My Blog
By Upper East Smiles
January 13, 2021
Category: Dental Procedures
HowAFVsAlfonsoRibeiroSavedHisTooth

Remembered fondly by fans as the wacky but loveable Carlton on The Fresh Prince of Bel-Air, Alfonso Ribeiro is currently in his fifth year hosting America's Funniest Videos. It's the perfect gig for the 48-year-old actor, who loves to laugh and make others laugh as well. This is quite the opposite experience from one he had a few years ago that he remembers all too well: a severely decayed tooth.

After seeing his dentist for an intense toothache, Ribeiro learned he had advanced tooth decay and would need root canal treatment. Ribeiro wasn't thrilled by the news. Like many of us, he thought the procedure would be unpleasant. But he found afterward that not only was the root canal painless, his toothache had vanished.

More importantly, the root canal treatment saved his tooth, as it has for millions of others over the last century. If you're facing a situation similar to Alfonso Ribeiro's, here's a quick look at the procedure that could rescue your endangered tooth.

Getting ready. In preparation for root canal therapy, the tooth and surrounding gums are numbed, often first with a swab of local anesthesia to deaden the surface area in preparation for the injection of the main anesthesia below the surface. A dental dam is then placed to isolate the infected tooth from its neighbors to prevent cross-contamination.

Accessing the interior. To get to the infection, a small access hole is drilled. The location depends on the tooth: in larger back teeth, a hole is drilled through the biting surface, and in front teeth, a hole is drilled on the backside. This access allows us to insert special tools to accomplish the next steps in the procedure.

Cleaning, shaping and filling. Small tools are used to remove the diseased tissue from the interior tooth pulp and root canals. Then the empty spaces are disinfected. This, in effect, stops the infection. Next, the root canals inside the tooth are shaped to allow them to better accept a special filling called gutta percha. The access hole is then sealed to further protect the tooth from future infection, and a temporary crown is placed.

A new crown to boot. Within a couple weeks, we'll cap the tooth with a long-lasting lifelike crown (or a filling on certain teeth). This adds further protection for the tooth against infection, helps strengthen the tooth's structure, and restores the tooth's appearance.

Without this procedure, the chances of a tooth surviving this level of advanced decay are very slim. But undergoing a root canal, as Alfonso Ribeiro did, can give your tooth a real fighting chance.

If you would like more information about root canal treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: How Long Will It Last?

HockeySeasonIsUponUs-IsYourStarAthleteReadyWithMouthProtection

The New Year: Time to put away those holiday decorations, collect tax records and—if you're a pro hockey player—get chummy with your dentist. That's right! After a disrupted 2020 season due to COVID-19, the NHL is on track to start again sometime in January. Before you know it, players will be hitting the biscuit (puck), while trying to avoid getting their chicklets (teeth) knocked out.

It's true that hockey has a roughhousing kind of reputation, which tends to lead to, among other things, chipped, fractured or knocked-out teeth. But to be fair, hockey isn't the only sport with a risk for orofacial injuries. It's not even top on the list: Of all contact sports, basketball has the highest incidence of mouth and facial trauma.

With over a half-million amateur and professional players, hockey still has its share of teeth, gum and jaw injuries. Fortunately, there's an effective way to reduce sports-related oral trauma—an athletic mouthguard.

Although there are different styles, most mouthguards are made of a soft plastic that helps cushion teeth against hard contact. You can sort most mouthguards into two categories: “boil and bite” and custom.

You can buy mouthguards in the first category online or in retail sporting goods stores, and they're relatively inexpensive. They're called “boil and bite” because they're first immersed in hot or boiling water to soften them. While the guard is still soft, the wearer places it in their mouth and bites down to create somewhat of an individual fit. On the downside, though, “boil and bite” mouthguards tend to be bulky with a fit that isn't as exact as it could be. This can make for uncomfortable wearing, which could tempt players not to wear them as often as they should. Also, because the materials are softer, they move with jaw movement and your teeth can move with them. Over time, teeth could loosen.

A custom-made mouthguard, on the other hand, is created by a dentist. We begin the process with a detailed mouth impression, which we then use to fashion the mouthguard. Custom mouthguards are more streamlined and fit better than their “boil and bite” counterparts. Because of this better fit, players may be more apt to wear them. They are more expensive, but compared to the cost of dental injury treatment, a custom mouthguard is a wise investment. For the best and most comfortable teeth, gum and mouth protection, you can't go wrong getting a custom mouthguard for the hockey players (as well as football and basketball players) in your family.

If you would like more information about athletic mouthguards, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards: One of the Most Important Parts of Any Uniform.”

By Upper East Smiles
December 30, 2020
Category: Dental Procedures

Here’s what to expect at your child’s first dental checkup.

Getting your child familiar and comfortable with the dentist is one of the best things you can do for them and their budding smiles. Of course, we know that your child’s first dental appointment can be nerve-wracking for new parents. From the office of our Upper East Side, NY, pediatric dentist Dr. Jennifer Chon and the dental team at Upper East Smiles, here’s what to expect when you and your little one come in for their first appointment,

Talk with Your Child About the Dentist. Instead of surprising them once they get to our office, it’s better to explain to them what to expect at their visit. Have a positive attitude and tone when talking about visiting the dentist. You can even tell them about good experiences you’ve had and that you also make your smile a priority by seeing the dentist twice a year. Still not sure how to explain your child’s dental checkup to them? This creative cartoon may help.

Get Prepared. Chances are good that you have questions about your child’s oral health. If you have questions or concerns, make sure to write them all down beforehand so that our Upper East Side, NY, pediatric dentist can address them. You should focus your energy on keeping your child calm by staying calm yourself. After all, there’s really nothing to worry about; this is a simple, routine checkup.

Here’s What to Expect. Your child’s first dental appointment is so important because it helps our team establish rapport with your little one. Once they understand that there is nothing to fear when they come into our Upper East Smiles, NY, office, it will make those six-month appointments even easier. Here’s what to expect at your child’s first appointment,

  • We will sit down and get to know both you and your child
  • We will go through any concerns or questions you may have
  • We will go through your child’s detailed medical history
  • We will then perform a simple oral exam, which involves looking in their mouth and making sure that teeth and gums are healthy and free from plaque
  • We may need to clean their teeth and gums if there is plaque or tartar present (we will walk you through every step of the oral exam so there are no surprises!)
  • We can provide recommendations and advice on how to keep your infant’s developing smile healthy throughout their childhood and teen years

You should start bringing your child in for routine cleanings every six months by the time they turn one year old (or by the time their first baby tooth erupts).

If you are on the hunt for a pediatric dentist on the Upper East Side, NY, that can provide comprehensive dental care to your newborn, infant, children or teen, then call Upper East Smiles at (646) 864-1808 to schedule an appointment.

By Upper East Smiles
December 24, 2020
Category: Oral Health
HeresWhatToDoIfYourChildComplainsofaToothache

Perhaps the only thing worse than having a toothache of your own is when your child has one. Tooth pain can be a miserable experience, especially for children. It can also be confusing about what to do to deal with it.

Fortunately, a toothache usually isn't a dental emergency, so take a deep breath. Here's what you should do if your child is experiencing tooth pain.

Get the 411 from them. Before you call the dentist, find out more first about the tooth pain from your child with a few probing questions: Where exactly does it hurt? Do you feel it all through your mouth or just in one place? Is it all the time, or just when you bite down? When did it start? You may not get the same level of detail as you would from an adult, but even a little information helps.

Take a look in their mouth. There are a lot of causes for toothache like a decayed tooth or abscessed gums. See if any of the teeth look abnormal or if the gums are swollen. You might also find a piece of food or other particle wedged between the teeth causing the pain. In that case, a little dental floss might relieve the problem.

Ease the pain. While you're waiting on your dental appointment, you can help relieve some of their discomfort by giving them a child-appropriate dose of ibuprofen or acetaminophen. You can also apply an ice pack on the outside of the jaw for five minutes on, then five minutes off to decrease swelling. Under no circumstances, however, should you give your child aspirin or rub it on the gums.

See the dentist. It's always a good idea to follow up with the dentist, even if the pain subsides. In most cases, you may be able to wait until the next day. There are, however, circumstances that call for a visit as soon as possible: if the child is running a fever and/or has facial swelling; or if the tooth pain seems to be related to an injury or trauma.

It can be unsettling as a parent when your child has a toothache. But knowing what to do can help you stay calm and get them the care they need.

If you would like more information on pediatric 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 “A Child's Toothache.”

NoTimeforaMakeoverTryTheseOne-VisitSmileEnhancementsBeforetheHolidays

Despite your best intentions to plan ahead, the holidays have sneaked up on you. And what good intentions you had: presents to buy, halls to deck, parties to throw. Perhaps you even aspired to a little something for yourself to prepare for all the festivities—a more attractive smile!

But, alas, the calendar bell tolls and it tolls for thee—and now you have little time for any major work on your smile. But fear not! Although a full makeover might not be possible right now, there are a few smile enhancements you can get in a single dental visit. And that might be just what you need for a “merry” smile this holiday season.

Here then are three things you can do to get a little smile pizzazz right before the holidays.

Dental cleaning. The main purpose for a dental office cleaning every six months is to prevent disease by removing any plaque and tartar (calcified plaque) you might have missed during daily hygiene. But ridding your teeth of yellowing plaque deposits followed by a bit of polishing can also improve your smile appearance. You can do your dental health and your smile some good with a dental cleaning before the holidays.

Teeth whitening. A whitening procedure can turn a dull, yellowed smile into a bright and beautiful one. Although you can use a whitening kit at home, you can enjoy better results with a trained dentist. A professional whitening tends to last longer, and there's more control over the level of brightness. With a fine-tuned whitening, we can help you get a smile that's subtly natural or Hollywood dazzling.

Bonding. You might think repairing a chipped tooth requires veneers or crowns that could take weeks to get. But we may be able to rectify mild to moderate dental flaws in just one visit with dental bonding. This technique uses a dental material called composite resin that's applied in layers to a tooth in paste-like form. After shaping, it's then hard-cured with a special light to produce a durable finish that looks and feels like a normal tooth.

These simple one-visit procedures could make a big difference in your smile and your confidence this holiday season. Now, about that smile makeover…sounds perfect for a New Year's resolution!

If you would like more information about improving your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Whitening” and “Repairing Chipped Teeth.”





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