I’m a dentist - AMA

[ginplease8383]

As above!

Hopefullymoving- id want my patient to come back to me when they’ve had enough and would like to be referred. But then I’m not NHS so would generally remove myself as I have the equipment/time/inclination or if I don’t think I can do it then I’d refer but again it’s private so no waiting list. If I was an NHS patient I’d get referred ASAP as it could be a looooiong wait. Incidentally my wife had the same as you and it was referred pain, the pain now and again is the impacted tooth pushing against the others so one of these dates it’s going to hurt like hell so get it done ASAP

Tweakanddash- next to no experience of ortho myself but 6 seems young. I’d wait until you are confident all his adult teeth are in position. I haven’t heard great things about Invisalign but again, not my specialty.

Poppypoptart- no thankfully not!

Buggerthetabloids- bruxism can increase the risk of an implant failing yes but other variables too- clinical skill, quality of bone, healing process etc. I’d shop around 50/60 isn’t an insignificant amount of implants a year however I’ve always said if I ever have one then I’d want someone who has so proper training rather than self taught. Just because they’ve placed them doesn’t mean they know how to do properly. That said, it’s no guarantee they will be better at placing the implants so in a nutshell choice is yours- pros and cons to both. I’ve got an MSc in Implantology though so I’m biased.

Fruit cider- sorry too many unknowns- survival of a bridge depends on lots of factors- how well you’ve looked after it, whether you smoke, bruxism, quality of tooth adj to it etc. Whether or not it can be stuck back in it depends on the quality of the adj tooth and the conditions/type of break.

Gin why aren't dentists allowed to prescribe anything stronger than ibroprofen and paracetamol when dental pain can be so painful.
I had implants and it was agony but the dentist wouldn't or couldn't give me anything strong enough to kill the pain. In the end we had to ask our neighbour who is recovering from cancer and he gave me some of his strong painkillers.

Donutsdearest- that’s good. Problem also is in practice, training is expensive and if it’s not a need to have but a nice to have, principals aren’t going to want to cover the cost and dental nurses might not be afford to afford it.

ilovewhippets- the really short answer is because we aren’t medical doctors. It’s a risk because of the addictive nature of any painkillers as well as side effects. Normally paracetamol is enough and an anti inflammatory is enough. You can buy codeine over the counter - that can help sometimes

Thanks gin I was told it may only last for around 5 years so I'm grateful for every additional year - I have kept my denture just in case it falls off one day though

Exactly, it is really two different jobs entirely.i have done both and enjoyed both but practice nurses work way harder than us

Thank you!

My 4 year old has started grinding her teeth during the day and at night. She's started mumbling suddenly and says there's 'something's stopping her from speaking. We have an appointment this week at our dentist. Is there anything specific we should mention or can you offer any advice. Is this something you've come across?

Do you recommend sedation for implant surgery?

I have recently had 2 molar implants placed, with a bone graft.

My lovely dentist left the decision up to me so I opted not to, but blimey, it was a bit gruelling and I am pretty tough.

What's the best way to floss? Or what is the best thing to use?

Dentists can prescribe anything privately. It's probably unwise to do so though...

You can't buy codeine OTC in the U.K. cocodamol is a pharmacy medicine.

Can you give me some advice? I'm 12 weeks pregnant and having issues with gums/a tooth. The wait to see a dentist is long here. I got some Colgate Peroxyl which has helped in the past, but have read the label and it says to seek advice if pregnant or breastfeeding. Would it be safe to use?