All posts by writeradmin

writeradmin writes blog posts on behalf of Dr. Kasia Lopez

Will a Dentist Help Me With Metal Allergies?

I’ve had some weird, unexplained medical problems. I had a Clifford’s test done and it turns out that I’m allergic to all kinds of metals, including those in my dental work. I can’t seem to find a dentist willing to work with me. Can you point me in the right direction?

Sandra M. – Ohio


The Clifford’s test is still controversial, so I’m guessing most of the dentists you spoke to turned their ears off the moment you mentioned it.  That doesn’t mean there aren’t dentists who can help you.

My suggestion is you look for a holistic dentist in your area. They’ll be more open to what you’re going through. One of the first things they’ll probably recommend is to replace your metal-based dental work.

While for some people, metals are no big deal, everyone’s body is different. Obviously, yours is much more sensitive to it. Removing them is a fairly simple process. But, you’ll want a holistic dentist to do it, so that they can do a sanitary removal.

This blog is brought to you by Dr. Kasia Lopez.

Does TMJ mean Jaw Surgery?

I’ve been having some pain and popping in my jaw along with headaches. My roommate said that it sounds to her like I might have TMJ. I looked it up and it is possible. Does that mean I’ll need jaw surgery?

Amelia A. – Denver, CO


TMJ surgery is very rare. Most of the time it is performed to treat patients if there is clear joint damage, or sometimes lock jaw. But, even with lock jaw it’s  only done when all other conservative therapy has failed.

The key is to see a dentist who has some expertise in TMJ. There isn’t a recognized TMJ specialty, so any general dentist can say they are a TMJ dentist. So, how can you tell who has the expertise to give you quality care? You’ll want to be sure they have post-graduate training specifically in TMJ. For instance, Dr. Lopez studied at the Las Vegas Institute of Advanced Dental Studies (LVI), a world renowned institution that deals with TMJ issues.

Have someone in that caliber properly evaluate you. There are many conservative treatments that should be undertaken before resorting to surgery. Sometimes it can be solved by wearing a simple orthotic device while you sleep for a few weeks.

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Are There Mercury Free Dentists for Children?

I’ve gone to the same clinic since I was a child. My dentist is great, but he’s kind of old school. In fact, he still prefers the old silver amalgam fillings. I have a few in my mouth. They’ve never bothered me. However, I have a son now and I’m a little concerned about mercury filled fillings. My dentist said that children can’t have composite fillings, but I find that hard to believe. Are there dentists who do white fillings for children?

Melinda S. – Conway, AR


It’s not that children can’t have composite fillings. It’s that it is not an easy procedure to do with children because they have to stay quite still during the procedure. Your dentist, who based on what you said, isn’t very experienced in composite fillings anyway, obviously would not be a good choice.

However, there are mercury free dentists who work with children. They’ll be more willing to work with you.

If you’re happy with your dentist, you don’t have to switch. You can just go to a different one for your son. It’s up to you. But, you’ll probably feel more peaceful with a dentist who can give your son white fillings.

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Gum on my Invisalign

I’m so embarrassed. I just plain forgot that I was wearing my Invisalign aligners. I popped some gum into my mouth and started chewing. Before I realized how stupid I’d been, gum was stuck to everything. How in the world do I get it off? I really don’t want to admit to my dentist how absent-minded I was.

Carlyann – Boston


If there’s any good thing that has come out of it, is that at least we know your Invisalign aligners are quite comfortable. It’s nice when you can forget you’re wearing something, especially an orthodontic.

There are two things you can try. The first thing to try is peanut butter. Spread it over all the gum on your aligners and let it soak in.  The oil should soften the gum and allow you to gently brush it off.

If that doesn’t work, you could try freezing it in twenty minute intervals. Then try to brush it off.

Unfortunately, if those two things don’t work, you may be stuck going to your dentist. Believe me, your dentist has seen it all and won’t think you’re the least bit stupid.  We all have moments of absent-mindedness.

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Do I Listen to My Orthodontist or Dentist?

My son has a missing tooth and is about to have orthodontic work done. We want to plan ahead for the missing tooth. We’d like to get him a dental implant, but realize he is too young right now. The orthodontist assures me he can repair his teeth, leaving the space. Then our family dentist can put a flipper in. Our dentist said a Maryland bridge is best. How will I know which one is best for the implant?

Serenity H. – Nevada


Hmmm… Did your dentist say why he choose a Maryland Bridge?  That seems a strange route to go. Unless I am misunderstanding, your son has healthy teeth. A Maryland Bridge will affect his tooth structure.

Many dentists prefer the most conservative procedure, having a desire to keep as much healthy tooth structure as possible. I’m a little surprised your dentist is recommending a more aggressive route.

With that in mind, I’d likely go with your orthodontist’s recommendation and get the dental flipper.

If there were something else going on with the adjacent teeth, then my recommendation would change.

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Dentist Left a File in My Tooth

I moved to a new city and haven’t found a permanent dentist. I was planning on taking my time and finding one I’d be very comfortable with. Unfortunately, my teeth didn’t cooperate. I’d devloped some pain. I went to a local dentist, just the one who could get me in the fastest. He said I needed a filling. I returned for that appointment. During the procedure, he changed his mind and then said I needed a root canal. I agreed to the procedure. In the middle of that I hear a snap and he tells me that the file broke and he’s just going to leave it there. I couldn’t believe what I heard. I told him I wanted it removed and he said that wasn’t possible.  My old dentist was a holistic dentist, and she would NEVER have left a foreign object like that in my body without making extreme effort to get it out. What do I do?

Monica G.


What a distressing experience  you’ve had. I don’t know the dentist, so I can’t give you any opinion on his competency. I can tell you that these things have happened to other dentists. Sometimes an x-ray doesn’t really show how bad the decay is, so it’s possible he had no way of knowing you needed the root canal.

The file is a tiny instrument dentists use in the canals. He could have had a faulty one. I know it sounds like I’m trying to make excuses for him and I promise I’m not. I’m just telling you the possibilities.

I don’t agree about him leaving it there without even trying. You’re right that a holistic dentist would have made more effort. It’s important to keep your whole body as healthy as possible and that means being careful with what we put in it.  That doesn’t mean the file will be able to be removed, but it wouldn’t hurt to get a second opinion from a holistic dentist. You’re more likely to be on the same page with a holistic dentist anyway in the way you approach your care.

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TMJ Specialist or Dentist for Pain in the Back of My Mouth?

I’ve never had a cavity. My teeth are pretty healthy, with the exception of my dentist saying I grind them down a little. Lately, I’ve had general pain in the back of my mouth. I don’t know what a cavity feels like, but I have a friend who’s had jaw pain and hers ended up being TMJ. She didn’t know that until she saw a TMJ specialist. Should I see a dentist or TMJ Specialist?

Madison L. – Ohio


First, I want to clear up some common confusion.  TMJ does not have a specialty, so TMJ Specialists are just dentists who have done some additional study to learn how to diagnose and treat TMJ. There’s not a required amount of study for dentists to do in order to call themselves a TMJ Dentist.  So, if you do need to get TMJ treatment, make sure you check their qualifications.

That being said, I think you should just start off with an exam with your general dentist. Do you know why he hasn’t addressed your teeth grinding?  That could cause significant problems to your bite. Its’ a simple fix. Usually, you just need to wear a simple mouthguard.

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Will Getting Rid of Mercury Fillings Help My Health?

I’ve been having some pretty bad health problems including unexplained high blood pressure. I exercise. I eat right. The doctors can’t figure out what the problem is. I’ve been doing some reading and I read that amalgam fillings have mercury in them, which can contribute to health problems, including blood pressure.  My mouth is loaded with amalgam fillings.  Is it possible this is my problem? If I got them removed would it help me?

LeeAnn S. – Benton, AR


I can’t diagnose what is causing your health problems. What I can tell you is a couple of things.  First, the American Dental Association has said that amalgam fillings are safe.

However, there is also some research that says they may not completely as safe as we thought. It certainly can’t hurt your situation.

I will give you a precaution though. Don’t just go see any mercury free dentist to have them removed. Mercury free dentists means they don’t place fillings that contain mercury, but not all of them know how to remove them.

You’ll want to ask if they know how to do a sanitary amalgam removal. That way you won’t be in danger of mercury vapors.  Your safest bet is to go to a holistic dentist. They’ll be aware of the issues with a sanitary removal.

This blog is brought to you by Dr. Kasia Lopez.

Is It Too Late To Switch From Braces To Invisalign?

I have an appointment get braces, but I’ve been having doubts. My friends with braces hate them and say they wish they’d have gotten Invisalign. Is it too late for me to switch?

Rory G. – Benton, AR


It’s not too late. However, you will have to make sure you’re a good candidate for Invisalign. Many people are, but it is something that has to be checked.

If you’re a good candidate, than I’d definitely switch. It’s much more comfortable the traditional braces, because there are no wires and brackets.

It also works faster than braces, so you’ll get to your gorgeous smile sooner.

Some things to be aware of though–

  1. Compliance is essential. You’ll have to leave the aligners in for the prescribed amount of time.
  2. Oral hygiene will become extra important.  Generally, the saliva in your mouth helps your teeth to stay healthy.  With Invisalign, your teeth are covered and won’t be getting the minerals in your saliva.

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Is it safe for someone with epilepsy to have orthodontics?

I’ve had epilepsy most of my life. My mom has been too concerned about my epilepsy to allow me to get braces. She worried it would do too much damage if I had a seizure. But, I’m an adult now and really want to fix my teeth. Is it safe for me to get braces?

Evelyn M. – South Dakota


Yes, you can have braces if you have epilepsy.  There are a few things to be aware of.

First, make sure you tell you dentist what type of epilepsy medication you’re on so there won’t be any complications.

Second, both epilepsy medication and orthodontics can sometimes lead to gum disease. Oral hygiene is a little harder when you have braces. Combine that with your medication, which can also swell your gums and you’re a prime candidate for problems.  It’s essential you have impeccable oral hygiene.

Third, if your dentist tries to give you any removable appliance that could become a problem if you have a seizure. You don’t want anything that can block your airway.

Fourth, there could be some minor soft tissue damage in the event of a seizure.

Depending on your particular case, you could fix your smile without braces. Porcelain veneers can make your teeth appear straight without actually straightening them. They have the added benefit of also changing the shape, size, and color of your teeth. However, it would depend on your particular case.

This blog is brought to you by Dr. Kasia Lopez