Any dentists on here please. ?

[Tiddleandplonk]

Ds has a tooth that direcetly grows out of his gum
. He was v embarassed in his teens when he told us about it and didnt go dentist whislt at uni.
Now he is facing the fact that this affects his confidence. His dentist says that the extraction under ga and a crown to the other tooth will cost 10 k in england and has advised him to go to a private clinic of his choice in turkey and that it will cost 3 k there.
I would have thought that the nhs could do the surgical aspect of this procedure? And then pay private for the crown?
I dont want him to make the wrong choice. We will pay but we can only pay once.. so we need to support him to.make.the right.choice.
I realise nhs work invole a long wait and its affecting confidence so happy to.pay.but it has tobe good. Any advice please ?! Thankyou.

Dentist here.
So to clarify the online consultation was with a Turkish dental provider? They made an assessment of what they thought was the problem without an examination or x rays? Likely plucked a price out of thin air for what it would cost in UK and advised travel to turkey for treatment. Sounds like absolute madness.
He really needs to arrange a full exam whether this be private in his local area or travel to an NHS clinic. Many areas of England have plenty of capacity for new NHS patients I’d be is willing to travel.

15:06Powerfulpam
Absolutely willing travel. Train as no car . Midlands based with access to birmimgham. Thanks so much. Are you thinking that nhs can do restorative work too or priv ? If needs.
He has a big tooth in his gum you can clearly see it. And a baby tooth in the usual space . Really tiny.

He just needs to find a local dentist, can he ask friends or on his local FB for recommendations?

For £100 or so for a private check up he will at least know his options and can then decide on a course of action. But he needs the information first.

NHS Dentistry is complex for what is and isn't covered. In general NHS Dentistry does what is clinically necessary and cosmetic treatment is not part of this.

An impacted canine with a failing baby tooth might be eligible for adult NHS services in the hospital but the waiting lists are huge. It would depend on his IOTN (a grading of the apperance and position of teeth) and often whether the hospital is a training centre for Orthodontists. In general adult Orthodontics under the NHS is restricted to very severe cases with large under or overbites.

Removal of the tooth under the NHS would be done but the General Anaesthetic waiting times are long for most areas and if it was removeable under local anaesthetic this would be recommended.

NHS Dentistry does not cover cosmetic treatment so a build up of the baby tooth or crowning if it was appropriate would only be offered privately.

Hi ,thanks for help.
Ds went to priv dentist today
Said they think a brace for a year to bring tooth on gum down plus extraction of baby tooth best bet. Tooth in gum is fine tooth.
Ds really upset . Starts new career sept and does not want " mouthful of braces " . Its the start of a significant year for him and he says he cannot stand in front of class with braces.
Ive told him the kids prob think.they cool but he is so upset.
I think.he wants to go down a route of
Baby tooth out
Eptopic tooth out
Implant.
To me it wd be madness to loose a good tooth.
However, i am not self concious and 8n my early 20s.
I am quite worried for him as he is so upset. I am.also worried he will.take himself off to turkey to have it done aa original plan in his mind
He has been through major changes in life( career,new flat, interviews ) and is really emotionally wrung out .
Any more advice at all.please.
I think he wants to meet girls and get established in his career and this feels too much . Part of the plan re teeth was to help him in relationship dept as the eptopic embarasses.

Call dentists, takes perseverance but I found an nhs one after about 30 calls

Tiddleandplonk ultimately he will do what he wants.
If he's after a quick fix an implant isn't quick either; normally a tooth is taken out, the gum heals for 3 months, the implant is placed and crown put on 3 months later. Shorter time frames with a crown placed immediately have a slightly higher failure rate.
Implants are currently predicted to have in people's lifetime a 60% failure rate so keeping his own healthy tooth with a year of wearing braces is a a bit longer but will also give him straight teeth as well. Currently his gap is probably for a baby tooth, a brace will establish the space for an adult tooth. In the end the braces will give him better looking teeth with less chance of complications.
I will now sigh and say he's adopting a generational instaready stance that wants everything fixed instantly with no regard for consequences.

@MillyMollyMardy
^agree
There is no quick fix unless your son wants to have an extraction /s and an immediate partial denture.

Found nhs one this am !.

Yes he does want quick fix due ro.lack confidence perhaps