Hello! I am 28 years old and very unhappy with the shape of my teeth. The lower teeth are uneven, some upper teeth are longer and others shorter, I have a crossbite, and the teeth are very crowded. It bothers me very much that the upper lateral incisors are smaller than the canines (the canines are very long), and when I smile slightly it looks as if part of the tooth is missing (the upper lateral incisors). I would like to know whether it is possible to build up the lateral incisors so that they are approximately even with the canines and look more uniform. Otherwise, I take very good care of oral hygiene and have no problems with my teeth. I hope you understand me! Thank you for your answer and kind regards!

Dear Sir/Madam!Based on what you wrote, I assume that the main problem affecting your appearance is the irregular position of the teeth and the incorrect relationship between the upper and lower jaws. In this case, the first treatment of choice is of course orthodontic therapy (removable and fixed orthodontic appliances). I assume this has already been explained to you elsewhere. If we limit ourselves only to the appearance of the upper intercanine sector (central incisor, lateral incisor and canine), however, we can look for solutions that you yourself have already suggested. The lateral incisors can certainly be lengthened:-building up the incisal edge with composite material is a relatively simple and quick solution, but its durability is limited to a shorter period (over time discoloration or fractures of the material may occur, which also depends on the bite and habits)-aesthetic veneers or, in this case, onlays, which can lengthen the dental crown and also change the colour and shape of the teeth, are a better solution in terms of durability and aesthetic result, but somewhat more radical, since it is usually necessary to remove some of the front part of the enamel layer of your tooth.For a more precise answer, please make an appointment for an examination at our practice.Have a nice day!

Dear Sir/Madam! I would like to ask for your advice. In the upper jaw I had a bridge and porcelain crowns for 18 years. On the right side everything became so loose that on Monday my dentist extracted all of it; on the left he says it is already slightly mobile under strong pressure as well. He suggested extracting the left side too - I still have my central incisor, canine and second premolar - and making a complete denture. I cannot come to terms with this because I am afraid I will not be able to get used to it. You suggested to another gentleman that the optimal solution for a complete denture is four implants + a denture without a palatal plate. I would like to know whether it is possible to place two implants on the right side where there are no teeth and retain the denture on them, while leaving the left side as long as it lasts, because I do not feel anything moving and nothing hurts. When necessary, we would extract those teeth too, place two implants and make a new denture for the entire upper jaw. I am also interested in a fixed circular construction that remains permanently in the mouth. Thank you very much for your answer and kind regards.

Dear Sir/Madam!The solution you described is also possible, and we would suggest it as well if the left side is still relatively unremarkable on the X-ray. A fixed construction is also an option that can be used immediately or gradually, in a similar way to what you planned for the complete denture. For this type of treatment we need a larger number of implants (six to eight), and in many cases an additional sinus-floor elevation procedure, because in the premolar and molar region the amount of remaining alveolar bone separating us from the paranasal sinus is usually insufficient for implant placement. Hygiene with a fixed construction is somewhat more demanding, but in a well-informed patient it is not problematic.The decision between a removable and fixed construction is a matter of personal judgment, which is usually also influenced by the cost of the two procedures.Have a nice day!

Dear Sir/Madam! I have already written to you about problems with my second molar and gum recession. Two months ago I had a panoramic X-ray taken because I wanted a more detailed image, and then because of pain (one month ago) I had to go to my dentist. He found that the roots of the previously extracted wisdom tooth (they had been right next to the second molar) had caused major damage to the root of the second molar. He cleaned the plaque and coated the tooth with some special varnish. He said the problems would recur but would get better each time, yet I had to return after only a few days because of pain. He opened the tooth and said I had a granuloma; the root was no longer there. I did not want him to extract it, so he cleaned the tooth and placed medication inside. If at the next visit the tooth is not all right, or if saliva gets into it when he opens it, he will extract it. A month has passed since then and the tooth has started hurting again. I would like to know why there is pain if the root is dead, and how the tooth can be cured so that it does not have to be extracted. If the tooth is not properly cleaned, can a granuloma also develop in the neighbouring tooth? Why does a granuloma develop and how dangerous is it? Thank you very much in advance for your answers!

Dear Sir/Madam!Because of the pain, your dentist suggested and performed the only possible solution: the tooth was devitalized, meaning the pulp chamber and root canals were cleaned of soft tissue (pulp). Medication was placed in the root canals (an agent for sterilizing the root canals). Despite this, the tooth may still remain painful; sometimes the symptoms are even much worse than before the procedure. If such problems occur, we usually replace the medicated dressing with the same or a different dressing. The appearance of a granuloma beneath a non-vital tooth is a common complication of the underlying pathology. After successful root canal treatment, the granuloma should also disappear or at least become smaller. Disease processes in one tooth usually have no consequences for a neighbouring tooth. If root canal treatment is unsuccessful, the tooth must of course be extracted.Have a nice day!

Dentist - Your questions

Visitor asks:

Hello! I am 28 years old and very unhappy with the shape of my teeth. The lower teeth are uneven, some upper teeth are longer and others shorter, I have a crossbite, and the teeth are very crowded. It bothers me very much that the upper lateral incisors are smaller than the canines (the canines are very long), and when

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you wrote, I assume that the main problem affecting your appearance is the irregular position of the teeth and the incorrect relationship between the upper and lower jaws. In this case, the first treatment of choice is of course orthodontic therapy (

Visitor asks:

Dear Sir/Madam! I would like to ask for your advice. In the upper jaw I had a bridge and porcelain crowns for 18 years. On the right side everything became so loose that on Monday my dentist extracted all of it; on the left he says it is already slightly mobile under strong pressure as well. He suggested extracting the

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The solution you described is also possible, and we would suggest it as well if the left side is still relatively unremarkable on the X-ray. A fixed construction is also an option that can be used immediately or gradually, in a similar way to what you planned for

Visitor asks:

My problem is my bite. When I bite, the upper and lower front teeth meet edge to edge. I am 63 years old and have a partial prosthetic restoration in the upper jaw (10 teeth). Soon after it was made (about one year later), the anterior veneers began to fall off. Of course this was repaired, but unfortunately today one

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Unfortunately, I did not fully understand you: veneers are present on fixed prosthetic constructions and not on dentures, so I believe that you have a semicircular fixed construction in your mouth and not a denture. Repairs on dentures are very simple, whereas on

Visitor asks:

Dear Sir/Madam! I have already written to you about problems with my second molar and gum recession. Two months ago I had a panoramic X-ray taken because I wanted a more detailed image, and then because of pain (one month ago) I had to go to my dentist. He found that the roots of the previously extracted wisdom tooth (

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Because of the pain, your dentist suggested and performed the only possible solution: the tooth was devitalized, meaning the pulp chamber and root canals were cleaned of soft tissue (pulp). Medication was placed in the root canals (an agent for sterilizing the roo

Visitor asks:

Hello, I need new upper and lower dentures; in the lower jaw 4 teeth need to be removed. I am 40 years old and have been using dentures since I was 17, so I have no problems with my gums. Of course, this is already my second denture, but it is now almost unusable. So I would like to know, as a PRIVATE-PAYING patient, w

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The price of each complete denture is EUR 500. There is no waiting time! Have a nice day!

Visitor asks:

Dear Sir/Madam! Recently, while I was eating, two teeth chipped off. Both are lower second premolars and cannot be repaired. I would like to know how much two artificial teeth, or replacement of 2 teeth, would cost. Thank you for your answer and kind regards.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The two lost teeth can be replaced in two ways: -two bridges: the adjacent teeth are prepared as abutment teeth and a bridge is made that includes three teeth (two abutments and one missing tooth), therefore a total of six new dental crowns on both sides. The proc

Visitor asks:

Dear Sir/Madam! Is implant treatment really not recommended for smokers, and why? What if one stops smoking during the treatment period? Thank you for your answer and kind regards, Nataša.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Implantology schools around the world advise against implant treatment in smokers. Approaches nevertheless differ greatly. I learned implantology in Germany, which essentially follows an American doctrine. According to this school, we do place implants in smokers,

Visitor asks:

Good day, three weeks ago I received a lower bridge: both central incisors were extracted, and there is a crown on both lateral incisors and canines - all porcelain. My problem is that I have a metallic taste in my mouth (the adjacent bridge was ground down and a little metal is visible). Can anything be done about thi

Dentist Tomaž Rotar answers:

Dear Sir/Madam! A metallic taste is most often the result of polymetallism, or the presence of different metals in the mouth. Metals with different redox potentials (degrees of solubility in an electrolyte) form a galvanic cell in saliva (which is in fact an electrolyte and condu

Visitor asks:

Dear Sir/Madam! Two upper front teeth in the middle are loose. Both teeth have crowns because they had previously turned black due to loss of vitality. Since both teeth will probably have to be extracted, I would like to know what could be done in their place, how much it would cost if this is not covered by compulsory

Dentist Tomaž Rotar answers:

Based on what you have written, I can advise two different options for replacing the lost teeth: -bridge: we prepare at least two neighbouring teeth (therefore both lateral incisors); in some cases it is also necessary to prepare the canines, and we make a bridge of four or six t

Visitor asks:

Hello! I have had a metal-ceramic crown on my upper canine for two years. I have now noticed that on the inner side there is a very small hole, or that a little metal is visible. I would like to know whether this is a problem or whether the ceramic might start chipping. It only looks like a small hole, not a crack. Tha

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Based on what you have written, I believe that the visible small hole has no effect on the quality of the restoration and that you can be reassured. Have a nice day!

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