July 28th, 2010
Q. Hi, I am in dire need of a full mouth reconstruction. Over the years, I’ll admit I haven’t looked at me teeth as good as I should have and the majority of fallen out, as a result of this my mouth now appears to be fallen to one side. My front teeth have decayed badly and my gums bleed a lot. I know I should get this looked at but I can’t afford dental care and I have a major phobia of the dentist. What do you recommend I do? Thank you Dr.
A. Dentistry has changed in many positive ways. You are going to have to contain your fear and seek the help of a dentist. Many dentists are trained in conscious sedation to reduce your fear and anxiety. Unfortunately, extensive dental treatment can be costly. Start by consulting with a qualified dentist who specializes in complex dentistry. You can then discuss your options and cost of treatment. Financing may be necessary. Dr. Lemongello
Dr Lerner & Dr Lemongello
Lerner & Lemongello
www.lernerlemongello.com
Tel: (561) 627 9000
5602 PGA Blvd, Suite 201
Palm Beach Gardens, Florida FL 33418
Tags: broken tooth, chipped teeth, cosmetic dentistry, teeth, tooth pain
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July 28th, 2010
Q. i had 2 teeth extracted a few weeks ago (one of them was a bottom wisdom tooth) anyway my bottom jaw (where i had them removed) is very swollen and painful after these weeks, the sockets are bleeding and i’m due to see my dentist tomorrow but just wondered if it may be infected? If this is the case what can be done? i’m worried that i’m going to lose bone.
A. You should not lose bone. The dentist you will be seeing likely will treat this with a medication that will resolve your problem.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: broken tooth, dentist, teeth, tooth pain
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July 28th, 2010
Q. Hello, is there such treatment available that can actually remove excess gums through surgery? You can’t see my teeth that great because I have such large gums! Any advice would be excellent, thank you.
A. Yes, there is treatment to reduce excessive gum tissue to expose more of your teeth. Consult with a Periodontist or gum specialist to review your options. Dr. Lemongello
Dr Lerner & Dr Lemongello
Lerner & Lemongello
www.lernerlemongello.com
Tel: (561) 627 9000
5602 PGA Blvd, Suite 201
Palm Beach Gardens, Florida FL 33418
Tags: cosmetic dentistry, dentist, teeth
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July 28th, 2010
Q. I was given a mouth guard to stop my grinding habits a few months ago and I’ve just finished my brace treatment but was told i need to pay for the retainer. Can my mouth guard act as a retainer for now? I was using invisalign and the retainers are pretty expensive and weren’t included within my treatment.
A. That is up to the doctor treating the case.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: braces, cosmetic dentistry, dentist, invisalign
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July 28th, 2010
Q. Hi, I have nine Cerec Crowns, and seven of them have failed. The Cerec Crowns that fell out had metal in them. Is this typical of Cerec? Also four of the Seven teeth had to be extracted. Can these extractions affect my other teeth? I asked because I had a Gold Crown that was fine until two teeth were removed on the opposite side. Now the gumline is coming away from this Gold Crown and a infection has occured. The loss of these teeth have affected me greatly. Have you ever heard of this type of failure rate on Cerec Crowns now or in the past? The Dentist that placed these Cerec Crowns was just learning how to use the machine. I am so concerned about my teeth and just need honest answers. Thank you,
A. Cerec crowns have a high success rate if performed properly and cemented with the appropriate techniques. Cerec crowns do not contain metal so either Cerec crowns were not done or you have inadvertently mixed up which crowns were Cerec and which were traditional crowns with gold base. Tooth loss will not affect your other teeth directly but can affect your bite and cause additional stress to your existing teeth accelerating problems with them. Any gum infection needs to be treated immediately. I would make the dentist who originally treated you aware of the situation but you may elect to see another dentist for treatment. Dr. Lemongello
Dr Lerner & Dr Lemongello
Lerner & Lemongello
www.lernerlemongello.com
Tel: (561) 627 9000
5602 PGA Blvd, Suite 201
Palm Beach Gardens, Florida FL 33418
Tags: cosmetic dentistry, dentist, implants, tooth pain
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July 28th, 2010
Q. Hello, my teeth are okay but i want dental work done for cosmetic reasons. The thing is my font four teeth protrude more than the rest of my teeth so the rest sit back quite a bit so when I smile you see the first front teeth then a lot of gums, i hate it! Would I need an orthodontic procedure OR something like veneers? Thank you for taking the time out to read this.
A. It is possible through both means. The more immediate impact would be with veneers. Orthodontic treatiment would take longer. Cost would likely be greater with veneers.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: braces, cosmetic dentistry, dentist, veneers
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July 28th, 2010
Q. Hello I currently live in England but planning on moving to the US in the near future. I just need some advice about the dental care I could receive there and what kinds of prices of should be expected to pay? Thank you for your time.
A. The dental care in the US is some of the best in the world. I expect you to receive excellent care. Most dental care is private which has maintained a high level as compared to what is available through the NHS. Naturally, you get what you pay for and the expense of dental care varies greatly based on the talent and expertise of the dentist as well as where you live. Dr. Lemongello
Dr Lerner & Dr Lemongello
Lerner & Lemongello
www.lernerlemongello.com
Tel: (561) 627 9000
5602 PGA Blvd, Suite 201
Palm Beach Gardens, Florida FL 33418
Tags: cosmetic dentistry, dentist, teeth
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July 28th, 2010
Q. I’m currently using the invisalign system and I’m not sure if it’s really working. I’m on trays 14/20 and my teeth appear to have not moved or look any different! My orthodontist said the treatment is going fine but I’m not convinced I’ve asked to see x-rays but she is refusing! Is this right? I’m really concerned.
A. Be patient with this treatment.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: braces, cosmetic dentistry, dentist, invisalign
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July 28th, 2010
Q. Is this method appropriate for children (girl age 9)? Can it be used to avoid using headgear for a severe overbite? Thank you.
A. The earlier you initiate treatment the better it is. I would consult with a certified Orthodontic specialist to determine what is the best course of treatment. Headgear is likely needed if it has been recommended. Avoiding it will only compromise the outcome, prolong treatment and cause additional treatment to be needed. Dr. Lemongello
Dr Lerner & Dr Lemongello
Lerner & Lemongello
www.lernerlemongello.com
Tel: (561) 627 9000
5602 PGA Blvd, Suite 201
Palm Beach Gardens, Florida FL 33418
Tags: braces, dentist, teeth
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July 28th, 2010
Q. i had a crown placed a number of years ago, around 15 and it has been great but now it’s very chipped and i’m pretty sure some of my nerve is showing, it was placed because i had an accident and my tooth was broken in half. I guess it’s time to get replaced but i’m looking for a more permanent solution, can you recommend anything?
A. If the tooth is intact, a crown would be the best treatment.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: broken tooth, chipped teeth, chipped tooth, cosmetic dentistry
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