July 28th, 2010
Q. I had an accident just recently and i’m not sure whether I have to visit the dentist or the doctor. I knocked my front tooth half out and my nerve is showing through, it’s very painful but I don’t have any insurance so I don’t really know what to do, what do you think I can do?
A. You need to see a dentist immediately. I understand you do not have insurance but it will only cost more if you wait. 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, dentist, teeth, tooth pain
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July 28th, 2010
Q. Hello my dentist has informed me that I cannot receive dental veneers because of my bite. He said if I were to have veneers that they would just keep falling off. I do not like the surface and appearance of my teeth, any advice would be highly appreciated. Thank you.
A. I would seek a second opinion from a qualified cosmetic restorative dentist. Search on line under the American Academy of Cosmetic Dentistry or the British Academy of Cosmetic Dentistry.

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, dentist, teeth, veneer
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July 28th, 2010
Q. Hi i’m looking into getting veneers. My teeth are in good physical condition but they’re very stained and various teeth whitening systems have previously failed. I was wondering about the variations of veneers, I’ve heard that teeth have to be shaved and filed down? In your opinion which is the best type of veneer?
A. The best veneer is one that is placed using the most conservative approach possible utilizing the best material for the situation. There is no one best veneer. Instead you should choose a dentist who understands the different materials and techniques available and discuss what is the best option for you. The teeth are not shaved down. Most porcelain veneers requires minimal tooth reshaping for the veneer to fit properly. I would invite you to visit our website at www.lernerlemongello.com. Let us know if we can help. 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, teeth, veneer, whiten teeth
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July 28th, 2010
Q. Hi, what exactly are lava crowns? My dentist keeps mentioning them to me and assumes that I know what they are but I don’t have a clue, what are they mainly used for? I have several teeth that need crowning you see.
A. Lava crowns are a type of crown that are all ceramic in their design instead of having a metal substructure to them.

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, dentist, implants, teeth
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July 23rd, 2010
Q. Hello, i have a problem of overcrwoding in my lower teeth more than 6cm as described by my doc. and he said in oredr to fix that he will have to remove one of my cebtral incisors as removing a crwon will cause my mouth to be empty because i have a small mouth. and after he does that, he will have to instill a fixed wire behind my lower teeth so as the symmerty of my teeth is not lost. i am worried about the complications of the fixed wire as it may cause dental caries and accumulation of plaque. so i need your adives regarding other possible options and your opinion on the fixed wire. thank you.
A. In cases with severe crowding often a tooth is removed to create space to straighten the remaining teeth. Dental treatment involves some risk but if you maintain good hygiene that risk is diminished. If you are concerned about the treatment get a second opinion with another dentist. 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 14th, 2010
Q. HI – Do you know if there is such a thing as a REAL CURE for dry mouth, burning tongue and roof of mouth? I tested negative for Sjogren’s, Diabetes, yeast infection, thrush, you name it. My GP says it is NOT from my meds, (I don’t believe them) sent me to ear/nose/throat doctor. After test results, he gave up, said he didn’t know what was wrong with my mouth, and that there was no need to return to him. Told me to go look up burning tongue on internet and see what others did for it. I tried Burnical herbal supposed CURE from Finland for 45 days, saw just a little difference. I find little very relief from Biotene mouthwash, use it all day long. Also chew lots of gum, constantly drink water. Never had chemo or radiation. I take BP meds, 1 diuretic for BP, & celebrex. There is another herbal from Australia for burning mouth I was thinking of trying (90 days). My dentist was no help. I want it to go away permanently. My mouth is not dry ALL the time, but sometimes my tongue sticks to roof of mouth, drives me crazy. Tip of tongue burns most of time. Any suggestions? Know anything about this ailment? If you can’t help, know anyone who might? Thanks a bunch.
A. I am sorry to hear about your unfortunate situation. I know that burning tongue and dry mouth syndrome are real problems. These are complex issues with multiple unknown etiologies that are still not understood. I do not know enough about these issues to offer any specific advice. I would recommend you continue your search but cannot offer much help. 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: dentist, tooth hurt, tooth pain
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June 28th, 2010
Q. I have very sensitive teeth and have tried everything to get rid of it. I’ve tried toothpaste and dental treatments and nothing seems to be working, my dentist has appeared to have run out of ideas. What can I use? Can you please help me because my teeth are constantly in pain, thank you.
A. There is currently a product called “D/Sense 2″ which has been very effective in diminishing tooth sensitivity when it is related to gumline recession. If the sensitivity is due to other reasons such as decay or deep restortations or fillings then it is possible that root canal treatment may be necessary.

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: dentist, teeth, tooth hurt, tooth pain
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June 28th, 2010
Q. Hi Doctors’ I’ve been dealing with a huge problem with my teeth for the last 20 or so years. I have horrible crowding, making my two eye teeth stick out. Almost making me look like a vampire. I’m almost 30 years old and this is such an emotionally painful subject for me, goind through life not ever really wanting to smile or laugh isn’t fun. What would be the best procedure for this and do cosmetic dentists ever do pro bono work?
A.
Orthodontic treatment would be a good first option to consult with a dentist about. You can then get an idea of what treatment is possible. 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, cosmetic dentistry, dentist, teeth
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June 28th, 2010
Q. Hello how do i go about changing the silver fillings for white ones? I understand that the white fillings will have to be paid for but do i also have to pay for the removal of my old silver ones? thanks
A. Ususally that is done at the same time….

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, dentist, teeth, whiten teeth
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June 28th, 2010
Q. I’ve just recovered from throat cancer. The cancer has absolutely ruined my teeth, every single one has decayed and some have even fallen out. What do you think would be the best option for me in regards to my teeth? A full mouth makeover perhaps? If this is the case how much should I expect to pay? thank you, Brian.
A. I am sorry to hear about your unfortunate situation. I would consult with both an oral surgeon to discuss removing your teeth and with a dentist to discuss option to restore your teeth to health. Cost will vary greatly based on the options available. 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, teeth, tooth pain
Posted in Dr Lerner Lemongello, Experts Answers | No Comments »