Monthly Archives: July 2016

root canal nyc, endodontist nyc, is a root canal painful

The Dreaded Root Canal is a Piece of Cake

By | Root Canal Treatment New York City | No Comments

Well, maybe the piece of cake (or several pieces) caused the need for the root canal in the first place, but the point here is that no one needs to dread a root canal if one is needed. In NYC, doing a gentle, more or less pain-free root canal is a specialty of Fifth Avenue Endodontics.

Causes of the need for a root canal and common symptoms

The need for a root canal is often caused by:

  • A tooth that is cracked
  • A tooth that has a very deep cavity
  • A tooth that has had repeated dental procedures
  • A tooth that has undergone trauma.

Common symptoms that tell people they need to seek a root canal are:

  • A tooth that is very painful when a person is eating
  • Pressure on a tooth causing pain
  • When there is a little bump on the gum near the painful tooth that looks like a pimple
  • A tooth that gets dark-colored
  • An area of swelling, or an area that is tender to the touch near an aching tooth.

Not all tooth pain is indicative of an infection, but these are definitely signs of an infection, and a need for a root canal by an NYC endodontist.

What happens during a root canal?

root canal procedureFirst the endodontist will take X-rays and examine them thoroughly to determine exactly where the roots of the tooth are and wherein the decay lies. X-rays may require a person to hold an appliance in the mouth in a position that may be a tad uncomfortable, but there is no pain involved.

Once the endodontist has a picture of where he or she will be working, the endodontist will begin by applying a topical local anesthetic to numb the gum so there is no pain from the needle with the other anesthetic. This is the same type of anesthesia used in a regular filling.

Next, the endodontist makes one or more openings in the tooth to remove the pulp from the roots and cleans out the roots. Then the roots that have been opened and cleaned out are filled with gutta-percha, an inert material, and sealed off with a cement. The final part of the root canal is the finishing part where a temporary crown is used while the permanent crown is being made.

The finale to the root canal procedure is the piece of cake. The patient can now eat without pain, and undergoes minimal recovery time.

Root Canal NYC

Dr. Iofin and Dr. Kim at Fifth Avenue Endodontics stand ready to help you with all your root canal needs in New York City, call us at 212-757-1000 today.

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Endodontic Treatment versus Dental Implants

By | Dr. Kim, Root Canal, Root Canal Treatment New York City | No Comments

While the ultimate recommendation of what to do with a tooth that needs repair is subject to a consultation with your NYC endodontist, it is important for everyone to understand what the options are and what the outcomes will be between endodontic treatments and implants.

How endodontic treatments differ from dental implants

Root canals are endodontic treatments that involve a sequence of treatments used to treat the infected pulp of a tooth. Root canals eliminate infection and protect the treated tooth from further infection. The root canals of a tooth are the hollows within the root of a tooth that house the nerves, blood vessels, and other tissues, altogether called pulp.

root canal myth, extraction vs. root canalIn a root canal procedure, the endodontist cleans out these hollows and decontaminates them before filling them with an inert filling and a cement that is eugenol-based. Epoxy resin is sometimes used to bind the inert material, usually gutta-percha, to the tooth. The tooth will then get a temporary crown while awaiting a permanent crown.

A dental implant requires surgery to implant a dental prosthesis, so that it interfaces successfully with the jawbone or skull. In the implant, materials like titanium are used to form a bond with bone. This process is called osseointegration, and next (after a period of healing) a dental prosthesis is added. There are several factors involved with this process: the health of the bone and gums and the stress that will be place on the tooth implanted. The resulting implant may be either fixed or removable, depending on the patient’s circumstances.

Which is the better choice?

Last year, NYC Endodontists Mian K. Iqbal, DMD, MS and Syngcuk Kim, DDS, PhD undertook a scholarly systematic review of all the studies on that question that had been published. Their paper weighed all the study results to determine what the differences in outcomes of endodontically restored teeth are when compared with (single tooth) restorations that were supported by implants.

Their results showed that both methods of tooth restoration lasted well during the study periods (from 5 to 8 years). In situations where either method is viable, there were few studies to suggest which was the better approach. In creating a treatment plan, the NYC endodontist and the patient need to look at a wide variety of factors before choosing which method of restoration is best for the patient. Saving a tooth if at all possible, however is the preferred method of Fifth Avenue Endodontics

Endodontist NYC

Dr. Kim and Dr. Iofin believe in treating each patient with the therapy that is best for the patient. When you have tooth pain in New York City, there is no better place to go than to see them at Fifth Avenue Endodontics. You will be pain free in no time.