Monthly Archives: March 2016

Root Canal Awareness Week – How everything changes over time – Part 2

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root canal

Everything Changes Over Time and Root Canal Are No Exception

root canalAdvancements in training, equipment, technology and anesthesia are what make modern root canal treatments safe and painless. These days, Endodontists are successfully saving more than 17 million natural teeth each year. This is because the old days of archaic dental equipment, low quality x-rays, and unsafe restorative and extraction methods are gone.

Today, endodontists use digital image scanners that not only get a better view of your full jaw, but they expose patients to less radiation than traditional x-rays. The results are immediate and allow endodontists to zoom in on the digital scan to show you a much clearer picture of your jaw and teeth. We invite you to learn more about the following advanced technologies that we use to improve the safety, visibility, and effectiveness of x-ray:

Cone Beam Computed Tomography (CBCT)
Digital Radiography

There have also been impressive advancements in technology that enhance visibility and magnification during treatment. Today, endodontics is viewed as a microscopic procedure. What this means is that there is a need for a clinician to perform the procedure under a magnified treatment field. The use of loupes, microscopes, and endoscopes in endodontic treatment has enabled endodontists to magnify a specified treatment field beyond that of older equipment. This means that we can now zoom in about 32 times more than we used to. Nowadays, the use of a microscope is considered the standard of care.

These magnification technologies, in turn, have led to the miniaturization of both endodontic non-surgical and surgical instruments. Today’s ultrasonic handheld instruments are one-quarter the size of traditional dental equipment, enabling more precise instrumentation. In root canal surgery (apicoectomy), surgical incisons can be much smaller because of the use of microinstruments. As a result, the success rate is higher and healing is quicker and more predictable. Tiny surgical mirrors allow endodontists to see each root channel with more clarity. And microsurgical irrigators provide precise directional control of air and water, allowing teeth to be completely rinsed, dried and inspected before filling material is placed in the tooth. We invite you to learn more about the following advanced technologies that we use to give you the best care during a root canal treatment:

Apex locators
Rotary Instruments
Obturation Equipment

As you can see, the techniques endodontists use today not only make root canal treatment less painful, they also result in teeth that can last a lifetime and overall improvement in the quality of life.

If you are experiencing tooth pain, or if a root canal treatment has been suggested by your dentist, call Fifth Avenue Endodontics for an immediate appointment. As your New York City root canal endodontist, we specialize in saving your natural teeth.

Root Canal Awareness Week – Pain, Illness & Extraction Myths – Part 1

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root canal myths

Root Canal Myths

Nothing looks like, feels like, or functions like a natural tooth. When the pulp of your tooth gets infected or diseased, a root canal provides you the opportunity to maintain your real tooth for a lifetime with no ill side effects. Yet many people are still concerned about several misconceptions and myths about root canals that were dispelled a long time ago. Since this week is the 10th Anniversary of Root Canal Awareness Week, an event that focuses on education and raising awareness about these misconceptions, we’d like to share with you the most common myths regarding root canal treatment.

Myth #1 – Root Canal Treatment is Painful

According to a recent survey by the American Association of Endodontists, 67% of Americans say fear of pain most concerns them about having root canal myths treatment. This is a common misconception because the majority of root canal procedures are performed pain-free. In fact, root canal treatment is no more uncomfortable than getting a filling placed, and it’s a beneficial treatment that eliminates pain and allows you to keep your real tooth.

Myth #2 – Root Canal Treatment Causes Illness

Most research that claims that illness or disease is caused by root canals actually dates back to the 1920s when sanitation was a concern and there were other factors that don’t exist anymore. More recent studies found that there are actually greater health risks, such as heart disease, associated with the loss of your real teeth and untreated root canal myths infections or endodontic disease.

Myth #3 – Tooth Extraction is a Good Alternative to Root Canal Treatment

root canal myth, extraction vs. root canalResearch shows that saving your natural teeth has extensive health implications. The truth is that root canals myths are preferable over extraction for many reasons. Tooth extractions are a traumatic procedure and are known to cause a significantly higher incidence of bacteria entering the bloodstream, whereas root canals  are less invasive. Most endodontically treated teeth last a lifetime, which ensures you maintain the ability to chew efficiently, and keep the natural appearance of your smile.

Often, the people who have had a root canal myths treatment are the first to tell you that they’re painless, safe, and a preferable procedure. Here’s what one of our root canal patients had to say:

“I needed to get a root canal and was recommend to Dr. Iofin… He is the best there is in nyc… no need to research any other dentist. The procedure was painless and his staff is extremely professional…Dr. Iofin use the latest cutting edge technology and is extremly knowledgeable and compassionate… He asked me several times during the procedure how I was feeling.. Dr. Iofin is a very talented and understanding Endodontist…you will be in great care with him.”Al J. Mt. Kisco, NY

In our next article, we’ll discuss how advancements in technology have made root canals myths and endodontic procedures a safe, painless and highly effective treatment option for saving and preserving your real tooth for a lifetime.

If you are experiencing tooth pain, or if a root canal treatment has been suggested by your dentist, call Fifth Avenue Endodontics for an immediate appointment. As your New York City root canal endodontist, we specialize in saving your natural teeth.



*A study done in 2006 by the Journal of Dental Research found that a relationship between endodontic disease and coronary heart disease. An earlier study in 2005 by the American Journal of Preventative Medicine found that tooth loss was associated with a greater risk of heart disease, with those who had lost the most teeth at the greatest risk. For more information, visit

All About Dentures

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About Dentures

Full dentures - Fifth Avenue EndodonticsDentures are an artificial replacement for natural teeth, made of acrylic (plastic) and metals (like stainless steel). They are custom designed to fit your mouth and designed to look just like your real teeth.

Dentures come in two main types and we’ve described the differences below. Your dentist will explain which option will best fit with your lifestyle.

Full dentures (upper and lower dentures): These are recommended when all natural teeth either in your upper or lower arch (or both) need replacing.
Partial dentures: These are recommended when multiple natural teeth need replacing. They also help maintain the alignment of your remaining teeth and keep them from shifting.

How are they made?

After a tooth is extracted or lost, the tooth socket starts to fill in with bone and the gum tissue heals and changes shape. This process takes a few months until the gums and bone reach a stable shape. After this time, a conventional full denture is made, preferably about 8 to 12 weeks after the teeth were extracted or lost from the mouth. The process starts by taking a series of impressions or molds of the oral tissues that will support the denture. A dental lab will use these impressions to make models of the patient’s mouth. The dentist and laboratory technician will then slowly start building the dentures on these models and transferring them to the patient’s mouth at each step to ensure proper fit, establish a proper bite, and ensure that the appearance and esthetics of the denture are desirable.

Senior woman with dentures - Fifth Avenue EndodonticsThe patient will generally need to be seen by the dentist once per week for about 4 to 5 weeks until the denture is complete. The patient will then need to return occasionally during the first month after the denture is delivered to have adjustments made. An immediate denture can often be made so that the patient has something to wear the same day the teeth are removed. This type of denture is made before the teeth are extracted and is put in place the day the teeth are removed. Sometimes the back teeth are taken out first and the front teeth are left in place until the day the denture is delivered. This type of denture doesn’t fit the bone and gum tissue as intimately as a conventional denture, so it requires more adjustments during the healing stage. An immediate denture is best used as a temporary appliance until a conventional denture can be made after all of the gum and bone healing is complete.

Are there alternatives?

Yes, there are bridges and implants. A bridge replaces missing teeth by placing crowns on the teeth next to the space and attaching a fake tooth to both of the crowns. Bridges are made from gold, porcelain fused to gold, all porcelain, or zirconium. Bridges can only replace about two to three missing teeth in a row, depending on the location. Since bridges are cemented in place, they are considered a “fixed, or permanent denture.”

An implant is a metal post that is inserted into the bone of the upper or lower jaw. This post is then used to replace a single tooth by attaching a crown to it, or multiple teeth by attaching a bridge to multiple implants. Implants are the most expensive option for tooth replacement, but implants simulate natural teeth better than any of the other options.

Fifth Avenue Endodontics welcomes your questions about tooth problems, repairs, and options. We are your New York City root canal specialists! Thank you for reading.