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Lerner & Lemongello Dentistry
5602 PGA Boulevard #201
Palm Beach Gardens, FL 33418
Monday - Thursday: 8am - 5pm

Can Bruxism(Teeth Grinding) Get in the Way of My Dental Implant Plans?

The majority of our clients here at our Palm Beach Gardens dental practice are increasingly taking advantage of dental implants for their tooth replacement needs. Aside from looking like your natural teeth, dental implants have proven to support a client’s active lifestyle and significantly improve quality of life. After all, dental implants are already employed and used for tooth replacement for more than 5 decades now.

To maximize success of your dental implant outcome here at our practice, it’s important to know which conditions may compromise the state of your dental implants. One such issue is bruxism or unconsciously grinding your teeth.

Bruxism (Teeth Grinding) May Affect Dental Implant Outcomes

Just as bruxism alone could accelerate wear and tear of your natural teeth, it can also promote premature wear and tear of dental prosthetics such as your dental implants. Specifically, the implant’s titanium post may be exposed to the damaging forces of your frequent tooth grinding. Although dental implants are actually built to last for a long time, untreated tooth grinding may potentially disrupt the implant and/or its components.

Figuring Out Whether You Have Bruxism or Not

It is estimated that roughly 95 percent of Americans are not aware of their teeth grinding habits, particularly when they’re still asleep. So what are the signs and symptoms that could help you figure out whether you are unconsciously grinding your teeth?  You might want to look out for the following: 

  • Jaw pain
  • Headaches upon waking up
  • Neck and shoulder pain upon waking up
  • Tooth damage

Exploring Treatment Options for Your Bruxism Before Having Dental Implants

Assessing whether your have bruxism and exploring your treatment options are part of your evaluation prior to having dental implants here at our dental practice. We will discuss your options in reducing or eliminating bruxism — from wearing mouthguards at night to practicing stress management techniques. Putting bruxism under control should be the priority to avoid the risk of damaging your dental prosthetics.

Get in touch with us today if you’d like to learn more about dental implants. Contact Drs. Lerner and Lemongello for an appointment and information on all dental procedures at 561-627-9000 or you can fill out this contact form. We’d love to hear from you!


Cracked Teeth: Signs, Symptoms and Treatment

Cracked-Teeth-924x400-300x129There have been many advances in dental care.  People are keeping their teeth longer. In daily use your teeth are exposed to certain habits like clenching, grinding or chewing on hard objects and over time this can contribute to the formation of cracks in your teeth. The symptoms of cracked teeth can vary greatly. With a cracked tooth commonly a person experience pain when chewing or sensitivity to hot and cold. For many people with cracked teeth the pain can be erratic which can cause difficulty in finding which tooth is the problem.


There are a number of different kinds of cracked teeth. Which treatment option will be used largely depends on what type of crack you have, where it’s located and the severity of the crack.

Craze Lines – These are very small cracks that only affect the enamel. This type of crack is very common in adults but causes no pain and is very shallow.  Usually no treatment is needed unless it is a cosmetic issue.  Possible treatment would be bonding or a veneer.

Fractured Cusp – The cusp is the pointed section of the chewing surface of the tooth. If it is weakened a fracture may occur. The cusp may break off from stress or need to be removed by your dentist. After removal the pain usually subsides and a damaged cusp is unlikely to cause any harm to the pulp unless the fracture involves more of the tooth. Treatment may include a bonded restoration, an onlay or a crown depending on the severity of the fracture.

Cracked tooth – This type of crack reaches from the outer surface of your tooth to the root. This type of crack often causes damage to the pulp due to its location and root canal treatment is often needed. Following this your dentist will then use a crown to restore your tooth and protect it. In some cases the crack can reach below your gum line.  If this happens the tooth may need additional treatment to save it or it may need to be removed requiring an implant or bridge.

Split Tooth – Split teeth occur if a cracked tooth is left untreated. Dentists usually aren’t able to save a split tooth and the severity of the crack will indicate whether or not any part of the tooth can be saved. If some of the tooth can be salvaged your dentist will usually recommend a crown or similar restoration.  If this is not possible, the tooth may need to be removed requiring and implant or bridge.

Vertical root fracture – This type of cracks begin in the root of the tooth and reach out to the outer layers. Vertical root fractures often go unnoticed as they display minimal symptoms and usually aren’t discovered until the surrounding bone or tissues become infected. Depending on the severity of the crack, treatment may involve extracting the tooth or saving a part of the tooth through removing the cracked root. If some of the tooth can be salvaged your dentist will usually recommend a crown or similar restoration.  If this is not possible, the tooth may need to be removed requiring and implant or bridge.


There are a number of steps you can take to decrease the risk of cracking your teeth. It’s important to avoid chewing on hard objects like ice or pens. Similarly if you clench or grind your teeth you should consult your dentist as this can often lead to cracks. To protect your teeth against wear from clenching or grinding a night guard can be made.  To protect your teeth from trauma while playing sports or other activity a sports guard may be recommended.

Rest assured the dental team at Drs. Lerner and Lemongello’s office is available to ensure your comfort and safety and are available to answer any of your concerns.  So whether it is for a dental check up, a simple tooth restoration, a smile makeover, dental implants, or complete mouth restorations our team is ready to help you achieve the smile you deserve and the dental heath you want.

Get the beautiful smile you have always dreamed of, make an appointment today! Contact Drs. Lerner and Lemongello for an appointment and information on all dental procedures at 561-627-9000.  Visit our website at and view our “Smile Gallery” for examples of some of South Florida’s most beautiful smiles.


 Drs. Lerner and Lemongello also proudly serve Stuart, Jupiter, Palm Beach, Boca Raton, Boynton Beach, Delray Beach

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Symptoms of a cracked tooth

Symptoms of a cracked tooth.  You may experience pain in the tooth when you bite or chew. However, it probably will not happen all the time. The tooth may be painful only when you eat certain foods or when you bite in a specific way. You will not feel a constant ache, as you would if you had a cavity or abscess, but the tooth may be more sensitive to cold temperatures. If the crack worsens, the tooth may become loose.  Many people with cracked tooth syndrome have symptoms for months, but it’s often difficult to diagnose because the symptoms are not consistent.  If you are experiencing these symptoms let either the doctor or hygienists know. Ultimately the need to restore the tooth with a crown or other restorative option may be necessary.

The Importance of a Night Guard for Bruxism

You cannot down play the importance of wearing a night guard if you are a person who grinds or clenches their teeth known as bruxism. We also recommend night guards on smile makeover patients to protect their investment in a new smile. Today we saw two different patients who were instructed to use their night guard to protect their teeth.  In one case the night guard was not being worn and the grinding habit was so profound that it was causing her front teeth to become loose.  Also, the trauma was so severe that it may have contributed to the need for a root canal on one of the front teeth.  In the other case the patient altered the night guard shape to make it fit better so she thought.  Unfortunately this created a misalignment in her bite.  Over time her teeth shifted to take on the new altered position created by the misshapen night guard.  This lead to having to replace existing crowns to re-align her bite and bring the teeth back into the correct position.  In our office our doctors stress the importance of wearing a night guard to help protect our patients from avoidable problems and keeping your teeth healthy.

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General Dentists | Palm Beach Gardens | South Florida