Flossing

One thing that dentists and hygienists stress to patients that are often ignored is the art of flossing. Flossing is a little bit time consuming but is so important when it comes to good oral health. Flossing is responsible for removing about 40% of bacteria and plaque from your teeth. Plaque generates acid, which can cause cavities, irritate the gums, and lead to gum disease. There is no substitute to eliminate bacteria stuck in between your teeth, flossing is the only way.

If conventional flossing is challenging for patients, floss picks are a great alternative and easy to use. A dental floss pick is a small plastic tool with a curved end that holds a piece of dental floss and makes it easy to get in between your teeth effortlessly. It doesn’t matter how you floss, as long as you are flossing.

Incorporating water picks into your oral care routine is also helpful as it rinses out chunks of food that are stuck and stimulates your gums. Dr. Joseph S. Dallessandro knows it’s easy to skip flossing but stresses the importance of it for healthy teeth and healthy gums.

Joseph S. Dallessandro, DDS, operate at 360 E 72^nd St, Ste B, New York, New York 10021. To set up an appointment, call 212-988-1089 or visit Joseph S. Dallessandro and fill out a contact sheet.

Retreatment

The long-term success of a root canal is around 95% and in most cases the root canal lasts as long as natural teeth. When the root canal isn’t successful, the tooth might become diseased or painful and need retreatment. When root canals reach that point, an endodontist (root canal specialist) will need to do a new root canal.

When the root canal doesn’t heal successfully, there are a variety of cases why the tooth failed to heal properly. The placement of the crown might not have been done in a timely manner following endodontic treatment, narrow canals weren’t treated properly, and in some cases canal anatomy went undetected and therefore went untreated during the procedure.

Two visits are needed with an endodontist, the first one visit is to take x-rays and diagnose the problem, then the crown is removed and the canal is cleaned and filled with a temporary filling. After your endodontist completes retreatment, you will need to return to your for a second visit  as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function.

Joseph S. Dallessandro, DDS, operate at 360 E 72^nd St, Ste B, New York, New York 10021. To set up an appointment, call 212-988-1089 or visit Joseph S. Dallessandro and fill out a contact sheet.

Arestin To Treat Periodontitis

When the body develops a bacterial infection, an antibiotic is used to treat it. The same applies to infections that start in the gums.  Dr. Joseph S Dallessandro and his staff utilize arestin for patients with periodontitis who need a scaling and root planing procedure performed. Periodontitis is a chronic bacterial infection, caused by plaque, which has settled underneath the tooth’s surface below the gum line.

Arestin has the ability to reduce the severity of periodontal disease.  After a scaling and root planning procedure, the medicine in powder form is applied to the gums.  In a clinical study, when used in addition to scaling and root planing, arestin reduced harmful bacteria by nearly 2 times as much as scaling and root planing alone. This is because adding arestin to the mix disrupts the progression of periodontitis by specifically targeting the active infection.

If you have questions or concerns about the status of your periodontal health, please give us a call. To learn about all the treatments provided at the practice, visit www.josephdallessandrodds.com for more information. To schedule an appointment with Dr. Joseph S Dallessandro in our New York, NY office, call 212-988-1089.

A Whiter Smile This Year

Everyone likes to make a great impression with a nice bright smile.  At the dental practice of Dr. Joseph S Dallessandro, we provide an at-home whitening system to patients that you can use to whiten and brighten your smile gradually at home.  Patients with serious and minor stains can both see great results from this whitening treatment.  A consultation can help you determine how severe your stains are and what kind of results you can expect from a whitening treatment.  Come visit us about teeth whitening and start the New Year with your best smile!

To whiten your teeth at home, we outfit patients with whitening gel and a set of custom trays for application.  A dentist takes an impression of your teeth, and from this impression two custom trays are made for your top and bottom teeth.  The trays are made for you to take home and use by applying gel to the trays and then fitting them over your teeth. The dentist’s recommendation of how often to treat and how long each treatment should last may vary.  When following the dentist’s recommendations, most patients see results of teeth whitening 4-8 shades.

To learn more about teeth whitening and all the services provided at the practice, visit www.josephdallessandrodds.com for more information. To schedule an appointment with Dr. Joseph S Dallessandro in our New York, NY office, call 212-988-1089.

Reasons for Extractions

Tooth extractions at the Upper East Side office of Dr. Joseph Dallessandro are usually a simple affair. But because we work so hard to save teeth, if we’ve recommended an extraction, it means there’s a major issue. To help patients understand what they’re facing, we’re dedicating this week’s post to reasons for tooth extractions.

If a tooth’s pulp is infected, root canals are usually an effective means of treatment. Sometimes root canals can fail due to abnormalities in the tooth’s structure, but even then, a specialist would retreat it while replacing the tip of the tooth root. But if an infection has progressed too far, it poses a danger to the patient’s overall health. A tooth may also need to be extracted if it is badly cracked along the root or if the surrounding gum tissue is too compromised to support it.

What’s much more common is for teeth to be extracted due to overcrowding or difficulty erupting. The wisdom teeth, which are the largest teeth and the last to emerge, often get trapped, requiring them to be extracted. Premolars may also be removed to allow the remaining teeth to form an arch, and baby teeth may be removed if they do not fall out naturally while the adult tooth is pushing through.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

Back to School Check-Up

As kids go back to school, potential problems with their oral health become even more important. At Dr. Joseph Dallessandro’s Upper East Side dental practice, we believe nobody should have to endure a toothache, which is why if a child has missed a dental appointment, we want parents to know why now’s a good time for one.

While healthy teeth may be sensitive when they first erupt, children’s toothaches are still cause for concern. Children get dental infections at higher rates than adults, usually as a result of bad brushing. We can show them better brushing techniques and recommend slide-on handles for toothbrushes if they’re having trouble with motor control. It’s also possible that they’re brushing too hard, which could cause their gums to bleed. Children also have high rates of sinus infections, which could result in pain being deferred into the upper teeth.

Dental visits provide us with a chance to provide sealants to reinforce the teeth’s enamel and eliminate crevices in the molars where food gets stuck. They also allow us to plan for extractions or referrals to orthodontists if the adult teeth aren’t coming in straight. Toothaches cause children to miss meals and sleep and to have delayed speech development, so don’t let them disrupt your child’s education.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Gum Disease and Rheumatoid Arthritis

When people are suffering from autoimmune disorders, their dentist becomes a much more important part of their care team. At Dr. Joseph Dallessandro’s Upper East Side practice, we want to help patients with rheumatoid arthritis (RA) understand why they are at risk for periodontal disease.

A recent study found that 70% of people with RA have gum disease, twice the rate of the general population. This could be partly due to people with RA having difficulty brushing and flossing their teeth, but gum disease is also common in people whose RA had not progressed that far. Instead, scientists think it is because of the structure of the gingival tissue. RA occurs when the body’s immune system attacks a joint lining called synovium, and gum tissue shares some crucial DNA markers with synovium.

RA is caused by a combination of genetic and environmental factors. Patients can reduce their risk for it and gum disease by not smoking. If they are having difficulty with their oral hygiene, they may want to consider an electric toothbrush and floss picks. They may also find themselves in need of throat moisturizers if RA affects their salivary glands.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

White Spot Lesions

We hope none of our patients at the Upper East Side dental practice of Dr. Joseph Dallessandro experience tooth decay, but if they do, we want them to recognize it. Contrary to what people might think, incipient lesions in tooth enamel don’t usually start off painful or dark-colored. They look chalky and white.

Decaying enamel’s unusual texture and whiteness are due to acid exposure. This is one of the ways in which a dentist can identify if a patient is suffering from acid reflux or if they aren’t brushing enough. As bacteria eat and multiply, they secrete acid, which gets stuck to the thin layer of plaque near the gum line. White spots also develop in other places that are hard to brush, such as around traditional braces.

It only takes about thirty days of acid exposure for a white spot to form. The good news is that if the infection’s progress is stopped, the body can remineralize enamel. The bad news is that if enamel material is lost outright, it cannot regrow and must be replaced artificially. Patients should think of white spots as an early warning system and come see us if they need help.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Sectioning Teeth

Sometimes wisdom teeth have to be removed in order to prevent infection or preserve the alignment of the rest of the teeth. At the Upper East Side dental office of Dr. Joseph Dallessandro, we understand that patients may not be happy to hear this, but we strive to make the procedure as easy on them as we can. One way to make extractions easier is by sectioning teeth.

The molars have strong ligaments holding them in place and multiple roots. (Lower molars have two roots; upper ones may have three.) Extracting a tooth is done my rocking it back and forth in order to loosen it, but this may not be possible to do when a tooth is firmly secured into the jaw. It may also not be possible if the reason a tooth is being removed is that is not fully exposed. Furthermore, trying to yank out a tooth with an enormous amount of force could break it or hurt the patients.

As an alternative, we can use a drill to cut a large tooth into sections. The patient will be anesthetized and not feel this, but the tooth will be cleanly broken down into smaller pieces. The sections can then be lifted out individually through smaller paths without needing to be yanked or twisted as much.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.

 

Research into Filling Failure

We work hard to stay up-to-date on new medical research at the Upper East Side dental office of Dr. Joseph Dallessandro. Recently, scientists examined data on people who had suffered from premature filling failures to look for common features, and they were surprised by what they found.

The bonding used to secure dental fillings has an expected lifespan of ten years, but the people in the study required replacements after five years, at most. The researchers found that they were likelier than people with successful fillings to be smokers or to use alcohol. They also found a strong correlation between filling failure and a particular DNA sequence. The possibility that people could be more predisposed toward filling failure because of their genetics merits further investigation, but in the meantime, people whose relatives have struggled with poor oral health should be especially vigilant about maintaining their regular check-ups.

Another major finding was that resin bonding is just as successful as amalgam fillings. This is significant because resin is the same color as natural teeth and lacks mercury, making it a more popular option. Knowing that it is not prone to higher failure rates will contribute to its increasing popularity.

Joseph S. Dallessandro, DDS, and Jiah Choi, DDS, operate at 360 E 72nd St, Ste B, New York, New York, 10021. To set up an appointment, call 212-988-1089, or visit Joseph Dallessandro DDS and fill out a contact sheet.