Toby J Feldman DDS

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Oral & Maxillofacial Surgery, Dental Clinics, Dentists

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63 Years

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(781) 648-3400Visit WebsiteMap & Directions251 Massachusetts AveArlington, MA 02474 Write a Review

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Dentists.

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AKA

Feldman, Toby J, DDS

Commonwealth Oral Surgical

Feldman, Toby J, Dds - Commonwealth Oral Surgical

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http://www.comsa.tv

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Oral & Maxillofacial Surgery, Dental Clinics, Dentists, Endodontists, Implant Dentistry, Orthodontists, Physicians & Surgeons, Oral Surgery, Prosthodontists & Denture Centers

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Parking: Street

Services: Dentists

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Phone: (781) 648-3400

Address: 251 Massachusetts Ave, Arlington, MA 02474

Website: http://www.comsa.tv

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Toby J Feldman DDS

Dental Examination
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. A pre-operative consultation and oral examination is necessary for patients with a complex medical history and for patients requiring I.V. anesthesia.
X-rays

Teeth Cleaning

Fillings
Crowns
A single prosthesis (crown) is used to replace one missing tooth – each prosthetic tooth attaches to its own implant. A partial prosthesis (fixed bridge) can replace two or more teeth and may require only two or three implants. A complete dental prosthesis (fixed bridge) replaces all the teeth in your upper or lower jaw. The number of implants varies depending upon which type of complete prosthesis (removable or fixed) is recommended. A removable prosthesis (over denture) attaches to a bar or ball in socket attachments, whereas a fixed prosthesis is permanent and removable only by the dentist.
Bridges
The older the patient, the more likely an impacted eyetooth will not erupt by nature’s forces alone even if the space is available for the tooth to fit in the dental arch. The American Association of Orthodontists recommends that a panorex screening x-ray, along with a dental examination, be performed on all dental patients at around the age of seven years to count the teeth and determine if there are problems with eruption of the adult teeth. It is important to determine whether all the adult teeth are present or are some adult teeth missing. Are there extra teeth present or unusual growths that are blocking the eruption of the eyetooth? Is there extreme crowding or too little space available causing an eruption problem with the eyetooth? This exam is usually performed by your general dentist or hygienist who will refer you to an orthodontist if a problem is identified. Treating such a problem may involve an orthodontist placing braces to open spaces to allow for proper eruption of the adult teeth. Treatment may also require referral to an oral surgeon for extraction of over-retained baby teeth and/or selected adult teeth that are blocking the eruption of the all-important eyeteeth. The oral surgeon will also need to remove any extra teeth (supernumerary teeth) or growths that are blocking eruption of any of the adult teeth. If the eruption path is cleared and the space is opened up by age 11-12, there is a good chance the impacted eyetooth will erupt with nature’s help alone. If the eyetooth is allowed to develop too much (age 13-14), the impacted eyetooth will not erupt by itself even with the space cleared for its eruption. If the patient is too old (over 40), there is a much higher chance the tooth will be fused in position. In these cases the tooth will not budge despite all the efforts of the orthodontist and oral surgeon to erupt it into place. Sadly, the only option at this point is to extract the impacted tooth and consider an alternate treatment to replace it in the dental arch (crown on a dental implant or a fixed bridge).
Dental Bonding
Restorative Dentistry
These jaw defects can create major problems in performing restorative dentistry whether your treatment involves dental implants, bridges or dentures. Jaw deformities from tooth removal can be prevented and repaired by a procedure called socket preservation. Socket preservation can greatly improve your smile’s appearance and increase your chances for successful dental implants for years to come.

Root Canal Treatment
Isolated injuries to teeth are quite common and may require the expertise of various dental specialists. Oral surgeons usually are involved in treating fractures in the supporting bone or in replanting teeth that have been displaced or knocked out. These types of injuries are treated by one of a number of forms of splinting (stabilizing by wiring or bonding teeth together). If a tooth is knocked out, it should be placed in salt water or milk. The sooner the tooth is re-inserted into the dental socket, the better chance it will survive. Therefore, the patient should see a dentist or oral surgeon as soon as possible. Never attempt to wipe the tooth off, since remnants of the ligament that hold the tooth in the jaw are attached and are vital to the success of replanting the tooth. Other dental specialists may be called upon such as endodontists, who may be asked to perform root canal therapy, and/or restorative dentists who may need to repair or rebuild fractured teeth. In the event that injured teeth cannot be saved or repaired, dental implants are often now utilized as replacements for missing teeth.

Dentures
Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Dental Implants
Our Doctors offer services including dental implants, wisdom teeth removal, extractions, oral pathology and evaluation of orthgonathic (jaw) surgery. Our Doctors include...

Oral and Maxillofacial Surgery

Oral Surgery
Our online videos are presented in order to help you understand more about the oral surgery procedures we perform. Please choose a specific video of your interest.
Jaw Surgery
American Association of Oral & Maxillofacial Surgeons - find information about oral and maxillofacial surgery including cancer, dental implants, sports safety, jaw surgery, and more.
Pre-prosthetic Surgery
Gum Surgery
Shortly after surgery (1-14 days) the patient will return to the orthodontist. A rubber band will be attached to the chain to put a light eruptive pulling force on the impacted tooth. This will begin the process of moving the tooth into its proper place in the dental arch. This is a carefully controlled, slow process that may take up to a full year to complete. Remember, the goal is to erupt the impacted tooth and not to extract it! Once the tooth is moved into the arch in its final position, the gum around it will be evaluated to make sure it is sufficiently strong and healthy to last for a lifetime of chewing and tooth brushing. In some circumstances, especially those where the tooth had to be moved a long distance, there may be some minor “gum surgery” required to add bulk to the gum tissue over the relocated tooth so it remains healthy during normal function. Your dentist or orthodontist will explain this situation to you if it applies to your specific situation.
Maxillofacial Surgery
Dr. Jingyi He attended Sun Yat-Sen University of Medical Science in China as a Medical Doctor candidate from 1999 to 2001. She transferred to Brandeis University where she received her Bachelor of Sciences degree in Biology in 2004. She received her Doctor of Dental Medicine degree from Harvard School of Dental Medicine in 2008 and completed her General Practice Residency at Brigham and Women's Hospital in 2009. Dr. He finished her residency training in Oral and Maxillofacial Surgery at Boston Medical Center. During her residency, Dr. He joined an expedition to Colombia with Healing the Children to repair cleft lips and palates of underserved children.
Tooth Extractions
After tooth extraction, it's important for a blood clot to form to stop the bleeding and begin the healing process. That's why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.
Ridge Augmentation
A ridge augmentation procedure is typically performed in the office under local anesthesia. Some patients may also request sedative medication in addition.
Bone Grafting
The following are the most common causes for jawbone deterioration and loss that may require a bone grafting procedure...

Braces
In cases where the eyeteeth will not erupt spontaneously, the orthodontist and oral surgeon work together to get these unerupted eyeteeth to erupt. Each case must be evaluated on an individual basis but treatment will usually involve a combined effort between the orthodontist and the oral surgeon. The most common scenario will call for the orthodontist to place braces on the teeth (at least the upper arch). A space will be opened to provide room for the impacted tooth to be moved into its proper position in the dental arch. If the baby eyetooth has not fallen out already, it is usually left in place until the space for the adult eyetooth is ready. Once the space is ready, the orthodontist will refer the patient to the oral surgeon to have the impacted eyetooth exposed and bracketed.

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