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Doctor Q&A for Dr. James Courey

A male asked:
Dr. James Courey
Specializes in Prosthodontics
Post-Op Appointment: Some swelling and discomfort are normal after dental surgery, however, it will be a wise choice to see the doctor who placed the implant and temporary crown sooner than later. Typically, you should be seen no later than 10 days after surgery...if you are in pain, get in as soon as possible. Best of luck!
A female asked:
Dr. James Courey
Specializes in Prosthodontics
Traditional/Implant: Traditional dentures (even with an adhesive) generally restore only 10% of chewing function, while a bone-anchored prosthesis restores 60–80% in similar evaluations. An implant retained denture will feel more like your own teeth and will not require messy denture pastes. Remember, no denture is a replacement for teeth---they are a replacement for no teeth. All the best.
A 33-year-old male asked:
Dr. James Courey
Specializes in Prosthodontics
First things first!: To truly clean tarter off your teeth, you should visit your dental hygienist as often as your dentists recommends. A very important component to keeping clean teeth is your dental hygiene routine at home. A simple tooth brush and dental floss are your best friends. There are many good toothpastes out there---chances are you do not need anything "clinical." Get them clean and keep them clean!
A 32-year-old male asked:
Dr. James Courey
Specializes in Prosthodontics
OTC meds for now: Your dentist's advice to see an OS should be followed. The pain you are feeling is from an infection caused by a failing tooth that needs to come out. I am guessing due to the severity of the infection, your dentist wants you have it extracted in the Oral Surgeon's office. After you see the surgeon, they can prescribe a stronger pain reliever. Otherwise, Advil and Tylenol (acetaminophen) as directed.
A 61-year-old male asked:
Dr. James Courey
Specializes in Prosthodontics
Trust your dentist: Dentists choose screw retained implants vs cemented implants for a variety of reasons that benefit the long term prognosis of your restoration and implants. The fee difference is nominal if there is any difference at all. The most important thing is that you are seeing a dentist that has experience in restoring dental implants. All the best.
A 29-year-old female asked:
Dr. James Courey
Specializes in Prosthodontics
Gentle Rinsing: While you shouldn’t rinse for the first 24 hours, after this initial period you should gently rinse 4 times a day using warm salt water (1 teaspoon of salt in a glass of warm water). Do not spit out forcefully! Rinse after every meal and snack, making sure that the water removes any bits of food around the area where the tooth is missing. Be careful not to dislodge the blood clot when cleaning.
A 40-year-old member asked:
Dr. James Courey
Specializes in Prosthodontics
Sinus Infections-Yes: If you have teeth in the upper back jaw that are infected and left untreated, infection can permeate the floor of the sinus and cause pain, bone loss, and a host of complications. It is important to remember that unhealthy teeth are just one cause of sinus infections, and that there are several other causes. If you suspect your sinus infection is caused by a tooth, you should see your dentist to confirm this.
A 44-year-old member asked:
Dr. James Courey
Specializes in Prosthodontics
Yes, with limits: States are required to provide dental benefits to children covered by Medicaid / Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults. States have flexibility to determine what dental benefits are provided to adult Medicaid enrollees. While most states provide at least emergency dental services for adults, less than half of the states.
A 24-year-old male asked:
Dr. James Courey
Specializes in Prosthodontics
Stop Using Oxycodone: Without second guessing the doctor who prescribed you this highly potent pain management drug, intended for management of chronic pain, I recommend discontinuing its use. Surgery in the mouth can be painful, however, healing is rapid and pain should be minimal after 3-7 days depending on the type of surgery. There are many OTC meds and other Rx meds that will help.
A male asked:
Dr. James Courey
Specializes in Prosthodontics
Report to your MD: I do not believe there is immediate cause for worry, however, you should report this side effect to the physician who prescribed HGH therapy. Like a canary in a coal mine, the mouth is an important indicator of changes in the rest of your body. Best of Luck.
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