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ask the doctors

Dr. Valentina Lyssova Most patients have numerous questions about their teeth and dental needs.  As doctors, our role is to educate our patients and guide them in making educated decisions.  Please feel free to contact us with any questions regarding your dental care, whether you are a new patient or are currently undergoing dental treatment.

Below you will find some of the questions our patients have asked along with our responses.  We invite you to offer your questions.

22 Responses to “ask the doctors”

  • I have a dental implant{strong] but the screw that goes in the implant got loose because the teeth broke.What will it cost to put the screw and a new teeth?And because of my bankrupty case,can I get a dentalloan to do some more implants?

  • I have a dental implant{strong] but the screw that goes in the implant got loose because the teeth broke.What will it cost to put the screw and a new teeth?And because of my bankrupty case,can I get a dentalloan to do some more implants?

  • DOUGLASS:

    I HAVE ALOT OF DENTAL WORK THAT NEEDS TO BE DONE SOME MISSING TEETHAND BROKEN TEETH BUT MY MAIN PROBLEM RIGHT NOW IS THAT A FEW YEARS AGO I WENT TO A DENTIST FOR IMPLANTS IN THREE TEETH THAT ARE NEXT TO EACH OTHER.AFTER HAVING THE ACTUAL IMPLANTS INSTALLED THERE WAS A FIRE IN THE DOCTORS OFFICE SUPPOSEDLY ALL HIS RECORDS WERE DESTROYED AND HE WOUND UP GOING OUT OF BUSINESS.NOW IM STUCK WITH THE IMPLANTS BUT WHEN I GO TO A NEW DENTIST TO TRY HAVE THE WORK COMPLETED THEY DONT WANT TO DO IT BECAUSE THEY DONT KNOW WHAT TYPE OF IMPLANTS WERE USED WHAT CAN I DO

    • Dear Douglas,

      I believe that we can solve that problem.

      There are only so many implant companies on the market. Knowing when they were placed, having looked at them, and having xrays taken, we can figure out what implant system was used.

      Every implant company has its unique design of the implant body. Some companies have similarities in the design, so the parts are interchangeable.

      We will be able to narrow it down to 2 implant companies and try their parts to see which one it is.

      Please, give us a call at 212-849-8289 to schedule a consultation.

      Regards,

      Dr. Lyssova

  • Bill Schmal:

    I’m 82 and have four teeth missing and several broken with half or less then half the tooth left. My dentist says not enough bone to have implants.
    Is there a possible solution other then having rfemaining teeth pjulled and
    have bridges? Your help is appreciated…… Bill S.

    • Dear Bill,

      There are many different options available. If there is not enough bone, there are procedures, such as bone grafting and augmentation, that are used to increase the amount of bone necessary for the placement of implants.

      If you don’t want to go through the bone grafting procedure, you can have a minimal number of implants placed in the areas where there is a sufficient amount of bone and then use these implants to retain a so-called implant retained partial denture.

      In order to give you a more detailed information about your options, I would need to examine your mouth.

      Please, call us at 212-849-8289 for a free consultation.

      Regards,

      Dr. Lyssova

  • My on top need to be replace with a bridge and some of the teeth are broken off can this be done in a day as seen on this web site.

  • Jeffrey:

    I have been looking at dental implants, I am a 45 year old male my dentist drilled my tooth 3 times within 6 months while trying to do a root canal he saw a crack and told me it had to be pulled so I had it pulled, I spent $5500 dollars about 4 1/2 years ago so I need to get an implant went to 3 places one was $3800 the other was $4500 and the one that always has an ad in the paper contemporary dental implant centre was $1820 big difference with 40 percent of what ball park the number 19 tooth what kind of price thanks, also I would like info on whitening thank you Jeffrey

    • Hello Jeffrey,

      The final price of the implant can vary from $2000-2500. The price depends on the additional procedures that may be necessary to place an implant properly. You should be aware that tooth extraction initiates the process of bone resorption. If you don’t have enough bone, that can compromise the implant placement. Also, right below the extraction site, there is an inferior alveolar nerve running along the mandible. If the dentist doesn’t check all these variables and places the implant, you can get paresthesia, a sensation of numbness in the skin on the side of the surgery. In order to be sure that you have proper amount of bone, you will need a scan, that might add an additional $200 to the cost.

      It is the safest way to go and definitely worth it. We offer a free 15-minute implant consultation. Please, give us a call to schedule an appointment if you have any additional questions, 212.849.8289.

      We have a new revolutionary whitening system called KöR Deep Bleaching. It guarantees amazing results on even the toughest stains. It carries a lifetime guarantee. It gives such amazing results because the system preconditions the teeth for two weeks with home bleaching and then you have an office bleaching to seal the results. It really works. One of my staff members will be more than happy to demonstrate it with her own smile!

  • Lyle:

    Is the doctor trained in Botox treatment of migraines?

    • Dear Lyle,

      The study and treatment of headaches is complex and justifiably a sub specialty of neurology. Headaches have different origins. We must distinguish between headaches caused by a malfunction of your teeth, and the headaches caused by muscle tension and spasms. In the case of tension / spasm headaches, Botox may improve or prevent the condition. But before you start Botox treatment for your headaches, you should get a proper diagnosis of the origin of your headaches by your physician.

  • Ana:

    I am currently missing two of my upper molars (one on each side of the mouth) and the teeth around have moved creating a very tight space for me to get implants. I was hoping to see if it is a possibility to get either Simpli5 or Invisalign before Braces to open up the space for the implants.

    • I think the teeth you are referring to are the first molars. They come out at the age of 6 and accordingly, they are first to be affected by decay. For this reason, it is common that they are missing by the age of 25 or so. When these teeth get extracted, the adjacent teeth try to fill up the space and move into it. In order to create an adequate space for the implants, I would recommend conventional braces. It’s the easiest and most effective way to distalize or move the teeth behind the space back into their proper positions. You could also achieve this result with Invisalign, but it would be more difficult and would probably require more retainers. Simpli5 is only effective for minor anterior crowding. The choice is between braces and Invisalign – and should be discussed during a consultation visit, because the decision should be made based on your individual needs.

  • M. Birmingham:

    So I was in a kind of an accident and a glass bottle connected with my front teeth very hard. One tooth felt loose almost like it was gonna fall out – it didn’t. It firmed up over time and now, months later – the tooth is turning dark. What is going on and what can I do? Please help! thanks.

  • J. Masters:

    how can i know if i have a cavity growing? thnx

    • One of the symptoms of possible tooth decay is persistent pain while eating something sweet, or drinking something hot or cold, or if food gets stuck in between the teeth after each meal.

      If you see that the teeth are getting brown spots, it also may be an indication of growing cavities.

      However, the best way to know is to have regular check-ups and xrays with your dentist. Many times, the cavities are growing silently until it is too late and the bacteria has already gotten into the nerve of the tooth which manifests by excruciating dental pain. Please, don’t wait for the cavities to grow!

  • Brian G.:

    I’d like to know how stress affects my teeth and gums? My girlfriend always tells me that if you have a lot of stress in your life your teeth look poor. Is that true?

    • It is a known fact that during stress, people tend to grind their teeth. Grinding is a part of a brain function that we can’t control. If your “bite” is not properly aligned, it can seriously damage your teeth by making them shorter. And short, worn down teeth can give your face an older appearance. Making a properly fabricated occlusal guard can prevent the teeth from further destruction.

  • Andries:

    Hello, I’m Andries. I’m a sales person and it’s very important for me to have healthy and white teeth. I’ve tried whitening a couple times – that was VERY painful and it didn’t last long. Do you have any recommendations regarding teeth whitening, maybe some kind of a new technology that can at least make it less painful? I would really appreciate your response…

    • Whitening is generally a very safe procedure. Whitening effects are achieved by removing stain from the outer layer of the tooth, called enamel. Enamel is what makes your teeth look white. It also protects the tooth’s nerve from negative extrinsic factors like bacteria, temperature, acids, etc. If the enamel is thin, your teeth may be sensitive and when you have them bleached, the active component of the bleaching agent penetrates the enamel and gets through the dentin right to your nerve – causing the pain. Your teeth need to be evaluated prior to bleaching. The bleaching method should be carefully selected for your teeth. If your teeth are sensitive, you might benefit from a gentler bleaching. You always need an INDIVIDUAL approach that will fit your individual needs.

  • Elaine S.:

    My name is Elaine and I’m 35 years old. I have frequent headaches. I’ve been searching the internet a lot hoping to find any useful information about my problem. I came across a site that indicated sometimes there is a link between headaches and oral diseases. Is that true? How can a dentist help me?

    • Dear Elaine,

      Headaches have different origins. We must distinguish between migranes, or vascular headaches, and headaches caused by a malfunction of your teeth. Clenching your teeth may lead to muscle tension, which in turn can cause headaches. In such case, a properly fabricated occlusal guard might resolve your headaches. Untreated dental conditions can also cause headaches. The evaluation of your teeth will lead to proper diagnosis and treatment.

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