October 30th, 2009
Q. Do you know of a particular toothpaste or other tooth cleaning product which will help with stained teeth? I dont have the money available for teeth whitening but my teeth seem to have turned a nasty shade of yellow which is no doubt to me smoking regularly. i have cut down now but i guess it is too late.
A.
The action of toothpastes to impart a significant difference in the whitening of teeth is fairly limited. Whitening through bleaching is your best bet especially if most of the staining is from smoking.

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: whiten teeth
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October 30th, 2009
Q. My ten month old daughter has just started teething. cue sleepless nights. Whenever we put her down she will wake up after about 10 or 20 minutes crying due to the pain of it. Last night was a particularly sleepless night for me and my husband. Do you have any suggestions to help her sleep during the night, and just importantly, help me and my husband get a good night sleep?!
A. I would recommend liquid Advil or Tylenol for infants. I would avoid any Ambisol or topical medication because it may just make it worse. Check with your Pediatrician to make sure there are no problems with your child taking medication. 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: teeth, tooth hurt, tooth pain
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October 29th, 2009
Q. What kind of signs of tooth decay should you look out for children? Should I make sure that my kids clean teeth after every meal or is the twice a day once in the morning and once at night enough?
A. Brushing at least twice a day is a must- after each meal would be ideal. Limiting sugary snacks and acidic juices will also help. Also, avoid putting a child down with a bottle at bedtime.

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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October 29th, 2009
Q. What kind of products can you buy to clean the tongue? Is it not okay just to use the bristles of the toothbrush?
A. You can use your tooth brush but it doesn’t do as well a job deep cleaning the surface of the tongue. There is a variety of different tongue cleaning devises available. All of them work well. Just pick a design you like. You will be amazed at what these devises will clean off your tongue and result in improved hygiene.
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: teeth
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October 29th, 2009
Q. Is it safe to use toothpaste which contains fluoride, if I know that the water in my area is also supplemented with fluoride? Will this not lead to an overdose of sorts and just damage the teeth?
A. No, you will not get too much flouride from toothpaste.

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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October 29th, 2009
Q. I would just like to know what a regular check up at the dentist includes? I have just started with a practice and am paying monthly, but would like to know what the routine check up should include usually?
A. In our office a regular check up includes an examination by the hygienist and the doctor, oral cancer screening, checking the teeth for cavities, checking the gum pockets, checking the bite and a complete cleaning and polishing of the teeth. X-rays will be taken at the proper interval for the patient depending on need. 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, teeth
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October 28th, 2009
Q. If you have toothache is it advised that you see your dentist, or is it more likely nothing and then pain will soon go away?
A. See the dentist!!!!!!!!!!!!!!!!!!!!!!!!!!!

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: dentist, tooth hurt, tooth pain
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October 28th, 2009
Q. Every now and then I will get sensitive bumps on my tongue. I have had this for a while. They will go away and then come back. They are hard to distinguish from the natural colour of the tongue but are sometimes a pailer colour. Do you have any clue as to what they could possibly be?
A. These usually are irritated taste buds or papillae. This may be brought on by trauma or diet. There isn’t any treatment and usually are benign.
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: tooth hurt, tooth pain
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October 28th, 2009
Q. I have been approved for invisalign but am also thinking about getting fixed braces, as I don’t care if people can see the braces. However, I was wondering if you could tell me which would be the quicker treatment?
A. The speed of treatment is usually faster with fixed braces. This is generally because there is not the compliance concern as there is with invisalign when the patient has to be depended upon to wear the appliances.

Dr George Kirtley
Smiles By George
www.smilesbygeorge.com
Tel: 317-841-1111
7465 East 82nd Street
Indianapolis IN 46256
Tags: cosmetic dentistry, invisalign
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October 28th, 2009
Q. Is a dental bridge a suitable option if I do not have the money currently to afford a dental implant? I know there are payment options but I am paying off far too many things at the moment anyway.
A. hi many thanks for your email, of course a dental bridge is an option. the options given to you by your dentist are based on clinical experiance, however the choices are made by patients on many different grounds such as:
longevity(how long it lasts)
cost
clinical recommendations
level of dental treatment, ie how invasive a procedure it is.
hope this is helpful.
Dr Kailesh Solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007
Tags: cosmetic dentistry, dentist, implants
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