Most first-time root canal treatments achieve their purpose in saving an internally decayed tooth and extending its life to match those of the patient’s non-decayed teeth. Occasionally, though, a root canal-treated tooth may become re-infected by decay.
There are a number of reasons for this: the permanent crown meant to add further protection against decay may have been delayed, giving bacteria an opening to re-infect the tooth; it’s also possible the original seal for the pulp chamber and root canals after filling wasn’t sufficient to prevent bacterial contamination.
There‘s also another reason that’s very difficult to foresee — the presence of narrow, curved root canals in the tooth that can pose complications during the procedure. Some of these known as accessory or lateral canals branch off the main canals to create a complex network that’s difficult to detect during the initial procedure. If they’re not cleaned out and filled during the procedure any tissue trapped in them can remain infected and ultimately die. If these canals also open into the periodontal membrane at the attachment between the teeth and bone, the infection can spread there and become a periodontal (gum) infection that can trigger future tooth loss.
Fortunately, a reoccurrence of infection isn’t necessarily a death sentence for a tooth. A second root canal treatment can correct any problems encountered after the first treatment, especially complications from accessory canals. It may, though, require the advanced skills of an endodontist, a dental specialist in root canal problems. Endodontists use microscopic equipment to detect these smaller accessory canals, and then employ specialized techniques to fill and seal them.
If you encounter pain or other signs of re-infection for a tooth previously treated with a root canal procedure, contact us as soon as possible. The sooner we can examine and diagnose the problem, the better your tooth’s chances of survival by undergoing a second root canal treatment.
If you would like more information on tooth preservation through root canal treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Accessory Canals.”
You want to look your best for that once-in-a-lifetime moment — like your wedding day. It can also take time and effort: many people spend months losing weight or trimming up at the gym. But while you’re getting the rest of your body ready for the big event, don’t forget your smile.
The best approach is to make a plan that addresses your smile’s shortcomings — a “smile makeover,” if you will. And the best place to begin is with us, your family dentist. We’re already familiar with your dental health status, so we can advise you on what’s possible and best for you.
We can also provide many of the services that enhance smile appearance. If your teeth are relatively healthy and attractive, a thorough dental cleaning or a whitening application can revive your smile’s brightness just in time for the big day. And for minor defects like a chipped tooth or discolored old fillings, we can bond the latest tooth-colored materials to those unsightly areas. And any of these procedures can be performed in one visit.
Installing porcelain veneers is an effective way to restore more moderate tooth defects. These thin outer coverings with life-like color, shape and texture can effectively hide mild to moderate chipping, discoloration or slight gaps between teeth. Teeth with more extensive damage can be completely covered with a crown made of similar life-like materials. Either of these solutions could match the shape and color of nearby teeth.
By planning well enough ahead, you may also benefit from more extensive cosmetic changes. Missing teeth always pose a challenge, but there are a number of viable options: fixed bridges using adjacent teeth; various denture solutions, including implant-supported removable overdentures; and the dental implant, the rising star for dental restorations that replaces both the root and crown with a durable, life-like tooth. There are also orthodontic solutions for misaligned teeth (at any age!) and surgical procedures for gums that help restore lost tissue or correct a “gummy” smile showing too much of the gums.
Whatever your needs, there’s a way to make your smile more attractive. It’ll be all the more reason to display it confidently on your special day.
If you would like more information on smile transformations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Planning Your Wedding Day Smile.”
Removing a problem tooth (extraction) is a common dental procedure. But not all extractions are alike — depending on the type of tooth, its location and extenuating circumstances, you may need an oral surgeon to perform it.
Fortunately, that's not always the case. Teeth with straight or cone-shaped roots, like an upper front tooth, have a fairly straight removal path. A general dentist first carefully manipulates the tooth loose from the periodontal ligament fibers that help hold it in place (experienced dentists, in fact, develop a “feel” for this process). Once it's loosened from the fibers it's a simple motion to remove the tooth.
But as mentioned before, a “simple extraction” won't work with every tooth or situation. To find out if it can we'll first need to determine the true shape of the tooth and roots, as well as the condition of the supporting bone. We might find any number of issues during this examination that make a simple extraction problematic.
For example, teeth with multiple roots (especially in back) may have complicated removal paths. If the roots themselves are unhealthy and brittle from previous injury or a root canal treatment, they can fracture into smaller pieces during removal. A tooth could also be impacted — it hasn't fully erupted but remains below the gum surface. It's these types of situations that require surgery to remove the tooth.
During a surgical extraction, the oral surgeon will first numb the area with a local anesthetic, as well as a sedative if you have issues with anxiety. They then perform a surgical procedure appropriate for the situation to remove the tooth. More than likely they'll insert bone grafts before closing the site with stitches to deter bone loss (a common occurrence after losing a tooth).
Afterward, your provider may prescribe antibiotics and an antibacterial mouthrinse to ward off infection. You'll also be given care instructions for the extraction site to keep it clean. Any discomfort should subside in a few days and can be managed effectively with a mild anti-inflammatory drug like ibuprofen or aspirin.
It can be overwhelming having a tooth removed. In your dentist's capable hands, however, the experience will be uneventful.
If you would like more information on tooth extraction, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Simple Tooth Extraction?”
Removing plaque, a bacterial film that builds up on teeth, daily is crucial in preventing dental disease, but is your brushing and flossing making enough of a difference?
Plaque forms every day in our mouths as a result of eating. The bacteria in it produce acid, which can erode tooth enamel and cause tooth decay. Certain strains can also infect the gums and cause periodontal (gum) disease. Either of these primary diseases could lead to tooth loss.
Daily plaque removal with brushing and flossing keeps bacteria growth under control, so a quick swish of your toothbrush across your teeth won't be enough. Plaque's soft, sticky consistency enables it to hide in hard to reach places below the gum line, irregular biting surfaces, or in fillings or other dental work.
Because it's virtually invisible, it's hard to tell if you've successfully removed it. That's where disclosing agents can help. These are solutions, swabs or tablets with a dye that temporarily stains plaque while not staining tooth surfaces. Dental hygienists use them to show patients where they're missing plaque when brushing and flossing, but you can also use them at home to see how you're doing between dental visits.
After brushing and flossing, use the disclosure product according to the package directions. If you're using a solution, for example, swish it around in your mouth for about thirty seconds and then spit it out. The dye reacts with leftover plaque to stain it a bright color. Some products even offer a two-tone dye that displays older plaque in a different color from newer plaque.
After noticing the dyed plaque in a mirror, brush and floss until you don't see it anymore. You may have to change your approach, which will help you perform better in the future. Although safe in the mouth, you should still avoid swallowing the agent or getting it on your clothes. Any on your lips, gums or tongue will eventually wear off in a few hours.
A disclosing agent gives you a snapshot of where you need to improve your oral hygiene. Occasional “spot checks” will help keep your brushing and flossing well tuned.
Are you ready to revamp your smile in the New Year? If so, we can help!
We only have one chance to make a great first impression in both our professional and personal lives and having a great smile can go a long way to giving the very best first impression that you possibly can. That’s why so many people believe that putting money into having the perfect smile is the best investment. Our Briarcliff Manor, NY cosmetic dentist, Dr. Michael Teitelbaum, offers these amazing ways to get the picture-perfect smile that will stand the test of time.
Cosmetic dentistry is the easiest way to improve the appearance of your smile, whether it’s your teeth, gums or bite. Through a variety of different procedures we can reshape, contour, improve the color or size of your teeth and even change the alignment of your smile. Some of the treatments we offer make subtler and minor adjustments while other options are great for those looking to make drastic changes to their appearance.
Common cosmetic dentistry options in Briarcliff Manor include:
- Teeth whitening: Get teeth several shades whiter in just one chairside whitening treatment. Tackle stubborn deep-set stains that at-home whitening products just can’t touch.
- Dental contouring and bonding: Buff out small chips, cracks and unevenness with a painless procedure known as contouring. By removing trace amounts of enamel we can make small changes to your teeth. During bonding, we can apply a tooth-colored resin over small imperfections to hide them.
- Porcelain veneers: If you have more serious flaws and are looking to get a straighter, whiter and more even smile then getting dental veneers may be your best option. These thin tooth-colored shells are adhered to the front of your teeth to mask problem areas and to give you a more beautiful smile.
- Dental implants: Tooth loss doesn’t have to ruin your smile’s appearance. These restorations are embedded into the jawbone and naturally fuse together with bone to replace tooth roots. From there this permanent foundation can now support a dental crown or other restoration.
Cosmetic dentistry can give your smile the boost it needs to look younger and healthier. It can also improve your confidence levels (and we all know that smiling more comes with so many wonderful health benefits). Just imagine feeling confident in your smile to flash it during your next big job interview or special occasion. Feels pretty great, doesn’t it?
If you are ready to get cosmetic dentistry in Briarcliff Manor, NY then it’s time you picked up the phone to schedule your consultation. Briarcliff Center for Esthetic Dentistry is here to give you the beautiful smile you’ve been dreaming of.
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