November 18th, 2009
Q. Hello, I found out a year ago that I’m a night grinder. Two months ago I realized because of that I had ground the backs of my two front upper teeth halfway down and the tops of my frong bottom teeth down. My two front upper teeth broke while I was sleeping and I apparently swalled the broken teeth. I am financially embarrassed at this time and in desperate need of dental help. I have a friendly and usually smiley personality, but because of my teeth it is highly embarrassing to even smile anymore. I really need help in finding a qualified dentist who will help me either for free or very low cost. I would be great advertisement for a referral for this special dentist. I have done extensive Internet searches to find help. I am living in Gainesville, Ga. Can you help guide me? Thank you for your time and consideration.
A. I am sorry to hear about your unfortunate situation. It is difficult to recommend someone to help you. If cost is a factor I would suggest you locate the closest Dental School and seek treatment there. Usually dental treatment in a teaching institution is significantly less. The only difficulty is time. Treatment may require more time than in private practice.
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: chipped teeth, cosmetic dentistry, cracked tooth, dentist, tooth hurt, tooth pain
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November 18th, 2009
Q. At what age is it normal for the wisdom teeth to come through? Is it painful for everyone?
A. Usually around 15-20 years of age. It is not painful for everyone. Sometimes, but rarely, the wisdom teeth (3rd molars) erupt nicely into place.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: teeth, tooth hurt, tooth pain
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November 18th, 2009
Q. Is it only white and silver fillings that are available or are there more options for ones that look more like natural teeth. I have the amalgam ones and have done so for quite some time but hate the way they look. I know people can see them when I laugh. Would white fillings be the better option if I was to get them changed?
A. The materials available are white fillings, silver filling and gold fillings. White or tooth colored filling can be made of different types of materials but all look like a tooth. In most cases tooth colored fillings are a better option than silver fillings and changing them is not difficult.
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
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November 18th, 2009
Q. What would you say is a good level of cleaning teeth? just brushing twice a day or is floossing and mouthwash really all that important?
A. All the above!!!!
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: teeth
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November 18th, 2009
Q. My mother got a dental bridge quite a few years ago for a tooth she had knocked out by accident. Over the years her teeth have become a bit discoloured and she now wants to get her teeth whitened. Now, the dentist said the bridge can not be whitened and that only the other teeth would be whitened. He said she would need to get the bridge changed if she wants it to look natural but that this would shoot up the price. Is this true?
A. Only natural teeth will whiten and it is unpredictable how much they will improve. The bridge will not change color. If your mother wants all the teeth to match then a new bridge will be needed. Since this requires a new bridge the fee will increase.
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, whiten teeth
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November 18th, 2009
Q. I have had TMD for what I would consider pretty bad for the past two months now. It not only hurts my jaw but can also make my neck and shoulders ache and gives me really irritating headaches. Is this somwething that is able to go awaty on its own or is there any special kind of treatment to help with it?
A. Managing the crisis of TMD can be daunting. Medications can aid by reducing the tension in the musculature. TMD appliances can be made to help this situation. A night guard appliance can often help by countering the forces of grinding. This translates into less muscular tension and thereby can diminish headache tendencies.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: tooth hurt, tooth pain
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November 18th, 2009
Q. Is it me or is there little difference between veneers and lumineers? Do they botht do the same job or is one made of better material. Basically, what is the differece?
A. There is little difference in that veneers and Lumineers are both made of porcelain and share the technique of being minimally invasive. However, traditional porcelain veneers fabricated by a skilled technician are much more artistically crafted in regards to beauty and natural appearance. Traditional veneers also have a better fit on the tooth and can be made of better materials than Lumineers.
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, lumineers, teeth, veneer
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November 18th, 2009
Q. Would yo be able to tell me how much the treatment costs to get a gummy smile fixed? I am in my early teens and have had low esteem because of this problem for ages. I have had enough and want to get it sorted once and for all, if you could give me any advice for it?
A. There are numerous options. Sometimes it as simple as contouring the gum tissue with a laseer. More involved methods require lip surgery to immobilize the lip from raising up so far and thereby diminishing the display of gum tissue. Botox can also be given to immobilize the lip. Howver, this is only temporary.
Crown lengthening wihich requires elevation of gum tissue and reduction of bone also works well, but is the most involved of the choices.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, teeth
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November 18th, 2009
Q. I read an article about oral cancer screening, it may have been on this site. Anyhow what I would like to know is if cancer oral screenings are a part of common practice at regular check ups at the dentist? I had my 6 month check up the other day but did not have anything that I would have thought to do with oral cancer screening?
A. The dentist and or the dental hygienist should be completing some form of cancer screening examination yearly. You may not realize they are doing this examination if it is part of the routine examination. If you are unsure, ask your dentist to perform a cancer screening examination for you at least yearly during your regular check up.
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, teeth, tooth hurt
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November 18th, 2009
Q. I am looking into get dental implants but have come across what is called mini implants. Would you be able to tell me in simple terms what the difference is and which one would be best for me having only one tooth missing?
A. Mini implant are thin/narrow implants that are placed right through the gum tissue and are considered a less permanent method than true cyolinder implants. My suggestion is always to opt for what is more permanent.
Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, dental implants, implant tooth, implants
Posted in Dr Kirtley, Experts Answers, dental implants | No Comments »
