EXPERT
Dr. Michael Acquista, D.D.S.
Dentist
- Brooklyn, NY
- Columbia College of Arts and Sciences
- Accepting new patients
Healthy Eating
Healthy eating: It is so important, but Doctors don't learn much about it. C. Everett Koop, former U. S. Surgeon General, suggested we should, but not much has happened. I...
My front tooth got chipped at the bottom. What can be done about it?
Will mouthwash erode my teeth enamel?
Are cavities possible in baby teeth?
My molars are hurting. I already had my wisdom teeth all taken out. What can this be?
What are the ways to close the gap between two frontal teeth?
Is bleeding of gums dangerous for a diabetic patient?
I underwent a root canal treatment and it is in pain again. What could be the reason?
How many times should I floss?
I have severe pain in my deep cavity filling. What could this be?
I have white dots on both of my gums and tongue. What could these be?
Why does my breath stink?
If you have had the cleaning, addressed all dental issues, and brushing and flossing daily, it may be GERD. This is when stomach acids slip up into the back of the throat. Some people just have bad breath when they get up in the morning because they have not eaten and the body goes into starvation mode, burning the fat stores for energy. Also brush the tongue when you brush to remove odor causing plaque and bacterial by-products.
I am getting abscesses in my infected tooth. How do I treat them?
Why are some people's canine teeth sharper than others?
Why do some dentists hurt during cleanings more than others?
"cleaning" the term used and the insurance code is a "prophylaxis". That
means prevention and it is defined as cleaning and scraping away the
buildup and stains at or above the gumline. That kind of cleaning does not
hurt much unless you have receeded gums and cold drinks are bothersome(root
sensitivity). But the buildup exists below the gumline too in most cases,
and some dentists are so devoted that they will clean below the gumline to
remove as much buildup as possible, which is a better service and really
MORE than a prophy. This unfortunately can be more painful, Novocaine gel
can be applied beforehand to lessen this. You really need to get evaluated
for periodontitis which is irreversible bone loss- gum disease- as opposed
to gingivitis which is reversible inflammation. Get your perio charting of
the whole mouth and any pockets measuring 5mm or more indicate
periodontitis which requires Scaling and root planing (different code and
term than prophylaxis which means definitive removal of the mineralized
buildup below the gumline) and it is often performed with novocaine
injections prior to treatment to control discomfort. This is not medical
advice, it is only my opinion. Thanks Dr. Acquista
What is gingivitis and its risk factors?
which is the bacteria and their byproducts which forms on the teeth, is
removed with proper brushing and flossing every day, then the gingivitis
will disappear in 2 weeks. Sugary foods and drinks as well as
carbohydrate-containing foods such as potatoes and pasta cause more plaque
than other foods and drinks. This is not medical advice- it is just my
opinion. Thank you.
Are these crackling sounds in my ear from TMJ?
will be predisposed to flareups but there are some things you can do to
minimize the likelihood of flareups. Avoid chewing gum, opening wide, and
foods that require a lot of hard chewing. Increased stress can also help
to cause a flareup. If you clench and/or grind your teeth at night, a
nightguard might help. Aspirin, advil, or aleve as directed with food if
you have pain and a soft diet is recommended until symptoms subside. If
you need to see a dentist with expertise in TMJ in my neighborhood, try Dr.
Bernstein. Most flareups are self-limiting but see a doctor if symptoms
persist or are worsening. This is my opinion- not medical advice.