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Restorative Dentistry

(with or without Sedation and General Anesthesia)

Restorative Dentistry | Baby Root Canals | Manhattan | New York City (NYC)Restorative dentistry can help improve the appearance and overall health of your smile after experiencing tooth loss or damage from disease, injury or other causes. It is important to seek proper treatment for lost or damaged teeth in order to prevent further damage and relieve difficulties with eating or speaking. There are several restorative options available to patients depending upon their overall health, doctor’s recommendations and personal preference.

Restoration of Primary and Permanent Teeth

Amalgam Fillings

Amalgam fillings (also known as silver fillings) have been used for many years and are considered strong, durable and relatively inexpensive compared to other materials. Although strong and effective, many patients do not choose to use amalgam fillings because their silver color can be visible while eating, speaking or smiling.

Composite Fillings

Composite fillings (also known as white fillings) are made of a glass or quartz filler within a resin medium that produces a tooth-colored material. Also known as filled resins, composites are often used in small to mid-size restorations, as they provide strength, durability and resistance to fracture. In addition, the shade of composite fillings is made to closely match the patient’s actual teeth, so that other people will not be aware that dental work has been done.

Baby Root Canals (also known as Pulpotomy/Pulpectomy)

A root canal involves treating problems within the soft core of the tooth, also known as the dental pulp. The dental pulp is the soft tissue found inside the tooth from the top all the way down to the end of the root. It contains nerves, blood vessels and connective tissue that provide nutrients to the tooth as it grows.

If the pulp is damaged, it will gradually decay if left within the tooth. This is most commonly caused by an untreated cavity that allows bacteria to eat through the enamel of the tooth and eventually infect the pulp within it. The pulp can also be damaged by trauma to the tooth that cuts off the blood supply and causes the pulp tissue to die. If left untreated, pus may build up within the root tip and form an abscess that can damage the bone around the teeth, causing pain and the potential for permanent damage.

Baby teeth may not remain in the mouth forever, but they are essential. They help children to speak and chew properly. They also retain space for the permanent teeth and affect the shape of the face and overall appearance. Therefore, it is essential to perform a root canal on a primary tooth in which the pulp tissue has died.

Stainless Steel Dental Crowns (with or without white facings) (also known as Caps)

A dental crown is a restoration that covers or caps a tooth, restoring it to its normal size and shape while strengthening it and protecting it from further cracking or breakage. Crowns are necessary when the tooth is broken down to the point where a filling won’t be effective.

Stainless steel crowns can preserve more of the tooth structure than other types of crowns. They withstand biting and chewing forces well and rarely chip or break. The biggest drawback of stainless steel crowns is the metallic color. They are ideal for rear teeth that are not visible, but if they are necessary for a tooth that will show, they can be created with white facings that look like a natural tooth.

White Crowns to replace front teeth (also known as White Caps)

White crowns made of resin can be used to strengthen decayed teeth at the front of the mouth. They are close in color to the natural teeth, so they are more cosmetically pleasing. However, white crowns are not as resilient as stainless steel crowns and they may chip, fracture or discolor eventually. Depending on the length of time it takes for the baby tooth that it is covering to fall out, a white crown might potentially need to be replaced.

Extractions

A dental extraction, commonly known as getting a tooth pulled, is one of the most common procedures performed at a dentist’s office. While your dentist will first make an effort to treat your condition and save the tooth, this is not always possible. Dental extractions are often performed to relieve a broken tooth, significant tooth decay or to remove wisdom teeth that cause overcrowding in the mouth.

Once your dentist has decided that dental extraction is necessary, he/she will perform an X-ray examination in order to further evaluate the tooth. The extraction procedure is performed under local anesthesia to minimize discomfort, and involves rocking the tooth back and forth to ease it out of its socket for simple removal. Stubborn teeth may need to be removed in sections.

After the extraction, patients will likely experience a certain amount of pain. This can be relieved by applying ice to the area, rinsing the mouth with water or taking antibiotics or painkillers if needed. Patients are advised to avoid certain foods for a few days, and should feel completely better within one to two weeks. The dental extraction procedure is safe for most patients and does not involve any major complications.

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