a upper wisdom tooth then grew out next to the gap and closed the gap at a slight angle. However, periodontal pockets opened up at the same time, leading to periodontal disease and I now I have a periodontal pocket of over 7mm in the Wisdom tooth.

On a recent panoramic x-ray there is clear bone loss.
I had a deep root scaling to counter the disease, and maintain excellent dental hygiene, but I am again getting periodontal infections in this tooth.

I am utterly fed up with it, so I would like this wisdom tooth extracted and a implant put in it’s place.

I also have read a lot about the gram negative periodontal bacteria which have negative effects on peoples general health. I would like to think that if the tooth is extracted and a implant put in that would be the end of the disease in the site, as I read there is no periodontal ligament with a implant. Would this be the case?

I realise I would likely need a sinus lift and perhaps a bone graft also to build up the bone.

How would you proceed in this sort of case?

If the tooth is extracted would you wait for 2 months for the periodontal bacteria to be eliminated from the site by a patients immune response? Is it better to get the tooth extracted and wait 2 months before I see a implant specialist?

What sort of outcome can people with periodontal disease I hope for with implants?

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

I’m getting toothache and a strange taste from my crown. What could it be?

November 17th, 2013
Q.

hi doctor,
i recently got a job,but it pays very little and is self-employed,i hardly have any money for dental treatment,and need to go to my dentist because im now getting toothache where my crown is,i hear that it can cost up to £209 for a new crown,which i cant afford,what are my options on low income,is there a way to pay in installments ?
or can i get it done free or cheaper on nhs through my dentist?
i dont know ho long i can go without getting treatment as from past experinces once you start getting a tooth ache it only gets worse and does not go away,it hurts when i eat mainly and bite down on my crown,i had this crown done about 12 years ago,and my dentist tells me he would like to remove it to see whats going on underneath,he also tells me it could be a health risk as theres a gap between my tooth and crown where food and stuff get stuck,i do floss often and use mouthwash,and often there is a strange taste in my mouth coming from that area,so im a bit worried especially now theres a slight pain in that area now.
also a few years ago i had a local anestepic to remove a walt and after i passed out twice,so when/if i have dentist treatment im also worried about the injection and if it will make me pass out again,i have had many injections prior to this but had no problems.
hope you can help and asnwer all these questions from me,
thanks in advance.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

View My Profile Dr Moore

If the infection has returned is tooth extraction and the placement of an inevitable?

November 17th, 2013
Q.

I have had a failed root canal treatment. The endodontist removed it and bleached it and then sealed it up again. He said I would need a dental crown, but that I should leave it for a few months as there was a danger the infection would return, in which case I will have wasted my money on the crown. Two months later the thing has started to hurt again, so I’m pretty sure that it has become infected again. Does this mean that tooth extraction is now inevitable?And once the tooth is gone, can I be sure there il be no recurrence of infection?I would like an implant, but not if thre was a cance of infection under it. How long after extraction should n implant be carried ut, if the tooth is infected? Thank you for your time and I hope you can help.

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

I am anxious about getting my teeth treated but I want my smile back. What are my options?

November 11th, 2013
Q.

My remaing teeth are in a terrible condition & now I’m in a better financial position I would love to have a smile back on my face. I’m frightened to death of the prospect of what I may be facing as I have suffered with anxiety for some years. My confidence is now being effected in my day to day duties & seem to be avioding verbal communication due to the visibility of my horrible teeth. Over the years I have shied away from visiting Dentists & I don’t think I have one good tooth remaining in my mouth. What options would be available to me & would I receive any support prior to any treatment being carried out ?

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

View My Profile Dr Moore

Is it possible to do a bone graft around Bicon implant where there is bone loss?

November 11th, 2013
Q.

i am 32 and a non smoker i had a bi con dental implant on my front tooth 8 years ago during a check up and x rays it was discovered that the bone around the implant was deteriorating due to an infection. The dentist decided that due to the amount of bone loss more than half the implant would have to come out the crown was taken out but the implant remained solid in the remaining bone. Healing can placed on implant. Can new bone be grafted around the implant or does it have to be removed? what are my options ? Thanks

dr nick fahey

Dr Nick Fahey
Woodborough House Dental Practice
21 Reading Road, Pangbourne, Reading RG8 7LR
Web: www.woodboroughhouse.com Tel: Tel: 0118 984 3108


Harley Street Dental Studio
42 Harley Street, London W1G 9PR
Web: www.harleystreetdentalstudio.comTel: 020 7636 5981

View My Profile Dr Fahey

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