Dr. Lance Timmerman

Specializes in Cosmetic Dentistry

Tonsils often large: There are many variables with obstructive sleep apnea, and tonsils are often part of the problem. Even with removal, the treatment may be incomplete.... Read More

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5.4k viewsAnswered >2 years ago

1 thank

A 30-year-old member asked:

What can cause obstructive sleep apnea in children that already have their adenoids & tonsils out?

Specializes in Cosmetic Dentistry

Small airway: Other constrictions to air can be the entire pathway of air. Both hard and soft tissues can be naturally small or narrow, creating decreased or even ... Read More

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5.4k viewsReviewed >2 years ago

Dr. Louis Gallia agrees1 doctor agrees

A 40-year-old member asked:

How long after tooth extraction can i get an implant?

Specializes in Cosmetic Dentistry

6 months: A general rule of thumb is 6 months, some cases as early as 3 months. Gum tissue is ok at 8-12 week mark for a bridge, but implants need mature bone ... Read More

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5.4k viewsReviewed >2 years ago

Dr. Gregory Neyman agrees1 doctor agrees

3 thanks

A male asked:

Can rhinoplasty influence sleep apnea? i am suffering from obstructive sleep apnea. snoring at night and difficulty falling asleep are usual things for me. i am about to have a rhinoplasty. could the change in the shape of my nose reduce my sleep apnea?

Specializes in Cosmetic Dentistry

Probably not: It is "possible" that the airway is improved during the procedure, but unless that was done on purpose, it will only have a cosmetic effect. You shou... Read More

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4.1k viewsReviewed >2 years ago

Dr. Louis Gallia and another doctor agree2 doctors agree

A member asked:

I had a permanent bridge on 9, 10, and 11 teeth. i had to have a root canal on 11. then dentist (endro) told me he would drill underneath just like a cavety. when he finished, he had cut the tooth in half, now i have 9, 10, as regular teeth and 11 as a

Specializes in Cosmetic Dentistry

With : With the information given, it is hard to tell what has been done. Normally if a root canal is accessed thru a bridge, the access can be filled, like... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Should i have my wisdom teeth extracted regardless of anything else? i'm 18, and have all of my wisdom teeth, all yet to erupt. they've never caused me any problems or pain, but my dentist still thinks i should have them taken out. i don't see any reason

Specializes in Cosmetic Dentistry

Many : Many problems take time to fully manifest. The problem is that if we wait, it is harder and more expensive to treat. Bodies heal much better at a you... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Labial frenectomy daughter is 20 years old there is no gap between her front teeth is this procedure necessary?

Specializes in Cosmetic Dentistry

If : If the attachment is at a certain level, then it may be recommended. Despite all suggestions, however, the patient always has the right to decline. ... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

My top and bottom two teeth go in. i wnat to know what i can do to fix that. the rest of my teeth are perfectly in line. nothing but i have a minor bleeding disorder. i am a dancer and would for once like to have a nice smile. but i do not want braces. i

Specializes in Cosmetic Dentistry

Without : Without an exam and records, this is just a guess. Invisalign can make "mostly straight" teeth to "very/perfectly straight" teeth without being obvio... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

At what age can a child stop seeing a pediatric dentist? our daughter just turned twelve, and we're wondering what is the appropriate age to switch over to a normal family dentist?

Specializes in Cosmetic Dentistry

Often : Often it is a behavior issue. If they can sit still, they can see a family dentist. Age 12 is usually a great age to switch. If they love their pedia... Read More

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5.5k viewsAnswered >2 years ago

4 thanks

A member asked:

How can a dentist tell that you need a root canal? after looking at an x-ray my dentist told me that i need a root canal. i was kind of in shock though, and forgot to ask what exactly she saw that let her know i need a root canal. what do dentists see tha

Specializes in Cosmetic Dentistry

Many : Many factors can lead to a diagnosis, but the most telling thing on an x-ray is a dark spot at the tip of the root. If a patient presents with sympto... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

I need information on if my dentist made my dentures right. iam a 34 year old female who as of march 1st had all my teeth removed.i went back to my dentist several time and evertime i keep telling him the teet are to big for my mouth.he tell me that is ho

Specializes in Cosmetic Dentistry

Second : Second opinions are always a good idea, but at this point you also need to heal completely, a minimum of 3 months. There are still changes happening ... Read More

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5.5k viewsAnswered >2 years ago

A 35-year-old female asked:

Can you take ambien (zolpidem) for sleeping pill, knowing theat you were diagnose with sleep apnea? would it have a side effect?

Specializes in Cosmetic Dentistry

Apnea still there: A major concern is still death. If you have an obstruction while you sleep that can prevent quality or deep sleep, the risk of dying still exists, an... Read More

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5.4k viewsAnswered >2 years ago

A 42-year-old member asked:

What should i do to prevent my tooth veneer stains?

Specializes in Cosmetic Dentistry

Toothpaste: Maintain veneers as you would teeth. Brush and floss like normal. Porcelain veneers are very stain resistant, composite veneers less so.

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5.4k viewsAnswered >2 years ago

A member asked:

Will my son have to keep getting his night guards replaced as he grows? our eight year old son grinds his teeth at night, and i'm concerned. i haven't scheduled an appointment with the dentist yet, but i know night guards are expensive, so as our son grow

Specializes in Cosmetic Dentistry

Children : Children grinding at this age is often a sign of allergies, most commonly dairy. You may find that your child has large tonsils and adenoids due to a... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Are dental implants the way to go if you need several teeth replaced? i am going to need three molars on the top and four other bottom teeth replaced. are dental implants the best way to do this?

Specializes in Cosmetic Dentistry

Dental : Dental implants are a fantastic way to replace missing teeth, perhaps even the best option. They will look and feel almost like normal teeth! if sev... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Is novocain dangerous for someone w/ a leaking heart valve? they need to have a tooth extracted but are worried about the shot. if someone has a history of having a leaking valve in the heart but needs there tooth pulled out due to an infection and cavity

Specializes in Cosmetic Dentistry

The : The anesthetic is less of a concern than bacteria entering the blood during the extraction. If the cardiologist feels it necessary, antibiotics before... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

What are the odds of an oral cyst returning after removal? i had an oral cyst near one of my molars removed, and was wondering if it's likely to return?

Specializes in Cosmetic Dentistry

While : While nothing is 100%, the success rate with oral cysts is high. As mentioned, apical cyst removal relating to root canal treated teeth is highly suc... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

What can we do to make our child's toothache feel better until we can get to the dentist? he's six, and is in a good deal of pain from a toothache, with a swollen face. cold compresses don't seem to be doing much. is there anything else we can use?

Specializes in Cosmetic Dentistry

There : There should be no delay to get your child help. Go to your dentist, an emergency clinic or the er. This could be life threatening, and you can do no... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Is there anything that's done differently about pediatric dental exams? we're going to take our year old daughter in for her first dentist appointment, and would like to know what, if anything, is done differently during pediatric dental exams versus norm

Specializes in Cosmetic Dentistry

Normally : Normally the first visit for a child isn't much different, but may be a little long. This is normally due to the extra time taken to make sure the vi... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Jaw expansion appliances for adults in braces? i've been told by 3 different orthodontists that due to overcrowding i need to have either 4 bicuspids pulled or have orthognathic surgery. they all told me i need to decide before i get the braces put on on

Specializes in Cosmetic Dentistry

Dr : Dr bill hang in your area is an expert in adult orthodontic expansion. I believe that it has been a long time (or very rare) that surgery or extracti... Read More

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5.5k viewsAnswered >2 years ago

5 comments

A member asked:

Good children's toothpaste? are there any good toothpastes for children that don't taste like bubblegum or candy? i'm not really comfortable with how some of these are marketed.

Specializes in Cosmetic Dentistry

Pediatric : Pediatric dentists are great resources. If marketing or taste is your only objection, then "normal" regular toothpaste should be considered. Avoid th... Read More

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5.5k viewsReviewed >2 years ago

Dr. Arnold Malerman agrees1 doctor agrees

3 thanks

A member asked:

I need help from a tmj surgery had tmj surgery in 2000 been in pain since cannot eat work or sit up in pain all the time stay in bed all day could someone please help me .

Specializes in Cosmetic Dentistry

After : After 12 years of issues, an online response is not likely to lead to much help. A clinical exam with full diagnostic records will be needed. As you ... Read More

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5.5k viewsAnswered >2 years ago

A female asked:

Had all my teeth pull after having all my teeth pull it fell like chips of teeth are still there

Specializes in Cosmetic Dentistry

Often : Often pieces of bone called sequestrum can continue to chip away after teeth have been extracted. These can be removed by you or you can be seen by t... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Is white fleshy stuff in bottom molar extraction site ok? i am asking this about 2 hours after the surgery.

Specializes in Cosmetic Dentistry

Probably. 2 : Probably. 2 hours after an extraction is too soon to know if anything is wrong or not. At this point a clot is forming, the tissue is healing and th... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Can you have an allergic reaction to a bridge.? i had a bridge put in 4weeks ago, and since then i have sores(kankars) that cause a burning when i eat anything, and when i brush, i have a lot of bleeding.

Specializes in Cosmetic Dentistry

Allergies : Allergies are possible but rare. Most allergies are with the temporary materials and not the final restoration. If the bridge has a metal substructur... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Is it normal for a tooth to be hurting and throbbing after a root canal? root canal was done this past week, tooth is now hurting and throbbing.

Specializes in Cosmetic Dentistry

Pain : Pain normally resolves soon after treatment, but often can take some time. Also, if the treatment was started but not completed, this can take more t... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

What alternatives are there to the problem below and costs? hello i have a 4 or 5 tooth bridge on my upper left area beginning with number 11 as a post for the bridge. recently went to my dentist as i had chipped my number ten which will have to be crown

Specializes in Cosmetic Dentistry

Costs : Costs will vary dramatically, so i can't comment. Placing a post in a tooth that had been treated with root canal therapy is common and usually a che... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

How to use dental floss? i find it hard to use because it slips out between my teeth, or doesn't fit between others. my teeth are not in great shape. is there something else i can use?

Specializes in Cosmetic Dentistry

There : There really is no substitute for floss, so i suggest the packages of floss holders. They come in bags of 50 to 100 with pre cut sections already fix... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Do you have to be a certain age to use invisalign? i've read about invisalign, and like what i've seen so far. is there a minimum or maximum age you have to be in order for invisalign to work?

Specializes in Cosmetic Dentistry

There : There is no maximum age, but the minimum is that the permanent second molars have erupted. It works like regular orthodontics, pressure is put on tee... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Redo a root canal i had a root canal that has become abscessed and needs to be redone. general dentists tell me that i need to find a specialist (a many hour drive). my question is why is a specialist needed? if this dentist was just plan old incompetent,

Specializes in Cosmetic Dentistry

Failures : Failures of root canals or reinfections usually has nothing to do with the skill level of the dentist. You can do everything perfect and still have a... Read More

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5.5k viewsAnswered >2 years ago

A female asked:

I have a tooth infection. i am on smz-tmp-400 2@day and azithromycin 500mg. 1@day will this help the tooth infection? i have lupus and have to be careful of infections. this is why the two antibiotics for other issues. one is for a skin infection and the

Specializes in Cosmetic Dentistry

Any : Any help these antibiotics can give is temporary, as the source of the problem is still present. If you do get some relief, when issues return they m... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

I have very bad under bite on bottom dentures should i see dentist or reg doctor? i have had dentures since i was 25 yrs old i am now 55( 30yrs)i have pain in my jaw joint it pops.my under bite is getting worse .other people are committing on it.i don't w

Specializes in Cosmetic Dentistry

The : The first place to start would be the dentist. If this is the same set of dentures you got 30 years ago, you will need a new set. To prevent things ... Read More

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5.5k viewsReviewed >2 years ago

Dr. Louis Gallia and 2 doctors agree3 doctors agree

A female asked:

What is the normal procedure to repair a missing upper molar that broke off years after a root canel due to never being crowned would the remainer of the root that still remains have to be removed as well, would an inplant be best or would a simple singl

Specializes in Cosmetic Dentistry

The : The best treatment is likely full removal and placement of an implant, however a bridge is not a terrible option sometimes. It is not unusual to have... Read More

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5.5k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A 46-year-old member asked:

Is it possible to have insomia and sleep apnea?

Specializes in Cosmetic Dentistry

Yes: While it may seem counterintuitive, insomnia is a symptom of sleep apnea.

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5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 40-year-old member asked:

Help please! is exercising advisable when you have sleep apnea?

Specializes in Cosmetic Dentistry

Absolutely: Another benefit to exercise is that it can help get you to sleep faster and perhaps deeper. However, without a CPAP or an oral appliance to help with... Read More

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5.1k viewsReviewed >2 years ago

Dr. Heidi Fowler agrees1 doctor agrees

A 33-year-old member asked:

For what conditions can you not have invisalign ?

Specializes in Cosmetic Dentistry

Rotations: Despite their best efforts, rotated teeth are a challenge with invisalign.

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5.4k viewsReviewed >2 years ago

Dr. Gutti Rao and another doctor agree2 doctors agree

A 34-year-old member asked:

Dental bone grafts are needed when?

Specializes in Cosmetic Dentistry

Need volume: If there is a lack of volume, grafting is needed. Generally speaking if an implant is planned but not enough bone is present, a graft is done (either... Read More

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5.4k viewsAnswered >2 years ago

A member asked:

Does a dental bridge count as cosmetic dentistry? i'd like to get a dental bridge to cover the gap i've had for years where two teeth are missing. my insurance won't cover any cosmetic procedures though. is a bridge usually considered to be cosmetic or no

Specializes in Cosmetic Dentistry

Because : Because it is addressing a functional issue, it is not considered cosmetic. While the result will look pretty, it is replacing missing teeth so not co... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

How much does laser teeth whitening damage your teeth and gums? i'd like to get my teeth whitened, and have read that laser teeth whitening can cause your teeth to be tender. does it do any permanent damage?

Specializes in Cosmetic Dentistry

No : No permanent damage is done with the whitening processes in the dental office, but there can be some tenderness. This is normally due to desiccation ... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Is it normal for a 14 month old child to have only 2 teeth? the baby is on target with height, weight and developmental milestones. in fact he seems fairly bright. he just doesn't have more than 2 teeth. thank you, worried grammie

Specializes in Cosmetic Dentistry

While : While charts may say teeth will erupt at certain ages, they are averages. Some people have a different "dental age" than others, but that is ok. It ... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

If your crown has darkend a little what can you do to get them back to the natural color they were when you got them... .

Specializes in Cosmetic Dentistry

One : One of the great things about modern dental materials is their color stability. One of the bad things about modern dental materials is their color st... Read More

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5.5k viewsAnswered >2 years ago

A 36-year-old member asked:

Is sleep apnea common?

Specializes in Cosmetic Dentistry

Yes: Most people with it are not diagnosed yet. Published numbers are low, and most authors of studies admit that the number is likely much higher. Man... Read More

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5.4k viewsReviewed >2 years ago

Dr. Sherin Ibrahim Howett and 2 doctors agree3 doctors agree

A 40-year-old member asked:

What's the difference between dentures and implants?

Specializes in Cosmetic Dentistry

Apples/oranges: Dentures are sets of teeth that sit on top of gums and bone to allow chewing again, but poorly tolerated by people. Implants are titanium screws that... Read More

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5.4k viewsAnswered >2 years ago

A 49-year-old male asked:

Hello and thanks. i have been diagnosed with severe sleep apnea...i stop breathing 47 times a night. is there any other cure other than a cpap machine?

Specializes in Cosmetic Dentistry

Oral Appliance : An alternative to CPAP is an oral appliance for those that can't or won't wear the cpap. Not all dentists are trained in this, so seek a dentist with... Read More

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4.9k viewsReviewed >2 years ago

Dr. Scott Bobbitt agrees1 doctor agrees

3 comments

A 48-year-old member asked:

How willa dental implant work with braces?

Specializes in Cosmetic Dentistry

Leverage: Some dental implants are placed only for the orthodontic treatment. These are called temporary anchorage devices (tad). This can make treatment much... Read More

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5.4k viewsReviewed >2 years ago

Dr. David Schleimer agrees1 doctor agrees

A member asked:

Gum screwed up my filling had a filling replaced. fine for 1 week. then i chewed gum (dentyne ice, briefly). now my filling's messed up. at first it hurt to chew & also was sensitive to hot and cold. now, temp. sensitivity is gone, but it's still unc

Specializes in Cosmetic Dentistry

Without : Without seeing the tooth, seeing the size and depth of the filling, it is hard to say what is happening. In addition to previous suggestions, it is po... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Why do i continue to have bad breath? seems like mouthwash makes my mouth dry. my permanent bridges each on both side of my mouth are over 25 years old and my dentist says that at least one should be replaced.

Specializes in Cosmetic Dentistry

Although : Although you are using a mouthrinse, be sure there are no periodontal problems (gum disease) as an accumulation of bacteria can cause severe bad breat... Read More

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5.5k viewsAnswered >2 years ago

A male asked:

Resubmit to be more specific. crown in permanently or should i worry? thank you for all your help. sorry for previous confusion i recently had a crown put on my upper molar because the tooth was cracked. the dentist said he cemented the porcelain crown in

Specializes in Cosmetic Dentistry

While : While durelon is often marketed to dentists as a temporary cement, it is quite often used as a permanent luting agent. In my opinion, this means it i... Read More

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5.5k viewsAnswered >2 years ago

A member asked:

Best cosmetic fix for rough teeth? the bottom of the teeth in the front of my mouth, both on the top and the bottom are fairly rough and jagged due to both drinking too much soda in my 20s and to grinding my teeth. what would likely be the best way to fix

Specializes in Cosmetic Dentistry

Bonding : Bonding in this situation likely won't last long. Porcelain veneers are like the best choice, or possibly simply smoothing the edges. Without an exam... Read More

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5.5k viewsAnswered >2 years ago

A 39-year-old female asked:

How much will it cost? how much could a periodontist evaluation can cost? my dentist sent me to a periodontist to evaluate me because of bone loss on my lower gum and i don't have any insurance i'm paying my braces cash so i was wondering how much can it

Specializes in Cosmetic Dentistry

It : It is impossible to quote fees for other people, as each office has their own fees. The fees will vary depending on how comprehensive the exam. Plan ... Read More

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5.5k viewsReviewed >2 years ago