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Doctor Q&A for Dr. Barry Levin

A 19-year-old female asked:
Dr. Barry Levin
Periodontics 27 years experience
Infection: Pus is an absolute sign of infection. You may have a bacterial infection. I suggest you see your primary care physician promptly for a diagnosis, which may include a painless culture & a regimen of the appropriate antibiotic. You should recover quickly.
A 28-year-old male asked:
Dr. Barry Levin
Periodontics 27 years experience
Doubtful: Much more likely that acid reflux will cause bad breath, as well as increase risk of oral pharyngeal cancer & ulcers. I'd take the prescribed medication unless advised otherwise by your doctor.
A 32-year-old member asked:
Dr. Barry Levin
Periodontics 27 years experience
Hard tissue: Ct scans are a form of x-rays. They are most appropriate to identify hard tissue structures like bone, teeth, other calcifications. Mri's are images (not x-rays) & better suited for evaluation of soft tissues, like organs, etc.
A 54-year-old female asked:
Dr. Barry Levin
Periodontics 27 years experience
Various: Cause for implant failure should be identified first to avoid a repeat. Options could then range from re-implantation, fixed bridgework if possible, removable prosthesis & no further treatment. First find reason for losing implants & go from there.
A 24-year-old female asked:
Dr. Barry Levin
Periodontics 27 years experience
Maybe dental: This is not the likely cause, but if all medical tests are negative, it could be a dental infection. I'd suggest a comprehensive dental check up with x-rays to rule this out.
A 47-year-old female asked:
Dr. Barry Levin
Periodontics 27 years experience
Not certain: This could be so many different things. This could be an allergy to things like spices, tartar-control ingredients in toothpaste, cinnamon, etc. It could also be the sign of a vitamin deficiency or other systemic conditions. I'd try to see if they are sore or worsen after eating spicy foods or after certain toothpastes/mouthwashes. It may be a good idea to have your dentist or family doc look.
A 18-year-old female asked:
Dr. Barry Levin
Periodontics 27 years experience
Follow up : I suggest you follow up with the oral surgeon who removed your wisdom teeth. You may have a "dry socket" or infection that requires immediate treatment.
A female asked:
Dr. Barry Levin
Periodontics 27 years experience
Could be viral: With a sore throat, i suggest you see your primary care physician. If you have ulcerations and/or redness, this could be the sign of a viral infection and that could be affecting your gums as well. If the two could not be tied together, i suggest you see a periodontist to evaluate your gums.
A 27-year-old male asked:
Dr. Barry Levin
Periodontics 27 years experience
No but monitor: As long as the biopsy was performed properly, you should be ok. However, conditions change, recur, worsen, so make sure your doctor follows up regularly.
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