I do understand your concern, and I also understand your trauma. However, I do not understand what it is that you were asking. Unfortunately, it is nearly impossible to give you any sort of diagnosis from the description that you gave. The best thing to do, is to go back to the doctor and have a nice talk. The doctor is interested in your well-being as well. Make sure that he explains everything to you.
Most times, if the extraction is carefully done, a bone graft is unnecessary.
I am so sorry that this is all that I can give you.
Best of luck,
Dr. Zev KaufmanView Thread
Dear Jon: What you have is probably some work related trauma. The provisional (temporary) restoration might be somewhat rough, and the cheek might have been "pulled" away during the procedure to give the dentist access to the tooth. Without examining you, this is all that I can speculate. However, the best advise is to call your dentist an inform him of this. Best of luck, Dr. Zev KaufmanView Thread
Dear jsmith1299: It is unfortunate that our mother had a misunderstanding with the dentist. However, it is ultimately the patient who is responsible for payment of the dentist's bill. Yes, you are correct, generally, if a dentist accepts payment from insurance, they should usually check for eligibility. Even if the dentist does not accept payment from insurance, it is common courtesy for the dentist's staff to check and make sure that the insurance is submitted correctly for the patient, and thus having the insurance reimbursement sent to the patient promptly. The only advice that I can tell you is to talk to the dentist and explain what you have explained here. Maybe the dentist can do something for you, but he does not have to. I am sorry that this is all that I can give you . Best of .luck, Dr. Zev KaufmanView Thread
Dear Luna5967: I am so sorry to hear of your trouble and your pain. Lanap works very well in the right hands, yet it is not perfect and neither is conventional surgery. The most important this is to have a trusted periodontist perform the best procedure suitable for YOU. I will be more than happy to talk to you and recommend colleagues in the New York area. Please call my office during business hours. Best of luck, Dr. Zev KaufmanView Thread
Dear gnator: There are many reasons why one would have sores in the mouth. The best advise that I can give you is to go and see your dentist for a proper diagnosis. The treatment is different and in order to know how to treat, a proper diagnosis has to be made. Best of luck, Dr. Zev KaufmanView Thread
Technically speaking, a denture is any prosthetic use to replace a partial, or a complete dentition. It can be fixed (permanent), such as a bridge between two teeth to replaced a missing tooth, or a removable denture to replace one or more teeth.
This discussion will focus on the REMOVABLE, partial and complete dentures and the used of implants.
There are two parameters by which dentures are evaluated:
Resistance form--the ability of the denture to absorb and transfer the masticatory (chewing and biting) forces to the underlying bone and tissue. This transfer of forces should allow a person to function comfortably, without pain or sores. It is generally governed by the quality of the denture making process from impression, to laboratory fabrication, to fitting and upkeep.
Retention form--the ability of the denture to stay in place while in function. This parameter is mostly determined by the remaining oral structures used to secure the denture in place. The construction of the denture is very important, however, if there are teeth present to hold the denture in place, it will stay put far better than a complete (full) denture which rests on limited bone (low ridge).
This is where implants (mini, or conventional) come into play.
In the early 1980's a predictable way to place "root form" implants was introduced to dentistry, and we never looked back. Dental implants, as we know them today, are titanium screws/anchors, which are placed into the human jaw bone. These implants can be used to anchor a variety of prosthetic devices in place. At first, they were use to anchor a complete lower fixed bridge. Four to six implants were placed into the lower jaw, and a metal structure covered with pink acrylic (plastic) and denture teeth was screwed in place into the implants. As the confidence in the implants grew, the use of implants to replace single, free standing, not connected, teeth, became common. Today, the restoration of choice, when a tooth, or multiple teeth are missing, is the implant supported and retained prosthesis.
The standard of care has evolved, as well. Whereas in the past, the implant retained prosthesis was the "alternative" treatment, today, it is the treatment of choice, mostly due to the fact that the implant retained prosthetic does not involve the used of adjacent teeth for anchorage. When it comes to complete (full) lower dentures, using two implants with "snap" attachments to the denture is considered the standard of care. All the studies of biological factors and psychological factors point to the fact that the implant retained removable denture is an excellent restoration, allowing people to function in a higher capacity and preserving the remaining oral structures.
The most common misconception I have encountered in removable denture is "once the implants are 'in', the denture will be comfortable."
The most important factor to the success of implant retained denture therapy is the proper fit of the denture--the Resistance Form. Only when a denture is evaluated and is deemed satisfactory in function, should implant therapy begin. This holds true especially in situations where one does not have dentures at all. The placement and position of the implants are determined by the position of the teeth and the shape of the well-fitting denture. Placing implants prior to the fabrication and evaluation of a denture can result in problems and improperly placed implants.
Proper implants treatment should START with the final prosthetic (denture).View Thread
Dear An_249202: I am sorry to hear of your situation. You MUST talk to your dentist. This is a problem that is unfortunate, yet it does happen. I do not know what was done and it sounds as if the injury is permanent, yet you have to talk to your dentist and see an oral surgeon for a second opinion. In certain situations some sensation can return, and the body starts to compensate. I, unfortunately, cannot give you any more information. Best of luck, Dr. Zev KaufmanView Thread
Dear Lori: I am sorry to hear of your unpleasant experience. However, you and many others, mistake removal of food for proper hygiene to remove plaque. Food IS NOT the problem. Plaque (the bacteria that lives in our mouth and produces toxins) IS the problem. When you brush your teeth, you need to remove the bacterial plaque off your teeth. The is what is important, so the food that you eat is not. Avoiding puppy seeds, etc. is just a good idea. As to the dry socket, it is caused by a blood clot that FAILS to form in the socket. If the dressing that was put in does not help, or you cannot take it, the only other thing to do is to go to the oral surgeon and have him/her curette the socket and make it bleed again. If the bone is made to bleed again, it will form a new blood clot and should heal properly. Unfortunately, there is no escape from reality. Please call your oral surgeon, and I hope that already did. Best of luck, Dr. Zev KaufmanView Thread
I am sorry to hear of your trouble. The best advise that I can give you is to do NOTHING unless you have a DIAGNOSIS and ETIOLOGY (cause for the pain). I have seen unnecessary treatment, including root canals and extraction, done over the years, with the original problem never being solved.
Go and get a second opinion from the expert in this area: the Endodontist. You might have a sub-clinical fracture in the tooth that is undetectable on an X-ray at this time.
Do nothing until you know what it is that causing the pain.
Another set of eyes and a brain cannot and will not hurt.