Common Dental Questions

Clear answers for oral health

Browse answers to common questions about oral health, treatments, costs, aftercare and patient experience at Attelia London. This page is designed to make dental topics easier to understand in a clear, balanced way. All information is general guidance, and suitability always depends on an individual clinical assessment.

Frequently Asked Questions

FAQ Topics

Browse a selection of the questions patients ask most often about oral health, treatments, costs and aftercare.

Is a root canal painful?
Root canal treatment is carried out under local anaesthetic and is intended to remove infection or inflammation from inside the tooth. Most patients find it manageable, and often the pain from the tooth beforehand is worse than the treatment itself.
How long do fillings, onlays and crowns last?
There is no universal lifespan because durability depends on material, tooth position, bite forces, hygiene, diet and maintenance. Some restorations last many years, but none should be presented as permanent. Regular review helps identify wear, leakage or fracture early.
How do I know whether I need a filling or something more than a filling?
That depends on how much healthy tooth structure remains and how the tooth is being loaded during biting. Smaller defects may be suitable for a direct filling, while larger or more weakened teeth may need an onlay or crown for added protection. Suitability depends on clinical assessment.
How do I know if my bite is uneven?
Possible signs include localised tooth wear, jaw fatigue, clicking, headaches or a feeling that certain teeth meet sooner than others. These symptoms can have more than one cause, so a proper examination is the best way to assess your bite.
Does root canal treatment mean the tooth is dead?
After root canal treatment the tooth no longer has a living nerve supply inside the canal system. It can still function in the mouth, but it may become more brittle over time, which is why some teeth need additional reinforcement such as an onlay or crown after treatment.
Can an old filling or crown be replaced even if it is not painful?
Yes, sometimes a restoration needs review because of wear, fracture, decay at the margins, poor fit or recurrent food trapping rather than pain alone. The decision to replace it should be based on clinical findings and radiographic evidence where appropriate, not simply age or appearance.
Can a night guard help with teeth grinding?
A custom night guard may help protect teeth from wear and reduce strain on the jaw muscles if you grind or clench at night. It does not always remove the underlying cause, so the bite, wear pattern and symptoms should still be assessed properly.
Can a cracked tooth be saved?
Sometimes yes, but not in every case. Teeth with limited cracks may be stabilised and restored, while deeper cracks that extend into the root or split the tooth more severely may have a poorer outlook. The prognosis depends on the crack pattern, symptoms and remaining support.
What is cosmetic dentistry?
Cosmetic dentistry refers to treatments that aim to improve the appearance of the smile while respecting oral health and function. Depending on the case, it may involve whitening, bonding, veneers or other restorative approaches. Any cosmetic plan should begin with a clinical assessment rather than appearance alone.
What is composite bonding?
Composite bonding is a minimally invasive technique in which tooth-coloured material is added directly to the tooth to improve shape, close small gaps or repair chips. It is often conservative because little or no tooth reduction may be needed, but suitability depends on the bite, alignment and condition of the teeth.
What is a smile makeover?
A smile makeover is a personalised combination of treatments used to improve the appearance and function of the smile. It may involve alignment, whitening, bonding, veneers or restorative work, depending on the clinical findings and your goals.
What are veneers?
Veneers are thin restorations, usually made from porcelain, that cover the front surface of selected teeth to improve colour, shape and overall harmony. They can be effective in the right case, but they are not suitable for everyone and should only be planned after a full clinical assessment.
Is tooth whitening safe?
When it is carried out appropriately under professional guidance, tooth whitening is generally considered safe for suitable patients. Temporary sensitivity or gum irritation can still occur, which is why assessment and instructions matter. Results vary, and whitening is not appropriate in every clinical situation.
Is composite bonding reversible?
It can be closer to reversible than some other cosmetic treatments when very little or no tooth preparation is needed, but that is not a blanket rule. The exact level of reversibility depends on how the case is prepared and finished. That should be discussed clearly before treatment.
How long does composite bonding last?
Composite bonding can perform well for years, but it is more prone to wear, chipping and staining than porcelain. Longevity depends on the bite, diet, smoking or vaping habits, home care and whether the teeth are under heavy functional load. Results and durability vary between individuals.
How long do veneers usually last?
Porcelain veneers can last for many years when they are well planned and well maintained, but there is no fixed lifespan. Longevity depends on oral hygiene, bite forces, grinding habits and the condition of the teeth underneath. Results may vary.
How long do teeth whitening results last?
Whitening results do not last forever. The shade can gradually change again depending on age, diet, smoking or vaping and how the teeth looked to begin with. Results may vary, and some patients choose occasional top-up treatment.
How long do porcelain veneers last?
Porcelain veneers may last many years when well planned and well maintained, but they should not be described as lifetime restorations. Their durability depends on the design, the supporting tooth, the bite and how the patient looks after them. Results vary and future maintenance or replacement may still be needed.
How do I care for my composite bonding?
Bonded teeth should be brushed and cleaned just like natural teeth, and it helps to avoid biting hard objects such as pens or ice. Regular reviews and hygiene visits are useful because composite can chip, dull or stain over time.
Does whitening work on crowns, veneers or fillings?
No, whitening products affect natural tooth tissue rather than restorations in the same way. That means colour mismatch can become more obvious if visible crowns, veneers or fillings are already present. A dentist should help plan the sequence so the final colour result is balanced.

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