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.

Does composite bonding require drilling?
Not always. Composite bonding is often a minimal-preparation treatment and may require little or no drilling, but the exact approach depends on the shape, position and condition of the teeth.
Do veneers always require the teeth to be filed down?
Not always to the same degree, but porcelain veneers commonly require some tooth preparation to create space and fit. The amount depends on the starting position, thickness needed and the aesthetic plan. Cases that need more aggressive reduction should be assessed very carefully and explained transparently.
Can you fix a “gummy” smile?
There are different ways a gummy smile may be managed, depending on the cause. In some cases it relates to gum levels, tooth wear, lip movement or the bite, so assessment comes first before any approach is considered.
Can cosmetic treatments damage my natural teeth?
When cosmetic treatment is planned carefully and carried out conservatively, the aim is to protect as much natural tooth structure as possible. However, some options are more invasive than others, which is why suitability and trade-offs should be discussed before treatment.
Can bonding or veneers stain over time?
Yes, particularly composite bonding, which is more likely to pick up colour from foods, drinks and smoking over time. Porcelain is generally more colour stable, but no restoration is completely immune to maintenance issues. Regular reviews and good oral hygiene help support a cleaner, more stable result.
Are porcelain veneers a reversible treatment?
Usually not. Porcelain veneers often require some enamel reduction so the final shape and thickness work properly, which means the tooth will normally continue to need a restoration afterwards.
Why might I need a tooth extracted?
Extraction is usually considered when a tooth cannot be predictably restored, for example because of severe decay, deep fracture, advanced gum disease or failed previous treatment. The decision should be based on clinical findings and a discussion of alternatives where appropriate.
What is a sinus lift?
A sinus lift is a grafting procedure used in the upper back jaw when there is not enough bone beneath the sinus for an implant. The sinus membrane is lifted and graft material is placed to create more support. It is a specialised procedure and is only relevant in selected cases.
What is a dental implant?
A dental implant is a replacement root placed in the jawbone to support a crown, bridge or denture. Its aim is to restore function and support a stable replacement tooth in suitable cases. Whether an implant is appropriate depends on bone, medical factors, gum health and treatment goals.
Is there an age limit for getting dental implants?
There is no strict upper age limit. What matters more is general health, bone support, gum condition and whether growth has fully completed in younger patients.
Is dental implant surgery painful?
Implant placement is usually carried out under local anaesthetic, so the procedure itself should be manageable. Some soreness, swelling or bruising can happen afterwards, and the recovery experience varies from person to person.
How long do dental implants last?
Dental implants can be long-lasting, but they are not maintenance-free and no outcome can be guaranteed. Long-term success depends on healing, home care, regular professional reviews, smoking status, gum health and bite forces. Results may vary.
How does a dental implant stay in place?
Dental implants rely on a healing process in which the bone integrates with the implant surface over time. That process can take several months and must be monitored clinically. Good planning, suitable anatomy and careful aftercare all matter to the outcome.
How do I look after an implant after treatment?
Implants should be maintained with careful daily cleaning and regular professional review, much like natural teeth but often with more specific guidance. Good plaque control, monitoring of the gum tissues and attention to bite forces are all important. Aftercare needs vary from case to case.
How do I clean my dental implants?
Implants should be cleaned thoroughly every day using a toothbrush and the right interdental aids for the shape of the restoration. Good plaque control is important because implants can still develop gum and bone problems if the surrounding tissues are not kept healthy.
Can smokers or vapers still have implants?
Some smokers and vapers can still be considered for implant treatment, but smoking and nicotine exposure may increase healing and gum-related risks. That should be discussed openly during planning so the likely risks, limitations and maintenance expectations are clear before treatment begins.
Can medical conditions prevent me from having implants?
Some medical conditions, medications and healing-related factors can affect implant planning or make treatment less predictable. This does not automatically rule implants out, but it does mean your medical history needs careful review before any decision is made.
Can implant problems happen years after treatment?
Yes. Even successful implants can develop complications later, including mechanical wear, loosening, tissue inflammation or bone loss. Long-term success depends on maintenance, bite management, oral hygiene and review, not on placement alone.
Can a dental implant fail?
Yes, implant failure can happen even though success rates are generally high. Problems may occur if the implant does not integrate with the bone, if infection develops around it, or if healing is affected by factors such as smoking, uncontrolled medical conditions or heavy bite forces.
Can I get a full arch of teeth replaced?
In some cases, yes. Full-arch implant treatment may be possible using a planned number of implants to support a full set of fixed teeth, but suitability depends on bone levels, bite, medical history and clinical assessment.

Get in Touch

Still have a question?

If you would like personalised guidance, you are welcome to contact Attelia London or arrange a consultation with the clinical team.

Nurse in uniform holding a clipboard, smiling confidently.