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Reginald O'Neill, BDS, MSc

Dentist

105 Chapel Street , Billericay, Essex

01277 658895

Website

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17 Questions Answered

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QUESTIONS ANSWERED

Any suggestions on tooth extraction and implant?

Asked By:AnonymousANSWERS (1)

You don't need a specialist oral surgeon. Find a good local implant dentist who can take care of you. bring your radiograph and they can give you a treatment pplan and will know good specialists they can refer you to if necessary.

Reginald O'Neill, BDS, MSc

Dentist

Veneers, 6-month braces, long-term braces, or invisalign for my canine teeth? (Photo)

Asked By:AnonymousANSWERS (1)

looking at your options - under no circumstances consider veneers at your age. I'm not going into this on a forum like this but find a local dentist to you who can explain this. If they want to place veneers, simply run! If you have any form of ortho then you will have to wear retainers. These can be bonded to the back of your teeth ie permanent. Get an orthodontic opinion and you will be likely surprised with how little time your case may take. filing down your teeth is not a good option. Disguising the irregularity can be done with bonding composite,. This is relatively harmless and reversible. It will keep the door open to orthodontics later in life but there is never a good time to be weariing braces and if really needed I think the earlier the better.

Reginald O'Neill, BDS, MSc

Dentist

Dental implant supported restoration without bone graft?

Asked By:AnonymousANSWERS (1)

Find good implant dentist on ICOI database and you will need diagnosis first which means quailified Dr's eamining you and doing special investigations with radiographs etc. Nobody wants to do bone grafting if it is not necessary so ask around in your area. Nowadays I'm sure your direct circle of friends and relatives know of reputable implant dentists you can see.

Reginald O'Neill, BDS, MSc

Dentist

Bone necessary for dental implants?

Asked By:AnonymousANSWERS (1)

Bone can be regenerated and it seems a shame you went all the way to Hungary without a diagnosis and treatment plan. This would not be satisfactory at home where you live but having to travel all the way to central Europe first before you are fully aware of the situation is even less satisfactory. Dental implants and reconstructions are like house building in a way and patients with the internet and adverts available are always asking how much does it cost and how long will it take? without actually knowing what it is they are getting into.
Hopefully your question will help others think first to find out where they are in planning terms before booking their flights! It should not be too difficult to find a dentist for an opinion, in the UK where our practice is, the ADI (and internationally the ICOI) have a good database to work from. Share your scan and photographs/radiographs please and you may even get some specific opinions on this forum. Good luck with your case, Reg O'Neill

Reginald O'Neill, BDS, MSc

Dentist

I have one tooth in the center of my face. Is there anything I can do about this? Would braces help?

Asked By:AnonymousANSWERS (1)

You need an orthodontist opinion, find one by asking around where you live or get referred by your dentist.

Reginald O'Neill, BDS, MSc

Dentist

I need crowns due to bruxism, and don't know which dentist's approach is correct: can you advise?

Asked By:AnonymousANSWERS (1)

Neither sounds right for your case. It has taken you quite a while to get to this stage when you consider this damage to your teeth has not been overnight. Take a bit more time with diagnosis and set up your new bite with good provisional crowns first. Is there any other contributory issues going on like acids etc, your case is way more than the scope of a realself querie and reply so you could benefit from another opinion , someone who deals with worn dentition and if you are in the US a prosthodontist can help you better. You will still grind on your crowns so they alone will not look after you for the long term.

Reginald O'Neill, BDS, MSc

Dentist

What is the risk of not replacing an extracted tooth with an implant?

Asked By:AnonymousANSWERS (1)

We know that only a healthy tooth or a dental implant will maintain jaw bone dimensions which will atrophy (shrink) after tooth loss. However looking at the bigger picture in your case one isolated lower second molar is not a significant tooth to replace with an implant in the presence of significant systemic disease. Controlling your osteoporosis and keeping cancer risk lower is your main medical concern and you will likely be taking bisphosphonate medication soon in addition to your current prescription. This helpfully interferes with bone metabolism in osteoporosis sufferers but can lead to complications with bone and implant healing and nasty bone healigng side effects that are difficult to treat. I would be very cautious about putting your missing molar ahead of your serious medical issues and my advice would be to concentrate on the osteoporosis and cancer treatment as a priority. You will not notice any loss of dental function from your one missing tooth and it is not a visible tooth when smiling.

Reginald O'Neill, BDS, MSc

Dentist

Dental implants or All on 4? Why do Dr.s disagree on treatment? Some say all on 4 is bad for long term. What are we to believe?

Asked By:AnonymousANSWERS (1)

Look at your case on the simplest level. You are young with the highest of bite forces (and TMJ to boot) but your treatment plan with all on four is the same for an elderly person with fewer years to live. Your choice 1 of a new office, specialises in specific all on four treatment so it is likely that they only will treat you in this way no matter what your diagnostic records show. This is a heavily marketed piece of marketing. It is no doubt successful in carefully selected cases but not everyone can have a new hip/knee/ etc. If it fails what will happen? you seem to have most of your lower teeth and going to loose your upper teeth. Increased forces on upper jaw prosthesis from lower teeth and implants will affect its longevity. Get your records and find an extablished office for another opinion. Find a Dr who will present you with treatment options and help you understand his diagnosis as opposed to fitting you into a standard one size fits all treatment plan. You can look for credentials from AO, ICOI or a prosthodontist/periodontist, good luck!

Reginald O'Neill, BDS, MSc

Dentist

What is the best option for a gap caused by a missing tooth that is too small for an implant?

Asked By:AnonymousANSWERS (1)

Your first option to consider may be orthodontics to create more space and move the adjacent teeth roots out if the way to make an implant restoration a possibility. As usual, your post gives totally inadquate information eg. which tooth, condition of adjacent teeth, bite pattern, lip line, other crowding, diemension of space available etc etc etc and you need diagnositc information from a dental examination to evaluate your options comprehensively. In some cases we can overcontour the adjacent teeth with bonding composite and this disguises the size of your small gap and improves the appearance for your smile (at negligable cost). a 3mm diameter implant is the smallest implant size that would provide a reliable dental implant for a crown, but of course you need a larger gap than this to fit it in! Don't worry, this is not a very challenging case, find yourself a good local dentist who has an interest in dental implants, works with orthodontists and is recommended by your colleagues and best of luck.

Reginald O'Neill, BDS, MSc

Dentist

Is it safe to get 3 dental implants when pregnant?

Asked By:AnonymousANSWERS (1)

contraindicated I am afraid due to your developing baby's requirements for bone minerals, your calcium balance would be expected to be fairly negative in this period. Also assocated radiographs would irradiate your foetus and this can be avoided by postponing dental implant treatment. Needing three implants is quite a large treatment plan and how do you know you need three implants? If you are retaining broken down teeth perhaps these can be maintained with provisional restoration through pregnancy rather than extraction at this stage. A tooth will maintain bone dimensions if it is healthy so aim to keep your supporting bone in good form in preparation for possible dental implant treatment later.

Reginald O'Neill, BDS, MSc

Dentist