Dental

Ask a dentist. Get answers to your dental questions.

Ask an Expert,
Get an Answer ASAP!

My upper first and second premolars on both sides are broken…

Customer Question
Hello. My upper first and...
Hello. My upper first and second premolars on both sides are broken off at the gum line.my second and 3rd molars on the left. I also had my 3rd molar extracted on the upper right.My dentist wants to extract them. He has said that I should replace them with them with implants if possible but I can't afford that. However I am afraid to have them pulled because I read something in his office about how when a tooth is extracted, the jaw bone resorbs, and this can lead to a "sunken in face" like you see in older people.If my dentist does extract these four teeth, and does bone grafting, but it takes me a few years to come up with the money for implants, will my face sink in? Im I'm terrified of that happening because that will be a total of like 7 or 8 teeth upper teeth missing. Someone please let me know. Thanks
Submitted: 2 years ago.Category: Dental
Show More
Show Less
Ask Your Own Dental Question
Answered in 5 minutes by:
3/1/2016
Dentist: Stewart Shernan,
 replied 2 years ago
Stewart Shernan
Category: Dental
Satisfied Customers: 373
Experience: Owner, Practitioner at Stewart D. Shernan, DMD
Verified

Hello there - I'd be happy to assist you with your question

Ask Your Own Dental Question
Dentist: Stewart Shernan,
 replied 2 years ago

Hello there,

Yes - implants are expensive. However, in my opinion (a few decades of experience - much with implants). Ideally, once a tooth is extracted and bone grafting completed, you should have the implant procedure time within a reasonable period of time. However, this is not always feasible for people - it's very expensive. So, if you cannothave the implants and crowns one immediately, it is feasible to have the teethe extracted and have a tempoarary appliance fabricated that will prevent the appearance of "sunken face". It is important, though, to have the process supervised by a dentist (ideally a periodontist - a specialist in soft tissues (gums) and supporting alveolar bone oversee the process. This will insure that the resorption of bone is minimized while you save for the implants. if managed properly, generally, an individual can wait following the extractions to save the funds for the necessary implants and expect an outcome that doesn't look like a sunken face of an older person.

Regardless of whether you elect to have implants or a less expensive alternative, such as a removeable partial denture, the "sunken face" appearance can be avoided by a competant dentist. That need not be a concern. manage as best you can in the interim. your appearance will be fine either way, whether you opt for implants (the best option) or a more affordable option such as a removable partial denture. As a cosmetic focused dentist for many years, I've had much experience with both approaches

Let me know if you need additional information to answer your question. Otherwise a positive rating would be much appreciated.

Be well,

Dr Shernan

Ask Your Own Dental Question
Dentist: Stewart Shernan,
 replied 2 years ago

Hi Jason,

If you need additional information to answer your question let me know - I'd be happy to provide it. Otherwise a positive rating would be much appreciated.

Be well,

Dr Shernan

Ask Your Own Dental Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dentistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Stewart Shernan Your Own Question
Stewart Shernan
Stewart Shernan
Stewart Shernan
Category: Dental
Satisfied Customers: 373
373 Satisfied Customers
Experience: Owner, Practitioner at Stewart D. Shernan, DMD

Stewart Shernan is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Mark Bornfeld, DDS

Mark Bornfeld, DDS

Dentist

5,765 satisfied customers

Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Dr. Alex

Dr. Alex

Dentist

1,607 satisfied customers

I am a General Dentist and founder of the American School of Dental Assisting

Dr. George McKee

Dr. George McKee

Dentist

1,392 satisfied customers

Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.

Dr. Girish

Dr. Girish

Dentist

788 satisfied customers

19 years of clinical experience in all phases of Dentistry.

Julian Chen

Julian Chen

Dentist

567 satisfied customers

Practicing General Dentist since 2002

Dr. Winterholler

Dr. Winterholler

Dentist

266 satisfied customers

4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class

Dr. Mitch

Dr. Mitch

Dentist

211 satisfied customers

DMD General Dentist Private Practice Over 20 yrs.

< Previous | Next >

Related Dental Questions
My dentist that done my implants and dentures has ruined my
My dentist that done my implants and dentures has ruined my bottom part of my mouth. I have two implants on bottom and snap in on bottom and full denture on top. The two screw on bottom are awful and … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
I had a root canal and crown placed Oct 2016. The crown just
I had a root canal and crown placed Oct 2016. The crown just came out and I swallowed it. What do I do? Does Aspen Dental have warranties on crowns falling out? … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
I've swallowed a partial 3-tooth denture that came
I've swallowed a partial 3-tooth denture that came "unglued". It measures approximately 1' … read more
Dr. S
Dr. S
Attending physician
MD
32 satisfied customers
My dentist suggested upper crowns veneers. I was denied for
My dentist suggested upper crowns veneers. I was denied for cosmetic reasons and then she said it was needed due to condition of my teeth which my last dentist never advised. I declined again advising… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
I was getting a crown put on my dental implant. The dentist
Hello, I was getting a crown put on my dental implant. The dentist was working with the implant and it dropped out and went down my throat. I felt it, gagged and then immediately gargled water. Nothin… read more
Dr Matthew Kremser
Dr Matthew Kremser
Family and Cosmetic Dentist
DDS
216 satisfied customers
I had an infection under a molar that was crowned and the
i had an infection under a molar that was crowned and the dentist is recommending extraction. i was treated with antibiotics … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
My #18 molar has a vertical crack. The peridondist/dentist
My #18 molar has a vertical crack. The peridondist/dentist repair bill is $5,750. What are the consequences if I just have the #18 molar removed w bone graft ($1,400) and don't install the implant? Th… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,917 satisfied customers
I need a dentist to extract a rotten molar towards the rear
I need a dentist to extract a rotten molar towards the rear of my mouth. However I use the tooth frequently to chew and eat with. My concern is will I be able to do an open med/route cabal on the toot… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
I have a crown that my dentist put in my mouth while ago.
Good morning, I have a crown that my dentist put in my mouth while ago. Since a few days ago, the crown simply comes off while I am eating food. I simply put it back in its place and it comes out agai… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
I have a crown that my dentist put in my mouth while ago.
Good morning, I have a crown that my dentist put in my mouth while ago. Since a few days ago, the crown simply comes off while I am eating food. I simply put it back in its place and it comes out agai… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
Part of my crown chipped off. I cant get to a dentist right
a year ago. the crown itself is over 15 years. part of the top back corner half and down the side is exposed so far no pain, though … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
I had a new crown implant on Jan. 22. After my dentist was
i had a new crown implant on Jan. 22. After my dentist was done a couple of days later my jaw was black and blue. that side of my mouth was sensitive, but by this past Friday i could not eat on that s… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
I have a hole above a molar into my sinuses. My periodontist
Hi. I have a hole above a molar into my sinuses. My periodontist referred me to a oral & maxillofacial surgeon to extract the molar and close the hole into my sinus. I discovered the hole using a wate… read more
Dr Matthew Kremser
Dr Matthew Kremser
Family and Cosmetic Dentist
DDS
216 satisfied customers
I have a molar with a crown that 8 years ago concerned me
I have a molar with a crown that 8 years ago concerned me because. Was experiencing a throbbing sensation but no pain. An X-ray showed nothing abnormal at that time or in later routine checks however … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
Orthodontists and periodontist are known to work on smiles.
Orthodontists and periodontist are known to work on smiles. Today, every practitioner in dentistry is found the economic rewards of teeth whitening. However, I would like to know who is most qualified… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
564 satisfied customers
I have a question about an implant crown - second molar on
I have a question about an implant crown - second molar on right - that is about 1/8th broken off … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
2,275 satisfied customers
Any dentists? A lower molar with an infection broke off the
Any dentists? A lower molar with an infection broke off the other day Can't get the VA to respond. I had been a little sore. Until I can get it pulled, what kind of antibiotic is normally used for. Is… read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,917 satisfied customers
I have a crown on a molar which is cracking my denture. The
I have a crown on a molar which is cracking my denture. The crown has been in place for about eight years. I have had a new upper denture made this month by an dental technician ......his company has … read more
Dr. Katz
Dr. Katz
Dentist / Anesthesiologist
Doctoral Degree
3,917 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x