Posts for category: Dental Procedures

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
June 21, 2020
Category: Dental Procedures
HerestheScooponYourUpcomingRootCanal

You might be a bit apprehensive if your dentist recommends a root canal treatment, especially if it's your first. That's understandable: Popular culture has portrayed the root canal as an unpleasant experience.

But as a routine dental procedure, root canal treatments have been responsible for saving millions of decayed teeth. And, with local anesthesia, the procedure is painless. In fact, a root canal treatment stops pain that often results from advanced tooth decay.

So, let's take the mystery out of the root canal. Here's the 411 on this vital but often misunderstood dental procedure.

Why the name “root canal”? The terms for the procedure—root canal therapy, root canal treatment or simply “root canal”—arise from one of the principal parts of the tooth involved, root canals. These are tiny passageways that lead from the tooth's innermost layer, the pulp, to the tooth roots. While treatment often focuses on decay or diseased tissue within the pulp, the root canals can be infected too and must be included in the later filling process.

Who can perform a root canal? All general dentists are trained in basic root canal procedures. Depending on your tooth's condition, your family dentist may be able to perform it. But if your tooth has an intricate root canal network or some other complication, you may need an endodontist, a specialist in interior tooth and root treatments. Endodontists can perform advanced root canal techniques and have the specialized equipment to handle intricate cases.

What happens during a root canal? Although details may vary depending on the type of tooth and extent of decay, there's a basic process for all root canal procedures. After numbing the tooth and surrounding tissues, the dentist drills into the tooth to access the inner pulp chamber and root canals, then removes the diseased tissue and disinfects the empty chamber and canals. After preparing the canals, the dentist then fills the empty spaces. This, and subsequent sealing and crowning, protects the tooth from future decay.

After the procedure you may have some minor soreness for a few days, which is usually manageable with mild pain relievers like ibuprofen or acetaminophen. This discomfort will diminish with time, and your tooth will have a new lease on life.

If you would like more information on 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 “Root Canal Treatment.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
June 11, 2020
Category: Dental Procedures
WhetherBeforeorAfterYourWeddingDayItsAlwaysaGoodTimetoEnhanceYourSmile

Like thousands of other June brides and grooms, your big lifetime moment has finally arrived: your wedding day! It's been a flurry of activity over the last few months to prepare for it, especially with efforts to look your absolute best. And you remembered everything—including your smile, right?

If you did, kudos to you. Your smile is an important part of your unique personality and thus merits its own special attention. If, however, in all the hustle and bustle you weren't able to give it the attention it deserves before the wedding, don't fret. When it comes to your smile, it's never too late to make it the best it can be.

Depending on your dental situation, here are four ways to achieve a more confident and attractive smile.

Teeth Whitening. Yellowed and dull teeth can dim the beauty of your smile. While daily brushing and flossing helps, you can further improve your teeth's brightness with professional teeth whitening. Our bleaching techniques can give you the shade you desire, from naturally subdued to Hollywood dazzling. And with proper maintenance and touch-ups, your brighter smile could last for years.

Veneers. Dental imperfections like chips, heavy staining or slight tooth gaps can detract from an otherwise perfect smile. We can mask those imperfections with veneers, thin layers of porcelain custom-created to match your teeth. Although less expensive and less invasive than some other cosmetic procedures, veneers can have a transformative impact on your appearance.

Restorations. Sometimes a smile may suffer from severely distressed or missing teeth. Depending on what you need, we can restore your teeth—and your smile—with crowns, bridges or dental implants. The third option is the closest we can come to a real tooth, replacing both a missing tooth's crown and root. With an implant, you can have a new tooth that looks and functions like the real thing.

Orthodontics. Properly aligned teeth make for a beautiful smile. If yours aren't as straight as you'd like them to be, consider orthodontics, the original “smile makeover.” Moving teeth where they ought to be improves dental health and function, and can dramatically improve the appearance of a smile. Even if you're well past your teen years, you haven't missed out: As long as you're reasonably healthy, you can gain a straighter smile at any age. However, this improvement needs more time and planning—so don't wait if that's what you want to do!

If you still have time before the wedding, a dental cleaning and polish can do wonders for your smile (and your dental health too). But even if you aren't able to fit in an appointment before the big day, you can still pursue a cleaning or cosmetic procedure after the honeymoon. Any time is the right time to change your smile for the better.

If you would like more information about enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Cosmetic Dentistry” and “Planning Your Wedding Day Smile.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
June 01, 2020
Category: Dental Procedures
DakotaJohnsonandHerMissingToothGapSparksOnlineDebate

Celebrities’ controversial actions and opinions frequently spark fiery debates on social media. But actress Dakota Johnson lit a match to online platforms in a seemingly innocent way—through orthodontics.

This summer she appeared at the premier of her film The Peanut Butter Falcon missing the trademark gap between her front teeth. Interestingly, it happened a little differently than you might think: Her orthodontist removed a permanent retainer attached to the back of her teeth, and the gap closed on its own.

Tooth gaps are otherwise routinely closed with braces or other forms of orthodontics. But, as the back and forth that ensued over Johnson’s new look shows, a number of people don’t think that’s a good idea: It’s not just a gap—it’s your gap, a part of your own uniqueness.

Someone who might be sympathetic to that viewpoint is Michael Strahan, a host on Good Morning America. Right after the former football star began his NFL career, he strongly considered closing the noticeable gap between his two front teeth. In the end, though, he opted to keep it, deciding it was a defining part of his appearance.

But consider another point of view: If it truly is your gap (or whatever other quirky smile “defect” you may have), you can do whatever you want with it—it really is your choice. And, on that score, you have options.

You can have a significant gap closed with orthodontics or, if it’s only a slight gap or other defect, you can improve your appearance with the help of porcelain veneers or crowns. You can also preserve a perceived flaw even while undergoing cosmetic enhancements or restorations. Implant-supported replacement teeth, for example, can be fashioned to retain unique features of your former smile like a tooth gap.

If you’re considering a “smile makeover,” we’ll blend your expectations and desires into the design plans for your future smile. In the case of something unique like a tooth gap, we’ll work closely with dental technicians to create restorations that either include or exclude the gap or other characteristics as you wish.

Regardless of the debate raging on social media, the final arbiter of what a smile should look like is the person wearing it. Our goal is to make sure your new smile reflects the real you.

If you would like more information about cosmetically enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Space Between Front Teeth” and “The Impact of a Smile Makeover.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
April 12, 2020
Category: Dental Procedures
ARetainerHelpsyouKeepYourNewSmileaftertheBracesComeOff

It’s a big moment after months of wearing braces to finally get a glimpse of your new smile. The crooked teeth and poor bite are gone — and in their place are beautiful, straight teeth!

If you’re not careful, though, your new look might not last. That’s because the natural mechanism we used to straighten your teeth may try to return them to their previous poor positions.

Contrary to what many people think, teeth aren’t rigidly set within the jaw bone. Instead, an elastic, fibrous tissue known as the periodontal ligament lies between the teeth and the bone and attaches to both with tiny fibers. Though quite secure, the attachment allows the teeth to move in very minute increments in response to growth or other changes in the mouth.

Orthodontic appliances like braces or clear aligners put pressure on the teeth in the direction we wish them to move. The bone dissolves on the side of the teeth where pressure is being applied or facing the direction of movement and then builds up on the other side where tension is occurring.

The ligament, though, has a kind of “muscle memory” for the teeth’s original position. Unless it’s prevented, this “memory” will pull the teeth back to where they used to be. All the time and effort involved with wearing braces will be lost.

That’s why it’s important for you to wear an appliance called a retainer after your braces have been removed. As the name implies, the appliance “retains” the teeth in their new position until it’s more permanently set. For most people, this means wearing it for twenty-four hours in the beginning, then later only a few hours a day or while you sleep.

The majority of younger patients eventually won’t need to wear a retainer once bone and facial growth has solidified their teeth’s new position. Older adults, though, may need to wear one from now on. Even so, it’s a relatively slight inconvenience to protect that beautiful, hard-won smile.

If you would like more information on retainers, 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 “The Importance of Orthodontic Retainers.”

By Dr David Kahn, DMD & Dr John Pergolizzi, DMD
April 02, 2020
Category: Dental Procedures
Tags: tmj disorders   jaw pain  
ThinkTwiceBeforeConsideringBotoxforChronicJawPainRelief

Chronic jaw pain can be an unnerving experience that drains the joy out of life. And because of the difficulty in controlling it patients desperate for relief may tread into less-tested treatment waters.

Temporomandibular disorders (TMDs) are a group of conditions affecting the joints connecting the lower jaw to the skull and their associated muscles and tendons. The exact causes are difficult to pinpoint, but stress, hormones or teeth grinding habits all seem to be critical factors for TMD.

The most common way to treat TMD is with therapies used for other joint-related problems, like exercise, thermal (hot and cold) applications, physical therapy or medication. Patients can also make diet changes to ease jaw function or, if appropriate, wear a night guard to reduce teeth grinding.

These conservative, non-invasive therapies seem to provide the widest relief for the most people. But this approach may have limited success with some patients, causing them to consider a more radical treatment path like jaw surgery. Unfortunately, surgical results haven't been as impressive as the traditional approach.

In recent years, another treatment candidate has emerged outside of traditional physical therapy, but also not as invasive as surgery: Botox injections. Botox is a drug containing botulinum toxin type A, which can cause muscle paralysis. Mostly used in tiny doses to cosmetically soften wrinkles, Botox injections have been proposed to paralyze certain jaw muscles to ease TMD symptoms.

Although this sounds like a plausible approach, Botox injections have some issues that should give prospective patients pause. First, Botox can only relieve symptoms temporarily, requiring repeated injections with increasingly stronger doses. Injection sites can become painful, bruised or swollen, and patients can suffer headaches. At worst, muscles that are repeatedly paralyzed may atrophy, causing among other things facial deformity.

The most troubling issue, though, is a lack of strong evidence (outside of a few anecdotal accounts) that Botox injections can effectively relieve TMD symptoms. As such, the federal Food and Drug Administration (FDA) has yet to approve its use for TMD treatment.

The treatment route most promising for managing TMD remains traditional physical and drug therapies, coupled with diet and lifestyle changes. It can be a long process of trial and error, but your chances for true jaw pain relief are most likely down this well-attested road.

If you would like more information on treating jaw disorders, 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 “Botox Treatment for TMJ Pain.”



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To contact us, please call our office at (973) 835-3900.

Dr David Kahn, DMD & Dr John Pergolizzi, DMD

(973) 835-3900
Dentist in Ringwood, NJ
Dr. David Kahn, DMD & Dr. John Pergolizzi, DMD
10 Greenwood Lake Tpke
Ringwood, NJ 07456
(973) 835-3900
(973) 835-4631 Fax

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