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Steve Bader, DMD  
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Interests: Cosmetic dentistry, TMJ, invisalign

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How do you choose between an onlay and an extraction?
Mar 11, 2009 in the Comprehensive Dentistry Expert Forum
Your questions are specific now and highly technical. Only an exam, and xray and some testing can specifically answer them for your tooth. Overall, I agree that if the tooth can be repaired near 100% with an onlay then that is choice one. If it also needs a root canal, that still would remain my first choice. If there are additional factors preventing a n...
How do you choose between an onlay and an extraction?
Mar 11, 2009 in the Comprehensive Dentistry Expert Forum
I am just going through your q&a here. Your questions are quite technical. The bottom line remains - if the tooth can be restored to near 100% with a crown or onlay, it is likely your best choice. In the end you need to be evaluated by a qualified restorative dentist who can fix broken teeth. You mentioned the pulp is exposed previously. You may or m...
Front tooth damaged
Feb 24, 2009 in the Comprehensive Dentistry Expert Forum
Depending on your age and your bite, a fracture of this type can occur due to excessive wear to the top (incisal) edge, exposing the softer inner dentin layer of the tooth. If it is a small fracture it may be repairable by bonding. A larger fracture may require a bonded porcelain repair. I agree with Dr. Erfani above that the cause should be carefully evalu...
impacted canine...help!
Feb 24, 2009 in the Comprehensive Dentistry Expert Forum
I am sorry to hear of your dilemna. We have seen many patients with the same issues here in the Boston area. It is always the first choice to try and retrieve the impacted canine when possible. At some point the decision has to be considered to remove the impacted tooth. Then, depending on the exact position and the extent of surgery, an implant may be co...
My front two "dead" teeth.
Feb 24, 2009 in the Comprehensive Dentistry Expert Forum
Great job on the photos! You should be a dentist! It is clear that the trauma to your teeth was enormous, and you are fortunate to still have them. As Dr. Erfani stated, you need a highly trained cosmetic dentist to evaluate them and advise the best treatment. Be sure that good xrays are taken from multiple angles because it is common for teeth with this l...
Clogged salivary gland
Feb 24, 2009 in the Comprehensive Dentistry Expert Forum
As Dr. Erfani stated, this is most likely a mucocele, a single clogged tiny salivary gland. However, once surgically removed the SAME gland can never reclog, since it is gone. Therefore, you have another one, even if it seems the exact same place. You have thousands of tiny glands in your lip. You may be best treated by another removal. You could get ano...
Nerve Damage following wisdom tooth extraction
Feb 24, 2009 in the Comprehensive Dentistry Expert Forum
Overall rates of permanent nerve damage following wisdom tooth removal are certainly normally much lower. I recommend you question the surgeon as to specifically why he feels the risks are so high in this case. It is most likely due to the appearance of the closeness of the tooth to the nerve on xray. It is always reasonable to seek another opinion in comp...