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Doctor Q&A for Dr. G Funari

A female asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
Cost summary: The cost of custom appliances (night guards, sleep apnea splints, and retainers) is a reflection of the doctor's time, cost of materials, and laboratory fees. It also reflects time spent fitting and adjusting the appliance and the follow-up visits required to make sure that it functioning as intended.
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
This : This is a question only your OB physician can answer because I do not know the status of your health and pregnancy but the following is the basic infomation you are looking for is below. Your physician needs to approve taking any medication during you pregnancy and breast feeding stage. Fda pregnancy category b. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. This medication may pass into breast milk and could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 12 years old without the advice of a doctor.
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
I : I assume you mean azithromycin, a macrolide antibiotic commonly prescribed for sinus infection in the form of a z-pack. Clarinex (desloratadine) is an antihistamine. If so there is no common adverse side effects of taking the two together, though you, as an individual, could have an allergic to one or both medications..
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
I : I assume you mean azithromycin, a macrolide antibiotic commonly prescribed for sinus infection in the form of a z-pack. Clarinex (desloratadine) is an antihistamine. If so there is no common adverse side effects of taking the two together, though you, as an individual, could have an allergic to one or both medications..
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
I : I assume you mean azithromycin, a macrolide antibiotic commonly prescribed for sinus infection in the form of a z-pack. Clarinex (desloratadine) is an antihistamine. If so there is no common adverse side effects of taking the two together, though you, as an individual, could have an allergic to one or both medications..
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
Much : Much more information is required to answer the question: where is the bump? Did you injure yourself or have dental work done? How long has it been there? How big is it? Is it hard or soft? Can you move it?
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
The : The most likely cause of the swellings in the inner lip that you are describing is a mucus extravasation phenomena (aka mucocele). This results from damage to either a minor salivary gland or its duct. When the body is getting ready to digest food at meal times these glands produce saliva. Because of the injury to the gland or duct, the saliva accumulates in the surrounding soft tissue. Once the gland stops producing the saliva, the extravasated saliva dissipates and the swelling disappears. The only treatment is surgical removal as it will not heal by itself and you risk getting a large swelling that does not go away. There are other possibilities, with cancer being a minor possibility. No matter, i recommend that you see a board certified oral and maxillofacial surgeon for evaluation to confirm this diagnosis and to ensure that something else is not occurring.
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
I : I suggest you contact your dentist to see what his/her recommendation is. The primary tool in fighting gum disease is proper brushing and flossing. There is no miracle mouth wash that will replace proper cleaning. To help with your understanding of the situation you have to understand that healthy gum tissue has a small sulcus or crevice (think moat around a castle) at the level of the crown of the tooth. In healthy gum tissue this sulcus is approximately 1 to 3mm deep. As gum disease progresses, the tissue may become swollen and there may be bone loss around the teeth. These two events effectively increase the pocket depth. Any depth beyond about 4mm creates a situation where even the best brushing and flossing technique cannot adequately clean. As the pockets deepen, more bacterial and food debris accumulates accelerating the disease process, deepening the pocket and exposing root surface. This is where the hygienist and periodontist come into play. They are trained to be able to clean these deep pockets (deep scaling and root planing) and arrest the disease process. Occasionally surgery is employed to reduce the depth of the pockets. Unfortunately, once bone is lost is difficult if not impossible to recreate it around the tooth. That is why these deep cleanings, once begun, will be required in the future.
A member asked:
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
No : No matter the cost, it will be cheaper to deal with the problem now than to let the situation deteriorate to a state where the extractions are more difficult or an infection lands you in a hospital. Each area of the country has different fees for services based on overhead costs. The fee will also vary as to whether you go to a general dentist or a specialist. The costs also varies with the number and degree of difficulty of the extractions and whether you have it done under local anesthesia or sedation. Without an exam it is impossible to give you an accurate picture of the costs involved. Recommend you contact your local dental society to information regarding low cost clinics in your area.
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