Daily Column

DEAR DR. GOTT:
I must inform you that twice recently you recognized that a dental consultation was needed, except you said orthodontist when the problem had nothing to do with moving teeth. These patients needed a good general dentist, not an orthodontist.

DEAR READER:
I stubbed my toe. Twice!

The dental field is an extremely specialized one. For example, an endodontist specializes in matters concerning the pulp or inside of the tooth and would be consulted when that portion is infected or inflamed, or if a root canal is required.

A periodontist is trained in diagnosing, preventing and treating gum disease. One might be consulted for dental implants, or to perform cosmetic periodontal treatment.

A prosthodontist is trained to deal with missing teeth, restoration of natural teeth, and restoration of the whole mouth. [Read more...]

Dentist won’t pull tooth of woman on Fosamax

DEAR DR. GOTT: I was diagnosed by my gynecologist, through a bone scan, as having osteoporosis. I have been taking Fosamax for about 5 years. I take one tablet once weekly.

My dentist has now warned me that he would never pull a tooth because of the Fosamax. He says he would do a root canal and cap the tooth however. Could you give me any advice regarding this medication? My gynecologist told me that there were no bad side effects unless the Fosamax were given by injection. Thank you.
[Read more...]