NY Endodontics & Implantology

What is an Apioectomy?

api-what?

There are times when root canal therapy simply isn’t enough to clean out all of the infected tissue. If this is the case, you may be in need of an apicoectomy. What’s that you may ask? Let me tell you!

An apicoectomy will only be considered after the patient has already undergone a root canal and does not have the option of retreatment. The procedure can also be referred to as endodontic microsurgery, because it is often performed under a microscope. The up close and personal approach allows for the endodontist to see the area more clearly and increases the chance of a successful procedure.

During standard root canal treatment, we clean the canals, which allows for blood and nerve vessels to travel to the pulp chamber, and we remove the infected tissue. Root canals can be very complicated, for there are many branches off of the main canal, and sometimes hard-to-reach, infected tissue can remain in these branches. This could possibly prevent healing or could cause the pulp to get infected again. This is why patients who need retreatment may be the perfect candidates for endodontic microsurgery, or an apicoectomy.

In an apicoectomy, the root tip and infected tissue are removed and a filling is placed over the root tip. Your endodontist will then place a few stitches in the gums to allow for healing. A few weeks after the procedure, your bone will heal around the root tip.

This is a safe and effective procedure and is only recommended when root canal retreatment is no longer an option. We want to do everything we can to preserve your natural tooth for as long as possible!

Please call us today to find out more about what endodontists do and get your tooth pain taken care of, once and for all! 212-838-2011

Getting to The Root of Your Tooth Pain

get to the root of your tooth pain

Has your dentist mentioned that you are in need of a root canal? Though this may sound alarming, root canals are a routine and fairly pain-less procedure. Millions of root canal treatments are performed each year. If your dentist has recommended a root canal treatment, you probably have a lot of questions. Below are a few frequently asked questions about the procedure to help you.

Root Canal FAQs:

What is a root canal?

A root canal, also called “endodontic treatment”, is used to remove infection from the roots of the tooth and relieve dental pain. It is a very important procedure because it allows us to save your natural teeth so that you can keep them longer! Natural teeth are far superior to anything that we can manufacturer.

Why do I need a root canal?

A root canal becomes necessary when the pulp inside of the tooth becomes inflamed or infected. This can occur for many different reasons including: tooth decay, gum disease, a cracked tooth or another form of trauma. Typical symptoms that you may experience when needing a root canal are: prolonged sensitivity to heat or cold, tooth pain and tenderness and possible tooth discoloration. In some cases, there may be no symptoms. Your dentist or endodontist will inform you if you need root canal therapy.

How is the procedure done?

A root canal is performed by removing the infected pulp from inside of the tooth. Once the infected pulp is removed, the inside of the tooth is disinfected and filled to seal the tooth. Once the tooth is sealed, a crown will be placed over the tooth to protect your newly restored tooth.

Will I need additional treatments?

After your root canal is performed, additional treatment is not typically needed. However, you will need to continue to practice good oral hygiene and schedule regular visits to your dentist to keep your natural tooth for life!

If you have tooth pain or have been told by your dentist that you may need endodontic therapy, please call our friendly team at212-838-2011.

5 of Reasons You Shouldn’t Wait For Your Dental Implant

the sooner the better

You need a dental implant, but you are reluctant to get started. We understand that there is some hesitation and life gets in the way. However, here are a list of reasons as to why you shouldn’t wait.

  1. Stop your remaining teeth from moving. Your teeth help keep everything in place. When you are missing a tooth, and have a gap, your teeth will start to shift to fill in that gap. That could cause not only uneven teeth, but teeth that are harder to clean and, in the end, that cost you more to fix.
  2. Save Your Jawbone. When you are missing a tooth, your jawbone slowing starts to deteriorate and shrink away. The roots of your teeth keep the jawbone stimulated to maintain the bone mass. The longer you are missing the tooth, the more the bone will disintegrate, making the implant process more difficult.
  3. The appearance of your face. Living without a tooth can eventually change how you look, especially if you suffer from bone deterioration. The longer you go, your skin could begin to make your cheeks sag, which will make you look older than you are.
  4. The way you speak. When you are missing a tooth, it could make it hard to annunciate words, making you sound like you have a lisp.
  5. Your overall self-esteem. Getting a dental implant will allow you to feel like your normal self. You won’t have to worry about how you look or how you sound. The implant looks and feels like a normal tooth. No one will know that you have an implant unless you tell them.

These are just a few reasons as to why you should wait to get your dental implant. If you are experiencing any hesitations or have further questions, contact our office. We are happy to ease your mind and get you on track to a beautiful smile. 212-838-2011

Knock Out

knock knockSituation: You just experienced a dental injury and one of your teeth got knocked out. Now what? Don’t worry – you are not alone. More than five million teeth get knocked out each year. The trick is to know what to do when it happens.

Here is a list we put together of all the things you should do when experiencing a dental emergency.

Call our office and say you are experiencing a dental emergency. The sooner you can get seen, the better. It is recommended to see a dental professional within 30 minutes of your injury if possible.

  1. Act quickly. To save your tooth, you must move quickly. The longer you take to see us, the harder it will be for us to save your tooth.
  2. Locate your tooth that was knocked out. Make sure when you find the tooth to grab it by crown and not the root. Handle with care!
  3. If it’s dirty, gently wash it with water. Don’t use soap or chemicals of any kind. Don’t scrub the tooth or wrap it in any material.
  4. Try to put the tooth back in its rightful place. This might sound strange, use your fingers to gently push the tooth slowly back into its socket. Hold it in place with your finger or gently bite down on the tooth.
  5. Keep the tooth moist at all times! If your tooth is staying in its socket, don’t mess with it. If it won’t stay, either keep it in the side of your cheek (don’t swallow it), or keep it in a glass of milk.
  6. Visit our office, bring your tooth and we will take care of the rest.

Experiencing a dental emergency can be scary. Try to keep these things in mind and remember to remain calm. We are here to help you – call us at New York Office Phone Number 212-838-2011.

What You Should Know About Dental Implants

If you are looking for an alternative to dentures and would like to replace your missing teeth, dental implants may be for you. Dental implants are a popular long-term method for restoring your smile. Many people decide to get dental implants after they have experienced loss of teeth due to variety of reasons. Dental implants give you back your freedom from missing teeth.

Who gets dental implants?

Those who are in overall good health and are looking for a long-term solution for their missing teeth are candidates for dental implants. This includes those who are tired of dentures and are looking for a more comfortable and convenient alternative.

What are the advantages of dental implants?

There are many advantages of getting dental implants, including:

  • Convenience: dental implants are a long-term option for replacing missing teeth. They have the added benefit of being a permanent fixture in your mouth unlike dentures that can be abrasive to the gums and can cause difficulty speaking.
  • Easier eating: you may have found that eating has become more difficult with missing teeth. A dental implant allows for more efficient chewing and will allow you to enjoy your favorite foods once again.
  • Improved appearance: Dental implants look and feel like real teeth. They can be designed with the same color and shape as your surrounding teeth, making them natural looking
  • Confidence: Dental implants can give you a youthful appearance and increased self-esteem. You may find yourself smiling more than ever with your new implants.

How do I care for my dental implant?

The great thing about dental implants is that they require the same care as real teeth. This means regular brushing, flossing and routine dental checkups. If taken care of properly, your new implant can last you a lifetime!

If you are interested in dental implants, contact NY Endodontics & Implantology at New York Office Phone Number 212-838-2011 to set up a dental implant consultation.

What to Expect After a Root Canal

root canal appointment in calendarA root canal is a procedure that saves a natural tooth that has become decayed or infected. Your endodontist will remove the tooth’s nerve and pulp (the tissue inside the teeth) and will clean and seal the tooth, therefore halting any more decay. Root canal procedures are often very effective in saving natural teeth.

Do I Need a Root Canal?

Without treatment, an infected tooth can worsen and may need removal, or sometimes can cause abscesses. Abscesses are pus-filled pockets that occur when the decay and bacteria has spread beyond the tooth’s roots. It’s important to address an infection before an abscess occurs!

Is a Root Canal Painful?

After a root canal procedure, some tenderness and soreness may occur in the area surrounding the infected tooth. It is normal to experience some pain and swelling, which typically goes down with time and proper care. Most people experience at least some discomfort post root canal procedure.

Root Canal: A Two Step Procedure

A root canal is a two-step procedure – a final crown needs to be placed over the tooth in order to seal it from any further infection or decay. While you are recovering from the initial visit, it is important to remember to take good care of the tooth before the crown visit, because the tooth is fragile and can easily break. Once the tooth crown is placed, the restored tooth can last as long as your natural teeth!

Preventing a Root Canal

Ways to prevent further root canals include: practicing good oral hygiene by properly brushing and flossing, seeing your dentist regularly for teeth cleanings and check-ups, and avoiding foods high in sugar, starch and acid – which contributes to increased tooth decay.

Beyond Root Canal Therapy: Other Treatments in Endodontics

a toothSurely you know what a root canal is. But have you ever heard of an “apicoectomy”? As endodontists, we are always trying to get to the root of the problem, but the methods vary sometimes from case to case. So move over for just a few minutes, root canal, while we give these other endodontic treatments a moment in the spotlight:

Apicoectomy:

A type of endodontic surgery, apicoectomy (pronounced “ape-icko-ectomy”) focuses on the “apex” (the tip), of the tooth root. The procedure is used when root canal treatment alone isn’t sufficient to adequately fix a diseased tooth. By accessing the tip of the root area through the gums, we are able to detect any hidden fractures or canals that are still causing tooth pain. We then remove the root apex and seal it to complete the procedure.

Endodontic Retreatment:

Endodontic retreatment refers to a second root canal treatment, when the first wasn’t adequate in fully removing the infection. It is not common to have to undergo retreatment, but it does happen. If pain persists in a tooth months or years after root canal treatment, it often means that there were hidden canals that need further treatment to fully resolve the infection and save the tooth.

Cracked Teeth:

Because a cracked tooth often means infection in the roots, endodontists are often the first to treat and assess a broken or cracked tooth. There are many different types of fractures in a tooth, from a full split down the middle to a cracked crown. Each requires quick professional action in order to save the tooth, which must be sealed (and in some cases the root pulp must be removed).

Pulpotomy:

Often referred to as a “baby root canal” because it is often the treatment of choice in children with severe decay, a pulpotomy typically removes just the diseased pulp (as opposed all of it) in hopes of leaving the healthy pulp sterilized and in tact for further use within the natural tooth.

Internal Bleaching:

Infected or dead teeth can often appear darker than healthy teeth. Because this type of discoloration is internal, it requires a different type of teeth whitening than what most patients are used to. With internal bleaching, we perform a root canal to remove infected pulp and then place a whitening material inside the tooth to dissolve the stained material.

Have you always wondered what endodontists do? Please browse our website or call us at New York Office Phone Number 212-838-2011 for more information.

When Should You Consider Dental Implants?

woman getting fit for dental implantsYou may have heard in the past that dental implants are one of the most effective ways to replace missing or damaged teeth. Dental implants are a great option for a lot of different situations, but when is getting a dental implant the best option for you? There are a few circumstances where receiving an implant might be the best option for improving your smile.

Dental implants typically consist of three components: the post, the abutment, and the restoration. The post is a screw which is inserted into the bone. The abutment is attached to the post and the restoration is placed on top, giving the finished product a beautiful, realistic look.

To restore and preserve your appearance.

One of the main functions of dental implants is to restore a smile back to its original glory. They are built to last a lifetime and last much longer than dental bridges. If you are looking for a permanent solution to damaged or missing teeth, dental implants are your best option.

To protect and preserve a healthy jawbone.

Missing spaces in your smile can lead your jawbone to deterioration, which causes it to lose its strength. Dental implants are the only option which will protect and save your natural bone. Waiting to get a dental implant can continue to increase the chances of your jawbone not being able to support dental implants in the future.

To stop your teeth from shifting.

Losing a tooth can cause the surrounding teeth to shift and look unnatural. These teeth can become crowded or can be shifted unevenly. This can cause your teeth to become harder to clean and can also cause your face to sag and appear sunken.

These are just a few of the instances in which you should consider getting dental implants. Dental implants are one of the most useful and successful restoration options available today. For more information on how we can restore your smile with dental implants, contact NY Endodontics & Implantology at New York Office Phone Number 212-838-2011 today.

4 Foods That Cause Dental Emergencies

tooth next to a first aid boxEvery day, we have patients visit our office for help with a dental emergency. A lot of these emergencies are caused by biting into foods that are too hard, resulting in a cracked tooth, loss of a filling or a broken dental crown.

To avoid a painful and inconvenient dental emergency, here are some foods you should avoid (or be extra cautions while eating):

Popcorn
As delicious as this buttery snack may be, it’s not as innocent as it seems. The husks can get wedged between your teeth or underneath your gums causing a popcorn abscess. Be sure to floss after you eat popcorn to avoid that from happening. However, the true culprits here are the kernels. If you grab a large handful of popcorn and don’t know that a kernel is hiding in the middle, all it takes is one chomp down and oops! there goes your tooth! The next time you eat popcorn, chew slowly to avoid those kernels and enjoy the fluffy buttery goodness that is on top.

Almonds
You might be surprised by this fact: As nutritious as almonds can be, they also cause a lot of chips, fractures and cracks in teeth. Instead of eating the almond whole, try slivered or sliced versions, which make them softer and easier to chew.

Carmel Candies
Yes, this delicious and chewy candy seems harmless with its soft exterior, but it can cause issues with your teeth. When you chew down, the candies wedge between your teeth and pull out any loose dental work/restorations that you have had. Other candies that have the same sticky qualities are starburst and taffy. They might be hard to resist, but doing so is key to avoiding dental emergencies.

Ice Cubes
You might find this strange but many people love to chew on an ice cube on a hot day. But before you put an ice cube in your month, imagine chewing on a rock, which would basically have the same effect as ice. Ice is hard on enamel, and can easily crack and break teeth.

These are just a few kitchen items that you should avoid if you want to save your teeth. Some foods may be more tempting than others, but at the end of the day, one little snack isn’t worth a busted tooth!

If you experience a dental emergency, call our office at New York Office Phone Number 212-838-2011 to schedule an appointment.

New Trends in Dental Implants

'dental implants'New Trends In Dental Implants

A trending topic right now seems to be the decision to opt for “mini-dental implants” instead of more traditional ones. Below we are going to take a look inside the trend, and lay out some of the benefits and drawbacks so that you can get a better understanding of this exciting trend in dentistry.

Benefits

  • Mini dental implants are usually less expensive than traditional ones, sometimes costing only 1/3 that of regular implants. They take less time to place and are smaller and less invasive, and can be used in small spaces or for those with inadequate bone mass.
  • With mini dentures, smaller dentures can be used, leading to a better tasting experience for the palate than a traditional denture would provide.
  • Mini implants can be placed with minimal recovery time, and usually require very little to no bone grafting.

Drawbacks

Because this is still a fairly new procedure, there are a few downsides. For one, there aren’t enough studies out there on the longevity of these implants, so we don’t know how they hold up over time. A study published in the International Journal of Implant Dentistry in 2016 revealed that traditional dental implant placement has a proven survival rate of 95% or greater. The analysis collected data from over 10,000 implants from 3,095 patients, across three separate private practices over the course of 20 years. For mini dental implants, there isn’t yet enough data to conclude a proper survival rate.

Another concern is that because this is such a new trend there is not as much information or regulation out there. Some practices with claims such as “Dentures-in-a-day” might not do a proper consultation, skipping important steps such as a 3D scan to make sure that you are a good candidate for the procedure.

While it may be some time before this method is perfected and adopted, it is also exciting to see the advancements changing people’s lives in the dental industry every day. Check in with NY Endodontics & Implantology to find out what tooth replacement options may be right for you!