Monthly Archives

August 2018

Apicoectomy Blog


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An Apicoectomy (a Microsurgical Procedure) is performed when tissues of the gum or mouth remain infected after a root canal. In such cases, the root tip (or the apex), needs to be removed as well as the surrounding infected tissue.

The Apicoectomy procedure must be performed by an oral surgeon, an endodontist who uses a special endodontic operating microscope (in addition to other microsurgical equipment).

New York City Endodontics has the cutting edge technology and the expertise gained from decades of experience to perform successful Apicoectomy procedures in New York City.

More on Endodontic Surgery

Endodontic (Greek for “inside the tooth”) treatment (often simply referred to as root canal surgery) is generally performed in cases where infection has occurred within the pulp cavity of the tooth.

Your tooth is made up of Enamel, Dentin, and Pulp — that’s 3 layers that all need protection and care. If an infection penetrates into the root canal (which many times happens in conjunction with tooth decay), a root canal surgery will likely need to be performed to carefully clean out of infection. Then the tooth is sealed and, often, a crown will be placed over that to strengthen the tooth underneath.

What Happens When the Root Canal is Not Enough?

Endodontic microsurgery just might be the best option when a tooth continues to experience or exhibit the qualities of recurring infection. Although the root canal procedure has an extremely high success rate, inflammation or infection can still persist.

Root-end resection (or Apicoectomy) is an effective treatment option which involves a small incision near the gum line. The gum tissue is shifted temporarily as a way to better gain access to inflamed or infected regions.

Next, the root tip is removed, then cleaned (we use a high tech ultrasonic instrument). A root-end filling is then placed as a way to seal the actual canal. We finish up the Apicoectomy by placing a few stitches to facilitate and quicken the healing process.

Apicoectomy Specialist in New York City

If you’d like to learn more about the Apicoectomy procedure, contact New York City Endodontics today. Together, we’ll discuss your treatment options with you and help you decide the best course of treatment for you. From the moment of your initial consultation and beyond, we’ll help you make the best choices and implement the best practices that will help you enjoy a healthy smile for the long haul.

Teeth Extractions Blog

Teeth Extractions

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Many of us might experience a wisdom tooth extraction, but some of us might be wondering what happens when a normal tooth needs to be removed (also called a tooth extraction).

For those of us who have a tooth which might be broken or even damaged by tooth decay, tooth extraction may be the only option. Of course, your dentist will always try to fix whatever problems arise by being conservative with natural tooth and gum structures. In many cases that might mean treating a tooth with a filling, perhaps a crown, or some other type of conservative treatment.

However, sometimes tooth loss and tooth extraction is inevitable. Sometimes there’s simply too much damage that has occurred and the tooth can no longer be repaired. In such cases, the tooth will require extraction if it is rendered unable to be saved.

Most Common Reasons for Tooth Extraction

Tooth extraction most often comes as a result of tooth decay, injury or emergency, or sometimes when a person has extra teeth that impede other teeth from coming in. Baby teeth might not always fall out in time for the arrival of the adult teeth, for instance.

Patients who opt for braces might need to have teeth extracted as teeth rearrange in the mouth to create a healthier, more symmetrical bite (and appearance).

Sometimes tooth extraction occurs due to other issues, for instance if teeth have become infected after an organ transplant operation due to the high risk of infection and lowered immune system that comes as a result.

Types of Tooth Extractions

If a tooth extraction procedure is deemed necessary, then it will fall under one of 2 types of extraction procedures.

There’s the simple extraction, which is performed on visible teeth that have already grown into place. This is a simple procedure that even general dentists can do — hence the name. The dentist will loosen the tooth with a specialized instrument (in this case called an elevator). The the dentist then uses forceps for tooth removal.

The other kind is called a surgical extraction, which is obviously going to be the more complex procedure. This method will be used when the tooth has been broken at the gum line or when the tooth has not yet fully erupted. Surgical extractions need to be performed by oral surgeons, endodontists like New York City Endodontics. During this procedure the dentist will make a small incision into the gum. Sometimes bone will need to be removed to facilitate the process, and sometimes the tooth will need to be cut into sections for easier removal.

Tooth Extraction Specialist in Queens, New York

If you have any additional questions about the tooth extraction procedure, contact New York City Endodontics today. We’ll go over all of the details during your initial consultation. Together, we’ll set you on the path to oral health wellness.

Wisdom Teeth Removal Blog

Wisdom Teeth Removal

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Wisdom tooth removal (also called wisdom tooth extraction) is the most common reason you’ll run into the endodontist, especially for patients who encounter an endodontist at a younger age.

While it is considered a surgical procedure, wisdom tooth extraction is commonplace and is done for the sake of making room so teeth don’t crowd via removing one (or more — in some cases 4!) wisdom teeth.

Your wisdom teeth are the 4 permanent (and adult) teeth that are located in the back corners of the mouth (both on the top and bottom rows).

What Happens When Your Teeth Have no Room to Grow?

If your wisdom tooth lacks a certain amount of afforded room to grow, an impacted wisdom tooth becomes the result, which puts a patient in unnecessary pain. The condition can even cause infection — not to mention additional dental problems. When this is the case, you’re likely to need a wisdom tooth removal procedure.

Wisdom teeth may be removed when they’re impacted or also in order to prevent future problems.

The good news is that a wisdom tooth extraction can be done by either a dentist or an oral surgeon like New York City Endodontics.

The Wisdom Tooth Removal Procedure at a Glance

After your initial consultation, and after you and your oral health specialist or endodontist decide the best course of treatment, the procedure itself will consist of the following:

  • An incision in the gum will be made to expose tooth and bone
  • Bone which blocks tooth root access is removed
  • In certain cases, the tooth is divided into sections for easier removal

Once your tooth has been removed, we’ll clean the site of the removal and clear away any remaining debris from the tooth or bone to avoid infection. Stitches are generally required to close the wound and promote healing — although taking this measure isn’t always necessary.

We’ll also give you all the wisdom teeth removal aftercare you need, whether you have 1 or all 4 wisdom teeth removed.

After Your Wisdom Tooth Removal

We’re sure you’ve heard your fair share of horror stories, but we always aim to create a comfortable experience for our patients at New York City Endodontics.

Swelling and bruising may occur, but cheeks usually improve in just 2-3 days. Bruising can take longer to resolve. We recommend that you plan to relax the remainder of the day after surgery. Avoid strenuous activity for a week. Avoid hard, hot, spicy foods and avoid tobacco use for at least 72 hours after surgery — stay away from chewing tobacco for a week or longer for good measure.

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