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Dentistry/Questions Answered by Expert Lawrence Spindel DDS, www.lspindeldds.com

SubjectDate Asked
post root canal question2/4/2012
  Q: I had a root canal completed more than 3 months ago. The tooth had an infection for several months, ...
  A: You may be correct that the infection has not completely resolved especially if you have not noticed ...
Partial Crown vs. Filling2/2/2012
  Q: Yesterday part of the filling of a molar on my upper left side broke. I believe it is number 15, ...
  A: Although both types of restorations are acceptable alternatives, I often choose the full crown ...
Tooth numbness after trauma1/30/2012
  Q: I fell on my face after a fainting spell over a month ago. X-rays show the front two teeth are ...
  A: Tooth number 8 in your radiograph appears to have a horizontal root fracture. Usually teeth with ...
loosening teeth1/28/2012
  Q: Dr. Two yrs ago my left eye tooth became loose and dropped badly, it was pulled and I have a perm ...
  A: Sounds like you have periodontal disease. Treatment involves improving home care(use an electric ...
Tooth numbness after trauma1/23/2012
  Q: I fell on my face after a fainting spell over a month ago. X-rays show the front two teeth are ...
  A: It may be that you have a partial alveolar fracture as well. Numbness after trauma usually indicates ...
bottom teeth1/12/2012
  Q: my bottom teeth are almost gone.....they are yellow in the middle cuz all the enamel is worn off. i ...
  A: Wearing a night guard is the first step. For some patients I place composite to cover the areas of ...
Jaw1/5/2012
  Q: Hello which dentist should I see to make sure my jaw is properly aligned and in the right place?
  A: Most dentists are trained to recognize when the jaw is properly aligned. If you visit a dentist ask ...
Extraction vs. Root canal1/2/2012
  Q: I was scheduled to have a root canal performed on tooth #31. A crown was to be placed after the root ...
  A: Assuming there is no periodontal pocketing, I think you might try and have the root canal completed. ...
Fraudulent Billing12/2/2011
  Q: I have finally gained access to my Metlife account online and I just recently viewed all the claims ...
  A: First Davina I would double check the insurance claims to see if the items mentioned had a date ...
Dental Whitening11/25/2011
  Q: I see my dentist every January and July for a cleaning and exam. At each appointment, he gives me ...
  A: Basically John I instruct patients to use their tubes of bleach until there teeth are the color that ...
Cracked Tooth11/16/2011
  Q: Can a tooth crack when a dentist performs a cold test on it (could the cold test cause a cracked ...
  A: Sorry to take so long to respond. As to your question. It doesn't sound possible that applying a ...
Dental Bridges11/15/2011
  Q: My dentist attempted to place the pontic tooth (maryland bridge) and it looked awful. My current ...
  A: I can not say with certainty which procedure would turn out better for you, (three unit bridge or ...
separate pain in lower and upper gums/teeth11/6/2011
  Q: Background information, I had a very deep cavity filled in my bottom molar, that was deeper then he ...
  A: It is hard to know what is going on without an actual dental examination. That being said I will try ...
trigeminal neuralgia11/2/2011
  Q: I have been diagnosed with Trigeminal neuralgia ten years ago. I periodically have flair ups. I ...
  A: It is not always easy to tell. The diagnosis of sinus infection or tooth involves a dental ...
Root canal??10/23/2011
  Q: I had pain in my tooth about 3 months ago. I went to my dentist. He said I needed a root canal on ...
  A: It is hard to give you an answer, since I do not know the dentists involved nor have I examined you. ...
deep clean?10/19/2011
  Q: I am in Seattle, in my early 30s, and I take care of my teeth well (knock on wood) by flossing once ...
  A: It is not possible to tell whether you really need a deep cleaning from your narrative alone. An ...
Root Canal Issue10/13/2011
  Q: Had a root canal retreatment completed 6 weeks ago. This was the 2nd root canl on the this tooth ...
  A: Your condition is not possible to diagnose without looking at your radiographs. It sounds like you ...
molar10/3/2011
  Q: I was eating the other day and part my top, 2nd to last molar just cracked off! It's on the inside ...
  A: Assuming that sufficient tooth structure remains it sounds like you can have a crown. Crowns or ...
post root canal question9/30/2011
  Q: I had the first part of a root canal two weeks ago today. I am scheduled for the final appointment ...
  A: If a patient having a root canal at my office complains that the bite is too high, I do adjust the ...
Poor workmanship implant crown9/20/2011
  Q: Anterior tooth, front of smile. I got a dentist on referral, and OMG! I am in SC. My temp cap ...
  A: Often dentists choose to cement implant crowns with temporary cement. Implant abutments can not ...
material options for posterior crown9/16/2011
  Q: I need crowns on my upper two back molars on my left side, I believe #15 and 16 - this is due to ...
  A: There is a different types of preparation that dentists can use for different types of crowns. ...
still feel pain8/18/2011
  Q: any ideas. thanks p.s i wish theyd just put me to sleep.
  A: You might ask the dentist if they can use Marcaine for the local anaesthetic since it usually ...
Gum Bubble8/9/2011
  Q: I recently had a root canal re-treatment on my #14 molar. I ended up having to have an apicoectomy ...
  A: I am not sure what this bubble corresponds to, but infections do not change at night time. If you ...
wiggling of front part of bridge8/8/2011
  Q: I went to a dentist today after I had chomped down on a piece of steak wrong because there was some ...
  A: If your bridge has separated from one of the teeth holding it then the cement will not reharden. In ...
I have a unique question regarding temps and braces8/3/2011
  Q: I have ameliogenesis imperfecta and over the next couple of years plan on having ortho work ...
  A: Its not an issue of what sort of temp crowns will be made, it is a question of how well they fit at ...
I have a unique question regarding temps and braces8/2/2011
  Q: I have ameliogenesis imperfecta and over the next couple of years plan on having ortho work ...
  A: Although it is feasible to wear temps for long periods of time it definitely carries the risk of ...
root canal7/17/2011
  Q: i had a root canal done a wk ago and it was the most painful thing i have ever experienced! I kept ...
  A: If your root canal is not completed you certainly need to go back. If your worried about your ...
My Silver Cap.7/15/2011
  Q: Im 11. and My Right Silver Cap. is Kinda Popping Up. And When My Tongue Scrapes Against It. It Kinda ...
  A: Most 'silver' caps placed by pediatric dentists are not considered permanent and will have to be ...
root canal & crowning7/12/2011
  Q: i have done a root canal recently for my front right hand side broken tooth(70 % tooth is ok).Now ...
  A: .. In my dental practice I offer a number of esthetic crown options. In the anterior region (from ...
cold sensitivity after root canal7/9/2011
  Q: I had a (painless) filling replaced at the recommendation of my dentist. It was old and "leaking" ...
  A: It is extremely unlikely that the source of your cold sensitivity is the tooth that recently had a ...
swollen gums?7/5/2011
  Q: ArrrGGHHHRRR. that's how I feel. All day yesterday my gums on the bottom right of my teeth were ...
  A: It sounds like you have an infection of some sort. It could be a gum abscess, an endodontic ...
tooth pain7/2/2011
  Q: For the last two days my front left tooth has been hurting. Not due to sensitivity, just general ...
  A: I think you should visit a dentist. A dentist will be able to evaluate your situation by taking a ...
complications from mutiple tooth removal?6/24/2011
  Q: On 6/9/11 I had an appendectomy, the whole time pre and post op my back teeth throbbed from what I ...
  A: You certainly had a lot of dental procedures in a short period of time. It. Sounds like you may be ...
Re: Severe Tooth Pain6/23/2011
  Q: It started on the top left rear side if my jaw a quick sharp shooting pain when I would eat, ...
  A: If there is truly nothing wrong with your upper teeth than you may have a condition named trigeminal ...
Medicated Filling6/14/2011
  Q: 3 weeks ago I went for my routine checkup - at that time my dentist told me that part of an old ...
  A: If a medicated filling is going to help you should notice a change within the first day or two. If ...
#16 molar6/12/2011
  Q: When I try to chew on this side, extremly painful. My dentist could not find anything ...
  A: In my experience, when dealing with an upper third molar that is sore, but has no obvious problem, I ...
root canal 5 days ago6/11/2011
  Q: i had a root canal on Monday. I have had 2 previously done a few years back by Endodontists. My ...
  A: Your tooth may need another treatment. It doesn't sound like your dentist has completed the root ...
pain in gum behind last molar6/10/2011
  Q: Ten days ago, I had two fillings in tooth 17(?) repaired. Although I've had lots of dental work, ...
  A: In your narrative you explain that you have pain in the gum behind the last tooth. Since tooth ...
Is it routine to take antibiotics?6/3/2011
  Q: Is it routine to take antibiotics after root canal therapy when there is severe pain and malaise ...
  A: Often if a tooth is not vital when an endodontic procedure is initiated, antibiotic is prescribed. ...
sons teeth5/28/2011
  Q: My 8yr old son fell last night knocking his front big tooth in half and chipping the other one, what ...
  A: Your son should see a dentist as soon as possible. Immediately is a good idea. He may need a root ...
Possible impacted wisdom teeth5/20/2011
  Q: im 19 and my wisdom teeth are comming in sideways ( what the doc said about 3 months ago) he said ...
  A: Many impacted wisdom teeth are not symptomatic. If they are infected they can cause a low grade ...
Central Incisor5/13/2011
  Q: About 4 months ago, x-rays indicated that I had a cavity in the lingual part of my Central Incisor. ...
  A: There can be a number of reasons why a tooth is sensitive after being filled. Yes, proximity to the ...
The Super Molar5/9/2011
  Q: I had one of my back teeth filled way back in 1972. It was the left side molar right in front of ...
  A: You are a funny! That being said-of course you should fix your tooth and have a crown placed. If you ...
pressure on tooth after an onlay procedure5/5/2011
  Q: I had an onlay placed on my tooth a week ago and I feel pressure but not pain in the tooth. The ...
  A: I would consider contacting your dentist to have him see you. At this point you should not be ...
effects on teeth5/4/2011
  Q: If a medication is known to pull calcium and other minerals out of your bones does this same idea ...
  A: As far as I know using your nebulizer shouldn't negatively effect your teeth. Cortisone or ...
Tooth sensitive to tongue4/30/2011
  Q: I am a 50 something female in the UK. I have had occasional tooth sensitivity usually in the last ...
  A: I may be coincidence, since most patients do not put the solution in their molar teeth. I don't ...
#30 and #18,194/25/2011
  Q: My tooth #30 has got two root canal treatment - the first time the dentist left a broken file ...
  A: I don't have enough information to offer any firm advice about #30. It sounds like waiting for now ...
root canal/tooth rotting and severe pain4/20/2011
  Q: several years ago, I went to the dentist because I was having pain in my upper very back tooth. I ...
  A: It is not possible to know what you are experiencing and observing without an actual examination. I ...
Veneers4/13/2011
  Q: Dr. Spindel, I teeth are discolored from taking certain antibiotics while I was a child. A month ...
  A: Masking out dark tetracycline discoloration can be challenging for a dentist. I have done so ...
porcelain crowns4/11/2011
  Q: I have some little dots on the bottom of my porcelain crowns that sometimes look dark but when ...
  A: I am not sure what you are describing.Porcelain is not usually 'clear'. Sometimes the cement used ...
Metallic/Foul taste after root canal.4/7/2011
  Q: about a month and a half ago (I don't remember exactly when) I had root canal treatment on one of my ...
  A: It is not normal to notice a bad taste in your mouth after a root canal. It may or may not have ...
Loose Tooth4/6/2011
  Q: I fell three weeks ago on a tile floor. I went to my dentist two weeks later and he took an ex-ray ...
  A: Teeth loosened by a fall can take months to tighten up. This is especially true when they have been ...
whitening3/31/2011
  Q: I am a 35 year old male living in Manhattan and id liek to get my teeth whiteened. Ive tried two ...
  A: In my Manhattan dental office I use two types of whitening. Custom tray whitening and Zoom chair ...
how to building porcelain3/23/2011
  Q: in a lab how would i build porcelain to a tooth\orhow would it be done
  A: Although there are a number of ways for labs to apply porcelain to a tooth , the traditional way is ...
Root Canal3/21/2011
  Q: I recently had a root canal done on tooth #30 with a poor prognosis, I decided to have the root ...
  A: I do not really have enough information to properly answer your question. Some severely broken down ...
teeth grinding3/18/2011
  Q: I went to the dentist the other day to get 2 cavities refilled, and it was going fine at first. But, ...
  A: It sounds like your bite on one of your new fillings needs adjustmetn. The dentist will have you ...
Possible Side Effects Of Metal Poisoning3/17/2011
  Q: I have a problem with a cracked porcelain fused-to-metal crown on a bottom back molar which the side ...
  A: Your bonded filling are certainly not the culprits and I don't believe your crown is either. ...
Braces3/16/2011
  Q: Will it be very painful if i wear a braces?
  A: Patients often complain of discomfort when the wires attaching the teeth to the braces are adjusted ...
2nd yr. follow-up on implants3/10/2011
  Q: Doctor, I'm having a 2nd year follow-up visit for my two central incisor implants. Please tell me ...
  A: When checking implants I look at a radiograph to see if they are experiencing any supporting bone ...
Novacaine Expense3/1/2011
  Q: I'd like to know how expensive Novocaine (or a similar anesthetic) is - to the dentist. I have gum ...
  A: The reason dentists do not often give local anesthesia for cleanings is that it is not desirable to ...
crown instead of core in composite after root canal2/23/2011
  Q: Root canal treated tooth #30 was filled with core composite six years ago, and to me seems to be ...
  A: I always recommend crowning posterior teeth after root canal treatment since this is most often the ...
post root canal pain2/20/2011
  Q: Please help. I had my first root canal this Thursday am after about 6 days of excessive pain in my ...
  A: It is difficult to advise you with certainty over the internet. That being said I will try and offer ...
dentist exray fees2/16/2011
  Q: I called my dentist and would like my records and X-rays. I told him I would be in to pick them up. ...
  A: Although most dentists don't charge a fee for copying records, my understanding is dentists are ...
tooth sensitivity?2/13/2011
  Q: I was wondering if you could help me with some unexpected pain I've been having. My lower left ...
  A: If your cold sensitivity persists for more than one month, I think you should consider another visit ...
Painful Filling2/11/2011
  Q: I recently moved and had to change dentists. I went in for my checkup and cleaning about a month ...
  A: Your filling should be checked by a dentist. If the bite is high it may cause the symptoms that you ...
whiten teeth with baking soda2/9/2011
  Q: I was wondering if it were possible to whiten my teeth using baking soda. If so, how many times a ...
  A: I don't think using baking soda is an effective way of whitening your teeth. The ingredient that ...
sensitive molar1/23/2011
  Q: Dr The first lower left molar has always been a bit sensitive but only when I floss no big deal. At ...
  A: It is hard to say what is the problem via the internet. Fillings can be sensitive for a number of ...
widom teeth1/20/2011
  Q: i am 24 years old and i went to an oral surgeon to have 2 of my molars removed the bottom tooth was ...
  A: If I understand your narrative and your X-rays, you have had your right upper and lower first molars ...
apicoectomy at 121/15/2011
  Q: my daughter had front tooth trauma at 8, which chipped the front left tooth & knocked out the one ...
  A: If your daughter's root canal is failing it is not too soon. Most anterior teeth are not adjacent to ...
cracked tooth after root canal1/14/2011
  Q: Dr Spindel, About a week before Christmas I was told I had a badly infected tooth, which had caused ...
  A: It doesn't sound good. You may have sustained a fracture and you are feeling the loose part of the ...
baby teeth1/4/2011
  Q: i have a 3 yr old grandson. His top 4 teeth are barley there they had broken off peice by peice. ...
  A: It probably is time for your grandson to visit a pediatric dentist. Although his broken down teeth ...
Baby teeth not falling out12/31/2010
  Q: I have 4 baby teeth in front/bottom area of my mouth and they don't seem to be coming out even ...
  A: If your permanent teeth are starting to come in but the baby teeth they are replacing are not ...
Pain after dental implant12/22/2010
  Q: Spindel, I recently had a dental implant started (#19). I had what I thought was normal pain and ...
  A: Without an actual dental examination I can not tell for sure what went on. In my experience most ...
Black teeth12/20/2010
  Q: Suddenly in last 15 days, I saw my front teeth (Both upper and lower Jaw)has black stain. It does ...
  A: There are both extrinsic (on the outside of the tooth) and intrinsic( inside the tooth) stains that ...
Re: Bridge for 3 Front Teeth12/12/2010
  Q: My bridge which lasted 14 years needs to be replaced and I am now living in a different state so I ...
  A: I am not sure what advice to give you. I myself have never made an all porcelain bridge for a ...
odor from gums12/11/2010
  Q: Had a tooth that cracked over time. The tooth begain to crack over time. I recently removed the ...
  A: It sounds like you never had a dentist extract your tooth, but instead removed pieces as they broke ...
Bad crown job12/9/2010
  Q: A little over two years ago I have a root canal and a crown done on tooth #18 I think it was. ...
  A: Teeth that have been previously treated with a root canal treatment can still have pain. The pain ...
Composite Fillings12/8/2010
  Q: So, about 2 maybe 3 years ago I had composite fillings done on a few of my teeth. In my opinion I ...
  A: While it is entirely possible that you did develop recurrent decay adjacent to the fillings, it is ...
Crooked teeth in 22 yr old12/6/2010
  Q: I am 22 years old and all my life I grew up with a not so perfect smile. Well when I was in the 5th ...
  A: Invisalign can be used to straighten out many smiles. Invisalign involves wearing a series of clear ...
inflammed gum behind crown with pin for partial12/2/2010
  Q: My upper left canine tooth has a inflammation that tends to come and go. I do not see any kind of ...
  A: I would advise you to go to a dentist to have a cleaning and some X-rays taken. It is possible that ...
Sensitivity between two teeth12/1/2010
  Q: Between two molars on my upper right, I encounter sensitivity when I floss or use a waterpik. One of ...
  A: When patients report symptoms such as yours, I ask is the sensitivity "sharp" or "dull". A sharp ...
jaw hurts from constant biting?11/30/2010
  Q: I seem to bite down on my teeth a lot. Not grind, just a hard constant pressure, usually ...
  A: Sounds like what you are doing is "clenching". Clenching is an often unconscious habit that people ...
Cosmetic veneer vs. crown11/22/2010
  Q: Dr. Spindel, I am trying to improve my tooth discoloration caused by antibiotics. I have interviewed ...
  A: Although I use feldspathic porcelain for my veneers, Emax might be a good choice. Its pretty opaque ...
molars need to be fixed!11/20/2010
  Q: I have neglected to wear my lower partial denture (after somebody stole it at work) for the molars ...
  A: Unfortunately I do not have enough information to answer your question.Clearly extracting these ...
Full mouth reconstruction procedures...11/18/2010
  Q: Dr. Spindel, I am about to embark on a trip down to Mexico to have my dental work done. I am needing ...
  A: Although it is possible to do the restorations on the natural teeth first, usually the implants are ...
Crooked tooth and TMJ11/16/2010
  Q: About 2 weeks ago I got 2 teeth filled. First molar and second bicuspid on the right side. One ...
  A: It is not possible to diagnose your condition via the internet. I can offer some information that ...
fracture under crown11/4/2010
  Q: I had a permanent crown put on tooth 30 a couple of weeks ago. There wasn't much tooth left to put a ...
  A: Many teeth with partial cracks can be saved, but teeth with through and through vertical fractures ...
implant11/3/2010
  Q: My son is 27, and has had a baby tooth his whole life. The dentist recently told him it's about ...
  A: If there is no problem with your sons deciduous tooth, than no treatment is needed at this point. If ...
Top lip catches on small gap between teeth after composite bonding to close original large gap?11/1/2010
  Q: Spindel. Thank you sincerely in advance for answering my question. I had a 5 mm diastema between ...
  A: If your lips are dry or chapped, this may be more of a problem. Try applying some chap stick. Also ...
wisdom tooth10/31/2010
  Q: I have a wisdom tooth coming at the back of my lower jaw, food gets stuck there and sometimes the ...
  A: The condition you are describing is called pericoronitis. Treatment usually involves a patient being ...
Tooth fillings hurt after six weeks?10/30/2010
  Q: It's been over six weeks since I had my teeth filled and my two lower first molars still hurt! I ...
  A: Unfortunately there is no quick fix. Teeth can hurt after filling for a number of reasons, even if ...
Pain in adjacent tooth right after root canal10/28/2010
  Q: I just had a root canal on Monday afternoon. It was an amazingly quick and totally painless ...
  A: Although it is not possible to truly diagnose your condition over the internet, it may be that you ...
Can a cavity fix itself?10/20/2010
  Q: About two years ago my dentist said I needed a small filling. It was on the top of a back molar. I ...
  A: Tactile inspection is not a bad thing, but a dental explorer will make a dent when placed in a ...
Can a cavity fix itself?10/19/2010
  Q: About two years ago my dentist said I needed a small filling. It was on the top of a back molar. I ...
  A: Early Occlusal decay can be difficult to detect with radiographs. Detection can depend on the angle ...
Can a cavity fix itself?10/18/2010
  Q: About two years ago my dentist said I needed a small filling. It was on the top of a back molar. I ...
  A: While it is true that some small carious lesions do seem to arrest themselves, you really do not ...
gum/abcess infection10/17/2010
  Q: i had a small bump appear above my top premolar, very high up, with no pain or any discomfort whatso ...
  A: Assuming that your endodontic infection has returned, it doesn't necessarily mean you will lose your ...
9 year old lost a tooth10/16/2010
  Q: my 9 year old lost a tooth on the lower right side its the 3ed tooth on the right side it bleed ...
  A: It really isn't possible to diagnose your sons condition over the internet. I will offer some ...
Tooth Number 3!10/15/2010
  Q: I have been having headaces and aching upper haw/earache, etc(!) After xrays and dry ice poking ...
  A: "Having the nerve removed" means that you will be having a root canal. Endodontic treatment involves ...
dental xrays10/8/2010
  Q: My mother was told by a dentist the other day that dental x-rays were mandatory to take by the law ...
  A: Dentists take radiographs prior to extracting teeth in order to determine the shape and position of ...
Best Antibiotic Choice10/7/2010
  Q: I had a root canal performed on a wisdom tooth on the upper right side of my mouth and a crown ...
  A: Both are used when treating endodontic infections. In my practice I usually try treating patients ...
Recurrent Root Canal Problems10/6/2010
  Q: I have had multiple root canals and every single time I am in pain after the root canal. In the ...
  A: There are a number of reasons that root canals can hurt or ache after completion. Sealer cements can ...
decay under crown of root-canaled molar10/5/2010
  Q: I was on a flight home from Paris and bit into a Twix bar and it seemed like I had just bit into a ...
  A: For a crown to work properly, it has to be held by enough sound tooth structure. If there is ...
Query about a recent filling10/3/2010
  Q: Last week I had an amalgam filling in my back tooth (lower left 7) by a local student dentist ...
  A: Your experience seems fairly normal. The spot in the center may have been a high spot. If a new ...
Hole in tooth9/23/2010
  Q: Four teeth from my front tooth there is a hole (front of tooth) (not brown or black) just a dent. It ...
  A: It is not possible to diagnose your problem with out examining you or at least seeing a photo of ...
Dry Socket9/17/2010
  Q: Three weeks ago I had a lower premolar extracted which after a couple of days developed into a dry ...
  A: Although in now way am I an expert on treating dry socket, it sounds like your surgeon is providing ...
Having Root Canals soon. Im TERRIFIED!9/13/2010
  Q: I am having root canals on teeth numbers 22, 23, 24, 25, 26, and 27. What should I expect? They are ...
  A: It is not uncommon for teeth undergoing root canal treatment to have soreness afterwards. Usually ...
Broken Crown9/11/2010
  Q: I had a root canal and crown on a molar in my upper jaw a few years ago. Today the crown on the ...
  A: I advise you to see a dentist in order to find out what happened and what should be done. If your ...
Post Root Canal Pain9/7/2010
  Q: Spindel, Last week, I underwent a root canal on one of my bottom molars because I had a cracked ...
  A: It is not unusual for a tooth that has just undergone a root canal to have some tenderness when ...
Root canal aftermath9/2/2010
  Q: Question similar to Mathew's on 3/10/2010. I had a root canal two years ago in the second molar ...
  A: I am not sure what 'a soft tooth' means, but surely your pain does not imply that the pulp is still ...
jaw dislocation8/31/2010
  Q: I am encountering a problem in opening my mouth completely,i can only open it sufficiently enough ...
  A: It sounds like you are having a problem with your temporomandibular joint. This is the joint that ...
disposal of old bridge8/25/2010
  Q: Spindel, I am about the get my gold bridge (3 unit piece) cut out and get dental implants. Is ...
  A: Most dentists removing an old gold bridge will save what remains of a bridge after removal and sell ...
What to do?8/24/2010
  Q: I have a dilemma. I'm 66 with a cavity under filling on back side of #15. My dentist says he can't ...
  A: It sounds like you have had two opinions and their treatment plan seems reasonable. If you are not ...
Tooth Abscess8/20/2010
  Q: I had/have a bad abscessed tooth on the bottom right 1st molar. I have no insurance so I went to a ...
  A: Some teeth with infections will not entirely heal even with the help of antibiotics. Although your ...
crown came out...was not done on a root canal8/19/2010
  Q: Would the crown be re-applied?
  A: If a patient comes to my office with a crown that has come off, I examine the tooth and the crown. ...
high crown treatment7/29/2010
  Q: I recently had a permanent gold crown placed on my right mandible molar #32 (wisdom tooth). The new ...
  A: If when fitting a crown a dentists notices that the opposing tooth has over extruded it is ...
wisdom teeth/facial growth7/27/2010
  Q: I got my wisdom teeth removed because the one that had erupted was bothering me. The other three ...
  A: Probably your jaw is pretty much done growing. Although sometimes wisdom teeth do erupt after ...
root canal7/22/2010
  Q: Good day Doctor! I have my teeth crowned for 10 years now,two teeth crowned and two dentures are ...
  A: Although sometimes crowns are destroyed in the process of doing a root canal,often a dentist is able ...
upper jaw pain7/21/2010
  Q: I recently had a deep cleaning on my teeth and since getting the pain shot in the upper back of my ...
  A: Although I can not diagnose your particular condition without an actual physical examination, I can ...
Root Canal7/20/2010
  Q: A root canal was done 15 years ago on no. 2. An infection has now developed at the tip of one of ...
  A: If the infection is seen at the tip of the root then it is worthwhile trying to retreat the root ...
stain on teeth7/15/2010
  Q: My son is seven years old. He has stain around his baby teeth and most are on the bottom teeth. I ...
  A: If your son has an occasional soda it shouldn't cause his teeth to stain. If he sees the hygienist ...
Black Teeth7/14/2010
  Q: I am a 27 year old caucasian male. I have black deposits on my teeth - restricted to the gum line on ...
  A: In my experience, stain similar to that you are noticing can happen because a patient is not ...
stain on teeth7/13/2010
  Q: My son is seven years old. He has stain around his baby teeth and most are on the bottom teeth. I ...
  A: It is not all that uncommon for young children to have stain on their teeth. Often children who are ...
wisdom tooth pain7/8/2010
  Q: My lower right wisdom tooth is coming out right now (there's already a little part showing) and ...
  A: Patients with partially impacted wisdom teeth can suffer from a condition termed pericoronitis, ...
nite white excel7/7/2010
  Q: Does using Nite White teeth bleaching gel thin the enamel on your teeth? I recently went to the ...
  A: Whitening gels can cause a temporary demineralization of enamel that reverses when the process is ...
butterfly bridge7/6/2010
  Q: I have 2 butterfly bridges on my upper (not front but almost front) teeth. One just fell off this ...
  A: It sounds like you are describing a Maryland bridge. There is no good way for you to reattach this ...
Wisdom Teeth7/2/2010
  Q: Dr. Spindel, I am a 22 year old female with moderately healthy teeth. During my teens, I had ...
  A: Many times wisdom teeth erupt without any problems. If they erupt into a relatively normal position ...
Dark spot on tooth near gum6/29/2010
  Q: I visited the dentist in May of this year and had no cavities. Yay! However, a couple of weeks ...
  A: It is not likely that you developed decay so soon after your may exam. Some black spots at the gum ...
Re post root canal6/24/2010
  Q: I have a very extensive dental history. Long story short, I have only 1 tooth left that does not ...
  A: Of course it is not possible to diagnose your problems over the Internet, but I will offer some ...
gum infection6/23/2010
  Q: i had a sore lump appear upper right pre molar (very high up on gum) slightly tender when first ...
  A: Dere Jere, Without the benefit of examining you and your radiographs, it is not possible to know ...
root canal6/17/2010
  Q: Had root canal and crown done about 8 years ago. Last checkup dentist said crown is not completely ...
  A: Sometimes when a root canal is failing, a patient displays no symptoms. The only indication may be a ...
Dental Staff6/16/2010
  Q: Spindel, In a dental office staff, besides the dentist and dental hygienist, who else would there ...
  A: Radiologists are physicians who interpret Radiographs, CT scans or MRI,s. By studying them they try ...
Dental Staff6/15/2010
  Q: Spindel, In a dental office staff, besides the dentist and dental hygienist, who else would there ...
  A: The staffing of dental office varies from practice to practice, but in general the busier the office ...
Crown vs removal6/10/2010
  Q: My tooth, # 31 has a large filling from 1978 which is cracked and I'm told I might need to have a ...
  A: I can not in good conscience recommend you removing your lower second molar when repairing it with ...
Bridge6/8/2010
  Q: I just read your response about bridges and thought I should ask about myself. A permanent bridge ...
  A: Without a true physical examination, it is difficult to diagnose what is exactly going on in your ...
stain on teeth caused by antibiotic5/12/2010
  Q: Do you know the most effective method for removing stains caused by tetracycline? The dental strips ...
  A: Whitening tetracycline teeth can be unpredictable and can take longer than other teeth. I have had ...
fix a broken partical5/10/2010
  Q: my partical broke and need to know if there is some kind of glue i can use to fix them untill i can ...
  A: Dewar Alicia, It is not a good idea to temporarily glue your denture together since it may ...
Black teeth on bottom row5/5/2010
  Q: My husband noticed his bottom teeth have black down towards the root and gum, I was wondering what ...
  A: Most often when a patient mentions this they are referring to longstanding tarter that has picked up ...
pain after crown replacement?4/28/2010
  Q: I recently cracked a full porcelain molar crown. I had no trouble with the original crown, nor with ...
  A: I do not believe that the sensitivity is due to a reaction of the metal of the crown against the ...
crown over bonded tooth?4/23/2010
  Q: When I was a child I chipped one of my front teeth. The dentist at the time put bonding on it. Over ...
  A: The crown that is made does not have to be a copy of the preexisting tooth. Whether you have a crown ...
crowns vaneers4/22/2010
  Q: I have had 6 veneers put on my front top teeth to make them cosmetically perfect. They have all ...
  A: If I understand your question properly you explained that you had 6 veneers placed 4 years ago and ...
lump above permament bridge4/19/2010
  Q: Few months ago ( in October,2009) I had my root canals done on my upper molar on right side (number ...
  A: It certainly sounds like you have an infection. It be helpful for you to visit your dentist as soon ...
Jaw hurts to open4/15/2010
  Q: I had a lower molar extracted last Thursday. Why am I experiencing jaw pain starting yesterday when ...
  A: Without an actual physical examination it is not possible to say for sure what is happening , but I ...
Burning tooth with metallic taste yet dentist says no problem.4/14/2010
  Q: In the past several months, I have had a tooth (#31) which often gave me a strange burning sensation ...
  A: Sensitivity at the tip of the tongue is not tooth related. It is more likely neurologicalproblem. ...
Root canal infection4/9/2010
  Q: am limited financially so I have my dentistry done through a school. My left back moler fractured. ...
  A: I can understand your dilemma and one viable option is to extract this tooth and to get the full set ...
Teeth and dental4/8/2010
  Q: On March 9 I went in for routine cleaning and at the end of my appointment I mentioned something ...
  A: It is not unusual for a tooth that has had a root canal to be able to experience pain.Even though ...
Injury4/7/2010
  Q: i recently tripped and fell onto my face, hurting my bottom lip when my tooth went straight through ...
  A: Visiting the emergency room was a good idea, especially since you had bitten through your lip. I ...
procera crown doesn't look right3/31/2010
  Q: i recently had a procera crown fitted to my #9 tooth. i had a root canal when i was 18 and the ...
  A: It is difficult to know what the problem was with your particular crown without actually having ...
bridge v. dental implant3/30/2010
  Q: The First Molar on my upper right was cracked and I had to have this tooth pulled. Now I have to ...
  A: All things being equal, an Implant restoration is usually preferable to a three unit bridge. It is ...
Crown Issues3/25/2010
  Q: I am providing detailed information to help you answer my question, so I apologize in advance if I ...
  A: At this point it is not likely that your sensitivity stems from a high bite. Although an open ...
Difficult to diagnose dental pain3/24/2010
  Q: Having a dull to sometimes sharp pain between a crown and the last molar on the lower right, I ...
  A: I am sorry but is not possible to diagnose your condition with information that can be conveyed via ...
Teeth and dental3/23/2010
  Q: On March 9 I went in for routine cleaning and at the end of my appointment I mentioned something ...
  A: It sounds as if one your teeth was symptomatic prior to having it filled. It possibly had a problem ...
dental bridge clicking3/17/2010
  Q: i have gum decease, which is under control, and has been accessed by a periodontist. i recently had ...
  A: One of my interests is preventive dentistry. I believe that patients with a history of periodontal ...
Loose dental bridge3/16/2010
  Q: Unfortunately my teeth have become a contant worry for me for years. I am only 33 years old, but ...
  A: It does sound like you have had a rough time with your teeth in the last few years. It seems as if ...
capping3/11/2010
  Q: I am 24, female, have all my teeth sound and strong and healthy, only one upper front tooth is ...
  A: I assume from your narrative that he has not prepared your teeth yet. If he hasn't then you are in ...
Tooth hurts when I rub it with my tongue?3/10/2010
  Q: Spindel, Thank you for the great work you do helping others on this website. I have a question for ...
  A: Your symptom is tough to diagnose over the internet and sounds like it might be difficult even with ...
root canal3/9/2010
  Q: i had a root canal done on my upper left last molar about 2~2.5 years ago due to really bad cavity. ...
  A: It does sound like first attempt wasn't successful, especially if you do not respond to the ...
Tooth3/8/2010
  Q: My boyfriend woke up this morning with his right side of this face swollen. He was complaining ...
  A: It sounds as if he has a dental infection. Often when a tooth turns darker it means that the pulp ...
dental bridge clicking3/4/2010
  Q: i have gum decease, which is under control, and has been accessed by a periodontist. i recently had ...
  A: Although I can not be certain without an actual examination, I am afraid this news in not good. If ...
Hit my teeth - afraid they are damaged3/3/2010
  Q: "Hi - I was getting out of my car and I swung around to shut the door and in the process my keys hit ...
  A: It is not unusual for patients to have craze lines in the enamel of their front teeth. These appear ...
Failed RCT? Fracture?3/2/2010
  Q: Back in August of 09 after a routine cleaning I mentioned to my new dentist that #30 was painful ...
  A: Obviously it is not possible to diagnose your problem with any certainty over the Internet, but I ...
enamel2/19/2010
  Q: My 12 yr old daughter's molars are coming in with no enamel. My mom keeps insisting it is because ...
  A: No one knows for sure why certain teeth erupt with defects in and/or missing enamel. For some reason ...
Root Canal Temporary filling2/17/2010
  Q: What can I do until my dentist can see me? The temporary filling of a root canal came off and can't ...
  A: In your situation you probably can choose to not do anything special for today, Wednesday. Possibly ...
A bunch of rotten teeth and now a sore jaw.2/16/2010
  Q: I'm 29 and I haven't been to the dentist in 15 years. At the moment I have six broken/rotten teeth. ...
  A: Since you think some of the broken teeth are wisdom teeth, you might start by finding an oral ...
dry socket?2/10/2010
  Q: the suture fell out yesterday (tuesday), i'm not currently in any pain, however there is an ...
  A: It doesn't sound like you have a dry socket, since you have no pain after a week. Usually dry ...
tooth broken during filling change2/9/2010
  Q: While having an old filling in an upper molar replaced, the drill quit pumping water and the back ...
  A: I am not sure from your description why you tooth broke, but I will try to offer some information ...
Middle lower fixed bridge.2/5/2010
  Q: I have a middle lower fixed bridge with 6 teeth, and a semi-precision partial with 3 teeth on each ...
  A: Of course it is not possible to offer a good diagnosis over the internet and I am not sure I ...
Dental plan2/3/2010
  Q: Spindel - I'm 75 years old and looking for a good dental plan. Do you know of one? Do you know of ...
  A: When seniors ask us at our office we usually recommend the Delta plan offered by AARP. It can ...
Failing implant2/1/2010
  Q: I had #18 replaced with an implant 2 yrs ago. Checkups and cleanings every 6 mo since then. Last ...
  A: Since I have not had the opportunity to examine your mouth or your X-rays, I can not diagnose your ...
Failed root canal treatment1/27/2010
  Q: Endodontist who treated my root canal (Tooth # 21) for dental abscess did not put any medicine ...
  A: First I would like to assure you that Ludwigs Angina is an extremely rare occurrence that did occur ...
Dental Crown Refund1/22/2010
  Q: I have signed up with my current dentist to get a front bridge crown and they urged me to sign up ...
  A: If you are unhappy with your current dentist and feel that you are entitled to a full or partial ...
dentemp1/20/2010
  Q: I recently purchased a Dentemp product from UK (product to temporary re-attach loose crowns). I ...
  A: The best thing for you to do is probably make an appointment within 48 hours to see a dentist and ...
Abcess scar on five year old gums1/19/2010
  Q: I am concerned when I see evidence of scarring on my 5 year old daughter's gum after an extraction ...
  A: Without examining your daughter it is not possible to say for sure whether the scar you mention will ...
Pain in crowned molar1/12/2010
  Q: Several weeks ago I had a root canal filling in a molar which had been recently crowned. Following ...
  A: It is not that uncommon for patients to have pain on chewing after a root canal is completed. Often ...
Rear molar extraction vs. Crown?1/7/2010
  Q: 4 years ago I had a severely decayed rear molar. They did a 4 hour root canal on it and a filling. I ...
  A: At this point your tooth needs to be reevaluated by a dentist. A dentist must decide whether ...
brown tooth12/23/2009
  Q: my son is almost 3 and i noticed on the top 2 middle teeth around the edges of the teeth are brown. ...
  A: It sounds as if the edges of your sons front teeth have defects in their enamel. This would make ...
pain but two days after simple root canal12/22/2009
  Q: I had a simple root canal in third "molar" from the back, lower teeth. I apparently only had one ...
  A: As your endodontist explained to you, sometimes after a root canal, there can be inflammation in the ...
pain in cheek12/15/2009
  Q: I have seen a dentist and have an appointment with an oral surgeon Wednesday. But I am hoping you ...
  A: It is really not possible to diagnose via the Internet. Seeing an Oral Surgeon is a good idea. If ...
pain after tooth exctraction12/10/2009
  Q: I had a tooth extracted in the emergency room at the local hospital last month.. It was difficult ...
  A: It sounds like you may have a sinus infection, but the question is what is causing it. One of the ...
Gum Pain12/9/2009
  Q: Dr.Spindel, I am experiencing gum pain above my #3 molar. No pain in tooth however,the tooth is ...
  A: The pain you are experiencing could indeed be caused by an infected tooth. If a pulp of a maxillary ...
Debridement12/8/2009
  Q: My son who is 21 years of age, was given a full mouth debridement at his first visit to our newly ...
  A: Full mouth debridement is a term used to describe a partial cleaning that is done when a patients ...
bad mouth odour12/7/2009
  Q: i have a bad mouth odour. i get up early in the morning around 4:00am. i brush my teeth properly ...
  A: It is not possible know for sure what the cause of your bad breath is without an actual examination. ...
cerec crown12/3/2009
  Q: Yesterday I received my 1st crown, a cerec. The back side is rough and snags dental floss. It seems ...
  A: It is not possible to actually diagnose without actually examining your crown. I will try and give ...
Implants/Bridges12/2/2009
  Q: Is there a bridge that can be used without the use of an anchor tooth on each side. I overheard a ...
  A: I not familiar with the term "floating bridge". There is a fixed bridge termed a cantilever bridge ...
root canal re-treatment or apicectomy12/1/2009
  Q: I had a root canal done 5 years ago on tooth number 19. This root canal has always caused slight ...
  A: If you have swelling on the facial side of your tooth in gums then I advise you not to wait three ...
dental x-rays11/24/2009
  Q: Spindel: I just came back from the dentist today. I took some digital x-rays and they apparently ...
  A: Digital X-rays probably do not do a better job of showing decay than conventional film pictures. ...
White Spot11/22/2009
  Q: I am 32 years old and I smoked for 15 years but quit last august. I have a family history of poor ...
  A: It is not uncommon for dentures to either have a pressure spot or a slightly over extended border ...
papilla11/13/2009
  Q: Had two implant crown restorations (#8 and #9) done during this past July. The dentist left space in ...
  A: In my practice, when I am restoring an anterior implant restoration, I fabricate a temporary that ...
Dark spot on surface of filling11/10/2009
  Q: I recently noticed a small dark spot that appears to be on the surface of an old silver filling in ...
  A: Sometimes as silver fillings age they can oxidize and turn black and it does not indicate a problem, ...
Not sure what to do11/9/2009
  Q: I will try my best to make this short. I have had severe complications (in my belief) from an ...
  A: Although it is not possible for me to diagnose your problems without a physical examination, I will ...
Implant in Back Upper Right Region - Safe?11/3/2009
  Q: Spindel: I recently lost a crown on a tooth that had been root canalled in the back upper right ...
  A: I do believe that a second opinion is in order. I would advise you to make an appointment with a ...
pain after filling10/29/2009
  Q: I have a question about pain after having an old filling replaced. About a week after, I started ...
  A: Your symptoms may be caused by a high bite. The fact that the bottom tooth is also bothers you does ...
white spot inside mouth10/28/2009
  Q: but it dosent hurt like a canker sore or has not got any bigger.it is a light white color.i do not ...
  A: It sounds like you have an ulcer. I do not understand from your question exactly where the ulcer is, ...
Crowns and root canal10/22/2009
  Q: My wife went to the dentist because one of her teeth hurt. The dentist told her that she needed two ...
  A: A root canal can be completed if planned properly, without damaging your wife's crown. If an ...
post root canal complications10/21/2009
  Q: Good Morning Dr. Spindel, I had root canal on back molar done last thursday (10/15) & really didn't ...
  A: It is truly difficult to say what is going on without the benefit of an examination, but I will try ...
Abraded Area and Dark Staining10/16/2009
  Q: On my back bottom molars I have a brown stain that runs along the gumline of both of them. I've had ...
  A: Don't stay up nights worrying. It is not a big deal! The dark brown stain you describe often ...
Exposed Root vs. Cracked Tooth?10/15/2009
  Q: Spindel, I have a molar that’s been bothering me for almost two years now. I’ll try to give you a ...
  A: Although it is not possible to diagnose your problem without an actual examination but I will offer ...
mouth wash10/13/2009
  Q: Spindel, Just wanted to confirm that the average mouth wash (whether alcohol-based or not) is ...
  A: It is and interesting coincidence, but I have just written a post on this very subject on my Blog ...
deep filling on a cracked tooth10/8/2009
  Q: I have a broken molar on the bottom row--the very last one on the left side. My dentist said the ...
  A: Without actually examining you it is not possible for me to know for sure what is going on with your ...
cosmetic dentistry10/6/2009
  Q: hi i was looking to know if you would be able to tell me which crown or venneer would be best for me ...
  A: If you have sound teeth without lots of fillings veneers are the best alternative, since they look ...
Upper canine tooth infection9/30/2009
  Q: I have a problem with an upper canine tooth. I have no back teeth beyond these canine teeth & had ...
  A: You mention that you have some swelling. If you do have swelling associated with your canine , ...
Root canal with infection.9/25/2009
  Q: I was once told that performing a root canal with an infection in my gums would be dangerous. When I ...
  A: Many root canals are performed while an infection is present in the bone or the gums. This is not a ...
chewing pain on temp crown9/24/2009
  Q: Spindel, In mid July of this summer I had my upper second to last right molar prepped for a crown. ...
  A: I think your questions are on the money. In my practice, I find that patients commonly complain that ...
eyeteeth extraction9/22/2009
  Q: I am 41, I have had the two ugliest top eyeteeth since I was 13. I would love more than anything to ...
  A: Without seeing a photograph of your smile it is hard to give you a definitive answer, but I will ...
Loose teeth9/17/2009
  Q: I know that I have periodontal disease. I have neglected my teeth and have lost teeth. I currently ...
  A: You have many options including Full and Partial dentures. If you were a patient in my dental ...
Post Root canal pain9/16/2009
  Q: I underwent a root canal treatment on my upper right molar(first session during the last week of ...
  A: Sometimes after a root canal a tooth can hurt for a period of time or be sensitive to pressure or ...
Tooth9/15/2009
  Q: I have a tooth that has been having problems over the past 2 or 3 years, and would like advice on ...
  A: Of course without actually examining you I can not offer a diagnosis, but I can offer some general ...
lower jaw/chin pain9/14/2009
  Q: I have pain in my lower jaw/chin. My teeth and gums seem to be fine and do not hurt, however if I ...
  A: It doesn't sound like a dental problem. The area you are touching sounds like the location of the ...
Do I need a root canal9/12/2009
  Q: I am in a little anxious that my local dentist that I usually go to said that I may need a root ...
  A: From your story it does seem likely that you do need a root canal, but getting a second opinion is ...
tooth pain after porcelain onlay9/11/2009
  Q: I had a porcelain onlay done to replace a 15 year old mercury filling. I did not have any problems ...
  A: Your pain is not all in your head and sensitivity and symptoms such as yours unfortunately are not ...
Root Canal9/9/2009
  Q: I had root canal on two different Molars years ago. One was about 12 years ago, and the other about ...
  A: If you are experiencing sensitivity to hot and cold on the left side of your mouth it is not coming ...
Gum damage9/3/2009
  Q: I've had a molar extracted 9 days ago. Most of the pain i gone and the "gap" is tender and slightly ...
  A: In my practice I ask patients to return seven days after an extraction for observation. I like to ...
perforation of root during RTC9/1/2009
  Q: How would a dental patient know if the endodontist perforated a root during RCT on a molar if the ...
  A: Do you suspect that you have a root perforation during a root canal performed by an endodontist and ...
Helioseal F Sealant color8/27/2009
  Q: Dr. Spindel: What is the normal color for Helioseal F? My dentist put Helioseal F on my boy's ...
  A: Helioseal F comes in a white shade. I use a different brand of sealant in my practice. When using it ...
impacted 6 year molar8/26/2009
  Q: My eight year old has a six year molar that has not come down. X-rays were done and it appears the ...
  A: Without examining your child it is not possible to fully advise you but I will give you some ...
Cracked Tooth8/21/2009
  Q: My long time dentist has retired and my first visit with the new dentist resulted in a claim that I ...
  A: Although I have not examined your tooth, you put in your subject 'cracked tooth', so I assume that ...
Root canal and crown8/20/2009
  Q: Spindel, I just had my root canal done. My endodontist does not have a microscope so she took 4 or 5 ...
  A: Root canals can be well done by endodontist with or without microscopes. It is true that ...
A child's dental problem from the Philippines8/19/2009
  Q: good afternoon to you sir, I'm recently in the Republic of the Philippines for a vacation, and in ...
  A: Without actually examining this child it is not possible give you complete advice on her particular ...
Antibiotic Prophylaxis for Mitral Valve Prolapse8/18/2009
  Q: Spindel, I'm aware that the American Heart Association issued revised guidelines in 2007 regarding ...
  A: I went to the American Dental Association website and found this information for you. According to ...
crowns on implants7/30/2009
  Q: My wife has three new implants on molars. The crowns can back from the lab and when fitted there was ...
  A: It sounds like the implant abutments are exposed and visible. This can happen either if the implant ...
2 teeth have sharp pain when biting7/29/2009
  Q: Last year I had one tooth filled because of a cavity. I had no problems with it until a few months ...
  A: Your Question raises a number of issues. I will try my best to answer them. First lets start with ...
Problems with a crown...7/28/2009
  Q: Spindel, I am having problems with one of my front teeth. When I was 5 I fell and chipped the ...
  A: There are couple of possibilities for your pain. Since your dentist has adjusted the bite, I will ...
sensivity to cold after rootcanal7/27/2009
  Q: Respected sir; my name is shazia from India I had central teeth crowded,in the ...
  A: I am sorry you are having this symptom even after you had a root canal. After the pulp is removed ...
Root canal7/23/2009
  Q: i was at the dentist today and had the first stage of a root canal completed on an upper moler. ...
  A: Since this pain occurred only at towards the end of the appointment, it is likely that your ...
Root Canal Problem7/22/2009
  Q: I'm a 24 year old female. I have been having a lot of problems with my fifth front tooth (on my left ...
  A: It is not possible to feel sensitivity to cold or sweets from a tooth after it has had a root canal. ...
Jaw pain7/21/2009
  Q: I went to my dentist about one week ago with terrible tooth and upper jaw pain. I figured a tooth ...
  A: Unfortunately some sinus problems do cause symptoms in the teeth and differentiating which is ...
Your Advice7/20/2009
  Q: Spindel, I need your advice. Well, you see, I had my tooth digitally x-rayed today, and they ...
  A: It is not a matter of which type of radiograph is more accurate. I do not really believe one type is ...
Your Advice7/14/2009
  Q: Spindel, I need your advice. Well, you see, I had my tooth digitally x-rayed today, and they ...
  A: Conventional and digital X-rays are not the same. Sometimes a problem might show on one but not the ...
Gum Pain7/9/2009
  Q: I have been experiencing gum pain in a specific area (upper right) of my teeth for the last couple ...
  A: I am sorry that you are in pain. It sounds like your dentist may not sure either. Without actually ...
FLOURIDEX7/7/2009
  Q: Spindel, I'm confused about something and maybe you can help me. You see, I went in for my ...
  A: First I must confess that in my practice I prescribe prevident, a comparable product that is less ...
swelling gums7/2/2009
  Q: Spindel, I had a root canal and it still hurt. My dentist said I have swollen gums and such, so ...
  A: Sometimes when treating an infection with antibiotics and the infection is not clearing up, a ...
Essix appliance7/1/2009
  Q: Dr. Spindel, i just got an Essix appliance for provisional tooth replacement for my upper central ...
  A: It is likely that the appliance is putting slight pressure on the the lateral incisors and the first ...
soreness/pain after root canal- crown post6/29/2009
  Q: I had a root canal about a month ago. Front tooth. Every thing was fine . About 10 days after the ...
  A: At this point in time the best thing for you to do is to wait and see if the pain goes away. It may ...
Root Canals6/25/2009
  Q: Spindel, After a root canal, you know how some people do not need crowns, especially on front ...
  A: It sounds like your dentist is correct. It is not the filling, since the tooth after a root canal ...
Root Canals6/24/2009
  Q: Spindel, After a root canal, you know how some people do not need crowns, especially on front ...
  A: Any tooth can hurt if a filling is high. If when you bite down and you hit the filling before the ...
Root6/23/2009
  Q: Spindel, I need you to tell me something in regards to the tooth I have. I have a concern about ...
  A: It clarifies things for me. In my experience, sometimes after a root canal is completed things can ...
Root6/22/2009
  Q: Spindel, I need you to tell me something in regards to the tooth I have. I have a concern about ...
  A: I am sorry that your tooth is still bothering you after your root canal procedure.It is not clear ...
lumineers6/18/2009
  Q: Can dental hand instruments scratch the surfaces on lumineers? I had a cleaning & the surfaces feel ...
  A: Yes, it is possible for some of the dental instruments to make small scratches in veneers(lumineers ...
digital x-rays and cavities6/17/2009
  Q: Spindel, I want your advice on something. I just got some digital x-rays at this office, and they ...
  A: Although decay can spread at different rates depending on hygiene and diet, usually it is not a ...
root canal6/12/2009
  Q: Spindel, How come sometimes after a root canal, the tooth ends up aching more than befored the ...
  A: Your question is an interesting one. This month the American Dental association journal includes ...
Crown Suddenly Sensitive to Cold Food/Drink6/11/2009
  Q: i- I had a crown done on a cracked tooth nine months ago. The dentist said I still had good tooth ...
  A: Your dentist is probably correct in his observation that your crown does not have a 'hole' in it. ...
inflammation6/10/2009
  Q: Spindel, I had a root canal a couple months ago due to an infection on the bone. then after the root ...
  A: If you had the root canal treated several months ago and it still bothers you regularly, it is ...
Pain from anesthetic6/9/2009
  Q: I went to get the last of my fillings the other day, which meant, getting the last molars (not ...
  A: It sounds like your dentist gave you a mandibular block. When I give this injection, every 10th ...
Pain from anesthetic6/5/2009
  Q: I went to get the last of my fillings the other day, which meant, getting the last molars (not ...
  A: Although I can not say for sure where your dentist placed his needles for the injections, it sounds ...
local anesthetic6/4/2009
  Q: After recieving a local anesthetic from the dentist a few weeks ago. My knees began to shake, my ...
  A: It certainly sounds like you had a reaction to the epinephrine that is placed in the anaesthetic as ...
cracked porcelain fixed bridge6/3/2009
  Q: i had my fixed brigde for one year now..8 units fixed bridge starting in my two front teeth ...
  A: I think you should ask your dentist to replace it for you. If you were a patient in my practice and ...
Dental work with shingles6/2/2009
  Q: I need a filling, crown and possible root canal done today. I have a rash that has been diagnosed ...
  A: You did not mention where the rash is. Is it on your face? If it is not on your face it does not ...
Dental Filling5/27/2009
  Q: I have a filling in one on my back teeth, a month ago a small part of that filling fell out as i ...
  A: It is not possible for me to determine the status of your tooth. The dentist you saw found nothing ...
What do you think?5/26/2009
  Q: Spindel, I need your advice on something. I had a root canal a couple years ago, and till this ...
  A: Although I find your distress entirely understandable, it is not common practice for a dentist who ...
Darkening Spots5/20/2009
  Q: Spindel, I'm wondering about something. I have a white cyst on my gums between my two front ...
  A: Without examining you and looking at your X-ray, it is hard to say exactly what is going on. Again I ...
Brushing5/19/2009
  Q: When I got my teeth cleaned I was told that for brushing 2 minutes is recommended since some only ...
  A: If you are using a manual brush and not putting excessive pressure on your brush 6 minutes will not ...
Darkening Spots5/18/2009
  Q: Spindel, I'm wondering about something. I have a white cyst on my gums between my two front ...
  A: Without an actual examination it is hard to say what is going on, but I will try to give you some ...
cold test, root canal, etc...5/14/2009
  Q: I went to the dentist several weeks ago, and one of my dentist found an infection on my tooth. The ...
  A: I can not address all of your questions in this answer. I will answer some of them. A positive ...
cold test, root canal, etc...5/13/2009
  Q: I went to the dentist several weeks ago, and one of my dentist found an infection on my tooth. The ...
  A: Although sometimes it can be difficult to detect a tooth with an infection just by looking at the ...
Substitute for human teeth5/12/2009
  Q: I am currently doing a research project in school entitled Averrhoa carambola (Star fruit) as Teeth ...
  A: I apologize for not getting back to you sooner. There was a computer glitch. I can not think of an ...
pain on tooth5/11/2009
  Q: Spindel, I was wondering when it comes to a tooth which has received root canal therapy, and if ...
  A: A crack away from the gum in a root canal tooth will not hurt. If there is a fracture near or in ...
pain on tooth5/10/2009
  Q: Spindel, I was wondering when it comes to a tooth which has received root canal therapy, and if ...
  A: Although a tooth that has had a root canal has no pulp or nerve tissue inside, the ligaments ...
10 yr. old lost bottom k95/9/2009
  Q: I though he would get a couple new molars but didn't expect him to lose a tooth, especially the ...
  A: Your son is fine, and on schedule. Kids continue to lose teeth until there about 12 years of age. ...
Tooth issues5/7/2009
  Q: Spindel, I know you cannot see my tooth and the situation, but I wanted to see if you can have any ...
  A: From your description it is hard to tell whether anything serious is going on. If you were my ...
Root Canals5/1/2009
  Q: Dr. Spindel: After a root canal, if we are still able to feel pain on the tooth, such as pain to ...
  A: If there is a 'missed canal' on your root canal it is conceivable that it can still contain vital ...
Root Canals4/30/2009
  Q: Dr. Spindel: After a root canal, if we are still able to feel pain on the tooth, such as pain to ...
  A: Yes it is true that after a root canal your tooth will be unable to feel sensitivity to sweets cold ...
permanent tooth??? loss4/28/2009
  Q: My 12 1/2 yr old son while flossing his teeth about 40 minutes ago - just "popped" out his second ...
  A: Being a parent is an adventure! It is most likely that your son lost his deciduous (primary) first ...
difference between temp and perm bridge4/26/2009
  Q: What is the difference between a permanent bridge and a temporary one. A periodontist informed me ...
  A: Possibly I can clear up the confusion. A temporary bridge usually refers to a bridge that is me ant ...
Misc. questions4/21/2009
  Q: I have a few questions hopefully you can shed some light on. First, is it possible for a nerve in a ...
  A: It is quite common for a 'nerve' to die without a patient being aware of it. Sometimes the way the ...
Immediate Partial4/19/2009
  Q: I am having 5 extractions done this week, 4 simple and 1 surgical/erupt tooth. It will than be ...
  A: Kathy, An Immediate partial lower denture(PLD) is a denture that is inserted at the time of ...
Root Canals4/18/2009
  Q: I have had a root canal on one of my tooth, and it still feels achy pain from time to time when I ...
  A: If a tooth has had a root canal, it is extremely unlikely for there to be any living pulp tissue ...
5 year old with lots of cavities4/16/2009
  Q: My 5 year old son was born with Alpha 1 Antitrypsin Deficiency(liver and lung disease). When he was ...
  A: First let me say that I understand that raising your son must provide you with challenges beyond ...
Crown4/13/2009
  Q: I have recently gotten a 100% porcelain crown on one of my front teet that had a root canal and was ...
  A: There are two possible reasons for the crown to appear grayish. If a translucent porcelain crown is ...
Molar extracted4/10/2009
  Q: I'm getting braces in about 3 weeks and went to the dentist on Monday to have my 2nd pre molars ...
  A: You needn't worry that the shape of your face will change. The space after the orthodontic movement ...
All ceramic vs metal fused crowns4/7/2009
  Q: I'm 33 yrs male living in India. I'm about to have 6 of my upper teeth crowned after root canaling ...
  A: Without actually examining you it is not possible to say for sure whether in your your dentist is ...
crowns4/6/2009
  Q: I had three crowns put on at the same time at the end of November. Last night one came off and I ...
  A: If your crown was permanently cemented and fitted properly it would be unusual for it to come out in ...
crown build up/pain4/5/2009
  Q: On my upper left last molar I was told I had a fracture, and needed a crown. This was about a six ...
  A: Pain, after a crown preparation and final impressions, is not uncommon and does not necessarily mean ...
My white fillings4/4/2009
  Q: I just had a root canal done, and I did not need a crown for that tooth, so the dentist put a ...
  A: Michelle, The filling should feel smooth and not bumpy. If it felt so, it did need to be 'shaved' ...
jaw pain4/3/2009
  Q: I had a regular dental cleaning about 2 weeks ago. Four days later, I started having a lot of jaw ...
  A: Although it is not possible to actually diagnose your problems without an actual examination, I will ...
fantom pain in bicuspids location after extraction4/2/2009
  Q: two years ago i had my bicuspids extracted which caused phantom pain in those sockets which would ...
  A: I am not sure what you are experiencing and it is even more difficult to help you with a diagnosis ...
broken teeth4/1/2009
  Q: My husband has some broken teeth and the enamel is wearing off daily. We have been told it was from ...
  A: Although I have had patients that are 'difficult' to get anesthesia, I have never had a patient that ...
tooth enamel3/30/2009
  Q: I am currently 20 years old and for some time now (maybe a few years) I have noticed that my two ...
  A: It is difficult to diagnose your problem without examining your teeth, but I will try an give you ...
Amalgam & gold cavity preparations3/29/2009
  Q: i was wandering if you could help make a good comparison between Amalgam & Gold cavity preparations. ...
  A: The preparation for these two restorations are quite similar. Both should have a depth of ...
Root Canal3/26/2009
  Q: Spindel....I had a root canal done on #3 about 2 years ago. It has never been right since the ...
  A: I do not think the ringing in your ear is at all related to the root canal in tooth #3. If you are ...
Cosmetic Denistry Newbie3/25/2009
  Q: My parents were not very responsible folks, and now at age 21 i'm suffering the embarrassing effect ...
  A: I would seek a second opinion prior to embarking on an extensive round of dentistry. Often times ...
Loose teeth3/24/2009
  Q: Recently while playing sports I received a blow which made my top front teeth loose, or more so than ...
  A: Although some teeth do tighten back even without splinting, I do believe splinting is helpful.No, I ...
Loose teeth3/23/2009
  Q: Recently while playing sports I received a blow which made my top front teeth loose, or more so than ...
  A: Without an actual physical examination it is hard to answer whether you would benefit from a root ...
tooth extraction3/21/2009
  Q: I have to have two teeth out and I am a nervous wreck, should i just have local freezing or be put ...
  A: Although local anesthesia is fine, it will not do anything to alleviate your anxiety. If you are ...
Trouble with root canal/crown, Endodontist says extract #14, vacation coming right up??3/20/2009
  Q: I had a root canal and crown placement 18 months ago. Never could chew properly on that side. ...
  A: This is not a simple answer, but I will offer advice. With an infected tooth, there are no ...
endodontics3/16/2009
  Q: Sir, I would like to know if it is possible for a tooth with non-vital pulp have dentinal ...
  A: If a some nonvital teeth can experience sensitivity to hot. Nonvital pulps do not feel cold ...
crooked smile post filling3/13/2009
  Q: Last night at 6PM I had a filling placed in a upper left molar. At the time I was given a shot of ...
  A: Although I am surprised you still have residual numbness, this most likely will go away. Some of the ...
Rate at which tooth decay occurs3/9/2009
  Q: Dr. Spindel, my daughter is planning an experiment on tooth decay for her school science fair. We ...
  A: Never having tried this experiment out, it would is hard for me to say for sure. I would design the ...
Broken Molar--extraction3/8/2009
  Q: I have a broken molar on the upper right side. It is also next to a wisdom tooth. I have only had 1 ...
  A: I do not recommend you take the loose tooth out yourself. You should go to a dentist to diagnose ...
dental bridge3/7/2009
  Q: One year after recieving a dental bridge,(#7,8,9),tooth #9 required a root canal. Two years later I ...
  A: If the pulp in #7 is necrotic, it will not be able to 'heal on it own'. The infection on # 7 will ...
Do you think this is reversible pulpitis which is resolving, or irrversible pulpitis?3/6/2009
  Q: Spindel, Three weeks ago my dentist detected some deep decay under one of the fillings he placed a ...
  A: As you have pointed out it is difficult to give specific information about your case without ...
bridges3/2/2009
  Q: i am 72 hours status post temporary bridge placement 3-5. I have new onset pain mild throbbing with ...
  A: It doesn't sound that you are experiencing unusual symptoms. Teeth prepared for crowns and bridges ...
First Molar Broken3/1/2009
  Q: I'm a 29 yr old male and recently had a root cannel in my first molar (I think that's what it's ...
  A: The tooth in front of the wisdom tooth is called the second molar. If a second or first molar is ...
Baby teeth in adults2/27/2009
  Q: I am 28yrs and moved to the US from another country. I had my first dental visit a couple of years ...
  A: It is difficult to advise you without an actual examination. I will offer you some general ...
6yo daughters teeth2/26/2009
  Q: I have a couple concerns and questions about my 6yo daughter. Let me start by saying that the reason ...
  A: At around 6 your daughter was due to loose the deciduous lower central anteriors. She should also ...
pain in front top tooth post root canal2/24/2009
  Q: I had a root canal on my front upper left tooth Jan. 6th 2009. I had a bad accident invoving that ...
  A: Although I can not diagnose your problem over the Internet, I can give you some information about ...
numb teeth from trauma2/21/2009
  Q: A day and a half ago I was in a yoga class and dropped a 1lb. block on my face from 3 feet away. It ...
  A: In my experience. I have not found that trauma to the pulp of teeth does not cause 'numbness'. You ...
Cavity filling or RCT?2/20/2009
  Q: I was having tooth pain with cold and sweet; it felt like the cold/sweet was shooting directly up ...
  A: It is possible that you will eventually require a root canal, but before deciding on that it would ...
Jaw popping2/19/2009
  Q: Sometimes if I yawn with my mouth open too wide, my lower jaw pops out of place. It actually looks ...
  A: You appear to be experiencing Temporomandibular joint derangement(also known as TMD). The ...
cracked tooth2/18/2009
  Q: I am 59 years of age and in good health. In the last five years I have had three cracked teeth, all ...
  A: Cracked teeth happen for a number of reasons. The most common cause is that teeth have overly large ...
Root Canal2/17/2009
  Q: went to dentist because of pain in upper molar - next to last; said I needed a root canal. Was ...
  A: It sounds like he gave you good advice. I think you should go to an endodontist for a second try at ...
Facial Numbness reoccured 30+ hours after novocaine2/15/2009
  Q: Started experiencing pain last Sat on a flight. Pain became very intense at home on Sunday, started ...
  A: Although I can not diagnose and treat your condition over the Internet, I can offer some general ...
Root canal likely if tooth sensitive to hot more than cold2/11/2009
  Q: Spindel, Would you please give me information regarding indications for root canal therapy? I had a ...
  A: Teeth can be extremely sensitive and not require root canal. Once the bite has been properly ...
Do all deep fillings one day require root canal therapy?2/10/2009
  Q: Spindel. Thank you for taking the time to answer my question. I have various small fillings in my ...
  A: Most deep fillings do not eventually require root canals. If the pulp was not actually exposed( a ...
Chewing Gum2/4/2009
  Q: On your take as a dentist, what is your perspective on chewing gum? Is it true that it is good for ...
  A: My feelings about chewing gum are mixed. On the plus side, it does relieve stress, stimulates ...
Maryland Bridge Question2/3/2009
  Q: My wife's Maryland Bridge (for one tooth) fell out recently. Todays Dentists seem to not practice ...
  A: Maryland bridges have fallen out of fashion due to their high failure rate. Most of them have to be ...
gum sore2/2/2009
  Q: i have a sore above the back of my two front teeth it doesnt hurt but is in the way when i eat or ...
  A: Without an actual examination, it is hard to tell exactly what is going on in your mouth. Most ...
Chipped Tooth2/1/2009
  Q: When my daughter was about eight years old she chipped one of her adult front teeth.Just a small ...
  A: Although the dentists are correct that a small chip will not grow back, sometimes the appearance of ...
canine tooth1/31/2009
  Q: Im 21 and have a canine tooth that just ruins my smile. I really want to remove it but dentists keep ...
  A: Even though your canine tooth is out of place, do not extract it. Although extracting it will not ...
Rotten Root Canal1/30/2009
  Q: I had a root canal and crown done to a rear molar. I have had severe pain since the night of the ...
  A: A hematoma is a clot of blood in the tissue that will slowly go away. It can take some time to ...
2 crowns or 1 bridge1/28/2009
  Q: Tooth #30 already had a root canal but needed a crown. The temporary filling came out after 10 years ...
  A: It really is not possible to advise you properly without the benefit of an actual physical exam or ...
tooth pulled1/27/2009
  Q: Can a dentist pull out a tooth with out numbing the gum? The dentist didn't even offer, and it was ...
  A: It seems like you are asking "Should a dentist extract a tooth without administering a local ...
Pain one month after root canal therapy1/25/2009
  Q: I’m 27 years old and in November 2008 I was diagnosed with my first cavity. I should mention that I ...
  A: You certainly should contact the root canal specialist. Seeing as you have just completed the root ...
help1/24/2009
  Q: half of my tooth is broken, i have gotten a filling for my tooth, and it hurts still. What should i ...
  A: After a tooth is filled it can hurt for a number of reasons. The most common cause is a high bite ...
Sensitive Tooth1/22/2009
  Q: I have a tooth that has recently felt slightly sensitive to cold liquids. It is not real noticable ...
  A: Cold sensitivity can came and go. If it keeps returning usually it means there is something wrong ...
did i get scammed1/21/2009
  Q: I went to a new dentist today and I have black stains in the pits of my back molars. I've always had ...
  A: Without examining you before it is truly hard to say. I will give some information and some of my ...
retainer/implant/graft1/20/2009
  Q: I currently wear a retainer (cheap plastic clear kind) so my teeth won't shift. I had a lower molar ...
  A: It sounds like you are wearing the type of retainer made on a vacuum former. If you cut it to ...
Cosmetic choices1/19/2009
  Q: Spindel, I am considering cosmetic dentistry to help with crooked front teeth and slight ...
  A: If your teeth are 'crooked' and slightly discolored, then you do have several options. Orthodontic ...
Intense Ache1/18/2009
  Q: I got a crown on a tooth that had been filled with a silver filling when I was young and the tooth ...
  A: Although it is not possible to diagnose your problem without seeing you, I can offer some general ...
partial crown possible?1/14/2009
  Q: I had a tooth break down the middle that had a large filling. The part of the tooth on the inside ...
  A: Yes there is a partial coverage option available for most broken teeth and you should feel free to ...
Crowns1/13/2009
  Q: I just got my first 4 crowns on the top front of my teeth 10 days ago. They are black at the top of ...
  A: It sounds like your dentist made ceramo metal crowns for your anterior teeth. Often these are made ...
to pull or not to pull a tooth1/12/2009
  Q: Last year I had root canal done on my upper right molar, 2nd to the back. I has lost health ...
  A: I am sure your decision is difficult for you, since you probably are concerned about the cost ...
somewhat loose tooth from impact1/5/2009
  Q: I was doing so home repairs when a closet door knocked me causing me to bite down on my lip and ...
  A: After a blow, teeth can get looser. Sometimes they heal on their own with out consequence, sometimes ...
Teeth Whitening and Infections1/4/2009
  Q: I have been reading on how to make teeth whiter and to get rid of infections. I have found some ...
  A: Tooth whitening is generally considered safe, even for a 17 year old. That being said, I do not ...
Spaces in between teeth12/18/2008
  Q: I am a 27 year old female who has never had a problem with her teeth. I have had my wisdom teeth ...
  A: I am not completely sure what type of spaces you are describing, but I will give you some ...
if cavity is in the back of the last tooth12/17/2008
  Q: How common is it to have a cavity that is in the very back of a molar when it is the last tooth in ...
  A: It is indeed likely that you have gum recession and some exposed dentin on the distal of your upper ...
if cavity is in the back of the last tooth12/16/2008
  Q: How common is it to have a cavity that is in the very back of a molar when it is the last tooth in ...
  A: It is quite common to have a cavity on the back of the last molar.If the cavity is not on the root, ...
nesbit partials12/15/2008
  Q: I asked several dentists about nesbit partials. I think it's a flexible apparatus. They all ...
  A: It is true that valplast nesbit partials can cause some gum problems over time. The original type ...
question12/13/2008
  Q: Does a bridge also serve the purpose of preventing teeth from shifting? My bridge would cover 3 ...
  A: A Nesbit is not the same as a maryland bridge. Nesbits are 'removable' bridges-you take them out at ...
question12/12/2008
  Q: Does a bridge also serve the purpose of preventing teeth from shifting? My bridge would cover 3 ...
  A: The proposed bridge will tend to keep the space from closing. The bridge covers 'prepared' teeth and ...
bridge12/11/2008
  Q: Are lower molar bridges generally effective? (bridge would be to small front tooth and then ...
  A: The longer the span of the bridge, the less likely the bridge is to work without complications. ...
Partial Blood Clot12/7/2008
  Q: I had one of my lower molars removed a day and a half ago, and I noticed the white blood clot in the ...
  A: Obviously I cannot tell for sure what is going on without and actual examination, but I will try to ...
delayed permanent teeth eruption12/3/2008
  Q: My son is 9 and a half years old and is a healthy boy in the 50th percentile for height and weight. ...
  A: Although this is not that common, I have seen it before. Some kids have very delayed eruption of ...
Pulpotomy12/2/2008
  Q: I have a large lower molar #30 that causes pain when I chew on it and is very sensitive to cold and ...
  A: I am sorry you are having this problem and I wish I was able to examine you first hand but I will ...
severe pain in teeth12/1/2008
  Q: This past July I had a routine dental cleaning. One week later, I went on vacation which included ...
  A: A routine dental cleaning will not cause symptoms such as yours. Occasionally a routine cleaning ...
Going overseas for a bridge11/30/2008
  Q: Spindel, I had one of my molars removed by my dentist several months ago and have been recommended ...
  A: In my opinion, It is not a good idea to have a bridge done over seas. Fabricating a three unit ...
Bruised Nerve/Root11/29/2008
  Q: I have had a few very deep cavaties filled, and ever since then I have had severe sensitivity. I ...
  A: I am sorry you are in such discomfort and It sounds like you may have a tooth related problem. ...
severe pain where tooth was pulled11/25/2008
  Q: I had all 4 wisdom teeth pulled in 2001...no problems since untill 2 weeks ago I started having a ...
  A: If you can, I would call the Oral Surgeon who pulled your wisdom teeth. If you need an appropriate ...
Permanent Onlay fell off11/22/2008
  Q: It's my impression that onlays should last decades when well treated. I've worn a night guard to ...
  A: I certainly understand that it is distressing to have your onlay fall out in only than three years. ...
Crown on my back molar11/21/2008
  Q: I just got a crown on my back molar after a root canal. The process was grueling and more painful ...
  A: In my practice, when I get a new patient who needs a crown, it is not at all uncommon for them to ...
lump behind teeth11/20/2008
  Q: I really need help figuring out what is going on. For 2+ weeks now.. there has been a lump behind ...
  A: It is not possible to tell from your description exactly what is going on. It is possible to have ...
space maintainer11/19/2008
  Q: I'm 53 years old and lost my first adult tooth two years ago. After reading about the risks of root ...
  A: You have a number of option for you missing tooth. You seem concerned with the 'risks' that go along ...
denture vs. bridges11/18/2008
  Q: I have had extensive work in my mouth in my 39 years and am quite tired of it. If my father had not ...
  A: There is nothing wrong with treatment planning a removable partial denture. If your hygiene is good, ...
lost filling11/16/2008
  Q: I recently lost a filling in my lower wisdom tooth for the second time. My dentist told me that I ...
  A: Without actually examining you, I am not in position to determine why you are loosing your filling, ...
Potruded front jaw11/15/2008
  Q: I am 22 year old girl.My problem is my front teeth are potruding in front.Its not visible as I am ...
  A: It is difficult to give you a definitive answer with out actually examining you, but I will try to ...
Can a root canal be re-done?11/14/2008
  Q: I have had several problem teeth, at least 4 root canals, one tooth was later extracted due to ...
  A: It does sound like you should have your root canal retreated by the endodontist. Root canals ...
pain after fillings11/13/2008
  Q: 3 weeks ago i had 3 composite fillings done for the first time i am in pain daily not just sensitive ...
  A: It is difficult without an actual physical examination, to be sure what the problem is caused by, ...
re: root canal and high blood pressure11/12/2008
  Q: I had a root canal 1 day ago after experiencing about 3 weeks of pain that became unbearable until ...
  A: As long as you have no worsening swelling(a symptom of possible worsening infection) then over the ...
Complications of recent dental visit11/11/2008
  Q: "PRIORITY:HIGH" Dear DR Spindel: I had a filling/cavity done 11/5/08 on the lower anterior teeth ...
  A: usually lymph node that are swollen in the neck are not secondary to dental or oral problems. The ...
Complications of recent dental visit11/10/2008
  Q: "PRIORITY:HIGH" Dear DR Spindel: I had a filling/cavity done 11/5/08 on the lower anterior teeth ...
  A: It doesn't sound like your symptoms are related to the filling you had done in the front of the ...
sons tooth11/8/2008
  Q: My son has had 6 milk teeth fall out. All second teeth have grown in naturally except one that fell ...
  A: Sometimes when a deciduous tooth falls out there is a delay before the adult one comes in. It can ...
Onlays / inlays popping off11/4/2008
  Q: After years of dental neglect, I once again got insurance about 8 years ago. For the next several ...
  A: Partial gold restorations can be a wonderful thing or not. It is not that unusual for patients to ...
placing post into grafted site11/2/2008
  Q: i am getting conflicting opinions on when to place an implant. i had a molar extracted and a graft ...
  A: Implants can be placed into some sites immediately on the day of the extraction with grafting at ...
resorption in wisdom teeth11/1/2008
  Q: On the OPG one of them seen to have a radiolucency in the crown that may be external or internal ...
  A: Assuming that what is going on is idiopathic external resorption, probably it is safe to leave it ...
Pulling 2 year old's teeth?10/28/2008
  Q: My 2 year old daughter who was running down the driveway closelined by the leash of a friends dog. ...
  A: It sounds like your getting good advice. As long as your taking out one, and making a retainer, than ...
tartar/plaque10/27/2008
  Q: With regard to the teeth, could you please tell me whether plaque is part of tartar, or is tartar ...
  A: Plaque is a muccopolysaccharide film that forms on your teeth that includes bacterial colonies. It ...
one more question about this composite filling10/26/2008
  Q: .i find it odd that when it gets late my filling in my mouth becomes more sour and metallic..its ...
  A: I am sorry you are having such a frustrating experience. It is not usually necessary to place a ...
RT FACE SWELLING 1YR AFTER ROOT CANAL10/22/2008
  Q: I had root canal last September due to abscessed tooth #6 no pain just woke up one morning right ...
  A: Sometimes root canal treatments are not a success on the first try. Sometimes the root canal anatomy ...
root only extractions10/21/2008
  Q: I would like a second, or may I say third opinion regarding two roots in need of extraction. What my ...
  A: Most dentists do recommend removing roots that are retained with out the clinical crowns,especially ...
Implant Bridge10/20/2008
  Q: Spindel, Good Morning! I will be getting a PFM bridge that will be supported by four implants to ...
  A: As I mentioned before, I think that the best design for the margin is a 45 degree chamfer. Although ...
Root canal with CBU but no crown10/17/2008
  Q: My daughter is away at college and visited a dentist there. She has a cracked molar and the filling ...
  A: The fee for the molar root canal and cbu is quite reasonable. I practice in Manhattan and my fee for ...
pain killer injection10/15/2008
  Q: I was wondfering what is in the needle the dentist uses to kill pain before working on the teeth. ...
  A: Different dentist use several different anaesthetics. Sometimes dentists use anaesthetic with a ...
Meno10/14/2008
  Q: my question is...what could happen if a new bridge was not well molded and lets the teeth under the ...
  A: I am not completely sure I understand your question, but I will attempt to answer it. Usually when ...
Sudden tooth discoloration10/12/2008
  Q: I've noticed in about the past two to three weeks, the bottom half of both my top two front teeth ...
  A: Bonding can pick up stains over time. If your lucky the discoloration is only superficial and can be ...
Nightmare Crown Process10/11/2008
  Q: I attended a newly qualified dentist to re-do a front crown that had cracked. On the first day he ...
  A: It seems from your narrative, that he sent the crown back to change the shape so that it better ...
Recent root canal10/10/2008
  Q: I had a root canal performed about 2 weeks and currently I have a temporary filling on the tooth. I ...
  A: If your root canal was started, but not completed, then you should return to the dentist to complete ...
pain after cavity being filled10/9/2008
  Q: I am looking for somekind of opinion. I just had my tooth worked on today. Two weeks ago, I went to ...
  A: Sometimes a tooth hurts after being filled. Hopefully, this sensitivity is related to the bite ...
10 year old teeth pain10/8/2008
  Q: My 10 year old son had 4 cavities repaired by a very qualified dentist we have been using for years, ...
  A: Your theory may be correct. Kids do sometimes complain when their teeth are erupting and sometimes ...
crown10/7/2008
  Q: I recently had a crown come off. Since I recently moved, I went to a dentist I have never gone to ...
  A: If you had come to my office I would examine your tooth for decay, clean out the cement from the old ...
Implant Supported Bridge10/4/2008
  Q: I will be getting four implants to replace my four front top teeth. My regular dentist has proposed ...
  A: Having four implants makes a very stable and durable base for your bridge, but it makes the fitting ...
materials for abutments for implants10/2/2008
  Q: I already have two titanium implants in my lower jaw, upon which will be affixed a bridge, so that I ...
  A: Abutments are commonly used when restoring implants. The abutment is a screwed in post that allows ...
Pain around crown9/29/2008
  Q: I had a root canal and crown on a bottom back tooth 18 years ago. I never had any problem until ...
  A: It sounds like you have an infection of your tooth. Most likely either the root has fractured or the ...
tooth pain9/28/2008
  Q: hi i had the white fillin down on my tooth about 2 weeks ago and now i'm having sharp pain to it ...
  A: Most often the sharp pain you are feeling is caused by a high bite. If every time you close your ...
gum grafting and exercise9/27/2008
  Q: I am a model and trainer and had gum grafting today on my lower front gums. When is it safe to run ...
  A: I think running is fine. Probably lifting weight is OK, but why not wait 48 hours until your healing ...
ouch9/26/2008
  Q: a little less then a week ago i hit my gum with my toothbrush pretty hard. at first it really just ...
  A: From your description, it sounds as if you caused an ulcer in the oral mucosa, a part of the mouth ...
Crown work9/24/2008
  Q: About five weeks ago I embarked on having crown work done on my two upper front teeth. After having ...
  A: your symptoms are truly confusing. This could be a job for the TV doctor Dr House! Seeing that he ...
pain in the whole jaw9/23/2008
  Q: Since a few days i have been experiencing a lot of pain not just in one tooth but the entire gums ...
  A: I sounds like you are experiencing inflammation of you gums. There are a number of possible causes. ...
missing molar9/19/2008
  Q: I have a molar missing (top left). It does not show when I smile and has been missing for 28 years. ...
  A: most likely you are right. After an extraction of a molar, most of the shifting that does occur ...
Toddlers teeth9/17/2008
  Q: We took our 21 month old girl to her 1st visit to the dentist about 5 weeks ago and everything was ...
  A: I understand it can be difficult being a concerned parent of a toddler. Every week there seems to ...
Numbness in lip due to dying nerve?9/16/2008
  Q: I'm a 35 yr old healthy woman, but have always had dental problems. A month ago I had a bridge put ...
  A: It is really hard to diagnose you from your e-mail. Bridges can be sensitive to air from many ...
Should my periodontist be responsible for the tooth fracture?9/15/2008
  Q: I had tooth number #20 extracted at my periodontist's office several months ago, and during the ...
  A: It is possible to fracture and adjacent tooth while performing an extraction. If pressure is ...
specialist9/12/2008
  Q: I had a tooth pulled back in February because the crown broke in such a way that couldn't be ...
  A: Your question is not an easy question to answer. One of the possible complications of having a ...
Pain after filling9/11/2008
  Q: I recently had two fillings one on #19 and one on #14. After this I had immense pain so went to the ...
  A: The answer to question one is definitely yes. The nerve can be harmed and irritated by a number of ...
apico surgery9/10/2008
  Q: I had a root canal 20 years ago that went bad in 2005. I went to a dental school and had a student ...
  A: Given your dental history,if you were my patient I would advise you to have an extraction by a ...
black teeth9/9/2008
  Q: The way she noticed was it appeared in the front between her teeth, and was subtle. That has gone ...
  A: Most often what you describe is nicotine stain. Although it can be very hard to remove, but it can ...
Swallowed Crown9/8/2008
  Q: I had a root canal (#19) a few years ago and had a crown with a small post attached to it put in. ...
  A: It is unlikely that it will get stuck. It is most likely will to pass through without andy ...
My temporary crown is driving me crazy9/4/2008
  Q: I just went in today to get a crown. The temporary crown they gave me is too wide and it keeps ...
  A: I think its entirely reasonable for you to be concerned. Occasionally a patient will call and ...
crown lengthening9/3/2008
  Q: I have had 4 veneers on the front teeth. Three were replaced by the crown from same prosteodontist ...
  A: I personally do not often recommend crown lengthening for cosmetic reasons. If you personally are ...
chatter9/2/2008
  Q: I wanted to ask what would cause my two front and two bottom teeth the chatter when I put them ...
  A: Although I can not be sure without an examination, you may have an abscess(the left front tooth?). ...
partial dentures9/1/2008
  Q: Can I get a partial denture for my molars if Im missing all three on my left hand side at the ...
  A: Certainly you can have a partial denture made. If your missing the three molars, usually dentist ...
Caring for a crown and gums after surgery8/31/2008
  Q: I should have asked this months ago, but I guess its better late than never. I had a crown done on ...
  A: It does not sound like you have a problem. Often after patients have porcelain fused to metal ...
referred pain8/30/2008
  Q: I have had a root canal treatment in a cracked bottom left molar. I had not eaten on that side for ...
  A: It is possible the pain you are experiencing is coming from any of the teeth in question. Try what I ...
partial denture8/28/2008
  Q: Two weeks ago I was fitted with a partial denture. When I went in for the fitting originally the ...
  A: Although it is necessary for a patient to get used to wearing a partial, this does not imply that ...
6 yr olds tooth sideways8/27/2008
  Q: My 6 yr old daughter's front middle upper permanent tooth was growing out of the front of her gums ...
  A: It is not uncommon for the adult teeth come in a slightly 'rotated' and incorrect position. As the ...
Black spot where wisdom teeth were removed8/26/2008
  Q: Ok So I recently had my wisdom teeth removed. (They were extracted on Tuesday and its now th ...
  A: Without examining you I can not be sure what you are describing. That being said I will try and ...
Post Filling Pain and Sensitivity8/24/2008
  Q: Five days ago I received nine fillings on my right side, on both my top and bottom teeth. I am ...
  A: Since you've just had 9 filling done, it is extremely likely that you need a bite adjustment. If a ...
wisdom tooth removed8/23/2008
  Q: I was having pain. I just had one of my wisdom tooth removed. However, when he examine me, he ...
  A: When a dentist extracts a tooth sometimes some pressure can be placed on the adjacent tooth. After ...
root canal sensitivity8/22/2008
  Q: I had a root canal performed a year ago. Recently I began to feel an ache in the tooth and went to ...
  A: It sounds like you had an periodontic infection which was treated. If you are still feeling ...
Root Canal7/29/2008
  Q: I'll begin by saying I had a crown put over a molar that had been decayed. Several weeks later the ...
  A: Sometimes there is some pain after a root canal is done and it doesn't mean that it is not working, ...
Lesion in Mouth7/24/2008
  Q: I have a pretty deep cut in the back of my mouth. I am unaware of what it is from, but the area is ...
  A: It is hard to say without seeing you. You may have a localized trauma from something sharp ( a cut ...
teeth and heart valve disease7/23/2008
  Q: I have 8-9 cavities and two broken teeth. The teeth broke last year and I have not had dental ...
  A: Although the bacteria from grossly carious teeth and or abscessed teeth can put you at increased ...
Tooth Hurting to Jaw swelling7/22/2008
  Q: My left bottom tooth hurts and it started to effect the ones next to it. Three of my teeth hurt. Now ...
  A: It sounds like you have an infection around one of the teeth. There are several likely types of ...
failed root canal7/20/2008
  Q: I had a root canal about 6 months ago. The filling fell out about a week ago but the outside half ...
  A: When the root canal was done the pulp was removed. It consists of the 'nerve',the tooth's internal ...
CROWN7/19/2008
  Q: IS IT COMMON PROCEEDURE TO DRILL ON A PERMANENT TOOTH TO GET A CROWN TO FIT PROPERLY?
  A: Most Crowns need some kind of adjustment to fit. For a crown to fit it must fit internally against ...
Got my chipped tooth fixed and it doesn't feel quite right7/18/2008
  Q: I went yesterday and had my front tooth on the top fixed. It has been slightly chipped for many ...
  A: It is not uncommon for bonded teeth to be more 'prominent' labially(towards the lips) when an edge ...
enamel7/16/2008
  Q: I think a part of the enamel on the front of one of my front teeth has chipped away. Is this ...
  A: Probably you are right. It is common to have small pieces of the enamel to peel away from the tooth, ...
About the bridge.7/14/2008
  Q: Hi. I am 20 years old. My bottom 1st and the above 1st molars were removed(total 4 lower 2 and ...
  A: I really can't tell from the details given, whether you will require a bridge. Your dentist is ...
Pool ball?7/12/2008
  Q: I have a random question. I won't explain the long back story but I was playing pool with a friend ...
  A: Yours is an interesting question. Its not just a matter of force, but hardness of what hits your ...
crown/root canal7/10/2008
  Q: I recently switched to a new dentist due to lack of insurance and the fact that this dentist ...
  A: Pins are different than posts. Pins are tiny metal pins that are placed into teeth as accessory ...
crown/root canal7/9/2008
  Q: I recently switched to a new dentist due to lack of insurance and the fact that this dentist ...
  A: Although pins can be used for both vital and nonvital(teeth that have had rcts), they are more risks ...
Root Canal Absess7/5/2008
  Q: I had a root canal done about a year ago on my upper right back molar (the one behind it has been ...
  A: I really do not know if I can be of help. I would call the dentist's emergency number and ask that ...
partial removable bridge7/3/2008
  Q: I just had an extraction and have no teeth on the upper left side to hold a bridge. Is there a ...
  A: If you have no back teeth on one side, then a partial removable bridge is an affordable option. If ...
cantilever bridge pain question6/29/2008
  Q: Spindel, I have a cantilever bridge on teeth #15 and #14, where #15 is the abutment and #14 is the ...
  A: Often time patients ability to pinpoint pain is + or - one tooth. You possibly might be having pain ...
pain after crown6/28/2008
  Q: It has been almost 2 weeks since I've had the 2 lower back molars crowned. (I had very large ...
  A: If you didn't have pain in your temporaries, it is possible that your bite on the new crowns is ...
bleed out in cheek after temporary crown6/27/2008
  Q: I am on a drug called Elmiron for interstitial cistitis which I have experienced some bruising as ...
  A: I looked up your drug on it's web site and the site said"ELMIRON is a weak anticoagulant (blood ...
Wisdom Teeth and facial structure6/26/2008
  Q: If a person have his or her 4 wisdom teeth removed, will the missing wisdom teeth lead to bone loss ...
  A: I have not noticed any changes in a persons face shape after extraction of wisdom teeth. I also do ...
Infant Broken Tooth6/25/2008
  Q: My 10 month old daughter fell last night and as a results broke more than half of her front tooth ...
  A: First, even though she is only 10 months old she may require dental treatment. Look at the broken ...
Necessary extra work?6/20/2008
  Q: I have been advised that I need a crown redone on #30 because there is decay under the existing ...
  A: Dentistry is an art and not a science and different dentists handle dentistry in different ways. In ...
Microscopes for RCT6/19/2008
  Q: Do all endodontists use microscopic lenses when doing a root canal? If they don't, is that a red ...
  A: Although microscopes are useful when doing root canals, not all root canal specialists use them. In ...
Epinephrine while pregnant6/17/2008
  Q: I went to the dentist for a routine filling. He knew I was pregnant but told me that he would be ...
  A: If you had given me a medical history including adrenal disease, I would have inquired what sort of ...
teeth sensitive to cool water6/15/2008
  Q: I think one or two of my upper-left molar(s) are a little bit sensitive to cool water. I found out ...
  A: Sensitivity to cold can be from a number of sources. Among the possibilities are seasonal allergies ...
broken front teeth6/13/2008
  Q: I slipped a two days ago and hit my face on concrete, breaking one of my front two teeth. Half of it ...
  A: Yes. You have two good choices. You can have bonding material added to the tooth to give it its ...
Frenum and Tooth Gap6/12/2008
  Q: I had a moderate gap between my front two teeth, due to a frenum. I had them bonded, and I am very ...
  A: Teeth can move 1mm in a month(or not)! It may not be your imagination. Your space may or may not ...
32 and still have 2 baby teeth!6/5/2008
  Q: My adult canines never grew in from childhood. I just have 2 baby teeth in their place. What ...
  A: Your dentist's suggestion is probably the safest and most predictable way of solving this problem. ...
Swelling after root canal6/4/2008
  Q: Do I really need to take antibiotics? I am nursing a 3 month old baby. My face has swollen a bit ...
  A: If you have and infection, you should be on an antibiotic. It is possible to have some "puffiness" ...
pain from old 3 unit bridge5/31/2008
  Q: I had a three unit bridge placed 16 years ago. One of the anchor teeth had a root canal at that time ...
  A: I think you most likely do have a problem with the tooth that didn't have the root canal. Are you ...
teeth5/29/2008
  Q: but I'm very scared of the dentist and my question is what would they do to get the fangs out, and ...
  A: I am not sure I understand your question, but I will try and answer it anyway. When people refer to ...
Pain After A Composite Filling5/28/2008
  Q: Last Thursday May 22, I had three fillings placed. Because the decay would only necessitate the ...
  A: It is a good thing that you had your bite adjusted. Your teeth should be comfortable when you bite ...
Root Canals on #4 and now #25/24/2008
  Q: Five months ago I had to have an emergency root canal on #4, which I actually managed to put off for ...
  A: Since #2 is the last tooth in your upper right quadrant, a bridge is no a good option. You should ...

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Lawrence Spindel DDS, www.lspindeldds.com

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Expertise

Cosmetic Dentistry, Endodontics, General Dentistry, Preventive Dentistry, Comprehensive Dental Care

Experience

Former Clinical Instructor of Comprehensive Dentistry, and Prosthodontic Department New York University School of Dentistry. Also former instructor of Preventive Dentistry Columbia University School of Dentistry.

Publications
Ask Dr Spindel Dental Blog also numerous articles on http://www.lspindeldds.com (over 100 pages of original content)

Education/Credentials
1980 DDS New York University College of Dentistry 1981 GPR Manhattan VA Hospital

Awards and Honors
OKU 1980 Honor Society 1980 Long Island Academy of Odontology award for highest combined Academic and Clinical Achievement.
In 1997 he was elected to Fellowship into the International Academy for Dental Facial Esthetics

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