I heard someone talking about a soft denture. Is there such a thing?

I am missing all my teeth and I have worn a denture for years. I just hate how uncomfortable it is. It hurts the roof of my mouth and feels so fake. I heard someone talking about a soft denture. That sounds like a dream to me. Is it soft and pliable? If so, I bet that would be much more comfortable. Let me know if you have ever heard of this?

– Bonny in Florida

Bonny,

If you are referring to a denture with a soft lining, then yes there is a “soft denture”. Sometimes after an individual is missing all their teeth, tiny bumps develop along the jaw. Bony ridges can make a denture extremely uncomfortable to wear. A soft liner will better fill those places along your lower jawline and will likely be a more comfortable solution. That said, they tend to be more expensive and don’t have as long of a lifespan. Also, there are additional hygiene techniques that must be done to keep the appliance clean.

As for the top portion of the denture, there is not a soft, pliable liner available. This is because a denture needs to be able to maintain it’s shape in order to fit properly. Also, the firmness aides in chewing.

Has your dentist ever discussed incorporating dental implants into your treatment plan? There are appliances called snap-on dentures or a hybrid implant appliance that will replace the top portion that goes on the roof of your mouth. Dental implants provide patients with increased stability which improves chewing efficiency, a well as preventing facial collapse. Ask your dentist about dental implants and if you are a candidate. They are more expensive but the quality of life that is improved is priceless. Thanks for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.

My pediatric dentist threatened to restrain my child.

My son just turned three years old. We have been to the pediatric dentist several times with absolutely no problems. They have all been positive experiences up to this point. Well, at the last visit he was so comfortable, it seemed that he didn’t want to leave the play/greeting area. In fact, he did throw a tantrum. But, I have a hard to believing this is the first tantrum at a pediatric dentist’s office.

The dentist called me out and told me that if I didn’t get my child under control that they would sedate him or they would restrain him for treatment. I was livid! Is this a normal practice? I was so embarrassed and am in no way comfortable with the thought of having my child restrained. I walked out and will not be returning. In my opinion, this is absurd, especially at a pediatric dentist. Wouldn’t you think they would try to work with the child. I could have accompanied her chair side and with a little patience I’m sure we could have had him cooperate with no further problem. Am I overreacting?

– Mad Mom in Illinois

Dear Mom,

The good news is that you left that pediatric dentist and avoided what sounds like could have been a horrifically traumatizing appointment for you both.

Most pediatric dentists will go out of their way to create a positive, welcoming experience for you and your child. It is surprising that there was no effort given to work through the behavior issue your son was having.

A “papoose board” is legal and used at the discretion of the pediatric dentist. This method will require your permission to move forward with such treatment. But there is a good chance that you approved this practice when you filled out all the initial new patient paperwork. Your consent was likely given somewhere in the fine print. But it is good customer service to discuss it with you and make sure you are agreeable prior to moving forward when a situation arises.

Some dentists will also recommend sedation dentistry for certain treatments or if a child is extremely anxious or nervous. Most times, the dentist will make every effort to re-direct the child’s attention in game playing, watching a movie, or a chair ride. And if the child remains uncooperative, sedation dentistry like nitrous oxide (or goofy gas) would be the first step before restraints are suggested. The next progression for treatment would be the papoose board. Then, if all else failed and the child still resists, sedation can be given in a hospital setting.

The pediatric dentist didn’t necessarily do anything wrong, but it doesn’t sound like the situation was handled very well. Hopefully you are able to find another practice that is a better fit for your family. It doesn’t necessarily have to be a pediatric dentist, many general dentists love seeing kiddos and are successful in treating the routine needs of most children. Good luck and thanks for sharing your story.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Can I trust this dentist?

I don’t really have a regular dentist. So when I went in because of an extremely painful tooth, I wasn’t sure what to expect. When the dentist did an x-ray, he found a big cavity on a tooth that already had a filling. He explained that there is only a small chance that the tooth can be saved since there wouldn’t be that much natural tooth structure left after the decay was removed. So he said it needs to be extracted. Then, he gave me an insane fee for an implant and is telling me I need bone grafting surgery.

I hate going to the dentist and am afraid of getting this much dental work done. I put off appointments which is why I don’t have a regular dentist. Deep down, I just don’t know if I can trust this guy. He told me there was no infection but put me on amoxicillin as a precaution to help with pain. I’m feeling overwhelmed and am scared. Should I get a second opinion? Or do I need to bite the bullet and get over my fear somehow?

– Sadie in Minnesota

Sadie,

It is always a good idea to get a second opinion if you have any skepticism about your recommendations, or if you require extensive work. Keep in mind that this is only a “recommendation” and other dentists have different views on how to treat the problem.

It’s hard to give you any specific advice without having seen your tooth, but there are a couple things that don’t sound accurate. If this is the first time this tooth has bothered you, then it’s hard to believe that the tooth cannot be salvaged. Now if it’s been months that the tooth has been left untreated, then it may be time to consider a tooth extraction.

Also, if the tooth was so far gone that a root canal wouldn’t save it, then the dentist should have been able to tell without an x-ray. It would have a huge hole in it and may look like it was ready to fall out on its own. Also, an antibiotic doesn’t necessarily help with pain, it is used to treat infection.

So, when you go about your second opinion. Be sure to not give any details about what the original dentist stated. This way the dentist is giving his true opinion without letting the opinion of the first guy to have any influence. Also, you have every right to take the x-ray with you to the new dentist, just don’t share any information about the diagnosis.

Also, if you are scared of the dentist or are extremely anxious about having dental work, you may be a candidate for sedation dentistry. Or at the very least, nitrous oxide would help you relax in the chair. You shouldn’t avoid the dentist out of fear. Regular dental care and cleanings will help you get back on track and sedation dentistry helps patients like you get the care they need everyday. There is nothing to be ashamed or embarrassed about.

Hopefully you have a better experience when seeking your second opinion. Best case scenario, the new dentist offers sedation.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Is this an affordable quote for dental implants?

I was quoted $5K for three dental implants. Is that a good price? I am looking for the most affordable implant dentist in my area. I knew it would be pricey, but this was much more than I even thought.

– Derek in Texas

Derek,

Of course you want to find the most affordable dentist to have replace your missing teeth. But don’t make this all about finding the best deal or you may end up paying for it in the long run.

First, you need to understand how dental implants work. They are comprised of two main components and two phases. There is the surgical phase, where the post is implanted into your jawbone. Then, after several months of healing where the implant fuses with the bone, the porcelain crown is placed on top in the restoration phase. Generally speaking, the cost per implant is at a minimum of $1,000 for each phase. Therefore, for three dental implants, the minimum cost would be $6, 000. There are many factors involved in the final fees and can range up to $2,500 for each phase, so the total for three dental implants at this range would be $15,000. So your price quote of $5,000 is very reasonable.

What is most important is selecting a qualified implant dentist. In the search for cheap dental implants, patients are lured in with the low fee and then end up with substandard materials or a dentist or surgeon that cuts corners in the procedure. There are horror stories of dental implants that have become loose, fallen out, or become infected. In some cases, this kind of poor dental work can be very dangerous and cost you thousands more dollars than the initial cost.

So check out your dentist’s credentials. Ask to see examples of work. Talk to other patients that have had implants done. Don’t rush into any kind of implant work or be sold on price alone.

If you are looking to make dental implants more affordable, find the right dentist, then discuss your options. In some cases, a dentist may work out payment arrangement to accommodate your situation. Or there may be a lesser expensive treatment plan that would satisfy your needs; a dental bridge or even mini implants.

Good luck!

This post is sponsored by Cleveland dentist Hylan Dental Care.

How do I tell our family dentist not to use flouride?

Our family all sees the same dentist. He’s not a pediatric dentist but he is a family-oriented dentist. Well, it’s time to take my daughter in for her first dental appointment. I’m nervous because I don’t want her to get fluoride. I like to take a holistic approach to our family’s lifestyle. Is there a good way to tell them how I feel about it? Do I need to notify them in advance?

– Jade in Colorado

Jade,

Holistic dentistry is gaining popularity as more and more people are taking ownership of the health and dental care. More than ever before, an emphasis is being placed on what is being placed in the body. There are natural or holistic dentists around that incorporate these philosophies into their daily services.

Regarding the fluoride issue specifically, pediatric dentists will likely be on the side that fluoride treatments have successfully helped to prevent cavities through the years. Generally speaking, most dentists agree with this practice. Many also feel that the earlier children receive the treatments, the better.

Are you concerned about if your daughter will ingest the fluoride? Or are you adamantly against using fluoride for holistic preferences? There is absolutely nothing wrong with contacting your dentist in advance to let them know of your concerns. If you have been seeing this family dentist for some time, there is a good chance he will listen to your concerns and work through them with you. For example, they may offer an alternate delivery method, like a brush or foam to help limit any swallowing. So it would be good to call in and talk through the specific practices used at your dentist.

That said, if you do not wish your daughter to receive fluoride, you have every right to voice your preferences. Open, honest communication with any health practitioner is vital to a beneficial doctor-patient relationship.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Dental implant keeps breaking.

I had a dental bridge and one of the teeth that supported the bridge needed to be pulled. This was about a year ago. After the bridge-supporting tooth would be pulled, it couldn’t support the bridge any longer. So my dentist recommended I get a dental implant to replace that tooth and also one where the bridge covered. I had to get bone grafting and go through the long process of surgery, healing, and then a crown. Well, once it was all said and done, a couple weeks passed and then to my despair, the dental implant broke. The entire screw came out of my jaw. The dentist seemed to think it was all just a fluke. So he recommended we do it over. He wasn’t going to charge me anything, so I let him make it right. Then, the second one broke. Seriously, this doesn’t sound like a fluke. He fixed it again and we finally got to the crown stage. Well, you get the idea. One of the crowns has already come off. I’ve lost faith in my dentist and don’t know what to do. He tells me he will fix it, but as you can understand, I’m not going back. Please help me.

– Kellie in Washington

Kellie,

Sorry you have had to endure such a terrible dental implant experience. Generally speaking, when a dental implant is done by an experienced implant dentist, the success rate is pretty high.

But when things go wrong, they can go really wrong. If a dental implant fails, it is quite commonly due to a dental implant infection. This could stem from problems during healing or possible the integration with the implant and the bone failed. Dental implants are comprised of titanium in most cases which means they are extremely strong. So for the actual post to break may point  to substandard materials that were used. This can happen when dentists are trying to save on dental implant costs. Implant manufacturers in other countries provide lower quality materials because their standards and regulations are not as strict. So, it may be possible that the materials were purchased outside of the United States. You could inquire as to whom supplied your dentist. But, at this point, it sounds like it’s time to move on. You don’t want to go back again after so many dental implant failures, from the implantation all the way through the process, including problems with the restoration. It’s time to cut your losses and go see another dentist.

Thank you for sharing your story. Hopefully, it is beneficial to someone else out there. Implant dentistry is one of the leading areas of malpractice within dentistry. Not just any dentist can successfully place them. There is much advanced training required in order to be successful. Far too many dentists get in over their heads with this type of work.

This post is sponsored by Cleveland dentist Hylan Dental Care.

I have a Clear Choice Complaint

I am not happy with my experience with Clear Choice and want to voice my concern in an attempt to help others.

Here’s some background. When I first went to see Clear Choice, I had no teeth and was wearing a complete denture. So I was already dissatisfied with how my dentures were functioning, which is why I sought them out. After the consult, it was suggested I get all-on-four for my top and on the lower they said bridges would work. All of this for $44K. Of course I thought it was expensive but I was willing to do anything to improve my daily quality of life.

I had to move to another state, so I originally just had the bridges done as temporaries so they could be finished locally. After the procedure, I was shocked to find out I had an “overdenture” which was attached to implants and the pain was unbearable. I feel like I was blind-sided and that I didn’t get what I paid for.

How can they just decide an alternative treatment plan. I am livid and they will hear about it at my follow-up appointment. Beware of Clear Choice everyone! Double check your treatment plan before moving forward. I feel completely duped.

– Bart in Florida

Bart,

Clear Choice Dental Implant Centers do have high fees and they are known for recommending all-on-four dental implants as their bread and butter. Some clinics are better than others, but they have a reputation for fostering a high pressure sales situation, so it may have been possible you were mislead in the sales process. But it is a pretty tall order to say they did an alternate treatment plan without your consent. Hopefully this is addressed in the follow-up appointment things cleared up are cleared up.

As for post-operative pain, that is common of such an extensive surgical procedure. There is no indication that Clear Choice did anything incorrectly to cause the pain.

In hindsight and for the benefit of anyone reading this post, it is always good to get a second opinion for this kind of work. Different doctors bring different perspectives and different fees. To the visitor that is considering Clear Choice or any implant dentist, do your research and get another opinion before committing to treatment.

Sorry to hear you had a negative experience.

This post is sponsored by Cleveland implant dentist Hylan Dental Care.

I just had fillers injected. Can I see a dentist right away?

I have a nagging toothache. At first I thought it was getting better, but now I think it is urgent because it is painful. I just had facial fillers injected. Since I will need to have my mouth open for a long time while they examine my tooth, I don’t think this is good for my fillers. I was instructed not to move the filler or have any pressure applied for two weeks and it’s only been a couple days. Help! I don’t want this to turn into more of a dental emergency than it is already. But I don’t want to mess up the filler. Should I wait it out?

– Jess in New Jersey

Jess,

Facial fillers do come with strict instructions. Avoiding pressure around the injection site for the first couple weeks is common. But a dental emergency trumps. Do not put off scheduling an appointment for a toothache. The longer you delay, the higher risk for complications. It may be as easy as a quick x-ray and short examination to figure out the urgency of the toothache. Just tell your dentist that you recently had collectables and they will be conscious of it. But if for some reason this toothache requires immediate attention, the sooner you are seen, the better the chance of saving the tooth.

It may be uncomfortable to keep your mouth open for any duration of time, but it needs to be addressed right away. Once you know what’s going on, the dentist will be able to come up with a treatment plan. Hopefully, the treatment is not a dental emergency and you can wait a couple weeks to get further treatment. A short examination will not inhibit the filler results.

This post is sponsored by Cleveland dentist Hylan Dental Care.