Advice needed on foundation dentist please

[Della44]

Hi, I have previously posted here about some of the issues that I have because of a fear of the dentist.

I have severe gum recession, mainly on one post crown (which is very loose) and one next to it which also needs to be removed. If I have a partial for these teeth, it also has to sit right next to an existing cantilever bridge which has been there a good 20 years or so.

This treatment I need has been delayed because I have not been able to get along very well with my current dentist, because of my anxiety and stress levels regarding this. I have been fortunate to find another NHS dentist (I am in the UK) and have been given my first appointment next week with their foundation dentist, being a nervous wreck about dealing with my dental issues, I am now starting to worry I may have made a mistake, mainly because I have some complex problems (that is how I see it anyway) and now worrying I may need the help of a more experienced dentist to treat me.

I hope this has all made sense, but just wanted the opinions of the dentist here.

 

[Dr. Daniel]

You can ask your dentist for conservative dentistry, to treat as little as needed to improve your quality of life.

 

[Della44]

Dr Daniel,
Thank you for your response. I am not quite sure how your answer relates to the question I asked?

 

[Dr. Daniel]

Conservative dentistry includes cleaning the mouth from bacteria using teeth cleaning, fillings and root canal treatments, all these are basic dentistry. If a patient has a complaint (regarding pain, chewing or esthetic) the conservative approach would not include crowns and bridges and also teeth extraction to the best of the ability, because these treatments have bigger effect on the dentition.

 

[gentledental]

@Della44
Foundation dentist may not be as experienced but they are not as time constricted as an experienced dentist working in the NHS. In order for most dentists to make a living in the NHS they would have to do the treatment efficiently and that might not suit you. Unfortunately the current trend appears to be if you do want an experienced dentist to take the time to look after you then you are most likely going to have to go private.

 

[Gordon]

Also the Foundation dentist will have a more experienced dentist available to give some advice/second opinions etc, so you're kind of getting 2 for the price of one

 

[Della44]

Also the Foundation dentist will have a more experienced dentist available to give some advice/second opinions etc, so you're kind of getting 2 for the price of one

Hi Gordon,
Thank you for taking the time to reply. Would you mind very much also answering another question for me?

The two loose bottom front teeth, the gum has gone down a whole lot more than the rest of the gumline, so like a hollow now below those two teeth. I am just wondering how it will be possible to make a partial denture to accomodate that problem, there is bone loss there too.
Many thanks

 

[Gordon]

It's easy, the lab will build out the base of the denture in (pink) acrylic to make up for the missing soft tissue. We do it all the time.

 

[Della44]

It's easy, the lab will build out the base of the denture in (pink) acrylic to make up for the missing soft tissue. We do it all the time.

Thank you so much Gordon, really appreciate your help