Fractures Questions and Answers Archive

Jan
2002

Q&A: I have a stained tooth that is wearing or chipping away. Could laser tooth whitening cause this?

Question:

Recently I have noticed that one of my front two upper teeth is beginning to wear away - or is chipping. On those two front teeth I have some staines that I have tried to have removed by a laser about 6 years ago, but failed. I'm wondering if those staines have anything to do with my tooth "wearing away" and if the other one might begin to do so, or if it is being caused by something else. I plan on visiting my dentist soon but wondered if you might happen to know if the staines are part of the cause. Thanks.

- Amy

Answer:

 Debra Gray King, DDS - LocateADoc.com

Stains are a seperate issue from the chipps. I am not aware of literature showing the use of whitening lasers having an effect on teeth that would result in later breakage. It may be possible that you have mirofractures that stained and later chipped. Without the benefit of seeing them though, I could not tell. You are making the right move to go see a dentist in person for an evaluation.

-- Debra Gray King, DDS
Atlanta, Georgia



Jan
2002

Q&A: What can be done for my son's compression fracture to heal and eliminate the pain?

Question:

My son suffered a compression fracture of T-7 about 8 months ago, and has periodic severe muscle spasms which last up to 3 weeks and are extremely painful. How can these spasms be prevented and how can they be relieved when they do occur? Thank you.

- beth

Answer:

Jim Heinz, DC - LocateADoc.com

Hi Beth, Even with a compression fracture, your son may benefit from conservative chiropractic care. It is important to inform the doctor of your sons history of compression fracture. There is a special form of care that is extremely gentle and can be preformed on those patients with healed fractures or even osteoporosis. Go to www.activator.com to locate a doctor in your area that is trained in this form of care. Other therapies that may help to minimize his episodes are massage, yoga, and stretching exercises. The important thing is to insure that the areas above and below the fracture site continue to move properly in order to prevent premature degeneration and arthritis from an improperly moving joint. Best Wishes Dr. Jim

--Jim Heinz, DC
Decatur, Georgia



Dec
2000

Q&A: What takes longer to heal, a break or a fracture of the 4th and 5th metatarsal and why?

Question:

WHAT TAKES LONGER TO HEAL, A BREAK OR A FRACTURE OF THE 4TH AND 5TH METATARSAL? AND WHY?

- SHARON

Answer:

Dear Sharon, The difference between a clean break and a fracture is one is still intact and the other has broken into two pieces or more. there are many forms of fractures such as avulsion,spiral etc and all have different healing times. To answer your question a slight fracture as compared to a clean break will heal faster because it still is intact and has less healing to do. This is in comparing oranges to oranges. Meaning the same area.

--Bruce Sambursky, DC
Granby, Connecticut



Dec
2000

Q&A: When can I expect the numbness in my chin and lower lip to go away, resulting from a broken jaw two weeks ago?

Question:

I broke my jaw and suffered damage to the nerve running across the front of my jaw leaving my chin and bottom lip numb. what are the chances that the feeling will return to my chin and how long will it take. my jaw was broken 2 weeks ago.

- mike

Answer:

It depends upon the severity of the fracture, often numbness is a finding when the jaw breaks at the angle(behind the wisdom tooth area). Good news is that often the feeling will return within several weeks of the injury, if the fracture was not too severe, but the bad news most of the time when it does return it is not complete, but is tolerable and does not interfere with normal activities. The really bad news is, there will be patients who never get their feeling back, this can occur with badly displaced fractures, fractures where pieces are broken and pushed totally out of their normal position, and penetrating injuries. Good luck.

--Charles R. McNamara, DMD
Winter Park, Florida



Jun
2000

Q&A: Do I need a crown, root canal or both if I have a cracked tooth but it does not show on the x-ray?

Question:

I was recently told (because of pain in a tooth)that I need a crown. I had cavities filled in the same location last week. Should a crown be done before a root canal? The dentist told me that he thought my tooth was cracked. The x-rays he took did not show this. Thank you!

- Susan

Answer:

Dear Susan, Not all crowned teeth need root canal treatment. If you have a crack in the tooth's crown, then restoring the tooth with a gold or white crown is OK. If the tooth is cracked in the root, a root canal may not help, and the tooth may be lost. Tooth fractures are often not seen on xray.

--Charles R. McNamara, DMD
Winter Park, Florida



Nov
1999

Q&A: Can I replace my estrogen medicine with a vitamin and also reduce the frequency to avoid addiction?

Question:

I had an hysterectomie on Oct. 25, 1999. I am taking Estradiol. I want to know is there a vitamin I could take in the place of this medicine. I do not take it everyday because I don't want my body to depend on it. Also,what would be the side effect is I do not take it everyday? MY only problem I have is I sweat alot at night and wake up two to three time at night.

- Silver

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

YOu should take it everyday as prescribed by your Dr. There is not substitute. Estrogen prevents bone fractures, preserves sexual function, reduces urine loss, reduces heart attacks and strokes and improves blood flow to the brain. Your body cannot become dependent on it. It is not addictive.

--Daniel Potter, MD, FACOG
Fullerton, California