Dr. Jesse Aron Grimm, DDS

Yes, That does not mean the papilla will always grow back to where it was as far as filling the full extent of the space between the contours of the adjacent teeth. Like many things there are multiple variables involved in the space between the contours of those teeth,

First of all, I will need to make the assumption that when you say "bonded teeth" you are referring to front that have had some "veneers" or tooth colored restorations restoring broken teeth placed by a dentist at one visit. In this case there is really nothing you "can't eat",you just need to modify the way you eat certain foods with some veneers or "bonded" front teeth. You should be very cautious with any food that you typically bite into with your front teeth-like pizza, sub sandwiches, certain hard vegetables, corn on the cob, chicken. You would be best to cut them up and eat with your side teeth.

Most Oral surgeons offer that. Some General Dental Offices may as well. Check with your clinician.

It is a tough argument to pick between flossing or brushing as more important. More of the population brush and don't floss than floss and don't floss. Then there are those that unfortunately do neither. You could make an argument for brushing being more important because you are caring for more overall surface area than with flossing. Then there is the argument that flossing concentrates on the targeted areas between teeth where bacteria collect and cause more problems and eating can have the benefit of fiber in your diet keeping the other areas cleaned off somewhat. So as you see there is no good way to make a definitive conclusion other than both is best for their own special reasons.

Yes. As you may know, teeth have a sulcus around them, a little ditch in the gum. At the bottom of the ditch, the gingiva (gum) attaches to the tooth. This is where the bacteria create their little environment, a gel-like substance made of poly mucosaccharides. Left undisturbed, damaging bacteria become more prevalent and release toxins, which cause your body to initiate an immune response and tissue breakdown. That sulcus has now become a pocket. Early on in the process while the pocket is still less than 5mm deep, normal flossing and brushing, and sometimes with the aid of proxy brushes, individuals can care for and treat the pockets themselves. Beyond 5mm, professional help from a dentist or hygienist is needed, either by debridement or scale and root plane (both specific clinical procedure terms). In all cases, physical debridement is the first step. Sometimes chemical adjuncts are also employed, such as antibiotics or other anti microbial substances.

That would depend on the clinicians training and skill, secondly on the tooth and supporting bone and gingiva. For me I attempt to remove the tooth as atraumatically as possible. Separate the gingiva around the neck of the tooth. Use a luxator(special instrument that slips between root and bone severing coronal periodontal ligament(PDL-holds tooth in bone)) and begin gently loosening tooth. Special designed forceps are then used to try remove tooth with alternating rotations to further sever the PDL. If unsuccessful the next step is to section multi rooted teeth ,then as atraumatically as possible remove bone around the roots for final removal.

The best type of invisalign (clear aligner)is the one recommended by the clinician you trust and choose to perform your treatment. Clear aligners are a tool used to perform a function to obtain a result. The biggest measurable difference between very similar tools such as clear aligners is the skill of the user in diagnosis, treatment planning and then treatment delivery and follow up.

There many different causes, kinds and severities of gum diseases. The lesser type of gum disease would be gingivitis. This would generally be the only level or type of gum disease that might be possibly considerd as transient. In that gingivitis can at times be resolved with improved home care practices by the patient, improved flossing and brushing, and no other treatment. However brushing and flossing in that case strictly speaking is actually a treatment. So no,gum diseases do not go away by themselves.

The best option for strong gums is to be sure they adequately cleaned. This stars with good daily hygiene. For most healthy mouths this means flossing BEFORE you brush with an electric tooth brush and a fluoride tooth paste. AT LEAST once per day, night time is best. How do I know if my gums are healthy to start with? A visit to your local dentist for an exam and hygiene appointment. Within 24 hrs of your hygiene appointment bacteria will start to develop more heavily into damaging bacteria (non oxygen using bacteria at the base of the tooth sulcus( the ditch where the tooth comes through the gum). Creating a slimey gel film that protects them. So when you floss you break that up between your teeth where the tooth does not reach introducing a little oxygen as well preventing them from developing into larger numbers that will generate your bodies immune response creating inflamation. Minimal bacteria no reaction healthy gums. Electric tooth brush is important because it should be one that lets you know if you are brushing too hard and causing damage to your gums and teeth. Certain models have some sort of light or action signal that indicates too much damage causing pressure. Fluoride keeps teeth strong and is some what antibacterial so is somewhat beneficial for healthy gums as well.

Starting the day after gently for 30 seconds with a mixture of 1 teaspoon salt in 1/2 cup water. Continue 3-7 days. Then occasionally up to 3 weeks until initially healed.

No one can say flossing can prevent corona virus infection. Flossing, coupled with brushing and rinsing and spitting,can reduce the microbial (bacteria, virus) load around your teeth and in your mouth. This makes for a healthier mouth and therefor a healthier individual, with less potentially infective microbes present. Both reducing potential of and possibly severity of an infection from any of the present microbes.

There are some slight variations specific to certain cases in preparing a tooth to receive a zirconia crown. In general your dentist will need to assure the the tooth is healthy to sustain a crown-healthy gingiva and bone support of the tooth, healthy pulp(live tissue inside tooth),or a healthy maintaining root canal therapy. The preparation is then to reduce the outer surfaces of the tooth approximately .8 -1.5 mm assuring proper space and decay free support after appropriate local anesthesia.

Generally no. There are situations however where teeth do move over time and can close gaps on there own. Teeth are in positions where they are because they are in a zone of equaiibrium of forces. Braces work because if you put force on a tooth it will move. When there is minimal to no overall balanced force

Teeth are part of our bodies so are similar in that they nerve receptors like many other external body. unlike other external body parts they have live soft tissue INSIDE Hard tissue. I, sure you have seen a tree cut in half. It has solid bark outside but inside it has thousands of tubules. Teeth are similar in that they solid enamel outside with dentin under with thousands of fluid filled tubules leading from live soft tissue inside to enamel out side. IN those tubules are nerve dendrites extending a distance up the tubules. the nerve endings sense fluid movement and pressure inside those tubules. Any fluid movement or pressure in those tubules triggers a response of those nerve endings as pain. With a tooth restoration there is removal of tooth structure there insult to the tooth. the body responds to insult by inflamation response. This has increased fluid. You have soft tissue with increased fluid inside a hard structure which does not expand like soft tissue would to accomodate the increased volume of fluid . Therefore you have an increased pressure inside the tooth which activates those nerve receptors in the tubules associated with those dendrites. The only message the receptors send is pain. Hence your tooth ache.

It takes about 6 months for an extraction site to totally heal. With in the first 3 days most post operative pain has subsided and a nice clot has been formed. Within about 4 weeks the gum tissue has usually covered the area well and filled into approximate contours. Total bone heal and reorganize is about 6 months.

That is a great question many people might have as well. Unfortunately there are many different types of stains and different causes and resolutions for them. Some can be treated with targeted bleaching techniques, others may require conservative in office enameloplasty(outer tooth surface polishing) treatments and even others may require more invasive conservative restorations. So you need to consult with your dentist who may be knowledgeable in these various techniques,or can direct to a clinician who is.

In a healthy well fitting denture no. There is a situation that can arise If we have a n ill fitting denture. If a denture is overextended meaning to long around the border. Tissue can be injured and if left unadjusted tissue will overgrow. This would need to be addressed by a dentist.

A fixed dental bridge is a prosthesis,restoration that is cemented to natural teeth or implants or screwed to implants to either replace missing natural teeth or stabilize or splint together unstable teeth. A newer type can be bonded to slightly or unreduced teeth-Acid Etch Resin Bonded Bridge. Older type is cemented to heavily reduced natural teeth.

By your question I am inferring you mean a Fixed Partial Denture which most people call a "Bridge". There is no maximum time limit on a bridge. As long as the prosthesis is not loose does't have recurrent decay and is maintaining well and doing its designed purpose it can remain in place.

There is currently no limit on how long you can go without a crown restoration on an implant in regards to the implant itself. Things to consider are adjacent or opposing teeth shifting into the space where the crown for the implant would be. This time frame varies from patient to patient-2 months to years. Implants are evolving so waiting a long time might make having a crown done much later difficult to know what implant was placed and or finding compatible parts to use.