You are here:

Dentistry/Need some good, proper, honest advice

Advertisement


Question
Hello Dr. hope this message finds you well...

Basically i have been suffering since i was a child with bad teeth. was always scared of the dentist so the rootcanals i did were never fully completed so over time broke away leading to them being extracted. Over the past years iv been to so many dentists that all have different approches that have left me with almost no teeth remaining. I have too many empty gaps that are now showing when i smile and ofcourse its horrible. Iv been told i need a few implants but the cost of those are out of this world but if theres no other solution then ofc i will get it done. my questions to you are:
1- Would braces maybe pull the remaining teeth i have together, 2- What is your opinion on veneers, are they recomended, do they last and what is the best type/material i need to look out for, 3- What do you overall suggest for me, where would i need implants/ bridges and what material do i need to look out for.

Additionally for the past year since the extractions of my left upper & lower teeth i havent been able to chew on the left side, i feel if i continue this way it will later effect my jaw and face.

Looking forward to hearing from you.

Thanks,
S.S

Answer
Without being able to see you, your teeth or your xrays, I cannot give a solid answer about what course of treatment you should take.  How'ever, based on your history and your fears, it sounds to me like at least some teeth need to e removed, some fixed, and some replaced.   There are several ways to replace missing teeth that do not involve the pacement of implants.  These are full dentures, partial dentures or bridges.

Full dentures would require the removal of your remaining teeth, placement of a temporary denture during healing, then a final denture.  Most people find these difficult to wear and chew with, as they set top of your gums, rather than being rooted into your jawbones like the roots of teeth.

Partial dentures woud likely require the removal of some teeth, repair of some teeth, then the making of a partial denture to replace the missing teeth.  For removable. They appear and function and must be maintained just like your natural teeth.  Now that you understand the alternatives to implants, I can answer your questions:]
1. No
2. Veneers are beautiful but delicate thin ceramics in the shape of tooth faces.  These would improve the apearance of the front teeth you have, but will not replace missing teeth or fix decayed or broken teeth.  About 20% of them break or pop off within 2 years of placement. Based on your history, I would not recommend these for you at this time.
3. I can suggest nothing for you.  I can only explain what's available.  I would need to examine you and your xrays before I can make suggestions.

Please let me know what you learn and what you decide.

Dentistry

All Answers


Answers by Expert:


Ask Experts

Volunteer


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.

©2016 About.com. All rights reserved.