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Dentistry/Rotting beneth the gumline


I am 45 this year, I have maintained little to no preventative dental care throughout life and have had little to no problems until about 5 years ago. Let's start by saying I am extremely.....well probably the most extremely afraid of the dentist chair person I have known in my lifetime. Is there a phobic word for it? But I can not even get myself into a dentist chair. Anyway, after taking a number of years worth of methadone doses, my teeth have started to rot and break off leaving the root and rest of the tooth under the gum, over the past view days I have been kept awake by extreme pain and burning sensations in the area. There seems to be deep indentations in the gum and I really do not know what to do. I live in Canada, no dental coverage and again have a major phobia about dental procedures of ANY kind...... what is my best course of action? This burning sensation/pain is driving my to the brink of insanity and possible mental breakdown if I don't get sleep soon.......

R.S. Metcalfe
Hamilton, Ontario, Canada

Dear Scott.
I am sorry to hear about your troubles. Unfortunately, there are many people who are dental phobic. You are not alone and your struggle with substance abuse does not help. Again, you are not alone and the common name for what you are suffering is called “meth-mouth”. It is unfortunate but at this point, the best advice that I can give you is to find a dentist who can help you get rid of all your infected teeth and deliver dentures and later on, as your finances permit, proper implant restorations. Unless you find a dentist that can work with you on stabilizing, and normalizing your fear, all of this would be moot. I am sorry that this is all I can give you and I wish you the best of luck.  


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Zev Kaufman, D.D.S.


I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.


Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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