Expert Answers

Do I have to get braces on my top and bottom teeth like my dentist says?

Q.
Hi. I am 19 and I have an open bite. My orthodontist wants to put braces on my top and bottom teeth for two years to align them and hopefully pull them together a little more. Afterwards, he says I might want to consider getting surgery to fully correct the open bite. I have already had two retainers when I was younger so my top teeth are straight and I am happy with the way they look. My bottom teeth however, are crooked and I would like to see them fixed. I do not have a problem getting braces on my bottom teeth to straighten them out but I don’t want to get braces on my top teeth because I am afraid that my smile will be too gummy afterwards (since my ortho said more gum will be showing at the top). Why should I mess around with my top teeth if I like them how they are? Also, my ortho says that if I only get braces on my bottom teeth it will make the open bite worse so he really wants me to put braces on the top and bottom. He says the biggest problem with my teeth is the open bite, not the crookedness. What do you think I should do? Get braces on my top, bottom, both or should I just leave my teeth the way they are and go without braces all together?
A.
These are all good questions. The reason you need to have braces on both your top and bottom teeth is because teeth are like puzzle pieces. They have to all fit together in a specific way. The only way to achieve this is by moving top and bottom teeth allowing them to fit and work together. You cannot correct the open bite without treating top and bottom teeth. Regarding the gums. Closing the open bite will change the position of your gums in the front but will most likely level the gum with the back or side teeth making your teeth look more even. It will probably result in seeing less gum on the sides and a little more in the front which would look normal. Regarding no treatment. You are young. If you do not correct the open bite, as you age you will prematurely wear out your back teeth faster due to the added stress created by an anterior open bite. As you age this will become a significant facture even though it is difficult now to understand. A balanced bite plays an imporatnt role in the longevity of your teeth as well as your jaw joint and related chewing muscles. Correcting the anterior open bite is the right thing to do. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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My dental hygenist has sliced off the ends of my front teeth, what can I do?

Q.
Dr Kirtley, Two months ago due to enamel erosion, a hygenist has sliced off the ends of my front teeth and now apart from it being painful, my front teeth are now a millimetre too short and is affecting my speech. My teeth are very healthy and straight but can the ends be bonded back on and if they can, how would this effect the health of my teeth? Would it be strong to not break?

As the ends of my front teeth are still tingling after 2 months, how long would you say it takes for any pain or senstivity from chipped teeth to go away?

A.
Hello. I am sorry to hear about your troubles,
This could be remedied through the placement of veneers. This would eliminate the sensitivity and regain your length and speech issues. I can refer you to someone who is well qualified if you let me know where you live. hope this helps and if you need anymore information, please feel free to get in touch
dr george kirtley

Dr George Kirtley

Smiles By George
7465 East 82nd Street, Indianapolis IN 46256
Web: www.smilesbygeorge.com Tel: 317-841-1111

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What treatment is available for dental flurosis?

Q.
I am 16 and have dental flurosis. Could you tell me what if any treatment there is to help from the dentist, or is there anything that I can do at home to treat this?
A.
hi many thanks for your email, dental florosis is the condition where you as your teeth have been developing have been subjected to an excess of flouride. this can cause white striations in the teeth, and even cause them to discolour to a browny colouration. the problem is that it is intrinsic to the teeth. products like tooth whitening can sometimes help.

hope this is helpful.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki - UK Practice of the Year 2007

Kissdental
157 Woodsend Road, Flixton, Manchester, M41 8GN
Web: www.kissdental.co.uk Tel: 0161 748 5250

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Is invisalign able to treat open bites?

Q.
Are invisalign braces able to treat spaces between the front teeth and also an open bite? Would I be better going with fixed braces or can invislaign do this?
A.
Invisalign can treat a multitude of alignment problems.  Open bites however can be more problematic and fixed braces are probably a better consideration.
dr george kirtley

Dr George Kirtley

Smiles By George
7465 East 82nd Street, Indianapolis IN 46256
Web: www.smilesbygeorge.com Tel: 317-841-1111

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What is the cost of full mouth reconstruction?

Q.
Could you please tell me some of the advantages and disadvantages of the full mouth reconstruction procedure? I need it done because of a bad case of gum disease, but my teeth were not the best anyway. Could you also give me an estimate of what this may cost, and what it actually involves?
A.
hi many thanks for your email, a full mouth reconstruction is used when the existing teeth are broken down, worn  or missing so that the occlusion(bite) is not ideal and the function of the mouth is not satisfactory.

Full mouth reconstructions can vary from £10,000 to £50,000 dependant on the time needed and how much work is necessary and if dental implant work is also needed. hope this is helpful.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki - UK Practice of the Year 2007

Kissdental
157 Woodsend Road, Flixton, Manchester, M41 8GN
Web: www.kissdental.co.uk Tel: 0161 748 5250

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Tooth sensitivity caused by filled cavities?

Q.
Hi! I went in 7 months ago and got 11 cavities filled. The dentist stated that none of them were very deep and it was a fairly simple procedure. Now 7 months later I am still having extreme hot, cold, sweet and pressure sensitivity. I have gone back to the dentist several times to express my concern with the sensitivity and basically he states that he doesn’t know why they are still sensitive. I have used sensodine toothpaste for over a year now and i use a bite guard at night because every now and then I grind my teeth. What else can I do, im tired of having to take pain meds before i eat and im tired of the pain.
A.
It is unfortunate that you still have sensitivity. After 7 months it should subside if it is going to. See if you can identify which teeth are sensitive, maybe it isn’t all of them, and speak to your dentist about re-treating these. Your symptoms are consistent with a poor or incomplete bond of the material to the inside ‘dentin’ layer of the tooth. If the dentist is unwilling to do this or re-treats them and the symptoms continue I would seek another opinion.
Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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What treatment is available for pulpitis and dental caries?

Q.
my sons age is 6 years and when his tooth was inspected by doctors diagnosied as – Dental caries with chronic reverssible pulpitis in relation to 74, 84 and dental carries in 55, 65 please do suggest us the treatment.
A.
hi many thanks for your email, the teeth with the pulpitis may be better extracted, the other teeth should be filled. the other issue is the reason for the dental problems. if research is looked at, then the answer is simple, sugar!!. my advice would be to limit the number of sugar just to main meals and snack on non sugary foods and drinks.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki - UK Practice of the Year 2007

Kissdental
157 Woodsend Road, Flixton, Manchester, M41 8GN
Web: www.kissdental.co.uk Tel: 0161 748 5250

View My Profile Dr Solanki

What dental treatment is available for TMJ?

Q.
I have had a problem for the last couple of months where my jaw keeps popping. I left it in mere hope that it would go away but it didn’t. Now my jaw has locked and I am only able to open it marginally and I get pain when I try to do so. I am concerned that I may have TMJ, and woould appreciate your opinion on this. If it is the case that I have this problem then can you please advise on what I should next do? What kind of treatment is available?
A.
Unfortunately you are experiencing a problem with your TMJ joint. Most likely the joint is now dislocated and the cartilage in the joint is trapped forward restricting the opening of your mouth causing pain. You need to seek treatment from a specialist in TMJ dysfunction. Do research in your area for someone who is trained to treat this situation. Other dental specialists like Oral surgeons may be able to provide a referral to a joint specialist if they do not treat your situation. Dr. lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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Cost of sinus lift, bone grafting and two dental implants?

Q.
Could you give me an estimate cost for a sinus lift (not exactly sure what this is), bone grafting and two dental implants? I guess there will be a time of recovery between each stage of this treatment for the gums to heal or something along those lines? Your rough guess at the price would be appreciated.
A.
This is a question that is outside the scope of my expertise.  This should be addressed with an implantologist/oral surgeon.  They can be very specific about this.  A rough estimate would be 5-7 thousand dollars in the US.
dr george kirtley

Dr George Kirtley

Smiles By George
7465 East 82nd Street, Indianapolis IN 46256
Web: www.smilesbygeorge.com Tel: 317-841-1111

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What is the cost of partial and complete dentures?

Q.
How many teeth can be missing for me to be able to get a partial denture rather than a complete denture? How much would either one cost if you could give me an estimate?
A.
hi many thanks for your email, a partial denture can be just for one tooth, upto i suppose all the teeth in the jaw bar one. the full denture is when there are no teeth in the jaw and so fully replaced by teeth on the denture.

Partial denture cost £200 – £1500
full denture cost £500 – £2000

hope this is helpful.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki - UK Practice of the Year 2007

Kissdental
157 Woodsend Road, Flixton, Manchester, M41 8GN
Web: www.kissdental.co.uk Tel: 0161 748 5250

View My Profile Dr Solanki