Posts for category: Dental Procedures
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?”
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.
The old stereotype with the words “pain” and “dental work” in the same sentence is no more. Using local or general anesthesia (or a combination of both) we can completely eliminate the vast majority of discomfort during dental procedures.
But how do you manage pain in the days after a procedure while your mouth is healing? The news is good here as well — most discomfort after dental work can be easily managed with a family of medications known as non-steroidal anti-inflammatory drugs (NSAIDs). In most cases, you won't even need prescription strength.
You're probably already familiar with aspirin, ibuprofen and similar pain relievers for the occasional headache or muscle pain. These types of drugs work by blocking prostaglandins, which are released by injured tissues and cause inflammation. By reducing the inflammation, you also relieve pain.
Most healthcare providers prefer NSAIDs over steroids or opiates (like morphine), and only prescribe the latter when absolutely necessary. Unlike opiates in particular, NSAIDs won't impair consciousness and they're not habit-forming. And as a milder pain reliever, they have less impact on the body overall.
That doesn't mean, however, you don't have to be careful with them. These drugs have a tendency to thin blood and reduce its clotting ability (low-dose aspirin, in fact, is often used as a mild blood thinner for cardiovascular patients). Their use can contribute to bleeding that's difficult to stop. Excessive use of ibuprofen can also damage the kidneys.
That's why it's necessary to control the dosage and avoid long-term use of NSAIDs, unless advised by a physician. Most adults shouldn't take more than 2,400 milligrams a day of a NSAID and only during the few days of recuperation. There's no need to overdo it: a single 400-milligram dose of ibuprofen is safe and sufficient to control moderate to severe post-procedural pain for about five hours.
Our aim is to help you manage any pain after a procedure with the least amount of pain reliever strength necessary. That will ensure you'll navigate the short discomfort period after dental work safely and effectively.
If you would like more information on pain management after dental care, 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 “Treating Pain with Ibuprofen.”
Dentures in one form or another have been around for centuries. Although dental implants have earned a well-deserved prominence of late, the denture still remains a viable tooth replacement option.
What's more, dentures aren't reserved for total tooth loss only. Even if you've lost just a few of your teeth, we can fit you with a removable partial denture (RPD). Although mainly considered a temporary solution for missing teeth, some people depend on an RPD for many years due to finances or other issues.
The traditional RPD consists of a rigid acrylic plastic base that resembles gum tissue supported by a metal framework, with prosthetic (false) teeth precisely placed to fill the space of the missing teeth. They're held in place with metal clasps that extend from the metal framework to fit over the remaining natural teeth.
Although they're an effective restoration, traditional RPDs have a few drawbacks. Some people find them uncomfortable to wear or have an allergy to the acrylic plastic. They also have a propensity to stain from beverages like tea, coffee or wine.
But there's a more recent version called a flexible RPD that addresses these and other concerns. It's made of a pliable nylon that's durable, yet comfortable to wear. Rather than metal clasps, they're secured in place with thin, finger-like nylon extensions that fit into the small, natural depressions in the crowns of the teeth around the gum line.
Flexible RPDs are also highly adaptable to appear life-like in many situations. We can fashion the nylon base to cover areas around natural teeth where the gums may have receded due to gum disease.
They do, however, have a few downsides. Unlike traditional dentures, they're difficult to reline or repair. Like any oral appliance, they can suffer from wear and neglect, so you must properly clean and maintain them. And, like any RPD their best role is as a temporary bridge rather than a permanent restoration.
In the meantime, though, you can count on a flexible RPD to restore your ability to eat and speak proficiently, as well as smile with confidence. It's a great affordable way to address a few missing teeth.
If you would like more information on dentures as a restoration option, 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 “Flexible Partial Dentures.”
Whitening can transform the dullest teeth into a dazzling smile fit for a Hollywood star. But before you undergo a whitening procedure, you might have a few questions about it. Here are the answers to a few of the most common.
How white can I go? In an office application we can adjust the solution and application time to control the level of shade (dark or light) from subtle to dazzlingly bright. The real question, though, is how much color change will look best for you? A good rule of thumb is to match the shade in the whites of your eyes.
Whitening will improve poor dental conditions…right? Not necessarily. Besides foods, beverages or poor hygiene, decay, abscesses or problems from root canal treatments can also cause discoloration. In some dental situations, whitening could make your smile less attractive. If, for example, you have exposed roots due to gum recession, those areas won't bleach like the enamel and could make their exposure stand out more. Better to try and repair these problems before whitening.
What effect will teeth whitening have on my dental work? None â??composite or ceramic materials won't lighten. The real concern is with creating a situation where whitened natural teeth don't match the color of dental work. Depending on the location of your veneers, crowns or other bridgework you could have a color mismatch that will look unattractive. We would therefore need to take your dental work into consideration and adjust the shading accordingly.
Will teeth whitening work on any stained teeth? That depends on the cause of the staining. If it's on the enamel, then external bleaching techniques should work. If, however, the discoloration comes from inside the tooth, then only a dental procedure that applies a bleaching agent inside the tooth can alleviate that kind of discoloration.
So after whitening, I'm good to go? Well, not permanently. Eventually the brightness will diminish or fade, usually in six months to two years. You can, of course, prolong the fade rate by not using tobacco, cutting back on staining beverages like red wine, tea and coffee, practicing daily oral hygiene and visiting us for regular office cleanings and other dental work. We can also touch up your existing whitening during your visits.
If you would like more information on teeth whitening, 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 “Important Teeth Whitening Questions…Answered!”