expert type icon EXPERT

Dr. Carrol Fenn, D.D.S.

Dentist

Dr. Carrol Fenn, D.D.S.
  • West Palm Beach, Florida
  • Accepting new patients

Can a missing tooth cause problems in my mouth?

A missing tooth can cause many problems if not replaced: 1) A missing tooth is esthetically unpleasing & tends to make you look older. 2) Depending on its location a missing READ MORE
A missing tooth can cause many problems if not replaced:

1) A missing tooth is esthetically unpleasing & tends to make you look older.
2) Depending on its location a missing tooth can cause your cheek to cave inwards in that area.
3) The teeth that are adjacent to a missing tooth often start to shift into the empty area. These teeth when tipped can cause periodontal problem areas in the bone.
4) As the adjacent teeth shift, then the next teeth also tend to shift creating a mouth full of spaces.
5) The opposing tooth will tend to grow down or up (depending on which arch the missing tooth is in)until that tooth touches one of the other teeth. This will cause a problem with your occlusion & pose problems when you finally decide that you want to replace the missing tooth. There won’t be enough room to place a normal-sized replacement tooth.
6) When one tooth hangs down below the rest of the teeth, your smile will be uneven & not attractive.

You should always try to replace a missing tooth if possible with either an implant & crown (preferred) or a bridge or a removable partial denture.

Carrol Fenn, DDS

I never grew out of my buck teeth. What should I do?

Yes, you are able to have teeth fixed at any age. The treatment plan depends on the actual cause of your “buck teeth,” also called “excess overbite”: 1) Your upper teeth may READ MORE
Yes, you are able to have teeth fixed at any age. The treatment plan depends on the actual cause of your “buck teeth,” also called “excess overbite”:

1) Your upper teeth may be flared out with lots of spacing present. If that is the case, then closing those spaces in a certain way will correct your problem.
2) Your problem may be caused by a dental problem requiring us to move the teeth in each jaw in a certain way to correct the excess overbite. You may or may not require extractions.
3) You may have a true jaw discrepancy. Your upper jaw may be too big OR your lower jaw may be too small. Each problem requires a different solution.

The best thing for you to do is visit the orthodontist (a specialist in orthodontics) and have a complete examination performed. Orthodontic records (X-rays, photos, impressions, or scans) will probably suggested to receive an exact diagnosis & a treatment plan. You will probably be given some different options of treatment.
Good luck achieving a beautiful smile. It’s definitely worth the time & finances that you will invest.

Why do I have a thick white coating on my tongue?

There can be many causes for a white coating on your tongue. The simplest is the presence of food & bacteria trapped in between inflamed & swollen tongue papillae. It is usually READ MORE
There can be many causes for a white coating on your tongue. The simplest is the presence of food & bacteria trapped in between inflamed & swollen tongue papillae. It is usually caused by poor oral hygiene. Therefore, brush your tongue with a soft tooth brush & use a tongue scraper. Drink more water or fluids & reduce alcohol consumption. If this does not remove or improve the white coating on your tongue, then make an appointment to see your dentist. They will rule out the various other possible causes of your while tongue. It might be something minor, but if it does not heal within 2 weeks of increased brushing & oral hygiene, then seek the advice of a dentist to be certain that it isn’t more serious & require medication. Examples of possible causes are:

1) An oral fungal infection such as Candida, requiring an anti-fungal medicine
2) Oral leukoplakia
3) Lichen planus - may require a steroid spray
4) Oral injury
5) Syphilis - antibiotic such as penicillin if you aren’t allergic to it
6) Cancer
7) Many other oral problems

Does a wisdom tooth need to be removed?

There are many factors to consider: 1) Does your wisdom tooth have enough room to erupt completely or will it remain partially impacted? Many people do not have enough room READ MORE
There are many factors to consider:

1) Does your wisdom tooth have enough room to erupt completely or will it remain partially impacted? Many people do not have enough room for a wisdom tooth to fully erupt.
2) Is there an eruption cyst involved?
3) Will it be easy to keep clean?
4) Is there decay present?
5) Once erupted, will it occlude with a tooth in the opposing arch? If the opposing tooth is completely missing, then you risk over-eruption of the existing wisdom tooth.
6) If you are dealing with a lower wisdom tooth, are it’s roots wrapped around the inferior dental nerve?

You can see by the answer that an X-ray or at least a physical exam is required to determine the need for extraction. Please see a dentist to have an X-ray taken to determine the need for an extraction.

Sincerely,

Carrol Fenn, DDS

How should I maintain my gum health?

Congratulations on brushing your teeth at least twice a day. There are additional improvements that you should make: (1) Floss your teeth DAILY. READ MORE
Congratulations on brushing your teeth at least twice a day. There are additional improvements that you should make:
(1) Floss your teeth DAILY.
(2) Use a Waterpik water flosser at least once daily. It's an easy, but effective way to improve cleaning your teeth & improve your gingival health.
(3) Rinse with full-strength Listerine for 1-2 minutes after completing your oral hygiene regime. Listerine helps to kill the bacteria that cause gingival inflammation & infections.

How often to use mouth wash?

There is no harm in rinsing with a fluoride mouth wash twice a day. If you are very cavity prone or have braces it would provide extra protection from decay.

I wear my retainer, so why are my teeth still shifting?

How many hours per day do you actually wear the retainer.? Perhaps increasing your hours of wear will correct your problem . Does your retainer fit loosely ? Or is part of the READ MORE
How many hours per day do you actually wear the retainer.? Perhaps increasing your hours of wear will correct your problem . Does your retainer fit loosely ? Or is part of the retainer broken? A loose or broken retainer may not hold the teeth effectively . Your orthodontist can easily tighten or repair most types of retainers .