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Doctor Q&A for Dr. Brian Langenfeld

A 42-year-old member asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
High Filling: A new filling can result in a bite change that you feel on the other side usually by being slightly high. This happens a lot in dentistry, many people don't bite together normally after their mouth is open for a period of time, muscles tend to tighten up. The solution is usually a simple bite adjustment to the new filling by your dentist.
A 33-year-old member asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Biting Pain: Sounds like your filling as been comfortable until recently. Sudden biting pain is usually related to a cracked tooth. The happens a lot with large fillings and someone with a strong bite. See your dentist. At the least you probably need a crown, if the crack extends into the nerve you may need a root canal. If the tooth is actually split, you could loose the tooth. See your dentist soon.
A 42-year-old member asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Painful Fillings: If your fillings hurt it means that the nerves of your teeth are unhappy. Pay attention to what causes them to hurt. Sensitive to biting, do they ache after a meal? Is there hot and cold sensitivity, if so how long does it take for the pain to go away, actually count the seconds for the pain to go away. Final advice, take this information and talk to your dentist. The solution may be simple.
A 27-year-old female asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Pregnancy Filling: The first question i would have for you is how necessary is the filling to be done right now . 2nd- can it wait until after delivery? If there are no consequences for waiting putting it off a few months might be a better choice. Yes a filling can be done safely at any stage of your pregnancy but unless there are compelling reasons to do it now, why not wait until your pregnancy is a non-issue?
A 51-year-old female asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Nerve Damage: The nerve running through the lower jaw is called the inferior alveolar nerve. Damage to this nerve is possible but rarely occurs from extractions. X-rays show the location of the nerve is and your dentist can talk to you about any risks. Surgeons tend to stay away from wisdom teeth who's roots are wrapped around the nerve bundle unless there are compelling reasons for it's removal.
A 24-year-old female asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Top Tooth Whitening: Tooth bleach is readily available over the counter and from a dentist. Some people get great results with crest whiting strips. The best way really depends on your existing color and the results you desire. I believe custom trays used at home with whitening gel from your dentist, take the #1 spot. Sensitivity can be managed. The in office power whitening works well for quick results.
A member asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Still growing: The eye tooth is a very important tooth for both function and appearance. For optimal predictability, implant dentists tend to want to wait until young people finish their growing. The age will varies greatly for boys, maybe 19-23. Completing growth can be confirmed by a wrist x-ray but is also associated with when shoe sizes stop increasing. Best to wait for an optimal cosmetic result.
A 52-year-old member asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Drifting: Loosing teeth caused a number of mechanical issues: drifting of teeth can create interferences leading to excessive wear of enamel. There are also a number of biologic consequences including bone loss and increased difficulty maintaining the remaining teeth. The changes that take place are generally missed because they occur slowly over a long period of time.
A 18-year-old female asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Cosmetic Solution: Generally a cosmetic dentist can fill spaces in between your front teeth by bonding a tooth colored composite material (cosmetic bonding) or the use of porcelain veneers. Both options can produce a very nice result. Your dentist can discuss the pro's and con's of both these procedures to you.
A 60-year-old male asked:
Dr. Brian Langenfeld
Dentistry 40 years experience
Manageable: Having an allograph means your surgeon doesn't have to harvest bone from another site, which is generally considered to be more invasive and traumatic than an allograft. A good surgeon will be able to help you manage any discomfort you may have during your recovery after a surgery.
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