Archive for the ‘Experts Answers’ Category

Will my teeth become loose if I don’t have braces?

Monday, October 3rd, 2011
Q.
Hi, I have crooked teeth. It does not look that bad to me, but my dentist keeps telling me that if I didn’t take care of it with braces, they would become loose. But he’s been saying it for five years (I am now 22), and they look exactly the same. I am scared, though, and I would like to hear some other options to take care of this. I have heard of cutting off a piece of the overlapping tooth and coating the exposed region with porcelain, but how expensive is that?
A.
It is difficult to explain to you in this situation why straightening your teeth is important. They may not look different because you are young. Your teeth are crowded close to each other and there is not as much bone supporting the teeth as there would be if they were straight. As you age the gum and bone will recede. You already have some of these changes occurring now even though you don’t see and you are only 22. There is great risk in you loosing your bottom front teeth if you do not straighten your them. I would recommend braces. The cutting away of tooth overlap and placing veneers will not solve the problem of the roots of the teeth being crowded together. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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I’ve had a crown for the last 10 years and now I can see a black line at the gum, why is this?

Monday, September 26th, 2011
Q.
I had a crown for my front tooth about 10 years ago and have recently noticed a black line appearing at the top of my gums. Should I be worried about this and is there anything that I can do to stop this from worsening or even get it sorted. Feel really uncomfortable having an ugly black line, which you can see when I smile.

Thanks

A.
This is due to some minor gum recession over time which is normal as we age. The “black line” is the exposure of the underlying metal edge of the crown. This does not mean there is anything wrong with the crown just that it is no longer as esthetic as it used to be. The only treatment is a new crown without this type of material so even if there is additional recession in the future this unsightly appearance won’t reoccur. If you visit our website at www.lernerlemongello.com you will see many examples of crowns made without this type of material that look very natural. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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What is the best option for replacing my wobbly tooth?

Monday, September 19th, 2011
Q.
hello

i have a very sore tooth, which causes shooting pains if i am to bring my tongue anywhere near it. It is also a bit wobbly so i guess i am going to have to have it out. I was just wondering about the replacement options available to me once this has happened. What would you say is the best way to fill in the gap? I want something long lasting, i am a bit concerned about how much it will cost, but i will cross that bridge when i come to it

thank you

A.
The best way to replace a tooth is with a dental implant. Second choice is a fixed bridge. The negative with a bridge is that involves the adjacent teeth. Both will last a long time and are similar in cost. Visit our website www.lernerlemongello for examples of both. Done well you cannot distinguish between an implant, a bridge or natural teeth. Good luck with any treatment you decide yo have  Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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What does treatment for a gummy smile involve?

Friday, September 16th, 2011
Q.
what does treatment for a gummy smile involve? My smile is just really, really ugly and i feel incredibly uncomfortable laughing or smiling, often covering my mouth with my hand. Is it painful and will i have to be put to sleep to have it done?

Thank you

A.
Depending on the amount of gum showing, the treatment can range from simple gum recontouring with a laser to gum surgery. You would be amazed at how much improvement can be accomplished with a laser. Usually laser treatment is simple with little or no discomfort. If needed, gum surgery can achieve even more. Because gum surgery involves just the gum and bone on the front surface of the tooth it is not very invasive and recovery is quick with minimal discomfort. You do not have to be put to sleep. Visit our website at www.lernerlemongello.com and view examples of improved gummy smiles. Treatment would involve a consultation to determine what is best for your situation. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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Should my temporary tooth be shorter than my other teeth?

Wednesday, September 7th, 2011
Q.
I had so many problems with my front tooth after a car wreak over twenty years ago. Three root canals, then a rod placement that broke three times. I’m very frustrated, However I just got a titanium implant and a temp tooth. This is supposed to heal for four mths before I get my tooth. My question is does this temp tooth have to be shorter then the two surrounding teeth? It looks ugly I’m very unhappy I have to live with this for four mths. This temp cost me five hundred dollars. I think the Dentist made a mistake when he filed it and remade it two times and went on to place it anyway. So he said it had to be shorter. When I said I was unhappy he told me he was perturbed by my unhappiness. This was the surgen actually.
A.
It is common for this tooth to be shorter than the other teeth at this stage. The reason it is shorter is so you do not bite down on it and compromise the healing of the implant. You should avoid biting on this tooth during the healing phase. It is unfortunate that you are unhappy at this time but I expect the final tooth will be more acceptable. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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I need extractions, implants and root canal work, is there anywhere I can receive all these treatments at once?

Wednesday, September 7th, 2011
Q.
I have extreme issues with my teeth and mouth. I grew up on well water and had no dental care. 15 years ago I went to a dentist to work on my mouth. I have been to numerous dentist since but everytime I go, they begin drilling, a tooth cracks they fill it temporarily and send me to another specialist and it happens again. About two years ago I quit trying to get it fixed. I have some dental insurance and can pay to get it fixed but I need to be able to go one place to fix it all. I will need extractions, implants and root canals. Can your office truly do it all or would I have to go to someone else to get the major work done. Thank you.
A.
Unfortunately it is very difficult to complete all dental treatment in one office. No one can be an expert in everything. We do provide all aspects of reconstructive dentistry including root canals and Invisalign. The only exception is dental surgery. With surgery and implants in particular you want a specialist in surgery to provide this aspect of your care, not just a general dentist who took a weekend course. Most importantly we can act as your “quarterback” in all aspects of care and complete treatment. We can coordinate all referrals and streamline your dental visits to complete your treatment often in as little as 2 to 3 visits. Naturally we would need to start with a complete examination and consult you on your options. Once complete we can discuss a plan that is right for you. Visit our website at www.lernerlemongello.com for more information or call to schedule a consultation. It would be a pleasure to help you. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

View My Profile Dr Lerner & Dr Lemongello


Can my 12 year old daughter have braces to straighten her ‘buck’ teeth?

Tuesday, August 23rd, 2011
Q.
hi

My 12 year old daughter has buck teeth because of pacifier chewing and i just wanted to know what braces you would recommend. I just wanted to check also that she is old enough for braces, as I wouldn’t want to be doing any damage in my eagerness to straighten out her teeth.

thank you for your time and I hope you can be of assistance.

A.
Hello and thank you for getting in touch. 
Orthodontic treatment including the likes of Invisalign or traditional braces would be a good option for your daughter’s condition. You would however first need to consult with a certified dentist to find out which is the best option for her situation.  Twelve years old is fine to get started on straightening teeth though in the most part. We often start even earlier to capture growth and development curves.Hope this helps and good luck. Hope all goes well. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

View My Profile Dr Lerner & Dr Lemongello


What is the best way to correct crossbite?

Tuesday, August 23rd, 2011
Q.
hello doctors i wonder if you could help with my situation please
I currently suffer from a very severe crossbite, which is having a profound effect on my actual speaking, eating and overall self esteem. I would really like to get this sorted out with necessary treatment and soon, but i guess there may be different ways to correct this problem. could you therefore recommend the way in which you would correct it?

thank you for your time and all the best

A.
The choice of treatment would be based on how bad the crossbite is and whether there is a need to restore your teeth as well. My first choice, if your teeth are healthy would be orthodontic correction with braces. If your teeth are worn and require treatment a restorative option may be needed. Visit our website at www.lernerlemongello.com. You can review an article in the media section I published on correction of a crossbite with a restorative option. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

View My Profile Dr Lerner & Dr Lemongello


I have very stained teeth, which whitening treatments can’t change, what are my options?

Thursday, August 11th, 2011
Q.
hello

I have extremely stained teeth from antibiotics i had to have as a child. I have tried teeth whitening, both at home and in salons and they just haven’t work to any proper degree. I have been looking at veneers and i really like the look of them, but am a bit worried about the amount of damage they will do to my teeth. Do you have to have so much enamel shaved off, or do i have any other options for my stained teeth?

thank you

A.
I completely understand your concern. I too suffered from the same problem. Unfortunately, there are no whitening products that work. The only option is porcelain veneers. Fortunately, there is no need to worry. Only a minimal amount of tooth needs to be smoothed away, about the thickness of a business card. I have had my veneers for more than 12 years and have been happy with my choice since the first day. Visit our website www.lernerlemongello.com to view some beautiful results. Let me know if we can help. Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

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Im not happy with my smile after braces, what should I do?

Thursday, August 11th, 2011
Q.
Hello. I got my braces taken off a year ago, and I am unhappy with the results. My bite is misaligned, and because of this, my mid line does not match up, my smile is crooked, and I have to move my lower jaw to the left in order for my back teeth to touch/bite down. I have expressed my concerns to my ortho but he insists everything is okay. What should I do? Thanks for your help.
A.
I would recommend you seek another opinion and if necessary additional opinions. Keep in mind though that your situation may be the best result possible due to circumstances that are specific to you. It also may be the best result that can be accomplished by the dentist you have been seeing. Once you have additional opinions regarding the result you can also make decisions of what options are available to correct any remaining problems. Perhaps that means treatment with another dentist. Visit our website at www.lernerlemongello.com to view cases where changes like yours were necessary to create a beautiful balanced smile and bite. Many cases Dr. Lemongello
dr lerner & dr lemongello

Dr Lerner & Dr Lemongello

Lerner & Lemongello
5602 PGA Blvd, Suite 201, Palm Beach Gardens, Florida FL 33418
Web: www.lernerlemongello.com Tel: (561) 627 9000

View My Profile Dr Lerner & Dr Lemongello


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