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Hello sir, my back tooth has become fully flat and is very sensitive when I drink anything cold. I visited a dentist who suggested putting crowns on all my molars. Is this the right treatment plan? Is there any other solution?
Your tooth has three layers, namely enamel, dentin and pulp. If your molars and premolars have become fully flat and your teeth are sensitive, it means that you have lost your enamel. This is called attrition of teeth. This happens mostly either due to an improper bite or due to night grinding. Your dentist is right in the treatment plan. However, I would recommend you first find the cause of this tooth attrition. The treatment plan mainly depends on factors like your age, cause of attrition etc. If you’re young and your occlusion (bite) can be corrected with orthodontic treatment that would be the first option to go with. If you are elderly and want a quick solution I would recommend doing root canals for the teeth which have undergone attrition and crowning them up.
I have a cavity in my front two teeth. It is between both teeth. What should I do?
This depends on the extent of the cavity. Firstly, visit a dentist, and let him/her take an X-Ray of those teeth. If the cavity is not very deep, it can be cleaned and filled with a composite (tooth-coloured) filling. In case the cavity is deep and close to the nerve, you may have to undergo root canal treatment, followed by aesthetic crowns.
Two years ago, I got a molar implant done by a very famous dentist in Pune. I am not happy with it as it is moving now. The dentist has now advised me to remove the implant and redo it. I do not want to undergo the procedure again. What do you suggest?
If a dental implant has osseointegrated in your bone it should not move after two years. Kindly go back to your dentist and check if the crown is moving or if the implant which is within the bone. Please tell your dentist to take a CBCT scan which will help diagnose the problem accurately. Ideally, if an implant has integrated well and lasted for two years it should not move. But as a rare case, if it is moving, find out the reason. For any reason, if your dentist has to remove the implant, please get a new implant done. If you do not want a new implant and have teeth in front and behind the existing implant you can get a dental bridge made.
My front teeth have stains which are chalky white in colour. I am not happy with my smile. What is the best solution to this problem?
Chalky white stains on teeth are mostly due to dental fluorosis. It is caused by over-exposure to fluoride during young age. There may be many other causes as well, however, the ideal treatment for this is to get dental laminates or veneers done on your front teeth (the teeth that can be seen when you smile). The other treatment is you can get zirconia crowns (caps) fixed on your teeth. Visit a dentist who specialises in digital smile designing so that the dentist can show you a simulation of how your teeth will look after treatment. This will help you decide the best treatment option.
My father, 78 years old, has no medical conditions but has missing molars on both sides. He has difficulty chewing food. Some dentists suggest dental bridges and some suggest implants. I am confused. Money is not an issue for me. What is the best solution?
A dental implant is the best solution to missing teeth. If your father doesn’t have diabetes or any bone-related disorder like arthritis etc. then a dental implant is the best solution. Once the implant is osseointegrated in the jaw bone, it usually lasts a lifetime. If the surgery is done by a wellexperienced dental surgeon, the procedure is usually pain-free. If money is not a concern go ahead with an American or German dental implant which is available with a lifetime warranty.
I am a 55-year-old woman. I have a gum recession and I have been noticing for the past three years that the gums are receding in spite of me taking good care, brushing regularly and getting cleaning done every six months. What do you recommend I do?
This is a very common complaint of women your age. A lot of hormonal changes happen in the body at this age, especially during menopause. You should visit a periodontist dentist (gum and bone specialist) to get deep cleaning done under local anaesthesia. A periodontist will prescribe you the ideal antibiotics regime and some vitamins/medicines for your gums after a thorough evaluation.
A periodontist can also suggest various options for gum surgery which can be done to reposition the gums and cover the recession.
I had been to a dentist who insisted on changing my silver fillings to composite. I do not have any pain. Why should I change them just because they are old fillings?
Old silver fillings often have microleakage and that must be the reason your dentist suggested changing them. Silver fillings contain silver powder and mercury. Mercury is toxic to the body. In earlier times dentists did not have options for resin-based cements and composites. These days many better filling materials which are tooth coloured and aesthetic, are available. I recommend you go for composite fillings from a good company.