My dentist has needed to replace my crown 3 times, will this affect my dental implant?

October 2nd, 2012
Q.

I have just completed treatment for an upper left premolar and adjacent upper left molar. All preparatory treatment went well, no problems, until the placement of the crowns: the first placement was a total misfit, and was resent to dental lab/technician for correction. 2nd attempt was better, but sent back again for adjustments; 3rd fitting seemed good – comfortable and cosmetically v. good. However, back home when I had a meal for first time, I noticed that top implants and bottom teeth were not meshing properly, and I was unable to chew my food properly. I reported back to my dentist next day, but he said he couldn’t find a problem, although he did not check with that special ‘occlusion’ paper test. Of course, he could not check the interior of my teeth with a mirror either, whilst teeth were closed. I was told to wait a week to see if still a problem,
There is still a problem – a big gap between top (implants) and bottom molars, so that I am unable to chew food properly on this side. As a result, I am mainly chewing on the other side of my mouth – surely not good long-term?
My questions:
Why has this problem occurred? Should the dentist replace these crowns? Does all this removal and refitting of crowns (3 times so far, and possibly more to follow) compromise or damage the underlying implants?
Your opinion much appreciated.
Thanks.

A.
I’m not sure why the problem h… (Click here to read the rest of the answer)
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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What is best for the replacement of my teeth, same day implants or traditional implants?

October 2nd, 2012
Q.

hi, i am about to have my two front teeth roots extracted after a cycling tumble! the posts of the crowns split the roots. i’m confused as to what is best, the same day implants or waiting for six months and having the implant done then? i have already paid for the extraction and partial plate as i thought the later was more reliable.i seem to be getting conflicting information. if i went for the same day implants could i do that the day after extraction at another practise? many thanks,

A.
I personnaly like to place the… (Click here to read the rest of the answer)
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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Are you able to fit dental implants under sedation?

September 28th, 2012
Q.

hello

I am looking to get implants to hold my dentures in place, but am really nervous when it comes to the dentist. How is this procedure usually performed, how invasive is it and can i have sedation to help calm my nerves?
I really, really want to have the treatment to stop my dentures from rubbing my gums raw, so i will try anything to help me have the procedure

thank you Dr Moore

A.
I would normally carry this tr… (Click here to read the rest of the answer)
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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Can my sister have the second stage of her implant treatment performed in the UK?

September 28th, 2012
Q.

My sister had the first part of her single tooth implant done in South Africa in July. She then left to university in the UK intending to have the second stage done in December. It has proven difficult to arrange this due to university timetabling and the festive season holidays. Could she have the second part of the implant done in the UK with a different surgeon?
It has also been very difficult to get a clear indication of the exact appointments neccesary with both doctors (sugeon and dentist) in order for us to have a clear idea of what needs to be arranged and when. Is there a step by step, appointment by appointment, guide which patients can access to avoid this confusion?

A.
Its only a confusion if you sw… (Click here to read the rest of the answer)
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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What is the best option for the permanent replacement of dentures?

September 15th, 2012
Q.

I have had a partial denture since the age of 16 – 4 front upper teeth and also have gaps on either side. This denture has sunk a little so it looks like I have fangs either side and is a little loose although that doesn’t cause any real problems. The current denture has lasted quite a long time but my dentist did some extraction work and didnt really seem interested in looking into the replacement of the denture at that time – it was mentioned but not part of the NHS treatment on offer? So now I am looking to have something more permanent and aesthetically pleasing. Can you advise what the options maybe ? I am now 53 yrs of age

A.
Implants might be a good solut… (Click here to read the rest of the answer)
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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Is my dentist right closing my missing tooth gaps with braces, rather than implants?

September 8th, 2012
Q.

Hello there, I would like a second opinion on my orthodontic treatment and dental implants! When I was 10 years old I extracted my first molar/left lower jaw as it was so decayed, the empty socket, overtime shrinked and caused my face to be uneven! When I was 17 years old, I had to remove the rest of the First molars (upper left/upper right/lower right) because of decay! Today I am 22 years old and I can notice that I am starting to age prematurely as the gaps from the molar extractions are starting to shrink, causing my face to get smaller, hollow eyes, “melting face ” kind of effect so I was thinking to have bone graft (as I lost serious bone) and then dental implants. But there is one small problem! I started my orthodontic treatment 1 year ago, for a severe malocclusion from where I will have to have jaw surgery to complete the treatment. At the start of the treatment I mentioned to my orthodontist I would like to keep the (molar extraction) gaps open so I can have dental implants but at my appoiment yesterday she said she wants to close the gaps and that’s what we’ve been doing all along during the treatment. I don’t feel is a good idea as my teeth and jaw are very small anyway and I’m scared this will make it even worse../Plus looking in the mirror and seeing my face changing I don’t like what I see/aging prematurely. Now, my questions are: Is it a good idea for my orthodontist to close the gaps? If it’s not, with orthodontic treatment is she able to stretch the gaps back to original shape so I can have the dental implants? If yes, will I be able to have the dental implants during the orthodontic treatment or after/during the jaw surgery? I feel very upset/disstresed/depressed….i stopped going out/have avoided most of my friends, when meeting someone new they guess my age at 29/31 as I look so old….. I need a second opnion/answer please! Thank you very much!

A.
Closing spaces is a good idea … (Click here to read the rest of the answer)
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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I have had implant for the last 7 years and suddenly they have fallen out, what could be the problem?

September 3rd, 2012
Q.

I have had implants for 6/7 years and have had regular dental visits over that period. Recently I attended a regular appointment to remove the bridges top and bottom and during the process 6 implants fell out. Is this normal – from no problems to the loss of all my upper implants? The problems had not shown up on the x-ray but it now seems that I will have to return to a denture until the bone has recovered / new bone graft and then have the entire top jaw re done. Have I had appropriate ongoing treatment. It feels to me that the implants should have a longer life and if it has been caused by infection should that not have been picked up and treated in time to avoid the loss of my entie upper jaw implants all at once.

A.
Its very unusual but can happe… (Click here to read the rest of the answer)
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

I need 6 teeth at the front of my mouth replacing, what are my options?

September 3rd, 2012
Q.

i am about to have 6 of my teeth from the front of my mouth taken out and as my doctor is NHS the only treatments available to me are dentures and bridges, but i would really like a long lasting option. are dental implants able to restore 6 teeth and would these be individual? Could you also give me an estimated price for this treatment and how long it would take until I had my new teeth?

thank you for your time doctor moore

A.
Yes its should be possible but… (Click here to read the rest of the answer)
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

I need my teeth replacing but I don’t want dentures. What other options do I have?

August 21st, 2012
Q.

hello Dr Moore

what can you suggest for some one who needs to have all of their teeth replaced, but cannot stand dentures. I did have gum disease, but it has all been cleared up now and i hate the dentures i have been given to wear. They move about and rub my gums and just totally look more hideous than I can really describe. What can you suggest as an alternative to my dentures?

thank you for your time and help and hope to hear back from you soon

A.
Greetings and thank you for ta… (Click here to read the rest of the answer)
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

I have an abscess and think my tooth will need to be extracted, do you have any advice?

August 21st, 2012
Q.

Dear Dr Moore,
My two front upper teeth were root canalled around 3 years ago and I am currently in the process of having NHS veneers but now I have an abscess. I’ve taken a 7 day course of 250mg amoxicillin. I have an appointment with an endodontist soon to see if he can do a re-root canal. But I think in all likelihood my teeth will have to be extracted. So I’ve been researching implants. I have many questions, please could you try to answer them:
1) If my teeth are removed can the hole be filled with a bio-scaffolding like Alverlac? I’ve heard this stuff is good for preventing bone loss.
2) how long will I have to wait to have implants after having my teeth extracted? I’ve heard implants can be placed in the jaw straight after having the teeth removed, is this correct?
3) I believe my gums are quite thin but think they are healthy as I don’t smoke and I’m in good general health. Although, their not ‘bouncy and thick’ looking. Which I’ve heard is preferable for successful implants. Will this be a problem for implants and will you be able to see them through the gums? Or will I have to have a soft tissue graft? And if so how much would this cost and where exactly in the mouth would the tissue be taken from?
4) Have the course of anti-biotics I’ve taken been enough to have killed some/ if not all the bacteria. Or do they just stop the bacteria from spreading?
5)How do you know if you have a good amount of bone in the upper jaw for implants? Is there some kind of average measurement?
6) I’m a student but have a part time job which consists of 20 hours. I was wondering could I pay for my treatment through a dental finance loan company such as Medenta (so I’ll pay a monthly sum for 12 months or so) or are these types of loans only available to full time workers.
7) If I can’t get the loan I’ve worked out it will take me about a year to save for two implants. In the meantime I really dont want to have my teeth extracted (because of the whole bone loss thing and cosmetic appearance). So if I leave the abscessed tooth for the year will this be a problem? Will it cause any ill effects? I’ve already taken anti-biotics. Will I have to take more?
8) If the crown on the implant needs to be replaced what would be the cost? Would it be a similar cost to having a crown on a natural tooth? Or be more expensive?
9) Is it worth having a re-root canal? I’ve read these can cost in excess of £500 and there not always successful. Will it really make a difference? or like I said could I just leave it and save for 12 months for implants?
I know its a lot of questions and of course you havent seen my case but if you could answer my questions it really would help. Thanks.

A.
1. I don’t have any experience… (Click here to read the rest of the answer)
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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