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Question
After full mouth debridement treatment my gums are whitish and the cavitron tool went on my gums cutting my gums, so they're also swollen. Why are my gums white? Also I was in severe pain the hygienist didn't care and was mean. I had several teeth cracked which needs fillings and another needed extraction, Hygienist used the tool in the cracks and gums causing severe pain. I have temporary tooth and hygienist stated he was taking the debris which is cement off temporary tooth, which now feels loose. Why are my gums white and should this procedure should have been done after I got fillings and extraction which would be over like a week later?

Answer
Dear frank,

I cannot answer why your gums are white, unless the hygienist used a hydrogen peroxide-containing disinfectant solution.

In our practice, we always try to clean the teeth before we restore (fill) them.  The calcium deposits and biofilms that attach to your teeth after they have not been cleaned for a long time, can cause both chronic and severe infections in your gums that can, in extreme cases, cause severe illness in both your brain and your heart.  Your dentist was correct to have you clean your teeth first.  On occasion, when we know that a patient tends to be very sensitive to a cleaning, we will perform the cleaning in concert with the fillings, so that the patient can be made numb for both, and will not feel any of it.  Now that you know this, you can do two things:  1. Make sure that you have your teeth cleaned professionally at least every 6 months.  This way, the calcium deposits will be at a minimum, and you will be much less sensitive at your cleaning.  2. Let your dentist know about this experience next time, before your teeth are cleaned.  This way, he/she may alter the way your cleaning is done, so that you will be less sensitive.

There is no way I would go back to a hygienist who is mean when you are sensitive.  Your gums should have regained their normal color by now.  If they do not by Monday, contact your dentist.

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Howard Finnk, D.D.S., P.A., CEO

Expertise

I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.

Experience

Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

Publications
"How To Save Money At The Dentist" Going to press soon.

Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

Awards and Honors
Membership in The Vedder Honors Society

Past/Present Clients
HIPAA rules do not allow me to post this information.

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