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How do I know if I have dry mouth?

February 5th, 2025

Dry mouth, also medically known as xerostomia, is the condition of not having enough saliva, or spit, to keep your mouth wet. There are many ways to keep dry mouth at bay, including:

  • Brushing your teeth after every meal with a fluoride toothpaste
  • Flossing every day after a meal
  • Avoiding tobacco, as well as drinks containing alcohol or caffeine
  • Avoiding dry foods, as well as foods containing high salt, acid, spice, or sugar levels
  • Drinking water frequently or sucking on ice chips
  • Using a humidifier at night

Please call our convenient New York, NY dental office to learn more about dry mouth, or ask us during your next visit!

Anemia and Your Oral Health

January 29th, 2025

One of the most common clues that you might have anemia is found in your smile. If you’ve noticed that your gums are suddenly paler than they used to be, it could be a sign that you’re anemic. What does this mean for your general health—and your oral health?

There are several types of anemia, which have can be caused by different medical conditions and which can cause different symptoms. The most common form of anemia, and one of the most easily treated, is iron-deficiency anemia.

Iron is essential to our health. Why? It’s all about the red blood cells. First, some biology.

Every cell in your body needs energy to live and to function. Cells get this energy from the foods we eat, which are broken down into a simple sugar called glucose. Glucose molecules are transported by our blood cells to reach all parts of the body. But that’s only the first step.

Energy is released into the cells when the chemical bonds holding glucose molecules together are broken. And this requires oxygen. Once inside our cells, glucose and oxygen react, breaking the chemical bonds of the glucose molecules, reconfiguring their atoms to create carbon dioxide and water byproducts—and releasing energy into a form your cells can use.

So, how do we move this oxygen from our lungs to our cells to start the process? That would be our red blood cells again. But this process can’t happen without adequate iron. More biology!

Red blood cells contain a protein called hemoglobin, and hemoglobin contains iron. In fact, well over half of the iron in our body is found in our red bloods cells. And here’s the key to iron’s importance: iron attracts oxygen molecules.

Hemoglobin picks up oxygen in our lungs and delivers it throughout the body, where it becomes glucose’s essential partner in fueling our cells. Without enough iron, your body won’t be able to create the red blood cells it needs so that all of your cells, tissues, and organs can get the oxygen they need to function efficiently.

When might you suspect that you’re anemic? Your gums, the lining of the mouth, the inside of your lower eyelids, and your skin can take on a paler hue—the classic sign of anemia. But other symptoms which you might not necessarily associate with anemia are also common, including:

  • Fatigue
  • Heart palpitations
  • Cold hands and feet
  • Dizziness
  • Irritability
  • Difficulty Concentrating
  • Pica (the desire to eat non-food items)

And because anemia affects the whole body, your oral health isn’t immune. It’s not just a matter of pale gums. Iron deficiencies can cause:

  • Sores and ulcers in the mouth
  • Cracks on the sides of the mouth
  • Pain, redness, and/or swelling of the tongue
  • Loss of papillae (those little bumps on your tongue which hold your taste buds)
  • Tooth damage caused by pica
  • Dry mouth, which increases your risk for cavities, gum disease, oral infections, and bad breath

Iron-deficiency anemia can have several causes, among them insufficient iron in the diet, medical conditions which cause bleeding (such as ulcers), heavy menstruation, pregnancy, or growth spurts in children and teenagers. Treatment will depend on the cause of your anemia. It might be as simple as a change in diet or an iron supplement, or it might require further treatment options. Do consult with Dr. David Shipper and Dr. Howard Vogel before taking iron supplements, as too much iron causes iron toxicity, which can be very dangerous.

If Dr. David Shipper and Dr. Howard Vogel and our team suggest that you might be anemic, or if you notice changes you think might be caused by anemia, see your physician for a simple blood test. Besides iron-deficiency anemia, there are other forms of anemia and other diseases which can mimic these symptoms, so it’s important to get a doctor’s diagnosis. If you have been diagnosed with anemia, let our New York, NY dental team know.

One last “if”: If you do have iron-deficiency anemia, don’t delay treatment. The sooner your red bloods cells are back at their peak, the sooner you—and your gums—will be back in the pink!

Toothpaste Guide

January 22nd, 2025

Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.

Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.

Basic Ingredients

  • Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
  • Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
  • Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
  • Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
  • Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.

What to Look For in Toothpaste

Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Dr. David Shipper and Dr. Howard Vogel emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.

The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.

Tartar Control

Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.

Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.

Look for toothpaste that bears the seal of the American Dental Association. That seal is an endorsement of the ADA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our New York, NY office.

Oral Piercing: What you should know

January 15th, 2025

If you have been thinking about getting a piercing, or if you already have one or more, there are some health risks our team at Central Park West Dental wants you to know about. It's important to know the risks involved with oral piercing, including infection, chipped teeth, gum damage, nerve damage, loss of taste, or tooth loss that could occur as a result.

Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Many people who have piercings tend to regularly touch them, paving the way for bacteria to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Besides hindering your ability to talk and eat, oral piercing also leads people to develop a habit of biting or playing with their piercings, which can lead to cracked or fractured teeth. While the fracture can be confined to the enamel of the tooth and require a simple filling, you also run the risk of the fracture going deep into the tooth, which may require a root canal, tooth extraction, and additional dental treatment.

If you still decide to get an oral piercing, you should realize that it will take some time to heal (anywhere between four to six weeks) and it may be very uncomfortable. Also please keep in mind that it will be an added responsibility to your life, as it will require regular upkeep. We want you to make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

We encourage you to clean the piercing with antiseptic mouthwash after eating, and brush the jewelry each time you brush your teeth. If you have any questions, please don't hesitate to give us a call!

Teens and Gum Disease

January 8th, 2025

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our New York, NY office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Dr. David Shipper and Dr. Howard Vogel might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Dr. David Shipper and Dr. Howard Vogel to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Central Park West Dental, and you’ll be living that active life with a beautiful, healthy smile!

Five (Easy-to-Keep!) Dental Resolutions for the New Year

January 1st, 2025

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better. And while we applaud big goals like learning a new language or finally getting those closets reorganized, we’d like to start small with a few simple, proactive dental resolutions suitable for anyone’s list.

  1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss properly.

If you’re having trouble flossing properly (a very common problem!), don’t hesitate to talk with Dr. David Shipper and Dr. Howard Vogel to discover the best techniques and products to make your personal flossing experience as relaxed and effective as possible.

  1. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

  1. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

  • If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
  • Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground.
  • Ask Dr. David Shipper and Dr. Howard Vogel about a custom night guard if you grind your teeth. If you have a night guard, don’t forget to wear it.
  • Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please! And if your community doesn’t have fluoridated water, talk to Dr. David Shipper and Dr. Howard Vogel about whether fluoride treatments are a good idea.
  1. Pay Attention to Your Body’s Signals

Don’t ignore symptoms which might indicate problems with your oral health.

  • Tooth and Jaw Pain

Pain can be caused by many conditions, including a cavity, an abscess, a pulp infection, a cracked tooth, or problems with your bite. Visit our New York, NY office to discover why you’re suffering and to treat any dental problem before it becomes more serious.

  • Signs of Gum Disease

Gum disease can cause symptoms like swelling, redness, pain, receding or bleeding gums, and chronic bad breath. Sometimes, more careful attention to brushing and flossing is all you need to reverse early gum disease. But when your symptoms linger, Dr. David Shipper and Dr. Howard Vogel can help you avoid more serious gum disease with periodontal treatment.

  1. Visit Central Park West Dental Regularly

Don’t wait for pain or other worrisome symptoms before you give us a call. Proactive care can catch potential problems early, reducing your risk of more serious conditions.

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health. Be proactive now, and you’ll enjoy a new year filled with healthy smiles.

What’s the deal with bottled water?

December 26th, 2024

As more people turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride! Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. Our friends at the American Dental Association have endorsed both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay.

In fact, the Centers for Disease Control and Prevention has also warned that “bottled water may not have a sufficient amount of fluoride, which is important for preventing tooth decay and promoting oral health.” If you are avoiding fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health. One 2012 study in the Journal of Pediatric Dentistry found that more than 65 percent of parents using bottled water did not know what levels of fluoride it contained.

If bottled water happens to be your or your children’s beverage of choice, check the label to make sure your brand contains fluoride. Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake.

Questions about fluoride? Give us a call at our convenient New York, NY office! We look forward to hearing from you!

The Root of the Matter

December 18th, 2024

A strong, healthy smile is built on a strong, healthy foundation. Let’s take a moment to explore just what creates that foundation—your roots.

The Root of the Matter

The visible part of your tooth is called the crown. And while we spent the great majority of our time thinking about what goes on above the gum line—brushing, flossing, whitening, sealing, preventing cavities—the roots, the parts of the teeth below the surface, are also essential to our dental health.

  • What’s inside the root?

The inside of each tooth holds pulp, which is living tissue made of nerves, blood vessels, and connective tissue. The nerves in the pulp allow us to feel pain when a tooth is damaged, decayed, or infected. Tiny blood vessels provide oxygen and nutrients to the cells.

The inside of each root also contains pulp, located in one or more root canals. These canals are small tunnels that travel from the pulp chamber to the tip of each root. Nerves and blood vessels connect pulp tissue to the nervous and circulatory systems in the body, entering and exiting the tooth from very small openings in the root tip.

  • What’s outside the root?

On the outside, while roots look like crowns, they’re covered with a different protective surface. Roots are covered by cementum rather than enamel. This is a hard tissue, but not as hard as enamel. But cementum has another advantage—it not only helps protect our teeth, it helps them stay anchored in our jaws. (More on this below.)

  • How many roots are we talking about?

The number varies, not just depending on the tooth, but depending on the individual. Most adults have 32 adult teeth: eight incisors, four canines, eight premolars, eight molars, and four wisdom teeth, or third molars. Because the number of wisdom teeth can range from four to zero, though, that total can be smaller.

Rooted to the Spot

The reason that you can rely on your teeth for a lifetime of chewing, biting, and grinding food is the fact that they’re so securely anchored in the jaw.

  • Alveolar bone in the jaw contains a socket for each tooth.
  • A thin layer of connective tissue called the periodontal ligament lines the socket and surrounds each root. It’s filled with fibers that attach to the root’s cementum covering and to the alveolar bone, holding the tooth securely in place.
  • The periodontal ligament not only anchors the tooth, it cushions it from the daily pressure of biting and chewing.
  • Finally, the gums surround the teeth and bone, protecting them from bacteria and plaque.

Even though this design is very secure, there are situations where the root becomes vulnerable. In that case, you should see Dr. David Shipper and Dr. Howard Vogel at our New York, NY office right away. Our goal is for you to keep your teeth healthy and strong, and for a lifetime!

Why it’s Important to Leave Us Reviews

December 11th, 2024

At our office, Dr. David Shipper and Dr. Howard Vogel and our team do all that we can to make sure that your experience with us is the best it can possibly be. However, there’s an important role you play in this as well: leaving us reviews and feedback.

Whether there is something you’d like us to improve upon, or you’d just like to express your thanks for a job well done, your feedback is essential to our practice’s success.

We look forward to hearing from you, and are excited to hear what you thought of your most recent visit at our New York, NY office.

What to Do When Your Child Has a Loose Tooth

December 5th, 2024

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

  • Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
  • Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
  • Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
  • If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our New York, NY office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

  • Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
  • If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
  • Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Dr. David Shipper and Dr. Howard Vogel will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

  • Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
  • Keep the area clean with gentle rinsing instead of brushing and flossing.
  • Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Dr. David Shipper and Dr. Howard Vogel for advice!

Treatments for Tooth Discoloration

November 27th, 2024

Congratulations! You’re getting married! Wow! It’s your twentieth reunion! New job? Great news! No matter the occasion, large or small, you want to celebrate it with your whitest, brightest smile. How can Dr. David Shipper and Dr. Howard Vogel help? In a number of ways!

Professional Whitening

Because teeth are porous, over time substances in food, beverages, and tobacco products can stain the surface of the teeth. This is called extrinsic staining. If this is your concern, having your teeth whitened professionally is the fastest, most effective, and longest-lasting method of achieving your brightest smile.

We’ll examine your teeth to make sure that there are no pre-existing conditions such as cavities or gum disease that should be treated before whitening. We will use a gel with a higher concentration of whitening ingredients than over-the-counter products, protect your gums, and monitor the entire process. If you want to whiten at home, talk to us during your visit to our New York, NY office about custom mouthpieces and professional whitening gels for precise application and safe, effective results.

Intrinsic Stains

Intrinsic stains are below the surface of the tooth, and harder to remove. These stains might be the result of an injury to the tooth or exposure to a medication like tetracycline while the tooth is forming.

While some whitening systems and professional whiteners can improve intrinsic staining if it is not too severe, normally bonding or veneers are better options. We can use color matching to make sure bonding or veneers are indistinguishable from your natural teeth. And do consider a professional whitening first, so we can match your dental work to your whitest natural smile!

Treating Existing Dental Work

Again, when you are considering porcelain veneers or crowns, composite veneers, or tooth bonding, choose the color that works best for your whitest natural smile, because these materials cannot be whitened like natural teeth. If you have dental work already in place that you would like to brighten, both composite and porcelain dental work can be polished to remove surface stains. If the color is simply not a good match for your natural teeth any more, replacement of your dental work is an option we can discuss.

There are plenty of good reasons to get your teeth whitened—Weddings! Reunions! New jobs!—but the best reason of all is giving you the healthy, confidant smile you’ve always wanted. And that’s something to celebrate!

Intraoral Cameras

November 20th, 2024

It seems today’s technology has made every moment a camera-ready opportunity. (Just check your friends and their latest selfies.) What you may not expect is the opportunity to see a close-up of your teeth and gums in vivid detail the next time you’re in our office. But with intraoral cameras, Dr. David Shipper and Dr. Howard Vogel can use the most up-to-date tools to provide your most accurate diagnosis—and let you see for yourself exactly what we’re seeing.

Intraoral cameras were developed in the 1980s. This camera makes use of a sleek wand-style design to fit easily into your mouth. Using a camera lens and its own lighting, the camera is able to show hard-to-reach places in the mouth much more clearly and easily than can be seen using dental mirrors alone. Images are projected onto a monitor or screen, where both dentist and patient can get a detailed view, and images can be enlarged, if needed, to provide better definition.

What can an intraoral camera reveal? While X-rays are invaluable for discovering treatable conditions such as cavities, infections and bone diseases, there are some conditions that are not easily apparent using X-rays alone. Small cracks in a tooth, developing cavities near crowns or older fillings, fractures, early gum disease, even areas where plaque has been missed during brushing are visible in clear detail using the intraoral camera.

How does this improve your dental care?

  • We always want to use the least invasive procedure we can, and keep as much of your healthy tooth as possible. Finding small problems early prevents them from becoming large problems later.
  • If you are consistently failing to brush certain teeth, or if some areas of your gums show signs of neglect, we can show you directly what places you’ve been missing so you can adjust your brushing and flossing habits.
  • We can take photos if needed for your files so we have a detailed visual record of your dental status at any point in time.
  • Finally, you will be able to see for yourself the reasons we might suggest certain treatments, and be better informed about your own dental health.

We’re happy to offer the intraoral camera at our New York, NY office as one of the tools we use to provide you with the most precise and thorough care possible. Ready for your close-up?

When to Replace Fillings

November 13th, 2024

A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Central Park West Dental performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. David Shipper and Dr. Howard Vogel right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our New York, NY office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

 

Getting Ready for Winter

November 6th, 2024

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

  • Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
  • Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
  • Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

  • One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
  • “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
  • Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to Dr. David Shipper and Dr. Howard Vogel about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

  • Cracked teeth
  • Cavities
  • Exposed dentin (the layer of the tooth underneath your enamel)
  • Receding gums
  • Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our New York, NY office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!

Flossing Fact or Flossing Fiction?

October 30th, 2024

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

  • Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

  • Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

  • There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

  • Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But Dr. David Shipper and Dr. Howard Vogel and our team strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar, which stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

  • Flossing helps prevent cavities.

FACT: We strongly recommend daily flossing to remove the food particles and plaque, which lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

  • Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Dr. David Shipper and Dr. Howard Vogel for tips on perfect flossing technique.

  • You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. If you have braces, your orthodontist might recommend flossing after eating. And certainly, for removing pesky food particles, flossing or interdental picks are a sensible choice after any meal.

  • Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our New York, NY office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and Dr. David Shipper and Dr. Howard Vogel know that you’ve been neglecting good dental habits.

  • It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Dr. David Shipper and Dr. Howard Vogel for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!

Energy Drinks and Your Teeth

October 23rd, 2024

When working out, studying late, or any time we feel like a bit of a boost would come in handy, energy drinks are a common go-to for many teens and adults. Energy drinks promise more focus and vitality, all wrapped up in clever names and eye-catching graphic designs. What they can’t promise, though, is a drink that’s good for your dental health.

Why? Because most energy drinks come with a high concentration of caffeine, acids, and/or sugar.

  • Caffeine Consequences

Before we talk about your dental health, a word about caffeine. Too much caffeine in a short period can leave us jittery, anxious, irritable, and sleepless. A cup of coffee has about 100 mg of caffeine, and some energy drinks have three to four times that much.

While the recommended daily limit for adults who aren’t pregnant is 400 mg of caffeine, doctors suggest a much lower limit for children and teenagers. Among other reasons, sleep is especially important for developing brains and bodies, and caffeine interferes with healthy sleep.

You might have to go online to find out how various energy drinks measure up and compare in terms of caffeine, but taking the time to check them out is well worth it. Now, back to your dental health!

  • Acid Attacks

Many energy drinks are very acidic. The tart flavors of energy drinks might please your palate, but they attack your enamel.

Our mouths are their healthiest when our saliva is neutral, balanced between acidic and basic on the pH scale. That’s somewhere around a 7 on a scale of 0-14, where lower numbers mean more acidic conditions. That burning feeling we get from acid reflux when stomach acids back up? That’s because stomach acid is a 1-2 on the pH scale.  Many energy drinks rate an eye-opening (and not in an energetic way!) 1.5-3.5 on the pH scale, which means your teeth are bathing in acids.

Even tooth enamel, the strongest substance in the body, can’t stand up to these acids, because acids break down the mineral structure of your enamel. If your teeth are more sensitive to heat and cold, if they appear darker as the white outer layer of enamel thins, if your dentist has discovered weak spots in your enamel—you might be experiencing demineralization. Once enamel is gone, it can’t be replaced.

  • Surplus Sugar

A well-known source of quick energy is sugar. A little more biology and chemistry here—sugar is a food which our bodies can break down quickly. And when sugar molecules break down, this breakdown releases energy—energy which we use to fuel essential bodily functions. This quick burst of sugar energy is why many energy drinks contain lots of added sugar. Some brands have more than 60 grams of sugar per serving—and 60 grams is almost 5 tablespoons!

We get all the sugar we require for our daily energy needs from the natural sugars found in fruits, dairy, even some vegetables and grains. With added sugars, we’re just adding empty calories, affecting the balance of our blood sugar and hormones, and increasing the risk of chronic health conditions—all while providing a convenient food source for the bacteria in plaque.

Because, just like our bodies find it easy to convert sugar to energy, the oral bacteria which cause cavities find it easy to convert sugar to acids. And just like the acids in foods, these acids attack the tooth’s mineral structure and break down its strength. Eventually, the weak spots in enamel grow larger and deeper and become cavities.

While most labels don’t let you know how much caffeine you’re getting, or the pH of the liquid inside, you can see how much sugar is being added to your diet with every can or bottle. Do look for added sugars before you choose your beverages.

If you have several energy drinks a day, a soft drink or two, plus the occasional sports drink—you’re bathing your teeth in acids and sugar all day long. With any beverage high in sugars and acids, limit your consumption. Rinse with water afterward, and don’t brush for about an hour to give your enamel time to remineralize after being exposed to the acids in your drink.

Better yet, choose healthier alternatives. Water is still the best way to hydrate. Try adding protein and carbs to your diet for more energy. Make sure you’re getting the vitamins you need with a balanced diet. If you see signs of enamel erosion, talk to Dr. David Shipper and Dr. Howard Vogel. The temporary boost you get from a bottle of caffeine, acids, and sugar might seem tempting, but it can have long-lasting consequences for your dental health!

How Sleep Apnea Can Affect Your Waking Life

October 17th, 2024

We all know that sleep apnea causes many a difficult night. Noisy snoring, gasping for breath, and waking up dozens of times a sleep cycle are the unhappy consequences of Obstructive Sleep Apnea (OSA). What you may not realize is that sleep apnea can make your days just as challenging.

Obstructive sleep apnea is caused by an obstructed airway. The throat muscles may relax as you sleep and make it impossible to inhale fully with each breath. Or you may have a physical condition such as a deviated septum, enlarged tonsils or excess throat tissue that blocks the free passage of air into your lungs. As a result, you stop breathing for a short time and often choke or gasp for breath. Your body responds by waking every time you need to start breathing properly again, and this can happen dozens of times each hour you are asleep. The result is that, while you may think you have slept through the night, you have never gotten the deep sleep your body needs to restore itself.

How can sleep deprivation affect our daytime hours? You might find yourself suffering from any of these problems:

  • Constant drowsiness
  • Falling asleep at work or while driving
  • Headaches every morning
  • Sore throats
  • Dry mouth (which can lead to gum and dental problems)
  • Memory and attention problems
  • Moodiness or depression
  • Decreased libido

As if these reasons weren’t cause enough to find a solution to your sleeping disorder, the longer term results of sleep apnea can be devastating. High blood pressure, heart disease, stroke, dangerous responses to medication or general anesthesia, a higher risk of accidents, and many other serious consequences have been linked to sleep apnea.

Sleep apnea doesn’t just ruin your night. If you suffer from any of the daytime problems listed above, please give our New York, NY office and your doctor a call. If obstructive sleep apnea is the cause, Dr. David Shipper and Dr. Howard Vogel can work with you to find a solution that will improve your quality of life 24 hours a day.

Can’t Take Another Bite?

October 9th, 2024

We’re not talking post-holiday “I can’t eat another bite” discomfort. No, we’re here to talk about the discomfort caused by bite pain.

Usually, our teeth and jaws work so harmoniously that we don’t even think about biting and chewing. But when a sharp jolt or a dull ache accompanies any sort of pressure on your tooth, it’s time to call Central Park West Dental. Let’s look at a few of the possible causes.

  • Tooth Decay

When a cavity reaches below the enamel and into the dentin, the middle part of the tooth, you might feel discomfort and sensitivity. If a cavity reaches the inner pulp, which contains the tooth’s blood supply and nerves, it’s not only very painful, it can lead to a serious infection called an abscess.

Root canal treatment can help save a tooth when decay has reached the pulp, but prevention is always the best option! Good dental hygiene, regular checkups, and prompt treatment of small cavities will help prevent deep cavities from forming.

  • Damaged Dental Filling

A loose or damaged filling can be uncomfortable. Even worse, bacteria can get under a damaged filling where your toothbrush and floss can’t reach, causing decay which can eventually reach the pulp if undetected.

During your regular checkups, Dr. David Shipper and Dr. Howard Vogel will look for any signs of decay around and under your fillings, and will find any fillings which need replacing. If you notice a loose filling, or suffer discomfort when you bite down on a filling, don’t wait until your next checkup to visit our New York, NY office.

  • Malocclusion

When your teeth and jaws aren’t aligned properly, you can’t bite comfortably. And that can be just one of the troubles caused by a malocclusion, or poor bite. Alignment problems can include difficulty eating, speaking, and sleeping, tooth damage, headaches and jaw pain, and facial asymmetry.

If your bite pain is the result of tooth and/or jaw misalignment, we can refer you to an orthodontist to evaluate the way your teeth and jaws are working together.

  • Bruxism (Tooth Grinding)

Your jaws can provide more than 20 pounds of pressure to your teeth when you need to chew food. When you grind your teeth, your jaws can produce hundreds of pounds of pressure on your teeth all night long. It’s no wonder you wake up with tooth or jaw pain. Over time, nightly grinding will damage enamel and can chip and even crack teeth.

Your dentist can create a custom-made nightguard that will protect your teeth from grinding pressure—relieving tooth and jaw pain, preventing more serious damage, and giving you a better night’s sleep!

  • Cracked Tooth

A cracked cusp or a crack in your tooth needs to be treated as soon as possible. Some cracks can be treated by Dr. David Shipper and Dr. Howard Vogel, some might require a referral to an endodontist or an oral surgeon, and some cracked teeth are so badly damaged that they require extraction.

A painful cracked tooth can be obvious after a trauma, or it might not be obvious at all. So whenever you suffer dental trauma, call our office immediately for instructions. Speedy medical attention might be the difference between a repaired tooth and a lost tooth. (And save yourself from avoidable trauma by wearing your mouthguard whenever it’s appropriate!)

  • Infection/Abscess

When the pulp inside a tooth is infected or inflamed, the result can be a painful abscess. Abscesses are pockets of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and further infection if it’s not treated promptly.

Continuous severe pain, a swelling in the gums near your tooth, redness, fever, chills, a bad taste in your mouth, or bad breath can all be signs of a tooth abscess. See your dentist as soon as possible if you have any symptoms of an abscess. Your dentist may recommend a root canal procedure or refer you to an endodontist for root canal treatment or endodontic surgery.

Pain is an important signal that something is wrong, and you need to get to the root of the problem. Conditions which cause you pain often become more serious over time. For your comfort and your health, make an appointment at our New York, NY office right away whenever you hesitate to take another bite.

Wiggle Room

October 2nd, 2024

When you’re pregnant, you expect physical changes. That’s part of the excitement of the journey! What isn’t expected—and not nearly as exciting—is when your familiar smile seems to be changing as well.

If you’ve noticed that your teeth feel loose, or that your regular tooth alignment has shifted, you might be experiencing one of the unexpected, but quite common, side effects of pregnancy—tooth mobility.

How is this “wiggle room” possible? After all, you’re making sure that you’re eating a diet rich in protein, vitamins, and minerals, including calcium, vitamin D, and all the other nutrients which keep teeth and gums healthy. You’re brushing and flossing regularly to prevent cavities and gum disease. You haven’t changed your healthy dental habits, so why are you seeing different results?

The answer lies in the hormonal changes which occur with pregnancy. Your body has significantly increased production of hormones such as estrogen, progesterone, and relaxin. One of the benefits of these higher hormonal levels is their relaxing effect on your ligaments and joints. Relaxed ligaments and joints help make pregnancy and childbirth easier.

But you can’t target hormones just where they’ll be most useful. An increase in hormones affects the ligaments and joints throughout your body. And while this explanation might seem unrelated to loose teeth, it is, in fact, the “root” of the matter.

A complex support system holds our teeth securely in their sockets. Instead of being rigidly fused to the jaw, each tooth root is surrounded by a periodontal ligament within the socket. This ligament is largely made of flexible connective tissue, and attaches to both the root of the tooth and the bone tissue of the jaw, holding the tooth in place. Its flexibility helps cushion your tooth from pressure and impact, and allows the tooth movement which makes orthodontic work possible.

The hormones which relax ligaments and joints throughout the body have that same relaxing effect on the flexible ligaments and joints in the mouth. So it’s not uncommon to find that your teeth feel a bit looser, or that your customary tooth alignment has shifted, or that you’re experiencing discomfort in your jaw joint, especially if you grind or clench your teeth.

Fortunately, while loose teeth are alarming, it’s most often only a temporary condition. Your teeth and ligaments should return to their normal, stable status after your baby is born. But because dental health can impact on your pregnancy, see us if you notice any changes in your smile. We want to rule out any other causes of tooth mobility, including gum disease, tooth abscesses, or other serious conditions.

Other proactive prenatal tips to keep your smile its healthiest?

  • Call us when you learn about your pregnancy. We can offer suggestions for caring for yourself and your dental health during this exciting time.
  • Keep up with your dental hygiene. Brushing and flossing are more important than ever to keep your gums healthy.
  • And, because your gums might be more prone to gingivitis now, extra cleanings as needed can keep plaque buildup from forming.
  • Don’t forget your regular appointments at our New York, NY dental office for exams and cleanings. We want to help prevent any small problems from becoming larger ones.

Pregnancy is a time of many physical changes. Dr. David Shipper and Dr. Howard Vogel will work with you to ensure that one thing which remains constant is your beautiful, healthy smile!

Be Prepared!

September 25th, 2024

When you’re busy at work or school, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dr. David Shipper and Dr. Howard Vogel and our team recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at work with no time to head home before your date, or a garlic-heavy lunch, or a morning filled with coffee and pastries to help you meet a deadline, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

  • Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
  • Toothpaste
  • Mini-bottle of mouthwash
  • Small mirror—to check for any lunch leftovers
  • Dental floss—to remove any lunch leftovers
  • Dental picks
  • Sugarless gum—to freshen your breath and encourage saliva production, which helps clean away bacteria and food particles

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

  • A travel version of your manual or electric toothbrush and travel case
  • Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
  • Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
  • Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
  • Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
  • Our New York, NY office’s phone number. In case of emergency, Dr. David Shipper and Dr. Howard Vogel can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

  • Dental mirror
  • Cotton rolls
  • Over-the-counter pain relief—including a tube of oral pain relief gel
  • Ice pack
  • Dental wax—to cover the sharp edges of a broken tooth
  • Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
  • Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

Bright Ideas for Your Smile

September 25th, 2024

Keeping your smile its brightest can be a challenge! The foods you eat, healthy habits, unhealthy habits, and time itself can affect the color of your enamel. Luckily, there are some everyday actions you can take to minimize staining and discoloration.

  • Limit “Food Coloring”

Some of our favorite foods and beverages cause some of the most noticeable staining. Even though enamel is the strongest substance in our bodies, it’s still porous. This means that enamel can absorb elements from our foods, including tannins and natural food colors, which darken teeth over time.

That’s why a daily cup of coffee or tea, or a glass of red wine with dinner, or frequent helpings of dark berries, can lead to a less than brilliant smile in a matter of months. What’s more, acidic foods like citrus fruits, pickled foods, and sodas erode the enamel surface, which makes it easier for food stains to penetrate.

When you eat those smile-dimming foods, it’s a good idea to rinse with water right away. (When tasty treats are acidic, it’s best to wait to brush for about half an hour to avoid enamel damage.)  And here’s a simple work-around—use a straw when you enjoy discoloring drinks.

You can also reduce staining by adding food allies to your diet. Besides bringing you the nutritional benefits of a healthy, well-balanced diet, crunchy foods such as apples, carrots, and celery can have a mild scrubbing effect on the tooth surface, and dairy foods strengthen enamel and might help prevent staining when added to coffee or tea.

If you’re mindful of your eating habits, you’ll help your smile stay its brightest. And speaking of habits . . .

  • Keep Up with Healthy Habits

Plaque is a sticky biofilm which contains oral bacteria, food particles, saliva, and fluids. This film starts forming within hours after brushing, and a buildup of plaque leaves teeth looking yellowish. If plaque is left undisturbed, it hardens into tartar within days. And the yellow and brown colors of tartar aren’t a flattering look for any of us.

Regular brushing and flossing is the best way to keep your teeth plaque-free. For a brighter smile, a whitening toothpaste can help remove superficial surface stains. But what a whitening toothpaste can’t do is to remove deep staining or tartar.

A professional cleaning every time you have a checkup at our New York, NY office is the best way to keep your teeth their cleanest, especially because tartar must be removed by a dental professional. And please feel free to ask for brushing and flossing tips to help maintain your sparkling smile.

  • Give Up Unhealthy Habits

Cigarettes, cigars, and other forms of tobacco are terrible for your health and terrible for your smile. While cosmetic concerns are the least of our worries when it comes to tobacco, it’s well known that smoking and chewing tobacco cause unattractive yellow and brown staining.

Quitting tobacco in any form benefits not just your appearance, but your oral health—and your overall health. When you’re ready, talk to Dr. David Shipper and Dr. Howard Vogel about some of the methods you can use to give up the habit permanently.

  • Beat the Clock

Over the years, erosion and wear cause the enamel layer on the outside of the tooth to thin or crack. This allows the dentin underneath to show through. Because dentin is darker than enamel to begin with, and gets darker over time, teeth can take on a yellow or grey hue as we age.

Keep your smile looking its best through the years with regular checkups and cleanings. Avoid excessive erosion and abrasion by being mindful of the acidic foods in your diet, using a soft-bristled brush for cleaning your teeth, and getting treatment for harmful conditions like bruxism (tooth grinding). If you notice any changes in your smile, it’s a good idea to talk to Dr. David Shipper and Dr. Howard Vogel.

While preventing staining naturally with diet and healthy habits is great, sometimes nature needs a nudge. If you have an important event coming up, or if you would simply like to feel more confident about your smile, talk to us about professional whitening. A professional treatment uses a stronger whitening formula, and often works more quickly, is more effective at removing yellowing and stains, and lasts longer than home treatments.

Finally, while you can do a lot to keep your teeth their brightest by preventing and treating external staining, other types of discoloration can also affect your teeth. For staining caused by medication, root canal work, or trauma, ask us about all the options available to you.

Yes, keeping your teeth their brightest can be a challenge, but doing your part—and working with your dental team at Central Park West Dental—will make sure you greet the world with a sparkling, confident smile.

Dental Emergencies in Children

September 24th, 2024

Unfortunately, dental emergencies can sometimes be unavoidable among young children. The good news is Dr. David Shipper and Dr. Howard Vogel can help you prepare in case you and your child find yourselves in any of the following situations.

Teething

Starting at about four months and lasting up to three years, your son or daughter may experience teething pain. It’s common for teething children to grow irritable and become prone to drooling due to tender gums. Give your child a cold teething ring or rub his or her gums with your finger to help relieve the discomfort.

Loss of Teeth

If a baby tooth is knocked out in an accident, bring your child to our New York, NY office to make sure damage hasn’t occurred in the mouth. Permanent teeth can sometimes grow in before baby teeth have fallen out. In this situation, Dr. David Shipper and Dr. Howard Vogel should examine your child to make sure teeth are growing in properly. This can prevent serious issues from arising later in adulthood.

Gum Issues

Bleeding gums could mean several things. They may be an early sign of periodontal disease, which results from poor oral hygiene. Gums may also bleed if a youngster is brushing too hard or has suffered an injury to the gum tissue.

Rinse your child’s mouth with warm salt water and apply pressure to the area if bleeding continues. Don’t hesitate to contact our New York, NY office if you are concerned so we can schedule an appointment.

As a parent, you can provide the best education for your children on proper oral hygiene habits. If you some coaching, ask Dr. David Shipper and Dr. Howard Vogel for tips during your next appointment.

Something To Chew On

September 4th, 2024

Chewing gum can be a sticky problem. We’re not talking about etiquette, or nutrition, or how to get rid of the darned stuff when you don’t have a trash container handy. No, we’re talking about gum and its effects on dental health. So, let’s take a moment to chew over the benefits and drawbacks of chewing gum.

  • First, the Good News about Gum

One of the important benefits of chewing gum is increased saliva production. This might not sound especially appealing, but here’s an important fact: saliva is one of oral health’s unsung heroes.

Saliva helps wash away food particles which feed the bacteria in plaque. It helps neutralize acids in the mouth which can damage tooth enamel. The minerals in saliva actually help rebuild weak spots in our enamel.

And, since sugar-free gum has revolutionized the gum-chewing world, we don’t bathe our teeth in sugar while we chew. This is a major advantage, and it’s why sugar-free gums are the only products which are ADA approved. A possible downside? Some people who chew certain sugar-free gums (especially people who chew a lot of them) can experience digestive problems.

  • What about Dental Work?

Yes, gum can be tricky for dentures, crowns, braces, and other dental work, especially with very sticky and chewy products. There are gums out there that claim to be safe for dental work, but finding the right gum can involve some trial and error that you might prefer to avoid. This is a good subject to discuss with Dr. David Shipper and Dr. Howard Vogel.

If you have a temporary crown protecting a tooth until your permanent crown is ready, avoid gum entirely until your restoration is complete. The pulling effect of sticky, chewy gum can make your temporary crown even more temporary than you were expecting! After your crown’s finished, talk to your dentist about chewing gum again.

  • “Chews” Wisely

Chewing means jaw movement and pressure. Hours of chewing means hours of jaw movement and pressure. If your jaws ache after a gum marathon, maybe it’s time to cut back! But, if your jaws ache whenever you chew, that’s a sign that a visit to our New York, NY office is in order.

The temporomandibular joint (TMJ) is a kind of hinge which allows your mouth to open and close and move from side to side—in other words, to talk, eat, drink, yawn, make faces—all those things we do all day long. Recurring jaw pain can be a sign of TMJ (temporomandibular joint) disorder.

Bruxism, or tooth grinding, is another reason to leave gum off your shopping list. When you grind your teeth, you’re putting stress on your teeth and jaws which can lead to cracked and chipped teeth, headaches, and tooth and jaw pain. If you’re working on getting your bruxism under control, you’ll want to avoid chewing gum and other habits which cause jaw clenching.

You and your dentist are the people who know your oral health best. If you suffer from dry mouth and think chewing gum might help with saliva flow, or if you’re worried about your dental work being damaged by gum, or if you have jaw pain when you chew, or if you have any concerns about your oral health, visit Central Park West Dental for all the answers to your sticky questions.

How to Subtract Those Added Sugars

August 28th, 2024

Sugars are the simplest carbohydrates, and are found naturally in fruits, vegetables, grains, and dairy products. Our bodies require these simple carbs for energy. (Even better, we don’t just get energy from fruits, vegetables, grains, and dairy—we also get healthy amounts of vitamins, minerals, antioxidants, fiber, and even some protein!)

Problems arise when we get too much of this good thing. Once our bodies have all the sugar they need for immediate energy, they store extra sugars in liver, muscle, and fat cells. Over time, excess dietary sugars can affect weight and blood sugar levels, with potentially damaging results.

And, of course, sugar has an immediate effect on our oral health. The oral bacteria in plaque also need sugars for energy, which they use to make acids. An acidic environment in the mouth dissolves the minerals, which keep our tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

So it’s really no wonder we hear a lot about avoiding “added sugars” in our diets, for both our general health and for our dental health in particular. But the concept of “added sugar” can be a bit misleading. If you’re not putting five spoons of sugar on your breakfast cereal, or pouring half a jar of honey in your tea, or using a recipe that calls for a cup of corn syrup, you might think you’re avoiding added sugars altogether. And that’s just not the case.

When dieticians talk about added sugars in our foods, they mean additional refined sugars (like white and brown sugars and corn syrup) that are used in preparing or processing foods.

Unlike unprocessed foods, which have been minimally treated to keep them as natural as possible, processed foods have been baked, or frozen, or mixed with other foods, or somehow changed from their natural state. This is where “added sugars” come in. Both home cooks and commercial processors use sugar to improve flavor, provide sweetness, and extend shelf life when preparing food.

What are some of the worst offenders? Store bought or homemade desserts like cakes and ice cream are prime candidates. Sodas? Most definitely. But it’s not just the obvious culprits. Added sugars are found in many foods we usually think of as healthy, including:

  • Smoothies
  • Fruit Drinks
  • Energy Drinks
  • Granola Bar
  • Power Bars
  • Breakfast Cereal
  • Flavored Yogurt

While eating unprocessed foods is one way to make sure you get no added sugars, you can also eliminate many grams of sugar from your daily diet by trying out low-sugar recipes and choosing processed foods with little or no added sugar.

How to avoid unexpected added sugars? Fortunately, new labelling on food packages lets us know not only how much sugar is in any product, but how much added sugar has found its way into our grocery cart. Take a moment to check out labels, and avoid sugary surprises.

Your body can get all the natural sugar and carbs it needs for energy from a healthy, well-balanced diet. Lowering your added sugar intake won’t deprive your body of necessary nutrients, but it will deprive oral bacteria of their most convenient food source and reduce the amount of acids, which threaten your enamel. In fact, subtracting extra sugars is one of the easiest and most effective ways to add to your dental health!

If you have any questions about reducing your sugar intake, be sure to ask Dr. David Shipper and Dr. Howard Vogel the next time you visit our New York, NY office.

Three Reasons We're Fans of Fluoride

August 21st, 2024

Why all the fuss about fluoride? Your dentist recommends it, your toothpaste is formulated with it, most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

  1. Fluoride Works!

Fluoride is an attractive option for protecting your teeth—and we mean that literally. Fluoride protects the surface of your teeth by working on a molecular level to attract minerals which strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots that might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals.

Want more? Fluoride may interfere with bacterial plaque’s ability to produce acids. Since plaque and its acids are a major cause of gum disease, brushing with a fluoride toothpaste is a great way to help prevent plaque buildup around and below the gum line—buildup that leads to irritated, inflamed, and infected gum tissue.

  1. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is especially important for your child’s dental health. This is because fluoride incorporates with minerals in the adult teeth while they are growing and developing, creating stronger, more cavity-resistant teeth even before they erupt. Most adult teeth have finished forming around age eight, so, if your community doesn’t have fluoridated water, it’s a good idea to discuss other options with your child’s dentist.

And we grown-ups benefit, too! When you drink fluoridated water, you’re increasing the amount of fluoride in your saliva. Just like fluoride toothpaste, saliva bathes your teeth with fluoride ions, strengthening the tooth surface, and helping to neutralize the acids which damage teeth and gums.

  1. It’s Easy to Get Fluoride Protection

Most toothpastes are formulated with fluoride, so you’re getting the enamel-strengthening benefits of this mineral whenever you brush—at least twice each day. Since children can’t really grasp the “rinsing” and “spitting” steps of the brushing routine just yet, talk to Dr. David Shipper and Dr. Howard Vogel about how to introduce tiny amounts of fluoride toothpaste to your child’s dental routine. Baby steps!

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride each day. If your community’s water is low in fluoride, we can help you here as well. Prescription fluoride rinses, gels, supplements, and other treatments are available to make sure that your teeth are well-protected, wherever you may live. We will let you know which products are best for you and how often to use them during your next visit to our New York, NY dental office.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. Check into sealants for both kids and adults for long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter and plaque-reducer that is simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Airplane Oral Health Tips

August 14th, 2024

What’s in your carry-on bag? You’ve got your passport, ticket, and currency, but what about dental floss? Of course! You’re preparing for the trip of a lifetime, and we want to help make sure everything goes according to plan.

Part of your preparation before a long vacation should be a complete check-up at our New York, NY office well in advance of your trip. If there is dental work to be done, now is the time to do it. No one wants to be stuck over the Atlantic with a toothache, and changes in atmospheric pressure can cause serious problems if you have a severely compromised tooth. Tell us when you are planning on traveling, and we can schedule any procedures that should be finished before you fly.

Now that you have the all clear to travel, what about maintenance once you’re on board for a long flight? Some airlines provide toothpaste and brushes for travelers. If you have questions about the quality of the water in the airplane restroom, use bottled water to brush. There are also single-use mini-brushes available for travelers that come loaded with paste and ready to use without any water at all. Crisp fruits and vegetables can help clean teeth on-flight if brushing isn’t an option, and drinking plenty of water will not only keep you hydrated, but help cleanse your mouth and teeth as well. Be sure to travel with floss, a travel-sized tube of toothpaste, and a brush in a well-ventilated container in case you face airport delays between flights.

Taking your electric toothbrush with you? Usually there is no problem bringing your electric toothbrush in your carry-on, but do check in advance to make sure this is allowed on your flight. Most electric toothbrushes have region-specific battery chargers, so find out in advance if you will need a voltage converter or plug adaptor if you are visiting another country. Check to make sure the head is in good condition before you go and replace it if necessary.

Once you’ve landed, try to keep your dental routine as close to normal as possible while you enjoy your visit. Regular brushing and flossing are still necessary, especially if you take the opportunity to explore the local desserts. We’ve given you some tips to make your flight more comfortable—now that you’ve reached your dream destination, the rest is up to you!

Your Sunny Smile

August 7th, 2024

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

  • muscles to work
  • nerves to carry messages
  • blood to deliver nutrients and oxygen
  • the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key that unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

  • Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction that creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

  • Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D.

  • Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—benefits which make healthy teeth and bones possible.

If you have any concerns, talk to Dr. David Shipper and Dr. Howard Vogel at our New York, NY office about whether you’re getting the vitamin D you need. Your sunny smile will thank you!

Which whitening is right for you?

July 31st, 2024

Many of our patients at Central Park West Dental have been asking us about brightening their teeth lately, and today we thought we would discuss the options available to you to put the sparkle back in your smile!

Over-the-counter products – You’ve probably seen over-the-counter whiteners such as whitening strips on store shelves. While whitening strips may work for some, they do have certain restrictions. For example, they are not nearly as effective when crowns or fillings are involved. Teeth that are stained gray instead of brown or yellow typically don’t respond as well to these types of whiteners. Whitening strips typically save you money but take longer to work and also require discipline on your part to keep them in place for the right amount of time each day.

Whitening at our office – This type of whitening can be done right at Central Park West Dental. A whitening agent is applied directly to teeth and a special light helps accelerate the whitening process. This may be accomplished in one session or take several appointments. You should expect to spend anywhere from 30 to 60 minutes at each session. If you have a mix of natural teeth and fillings or crowns, Dr. David Shipper and Dr. Howard Vogel may recommend bonding or veneers on your natural teeth instead of regular bleaching. Teeth whitening at our office can be used to correct many tooth discolorations which may have been caused by staining, aging, or chemical damage to teeth. Using the latest in whitening technology, we can offer a safe method for creating the beautiful smile you've always wanted.

At-home whitening – If you choose this option, Dr. David Shipper and Dr. Howard Vogel will take a mold of your teeth and create a custom-fit whitening tray. Gel whitening solution is poured in the mouthguard-like tray, and the tray is worn for a pre-determined amount of time, generally from a couple of hours a day to every day during the night, until you’re back in our office for an evaluation.

Give us a call at our convenient New York, NY office to schedule an appointment! Whiter teeth are one just one visit away at Central Park West Dental!

How do I make my child’s diet safe for his or her teeth?

July 24th, 2024

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Dr. David Shipper and Dr. Howard Vogel and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our New York, NY office to schedule a consultation.

Suffer from Dental Anxiety? Not a Problem.

July 17th, 2024

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Central Park West Dental, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our New York, NY office!

Morning Sickness and Your Oral Health

July 10th, 2024

Whether it’s your first child or you’re an experienced mom, pregnancy is an exciting time—which you’ll be able to enjoy much more once the days of morning sickness are over.

Morning sickness affects most pregnant women, and can present in any number of ways. It might take the form of mild nausea, or cause frequent vomiting. It often occurs in the morning hours, but can take place at any time of day. It’s usually over with by the second trimester, or it can last weeks longer. Because of this wide variety of symptoms, morning sickness is more accurately referred to as NVP, the nausea and vomiting of pregnancy.

Your doctor can recommend safe and effective ways to deal with NVP, especially when symptoms are more severe. We have some recommendations to minimize the effect of morning sickness on your dental health.

Wait, dental health? That’s right. Besides its more obvious unpleasant consequences, NVP can cause problems for your teeth and gums. We have a few suggestions for getting you through the weeks of morning sickness with easy and effective strategies to protect your oral health.

Prevent Acid Damage

Vomiting and heartburn with reflux expose the teeth to stomach acids. Tooth enamel is the strongest substance in the body, but it’s not safe from acid attacks.

Normally, the pH balance in our mouths is neutral, around a 7 on a scale of 0 to 14. When acidic conditions lower the oral pH to 5.5 or below, the minerals in enamel begin to dissolve, leading to sensitivity and, eventually, cavities. The pH of our stomach acid ranges from 1.5 to 2.5. This is great for digesting food, but not great at all for enamel and sensitive gum tissue.

Whenever we vomit, the immediate (and understandable!) impulse is to reach for our toothbrushes. But this is an impulse we should resist. Because acids weaken tooth enamel, scouring the teeth with a toothbrush right away can cause more erosive damage. Instead,

  • Wait half an hour or more before brushing to give your enamel time to recover its strength.
  • In the meantime, rinse with water and perhaps a bit of toothpaste or diluted, doctor-approved mouthwash.

Keep Hydrated

Another consequence of frequent vomiting is dehydration. It’s always important to keep our bodies properly hydrated, and this is particularly true during pregnancy.

Hydration is also essential for oral health. Saliva helps wash away the bacteria and food particles which cause cavities and irritate the gums—especially important now, since pregnancy hormones can leave you more vulnerable to gingivitis and other forms of gum disease.

  • Drink water as recommended by your doctor. It’s healthy, it hydrates, and it helps prevent cavities and gum disease. Win/win/win.
  • Whichever fluids are your favorites, drinking them in measured amounts through the day will be more effective and more appetizing than drinking large amounts once or twice a day to catch up.
  • You have a busy life, so make things easy on yourself. If you need to hydrate more, keep track of your hydration goals with an app or a phone notification. There are even “smart bottles” to track your intake. Or go old school, and fill a bottle marked with timed measurements to remind you to hydrate through your day.

When The Very Idea of Brushing Is Nauseating . . .

When just the thought of brushing is unappetizing, we have suggestions which might help.

  • Postpone brushing until later in the day when you feel better. Rinse with water first thing in the morning instead.
  • Trade in your regular toothbrush for one with a smaller brush head. This can help prevent the gag reflex.
  • Brush slowly, using small strokes.
  • If brushing the back teeth is particularly triggering, try deep breathing or sitting down to brush.

We want to help you enjoy a healthy pregnancy. Let us know when you first learn you’re pregnant. We have some valuable tips for the coming months, including suggestions for reducing the dental effects of NVP. Fortunately, morning sickness is temporary, and we’re here with ideas to help your beautiful smile last a lifetime!

Seal of Approval

July 3rd, 2024

Outside activities? You slather your kids with sunscreen. Biking? You don’t let your child leave the house without a helmet. Youth sports? You provide mouthguards and padding and headgear and all the other tools designed to keep your child safe. Protecting your child is a fundamental part of parenthood, and you take your job seriously.

Protecting your child’s dental health is fundamental, too! Tooth decay is the most common chronic disease in children, and children’s premolars and molars are far more vulnerable to decay than any of their other teeth. You can help protect your child’s molars and premolars with a simple and effective treatment—dental sealants.

  • How Do Sealants Work?

The bacteria in plaque use food particles to create acids. These acids erode the minerals in tooth enamel, creating weak spots that become cavities over time. Molars and premolars are especially vulnerable to cavities because of their uneven chewing surfaces. The dips and grooves on top of the teeth—technically known as “pits and fissures”—collect food particles and bacteria, and can be difficult for children to clean completely when brushing. That’s why cavities are so common in newly erupted molars.

Dental sealants protect your child’s molars and premolars by creating a barrier that covers and smooths out the chewing surface of the tooth, preventing bacteria and food particles from getting stuck inside those uneven pits and fissures.

  • What Kind of Sealants Are Available?

The two most common dental sealants are composite resin coatings and glass ionomer sealants.

With resin sealants, after each tooth is cleaned and dried, an etching solution will be brushed onto the top surface of the molar. This etching slightly roughens the surface so that the sealant will stick to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a special curing light.

Glass ionomer sealants use a flexible paste that bonds to the tooth and hardens within minutes. While they generally don’t last as long as resin sealants, they are designed to absorb and release fluoride for extra cavity-fighting protection.

  • Do Sealants Work?

They certainly do! According to the Centers for Disease Control, sealants can prevent 80% of the cavities in molars and premolars, which is where 90% of children’s cavities appear. Dental sealants can last from three to five years, or even longer. Dr. David Shipper and Dr. Howard Vogel will check the condition of any sealants at each dental exam, and let you know if it’s time for a reapplication.

  • When’s the Best Time to Get Sealants?

Tooth enamel gets harder as we get older, so children’s newly erupted teeth are more at risk for cavities. First adult molars usually arrive when a child is six to seven years old, and second adult molars come in around the age of 12. The first and second premolars can erupt between the ages of ten to 12. As soon as the first permanent molars begin to erupt, it’s a good time to talk to Dr. David Shipper and Dr. Howard Vogel about the best time to apply sealants.

And what about baby teeth? Even though baby teeth are meant to be replaced, they shouldn’t be lost to tooth decay before they are ready to fall out. Primary teeth help young children learn to speak and eat properly and hold the place for adult teeth so these permanent teeth come in where they should. Baby teeth have thinner enamel, and so cavities can progress more quickly. Dr. David Shipper and Dr. Howard Vogel can let you know if sealant protection for your child’s baby molars is indicated.

Applying sealants at our New York, NY office is a safe, simple, cost-effective, and painless process. Dental sealants are one more tool you can use to make protecting your child’s dental health a little easier and a lot more effective. That gets a well-deserved parents’ seal of approval!

Root Canal Procedure

June 26th, 2024

Five words no one welcomes: “You need a root canal.” But if you are delaying treatment because you are worried about pain and an uncomfortable day in the dentist’s chair, please think again! Modern root canal procedures are designed to repair your damaged tooth gently and efficiently, and leave you with a restored natural tooth that can last a lifetime.

  • Why might you need a root canal?

First, a little tooth biology. Each tooth has a crown (the part we see above the gums) and one or more roots (the part of our tooth below the gum line that is attached to bone in our jaw). The tooth has three basic layers: the hard enamel and cementum that cover the outer crown and root, the softer dentin beneath that layer, and, on the inside, the pulp. Pulp is made of living tissue, and contains the blood vessels and nerves that nourish the tooth and keep it vital.

Even with the protection the enamel and dentin provide, sometimes the pulp can be infected or damaged. If you have suffered an injury to your mouth or jaw, or an infection has developed from an opening in the tooth caused by a deep cavity or crack, you may need a root canal to prevent further infection, pain, and even tooth loss. Call our New York, NY office immediately if you feel pain with chewing or pressure, prolonged sensitivity to heat or cold, swollen, and tender gums around a tooth, or tooth discoloration.

  • The Root Canal Procedure

If a root canal is necessary, the procedure is very straightforward. After the area around the tooth is numbed, we will make an opening in the crown to allow access to the pulp inside. Very small instruments will be used to clean the inner tooth and removed bacteria and dead or dying tissue. The area will be thoroughly disinfected, and the inside of the tooth shaped and then filled and sealed. A temporary filling or crown might be placed on the tooth to prevent bacteria and food from entering the site if a permanent crown needs to be created. The entire process usually takes from one to three visits.

If we suggest a root canal, it is because this is the best way to save your tooth. Please feel free to talk to us about your particular needs and concerns. Which tooth is affected, how many roots are involved, what type of filling or crown might be best—we will work with you to provide all the information you need and all the options you have available.

Common Concerns

  • Are you concerned about pain?

The most painful part of a root canal is often the severe discomfort your tooth causes before treatment. And infections and damaged nerves can affect not only the injured tooth, but the gums, tissue and even bone surrounding it. With our modern dental techniques, a root canal procedure is often no more uncomfortable than a regular filling. The local anesthetic we use will prevent you from feeling any pain during the procedure, and, while the area around your tooth might be a bit sensitive following treatment, the pain caused by the infection or injury should be gone.

  • Are you anxious about the procedure?

If dental treatment causes you anxiety, please let us know. There are several sedation options we can pursue to make this procedure less worrisome. Our goal is to make your treatment as gentle and comfortable as possible.

No one welcomes the news that a root canal is necessary, but with today’s procedures, this treatment can be just what you need to relieve your pain and keep your natural tooth where it belongs for many years to come. And that is welcome news, indeed!

Double Duty

June 20th, 2024

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone, which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece that fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard that will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard that covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our New York, NY dental. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

  • Provide a perfect fit around teeth and braces
  • Protect better because they fit better
  • Are designed for easy breathing and speaking
  • Are less bulky
  • Are more durable
  • Fit more comfortably
  • Can accommodate orthodontic adjustments
  • Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Dr. David Shipper and Dr. Howard Vogel can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Dr. David Shipper and Dr. Howard Vogel to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

Treatment Options for TMD

June 13th, 2024

Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Dr. David Shipper and Dr. Howard Vogel helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

  • Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
  • Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
  • Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
  • Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
  • Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
  • Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

Oral Cancer

June 5th, 2024

Dr. David Shipper and Dr. Howard Vogel and our team want you to have the healthiest possible smile in the healthiest possible body. Oral cancer can affect the mouth, tongue, throat and jaw. Early detection is vital for the best possible outcome when treating this disease. That is why we check for symptoms of oral cancer at every dental examination.

What can you do to reduce the chance of oral cancer?  Reduce your risk factors. You can help prevent oral cancer by adopting these healthy habits:

  • Don’t smoke. Don’t chew tobacco. Don’t use a pipe. If you use any tobacco products, quit. Tobacco use is the single largest risk factor for head and neck cancers. Talk to us—we have suggestions for helping you break the habit.
  • Drink alcohol in moderation. Heavy drinkers have a higher rate of oral cancer. More than one to two drinks per day can be considered heavy drinking, depending on factors such as weight, age, and even gender. Check with your doctor to find your personal definition of moderation.
  • Eat a healthy diet. Cancer-fighting fruits and vegetables are a great addition to any menu.
  • Protect yourself from the sun. Help prevent sun-related lip cancers by always wearing a UVA/UVB blocking sun screen or lip balm whenever you are working or playing outside—and reapply frequently.
  • Some forms of the HPV virus have been linked to oral cancer, and those affected are generally younger and less likely to be smokers. Research indicates that the HPV vaccine, known for preventing several types of cancer, might also help prevent HPV-related oral cancers.
  • Schedule regular dental exams. We are trained to recognize oral cancer and precancerous conditions that you might miss.

Of course, cancer can occur even with the healthiest habits. Do come see us if you detect any of these symptoms:

  • A sore or ulcer that doesn’t heal, or persistent tenderness and pain in the mouth
  • Lingering sore throat, hoarseness, or vocal changes
  • Pain in the neck or ear that doesn’t go away
  • A lump, a rough or thickened area, or eroded tissue in the skin lining the mouth
  • Red or white patches in the lining of the mouth or on the tongue
  • Difficulties chewing, swallowing, speaking, or moving the tongue or jaw
  • Numbness in the tongue or mouth
  • Changes in the way your natural teeth or your dentures fit together.

Not every symptom is caused by cancer, but it is important to rule out the possibility. We are trained to recognize early signs of oral cancer, and can recommend further tests if needed. Call our New York, NY office immediately if you have any concerns. Early detection and treatment lead to the most successful outcomes.  

Planning Your Vegetarian Diet with Your Oral Health in Mind

May 29th, 2024

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

  • Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
  • Ovo-vegetarian—includes eggs as a dietary option, but no dairy
  • Lacto-vegetarian— includes dairy as a dietary option, but no eggs
  • Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

  • Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

  • Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

  • Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Dr. David Shipper and Dr. Howard Vogel can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our New York, NY office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.

Start Your Day Off with a (Healthy) Smile!

May 28th, 2024

If there’s one meal that can claim the title of “Sweetest Meal of the Day,” it’s almost certainly breakfast. Sugary cereals, syrup-covered waffles, oatmeal with honey, cinnamon toast (which is literally sugar poured on toast)—it’s hard to imagine another menu even coming close. But you’re trying to keep your diet as healthy as possible. What to do?

First, no need to deprive yourself of the occasional pastry or stack of pancakes. The real problem with breakfast isn’t so much sugar as it is added sugar.

  • Just a Spoonful of Sugar? What’s So Bad About That?

Nothing! Many healthy foods have natural sugars. Milk contains lactose sugar, and it also contains calcium and is enriched with vitamin D—both of which are essential for strong bones and teeth. Fruits get their sweetness from a sugar called fructose, and deliciously provide vitamins, minerals, antioxidants, and fiber to our diets.

Even processed sugar is surprisingly low in calories. In fact, a teaspoon of white sugar has only about 15 calories. But this teaspoon is also rich in nutrients for cavity-causing bacteria. The oral bacteria in plaque use sugars and carbohydrates from food particles as a fuel source to produce acids. These acids erode enamel and lead to cavities.

Choosing breakfast foods without additional sugars, then, is an easy way to reduce the number of empty calories in your diet while safeguarding the health of your teeth. We have a few suggestions.

  • Be Selective with Cereals

If the word “sugar” or “honey” or appears on the box, that’s a hint that your favorite cereal is heavy on the sugar. But there’s a more scientific way to tell just how much sugar is in that spoonful.

While the colorful packaging and playful mascots are eye-catching, check the black-and-white panel with nutritional facts found on every box. If one serving equals 27 grams, and the sugar in that serving equals 15 grams, you know you have a problem. And cereals marketed to children are especially “rich” in added sugar.

But luckily, you don’t need to give up your morning bowl. Many cold cereals are available that offer whole grains, protein, and fiber without a lot of added sugar. Spend some time in the cereal aisle comparing, or, to make life easier, there are many online sites which recommend the best (and worst) cereals in terms of sugar content.

  • Use Your Judgment with Juices

Fruits are packed with important nutrients. Not only do they provide essential vitamins and minerals, they’re a great source of water and fiber. If you drink 100% fruit juice, you are getting the benefit of most of the vitamins and minerals found in fruit. (You’re also getting less of the fruit’s natural fiber, and more of the fruit’s natural sugar, so consider fresh fruit as an option occasionally.)

But when fruit juice comes with “cocktail,” or “punch,” or “ade” attached to the end of it, there’s often something else attached—added sugar. For natural fruit flavor and the least amount of sugar, stay with 100% unsweetened fruit juice.

  • Search Out “Surprise” Sugars

Remember the childhood excitement of searching through your cereal box for the prize inside? Fun! What’s not so much fun? The surprises you might find when you search through the labels on your favorite breakfast items—because added sugars make their stealthy way into many of our morning favorites.

When you compare plain, Greek, and low-fat yogurts, for example, the low-fat options are often higher in added sugar. A container of low-fat yogurt can provide 19 grams of sugar—that’s a tablespoon and a half!

And while you’re at it, be sure to compare the sugar content in granola bars. Some are full of nuts and grains, and some are full of added sugar.

Going out for a breakfast smoothie? Those can contain 70 grams of sugar and more. Making your own at home might be a little more time-consuming, but if you use fresh fruit as your sweetener, you can make sure that what you’re not consuming is added sugar. If you’re on the go, check out all-fruit options at your favorite smoothie shop.

Dr. David Shipper and Dr. Howard Vogel and our team aren’t asking you to eliminate sugar from your breakfast diet altogether. (Everyone loves a doughnut now and again.) But substituting some alternatives for your regular menu choices can reduce the amount of added sugars by tablespoons every meal. That’s another great reason to greet the morning with a smile!

Cleaning Your Teeth—Time for a Refresher Course!

May 27th, 2024

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our New York, NY office.

  • Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Dr. David Shipper and Dr. Howard Vogel at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

  • Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

  • Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!

What’s the Big Deal about Sleep Apnea?

May 8th, 2024

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

  • Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

  • Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

  • Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Dr. David Shipper and Dr. Howard Vogel at our New York, NY office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.

Ancient Grains for Modern Diets

May 1st, 2024

One of the latest foods in dietary news is also one of the oldest—ancient grains. What makes these old-timers so appealing to modern tastes? Let’s run down the menu!

Why Are Some Grains Called “Ancient”?

Unlike grains such as modern wheat, which have been crossbred for hundreds of years to bring out certain qualities, ancient grains are generally considered to be grains which have been cultivated in the same way and in the same form for centuries.

Not All Grains Are the Same

Grains are harvested from the seeds, or kernels, which grow on top of cereal grasses. But because they have many of the same uses, and many of the same nutrients, ancient grains also include pseudocereals, which are seeds and fruits from non-grasses. These seeds can be ground just like grains or used whole. This is an important distinction for many diet-mindful people because grains derived from pseudocereals are gluten-free.

The Health Benefits of Ancient Grains

Ancient grains are whole grains. This means that the seeds of ancient grains have their bran, germ, and endosperm intact—which means that all their nutrients, proteins, and fiber also remain intact. Refined grains like white flour and white rice have removed many of these good-for-your-body elements by removing the bran and germ, leaving only the endosperm behind.

The Dental Benefits of Ancient Grains

Of course, any food that offers better nutrition is better for your teeth and gums. But there’s an added bonus in the more complex structure of intact grains—they take more time to digest.

With foods made with refined grains, digestion starts taking place quickly—in fact, saliva starts the digestive process right in our mouths while we eat. And as these carbs break down into sugars, they provide a feast for the oral bacteria which convert that sugar into acids.

These acids, in turn, attack tooth enamel, leaving weaker spots which can grow into cavities, and irritate delicate gum tissue. What’s more, refined carbs tend to be extra sticky, lingering in the mouth, between the teeth, and on the enamel instead of being washed away by saliva.

So, Have Any Suggestions for My Shopping List?

We do! Because all ancient grains are loaded with protein and fiber, they are all going to be a rich source of these healthy essentials. And they can offer additional minerals, vitamins, and antioxidants to your diet. If you’re inspired to add a bit of history and geography to your plate, here are some ancient grains to consider:

  • Amaranth

Cultivated by the Aztecs, this gluten-free pseudocereal seed is high in manganese, magnesium, copper, phosphorus (which helps keep your enamel strong), and also provides vitamins B1 (thiamin), B6, and B9 (folic acid).

  • Barley

Grown for thousands of years in Asia and Europe, barley is one of the first cultivated grains. In its whole grain form, barley offers us selenium, manganese, copper, vitamins B1 and B3 (niacin), and antioxidants. Whole barley has a very tough outer shell and takes quite a bit of cooking, so lightly pearled barley can be substituted with only a small loss of bran.

  • Buckwheat

Originating in Asia, buckwheat quickly spread to Europe and eventually made its way to early American fields. Another pseudocereal, buckwheat seed is often ground for flour, and is a good source of copper, manganese, magnesium, phosphorus, vitamins B2 (riboflavin), and B3. Not to mention, gluten-free!

  • Bulgur

Often used in Middle Eastern and Mediterranean cooking, bulgur is a cracked wheat cereal grain. Bulgur adds, among other nutrients, manganese, magnesium, copper, iron, and vitamins B3 and B6 to your diet.

  • Farro

“Farro” comes from an Italian word which can refer to three different varieties of wheat, with different cooking times, textures, and flavors. These grains were first cultivated in the Middle East and the Mediterranean region thousands of years ago, and are still popular today thanks to their nutty flavor and chewy texture. Try farro for a tasty serving of magnesium, zinc, vitamin B3, and antioxidants.

  • Freekeh

Common in Middle Eastern, North African, and Mediterranean cuisine, freekeh is another form of cracked wheat. It’s harvested when the plants are young, so it has extra protein and fiber, as well as being a good source of iron.

  • Quinoa

Another pseudocereal, quinoa originated in South America. It’s gluten-free, and filled with minerals such as manganese, magnesium, phosphorus, and vitamin B9. It’s also a complete protein, which means it contains all nine of the amino acids our bodies can’t produce on their own.

  • Spelt

One of the largest wheat crops in Europe, and grown around the world, spelt’s nutty taste is an added bonus to its stores of manganese, copper, phosphorus, and vitamin B3.

  • Teff

The smallest of the ancient grains, teff is an African variety of millet, a pseudocereal full of nutrients such as manganese, copper, iron, and calcium (another mineral which is vital to dental health), as well as vitamins B1 and B6. Try brown teff for its naturally sweet flavor.

This is just a taste of the ancient grains available to you, with many others from around the world waiting to be harvested for your table. But you needn’t choose ancient grains to receive all the nutritional benefits of whole grains.

Brown rice, whole wheat products, corn, oats—all these common ingredients are easily available forms of whole grains. Check the grain aisle in your local market for some new ways to brighten your recipes, to increase your dietary protein and fiber, to add minerals and vitamins, and to provide some healthy alternatives to refined grains. Your body—and your teeth—might thank you!

Dental Sealants for Baby Teeth?

April 24th, 2024

Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our New York, NY office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Dr. David Shipper and Dr. Howard Vogel about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

Flossing Fixes

April 17th, 2024

A length of floss plus your teeth is about as low-tech as it gets. But, as with so many other “simple” skills, it helps to learn just the right technique to avoid common mistakes and to make your flossing as effective as it can possibly be.

  • Choose the Right Floss for You

You’re getting ready to go out, and your floss keeps getting stuck, shredding, or snagging. You might try waxed flosses or flosses treated to glide easily through the teeth if this is a difficulty. (But do call us if it happens a lot—it could be a problem with a restoration, or a cavity, or some other condition we should address.) If you have the opposite problem, too wide a space between teeth for effective flossing, there are dental tape flosses that work with wider spacings. Braces? There are even specially designed dental flosses that thread between brackets and wires to access hard-to-reach plaque and food particles. If you’re unsure which product will work best for you, we have recommendations.

  • Don’t Be Too Hard on Yourself

Did you know dental floss is a handy kitchen tool? You can use (unflavored) floss to cut cakes into even layers, slice cheese, or divide a log of cookie dough into perfect rounds. Just pull the floss taut and saw away. But let’s not use this technique on delicate gum tissue! Gums can be injured by a vigorous, sawing motion. Instead, gently guide the floss between the teeth to the gums, and, when you reach the gum line, gently ease the floss up and down the tooth surface. But do remember, sometimes the gums are sore and sensitive because of too little flossing, not too much. Proper cleaning will help keep your gums both healthy and pain-free.

  • Technique Counts!

We often use floss to remove food particles from between the teeth, which provides instant dental gratification. But you are flossing for the long term as well. Proper flossing removes the plaque that leads to cavities from places your brush just can’t reach. Make sure you floss between each tooth, and don’t forget the back of those teeth on the end. The next time you visit our New York, NY office for a cleaning, let us demonstrate the most effective techniques for gently removing plaque from beneath the gum area and on the tooth’s surface.

  • It’s All in the Timing

How much time should you spend flossing? That answer will depend on your individual needs. For some people, thorough and careful flossing once a day will be sufficient. For others, flossing more often might be advisable. We can help you decide how often and how long to floss.

It might take some time and practice to learn to floss effectively, but you will find your technique gets better and your flossing is accomplished more quickly once you have the basics down. If Dr. David Shipper and Dr. Howard Vogel can offer any suggestions, don’t hesitate to ask!

How effective is whitening toothpaste?

April 10th, 2024

The American Dental Association encourages you to brush your teeth twice a day with fluoride toothpaste to prevent dental problems such as tooth decay, bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, frequent brushing of your teeth with a high-quality toothpaste can keep your teeth white. If you desire a whiter smile without in-office bleaching at our New York, NY office, use of a whitening toothpaste is a great option for you.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive and can help you feel confident in your smile. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

Although every toothpaste has whitening properties because they all help to remove food particles from your teeth, the American Dental Association says whitening toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, certain people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth may sometimes respond, and yellowish teeth are most likely to become pearly white in response to bleaching.

If Dr. David Shipper and Dr. Howard Vogel and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.

Osteoporosis and Dental Health

April 3rd, 2024

What do we know about osteoporosis? We may know that this disease makes the bones more brittle and vulnerable. We may know that osteoporosis is the cause of many a broken hip or curved spine as we age. We may even know that, for a number of reasons, women are far more likely to develop this disease. What we may not be aware of is the impact osteoporosis can have on our dental health.

“Osteoporosis” means “porous bones.” It is a disease that makes the bones more likely to fracture or break, as the body’s careful balance of absorbing old bone tissue and replacing it with new healthy bone tissue is disrupted. We lose bone tissue faster than we can create new, dense bone tissue. Why is this important for our dental health? Because the fitness of our teeth depends on the fitness of the bones surrounding and securing them in our jaws.

How does osteoporosis affect dental health?

  • Osteoporosis reduces density in the bones and bone tissue that hold our teeth in place. Studies have shown that women with osteoporosis have significantly more tooth loss than women without the disease.
  • Periodontitis, or gum disease, can also cause deterioration in the bone surrounding the teeth. This is a time to be proactive with gum health to avoid infections and further bone loss.
  • Denture wearers may find that their dentures no longer fit properly due to changes in bone structure. Bone loss needs to be addressed promptly to avoid having to replace dentures.
  • Rarely, bone-strengthening medications for osteoporosis can lead to serious jaw problems after dental procedures that involve the jawbone (such as extractions). Always tell us any medications you are taking before we schedule any dental treatment.

Unfortunately, osteoporosis often has no symptoms at all—until the first bone fracture. Checking our bone density is important as we age, and one way of discovering changes in bone density is through your regular dental checkups at our New York, NY office. We can pinpoint changes in your X-rays through the years and will recommend that you see your physician if there is any indication of bone loss. If you have already been diagnosed with the disease, we have ideas to help maintain the health of your teeth and bones.

Many factors can increase your chance of developing osteoporosis. Age, illness, personal habits, medications, diet, genetics—any number of conditions can affect our bone health. Talk to us about osteoporosis. Dr. David Shipper and Dr. Howard Vogel would like to work with you to provide prevention and treatment to keep your teeth and bones strong and healthy for a lifetime of beautiful smiles. And that’s certainly good to know!

Dental-Healthy Snacks for Your School-Aged Child

March 27th, 2024

Kids are constantly active and constantly growing. No wonder they’re constantly hungry! When it’s time for a snack, here are some tips to make between meal treats timely, tasty, and tooth-friendly.

Keep snacks to a minimum

Every time we eat, we’re also providing food for the bacteria in our mouths. Bacteria use sugars to produce acids. These acids weaken our enamel and can lead to cavities. Luckily, we have a natural way of protecting our teeth. Saliva washes away food particles and bacteria, and even provides substances that strengthen our teeth in the hours between meals.

When we eat throughout the day, there is no chance for this recovery period to take place. Small children aren’t usually able to get through the day without a few snack periods, which is perfectly normal. Just try to make sure that snacking doesn’t become all-day grazing!

Avoid foods that contain sugar and carbohydrates at snack time

We know that sugar leads to an increased chance of cavities because bacteria convert this sugar into acids that damage our enamel. But carbohydrates should also be in the no-snack zone. Why? Because carbohydrates break down into sugar very quickly. So while you wouldn’t offer your child a daily mid-afternoon snack of sodas and chocolate bars, those muffins, doughnuts, chips, and bagels should be on the “special treat” list as well.

Dental-healthy snacks

Luckily, we are left with many healthy and convenient choices when your child needs a nibble.

  • Crunchy, crisp fresh fruits and vegetables provide vitamins as well as a gentle scrubbing action to help clean teeth. They are also rich in water, which helps us produce the saliva that naturally washes away food particles and bacteria.
  • Low-fat yogurts and cheeses provide essential calcium for strong teeth and the vitamin D that helps us absorb calcium.
  • Whole grain breads, cereals, and crackers are healthier than products made only with white flour because they retain valuable vitamins and minerals that have been removed from refined grains.
  • Lean meats, peas, legumes, and eggs provide protein that helps build connective tissue and maintain tooth structure.
  • Water helps stimulate saliva production and provides cavity-fighting fluoride. Win/win!

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their teeth, but rich in the proteins, vitamins, and minerals needed to keep them active and growing throughout their school years. If you have questions about your child’s dietary needs, feel free to ask Dr. David Shipper and Dr. Howard Vogel at our New York, NY office.

Floss? Sticks? Picks? Which Should You Choose?

March 20th, 2024

You might have noticed that the dental aisle of your drugstore is larger than ever, with more options than ever for getting the spaces between your teeth their cleanest. Flosses made with different shapes, materials, and coatings. Wooden dental sticks. Flexible plastic picks. Tiny interproximal brushes. Water flossers. With all these choices, what’s a conscientious person to do?

  • Find What Works Best for You!

We’ve come a long way from the one-size-fits-all floss of our grandparents. Today’s plaque-removing tools are designed to make interdental cleaning easier and more efficient for users with a variety of different needs.

  • Floss Choices

Flossing properly is a very effective way to get rid of the plaque that builds up between your teeth and along your gum line—not to mention the food particles which your brush may have missed. And now there are options to suit both your needs and your preferences.

Modern flosses come waxed or unwaxed, flat or rounded, made of natural or synthetic material, flavored or unflavored. There are flosses designed for specifically for braces and eco-friendly, biodegradable flosses. If you’re not happy with your regular floss, a different size, material, or texture might make all the difference.

Even with all these choices, though, flosses don’t always suit everyone. Luckily, if you’ve had trouble with floss, you have many other options available for interdental cleaning:

  • Floss Picks

These tiny, handled tools hold a piece of dental floss in their curved end. You can direct the floss to the perfect spot, which is especially useful if you’re having trouble reaching your back teeth or have mobility issues. Floss picks can be disposable or refillable, and come in different sizes to accommodate adults and children.

  • Dental Picks

Back in the day, toothpicks were the go-to for dislodging food particles. But they weren’t designed for gum health and safety. Today, we have gentler, more efficient options for those of us who like the ease of using a pick and the convenience of being able to clean our teeth at work, at school, or on the go.

Triangular wooden picks are tapered to fit between the teeth and massage the gum line as they scour plaque from tooth enamel. Soft plastic picks are popular because their flexible tips fit easily in between the teeth, while their texture provides gentle scrubbing for your tooth enamel.

  • Interproximal Brushes

Big name; tiny brush. These little cone-shaped brushes come in various sizes so they can fit snugly and comfortably between teeth whether widely or narrowly spaced. They’re especially handy for getting around wires if you wear braces.

  • Water Flossers

These high-tech tools provide a pulsing stream of water to clean between the teeth. They’re particularly helpful for those with mobility issues and those with traditional or lingual braces. To make sure you’re getting the job done, choose a model with a dental seal of approval, which means it has been tested for safety and effectiveness.                                                                                                                                                                   

With so many options, you can sample different flossing alternatives until you find the one that works best for you.

  • Technique Is Key

No matter which product you choose, the key to effective plaque removal is your technique. You need to be thorough. You need to be gentle enough to protect your delicate gums, but not so gentle that you don’t remove any plaque.

Whichever method you choose, carefully follow directions to get optimal cleaning benefits while protecting tooth enamel and gum tissue. And remember, you have an expert ally in your corner—Dr. David Shipper and Dr. Howard Vogel and your team at Central Park West Dental! If your hygienist is seeing a lot of plaque buildup at your next exam, ask for tips to improve your interdental cleaning technique and suggestions for the best products to accommodate your specific needs.

  • Choose It—Then Use It!

Even after deciding on the best tool and technique, your teeth and gums won’t benefit from your research if your floss or pick or brush or water flosser is languishing in the medicine cabinet. While dentists recommend flossing at least once each day, if you have braces or a tendency toward cavities or gum disease, your dentist might recommend flossing more often.

Why is flossing so important? Even with the best brushing technique, it can be hard to reach plaque and food particles caught between the teeth and near the gum line. Removing plaque from between teeth can help prevent cavities, and it’s especially important for gum health.

Plaque and tartar are extremely irritating to gum tissue. This irritation causes inflammation, and you’ll soon start to see the first signs of gingivitis (early gum disease)—swelling, redness, bleeding, bad breath—when flossing is hit or miss. Over time, left untreated, gingivitis can lead to periodontitis, a serious form of gum disease that can cause tooth and bone loss.

When caught early, you can often reverse the irritation, inflammation, and unpleasant symptoms of gingivitis with a week or two of careful brushing and flossing. If your gums are bothering you despite your careful cleaning, it’s time to visit our New York, NY dental office. There are lots of options available for getting your teeth their cleanest—but you have only one smile!

Losing a Baby Tooth

March 13th, 2024

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our New York, NY office if you have any questions about loose teeth. Dr. David Shipper and Dr. Howard Vogel and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Dr. David Shipper and Dr. Howard Vogel if you have any questions about this new stage in your child’s life.

Sippy Cups

March 6th, 2024

What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Dr. David Shipper and Dr. Howard Vogel and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

  • Built-in straws
  • A drinking edge around the rim of the cup which seals when your child isn’t drinking
  • Soft spouts
  • Hard spouts
  • Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

  • Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
  • Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
  • Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
  • Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

  • Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
  • Offer water between meals.
  • Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
  • Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our New York, NY office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Dr. David Shipper and Dr. Howard Vogel to:

  • Check your child’s overall dental health and development.
  • Look for signs of early decay.
  • Talk about proactive dental care, including how and when to clean your child’s teeth.
  • Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Dr. David Shipper and Dr. Howard Vogel and our team are an ideal guide as you and your child chart this path together.

The Most Common Causes of Gum Disease

February 29th, 2024

Unless you're aware of the signs and symptoms of gum disease and how it's caused, it's possible that you may have unknowingly developed it. Often painless, gum disease -- or periodontal disease -- becomes progressively more serious when left untreated. As you learn more about the common causes of gum disease, you'll be better-equipped to maintain the best oral health possible.

Gingivitis & Periodontitis: Common Causes of Gum Disease

  • Bacteria & Plaque. Bacteria in the mouth creates a sticky film over the teeth. Good hygiene practices help remove the bacteria and the plaque they cause. When plaque is not removed, it develops into a rock-like substance called tartar. This can only be removed by a dental professional.
  • Smoking & Tobacco. If you're a smoker or use tobacco, you face a higher risk of developing gum disease. Additionally, tobacco use can lead to stained teeth, bad breath, and an increased risk of oral cancers.
  • Certain Medications. Some medications that are taken for other health conditions can increase a person's risk of developing gum disease. If you take steroids, anti-epilepsy drugs, certain cancer therapy medications, or oral contraceptives, speak to Dr. David Shipper and Dr. Howard Vogel about how to maintain healthy gums.
  • Medical Conditions. Certain medical conditions can impact the health of your gums. For instance, diabetics face an increased risk of gum disease due to the inflammatory chemicals present in their bodies. Always talk to our team about other health conditions to ensure we take that into account when treating you.

Take a Proactive Stance

Good oral hygiene practices and regular visits to our New York, NY office can help you eliminate or reduce the risks of developing gum disease. A thorough cleaning with your toothbrush and dental floss should take about three to five minutes. Brush your teeth a minimum of twice per day and floss at least once each day. Keep these tips in mind and you’ll be ready to prevent gum disease.

Best Ways to Prevent Bad Breath

February 21st, 2024

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Dr. David Shipper and Dr. Howard Vogel at your next visit to our New York, NY office.

Dental Insurance Benefits

February 15th, 2024

Dental insurance can be a great addition to your health care plan, but the way benefits are calculated can also make it a confusing one. If you have dental insurance, you might be wondering how you can make the most of your benefits. Let’s look at some of the important things to remember about taking advantage of your dental insurance.

  • Know Your Benefits

Figuring out what insurance will and won’t pay for, what percentage of a procedure is covered, what the insurance company considers an allowable fee, when you have covered your deductible for the year—these calculations are often bewildering. It’s helpful to call our office and check with your insurance provider to learn the final cost of any treatment, and how much, if any, will be covered by your insurance.

  • Use Your Benefits

Don’t lose benefits you have paid for! If you have not used your benefits, the time to do so is before the end of the insurance period (which may or may not be the end of the calendar year). When your dental plan re-starts, you will be paying for these unused benefits all over again. Similarly, if you have used your insurance and covered your deductible for the year, it makes sense to schedule your appointments before a new year brings a new deductible amount you will have to meet.

If you qualify for a certain number of preventive services such as check-ups and cleanings, you should always take advantage of this benefit—not only to find possible dental problems, but to prevent them.

And, if you have set up a Flexible Spending Account (FSA) to cover medical and dental expenses for the year, be sure to use the money in the account or you might lose it at the end of your year’s coverage. Many dental procedures are covered by an FSA—talk to our New York, NY team and your provider for details.

  • Possible Tax Deductions

If you are paying for your own dental insurance, you might be able to take advantage of the deduction for medical and dental premiums and expenses on your taxes. If your employer pays for your insurance, if you take the standard deduction, or if you spend less than a certain proportion of your income on health costs, these expenses are most likely not deductible. Be sure to check with your tax preparer or with the IRS for latest information on dental and medical deductions.

Finally, you should never put off urgent dental work because of insurance considerations. At the same time, you should be able to take full advantage of any dental insurance plan you have purchased, because you deserve to get every benefit you have paid for. Dr. David Shipper and Dr. Howard Vogel and our team are here to help you work with your insurance company in any way we can. Our goal is the same as yours—insuring dental health for you and your family!

The Purpose of a Dental Crown

February 7th, 2024

A dental crown, otherwise known as a cap, covers an infected tooth and can vary in function, depending on the position of the tooth. Crowns cover all the visible parts of a tooth and vary in size, appearance, and functionality.

A crown can be used to protect a weak tooth from breaking, hold together an already broken or worn tooth, cover the tooth with a large filling or dental implant, hold a dental bridge in place, or support a cosmetic modification.

Several types of crowns are available, depending on the tooth to be treated. Stainless-steel crowns are used on permanent teeth, usually as temporary measures in children because they’re more cost-effective for baby teeth that naturally come out over time.

Metal crowns are another option that includes gold alloys, or base-metal alloys. Metal crowns are notable for their ability to withstand biting forces, rarely break or chip, and therefore offer the best results in terms of normal wear and tear.

Porcelain fused to metal crowns most closely resemble a normal tooth and are a good choice for front or back teeth. Other, less common types include all-resin, all-ceramic, all-porcelain, and zirconia crowns.

If you’re getting a crown, you can expect a few things during your visit with Dr. David Shipper and Dr. Howard Vogel. Crown placement usually requires two appointments. The first entails preparation to get an impression of the tooth, shape it, and place a temporary crown. The impression is sent to a lab where a technician makes the crown to be fitted.

During the second appointment, the high-quality porcelain crown is placed on the problematic tooth.  

If you notice any signs of discomfort in your mouth, always let Dr. David Shipper and Dr. Howard Vogel know by calling our New York, NY office. We will determine which type of crown is best for your tooth to give it the added strength it needs. Crowns can be very helpful for your oral health if you have any teeth that need extra support.

Ouch! Are You Biting Your Cheeks More Often?

January 31st, 2024

You’re biting into something delicious, and, Ouch! You bite into something you didn’t mean to—the inside of your tender cheek.

Painful moments like this happen every now and again. But if you find that more frequent cheek biting means that you’re extra-cautious when eating or speaking, if you wake up with sore cheeks in the morning, or if you catch yourself habitually chewing on your cheeks during the day, it’s time to visit our New York, NY office.

Causes of Cheek Biting

Many of us experience the occasional cheek chomp when we’re eating or talking. No fun! Besides the pain, a bite can cause broken skin, inflammation, a canker sore, or a mucous cyst. Luckily, the discomfort from these accidental bites generally resolves after a few days.

Sometimes, though, biting becomes a more frequent annoyance. Regular bites can be caused by several conditions, including:

  • Sleep Bruxism

Bruxism is the medical term for tooth grinding. When sleepers unconsciously clench or grind their teeth as they slumber, it’s known as sleep bruxism. Sleep bruxism not only causes tooth damage, jaw problems, and facial pain—that nightly gnashing can mean bites to delicate cheek tissue.

  • Problems with Dental Restorations

The placement of a crown, bridge, or implant can cause biting to occur more often if the alignment of your restoration with your other teeth isn’t ideal or has shifted, or if the restoration needs replacement.

  • Wisdom Teeth

Most of us don’t have the room to welcome four new—and large—teeth. When wisdom teeth come in, they can lead to cheek bites, especially if they erupt leaning outward toward your cheeks.

  • Orthodontic Misalignment

If you notice that you seem to be biting your cheek a lot when eating or speaking, it could be an orthodontic problem.  When your teeth or jaws don’t align properly, if your mouth is small, or if your teeth have shifted over time, your cheeks might feel the consequences.

Treatment Options

Why see Dr. David Shipper and Dr. Howard Vogel? A one-time bite can be extremely uncomfortable, and might lead to inflammation or even a sore spot inside your mouth. Usually, both pain and sore spot fade in a short while, and saltwater rinses or oral gels can soothe your injured cheek tissue. Your dentist’s office can give you advice on treating minor bites.

But what about continuous biting? Regular biting injuries can lead to bigger problems. Tissue in the cheeks can thicken or erode. Scar tissue can build up inside the mouth. Ulcers and other sores can become larger and more painful.

If you’ve been biting your cheeks more often, Dr. David Shipper and Dr. Howard Vogel can diagnose the cause and offer you treatment options depending on the reason for this frequent biting:

  • Sleep Bruxism?

Dr. David Shipper and Dr. Howard Vogel might suggest a nightguard to provide protection from the damaging effects of bruxism. Nightguards not only prevent further biting, they give your cheeks the chance to heal. We can custom fabricate a guard for the most comfortable and effective fit.

  • Restoration Problems?

If regular cheek biting occurs after you’ve gotten a crown, a bridge, or an implant, visit our New York, NY office. This might be a problem that can be resolved with a bit of reshaping, whether removing a bit of the restoration or building up a spot. If a crown or other restoration has shifted or is failing, replacement might be in order.

  • No Room for Wisdom Teeth?

Most of us don’t have room in our mouth to accommodate wisdom teeth, and extracting them is a common dental procedure. Wisdom teeth can be the source of many dental problems, including impaction, shifting teeth, and even damage to surrounding teeth. If you see signs that your wisdom teeth are starting to come in, talk to your dentist about your options.

  • Orthodontic Problems?

Orthodontic treatment can improve tooth and bite alignment—and can eliminate those painful cheek bites if misalignment is what’s causing them. Modern orthodontic treatment offers patients of all ages more options than ever before, including traditional and lingual braces, clear aligners, and functional appliances.

Whatever the reason for painful cheek biting, you deserve to eat and speak and enjoy your day without constant “Ouch!” moments affecting your comfort and health. If these moments are happening all too often, visit Central Park West Dental for the answers to your biting problems.

Can You Repair Your Tooth Enamel?

January 25th, 2024

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Dr. David Shipper and Dr. Howard Vogel can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our New York, NY dental team right away. Dr. David Shipper and Dr. Howard Vogel can:

  • Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
  • Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
  • Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.

The Stages of Gum Disease

January 17th, 2024

Taking care of your gums is one of the best ways to protect your smile. But sometimes, we treat our gums like an afterthought when it comes to dental care. It might surprise you to learn just how common gum disease is—and how damaging it can be for your oral health.

Surprising Fact #1:

About half of all adults have suffered or are suffering from some form of gum disease. And about half of all children do, too. As we age, the percentages jump—in fact, some studies estimate that eventually 70% of older adults will be affected by gum disease.

Surprising Fact #2:

The major cause of tooth loss in adults isn’t tooth decay or accidents or aging—it’s gum disease.

Surprising Fact #3:

Gum disease is progressive. The gingivitis that begins with a bit of redness or some minor bleeding when you brush might seem like a temporary annoyance. But when ignored, this early form of gum disease can lead to periodontitis, a serious gum condition which causes receding gums, loose teeth, bone and tissue damage, infections, and tooth loss.

Gingivitis

Gum disease begins quietly and invisibly, and it usually starts with plaque. Plaque along the gum line irritates our gum tissue. The body’s immune system responds and triggers inflammation. Gum tissue becomes swollen and red. The gums might feel tender, or bleed easily when you brush or floss.

If you’ve experienced any of these symptoms, it’s time to call our New York, NY office. Dr. David Shipper and Dr. Howard Vogel might recommend better brushing and flossing habits, a professional cleaning, and/or an anti-plaque treatment. At this stage, with proper care, gingivitis is reversible.

But left untreated, gingivitis can progress over time until it becomes periodontitis. Periodontitis affects not only gum tissue, but the bone and connective tissue which surround our teeth, supporting them and holding them firmly in place.

Mild Periodontitis

As plaque and tartar continue to irritate gum tissue above and below the gum line, inflammation increases, and the gums begin to pull away from the teeth. This is a problem, because the gums normally surround the tooth roots snugly, protecting them from plaque, bacteria, and other toxins.

When gum tissue pulls away, pockets are created between gums and teeth. These pockets become home to more bacteria, causing more irritation, inflammation, and infection. During this phase, the connective and bone tissue around the tooth’s roots might start to break down.

Moderate Periodontitis

As the disease progresses, pockets become deeper. The structures that hold the teeth in place continue to break down, and the teeth start to loosen. As the gums recede, tooth roots become more vulnerable to decay.

Advanced Periodontitis

When periodontitis has reached the advanced stage, there is significant loss of tissue and bone around the teeth. Teeth become looser and foul breath, pus, and pain when biting or chewing are common. Without prompt treatment, there’s a high risk of tooth loss.

Unlike gingivitis, periodontitis isn’t reversible, and requires professional care. Advanced treatments can do a lot to restore gum health:

  • Topical, time-release, or oral medications treat infection.
  • Scaling and root planing, which are non-surgical deep cleaning procedures, remove plaque and tartar above and below the gum line, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth.
  • Flap surgery treats more advanced gum infection, reducing pocket depth and re-securing the gums snugly around the teeth.
  • Bone grafts, gum grafts, and other regenerative procedures are available that help restore and repair tissue damaged by gum disease.

That’s good news, and there’s even better news: Because gum disease is typically triggered by plaque, it’s very preventable.

  • Brush carefully at least twice each day for at least two minutes. Don’t forget to brush along the gum line!
  • Use floss at least once each day or as directed by Dr. David Shipper and Dr. Howard Vogel. If you have trouble flossing, ask us for the flossing tools and techniques that will work best for you.
  • See your dentist regularly to catch and treat early gum disease while it is still reversible.

While gum health is essential for dental health, healthy gums might mean more than just healthy teeth. Scientists are studying the potential links between gum disease and its effects on conditions such as heart disease, diabetes, and arthritis. Gum health should never be an afterthought. Taking care of your gums is one of the best things you can do to ensure a lifetime of healthy smiles.

Make Tooth Brushing Fun

January 10th, 2024

The best brushing routine for parent and child is two minutes of gentle brushing in the morning and two in the evening. But if the longest four minutes of your day are spent helping your child brush and floss, here are some suggestions for making that time fly.

Options!

Children’s brushes come in a wonderful variety of colors, patterns, and shapes. Allow your child to choose a favorite the next time you go shopping for dental supplies. Just make sure to choose a soft bristle brush with a head designed for small mouths. And since toothbrushes generally wear out after three months, your child will have plenty of opportunities to pick and choose! You might also explore the many flavors of children’s toothpaste to find the one that your child finds most appealing, and let your young brusher squeeze out a dab on that new brush.

Reward Daily Brushing

You don’t have to go to great lengths to make your son or daughter feel rewarded for a job well done. Allowing children to pick out a story for you to read or posting colorful stickers on a calendar sheet will encourage them to get into the habit of brushing.

Two-Minute Countdown

Time seems to go faster when we’re having fun. Your child might enjoy listening to songs or stories for the two minutes of brushing time. You can make your own playlist, invent a story starring your child, or make use of one of the dental apps that offer children’s music, videos, and stories in perfect two-minute segments.

Do It Together

Spend these two minutes twice a day with your child. You will be doing all the brushing at first, of course, but as your children get older, brush your teeth along with them. You can model proper brushing techniques for cleaning teeth, gums and tongue, and even let your child have a chance to brush your teeth for a change.

Don’t Forget Checkups!

Scheduling checkups and professional cleanings at our New York, NY office is vital to maintaining your child’s oral health. And, if your son or daughter is keeping up with good hygiene at home, these visits should be a breeze!

The habits your child develops now will be the foundation for a lifetime of oral health. Make these four minutes a day count. And if you can create ways to make them fun, those four minutes will fly by for both of you!

Scheduling Dental Procedures When You’re Pregnant

January 3rd, 2024

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

  • Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

  • Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

  • Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

  • Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

  • Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

  • X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Dr. David Shipper and Dr. Howard Vogel know about your pregnancy, and we will work with you to schedule exams or treatments at our New York, NY office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

Adult Mouthguards

December 28th, 2023

You make sure your daughter wears her mouthguard to every soccer practice. Your son doesn’t step on the basketball court without his. Why not protect your smile as well?

Athletes of all ages in team or recreational sports can help prevent dental injuries with a protective mouthguard. If you bike or ski, play racquetball or squash, skate, or sky dive, a mouthguard will help keep your teeth and gums healthy as you keep fit.

Mouthguard Options

Our office will be happy to talk to you about whether a mouthguard is a practical addition to your workout gear. There are many options available to you, including:

Stock: Preformed appliances available at sporting goods stores and drugstores. These are the most affordable, but are a one-size-fits-all option and may not be a comfortable fit for you.

Boil-and-Bite: Also available at sports shops and drugstores. This guard is formed by placing it in hot water and then biting down to allow it to conform to the shape of your mouth.

Custom: Our New York, NY office can create a personalized mouthguard just for you. Individual mouthguards are the most durable and comfortable option, in general, and provide the best fit for ease of talking and breathing while exercising. You may also have special dental conditions, such as the placement of crowns or braces, which could be a factor in your decision.

Whichever option you choose, remember to wear your mouthguard regularly while exercising. A proper mouthguard cannot only help prevent injuries to your teeth, but to your face and jaw as well. A healthy smile and a healthy body are a winning combination. The next time you visit Dr. David Shipper and Dr. Howard Vogel, let’s talk sports!

Dental X-Rays: Are They Safe?

December 21st, 2023

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Dr. David Shipper and Dr. Howard Vogel and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our New York, NY office!

Smoking and Dental Implants

December 14th, 2023

Congratulations! You’ve made the decision to replace a missing tooth with an implant. While an implant will restore the appearance of your smile, you also know that there are many reasons that an implant will improve your health, too.

A missing tooth causes structural problems as well as cosmetic ones. Remaining teeth can shift to fill the gap, leading to wear and bite problems. Without the stimulation of biting and chewing, bone tissue under the lost tooth gradually shrinks and is resorbed. The shapes of our jaws, cheeks and lips can be affected. Replacing a lost tooth with an implant can not only restore the appearance of your smile, but maintain it.

And implant procedures have a very high rate of success. Implants are made of materials compatible with the body, and surgically placed in the jaw to act as anchors for replacement teeth. The implant will actually integrate with the bone growing around it for strong, stable, and long-lasting support. After the time it takes for the implant to integrate and the area around it to heal, a crown, designed to match your own teeth perfectly, will be securely attached to the implant post.

What can you do to help the healing process? Follow our instructions carefully. Dr. David Shipper and Dr. Howard Vogel will give you suggestions for the time immediately following the procedure as well as instructions on the importance of keeping the area clean while healing takes place. And one very important favor you can do yourself? If you smoke, this is the time to stop.

Studies have shown that smokers have a significantly increased risk of dental problems and implant failures, and there are several theories as to why.

  • Smoking slows the healing process. Some studies indicate that smoking impairs blood flow in the gums, so that less oxygen and fewer nutrients are delivered to healing tissue.
  • Smokers tend to be more vulnerable to gum disease.
  • Smoking has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.
  • More marginal bone loss around implants is seen in smokers than in non-smokers.
  • Peri-implantitis, an inflammation of the gum tissue around the implant that can lead to bone loss and implant failure, is also more common in smokers.

Now that you have decided on a dental implant at our New York, NY office, make one more decision to ensure the success of the procedure. Talk to us about ways to quit smoking before your implant, and how to reduce the chance of smoking-related complications. We know that quitting can be difficult, but your improved smile—and your improved health—are worth it!

A Prescription for Oral Health

December 7th, 2023

You and your dentist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, and seeing Dr. David Shipper and Dr. Howard Vogel regularly for checkups and cleanings.

And one more essential step you can take for your dental health? Let Dr. David Shipper and Dr. Howard Vogel know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Dr. David Shipper and Dr. Howard Vogel to both monitor the condition and suggest the most effective treatment options to control unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you’re taking can provide essential information for the diagnosis and treatment of these conditions.

Medications Interact

Medication might be needed for your dental treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

  • There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Dr. David Shipper and Dr. Howard Vogel to choose an antibiotic option which won’t interact with your other medications.
  • Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Dr. David Shipper and Dr. Howard Vogel can prescribe an alternative local anesthetic or adjust the dosage as needed.
  • If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Dr. David Shipper and Dr. Howard Vogel to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before any kind of oral surgery.

If needed, Dr. David Shipper and Dr. Howard Vogel can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

We need the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help us:

  • Diagnose and treat any side effects from non-dental medications which have affected your oral health,
  • Prevent drug interactions from occurring, and
  • Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our New York, NY office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Dr. David Shipper and Dr. Howard Vogel for your best dental health!

Tooth Sensitivity

November 30th, 2023

Most of us know that unpleasant feeling. You’re happily enjoying an icy milkshake with lunch or having a piping hot cappuccino break, and suddenly an innocent binge turns to cringe—your tooth sensitivity has crossed another item off the menu. If heat, cold, even the act of brushing cause you tooth discomfort, we have solutions for you. Let’s look at some of the common reasons for tooth sensitivity and how to prevent it.

  • Bad Brushing Habits

There can be too much of a good thing! Aggressive brushing, especially with firm toothbrushes, can damage enamel. When the dentin underneath is exposed, heat and cold can reach the sensitive inner tooth and trigger discomfort.

Go easy on yourself: Switch to a soft bristled or electric toothbrush and brush thoroughly but gently. It’s often suggested that we massage rather than scrub. We can also recommend toothpastes that can help reduce sensitivity.

  • Gum Disease

As gum disease progresses, the gums start to pull away from the teeth and expose their roots. Even though the roots are protected by cementum, a covering a lot like enamel, they are more sensitive to heat and cold. And if you are an aggressive brusher, the cementum is more easily damaged than enamel, leaving the sensitive roots even less protected.

Prevention is the answer: Brushing and flossing help prevent gum disease, as do your regular exams and cleanings. If you are suffering from more advanced gum disease (periodontitis), Dr. David Shipper and Dr. Howard Vogel can suggest advanced treatment to protect your roots, such as deep cleanings and gum grafts. Don’t let periodontitis go untreated, as it can lead to infection and even tooth loss.

  • Your Diet

If your enamel is already compromised, sugary foods and acidic foods can cause tooth discomfort.

Be patient: Until your sensitivity problem is under control, avoiding these types of foods will help. On the other hand, sugary and acidic foods aren’t the ideal dental diet, so cutting back is not a bad idea.

  • Your Dental Products

Mouthwash, whitening toothpastes and home whitening products contain substances such as alcohol or bleaching agents that can cause sensitivity in some users.

Make some changes to your shopping list: Choose products without alcohol or whiteners. Talk to us about gentler alternatives for mouthwashes and whitening.

  • Tooth Injuries

If you have a cavity, a broken filling, a cracked tooth, or some other injury to the tooth, sensitivity can be a warning sign.

Take care of yourself: Call our New York, NY office immediately if you have prolonged sensitivity or any other painful symptom. Repairing and restoring your damaged tooth should eliminate this discomfort. And, while it is often common to experience some degree of sensitivity after dental work, if this doesn’t clear up within a short time, let us know.

  • Teeth Grinding

Because grinding also wears away enamel, tooth grinders often suffer from sensitive teeth.

Protect yourself: We can fit you for a custom nightguard that will eliminate the nightly stress on your enamel. It can also help the tooth and jaw pain caused by grinding.

Talk to us about any sensitivity you have been experiencing, especially if it has been going on for a while or is causing you real discomfort. We will explore the possible reasons for your tooth sensitivity and help you find solutions. After all, you should feel free to enjoy any item on the menu, in the very best of dental health.

Should I fix my chipped tooth?

November 22nd, 2023

It was a small fall! A miniscule piece of popcorn! A minor foul on the basketball court! But now there’s a chip in your otherwise perfect smile. Is a chipped tooth worth calling Dr. David Shipper and Dr. Howard Vogel?

Any time your tooth is injured is time to call our New York, NY office. Even a small chip can affect your tooth structure and should be evaluated. We will also want to check your tooth and gums to make sure there is no underlying injury that could be more serious, and to treat your tooth as soon as possible so that no further damage occurs.

A very small chip might need nothing more than smoothing and polishing to remove sharp edges. A small chip in your enamel can be repaired with dental bonding, where a composite like those used to fill cavities will be shaped to cover and fill the chip. This composite will be matched to your tooth color for a seamless repair. A porcelain veneer is also an option for you. These procedures will restore the look of your tooth and protect it as well, because even a small chip can lead to tooth sensitivity or further damage in the future.

A larger chip, such as a fractured cusp, might require a crown. But a large chip might also mean that the inside of the tooth has been compromised. If the dentin or pulp are affected, pain, infection, and even tooth loss could result. A root canal might be necessary to preserve the tooth, so prompt treatment is necessary.

Regardless of the size of the chip, call our New York, NY office as soon as possible. We can give you tips for pain management, if needed, until you see us. If you can save the chip, bring it with you when you visit in case there is the possibility of bonding it to the injured tooth.  But even without that missing piece, there are ways to restore the look of your original tooth. Remember, repairing a chipped tooth is not just cosmetic. We want to keep your smile healthy, as well as beautiful!

Make Brushing With Your Child Fun!

November 15th, 2023

It’s no secret that kids and adults have different priorities: your duty is to raise a happy, healthy child, but your little one’s only priority may be to have fun. When it comes to brushing teeth, it can be hard to combine a healthy habit with having fun. You might fear it can’t be done, but with a little creativity, brushing time can be a great experience for both of you!

Make It a Party

Brushing time doesn’t have to be a chore when you throw a little party! Get Mom and Dad together so the whole family can brush their teeth at the same time.

Let your child choose a song to dance to while you all brush for the required two minutes. Your son or daughter may grow to love this silly routine, especially when the parents are clearly dedicated to brushing their own teeth as well.

Big Kid Decisions

Kids love the responsibility of making “big kid” decisions. Keep a variety of toothbrushes, colors of floss, and toothpaste flavors on hand so they can choose something “new” each time they brush, just like when they visit our New York, NY office.

Not only can this help them grow more comfortable with the idea of seeing the dentist, but they’ll love having the responsibility of picking what would be fun at brush time.

Practice Makes Perfect

It’s true that the only way to get better at something is to practice, practice, and practice. Have your child practice brushing on his or her favorite stuffed animal, and use that opportunity to teach your youngster how to hold the brush and use circular cleaning motions. Showing how you brush your own teeth can also be worthwhile.

There’s An App For That

Did you know there are lots of fun apps that encourage good brushing habits among children? Brands like Oral-B and Aquafresh have free apps you can download on your phone.

The child gets to select a character, scenery, and a song he or she would love to accompany the task of brushing. If you have a daughter, she might like to use the Tooth Fairy Timer, which allows her to pick her very own fairy as her brushing buddy.

The important things to remember when you seek to establish good brushing habits is to keep it fun and stay consistent with your routine. It may take some getting used to, but after a while your child will become familiar with brushing and might even look forward to the new dental routine.

Courting Disaster

November 9th, 2023

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

  • The ligaments and bone structures holding teeth in place
  • Bones in the upper and lower jaw
  • Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

  • Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
  • “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
  • Dr. David Shipper and Dr. Howard Vogel can make you a mouthguard which is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

  • Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Dr. David Shipper and Dr. Howard Vogel for advice on getting your guard and its case their cleanest.

  • Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our New York, NY office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

  • Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect yourself with a mouthguard whenever you play.

Find Out how Your Diet can Cause Cavities

November 8th, 2023

Sometimes food that’s good for your body isn’t necessarily the best for your teeth. Dr. David Shipper and Dr. Howard Vogel and our team want you to know which healthy foods can harm your teeth and gums, and what steps you can take to continue enjoying these foods, even when you’re dieting.

When you begin to substitute empty calories with whole foods, make sure you also remember to focus on your dental health. The majority of people tend to switch out sugary foods in favor of fruits and vegetables when they diet.

It’s worth knowing that most fruits are highly acidic and composed of natural sugars. Some of the highly acidic fruits to watch out for include apples, grapes, strawberries, pineapples, blueberries, oranges, and grapefruit. Moderation is key here, as with all other things. Fruits can be a great source of energy to help you through your day, but try not to overdo them.

Often, people also incorporate more leafy greens into their diets, which mean plenty of salads. Salad dressing is another item you’ll want to watch out for. Many dressings are filled with vinegars and sweeteners that include harmful acids, which change the pH of your mouth. When your mouth shifts from alkaline to acidic, your smile also turns to a higher risk for erosion and decay.

Rather than get rid of these foods altogether, simply change what you do after you eat them. Rinse your mouth out with water, brush your teeth, or eat alkalizing foods after consuming these acidic foods. Healthy alkalizing foods include dairy products such as eggs and yogurt, or any type of vegetable.

If you have questions regarding your current diet and its effect on your oral health, please contact our New York, NY office and speak with a member of our staff. If you’ve begun to make changes in your diet toward a healthier lifestyle, we hope these tips can help your make positive changes to your oral health. Our team at Central Park West Dental wants a healthy lifestyle to be a top priority in your life.

Should Adults Continue Fluoride Treatments?

November 1st, 2023

Many adults wonder if they should continue to receive fluoride treatments. Our team at Central Park West Dental wants to set the record straight about the usefulness of fluoride treatment for adults.

There are several reasons fluoride treatments could be beneficial to you as a grownup. If you have a high risk for cavities, topical fluoride applications can cut down on that risk.

If you’re experiencing gum recession that’s softening your enamel, fluoride treatments can slow down that process. Fluoride treatments may also protect expensive restorative work on crowns or bridges that may be adversely affected by plaque.

In addition, fluoride can also protect teeth in adults who have orthodontic braces or who sometimes neglect to keep up with daily oral hygiene regimens such as flossing and using mouthwash.

Do you have sensitive teeth? Consuming foods that are highly acidic or using teeth-whitening products can lead to irritated gums. Fluoride treatments remineralize your enamel and reduce sensitivity.

If you’ve undergone radiation treatment for cancer, fluoride can help restore any dry-mouth damage that may have developed during that time. Saliva acts as a buffer against the foods we eat, and without enough of it you may be more likely to get cavities.

In general, fluoride treatments are not always necessary for adults, but they can be beneficial to your overall oral hygiene depending on your situation. If you fall into one of the general areas listed above, ask about a fluoride treatment during your next visit at our New York, NY office.

We can also go over your options to treat other issues you may experience in terms of your oral health. Until then, make sure to take care of your teeth properly and use toothpaste or mouthwash that contains fluoride on a regular basis.

How do I know if I’m at risk for oral cancer?

November 1st, 2023

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our New York, NY office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. David Shipper and Dr. Howard Vogel and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. David Shipper and Dr. Howard Vogel will examine your mouth for signs of oral cancer. If you have been putting off a visit to our New York, NY office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Keeping Your Teeth Strong and Healthy

October 25th, 2023

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our New York, NY team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.

Does flossing hurt your gums?

October 25th, 2023

Ideally, it should never hurt when you floss your teeth. But if you haven’t flossed in a long while or don’t do it regularly, you may experience sore or bleeding gums. You should floss every day to avoid pain and maintain the best oral hygiene. In the meantime, there are a few things you can do to make flossing a little more pleasant.

Be Gentle

If your gums are sensitive, take your time and be gentle while flossing. Rough flossing can lead to more irritation and soreness. Also, daily flossing should help your gums become acclimated to the practice, and as a result, irritation should decrease over time.

Use an Alternative Method

If you still feel discomfort after being gentle, an alternative method of flossing may work better for you. A water floss machine or Waterpik can dislodge food particles and plaque without irritating your gums. Also, some brands of floss have a soft coating that make them less harsh and harmful to your gums.

Many people tend to forget or skip flossing, but it is one of the most important steps your dental hygiene routine and shouldn’t be neglected. If you are consistent about flossing, your gums should become used to it and won’t be so irritated in time.

For more flossing tips, schedule an appointment at our New York, NY office and ask Dr. David Shipper and Dr. Howard Vogel or a member of our team!

Shark Teeth

October 18th, 2023

It seems like sharks are everywhere these days—on land, sea, and air(waves). A halftime show meme gone viral. A week of summer TV devoted to our favorite apex predators. And who doesn’t have “Baby Shark” playing in their heads all day once they’ve heard it? But are we jumping the shark to discuss this topic in a dental blog?

Not at all! Because today, we’re going to talk about shark teeth—just not the ones you might be expecting.

One of the expected sights when a shark opens its mouth are those rows and rows of shiny shark teeth. Sharks can grow from two to 15 rows of teeth at any one time (and some sharks have even more). This means sharp new teeth are always ready to replace any shark tooth which is lost, broken, or worn out.

An unexpected sight? When children point to their new adult tooth or teeth coming in—right behind their still-firmly rooted baby teeth! This double set of teeth is called “shark teeth,” and, while it certainly might come as a surprise, it’s not all that uncommon. But why do children develop shark teeth at all?

After all, baby, or primary, teeth have small roots, and are designed to come out easily when the adult teeth start arriving. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure gradually dissolves the root of the primary tooth, and with nothing to anchor it, it’s now loose, wiggly, and ready to fall out. That’s why baby teeth often look like they have no roots at all when they eventually wiggle free.

Sometimes, though, the roots of a primary tooth don’t break down, which means baby teeth stay right where they are. It also means that the permanent teeth have to erupt somewhere else—usually behind those stubborn little baby teeth.

Shark teeth can first appear around the ages of five to seven when the permanent front teeth start arriving, or several years later, when the adult molars begin to come in. Any extra teeth in one small jaw naturally cause concerns about crowding and misalignment, especially when those extra teeth are molars. Fortunately, treatment is generally uncomplicated.

If the baby tooth is loose, time (and wiggling) might take care of the problem. But if the primary tooth or teeth just won’t budge, even after several weeks, it’s a good idea to schedule a visit with Dr. David Shipper and Dr. Howard Vogel—especially if your child is experiencing pain or discomfort.

An extraction is often suggested when a baby tooth has overstayed its welcome. Because of its smaller root, extracting a primary tooth is usually a straightforward procedure. Dr. David Shipper and Dr. Howard Vogel can let you know all the details, and can discuss sedation options if they’re appropriate for your child.

Whether baby teeth are left to fall out on their own, or given some assistance, most often your child’s permanent tooth will start moving to its proper position as soon as the space is available.

Unlike sharks, we don’t have an endless supply of replacement teeth, so it’s understandable to worry when you see anything unexpected. If you want to know more about shark teeth, or if you have any concerns, don’t hesitate to call our New York, NY office for expert advice.

When Is a “Cavity” Not a Cavity?

October 18th, 2023

Is this a trick question? After all, you probably already know quite a lot about cavities:

  • It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
  • Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
  • These acids gradually weaken teeth by dissolving minerals which help make up our enamel (a process called demineralization).
  • Over time, a hole, or cavity, develops in the tooth surface.
  • Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Some cavities aren’t discovered until you visit our New York, NY office, but sometimes there are clear signs that there’s a problem.

  • You have tooth pain or sensitivity.
  • Your tooth changes color in spots where the enamel has decayed.
  • You might even notice enamel loss when a cavity is large enough.

So, if you have any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids—we do it ourselves with our choice of food and drink. Acidic foods are one of the leading causes of tooth erosion.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, wine, fruit juices, flavored teas, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

The symptoms of tooth erosion and damaged enamel can be very similar to those caused by cavities:

  • You suffer tooth pain or sensitivity
  • Your teeth appear discolored, as the enamel thins to reveal the yellowish dentin underneath
  • You notice missing enamel—your teeth become rounded or have little pits known as cupping

You call Dr. David Shipper and Dr. Howard Vogel right away if you suspect a cavity. Be just as proactive if you suspect erosion. Even though your symptoms may not have been caused by plaque and bacteria, acidic erosion from your diet leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

  • Enjoy acidic foods sparingly, or as part of a meal. This helps your saliva pH stay in the neutral zone.
  • Balance acidic foods with low-acid choices to help neutralize acids and restore a normal pH balance. (A good reason to pair wine or fruits with cheese.)
  • Use a straw! This simple solution keeps erosive drinks from bathing your teeth in acids.
  • Drink water instead of an acidic beverage, or drink it afterward to rinse your mouth. The pH of pure water? A perfect, neutral 7.
  • And what about brushing right after eating or drinking something acidic? Ask Dr. David Shipper and Dr. Howard Vogel if you should rush for your brush. We may recommend waiting 30 minutes or so after an acidic treat to give teeth time to remineralize after acids weaken them. Otherwise, brushing might cause more wear and tear on your enamel.
  • Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing your medical needs.

There’s no trick to it—watching your diet, brushing and flossing as recommended, using a fluoride toothpaste, and visiting Central Park West Dental for regular checkups will help prevent tooth erosion. We can restore eroded enamel with bonding, veneers, or crowns if the erosion is serious. Better still is to catch erosion before symptoms appear to keep your teeth their strongest for a lifetime of healthy, beautiful smiles.

Teeth Grinding Can Damage Your Teeth

October 11th, 2023

Grinding of the teeth, also known as bruxism, is a serious condition from which nearly ten percent of Americans suffer. It’s a mechanical reflex that often happens during slumber. Unfortunately, most people don’t recall grinding their teeth when they awaken.

This makes it difficult to catch the condition before serious damage occurs. Some people notice soreness in their jaw, shoulder and neck pain, or even headaches. Others aren’t so lucky and don’t feel any pain until a professional notices they have developed cracked teeth, receding gums, and jaw problems.

Dr. David Shipper and Dr. Howard Vogel and our team hope to prevent teeth grinding before serious health concerns arise. Let’s go over the reasons for grinding as well as preventive tips to help you feel better fast.

Why do you grind your teeth?

The most common reasons for teeth grinding include:

  • Stress
  • Anxiety
  • Aggression
  • Poor muscle control
  • Acid reflux
  • Sleep apnea
  • Complications from certain disorders

It’s worthwhile to understand the reason you’re grinding your teeth, but it’s even more vital to treat the issue quickly. You can take measures to alleviate the pain you may be experiencing, such as applying a warm wash cloth to your jaw, taking muscle relaxants, massaging the jaw muscles, visiting a chiropractor, or doing physical therapy.

Prevention

To protect your oral health and jaw bones, try these preventive measures:

  • Reduce the amount of stress in your life
  • Drink plenty of water every day
  • Avoid chewing gum or chewy foods
  • Get plenty of sleep each night
  • Reduce or stop alcohol and caffeine consumption
  • Get a custom mouthguard from Central Park West Dental

Dr. David Shipper and Dr. Howard Vogel and our team want to make sure you’re properly treating your teeth grinding issues. Feel free to call our New York, NY office if you think you may be suffering from this condition, or have questions regarding a treatment plan.

Teeth grinding can lead to far more serious health issues, and should be ended before it becomes a major concern.

Sealants: What are they and how do they help?

October 11th, 2023

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. David Shipper and Dr. Howard Vogel of Central Park West Dental can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our New York, NY location is available to answer your questions so give us a call today!

What to Do If You Lose a Filling

October 4th, 2023

It really doesn’t happen very often. But sometimes you bite into something that is much harder than you anticipated. Sometimes you grind your teeth without realizing the pressure you’re putting on them. Sometimes you have a cavity that has stealthily developed beneath an earlier filling. And the result is—sometimes you lose a filling.

What to do when this happens? If you’re at a loss for ideas, we have some suggestions.

  • Don’t panic

Usually, a cracked, broken, or lost filling is not an emergency situation. That being said, it’s still important to . . .

  • Call us immediately

Dr. David Shipper and Dr. Howard Vogel will be able to give you the best advice as to how to take care of your tooth until you can make an appointment. And if your dental problem might be a dental emergency, we can make sure you are seen as soon as possible.

  • Take care of your tooth

Keep your tooth and the area around it clean. Brush gently to keep food particles away from the newly exposed tooth surface. You can (carefully) rinse around the area with a bit of water or salt water as recommended.

Your lost filling might not inconvenience you at all. But if you feel sensitivity when the tooth is exposed to air, or when you eat hot or cold foods, or if you feel pain when you bite down, let us know. We can recommend some over the counter medications and pain relievers that can help.

If you’re experiencing severe pain, call us at once.

  • Diet

This might not be the time for sticky caramels, frozen treats, or extra-hot beverages. Make yourself comfortable by avoiding chewing with your compromised tooth, and postponing foods that could trigger sensitivity.

  • Make a dental appointment as soon as you can

Don’t put off treatment, even if the filling was a small one, and even if the tooth is causing you no discomfort.

There might be further damage or decay that should be treated. A tooth that required a large filling is often more fragile than an intact tooth, and might need to be fitted with a crown in order to protect it. A missing filling might reveal deep decay which has exposed the pulp of the tooth to infection or damage, and a root canal might be necessary. A seriously damaged tooth might require extraction. Delaying treatment could result in a more complex restoration.

See us as soon as you discover a problem with your filling, and we will make sure not only that your tooth is treated appropriately, but that the reason for the lost filling is discovered. While no filling lasts forever, if the cause of your lost filling is tooth grinding or decay, it’s important to be proactive to prevent further problems.

Losing a filling? It really doesn’t happen very often. But that’s not a lot of comfort if you do happen to lose or break a filling. If you’re at a loss for what to do next, contact our New York, NY office. You’ll find yourself smiling again in no time!

Should I have TMD treated? Why?

October 4th, 2023

TMD occurs when your bite is not properly aligned. It can cause the jaw to experience unnatural stresses and prevent it from resting properly when your mouth is closed. If you have TMD, you may have noticed a clicking noise when you chew, speak, or yawn; you may even experience pain and discomfort during these actions. In some cases, your jaw may feel “locked” following a wide yawn.

TMD can cause pain and discomfort in the jaw as well as headaches that occur when the muscles that help the joints open and close become overtired. But beyond the pain and discomfort, TMD can also cause serious dental problems if left untreated.

Because TMD is associated with a poor bite or malocclusion (which literally translated means “bad closure”), your teeth do not meet properly. As a result, extra tension and stress may be placed on your teeth, resulting in chips and cracks that allow cavities to form and may even result in tooth loss. Over time, TMD can cause teeth to break, which requires cosmetic treatment to rebuild your healthy smile, and ensure the broken tooth and its neighbors are protected from decay.

While treating TMD used to mean expensive and invasive surgery to reposition or even rebuild the jaw joints, today’s approach at Central Park West Dental is much more patient-friendly. By restoring broken, chipped, or cracked teeth, replacing missing teeth, and using braces or other dental devices, Dr. David Shipper and Dr. Howard Vogel and our team can help realign your jaw so it’s able to function properly, and eliminate pain and discomfort. And there’s more good news: By restoring damaged teeth and tooth surfaces and straightening crooked teeth, you’re also left with a more attractive smile once treatment is completed.

Every patient is different, and that means your course of treatment will be different too. After a thorough examination of your teeth and jaw, our experienced staff at Central Park West Dental will work with you to develop a treatment plan that will have you feeling better – and looking better – sooner than you ever expected. Don’t let your untreated TMD cause more pain and problems; give us a call at our convenient New York, NY office today to schedule a consultation.

Snack Attack

September 27th, 2023

Should a quick bite between meals make us feel guilty? Or worse, make our teeth suffer a greater risk of cavities? Let’s avoid both those possibilities! We have several tooth-healthy snacking strategies designed to help you keep your enamel cavity-free while preventing snacker’s remorse.

But first, a word or two about why we may find snacking unappetizing.

  • Please, Don’t Feed the Bacteria!

The bacteria in plaque feed on sugars and leave acidic waste products behind. These acids attack enamel, dissolving the calcium and phosphorus minerals that keep it strong. Weakened enamel leaves teeth vulnerable to decay. That’s why Dr. David Shipper and Dr. Howard Vogel and our New York, NY team recommend avoiding a steady diet of sugary treats.

Even if you’re not reaching for a soda, or grabbing a candy bar, many snack foods are filled with added sugars. Check the nutritional labels before you indulge to avoid sugar surprises.

  • Off Balance?

Bacteria plus sugar equals more acidic conditions in the mouth. This change in the oral pH balance also reduces our natural defenses against cavity-causing acids.

A well-balanced oral environment depends on saliva to keep acids in check. Saliva washes away lingering food particles after meals, and it neutralizes acidic conditions in the mouth over the course of the day.

How does snacking interfere? Immediately after eating or drinking, acids in saliva increase. It takes about 20 minutes for saliva’s neutralizing process to begin. When we snack throughout the day, saliva doesn’t have a chance to reduce acids as long or as effectively.

  • Staying Power

Sticky and chewy snacks tend to stick to the tops of molars and between the teeth. This gives bacteria more fuel and more time to attack tooth enamel. It’s not just candies that are the culprits here. Chips, bread, pizza crusts, pastries—these simple carbs stick to teeth and break down easily into sugars.

But we promised some *positive* strategic snacking ideas. Here are some ways to make sure that snacking doesn’t put you at a much greater risk for cavities.

  • Be Choosy

Avoid processed treats that are high in added sugars. If you’re craving something sweet, fresh fruits provide sweetness with vitamins included.

Crispy fruits such as apples and Bosc pears, as well as vegetables like celery and carrots, provide gentle scrubbing action to help clean teeth between brushings.

Snacking on cheese helps neutralize acids, and other dairy products are high in calcium and phosphorus, helping rebuild the minerals that acids leach out of enamel.

Eat whole grain breads, pastas, and pastries. They offer more nutrients, and don’t break down into sugars as easily.

Finally, when it’s time to indulge in a sugar-rich treat, save it for a meal. There’s a better chance that other foods will balance the acids created by sugar, and you’ll be getting the most out of saliva’s neutralizing abilities. Speaking of which,

  • Stay Neutral

When you’re craving something flavorful without giving bacteria more fuel for acid production, consider sugar-free gum. Sugar-free gum saves you from adding sugar to your diet, and it increases saliva production as you chew. If we give you the all-clear, chewing a piece or two of gum during the day can help curb your sugar cravings and protect your enamel.

Thirsty? Drink water instead of sodas or energy drinks with your snacks. Water washes away food particles, cuts down on acidity, and provides fluoride to strengthen and protect teeth.

  • To Brush or Not to Brush?

It’s always a good idea to brush after eating. But since eating sugary or acidic foods can leave enamel vulnerable to toothbrush abrasion, many dentists recommend waiting 30 minutes after you snack before brushing. Ask Dr. David Shipper and Dr. Howard Vogel what’s best for your teeth.

If you can’t brush, rinse with water after eating or drinking.

If you wear braces or aligners, be sure to check with Dr. David Shipper and Dr. Howard Vogel about snacking, gum, best times to brush, and any other diet questions.

Talk to Dr. David Shipper and Dr. Howard Vogel about your snacking habits. Learning when and how to snack is as important as deciding what to snack on. Finding the perfect balance means you can enjoy a mid-day energy boost without guilt—and without risking tooth decay!

What to Know if You Think You Have a Cracked Tooth

September 27th, 2023

You use your mouthguard for sports, wear a nightguard if you grind your teeth, and never bite down on solid objects. But even with all the care in the world, accidents happen. If we break a leg, our bones can regenerate tissue and knit together over time. A cracked tooth, on the other hand, can only be repaired, but will not heal. The right treatment is essential to protect your injured tooth. If you suspect you have a fractured tooth, what should you do?

Sometimes you know right away when you’ve cracked a tooth. A fall off a bike, a blow to the face on the basketball court, a bite of something that turned out to be much harder than it should have been—the results can be instantly apparent. If you have a broken or chipped tooth, call our New York, NY office immediately. If you have lost a piece of your tooth, bring it in with you. Early treatment can not only restore the appearance of your tooth, but might prevent the possibility of infection or damage to the root and pulp.

Sometimes, a fractured tooth is an unwelcome surprise. It doesn’t take one specific incident to cause damage to a tooth. A crack or break can develop over time if you grind your teeth, have a large filling that has compromised a tooth, or have undergone a root canal procedure that has left the tooth brittle.  You might notice a crack or a missing piece of tooth, or experience pain while chewing or sensitivity to heat and cold. If you have any of these symptoms, call us. Once again, the earlier a tooth is treated, the better the outcome.

No matter how you discover an injury, immediate treatment by Dr. David Shipper and Dr. Howard Vogel is the best way to safeguard your healthy smile. Prompt treatment and restoration repair your smile cosmetically, and, in the case of more serious fractures, extend your tooth’s life, prevent further damage, and ward off potential infections of the gum and bone.

We have many options for restoring your damaged tooth, and our recommendations will depend on the type of injury your tooth has suffered.

  • Chips

It is important to bring any broken piece of your tooth with you because sometimes the piece can be reattached. If that is not possible, a small chip might only require bonding with a tooth-colored resin. A veneer is an option for a larger chip, or where a translucent, natural appearance is important. If the chip is deep enough, and there is pulp damage, we might suggest a root canal and a crown.

  • Broken Cusps

A lost cusp is a common result of injury, especially near a filling. If the pulp is unaffected, which is generally the case, a filling or crown can restore the appearance and function of the tooth.

  • Cracks through the Tooth

A tooth cracked from the chewing surface to the root presents a more serious problem. If the crack has extended to the pulp, but remains above the gum line, a root canal and crown can preserve the tooth. If the crack extends below the gum line, however, extraction might be necessary. Early cracks will eventually extend below the gum line, so early treatment is essential.

A tooth can also fracture from the root up. Any crack in the root is a serious matter, and often is not discovered until infection has set in. Extraction is a common recommendation, although some specific cracks near the tip of the root might be treated with endodontic surgery.

  • Split Tooth

Sometimes an untreated vertical crack can lead to a tooth split into two pieces. An endodontist can determine whether any portion of the tooth can be saved, although extraction is more likely.

If you injure your tooth, or have any symptoms of a tooth fracture, call us immediately. Whether you have suffered a chipped tooth, a broken cusp, crown or root fractures, or even a split tooth, prompt treatment is the best way to restore and protect your attractive and healthy smile.

Crushing the Ice-Chewing Habit

September 20th, 2023

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

  • Chipped and cracked teeth
  • Damaged enamel
  • Sore jaw muscles
  • Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. David Shipper and Dr. Howard Vogel about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

  • Baby carrots
  • Celery sticks
  • Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our New York, NY team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

The Hazards of Smokeless Tobacco

September 20th, 2023

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. David Shipper and Dr. Howard Vogel and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. David Shipper and Dr. Howard Vogel for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our New York, NY staff members.

Is a Loose Tooth a Lost Tooth? Not Necessarily!

September 13th, 2023

When we were small, a loose tooth wasn’t a reason to be worried. On the contrary! It was a time to celebrate: A permanent tooth on the way. A sign that you were growing up. Perhaps even a lucrative visit from the Tooth Fairy. Losing a baby tooth had quite a few benefits.

Now that we’re grown, no such benefits are in store for us, because a lost adult tooth is gone for good. That’s why any time you notice a loose tooth you need to call Dr. David Shipper and Dr. Howard Vogel immediately. With prompt dental care, that tooth might be saved.

But first, a word about how our teeth stay firmly rooted in the jaw.

  • The visible part (crown) of a tooth is protected by a layer of enamel. The root below is covered with a protective layer called cementum.
  • There is a socket for each tooth in the alveolar bone of the jaw, where each root is firmly attached within the socket by the periodontal ligament which surrounds it.
  • This ligament is made up of connective tissue, which attaches both to the cementum covering the root and to the alveolar bone. It not only holds the tooth in place, it cushions the tooth from the daily pressure of biting and chewing.
  • The gums surround the teeth and bone, protecting them from bacteria.

If the tooth, bone, ligament, or gums suffer damage, the result can be a loose tooth.

Treating a Loose Tooth

The treatment you receive will depend on the reason your tooth is loose. There are many situations which can lead to a loose tooth or teeth, and many treatment options available to you. Some of the common causes and potential treatments include:

  • Accident or Trauma

If you have suffered a tooth or jaw injury as a result of an accident or trauma, it’s very important to see your dentist or doctor immediately. You should be carefully examined to determine whether there is damage to other teeth or the jaw. Serious tooth or jaw bone injury might require treatment by an oral surgeon.

In some cases of damage to the periodontal ligament or tooth, even if your tooth is loose or extruded (partially out of its socket), it can be stabilized in place so that the ligament and tissue around it has time to heal.

We’ll make sure the root, nerves, and blood vessels are still intact, position the tooth back in its socket, and then anchor it to the adjacent teeth with a flexible splint for several weeks. In the case of an alveolar or a root fracture, a rigid splint may be used.

Splinting gives the periodontal ligament and bone surrounding it time to heal while keeping your injured tooth from further displacement.

  • Bite problems & Bruxism

Your teeth are designed to withstand a lot of pressure—in fact, in some ways, pressure is essential for healthy teeth and bone. The normal pressure of chewing and biting stimulates bone tissue in the jaw. When a tooth is lost, that stimulation is gone and the result is gradual bone loss in the area underneath the lost tooth.

But sometimes, the pressure exerted by a malocclusion (bad bite) or bruxism (tooth grinding) is too forceful. The connective tissue which holds the teeth in place is damaged by these forces, and loose teeth can be the result.

If you have a serious malocclusion, an orthodontist can provide the relief you need with braces or aligners. If your bite problem is caused by a tooth or teeth which are a bit too high, the enamel can be carefully contoured and reshaped. In some cases, splints, either temporary or permanent, can also be used to stabilize several adjacent teeth so that any biting or chewing force is spread over the section as a whole.

If you grind your teeth, a night guard can be custom fitted to provide relief from the pressures and impact of tooth clenching and grinding. This special kind of mouth guard is known as an occlusal splint.

  • Osteoporosis

Osteoporosis causes a loss of bone density throughout the body. Studies suggest that this disease can affect bone in the jaw, leading to weaker bone and looser teeth. Your physician will provide your best medical alternatives, and be sure to let us now if you are taking medication for osteoporosis before we plan your dental treatment.

  • Periodontal Disease

Gum disease is one of the major causes of loose—and lost—teeth. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. Periodontitis can cause the gums to pull away from the teeth, creating pockets for bacterial growth and infection. Left untreated, this infection results in connective tissue and bone loss.

If you have serious gum disease, we might suggest a visit to a periodontist, a specialist trained in the treatment of the gums, periodontal ligaments, and bone surrounding the teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis. Bone loss cannot be reversed, but a graft can replace lost bone and allow healthy tissue to regenerate.

  • Pregnancy

Hormonal changes can cause the ligaments and bone around your teeth to loosen, which can lead to loose teeth. While this might be an alarming development, it’s generally a temporary condition. Talk to us about how to take care of your teeth and gums during your pregnancy.

Hormonal changes can also make your gums more vulnerable to irritation and infection. In fact, swollen and tender gums are often one of the first signs of pregnancy. That’s another reason it’s very important to keep up with dental hygiene during pregnancy. If your gums are red, swollen, bleeding, or tender, give us a call. A periodontist can be especially helpful if gum problems persist.

What to do if you have a loose tooth

  • Call us immediately. Timely professional care can mean the difference between saving your tooth and losing it.
  • Avoid wiggling the tooth. This could loosen it further.
  • Protect your loose tooth. Eat soft foods, and try not to chew near the affected area. And while a liquid diet might sound like a good idea, no straws, please. Straws require suction, which can further dislodge your tooth.
  • Keep the area clean, gently.

What to do if a tooth can’t be saved

Baby teeth become loose and fall out because the permanent teeth coming in erode the smaller roots holding them in place. That’s why it’s so easy for parents to help their child’s wiggly baby tooth find its way from mouth to Tooth Fairy.

Adult roots, however, involve alveolar bone, ligaments, blood vessels, and nerves, so an extraction really needs to be done by a professional. We will also examine you carefully to discover the reason for the tooth loss, and to prevent further damage with additional treatment as needed.

Finally, if you do lose a permanent tooth, there is still much that can be done to restore your smile. Modern implants are almost indistinguishable from natural teeth, and, what’s more, they function just like natural teeth to stimulate the bone beneath them.

If you have any worries about your teeth, contact our New York, NY office. A loose tooth is never a cause for celebration, but, with proper dental care, a loose tooth doesn’t always lead to a lost tooth. Restoring a firm bite and a heathy, confident smile? That’s a reason to celebrate!

What is Remineralization?

September 13th, 2023

“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to Dr. David Shipper and Dr. Howard Vogel at our New York, NY office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

Can Superfoods Create a Super Smile?

September 6th, 2023

It’s a rare week that we don’t hear something about superfoods—those foods which will transform our diets and radically improve our health. Remember kale? All the kale? (But, more on kale later!)

So, what exactly are “superfoods”? Unfortunately, we don’t have an exact answer for you, because, while the term “superfood” sounds impressive, it really doesn’t have an exact scientific meaning. Any food which is nutritionally dense with antioxidants, vitamins, minerals, healthy fats and/or other nutrients is often called a superfood.

Can these so-called “superfoods” help improve our dental health? The short answer: Yes! Let’s look at the benefits of some current popular superfoods, and just why they’re so good for our teeth and gums.

  • Berries

Blueberries, strawberries, raspberries, and cranberries are not only delicious, but a rich source of antioxidants, minerals, and vitamins, including vitamin C. What does this mean for your dental health? Vitamin C is essential for healthy gums. In fact, one of the symptoms of vitamin C deficiency is swollen and bleeding gums.

  • Salmon

“Good fat” seems like a dietary contradiction, but salmon is here to prove it’s possible. Omega-3 fatty acids have been linked to numerous health benefits, including fighting inflammation. Research has shown a possible relationship between getting the recommended amounts of omega-3s and a reduced risk of gum disease.

  • Ancient Grains

Ancient grains are grains (and certain grasses and seeds) which have been cultivated the same way over the centuries. And even though these grains have been around for hundreds of years, many cooks are just starting to incorporate foods like quinoa, millet, farro, and freekeh into their recipes. Ancient grains are considered especially healthy because they are whole grains, with their nutrients, bran, and fiber intact. Processing grains removes many of these good-for-your-body elements.

And how does this processing affect our teeth? Whole grain carbs take time to break down and convert into the sugars which fuel our bodies. Processed grains used in foods like soft white breads and white rice start to break down quickly right in the mouth. They also tend to stick to the teeth, providing a rich supply of sugar to feed the oral bacteria which cause cavities. But you don’t need ancient grains to reap the benefits of whole grains—consider substituting whole wheat, brown rice, or whole grain corn for some of the processed grains in your diet.

  • Yogurt

Most yogurt, unlike other dairy products, contains probiotics, which help supply our bodies with healthy bacteria. Most yogurt, like other fortified dairy products, is also rich in vitamin D. Vitamin D is essential for tooth health because it allows our bodies to absorb the calcium which keeps bones and teeth strong.

  • Kale

We couldn’t leave without a word about kale! Kale is everywhere on the menu, from salads to pasta to soups, added to the blender for fruit smoothies, or salted and roasted for a potato chip substitute. And kale deserves its good reputation. Kale is rich in antioxidants, vitamins, and minerals, such as the beta-carotene which our bodies convert into vitamin A. Among its other benefits, vitamin A is crucial for the health and healing of mucous membranes, which include our gums and the soft membranes of the mouth.

And if you just can’t warm up to kale? More good news: dark green vegetables such as leafy greens and spinach also provide many of the same beta-carotenes. And so do colorful orange options like sweet potatoes, carrots, peppers, pumpkins, and squash.

Can these so-called “superfoods” help improve and maintain our dental health? The short answer: Yes! The longer answer: Yes—and so will any foods which are rich in the vitamins, minerals, antioxidants, and fatty acids which support and protect our teeth and gums. Just remember, a nutritious, balanced diet is more important than any one ingredient. Want more information? Ask Dr. David Shipper and Dr. Howard Vogel when you visit our New York, NY office for dietary tips to help you maintain a heathy body—and a super smile!

Brushing Mistakes You Don’t Know You’re Making

September 6th, 2023

It’s great that you’re enthusiastic about your dental health! Here are some tips from Dr. David Shipper and Dr. Howard Vogel and our team to make sure you are getting the most out of your brushing by avoiding common mistakes.

Choose the right brush

In almost every case, a soft brush provides the right amount of bristle-strength to clean your teeth and gums effectively. Hard bristles can damage sensitive enamel and gum tissue, so treat yourself kindly. Also, choose a brush head that’s the right size for your mouth, since a toothbrush that’s too large can be uncomfortable and unable to reach all the areas you need to brush.

Don’t keep your brush too long

Three months is about the average life of a toothbrush. Over time, bristles become frayed or worn and lose their effectiveness. It’s also a good idea to replace your brush after an illness.

Be gentle

Even with a soft brush, it’s possible to brush so hard that your enamel and gums are affected. Think of yourself as massaging your teeth and gums rather than scrubbing them.

Use proper technique

Using a “sawing” back-and-forth motion is hard on your enamel and misses plaque and debris between the teeth. Hold your toothbrush at a 45-degree angle, especially at the gumline, to gently remove plaque. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Make sure you cover all the surfaces of your teeth: outside, inside, and chewing. And don’t forget your tongue!

Take your time

Brushing twice a day for two minutes each time is the standard. Most people brush much less; try using the stopwatch on your phone or a two-minute timer to make sure you are spending enough time brushing. On the other hand, if you brush too hard or too often, remember that over-brushing can lead to problems for your gums and enamel.

Your daily routine might be fast and furious, but your dental routine requires a gentle, methodical approach. Ask at your next visit to our New York, NY office, and we will be happy to help you design the perfect brushing practices for your busy life.

Interproximal Cavities: The Inside Story

August 30th, 2023

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth which sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity which develops on one of those side surfaces of your teeth.

  • Discovering Interproximal Cavities

Clearly, a cavity between the teeth won’t be as obvious as other cavities. How will you know if a dental appointment is in order?

There are typical symptoms which can show up when you have a cavity. Chewing might be painful. You might feel pain or sensitivity when you eat or drink something which is hot, or cold, or sweet. But pain and/or sensitivity aren’t always present, especially when a cavity is just beginning to develop.

Regular exams are important so you can catch small cavities before they become more serious. That’s why, at your regular dental exams, Dr. David Shipper and Dr. Howard Vogel will always check for any signs of decay on every surface of each tooth, including those places which aren’t easily visible. And that’s why X-rays can be an important tool for locating these tricky cavities.

  • Treating Interproximal Cavities

If Dr. David Shipper and Dr. Howard Vogel and our team finds a cavity between your teeth, there are different treatment options available depending on the size of the cavity:

  • A typical cavity will require a filling. The decay will be removed, and then the area will be cleaned and filled. You’ll probably choose a filling material which can be matched to your enamel color if the restoration will be noticeable.
  • If decay has spread to the pulp chamber inside the tooth, a root canal is often the best treatment option, with a crown applied afterward to protect the tooth.
  • A tooth so decayed or infected that it cannot be saved might require extraction.

Dealing with any weakness in a tooth as quickly as possible is always better than waiting until a more complicated treatment option is needed. Of course, the best treatment is prevention, and, luckily for us, it’s not a complicated process at all.

  • Preventing Interproximal Cavities

In fact, it’s about as basic as it can be—brush and floss effectively. We recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gumline—places where bristles just can’t reach. The next time you get your teeth cleaned at our New York, NY office, ask for tips on how to perfect your technique. And, if you have difficulty flossing, ask about alternatives such as water flossers and interproximal brushes.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If Dr. David Shipper and Dr. Howard Vogel and our team find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with us to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

How many times a day should I floss?

August 30th, 2023

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

  • It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
  • Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
  • It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. David Shipper and Dr. Howard Vogel or any member of our New York, NY team—we'd be glad to help you pick up this healthy habit!

Four Great Additions to Your Dental-Healthy Diet

August 24th, 2023

Calcium from dairy products for strong bones and teeth? Check. Vitamin C from fruits and vegetables for gum health? Check. Protein from lean meats, eggs, and fish to create, maintain, and repair tooth and gum tissue? Check, check, and check.

These nutrients are probably the most well-known players in the production of a dental healthy diet, but there are several other important minerals and vitamins we need to balance the cast. Dr. David Shipper and Dr. Howard Vogel and our team take a look at some of these lesser-known but equally vital actors.

  • Phosphorus

Calcium is the mineral we hear about most often for maintaining strong teeth and bones, but it doesn’t act alone. Phosphorus is necessary for our bodies to make full use of calcium. Phosphorus is absorbed best from animal foods like meat, fish, and poultry, but it can also be found in beans, nuts, whole grains, and dairy products.

  • Magnesium

Magnesium also works with calcium, and promotes bone density and the strength of our hard enamel. If you are looking to add magnesium to your diet, you have a spectacular variety of options, including salmon, tuna, chickpeas, green leafy vegetables, nuts, avocados, seeds, brown rice—even dark chocolate!

  • Vitamin A

This vitamin is essential for the health and healing of our mucous membranes, which include our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

  • Vitamin D

Even though we might make sure to get plenty of calcium to keep our teeth and bones healthy, we will never get the most out of a calcium-rich diet without vitamin D. Vitamin D not only helps with bone density, it actually helps our bodies absorb calcium so we can put it to work for us. It has also been shown to promote gum health by reducing the inflammation that can lead to gum disease. Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. The only plant that produces vitamin D is the mushroom, but it is also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals.

You want your diet to be part of your healthy lifestyle, and more and more we are coming to discover just how important a balanced diet is to our dental health as well. The fascinating fact is that all of the nutrients which support our dental health work together and depend on each other to play their roles effectively. Talk to Dr. David Shipper and Dr. Howard Vogel at your next checkup at our New York, NY office for some suggestions on finding the dietary balance that works best for you.

Three Must-Have Dental Treatments

August 23rd, 2023

In dentistry, there are a wide variety of treatments, everything from elective procedures to those that are necessary and potentially lifesaving. So given the slew of treatment options, how do you choose what’s right for you? Our experts at Central Park West Dental have handpicked the three must-have procedures that we believe can benefit nearly every patient.

The first: A complete periodontal exam. If you are going to the dentist for scheduled cleanings, this exam should happen at least once a year. A periodontal exam is quick and relatively painless. The dentist or hygienist will carefully probe around each tooth to take measurements that show the health of the bone and its supporting tissue, all while looking for signs of any active infection. It has been suggested that there is a link between periodontal (gum) disease and the increased risk of some potentially fatal diseases such as heart disease, stroke, and diabetes. Signs of some diseases show up in the mouth sometimes before the patient is aware of changes in the body. Diabetes is one of these silent diseases. Many Americans are unaware that they have the disease until sudden and severe changes in the periodontal health of the teeth lead to a trip to the patient’s physician. And did you know that more adults lose teeth to periodontal disease than to cavities? A simple screening once a year can lead to saving your teeth.

The second treatment our team at Central Park West Dental recommends is a dental sealant; it’s not just for kids! Dental sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood. Replacing a sealant as an adult can also help prevent decay in adulthood. This is a great cost-effective procedure for adults. Dental insurance will likely not cover sealants as an adult, but the cost of a sealant for prevention versus the cost of a filling is much less.

Our third must-have dental treatment is often the most fun: in-office whitening. Who doesn’t want an instantly dazzling smile? In-office whitening is one of the most dramatic and quick ways to brighten a smile. It will take a few years off your age in a two-hour period of time. Whitening is very safe and can give a patient newfound confidence to smile.

Whitening an Artificial Tooth

August 16th, 2023

It’s a bit of a contradiction: you are justifiably proud of your beautiful dental work, but you don’t want it to be obvious when you smile. Dental prosthetics such as veneers and crowns should blend perfectly with your natural teeth. If you have noticed your veneers are a different shade than your other teeth, or have a crown that is visibly darker than the teeth surrounding it, you are probably wondering if there is any way to lighten and whiten an artificial tooth surface. There is no one right answer, but let’s examine a few common scenarios to find the best solution for you.

If You Haven’t Started Your Dental Work and Want a Whiter Smile

If you are planning on getting a veneer or a crown, it’s best to take advantage of teeth whitening before you have the work done. Choosing a shade of bright white for your veneers and then trying to whiten your natural teeth to match it afterward is almost impossible. It’s a good idea to talk to us about whitening beforehand, and, if this is the best way to achieve the look you want, Dr. David Shipper and Dr. Howard Vogel can match the color of your new prosthetic to your newly whitened smile. The goal is to make your new veneer or crown a perfect match to your natural teeth.

If You Have Existing Veneers, Crowns, or Other Artificial Surfaces

Porcelain veneers cannot be whitened, but the good news here is that they don’t stain the way natural teeth do. Unlike our teeth, porcelain is non-porous, so it is very difficult for typical culprits such as coffee, tea, or red wine to have as much effect. Any surface stains that appear can usually be gently removed with a professional cleaning and polishing, where we will take care not to scratch the delicate surface of the veneer. Porcelain crowns and implants, like veneers, can be brightened with a professional surface cleaning, but their original color cannot be changed.

Composite veneers and composites used in dental bonding are more porous and therefore more likely to stain. They are also immune to whitening, but might respond somewhat to a careful professional polishing at our New York, NY office.

Finally, if the color of your existing dental prosthetics is a concern, replacement is an option we can consider together.

Whether you have existing veneers and crowns or are planning future dental work, please talk with us about achieving a seamless blend of old and new for a beautiful, natural smile. It’s a bit of a contradiction: the best work is the work no one notices!

Your Snoring Might Be More Serious Than You Think

August 16th, 2023

Sleep apnea is a disorder in which breathing stops and starts repeatedly throughout the night. It’s most common among middle-aged adults, and the most prevalent symptom is loud snoring.

Sleep apnea occurs when the muscles in the back of your throat relax to the point where they inhibit your natural breathing. It can cause your breathing to stop for anywhere from ten to twenty seconds. In the worst cases, it can even stop your breathing for up to a few minutes.

In addition, people who suffer from sleep apnea wake up feeling tired and unrested. The condition may even lead to depression, high blood pressure, irritability, and memory loss. It puts you at a greater risk for heart attack and lowers oxygen levels in your brain.

All of this sounds scary, but the good news is that sleep apnea can be treated! One of the most common ways Dr. David Shipper and Dr. Howard Vogel can treat sleep apnea is by creating an oral device for you to wear while you sleep.

The device brings your jaw forward, which keeps the airway open and lowers the incidence of snoring. Another method is to use a continuous positive airway mask, often referred to as a CPAP. The mask fits over the mouth and forces oxygen through the throat while you sleep.

If you’re unsure about whether you may suffer from sleep apnea, visit our New York, NY office and let Dr. David Shipper and Dr. Howard Vogel know. We can determine the appropriate treatment if any is needed. Don’t risk losing another night’s sleep over something we can easily treat!

Common Emergency Care Visits: Toothaches and Abscesses

August 9th, 2023

You never know when a dental problem may arise. Unfortunately, they don’t necessarily occur during office hours. Dr. David Shipper and Dr. Howard Vogel can provide you with the proper information and treatment options to prevent the problem from becoming worse.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Though antibiotics are not always necessary, you should be seen by Dr. David Shipper and Dr. Howard Vogel as soon as possible. If left untreated, the infection may grow and cause more serious issues.

Toothache

Toothaches can have many causes. Sometimes it’s as simple as food lodged between your tooth and gums. Rinse your mouth with warm water and try flossing the area to dislodge the particle. If your gums begin to bleed, stop flossing.

Fractures or cavities can also cause toothaches as well as sensitivity to heat or cold. Please schedule an appointment to ensure a minor problem doesn’t develop into a serious one. You may require acetaminophen or another pain reliever before your visit.

If you can’t be treated right away, keep these tips in mind:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly to a damaged tooth or gum area, because this can cause tissue irritation.
  • If you suspect your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, seek other medical attention right away.

If you experience an emergency, please contact our New York, NY office and provide us with as much information as possible. This way, we can offer recommendations that will assist you until you’re able to arrive for an appointment.

Remember: procrastinating about getting treatment can turn a minor problem into a major one!

Is Your Broken Tooth An Emergency?

August 9th, 2023

When you chip a tooth badly, it can be a very nerve-wracking situation. Dr. David Shipper and Dr. Howard Vogel and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Dr. David Shipper and Dr. Howard Vogel may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Dr. David Shipper and Dr. Howard Vogel will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our New York, NY office as soon as an emergency situation occurs.

The Best Brush of the Day

August 2nd, 2023

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

  • Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

  • Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

  • “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

  • Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

  • Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

  • Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

  • Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night —there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene. (And don’t forget to floss at least once each day.)

If you wear orthodontic appliances, if you’ve been eating sugary snacks, if you’re showing signs of gingivitis or getting more than your share of cavities, if you want to reduce the chance of plaque and tartar buildup, or if you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

Talk to Dr. David Shipper and Dr. Howard Vogel about your brushing habits the next time you visit our New York, NY office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

Antibiotic Prophylaxis or Premedication

August 2nd, 2023

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Dr. David Shipper and Dr. Howard Vogel suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

  • A history of infective endocarditis
  • Certain congenital heart conditions (heart conditions present since birth)
  • An artificial heart valve
  • A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our New York, NY office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.

Mamelons

July 26th, 2023

Quick trivia question: define “mamelon.” Some kind of warm blooded animal? No, not a member of the mammal clan, but good guess. A fruit of the gourd family? Nope! There are watermelons, and honeydew melons, and even canary melons, but no ma-melons. Those little rounded bumps you notice on the edge of your child’s permanent incisors when they first emerge? We have a winning answer!

  • Why Do We Have Mamelons?

We have eight incisors, or biting teeth, in the front of our mouths—four on top and four on bottom. Mamelons are actually a clue as to how these incisors were formed. Even before a baby is born, the permanent teeth begin to take shape. Three different groups of cells develop to form the incisal edge of these front teeth. As they fuse together, they create three lobes of enamel on the erupting edge of the tooth. It’s these lobes, or bumps, that give the teeth a serrated appearance.

Whether your child’s mamelons are quite prominent or barely noticeable, if you are worried about them, relax! They are almost always a temporary part of your child’s smile, and disappear over time with chewing and normal wear. But what if the mamelons overstay their welcome?

  • Cosmetic Concerns

Because mamelons are composed of enamel, without the underlying dentin layer found in the body of the tooth, they can appear translucent or a bit different in color. They might wear away unevenly, leaving the tooth edges looking misaligned. Or, they might not wear away at all if your child’s tooth eruption is delayed. Talk to Dr. David Shipper and Dr. Howard Vogel if mamelons are a cosmetic concern for you or your child. You might discover that they are wearing away naturally, or we can discuss ways to polish or smooth them down if needed. This is a painless procedure that doesn’t require an anesthetic. Generally, however, this is a matter where time will resolve the issue for you.

  • Orthodontic Implications

Occasionally, mamelons might become a topic of discussion for orthodontic reasons. Sometimes, mamelons do not wear away over time because of a malocclusion (misaligned bite). Your orthodontist will let you know your child has a bite problem and can explain treatment options. Your orthodontist might also suggest smoothing away the mamelons to ensure that the edges of the incisors align correctly and symmetrically while the teeth are in the process of straightening. Again, this is not always considered a necessity, so weigh your options with your dental care provider.

So, if you notice that your child’s beautiful new teeth are bumpy or serrated as they erupt, don’t be concerned! If you have any questions about mamelons, talk to Dr. David Shipper and Dr. Howard Vogel at your next visit to our New York, NY office. This is a natural occurrence and most likely just a temporary “bump” in the road. Soon enough, mamelons will be a memory—and the answer to a pretty difficult trivia question.

Can sealants benefit you?

July 26th, 2023

Molars are difficult to reach when brushing your teeth because they’re full of crevices, caves, and pits that can provide the perfect environment for decay. Sealants are the perfect fix for this.

Sealants are a plastic-like protective solution that bond to the edge of the tooth. The treatment protects you against cavities and could save you from complicated dental issues in the future.

The process for placing sealants is painless and quick. First, Dr. David Shipper and Dr. Howard Vogel will clean the tooth with a baking soda spray. An acid etch is applied in order to “roughen up” the surface of the tooth and re-mineralize the area. The area is dried with an alcohol-based liquid and the sealant is placed on the grooves of the tooth. A special light then hardens the liquid into a plastic-like material.

Although sealants can last several years, they need to be examined semi-annually to check for breakage. Any cracks or breaks in your sealant can put your tooth at high risk for decay, and repair of sealants is a quick and painless task.

Children often receive sealants, but people of all ages can benefit from them. Adults who have especially deep canyons on their teeth are good candidates for sealants.

An investment in dental sealants can prevent tooth decay and complicated dental problems later on. It’s a no brainer! Call our New York, NY office today to speak with us about getting sealants on your teeth.

Should Children Use Whitening Products?

July 19th, 2023

As adults, we often wish our teeth could be as white as they were when we were small children. Baby teeth have thinner and whiter enamel than adult teeth, and those brilliant smiles are a result! But occasionally, you may be surprised to discover some staining or discoloration on those lovely first teeth. You might be tempted to apply a whitening product to your child’s teeth, but, please—read on!

Causes of Staining

  • Improper Brushing—Often, a loss of tooth whiteness means that plaque has built up on the tooth surface. Careful brushing is needed to remove bacteria and plaque, and if your child isn’t brushing at least twice a day for two minutes, discoloration can be the result.
  • Medications—When given in liquid form, or when added to formula or food, iron supplements can cause dark grey staining on the teeth. Medications taken by a mother while pregnant or breast feeding, such as tetracycline, can also lead to discoloration.
  • Injury—If a tooth suffers a serious injury, the tooth can darken because of changes inside the enamel.
  • Health conditions—Certain health problems can cause tooth discoloration, or sometimes children are born with weaker enamel that is more likely to stain.

If you have noticed any staining on your child’s primary teeth, call our New York, NY office. Simple stains can often be removed with better brushing techniques, and we can clean other surface stains in the office. Staining caused by an injury or a health condition is something we can discuss in detail with you. We can even use some professional whitening methods if those are indicated.

Why not just buy a home whitening kit for your child? There are several important reasons to leave these products on the shelf while your child is young.

  • Whitening kits are designed for adults. They have been tested for adult teeth in adult trials. Check the box for age appropriate use. Most products are not recommended for pre-teen children.
  • Remember that thinner enamel we mentioned earlier? Add to that the delicate skin of young children, and it’s sensible to be cautious about using a bleaching agent that can cause mouth and tooth sensitivity even in adults.
  • There is no body of evidence available as to the short and long term effects of using these products on children.

If you are concerned about the brightness of your child’s smile, please talk to Dr. David Shipper and Dr. Howard Vogel. We can recommend better ways to brush at home, clean your child’s teeth in the office, or suggest professional methods of whitening if there are physical or psychological reasons that it would be valuable. But while your child is young, those off-the-shelf whitening products can wait a few more years.

Safety of Dental X-Ray Radiation

July 19th, 2023

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our New York, NY office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. Dr. David Shipper and Dr. Howard Vogel can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

  • Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
  • Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
  • Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
  • If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

Charcoal Toothpaste

July 12th, 2023

Despite the extraordinary claims made for charcoal toothpaste, most dentists think that the accuracy of these claims is a very gray area. So, what is the theory behind using activated charcoal in your toothpaste?

Charcoal is in its natural form is a very porous substance. When mixed with oxidizing gases or chemicals at very high heat, the inner structure of charcoal becomes even more porous. This enables the “activated” charcoal to absorb chemicals. And activated charcoal, in fact, IS used as a treatment for certain poisons. Fans of charcoal toothpaste maintain that this same porosity enables the toothpaste to collect toxins, bacteria, and debris from the surface of your teeth, leading to a healthier mouth, fresher breath, and a whiter smile.

Sounds great! Should I buy some?

Maybe not quite yet.

  • Claims that charcoal toothpastes whiten teeth more than other over the counter whiteners are difficult to prove. But even using the best charcoal product, you are getting a superficial cleaning. Because charcoal toothpaste removes stains only from the surface of the enamel, it is no match for a professional whitening.
  • It’s abrasive. Harsh pastes and brushing could potentially cause thinner enamel. Thinning enamel reveals more of the darker dentin underneath, which can actually make your smile appear yellow. Abrasive pastes can be irritating for those with sensitive or compromised gum tissue. Any toothpaste you choose should never be so abrasive as to cause damage to teeth or gums.
  • If you use only charcoal toothpaste, you might not get the amount of fluoride needed to protect your teeth. And no toothpaste can take the place of regular brushing, flossing, and checkups at our New York, NY office.
  • If you’ve seen the photos posted of charcoal enthusiasts with sooty smiles and teeth, you know brushing with charcoal toothpaste can be a messy process. You might need to take extra care to clean your mouth, teeth, and tongue after using. And your sink.

If you are still intrigued by the idea of charcoal toothpaste, Dr. David Shipper and Dr. Howard Vogel and our team are happy to discuss it with you. And if teeth whitening is your concern, we have some proven methods to achieve your best results—even if they don’t provide an opportunity for dramatic charcoal selfies!

Is sedation dentistry right for me?

July 12th, 2023

At Central Park West Dental, we are well-aware of the 25 million Americans who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our New York, NY office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Dr. David Shipper and Dr. Howard Vogel and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Dr. David Shipper and Dr. Howard Vogel about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Central Park West Dental. Give us a call today!

Steer clear of that candy!

July 5th, 2023

At Central Park West Dental, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. David Shipper and Dr. Howard Vogel. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient New York, NY office, please give us a call!

A Spot of Trouble?

July 5th, 2023

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.

Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.

  • Cavities

Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.

Regular checkups at our New York, NY office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.

  • Demineralization

Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.

Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Dr. David Shipper and Dr. Howard Vogel can provide some options, including whitening, microabrasion, and veneers.

  • Fluorosis

Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.

Preventing fluorosis begins in early childhood. Talk to Dr. David Shipper and Dr. Howard Vogel about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Dr. David Shipper and Dr. Howard Vogel.

If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.

  • Tartar

Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.

How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.

  • Other Causes

Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.

Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.

If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Dr. David Shipper and Dr. Howard Vogel will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!

Why Are We Recommending a Periodontal Consultation?

June 28th, 2023

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our New York, NY office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Dr. David Shipper and Dr. Howard Vogel about your gum health if you notice any of these symptoms:

  • Bright red or purple gums
  • Swollen gums
  • Pain or tenderness
  • Bleeding when brushing or flossing
  • Persistent bad breath
  • Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

  • Significant gum recession, leaving roots more vulnerable to decay
  • Periodontal abscesses
  • Loose teeth, or teeth that shift from their proper positions
  • Bone loss in the area surrounding the teeth
  • Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

  • Topical, time-release, or oral medication
  • Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
  • Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
  • Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.

Heading Off to College? Maybe It’s Time to Graduate to an Electric Toothbrush!

June 28th, 2023

Your trusty manual toothbrush has been with you from pre-school through high school—well, obviously not the same manual toothbrush, because that would be seriously unhygienic—but it’s the kind of toothbrush you’re used to and comfortable with.

Now, though, you’re off to college, and your lifestyle will be changing. Late night study sessions complete with study session snacks. Getting caught up in a project and making dinner from dorm vending machines. Grabbing fast food on the way to the practice field, or work-study job, or evening class. You get the point—meals can be hectic, unscheduled, and less than tooth friendly.

Maybe it’s time to consider an electric toothbrush. After all, anything that can make your life easier and more efficient during busy college days deserves a spot in your dorm room.

  • Electric Brushes Are Effective

The most important reason to switch to an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Electric toothbrushes offer several design options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What these technologies all have in common is the ability to remove plaque far more efficiently than we can on our own, because electric brushes provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, compared to the hundreds we can achieve by hand.

You know by now what your brushing habits are like. If you tend to be a bit cavalier with your brushing and flossing, make sure you set yourself up for success. Because you have better things to do during semester breaks and summer vacations than visiting Dr. David Shipper and Dr. Howard Vogel!

  • Electric Brushes Can Make Life Easier

Several of today’s electric brushes come with options designed to do more than simply remove plaque. They can let you know if you’ve brushed for the recommended two minutes, alert you if you’re brushing too hard, and even remind you when it’s time to replace the brush head.

Want more from your electric brush? Some models offer apps that can map out just where you’ve brushed, in case there are a few spots that often get overlooked. Or provide different brushing modes for daily cleaning, deep cleaning, whitening, and more. Or come with a travel case that can recharge while you’re busy exploring the world—or going home for a visit.

In the end, it’s up to you. Do some independent study and research the toothbrushes that will give you the best results for your individual brushing habits. You might not need or want a brush with all the technological bells and whistles.

If you’re comfortable with your manual brush and you get good grades when you visit our New York, NY office, stick with it. But if you think you might benefit from the ease and efficiency of an electric toothbrush, if an electric toothbrush makes your teeth and gums healthier and your smile brighter, that’s an extra credit project worth pursuing.

Is a Lost Tooth a Lost Cause?

June 22nd, 2023

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by Dr. David Shipper and Dr. Howard Vogel as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see Dr. David Shipper and Dr. Howard Vogel to make sure there will be enough healthy tissue for reattachment. First of all,

  • Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

  • Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

 

  • If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

 

  • Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

 

  • If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

  • Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will Dr. David Shipper and Dr. Howard Vogel do?

  • Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

  • Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

  • Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

  • Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

  • Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so Dr. David Shipper and Dr. Howard Vogel will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our New York, NY office, it might be possible to make that loss only a temporary one.

Smile! It’s Time for Arts & Crafts!

June 22nd, 2023

If you have a child who loves arts and crafts, try some of these creative projects with a dental twist. One of these activities is sure to give your child something to smile about!

Toothbrush Art

Why throw away that used toothbrush when you can help your young child make art with it? Give it one more cleaning and a second life. The easy-to-grip handle and the wide bristles make a toothbrush easy for young hands to hold and paint with. If you are in an adventurous mood, use the brush to make splatter art. Your child can splatter an entire sheet of paper for an abstract effect, make a sky full of stars with a flick of the brush, or add splatter leaves to a tree scene. Cut out a stencil with a favorite shape (an animal, a flower, a toy), place it on a sheet of paper, splatter around it, remove the cutout, and—instant silhouette!

Paper Crafts

If your child is an origami enthusiast, there are some challenging dental-themed examples available online. These might be too advanced for beginners, but more experienced origami fans can make molars with roots and even molars lined with pink paper to symbolize the interior pulp. Younger paper artists might enjoy making construction paper models of an actual tooth, with white enamel, yellow dentin, and pink pulp layered in their proper order.

Sculpting Fun

For the scientifically minded young artist, clay can be used to make a 3D model of a tooth, with different colored clays representing the different layers of the tooth. Younger children learning about their teeth might enjoy fitting little white clay teeth into a pink clay crescent to show how baby (or adult) teeth fit into the gums. And for non-dental inspiration, old, clean toothbrushes can once again help out if your child likes sculpting art work with modeling clay. Add interesting texture by using the brush bristles on damp clay to create grooves, lines, or indentations.

Welcome the Tooth Fairy

If the Tooth Fairy is a regular visitor, make her welcome with a box decorated with paint or fabric to hold that special baby tooth. Or craft a pouch or a bag with fabrics scraps, and add a fabric tooth so that the Tooth Fairy will know she has come to the right spot. If you use felt and fabric glue, no sewing necessary! If your Tooth Fairy is an under-the-pillow traditionalist, decorate an envelope with a letter to the Tooth Fairy inside.

If some of these projects sound just right for your child, check out online craft sites for even more ideas. And, please be sure to have your children show and tell the next time they visit our New York, NY office. That will put a smile on our faces!

Quit Smoking to Save Your Smile

June 15th, 2023

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our New York, NY office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Dr. David Shipper and Dr. Howard Vogel can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

Heart Disease and Oral Health

May 31st, 2023

Is there a link between oral health and heart health? This is a question that has been receiving a lot of attention in recent studies. While as yet there is no definitive study that proves oral health has an effect on overall heart health, there is also no definitive proof that oral health doesn’t affect heart health. So, what do we know, and, just as important, what should we do?

What do we know? One clear connection exists between gum disease and endocarditis, a rare, but potentially very serious, infection. When we neglect our gums, they bleed more easily. When gum disease advances, the gums pull away from the teeth. This creates pockets which can harbor more bacteria and plaque, leading to infection and even tooth and bone loss. And this bleeding and infection can be serious not only as a matter of dental health, but for your heart as well.

Endocarditis is an infection of the inner lining of the heart and the heart valves. When bacteria from other parts of the body, including your mouth, make their way into the blood stream, they can attach themselves to damaged areas of the heart. The resulting infection can become very serious, very quickly. If you have damaged heart valves or artificial valves, have an artificial heart, or have any type of heart defect, it is especially important to prevent gum disease from developing. Regular dental care will help prevent bleeding gums and infections, and reduce the danger of oral bacteria entering the bloodstream. Always let us know if you have any issues with heart health, and we will tailor our treatment for all of your procedures accordingly.

What else might link oral health and heart disease? Because an increased risk of heart disease has been found in patients with moderate or severe gum disease, there has been much speculation as to a possible cause-and-effect connection. For example, the plaque inside arteries which leads to heart attacks has been found to contain certain strains of periodontal bacteria. Other studies have searched for a causal relationship between inflammation resulting from gum disease and inflammation leading to heart disease.  The body’s immune response to periodontitis and its potential consequences for heart health have also been examined. So far, there has been no clear evidence that treating gum disease prevents the occurrence or recurrence of heart disease.

So what should we do? This is the easy part. Keeping your gums and teeth healthy will increase your quality of life in immeasurable ways. And it’s not difficult! Regular brushing, flossing, and dental exams and cleanings at our New York, NY office are the key to lasting oral health. If this also keeps your heart healthy, that’s the best possible side effect.

How Often Should You Have Your Teeth Cleaned?

May 31st, 2023

That’s a good question! But first, we’re going to do that roundabout thing where we consider other questions before circling back to our original topic. Trust us, we’ll get there!

  • Why Get Your Teeth Cleaned Professionally?

Before you consider how often to have your teeth cleaned, you might be wondering why you need to have them cleaned professionally at all. After all, you’re doing all the right things. You brush twice a day for two minutes each time. You floss at least once a day. You even use a soft-bristled brush to protect your enamel. Shouldn’t this be good enough?

Conscientious dental hygiene at home is a very good thing, but, when it comes to plaque and tartar, it might not be good enough. Plaque, especially between the teeth and along the gum line, is easy to miss. In a matter of days, that overlooked plaque hardens and becomes tartar. While you can do a lot to remove food particles and plaque at home, once plaque hardens into tartar, a professional cleaning is necessary to remove it safely.

  • Why Worry About Plaque and Tartar You May Have Missed?

Because you want to avoid cavities and gum disease. You know that the bacteria in plaque cause tooth decay, but did you know that plaque and tartar can be a real problem for your gum health as well? Plaque and tartar irritate delicate gum tissue, causing inflammation and gingivitis (mild gum disease). If you have chronic bad breath, if your gums are swollen, red, or painful, if your gums bleed easily when you’re brushing and flossing, you might have gingivitis.

Left untreated, mild gum disease can become periodontitis, a more serious condition. Irritation and inflammation cause gum tissue to pull away from the teeth, forming deep periodontal pockets where bacteria and infection spread. Infection and inflammation response damage the bone and tissue supporting the teeth, and teeth become loose or lost altogether. In fact, periodontal disease is the leading cause of tooth loss in adults.

A professional cleaning at our New York, NY is one of the preventive steps you can take to reduce your risk of gum disease.

  • What Happens During a Cleaning?

First, your teeth and gums will be checked carefully to see if there are any problems that we need to address before the procedure begins.

The first step in cleaning usually involves removing plaque and tartar. This may be done with an ultrasonic scaler, a hand scaler, or a combination of both. Plaque and tartar need to be scraped from tooth enamel above and below the gum line to prevent cavities and gum disease, so this is definitely a job for a dental professional. Gum attachment around the teeth will be checked, and shallow pockets will be cleaned. Your dentist will have suggestions if you have deeper periodontal pockets caused by gum disease.

After all the plaque and tartar have been removed, your teeth will be polished with a gentle abrasive to remove surface stains. There are two common methods of polishing: applying a special gritty toothpaste with a small rotating cup, or air polishing, which uses a stream of fine abrasive powder, water, and pressurized air. (If you have your teeth cleaned more than twice a year, your dentist will let you know if polishing is advisable during every visit.)

Next, flossing. A professional flossing will remove any remaining plaque from between the teeth. This is a good time to double check your own flossing technique and ask for any tips which will make your personal flossing more effective.

Finally, after rinsing, a fluoride treatment might be applied to strengthen your enamel, and you’re good to go. The entire process usually takes between 30-60 minutes.

  • So, How Often Should You Have Your Teeth Cleaned?

That is a good question, and we did get there! But we don’t have just one answer for you. As with every aspect of your dental care, Dr. David Shipper and Dr. Howard Vogel will recommend cleaning treatments and procedures with your specific dental needs in mind.

  • If your teeth and gums are healthy, and you don’t have periodontal disease or risk factors for periodontal disease (such as smoking, a family history of gum disease, or medical conditions such as diabetes), you might be able to get by with two cleanings each year.
  • If you have a history of periodontal disease, or are at higher risk for periodontal disease because of one or more risk factors, Dr. David Shipper and Dr. Howard Vogel might recommend more than two cleanings each year.

Professional cleanings play an important role in your preventive dental care. Whether it’s done once a year, twice annually, or more often as needed, a cleaning performed by a dental professional takes only a short amount of your time and provides you with long-term benefits—not only a brighter smile, but healthier teeth and gums!

Dental X-rays: The Inside Story

May 24th, 2023

We’re all friends here, so if you sometimes feel a bit nervous before your dental appointment, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs.  

There are different types of common dental X-rays which are used for a number of reasons:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, a decrease in bone density, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth or under old fillings
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Position and development of wisdom teeth
  • Ideal placement for implants
  • Health and density of the jaw and alveolar bone

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. David Shipper and Dr. Howard Vogel and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You’re a new patient, with previous X-rays taken during regular exams or for specific procedures. Ask to have your older X-rays sent to our office. With digital X-ray technology, this transfer can be accomplished with e-mail! Having your dental history available lets us notice any changes that have taken place.
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your teeth stay their healthiest. If you have any concerns, contact our New York, NY office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Improve Your Overall Health with Regular Cleanings

May 24th, 2023

It’s common knowledge that you should get your teeth cleaned every six months. But do you know why that timing is crucial? Studies have shown that your oral health connects directly to the rest of your body. Over time, an unhealthy mouth can cause trouble in other parts of your general system.

Undergoing a regular cleaning every six months at our New York, NY office is vital. During your dental checkups, we remove plaque that collects on your teeth and around your gums. If the plaque gets left in place for an extended period, inflammation can develop and may lead to painful gum diseases such as gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for health conditions such as heart disease, stroke, diabetes, inflammation, and osteoporosis. Bacteria from your mouth can spread throughout the rest of your body. So a healthy mouth leads to a healthy body.

Regular checkups can prevent issues from arising in your mouth if problems are caught early by Dr. David Shipper and Dr. Howard Vogel. If you have been avoiding the dentist, you could be making issues worse for yourself in the long haul. Generally, a dentist will go over a few routine matters during your checkup. They might include taking X-rays, checking for gum disease and tooth decay, examining your bite, inspecting your head and neck for swelling, and of course performing a thorough cleaning of your teeth and gums to remove built-up plaque and tartar. All of these routine practices are worthwhile when it comes to keeping your oral health in top shape.

Now that you know the importance of getting your teeth checked every six months, you should be sure to schedule your next appointment with Central Park West Dental at our New York, NY location. Keeping your mouth healthy will prevent any form of bacteria from spreading to the rest of your body. If you have any questions or concerns regarding your oral health, don’t hesitate to call and our staff will be happy to assist you.

Dentin Tooth Sensitivity Treatments

May 17th, 2023

Dentine hypersensitivity can be described as a sharp and sudden pain caused by cold food and beverages. It’s present in more than half the population and result from receding gums that expose the root surfaces of your teeth.

That being said, hypersensitivity can be triggered by forceful tooth brushing, teeth whitening products, gum disease, and erosion from acid reflux, bulimia, or highly acidic foods. Symptoms can range from moderate to severe, depending on the cause and how quickly it’s treated.

Tooth sensitivity begins when the dentin develops some exposure. This layer that surrounds the nerve of the tooth is usually covered by gum tissue, but when recession takes place, the dentin can get exposed and the pain begins. The dentin contains numerous pores that run from the surface of the tooth inward. This direct connection to the nerve and blood supply of the tooth can be affected by external stimuli, such as the triggers cited above.

The good news is there are several different ways to treat dentinal hypersensitivity at Central Park West Dental.

Treatment of dentin tooth sensitivity begins by making an appointment with Dr. David Shipper and Dr. Howard Vogel. We encourage you to begin treatment sooner rather than later in order to figure out the cause and to reduce the pain you’re experiencing. In most cases, quick treatment options will solve the problem, including the use of desensitizing toothpaste, switching to a soft-bristled toothbrush, starting a daily fluoride rinse treatment, or minimizing teeth grinding with the help of a custom mouthguard.

For more serious cases, we may recommend you get crowns put on problematic teeth, start a gel or varnish fluoride treatment, or even schedule a surgical gum graft or root canal, depending on the cause and severity of your pain.

If you’re concerned about any tooth sensitivity you’re experiencing, please give our New York, NY office a call and schedule an appointment. Dr. David Shipper and Dr. Howard Vogel and our team want to help you identify the cause of your pain, and give you the best possible treatment plan. We look forward to seeing you to help alleviate discomfort and solve your tooth sensitivity.

Whitening Before Veneers—A Bright Idea?

May 17th, 2023

It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

  • Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Dr. David Shipper and Dr. Howard Vogel will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

  • Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

  • Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our New York, NY office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

  • Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Dental Filling Options

May 10th, 2023

You’ve made an appointment at our New York, NY office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Dr. David Shipper and Dr. Howard Vogel and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

Are My Child’s Baby Teeth on Schedule?

May 10th, 2023

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

  • Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
  • Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
  • Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
  • Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

  • 13 to 19 months old: You can generally expect to see the upper first molars arrive.
  • 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

  • 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
  • 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

  • 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
  • 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as Dr. David Shipper and Dr. Howard Vogel will tell you when you visit our New York, NY office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

What Are Dental Sealants?

May 3rd, 2023

You’re constantly playing defense. Your child spends two minutes in the morning and two minutes at night carefully brushing and flossing with a fluoride toothpaste. You make sure sugary and acidic foods are not a major part of your diets. Your child visits our New York, NY office for regular exams and cleanings. Really, how can a cavity get past all that?

But even with the best defensive practices, you don’t have a level playing field—literally. The tops of our molars and premolars don’t have the smooth, easy-to-clean surfaces that our other teeth have. If you look at the chewing surfaces, you will notice deep grooves which toothbrush bristles have a much harder time reaching.  

Plaque and food particles can become trapped in these grooves (known as pits and fissures), providing perfect conditions for a cavity to develop. That is why cavities are so common in newly erupted molars. Dental sealants protect these teeth from cavities by providing a barrier which smooths out the surface of the tooth and prevents food and bacteria from reaching the molar’s crevices.

Most sealants are invisible plastic resin coatings which we apply in our New York, NY office. Usually the procedure is so quick and easy that no dental anesthetic is required. Each tooth will be examined first. If we find any signs of early decay, we will gently treat that area before beginning.

When the tooth is ready, it will be cleaned and dried. An etching solution will be brushed on to the dry surface to roughen the area a bit so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light. And that’s it!

Once teeth are sealed, they should be cleaned and flossed just as carefully as before. Regular exams and cleanings are still very important, and we can monitor the condition of the sealant and the sealed teeth. Properly applied, sealants can last from three to five years, or even longer.

Who should consider sealants? Sealants are typically recommended when the permanent molars first erupt. Children’s enamel takes a while to become its strongest, and so these just-erupted teeth are more at risk for cavities. Sometimes Dr. David Shipper and Dr. Howard Vogel will recommend sealants for primary (baby) teeth if needed. But even adults can benefit—talk to us if you are interested and we will let you know if sealants might be right for you.

Sealants are a simple, safe, and minimally invasive way to prevent cavities. Studies of sealed molars and premolars show a dramatic reduction in cavities compared to untreated teeth. Sealants are one of the most effective ways to defend your teeth or your children’s teeth from tooth decay. And as we’ve all heard—defense wins championships!

Tips for a Whiter Smile

May 3rd, 2023

Everyday life can take a toll on the whiteness of our teeth: Foods we love as well as soft drinks and coffee can stain them over time. Poor brushing and flossing can also leave behind tooth stains. Even injuries to teeth or gums can cause some yellowing, and in certain cases, medicines can contribute to discoloration.

So don’t get discouraged if you notice your smile has dimmed. You can definitely take action to restore the natural beauty of your teeth. Here are some of the best ways to whiten them:

  1. Drink through a straw or cut back on coffee and soft drinks to reduce risk of stains.
  2. Brush and floss every day.
  3. Try a whitening toothpaste or mouthwash.
  4. Visit our New York, NY office every six months for regular cleanings.

We also offer in-office professional whitening at our New York, NY office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they’re stronger, application by a member of our team is essential to achieve the best results.

Still, some teeth can resist bleaching. If that’s the case, we can try several other techniques, such as deep bleaching that applies whitening agents over several visits, veneers and bonds that cover existing stains with a whiter, brighter surface, or laser whitening.

If a whitening session is something you’d like to pursue, be careful about whom you trust to perform the procedure. Avoid using “bleaching stations” in shopping malls or at fairs. These so-called whitening techniques can irritate your teeth and gums, and leave them highly sensitive to pain.

Also, operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals like Dr. David Shipper and Dr. Howard Vogel, instead.

Clean Toothbrush/Healthy Toothbrush

April 26th, 2023

We’ve all learned a lot about keeping healthy lately. Thorough hand washing, disinfecting cell phones and keyboards, wiping down shopping carts and door handles—all these low-maintenance cleaning habits can have a high impact on our health.

So, in that spirit, let’s talk about low maintenance cleaning routines for something you put in your mouth at least twice a day—your toothbrush.

Brushing Habits

Don’t let germs hitch a ride on your toothbrush before you even begin! Make sure your hands are clean before brushing, and rinse off your toothbrush before you put it in your mouth.

After brushing, be sure to rinse your brush carefully to get rid of leftover toothpaste, food particles, and other debris. And don’t forget to clean your toothbrush holder regularly. Talk to Dr. David Shipper and Dr. Howard Vogel or your hygienist when you visit our New York, NY office for suggestions for deep cleaning brushes to eliminate bacteria if that’s a concern.

And while we’re talking about germs, how about…

  • Flushing Habits

Most toothbrushes share their living space with another bathroom essential—the toilet. Every time we flush, microscopic particles are propelled through the air. And while no definitive relationship has been shown between flushing and disease transmission, closing the toilet lid before flushing is an easy way to reduce unpleasant particle transmission—and reduce the possible risk of toothbrush contamination.

  • Airing? Yes!

Keeping a toothbrush in a dark, moist environment is the perfect setting for bacterial growth. Instead, let your toothbrush air dry after use in an upright position. Give it a shake first for a head start on the drying process.

  • Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing toothbrush holders. If your brush touches other brushes, you’re probably sharing germs as well as space, which can be especially problematic if someone in the house has immune concerns. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well you take care of your toothbrush, there comes a time when you must part with even the cleanest and best-maintained of brushes. After three or four months, bristles become frayed. This means you’re not getting the most effective plaque-removal from your brush. And to be on the safe side, consider retiring your toothbrush if you’ve been ill.

Dental self-care is a vital part of keeping yourself healthy, and a clean toothbrush is a simple way to support your oral health. High impact/low maintenance—win/win.

Dental Fear in Children: Brought on by parents?

April 26th, 2023

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Dr. David Shipper and Dr. Howard Vogel and our team work hard to make your child’s visit at our New York, NY office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.

Should You Be Concerned about Your Child’s Bad Breath?

April 25th, 2023

The short answer to this question? Yes. Because your child’s breath is a reflection of his or her oral health, you should talk to Dr. David Shipper and Dr. Howard Vogel if you notice any unpleasant changes. While better dental hygiene is usually the answer for young children, bad breath can also be a symptom of more serious problems.

Oral Hygiene

Most often, bad breath is simply a sign that your child needs a little help developing proper brushing and flossing habits.

  • Show your child how to use a soft-bristled brush that fits in the mouth comfortably, be sure to brush all the surfaces of each tooth, and don’t forget to angle toward the gum line. And brush long enough. Once all the baby teeth have arrived, two minutes of brushing is usually recommended for children.
  • It’s not too early to floss! Adults need to handle the flossing duties for children until they can manage on their own, so it’s a perfect time to teach technique. And, just like toothbrushes, floss should be flexible and soft.
  • Don’t forget the tongue. Our tongues harbor the bacteria that cause bad breath, so finish off your child’s routine with a gentle brush of the tongue.

Better oral habits mean not only fresh breath, but give those baby teeth the best chance of staying healthy until they are naturally replaced by adult teeth. After all, baby teeth not only help your child learn to eat and speak properly, but they act as necessary placeholders so the permanent teeth are able to erupt in exactly the right spot.

Talk to a member of our New York, NY office team at your child’s next appointment if you are concerned about oral hygiene–they have many great suggestions for making brushing and flossing more efficient, comfortable, and even fun for your child.

Adults Can Get Cavities, Too

April 25th, 2023

There are some things we just don’t miss about being a kid. Getting grounded? A thing of the past. Curfew? Not happening. Confiscating our cell phones? As if. Cavities? While we’d like to think those are also a part of childhood we can happily leave behind, unfortunately, the potential for cavities is one thing we never outgrow.

If you are keeping up a healthy dental routine, you know that two minutes careful brushing and flossing twice a day, a sensible diet, and regular checkups and cleanings are the best way to keep cavities from ever developing. But adults face other challenges that children might not. What else should we look out for?

  • Over-Enthusiastic Brushing

Brushing too vigorously, or using a brush with hard or even medium bristles, can actually damage our teeth over the years. Enamel, as hard as it is, can erode, leading to the potential for decay, and gums can be pushed away from the lower part of our teeth, which are not covered by enamel. Talk to us about the gentle way to clean bacteria and plaque from your teeth while protecting your enamel and gums.

  • Receding Gums

Whether due to gum disease, improper brushing, genetic factors, or other causes, we often see gum recession as we age. This is not just an aesthetic problem—gum recession leaves the root area of our tooth exposed to plaque and bacteria. Because this part of our tooth is not protected by enamel, there is a greater risk for decay in this newly exposed area. Also, pockets between the teeth and gums can be home to infections which lead to more serious problems. We will examine the condition of your gums at every checkup, and are happy to suggest the best solutions for keeping your gums their healthiest.

  • Our Fillings Age, Too

Over time, fillings can become loose or damaged, allowing the bacteria that cause cavities to enter spaces within the tooth you cannot brush or floss. This is a problem we can catch at a regular checkup, but if you notice a damaged filling, lose a filling, feel sensitivity around a filled tooth, or have any other concerns, call us. Prompt replacement will stop decay before it leads to a more serious problem.

  • Life Is Unpredictable

A busy schedule can lead to unhealthy diet choices. Not just sugars, but acidic foods (like sodas, coffee, and wine) and carbs (which break down into sugars) can leave teeth more vulnerable to decay. Physical changes (working out, new medications and medical conditions) can lead to dry mouth, which creates a bacteria-friendly environment that can lead to tooth decay. Stress can have consequences such as weakened immune systems, tooth grinding, and unhealthy eating habits, all of which can lead to a higher risk of cavities.

Call our New York, NY office if you have any dental concerns. And talk to Dr. David Shipper and Dr. Howard Vogel about the changes in your life that might leave you more vulnerable to cavities or impact your overall dental health. We have suggestions and solutions for this phase of your life to protect and preserve that wonderful smile you had as a child. And that’s a great result at any age!

Creating a Dental Home

April 25th, 2023

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our New York, NY practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

  • It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

  • It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

  • It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

  • It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Dr. David Shipper and Dr. Howard Vogel a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

Dental Emergency? Don’t Panic, We’re Here to Help

April 24th, 2023

Nobody can predict a dental emergency. That’s what makes them so terribly inconvenient. The good news is that our office is always available to assist you, so there’s no reason you should minimize an emergency.

Among the most common emergencies we see are lost fillings, lost crowns, and broken dentures. Lost fillings and lost crowns are very similar. A key difference, however, is that fillings are used to repair cavities but crowns are used to cover broken or damaged teeth.

Over time, it’s not uncommon for fillings and crowns to grow loose and fall out. If you lose a crown or a filling, hot or cold temperatures will likely begin to trigger pain because of the exposed tissue. The discomfort might seem manageable, but it’s better to get these situations fixed as soon as possible so you can avoid getting food stuck or developing an infection.

Unlike a busted filling or crown, a broken denture is more likely to make itself known constantly, every day. It can make chewing, swallowing, and eating properly difficult. Depending on the damage, you may require a new denture altogether.

If you’re experiencing any problems with your dentures, or suspect that they might be broken, it’s best to contact our New York, NY office immediately to avoid further damage. Dr. David Shipper and Dr. Howard Vogel and our team are always here to help, especially when your dental health is at risk.

These things happen, so don’t feel embarrassed and please don’t hesitate to give us a call as soon as you notice or suspect something’s wrong! Get in touch with us … the sooner the better.

Questions on Dental Implants? We’ve Got You Covered.

April 5th, 2023

Whether you’ve lost a tooth from decay, are preparing for dentures, or were born with a gap where a tooth should have been, you could be a candidate for dental implants.

Dental implants have changed a lot since their debut in 1965, thanks to continuing advances in design and technology. Today, you no longer have to worry about whether dental implants might have a negative aesthetic impact on your smile.

So what are dental implants? Pretty much what they sound like: An implant is a replacement tooth that substitutes for a missing natural one. It gets placed through several steps; it’s a process that can take a few months.

The initial step involves the surgical implantation of the implant root, which resembles a small screw. After that’s placed, the top is covered with gum tissue to enable it to heal faster. This is an essential phase in the process, since this portion of the implant will serve as the base of support for everything else.

In the second step, the implant gets uncovered and an implant restoration (or crown) is created and affixed to it. After that, you’ve got yourself a new tooth!

While dental implants require a little special care, it’s all easily manageable. All you have to do at home is make sure you brush and floss your implant daily, the same as you would for any other tooth. Although an implant can’t develop a cavity, if something were to get stuck in it, that could lead to a gum infection.

If you have any other questions about dental implants, give our New York, NY office a call!

Healthy Gum, Healthy Mouth

April 5th, 2023

“Shouldn’t that be healthy gums,” you’re thinking? And, of course, you’re correct. Healthy gums are extremely important not only for our dental well-being, but for our overall physical health.

But that’s a subject for another blog! Today, we’re talking about healthy gum—chewing gum, that is. Because choosing the right chewing gum can actually improve your dental health.

Oral bacteria use the foods we eat, especially sugars and simple carbs, as fuel to produce acid. These acids attack our tooth enamel, gradually weakening the minerals in the tooth surface and allowing cavities to develop. Clearly, we want to reduce these acids to help prevent decay. Luckily, our bodies have a natural defense against acid attacks—saliva.

Saliva works to protect our enamel in three ways:

  • It helps neutralize and wash away acids in the mouth.
  • It rinses away the food particles which bacteria feed on.
  • It strengthens teeth by providing the necessary minerals our enamel needs to “remineralize” after acids have weakened the tooth surface.

Studies have concluded that chewing sugarless gum for 20 minute after a meal can help prevent cavities. Why? Because chewing gum increases saliva production. You are actually reducing the effects of harmful acids, washing food particles away from your teeth, and strengthening weakened enamel with every stick! Some artificial sweeteners are even thought to inhibit the growth of the bacteria that lead to decay.

With all that in mind, it’s also healthy to know when you shouldn’t chew gum:

  • When the gum contains sugar. Even with an increase in saliva production, bathing your teeth in sugar as you chew does your enamel no favors!
  • When you wear braces. Gum can stick to your brackets and between your brackets and your wires. And while trying to clean gum from your appliance is no one’s idea of fun, an even more unpleasant possibility is the chance that gum might bend your wires out of shape. Sugarless gum is not quite as sticky as regular gum, but before you open that first pack, check with your orthodontist to see if you might be putting your orthodontic work at risk.
  • When you have jaw problems such as TMD, TMJ or other temporomandibular concerns, or if you develop jaw pain while chewing gum.
  • You should never give gum to a child too young to understand that it should not be swallowed. Beyond acting as a choking hazard, continual gum swallowing can lead to diarrhea, blockages, abdominal pain and other serious problems. Talk to your Dr. David Shipper and Dr. Howard Vogel about the right age for chewing gum.

While chewing sugarless gum has the potential to improve dental health, remember it should never take the place of regular brushing and flossing—still the best way to prevent cavities at home. Talk to Dr. David Shipper and Dr. Howard Vogel about the possible benefits of sugarless gum at your next visit to our New York, NY office, and we can make recommendations based on your individual dental history. Because whether it’s healthy gums or healthy gum, we’re here to help.

Top Five Things to Keep Your Dentist Smiling

March 29th, 2023

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Dr. David Shipper and Dr. Howard Vogel!

Stay fresh. At Central Park West Dental, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our New York, NY office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

Overall Health Can Be Influenced By Oral Hygiene

March 29th, 2023

Keeping on top of your oral health is key when it comes to making sure your whole body stays healthy. The bacteria that occur naturally in your mouth can produce harmful bacteria such as strep and staph, which can lead to serious infections and sickness.

When you follow good dental habits like daily brushing and flossing, and eat a healthy diet, you can discourage harmful bacteria from traveling from your mouth to other parts of your body. Protect yourself and learn more about the link between oral hygiene and a healthy body.

Until recently, tooth decay was more common because of the lack of regular dental care and research behind fluoride. Tooth decay is much less problematic today, due to fluoridated water and toothpastes that contain fluoride.

Nowadays, gum disease has replaced tooth decay as the most frequent dental problem. Periodontal disease is on the rise among adults because people don’t floss regularly and then ignore gum tenderness and bleeding. If left unchecked, periodontitis can cause inflammation that may cause harm to other parts of the body.

Oral Health and Chronic Disease

Many scientists believe inflammation-related infections can trigger systemic disease or intensify existing conditions. Remember, bacteria overgrowth in inflamed gum tissue is able to enter the bloodstream through your eating processes, which is why it’s so vital to visit our New York, NY office if you notice sustained gum irritation and inflammation in your mouth.

Caring for your teeth and gums every day can prevent the onset of disease and save you trouble in the future with regard to your body’s health. If you think you may be showing signs of periodontal disease, or notice anything else out of the norm, please contact Dr. David Shipper and Dr. Howard Vogel and schedule an appointment.

We want you to be proactive about your health!

Let's Talk About Your Roots!

March 22nd, 2023

You’ve learned a lot from your dentist and your family about how to take care of your teeth. You brush and floss, you wear a mouthguard when you’re active, and you have regular checkups and cleanings at our New York, NY office.

And everything you’re doing is wonderful! The smile you see each day in the mirror reflects your hard work.

But what about the part of your smile you can’t see? Let’s take a look beneath the surface, and talk about your roots.

While our teeth look solid from the outside, there’s really a lot going on inside each tooth.

  • The outside of every tooth is covered with a hard protective surface.

Enamel is the hardest material in our bodies, and covers the crown. This is the part of the tooth we can see above our gums.

Our roots are hidden below our gums, and are covered with cementum instead of enamel. Cementum is hard, but it’s not nearly as strong as enamel.

  • Just below a tooth’s enamel and cementum layers, we have dentin.

Dentin is a hard tissue, only a little softer than enamel. Most of our tooth is made of dentin. It surrounds and helps protect the center of the tooth and supports the enamel and cementum on the outside.

  • Inside the center of each tooth, there’s an area called the pulp chamber.

The pulp holds tiny blood vessels and nerves. The blood vessels give the pulp nutrients, and the nerves are the reason that our teeth can feel sensitivity or pain.

Inside the roots, we also find pulp in the root canals. These canals are very small tunnels that run from the pulp chamber down through the root, ending in a tiny hole in the tip of the root. Blood vessels and nerves running through the canals connect the pulp tissue to our bodies’ blood and nervous systems.

Around your roots, there’s a lot going on, too. Smaller teeth like the incisors, our front teeth, usually have only one root. Bigger teeth, like molars, usually have two or three roots. And while you’re busy biting and chewing, what’s holding these roots in place?

  • In your jaws, you have a spot where each tooth fits called a socket. But your tooth roots don’t just sit in the socket. That wouldn’t be very secure!
  • Instead, you have a periodontal ligament surrounding the roots of each tooth. Think of the ligament as groups of tissue fibers that can attach to both the cementum on your root and the bone in your jaw. This double attachment holds your teeth firmly in place. The ligament also helps cushion your teeth from the heavy pressures of chewing.
  • To make things even safer for your roots, your gums help cover them and protect them from bacteria and decay.

As you can see, your body is working hard to protect your roots. What’s the best thing you can do to keep your roots healthy? Do everything you’re already doing!

  • Keep up with your brushing and flossing, and your visits to our office. These good habits protect the teeth and gums you can see, and also the roots that you can’t see.
  • Avoid oral habits that put lots of pressure on your teeth and roots. Biting down on pencils, or ice, or nut shells, or anything not meant for regular eating means you’re risking a cracked tooth.
  • Be safe! Wear your mouthguard when you’re active.
  • Don’t wait to tell your adult if your tooth hurts. Remember, those nerves inside your teeth and roots are there to warn you if your tooth is damaged. Dr. David Shipper and Dr. Howard Vogel will be able to find out what’s wrong and have you feeling better in no time.

Even though you can’t see them, your roots are one important reason you have your beautiful smile. Taking good care of your teeth now is a way to make sure you have beautiful, healthy smiles for a lifetime!

Socket Preservation

March 22nd, 2023

Dental implants are a marvel! They look just like your natural teeth, and, even better, they function just like your natural teeth. So, when you’re planning on a dental implant after an extraction, you want to make sure that your implant has the best chance of success—and we do, too. That’s why we might recommend a socket preservation procedure, where socket grafting takes place immediately after your extraction.

What is a socket graft, and what does it “preserve”? Let’s take a closer look.

Socket Preservation—A Logical Choice After Extraction

You’ve decided on a dental implant for some excellent reasons.

  • A missing tooth can change the appearance of your smile.
  • Your remaining teeth might shift to fill the empty space, causing alignment and bite problems.
  • A lost tooth affects the amount, shape, and health of the bone surrounding your teeth.

No one wants to lose a tooth, but sometimes, due to injury or decay, an extraction is the only choice for your oral health. After your tooth is extracted, if the socket bone holding the tooth is perfectly healthy and the extraction is a simple one, we might be able to place an implant post in the socket right away.

But often, bone needs time to heal before placing an implant post, and you risk losing the bone size and density you need to make a future implant possible. How can you lose bone? That’s an unfortunate consequence of losing teeth. Teeth are important not just because they let us eat comfortably—they also help maintain bone health.

Without the stimulation of biting and chewing, the bone beneath the teeth begins a process called resorption. As older cells are absorbed back into the body, new bone cells aren’t produced as quickly to replace them. The alveolar bone, the thick ridge of the jaw which holds our sockets, shrinks in size. As the bone gets smaller, gum tissue shrinks around it, causing a sunken spot where your tooth used to be.

For a dental implant to anchor successfully in the jawbone, you need healthy bone that is high enough, wide enough, and dense enough to hold the implant post securely as it fuses with the bone.

A socket graft at the time of extraction provides two important benefits: grafting material fills the empty socket immediately, preserving the bone and gum area around it, and the graft material acts as scaffolding for new bone growth, creating a firm, dense foundation for your implant.

Grafting materials are gradually and safely absorbed as your new, healthy bone tissue replaces them. The result, after several months of healing, is an alveolar ridge with normal height and width and with the density needed to anchor an implant successfully.

The Grafting Procedure

Grafting material comes in different forms, including allografts (made from donor bone), synthetic grafts (made from synthetic materials which function like bone tissue), and autografts (bone taken from your own body). Growth factors may also be included in the grafting material to encourage new cell growth. Dr. David Shipper and Dr. Howard Vogel will recommend the type of graft which will work best for you.

A socket preservation procedure will frequently involve the following steps:

  • Local anesthesia to numb the area before your extraction. You might choose sedation options as well, which we’re happy to discuss with you in advance.
  • Careful cleaning of the site after the tooth is extracted.
  • Filling the empty socket with bone grafting material.
  • Placing a barrier or membrane over the graft to protect it as it heals.
  • Suturing the surrounding gum tissue.

Aftercare Treatment

Aftercare treatment for a socket graft is a lot like the treatment for a tooth extraction. You’ll need to be careful around the graft area for several days as it heals, and we’ll give you specific instructions for your recovery. Normally, these may include:

  • Don’t disturb or touch the area. Even pulling on lips or mouth to look at the site can put stress on your sutures.
  • Immediately after the procedure, we can give you suggestions for reducing swelling and managing any pain you might be feeling.
  • We’ll let you know when and how to rinse your mouth clean and when you can return to brushing. And no spitting!
  • Eat carefully. We might recommend a liquid diet for a few days before transitioning to bland and cool soft foods. We’ll let you know the best diet for the period after your surgery. Don’t use a straw for your liquid diet, because suction can interfere with the wound.
  • Treat yourself carefully for a few days by avoiding strenuous activities, including workouts.
  • Don’t smoke. Smoking interferes with the healing process, and the suction involved does your graft no favors either.
  • Visit our New York, NY office for follow up appointments as recommended. We’ll monitor your healing, and give you a timeline for your future implant.

Preserving your socket now instead of repairing it later has many advantages. Immediate placement of a graft protects bone size and density, eliminates the need for a potential bone grafting procedure in the future, and makes it possible for you to enjoy the natural look and feel of a dental implant as soon as possible. If you have an extraction scheduled, let’s discuss why socket preservation might be your best path to an efficient, timely, and successful dental implant.

Recovering from Oral Surgery

March 15th, 2023

If you need oral surgery, Dr. David Shipper and Dr. Howard Vogel and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

  • Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our New York, NY office if swelling persists.

  • Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

  • Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

  • Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

  • Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

  • Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

  • Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

  • Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

Baby Teeth and Cavities

March 15th, 2023

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Central Park West Dental. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, Dr. David Shipper and Dr. Howard Vogel can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with Dr. David Shipper and Dr. Howard Vogel for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

  • Move the brush both back and forth, and in circular gentle strokes.
  • Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
  • Place the toothbrush at a 45-degree angle to the gums.
  • Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our New York, NY office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.

Balancing Act

March 8th, 2023

We’re all trying to find a healthy balance in our lives. Balancing work and home life. Eating a well-balanced diet. Balancing our budgets. Maintaining the right pH balance in our mouths for better dental health. Wait, what was that last one?

You probably don’t spend a lot of time thinking about your pH levels, but if your oral pH is out of balance it can affect the health of your teeth.

What do we mean by pH levels? In biology and chemistry, the pH scale is a tool used to measure the concentration of hydrogen (H⁺) ions and hydroxide (OH⁻) ions in a solution.  

The higher the concentration of hydrogen atoms, the more acidic a solution. The higher the concentration of hydroxide ions, the more alkaline. The pH scale goes from 0 to 14, with the most acidic reading possible rating a 0, and the most alkaline, a 14.

You don’t have to be a biochemist to use the information provided by pH samples. We use pH readings to discover the ideal acid/alkaline conditions in many everyday applications. Azaleas grow best in very acidic soil. Swimming pools should be just a bit alkaline. Brewers test pH throughout the beer-making process for optimal fermentation—and taste.

When it comes to saliva, a neutral pH range of around 6.2 to 7.6 is generally considered normal. High alkalinity in saliva is rare. High acidity levels? Unfortunately, much more common. And an acidic environment has real-world consequences for teeth.

Plaque contains bacteria, which produce acids. Calcium and phosphate, the minerals that help make enamel the strongest substance in the body, are leached out by these acids. The weak spots left behind make enamel vulnerable to further erosion and, eventually, decay. When saliva has a normal, neutral pH, it helps neutralize plaque acids to reduce the risk of cavities.

But it’s not just bacteria that expose our teeth to acidic conditions—we do it ourselves with our choice of food and drink.

Acidic foods can directly lower the pH level in saliva. Lemon juice, for example, has a pH between 2 and 3. Red wine has a pH between 3 and 4. Blueberries? Around a 3.2. When the pH level in saliva becomes 5.5 or lower, the minerals in our teeth start to “demineralize,” or lose the minerals which keep enamel strong and intact—just the way enamel is demineralized by acids from plaque. This process is known as acid erosion.

Many of our favorite foods are acidic to some degree. Citrus and other fruits, pickled foods, vinegar, wine, coffee, tea—all of them can lower the optimal pH level of saliva. And sports drinks, energy drinks, and sodas? Check the labels and you’ll often find citric acid, phosphoric acid, and/or carbonation, all of which combine to create extremely erosive conditions.

So, no more soda? Or fruit? No. You don’t have to give up acidic foods altogether for healthy teeth. True, you won’t give up much eliminating soda from your diet. But fruits, vegetables, dairy foods, and meats are the source of essential vitamins, minerals, and proteins, and many of these healthy food choices have an acidic pH. How to eat nutritiously while protecting your enamel? Again, it’s a balancing act.

  • Enjoy acidic foods sparingly, or as part of a meal. Saliva can neutralize acids more effectively when they aren’t washing over your teeth all through the day.
  • Use a straw when you drink something with a low pH to reduce your enamel’s exposure to acids.
  • Balance high-acid foods with low-acid choices to help neutralize the acids in your diet. Add a banana to your blueberry smoothie. Pair your wine with some cheese.
  • Rinse with water after eating or drinking. When it comes to balanced pH, pure water is a 7.0 on the scale, a perfect neutral.
  • Chew sugarless gum to increase saliva production.
  • Use fluoride toothpaste—it not only helps prevent cavities, it helps remineralize teeth.

Even with your best efforts, acid erosion can be a problem. You might be experiencing enamel damage if you notice any of these symptoms:

  • Tooth pain or sensitivity.
  • Teeth that appear discolored. This happens as the whiter enamel thins, revealing the yellowish dentin underneath.
  • Changes in the shape of your enamel—your teeth become rounded or have little dents or pits, known as cupping.
  • White spots on your teeth, which could be a sign of demineralization.

If you think you could be suffering from enamel erosion, it’s a good idea to talk to Dr. David Shipper and Dr. Howard Vogel when you visit our New York, NY office. We can diagnose conditions causing acid erosion, treat you if enamel damage has occurred, and offer suggestions for diet and eating habits to make sure your oral pH—and your dental health—is always in balance.

Can children be at risk for periodontal disease?

March 8th, 2023

You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

  • Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

  • Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

  • Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

  • Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let Dr. David Shipper and Dr. Howard Vogel know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

  • Bleeding gums
  • Redness or puffiness in the gums
  • Gums that are pulling away, or receding, from the teeth
  • Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our New York, NY office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

The Five Most Common Reasons for Emergency Visits

March 1st, 2023

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

  1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
  2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
  3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
  4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
  5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, Dr. David Shipper and Dr. Howard Vogel and our team are here to assist you with any and all dental emergencies. Don’t wait; give our New York, NY office a call!

Five Things You Didn't Know About Cavities

March 1st, 2023

Most people know when they have a cavity—they can either see it on their tooth or... ouch! They can feel it! But there are certain things that many of our patients don't know about cavities that could save them a trip to our New York, NY office!

1. Not all sugars are created equal

It's quite well known that eating dietary sugars in excess along with poor oral hygiene leads to dental decay such as cavities. This is due to the fact that the bacteria in your mouth feed on these sugars and excrete acids as a byproduct of that process, thus causing decay. But xylitol, a sugar alcohol derived from birch or corn, actually prevents the bacteria from converting sugars into acids.

Xylitol is available in the form of gum, mints, toothpaste, and even in a granulated form much like regular cane sugar. You might consider trying some xylitol products between meals to keep your mouth clean and fresh.

2. It's not always what you eat but HOW you eat

Are you a grazer, always snacking between meals and never satisfied? We now know that this kind of eating can contribute to cavities and other oral health problems.

Every time you eat anything with carbohydrates in it, you're feeding the bacteria in your mouth, which in turn produce acids. If you're constantly eating, it doesn't allow your saliva time to bring the pH of your mouth back into a more alkaline, neutral state. It takes your saliva about 20 minutes to neutralize the acids in your mouth after eating.

It's especially easy to harm your teeth in this way with soft drinks, sipping all day long. So, it's best to avoid sugary drinks and junk food, and if you need a snack opt for healthy vegetables or what are known as "detergent foods." If you do decide to drink a soft drink or eat something sugary, have it all at once and not over the course of the day.

3. Flossing is one of the most important oral hygiene techniques

Although most of our patients are aware that they need to brush, sometimes they can get lackadaisical when it comes to flossing. And that's a big mistake. Flossing is one of the most important (and we daresay, easiest) things someone can do to help prevent cavities and tooth decay.

You see, as we've already mentioned, the bacteria in your mouth that cause cavities feed on the food you eat. So if you've got pieces of that food stuck between your teeth all day and night, every day, that's asking for a problem.

Flossing clears that bacteria-feeding food out from between your teeth. Floss daily and whenever you decide to do it, morning or night, just do it!

4. A dry mouth can lead to cavities and tooth decay

Your teeth's best defense against cavities and tooth decay is actually your saliva! We've already talked about the pH neutralizing effect saliva has. So if you find you have a dry mouth often, make sure to have some water to sip on. Or why not try some xylitol mints or gum to get your saliva production kicked into action?

5. Over-brushing can damage your enamel

If you brush like a construction worker with a jackhammer, you should ease up! Brushing too hard can scrape away at your teeth's enamel, which leaves them more susceptible to cavities and decay. Brush lightly, with your brush angled at the gum line for two minutes, twice a day. That's all that is required!

Do you suffer from sleep apnea?

February 22nd, 2023

At Central Park West Dental, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Dr. David Shipper and Dr. Howard Vogel.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Dr. David Shipper and Dr. Howard Vogel can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Dr. David Shipper and Dr. Howard Vogel and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our New York, NY office. Our team at Central Park West Dental can help you return to getting a better night’s sleep.

DIY Teeth Whitening

February 22nd, 2023

We all want our best and brightest smiles, and today there are many options we can explore at home to make those beautiful smiles a reality. Whether it’s healthy habits, a healthy diet, whitening toothpaste, or do-it-yourself home products, we have golden opportunities to achieve whiter teeth.

  • Healthy Habits

Proper brushing is the first step in keeping your teeth stain-free. You should devote at least two minutes twice a day to brushing, being careful to cover the areas between and at the base of teeth, where plaque you miss can form visible tartar. Ask us about the most effective brushing techniques. And please, don’t smoke. Smoking is one of the worst offenders when it comes to discoloring teeth. If you are a smoker, quitting at any point in your life will make a big difference in the whiteness of your smile—and your lasting health!

  • Healthy Eating

We all know red wine, coffee, and tea cause some of our worst enamel stains. Acidic drinks such as sodas and citrus beverages can cause even more problems by eroding tooth enamel, exposing the yellowish dentin underneath. Moderation and rinsing with water can help prevent damage. But we have some dietary allies as well! Crunchy foods like apples, carrots, and celery provide a mild scrubbing effect. Dairy products such as milk, cheese, and yogurt strengthen enamel. Fruits such as strawberries and pineapples, studies suggest, contain enzymes that are natural stain removers. While no one food takes the place of brushing or cleaning, a healthy diet and a healthy body enhance any smile.

  • Brushing with a Whitening Toothpaste

Toothpastes are available which can remove some surface stains, and which can keep teeth their whitest after a professional whitening. They won’t penetrate the enamel surface or change the natural color of your teeth. If these toothpastes are going to work on discolored tooth surfaces, you will usually see results within a few weeks.

  • Over-the-counter (OTC) Whitening Kits

These products provide a peroxide-based gel that can be applied in a tray or with strips. If you choose a tray application, make sure trays fit properly so sensitive mouth and gum tissue is not irritated. If you decide on strips, always make sure all of the tooth surface is covered to avoid uneven whitening. These kits have more powerful whiteners than toothpastes, and so you might see better results, but tooth and gum sensitivity can be a problem.

While all these whitening methods can be helpful, there are some circumstances when a professional whitening is best. Professional gel whiteners are more powerful, and can help eliminate darker stains that OTC products can’t remove. We can make sure sensitive gum and mouth tissue is protected from bleaching agents. And, if you are on a deadline, we can provide a much faster result. Some conditions, such as deep stains caused by trauma or medication, or darker-colored caps, veneers, and crowns, require more than whitening, and we are happy to present options for those situations.

If you have any questions or concerns about whitening your teeth, please give our New York, NY office a call. Whether it’s advice on how to brush or how to quit smoking, discussing the effects of foods and drinks on our teeth, suggesting OTC whitening products, or providing a professional whitening, Dr. David Shipper and Dr. Howard Vogel and our team are happy to help you achieve your best and brightest smile!

Forget Something? It’s on the Tip of Your Tongue!

February 15th, 2023

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

  • When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

  • Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

  • Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Dr. David Shipper and Dr. Howard Vogel for a recommendation.

  • Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Camping Oral Health Tips

February 15th, 2023

If your idea of camping is a quiet walk through the woods before returning to your rustic hotel, your regular brushing habits will be perfect for your trip. But if you are hiking into the mountains with your tent, backpack, and camp food, Dr. David Shipper and Dr. Howard Vogel and our team have some suggestions to adapt your dental routine to the great outdoors.

Water

If you wouldn’t drink it, don’t brush with it! Use bottled water if you have brought it, or make sure the local water is safe by using a testing kit. Boiling, filters and purification tablets are all ways to make sure the water tests clean and safe.

Toothpaste

You aren’t the only one in the woods who finds your toothpaste tasty. Bears, raccoons, and other animals are attracted to the scent of your toothpaste, so keep it safe with the same kind of tightly sealed, odor-proof container that you keep your food in. And if you want to discourage unwanted visitors, don’t spit your toothpaste out at your campground! It’s better to go some distance from your site and bury any paste, and best of all to spit used toothpaste into a container that can be tightly closed and removed from the campsite when you head for home. This practice protects you and the environment as well, since toothpaste can be harmful to small animals and plants.

Toothbrush

While there are disposable and camping toothbrushes available, a regular toothbrush will work as well. Normally, air-drying is the healthiest option for drying your toothbrush, but camping is an exception. Just as animals are attracted to toothpaste, they are also attracted to your toothpaste-scented toothbrush. Keep it in a sealed container that is odor-proof.

Floss

There are websites devoted to the many ingenious ways to use dental floss while camping, but we recommend the original use. Don’t forget to floss regularly, keep it in a sealed container, and do be sure to take used floss out of the area with you.

Even though you are roughing it, stick with your home routine as much as possible. If you are unable to brush as usual, rinse your mouth well with clean water and brush when you can. Have a great trip, and just one more thought—maybe go easy on the s’mores. Let us know all about your trip during your next visit to our New York, NY office!

Is it possible to over brush?

February 8th, 2023

Our team at Central Park West Dental will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

  • Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
  • Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
  • Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
  • Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
  • Replace your toothbrush when you notice frayed and bent bristles.
  • Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

Medication Can Lead To Xerostomia in Women

February 8th, 2023

Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our New York, NY office to schedule an appointment with Dr. David Shipper and Dr. Howard Vogel. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

What are dental sealants and how do they work?

February 1st, 2023

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Dr. David Shipper and Dr. Howard Vogel and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Dr. David Shipper and Dr. Howard Vogel may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Central Park West Dental. We want your little one's teeth to stay healthy for life.

What is hyperdontia?

February 1st, 2023

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Central Park West Dental calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient New York, NY office to be evaluated.

Three Must-Have Dental Treatments

January 25th, 2023

There are numerous options for dental treatments out there, so how do you choose which are right for you? Our experts at Central Park West Dental have handpicked the three must-have procedures that we believe can benefit nearly every patient.

  1. Periodontal Exam: This should happen at least once a year and is quick and painless. Dr. David Shipper and Dr. Howard Vogel or your hygienist will carefully probe around each tooth and take measurements that indicate the health of the bone and its supporting tissue. This appointment is worthwhile because of the known fact that gum disease can increase the risk of potentially fatal conditions such as heart disease and stroke. Silent killers like diabetes can show signs in the mouth before the person becomes aware of other symptoms. Did you know adults lose more teeth to periodontal disease than to cavities? A simple screening once a year could save your smile and boost your overall health!
  2. Dental Sealant: For both adults and children, sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood, so replacing them is useful because it can help prevent tooth decay later on. Dental insurance will likely not cover sealants for adults, but the cost of a sealant for prevention versus the cost of a filling is much lower, and definitely worth it.
  3. In-office Whitening: Most people develop tooth stains. in-office whitening at our New York, NY office is the perfect way to correct discoloration. It’s safe and produces dramatic results in a short amount of time. In two hours, you could take years off your age. Who wouldn’t want that?

 

Protecting Your Smile with Mouthguards

January 18th, 2023

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

  • Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
  • Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
  • Custom-made mouthguards are created just for you by Dr. David Shipper and Dr. Howard Vogel. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our New York, NY team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Dr. David Shipper and Dr. Howard Vogel or one of our staff members for more information.

Electric Toothbrush Innovations

January 18th, 2023

If you’re happy with your manual toothbrush, read no further. But if you’re looking for more options than “firm,” “medium,” or “soft,” there’s a world of electric toothbrush innovations out there waiting to make your brushing routine not only more efficient, but interactive as well! What does innovative toothbrush technology offer?

A Menu of Brushing Options

Some brushes now offer several different modes to choose from, depending on how you want to use your electric toothbrush. There are options for sensitive teeth, polishing, deep cleaning, massage, or gum care along with the regular cleaning setting. Whether you want whitening action or a gentle massage for teeth and gums, there’s a brush out there for you.

Pressure Sensors

Electric toothbrushes are a great way to avoid brushing too vigorously. Even with soft bristles (which should be your go-to choice), a manual toothbrush can irritate sensitive gum tissue if it is applied with too much pressure. And over time, harsh brushing can lead to enamel damage. An electric toothbrush, on the other hand, provides consistent, gentle brushing with normal use. If you still have a tendency to be a bit heavy-handed, a helpful pressure sensor can provide a warning light or actually reduce the brush’s motor speed to get you back on track.

Smart Toothbrushes

There’s an app for it! Many electric models offer wireless connectivity to an app that monitors your brushing habits. You can track your brushing time, get a reminder when your brush head needs changing, even view a map of the areas you’re cleaning effectively—and the ones you’re missing. Check out individual models to see just what you can learn from your smart brush.

USB Charging

No need to search for outlet space or amass a collection of travel adapters any longer. USB charging cases makes your electric toothbrush convenient and portable.

And more innovations are in the works—fully biodegradable toothbrush heads, toothbrushes powered only by water or kinetic energy, and an app that offers games while you brush. For toothbrush traditionalists, a manual toothbrush will still do a great job. But if you are looking for the latest in toothbrush technology, explore what the newest electric brushes can do for you. Ask Dr. David Shipper and Dr. Howard Vogel during your next appointment to our New York, NY office. The end goal of toothbrush innovation, after all, is healthy teeth and gums. Make your next selfie something to smile about!

 

Fluoride Treatments—They’re Not Just for Kids!

January 11th, 2023

Fluoride has been one of the great game-changers in children’s dental health. Drinking fluoridated water. Using fluoride toothpaste. Scheduling fluoride treatments. All of these child-friendly dental habits help prevent cavities and strengthen tooth enamel.

And we adults enjoy the benefits of fluoride as well. Drinking fluoridated water. Using fluoride toothpaste. If only we hadn’t outgrown fluoride treatments… or have we? Time to have an adult conversation about fluoride treatments!

  • To Start, Some Dental Chemistry

The enamel in our teeth is largely made of calcium and phosphate ions. These elements combine to form hydroxyapatite, the mineral crystals that make teeth and bones so hard and strong. But enamel isn’t indestructible. The oral bacteria in plaque create acids that cause demineralization, stripping away calcium and phosphate ions. This leaves the tooth surface weakened and vulnerable to decay.

Our bodies have a way of compensating for demineralization. Saliva is filled with calcium and phosphate ions that restore lost minerals. This balancing act goes on every day. When conditions in the mouth are too acidic, however, remineralization can’t take place as effectively. Here’s where fluoride is so beneficial.

  • Why Fluoride?

First, because fluoride helps remineralize. Fluoride works on the surface of the tooth to attract the calcium and phosphate ions in our saliva, restoring them to our teeth. Even better, it joins with these ions to create fluorapatite. Fluorapatite crystals are larger, stronger, and more resistant to acids than hydroxyapatite. This means your teeth are not only remineralized, but stronger than they were originally!

  • Why Adult Fluoride Treatments?

While fluoridated water and fluoride toothpaste might be all you need for strong enamel, there are several conditions that make fluoride treatments a good addition to your preventive care at our New York, NY office.

  • Problems with dental hygiene. Consider fluoride treatment if you have trouble brushing and flossing, if you wear braces, or if there’s any other reason that makes daily cleaning more difficult.
  • Exposed roots. Gums often recede as we age, and can pull away from the teeth even further with added factors like gum disease, harsh brushing habits, teeth grinding, or smoking. As gums recede, parts of the tooth roots are exposed. Because roots are covered with cementum instead of the much harder enamel, they are more vulnerable to decay.
  • Dry mouth. Medical conditions, medications, and aging can cause a decrease in saliva production. Because saliva helps wash away food particles and bacteria, bathes the teeth with minerals that strengthen enamel, and neutralizes acids, less saliva can equal more cavities.
  • Our individual biology. Some of us are born with weaker tooth enamel, and so are more at risk for cavities—even with great brushing and flossing habits.

In all of these cases, fluoride treatments can provide the extra protection you might need for stronger tooth enamel and improved dental health.

  • Treatments Are an Easy Addition to Your Dental Appointment

Regular fluoride treatments are neither complicated nor time-consuming. Fluoride can be administered as a varnish, a gel, a rinse, or a foam. It can be applied with a brush, a swab, as a mouthwash, or in a tray. After application, Dr. David Shipper and Dr. Howard Vogel will let you know if any follow up instructions, such as avoiding food and drink for 30 minutes after treatment, are necessary. That’s all there is to it. Protection lasts for months, and your dentist can let you know when a re-application is needed.

You’re doing the right thing by using a fluoride toothpaste and keeping up with your dental exams and cleanings. Ask Dr. David Shipper and Dr. Howard Vogel if a fluoride treatment is something that could strengthen your teeth and help prevent decay—it could be a game-changer for your dental health!

Root Canal FAQs

January 11th, 2023

Most people hear the word root canal and panic. With today’s state of the art equipment and improved local anesthetic devices, and some knowledge, a root canal does not have to cause panic. Root canals are a common dental procedure, done quite often at our New York, NY office.

Why do I need a root canal?

There are several reasons why Dr. David Shipper and Dr. Howard Vogel may suggest a root canal including:

  • An infection in your tooth that has reached the nerves
  • A deep cavity that cannot be filled because the pulp and nerves are also effected
  • Injury to the tooth
  • A deep cracked tooth
  • Broken tooth
  • Repeated fillings of the effective tooth

What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. Inside your teeth is pulp which consists of soft tissue blood, connective tissue, blood vessels, and nerves. When the pulp becomes infected, swollen or diseased a root canal is necessary to save your tooth. During a root canal, Dr. David Shipper and Dr. Howard Vogel will remove the infected pulp. The tooth’s root canals and pulp chamber of your tooth will be cleaned, so all the diseased pulp is removed and then your tooth will be sealed.

What to Expect During a Root Canal

Your root canal will start out just like any other dental procedure. We will go over any questions you may have, and then numb the area surrounding the tooth. After the area is numb the root canal will begin.

The amount of time it takes to do your root canal varies depending on number of roots that need to be cleaned. Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has the longer amount of time it will take and in some cases, you will require more than one visit.

How much pain will I have after a root canal?

Once the local anesthesia wears off, your pain can be controlled by over the counter pain medications such as Ibuprofen, Naproxen, or Acetaminophen. In some cases, Dr. David Shipper and Dr. Howard Vogel may prescribe a prescription dose of pain medication. Within two days you should be feeling much better and able to return to your regular lifestyle.

Satisfying a Sweet Tooth

January 4th, 2023

Time for some sweet talk! Many studies have been done to figure out why we enjoy sugar so much. Is it brain chemistry? Is it blood sugar getting a bit low? Is it our bodies craving a quick burst of energy?

It’s probably all of the above and more besides. After all, our biochemistry makes use of sugars on a cellular level. The carbohydrates in our diet break down into sugars, and these sugars are the body’s preferred source of energy.

Problems arise when we get too much of a good thing. There’s a difference between the carbs we need to fuel our bodies and the sugars we add to foods for flavor. Too many added sugars in the diet are linked to a number of medical conditions, including obesity, diabetes, heart disease, even prematurely aging skin.

And, of course, a sugar-heavy diet has a direct effect on your oral health.

There’s no way to sugar coat it. Plaque is mainly composed of bacteria, which feed on sugars. As they digest sugar, they produce acids. These acids attack our enamel, dissolving the calcium and phosphorus minerals which keep it strong. Weakened enamel leaves teeth vulnerable to decay, and decay creates cavities.

It’s natural to want a sweet treat every now and then, but without some attention, it’s easy to go overboard with added sugars and empty calories. If you’re searching for a middle way, balancing your love for sweet things with your love for cavity-free checkups, read on!

Be Choosy

  • Check and compare labels for added sugars. You’ll be surprised how many foods have a high sugar content, even such health-oriented foods as flavored yogurts, sports drinks, fruit drinks, and protein bars.
  • Consider the (sugar) source. White and brown table sugars and syrups break down easily as we’re eating them, adding empty calories which provide little nutrition, and increasing acidic conditions in the mouth.

Fruits, on the other hand, provide vitamins, minerals, antioxidants, and fiber along with their natural sugars. Switch out cookies, cakes, and pastries and their processed sugars for fruit when you crave something sweet.

  • Chocolate lovers, don’t despair! It’s true, unless you’re eating 100% cocoa, you are probably getting added sugar in your candy bar. But dark chocolate is rich in antioxidants, iron, zinc, magnesium, and other essential minerals, too. When you indulge in chocolate, give dark chocolate a try.
  • Not all candies are created equal! Soft candy bars and candies are healthier for your teeth than sticky or chewy confections, which tend to remain on your enamel for quite some time. Choose a treat that won’t stick with you.

Watch Your Timing

  • If you must snack during the day, it’s better to choose foods without a high sugar content. Bacteria use sugars to produce acids right away. Saliva can neutralize acids in the mouth, but it takes at least 20 minutes for the process to start.

More meals mean more sugar, more acid production, and more time for these acids to cause their damage. That’s why we also suggest you . . .

  • Eat your favorite dessert with a meal instead of waiting until later. You’ll be able to enjoy it even more knowing you’re limiting your exposure to harmful acids.
  • Taking your time is not a good idea when it comes to sweets. We don’t mean you should gobble your food. We do mean that taking sips of sugary beverages throughout the day, or sucking on slowly dissolving candies, gives you a lot more exposure to sugar over a longer period of time.

Small Changes Can Make a Big Difference

  • Drink water after enjoying something sweet to help wash away and dilute sugar.
  • Straws protect your teeth from a sugar-bath if you are drinking sodas, sweetened energy drinks, or other sugary beverages.
  • Sugar-free gum provides a burst of sweet flavor without added sugar. And even better? Chewing gum increases saliva, washing away food particles and acids and bathing teeth in enamel-strengthening minerals.

It’s natural to appreciate a sweet treat every now and then. If you’re not ready for a completely treat-free life, talk to Dr. David Shipper and Dr. Howard Vogel at our New York, NY office about the best ways to have your cake and eat it—or even better, to recommend healthy substitutes to satisfy your sweet tooth.

Is There an Act Three for Our Teeth?

January 4th, 2023

Act One: Those 20 adorable baby teeth which begin arriving when you’re about six months old and are probably gone by the time you’re twelve.

Act Two: The 32 (if you have all your wisdom teeth!) adult teeth which start showing up around the age of six, and need to last the rest of your lifetime. Unless there’s an . . .

Act Three: Where science has discovered a way to repair damaged teeth or create replacements for lost teeth that would look and function just like our original teeth.

Sounds like science fiction, doesn’t it?

In biological terms, of course, we’re not there yet. But teams of scientists around the world have been working toward just this goal—the ability to repair a tooth with its own biological material or even grow a new tooth when an adult tooth is seriously damaged or lost.

Because the pulp—the living tissue inside each tooth—contains dental stem cells, some researchers are studying whether these cells can be used to regenerate the living pulp inside a damaged tooth. Even more exciting, there’s research being done into the possibility of using these stem cells to rebuild an entire tooth—pulp, dentin, and hard enamel exterior. Because the supply of usable dental stem calls is quite small, and process of guiding these cells to create all the varied parts of the tooth is quite complex, this research is in its early stages.

In other studies, scientists have focused on tooth regeneration by studying the teeth of other species. Mice, for example, have front teeth with open roots. This allows these teeth to keep growing up as they wear down, because stem cells inside mouse gums are always working to create new tissue. Even though our teeth are not exactly comparable (no open roots in human teeth!), finding out just how this tissue regeneration works in mice and other animals might help find an answer for human tooth regeneration.

Right now, these scientific goals are just that—goals for a future day. But in the meantime, your quality of life doesn’t need to suffer when you lose an adult tooth. You can enjoy a third act right now with dental implants.

Cosmetic concerns aren’t the only reasons why you want your complete smile restored in the event of a lost tooth. A missing tooth can lead to many unpleasant consequences:

  • Speaking and eating can become more difficult.
  • Lack of stimulation from biting and chewing can cause the bone beneath the lost tooth to shrink.
  • Other teeth can shift to fill the gap left behind, which can affect tooth, bite, and jaw alignment.
  • Loss of teeth can lead to loss of confidence.

Unlike dentures or bridges, dental implants are designed to function just like your natural teeth.

The post, or base, of each implant fuses with the bone in your jaw, acting as a “root” for the implant. Once the post has fused with the bone around it, a crown designed to match your other teeth in shape and color is secured to the post. You can eat, speak, brush, floss, keep your bone healthy, and smile confidently just as you did before.

Will biological replacements be ready for your third act in the near future? Probably not. But that’s not to say this will never be possible! In the meantime, take care of your teeth with daily brushing and flossing, eat a dental-healthy diet, and visiting our New York, NY office as recommended.

You do your best to keep your teeth intact and in place—but if you lose one through trauma or decay, talk to Dr. David Shipper and Dr. Howard Vogel about an implant. Because in any stage of life, the most important result is the happy ending a healthy and confident smile brings you!

The Science of Sugar

December 28th, 2022

Some languages have many different words for love. Some have many different words for snow. One language even has different words for a tasty layered sandwich. Is that a hoagie or a hero you’re having? A sub? Grinder? Po’boy?

“Sugar,” though, is a single word which has taken on many meanings, from casual endearment to monosaccharide molecule. Today, we’re examining scientific definitions, with a short and sweet look at the science of sugar.

Chemistry

First, let’s get basic—all the way down to the molecular level.

Carbohydrates, fats, and proteins are the three essential macronutrients which keep our bodies running. Sugars are molecules made of carbon, hydrogen, and oxygen atoms, and all carbohydrates are made of these sugar molecules, from single unit structures to very complicated chains.

Sugars called monosaccharides are the most basic of the carbohydrates. “Monosaccharide” comes from the Greek words for “single” and “sugar,” and monosaccharides are the sugars we mean when we talk about “simple sugars.” Why are they simple? Because a monosaccharide is a single molecule which can’t be broken down into smaller carbohydrates.

While there are several types of monosaccharides, the three major simple sugars are:

  • Fructose—the sugar we get from fruit.
  • Galactose—the sugar found in milk.
  • Glucose—the sugar our bodies use the most. It’s found in plants, and also produced when our bodies break down other carbs. Fun fact—this is the only sugar essential for brain cell function.

When two monosaccharide molecules join together, they form a disaccharide (not surprisingly, from the Greek for “two sugars”). Again, there are quite a few disaccharides, but we tend to concentrate on three in our diets:

  • Lactose (glucose + galactose)—found only in milk and dairy products.
  • Maltose (glucose + glucose)—the sugar chiefly produced by grains.
  • Sucrose (glucose + fructose)—produced in plants. These plants include sugar cane and sugar beets, from which we get our refined table sugars.

The reason sugar molecules are so important is because of how our bodies use them.

Biology

Our bodies use the glucose in carbs for energy. As foods break down, first through digestion and then in the cells, the chemical bonds which hold glucose molecules together break as well. This action releases energy, and this energy fuels all our bodily functions.

But even though we need carbohydrates to keep our bodies going, and even though sugars are the easiest carbs to use for energy, there’s a reason no one recommends a diet filled with extra sugar.

Our bodies get all the sugar they need from the natural sugar in the foods we eat. Natural sugars are found in fruits, dairy products, even some vegetables and grains. Along with that sugar come vitamins, minerals, antioxidants, fiber, and/or protein.

Extra sugars added during baking or mixing or processing for flavor and sweetness provide none of these nutrients. These sugars are known as “added sugars,” and have more serious consequences than just empty calories.

Once we have the sugars we require, there’s no need for more. Extra sugars are stored in liver, muscle, and fat cells for later use. When we eat too much sugar, this carefully balanced system is upset, with negative effects for, among other things, weight, blood sugar, insulin levels—and our dental health.

Nutrition and Dental Health

You know that a sugar-filled diet often means a cavity-filled checkup. Why? Because it’s not just our bodies that break down sugar for fuel.

The oral bacteria in plaque also need sugars for food, which they use to make acids. An acidic environment in the mouth weakens and dissolves the minerals which keep tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

Cutting down on added sugars is one of the easiest and best ways to cut down on added cavities. Reading recipes, checking out labels, learning to recognize added sugars—this is nutritional research which has sweet results.

How to recognize added sugars? Here’s where language gives us plenty of words to fill our linguistic sugar bowl. Whether the ingredients are called agave nectar, honey, molasses, syrups, treacle, or table sugar, they’re really just sugar. More specifically, they’re all sugars made up of glucose and fructose, with at best a trace amount of vitamins and minerals—and usually not even a trace!

To make our lives easier, labels on food packaging now let us know exactly how much of the sugar in any product is “added sugar.” You expect to find a high percentage of sugar on dessert labels, but you might be surprised to read how much sugar is added to foods like energy drinks, sports drinks, flavored yogurts, cereals, spaghetti sauce, and many more of the items in your grocery cart. Spend an extra minute examining the label, and save yourself many empty calories.

Monosaccharides, disaccharides, glucose, fructose, maltose, agave syrup, treacle, and on and on—so many words for so many kinds of sugar. When it comes to dental health, let Dr. David Shipper and Dr. Howard Vogel have the last word on sugar science. During your next visit to our New York, NY office, talk to us about reducing unnecessary sugars in your diet for a future filled with the sweetest of healthy smiles.

Pediatric Dental Emergency Know-How

December 28th, 2022

Parents are usually expert at taking care of their children’s injuries. You know how to disinfect a cut, soothe a bump on the head, and apply a bandage faster than you can blink.

But what happens if your child suffers a dental injury? Teeth can get broken, knocked out, or displaced from a forceful impact, and parents ought to know what to do in those situations, too. Luckily, Dr. David Shipper and Dr. Howard Vogel and our team are here to be a resource for such incidents!

Chipped front teeth are a common injury for young children. First, check to see if the teeth have been broken to the nerve. You can tell this is the case if you see layers and a pinkish center.

Then, wiggle each tooth to make sure it is not loose. If the teeth still feel firmly in place, that’s a good sign. Don’t worry if they are a little loose, because they will tighten again with time.

If your child develops a high temperature or bite sensitivity, treatment is necessary and could include a root canal.

A knocked-out tooth is an injury that requires more attention than just observation. Locate the tooth as soon as you can, and touch only the crown, not the root. Rinse any debris gently with milk or water and place the tooth back in its socket as soon as possible.

According to the American Association of Endodontists, a tooth has a high chance of survival and retention for life if it is returned to the socket within five minutes, and possibly up to 60 minutes, if soaked in milk or saline solution in the meantime.

Say your child is elbowed in the mouth and a tooth gets severely displaced but does not get knocked out. Attempt to shift it back into place by applying light pressure, but be careful not to use too much force. Give your child a cold pack for the swelling and contact our office as soon as possible.

Dental emergencies can be frightening for the child as well as the parent. The best advice we can offer is to stay calm and be assured that we are always here to help! Contact us at our New York, NY office as soon as you can, if your child encounters a dental emergency.

What type of toothpaste is right for you?

December 21st, 2022

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Dr. David Shipper and Dr. Howard Vogel and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The American Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Dr. David Shipper and Dr. Howard Vogel and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our New York, NY team can recommend a number of safe and effective options.

Feel free to ask Dr. David Shipper and Dr. Howard Vogel and our staff at Central Park West Dental about the best choice in toothpaste to meet your individual needs. Remember to look for the ADA approval seal on any toothpaste you are considering.

Does Your Child Need Endodontic Treatment?

December 21st, 2022

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

  • Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

  • “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
  • With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Dr. David Shipper and Dr. Howard Vogel when you visit our New York, NY office for the safest, most effective way to treat your child’s compromised tooth.

Digital X-rays

December 14th, 2022

X-rays are a vital diagnostic tool for any dental professional. X-rays help your endodontist perform a root canal, your orthodontist check the position of a tooth’s root, your oral surgeon discover a fracture. X-rays reveal what we can’t see with the naked eye—and that’s why they are an especially important tool for Dr. David Shipper and Dr. Howard Vogel as well.

Why Are X-rays Necessary?

There’s a lot going on below the surface. An X-ray can reveal such conditions as cavities between teeth or underneath fillings, abscesses and other infections in the bone, impacted wisdom teeth, and cysts and tumors. They can also show the size, shape, and density of the bone beneath the teeth, which is essential information for dental implant procedures or dentures.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

  • More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in diagnosis.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more. Both of these benefits are extremely helpful for diagnosis, especially when looking for small cavities, problems in the roots and surrounding bone, or developing wisdom teeth.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

  • Less Exposure to Radiation

Dental X-rays expose patients to very low levels of radiation, and modern technology means traditional X-rays expose patients to less radiation than ever before. Even so, digital X-rays have significant advantages. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

  • More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dental specialist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

  • Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective dental treatment possible, and digital X-rays help us do that. If you have any questions about digital X-ray technology, contact our New York, NY office. We’re happy to explain the science—and the benefits—of high-tech radiography.

The ABCs of Vitamin C

December 14th, 2022

A as in Ascorbic Acid

Ascorbic acid is just another name for vitamin C, which is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which must be supplied through our diets. Why is ascorbic acid essential?

First and foremost, because we have to have vitamin C for the formation of collagen.

We’ve probably all seen the ads promoting collagen as a fountain of youth for our skin. Whether or not a cream can turn back time is a matter for debate, but there’s no question as to the vital role collagen performs in our own bodies. That’s because collagen is the substance that provides both structure and support to our tissues, forming the basis of the connective tissue that holds us together. (The Greek root “kolla” means glue!) Organs, blood vessels, muscles, bones, skin, even the dentin in our teeth all rely on collagen to function.  

And if that weren’t enough for one vitamin, vitamin C also helps the body repair tissue, absorb iron, form teeth and bones, produce neuro-transmitters, and acts as an antioxidant. Whew! So, how often should we be eating foods rich in vitamin C? Maybe more often that you would think.

B as in Biology

The human body is an amazing thing! We can store many of the essential nutrients we need to keep ourselves healthy in our livers and fat tissue, even if fresh food sources aren’t immediately available. Unfortunately, Vitamin C is one of those vitamins that we can’t store in the body. This means that unless we get the vitamin C we need in our diet on a regular basis, we’ll experience vitamin C deficiency. How serious is that?

The importance of vitamin C to our health can’t be overstated. Vitamin C deficiency over a period of months actually causes a serious disease called scurvy. Without vitamin C, collagen formation breaks down. And when collagen breaks down, it leads to the breakdown of all those parts of the body that rely on collagen. In the short term, scurvy causes gum pain, fatigue, weakness, and body aches. Over longer periods, scurvy can lead to bruising, skin hemorrhages, anemia, tooth loss, severe gum disease, organ failure, and even death.

Luckily for us, scurvy is largely a disease of the past, thanks to the easy availability of fresh fruits and vegetables which provide us with vitamin C. So, which items should we add to the shopping list?

C as in Citrus—and So Much More!

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange. You can also take vitamin C supplements, but be sure to follow the recommended dosage. You can have too much of a good thing.

While we’re here, let’s add one last letter to the list:

  • D as in Dental Health

So, why are we talking about vitamin C on a dental blog? Because vitamin C is essential to our dental health. Healthy gum tissue, strong connective tissues that hold our gums to our teeth and our teeth in our jaws, faster healing, antioxidants—all have been linked to a diet rich in vitamin C.

Careful brushing and flossing, regular checkups and cleanings at our New York, NY office, a balanced diet—these are all ways you can be proactive when it comes to your dental health. Talk to Dr. David Shipper and Dr. Howard Vogel about the best vitamins and minerals for healthy teeth and gums. Vitamin C is a great beginning, but there’s still an alphabet from vitamin A to Zinc left to go!

 

The Truth about TMJ

December 7th, 2022

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Dr. David Shipper and Dr. Howard Vogel and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

  • Painful chewing
  • Pain around your TMJ, or in your face or neck
  • Earaches
  • Changes in your bite
  • Jaws that are limited in movement or lock open or shut
  • Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our New York, NY office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.

Using Sippy Cups Successfully

December 7th, 2022

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our New York, NY office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!

Caring for Your Cat’s Dental Health

November 30th, 2022

While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our New York, NY office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

When to Begin Dental Care for Your Baby

November 30th, 2022

Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Dr. David Shipper and Dr. Howard Vogel and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our New York, NY office. Dr. David Shipper and Dr. Howard Vogel will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

  • Inspect for signs of decay or other tooth or gum problems
  • Check for gum disease or cavities
  • Examine your child’s bite and possible misalignment
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk with parents about proper oral health
  • Give you tips for brushing and flossing your little one’s teeth
  • Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our New York, NY location if you have any conflicts or questions.

What should I use to clean my baby’s teeth?

November 23rd, 2022

You might think babies don’t need to brush their teeth, especially when they don’t have any. But by starting good habits like brushing when your child is young, you can lay the foundation for them to continue those good habits into adulthood.

When do I start?

The best time to start brushing your baby’s teeth is before he or she has any. Develop the habit of wiping your baby’s gums with a wet, soft washcloth or gauze every day. There is no need to use toothpaste, just wrap the gauze or cloth around your finger, moisten it with a little water, and gently rub it over the gums.

This helps your little one get used to brushing while it eliminates bacteria in the mouth that can harm emerging teeth. You don’t need to apply a lot of pressure or even take very long: just a quick, gentle rub over the gums will do it.

What do I use?

When your child’s teeth begin to come in, you will need to switch from a cloth to a baby toothbrush. Find one that has a grip big enough for your hand, but a head that is small enough to maneuver easily in your infant’s mouth.

You don’t need to use any toothpaste until your son or daughter is about a year old. Even then, though, you’ll want to use just a tiny amount: about the size of a grain of rice. When your toddler is about two years old, you can use a pea-sized amount.

By around six years of age, your child will probably rinse and spit without your help. At that point, you may want to introduce a child-friendly fluoride mouthwash.

How do I do it?

Your child probably won’t be able to brush his or her teeth alone until about the age of five or six. This means that you will need to do it. To brush your child’s teeth, gently use the brush over all the teeth and gums, even areas where the teeth have not come in yet.

As your child grows and becomes more independent, you can allow him or her to hold the toothbrush while you guide your child’s progress. Make sure you talk to your child while you are brushing, and explain why you brush: what you are doing and how you are doing it.

In addition to regular visits with Dr. David Shipper and Dr. Howard Vogel, instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

The Consequences of Sports and Energy Drinks

November 16th, 2022

They’re refreshing and tasty. They’re easy to find and pretty cheap. They help us get through a long day or a long workout. They’re everywhere.

We know it’s hard to say no to an energy or sports drink. That’s why Dr. David Shipper and Dr. Howard Vogel and our team want to make sure you know the effects that energy and sports drinks can have on your smile and overall oral health. You might just think twice next time you crave one.

There’s a common misconception that sports and energy drinks are somehow healthier than soda beverages. None is particularly good for you, but because sports and energy drinks have higher acidity levels, they put you on a fast track to enamel erosion, which can lead to cavities over time. However, studies show that energy drinks may be the worst of the bunch.

In a study published in General Dentistry, the energy drinks that showed the highest acidity levels were 5-hour Energy, Monster, Rockstar, and Red Bull Sugar free. These drinks almost doubled in acidity when compared to sports drinks. The sports drinks that came in second as far as acidity levels go were Powerade, Gatorade, and Propel.

You may be thinking, “What's the big deal; lots of other drinks damage your teeth, too,” and you’re right. Even all-natural beverages like orange juice and other fruit juices, which are advertised as full of vitamins, contain acid that damages tooth enamel. The point here is that moderation is key.

We certainly encourage you to choose a glass of orange juice over an energy drink, but if you feel like you just can’t give up your sports and energy drink habit, then please consider the following tips:

  • Limit yourself to a certain number of said beverages a week and stick to it.
  • Rinse with water after consuming an energy or sports drink.
  • Brush your teeth after an hour of downing the drink, so your mouth has time to return to its normal pH level.

If you have any questions, don’t hesitate to give us a call at our New York, NY office. Shoot us a message on Facebook, or let us know on your next visit!

Protect Your Enamel from Dental Erosion

November 9th, 2022

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Dr. David Shipper and Dr. Howard Vogel during your visit to our New York, NY office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.

Mouthguard Protection

November 2nd, 2022

Let’s talk about mouthguards and night guards—two crucial appliances that protect your teeth and jaw.

We could talk about how important a mouthguard is when you lead an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts.  

Or if you grind your teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell) cleaner, some basic tips make all the difference.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your guard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

  • Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Lying loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. David Shipper and Dr. Howard Vogel can make you a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our New York, NY team about repairing or replacing your custom guard. A mouthguard or night guard that doesn’t fit, doesn’t protect you.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

Can Your Dentist Tell If You’re Left-Handed?

October 26th, 2022

Sherlock Holmes, that most famous of fictional detectives, observed clues, analyzed them, and used his powers of deduction to arrive at the solution to his cases.

Dr. David Shipper and Dr. Howard Vogel and our team are skilled in deduction as well! By examining your teeth and gums during your regular checkup, important clues can be discovered about your dental health—and perhaps your overall health as well. What might be deduced when you come in for an exam?

  • You Haven’t Been Flossing

Even with some last-minute catchup flossing, it’s not hard to tell if you’ve been regularly skipping the flossing portion of your daily dental care. Plaque that your toothbrush just can’t reach on its own will be noticeable between your teeth and around the gum line. Your gums might be inflamed, swollen or bleeding—early signs of the gum disease plaque causes when it’s not removed with careful flossing.

These symptoms could arise because you’re neglecting to floss at least once a day, or it could be that your flossing skills could simply use some fine-tuning. A refresher in flossing technique takes no time at all. Or, you might discuss whether a water flosser would be a good investment for healthier teeth and gums if, for any reason, you have difficulty flossing effectively.

  • You Haven’t Been Sleeping Well

Even if your roommate or partner hasn’t told you that your teeth and jaws have been grinding away while you were not-so-soundly asleep, your dentist might be able to. Shorter, flattened teeth are a common symptom of bruxism, or tooth grinding. Your exam might reveal cracked enamel or broken cusps caused by the force you’re placing on them at night. This condition can also lead to larger jaw muscles and jaw pain.

Since these symptoms are also caused by sleep apnea, it’s a very good idea to find out what’s causing this dental stress. Treatments are available to make your sleep safer for your teeth and jaws—and more restful and healthier for you!

  • You Should Talk to Your Doctor

Conditions that seem to have nothing to do with your oral health can cause dental symptoms, alerting your dentist to a medical condition which you might not be aware of. Pale gums or a swollen tongue could be symptoms of anemia. Erosion on the inside of the teeth can be caused by GERD, or gastroesophageal reflux disease. Vitamin and mineral deficiencies can lead to ulcers, loose teeth, and gum disease.

 If Dr. David Shipper and Dr. Howard Vogel and our team suggest that you make an appointment with your doctor to find the medical cause of your dental symptoms, it’s essential to follow up.

  • Are You Left-Handed?

So, getting back to our original question, can your dentist deduce that you’re left-handed?

Probably not! It’s been suggested that left-handed people brush their teeth more firmly on the left side, and right-handed people brush harder on the right. And it’s also been suggested that left-handers don’t brush the left side of the mouth as thoroughly, while right-handers neglect their dominant side.

But Dr. David Shipper and Dr. Howard Vogel can still tell you some important facts about your hand-brush coordination just by observing the state of your enamel. If you’re brushing too firmly, your tooth surfaces could show erosion and wear. A soft-bristled brush and a lighter hand will get your teeth just as clean without the abrasion.

If you’re having trouble reaching areas because of dexterity issues, Dr. David Shipper and Dr. Howard Vogel can point out the areas where plaque buildup reveals the spots you need to concentrate on. An electric toothbrush might be just the answer to making all the surfaces of your teeth equally accessible.

A dentist is an expert in observing, analyzing, and solving dental problems. When you keep to a regular schedule of exams and cleanings at our New York, NY dental office, you’ll benefit from that expertise to discover oral health issues before they become more serious. That’s an easy and elegant solution to maintaining your dental health. In fact, it’s elementary!

Periodontal Health during Pregnancy

October 19th, 2022

Congratulations! Your pregnancy is a time of joy and excitement—and a time to take special care of yourself. You’ve discovered that pregnancy brings many physical changes, but it may still come as a surprise to learn that pregnancy hormones can affect your oral health as well. What should you look out for?

Gingivitis

Beginning in the second or third month of pregnancy, your gum tissue may show signs of gingivitis. Pregnancy hormones can cause an increase in the blood supply to your gums and affect the way your gums respond to plaque. These changes may lead to gums that are swollen, red and more likely to bleed upon brushing. This early form of gum disease should be treated as quickly as possible to avoid a more serious condition called periodontitis.

Periodontitis

Without treatment, the inflammation caused by gingivitis can increase. Periodontitis can lead to gums pulling away from the teeth, creating “pockets” that can be home to infection. These infections can lead to bone and tooth loss, so professional treatment is a must.

Pregnancy Granulomas

If you find a dark red swelling along the gumline or between two teeth, it might be a pregnancy granuloma. These granulomas are thought to be triggered by pregnancy hormones and may be a reaction to plaque or some other irritant. They often disappear once your baby is born and usually don’t cause any bother, but if you develop discomfort eating or speaking, your dentist might suggest removal.

You are looking for every way possible to provide your baby with the best start in life, so it is important to know that some studies have suggested a link between periodontal disease in pregnancy and complications such as pre-term delivery and low birth weight. Here are some important ways to maintain your oral health during pregnancy:

  • Call Dr. David Shipper and Dr. Howard Vogel when you find out you are pregnant. We have suggestions for your dental care that you can use immediately.
  • Keep to your regular schedule of dental examinations and cleanings at our New York, NY office. If you find your gums beginning to show signs of gingivitis, call our office for an appointment. You might need to have your teeth cleaned more often during your pregnancy to avoid plaque buildup.
  • Maintain your daily dental hygiene. Be sure to carefully brush along the gumline to discourage plaque formation. If you have not switched to a soft bristle toothbrush, now is the time! Talk to us about possible rinses or other at-home treatments.
  • See a periodontist if needed for more serious gum problems.

Your pregnancy is a time to treat yourself and your baby with care. Talk to our office as soon as you find out you are pregnant. Making your dental health a priority can bring rewards both now and in the future, and we welcome the opportunity to suggest the best possible ways to care for yourself and your baby!

Thirsty? We Have Some Ideas on Tap

October 12th, 2022

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Dr. David Shipper and Dr. Howard Vogel and our New York, NY team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

  • We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
  • Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
  • As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

  • Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
  • Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

  • Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
  • When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
  • When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

  • Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
  • Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
  • If your community doesn’t offer fluoridated water, ask Dr. David Shipper and Dr. Howard Vogel for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

Root Canal Recovery

October 5th, 2022

Anyone who has had a compromised tooth knows that the amount of discomfort it causes can be extremely unpleasant. Although no one looks forward to a root canal, this procedure is actually the best way to both eliminate pain and save your tooth. If the pulp inside your tooth is infected or damaged, a root canal is probably necessary.  

The process is relatively straightforward and can take place over one or two visits to our New York, NY office. The area around the tooth is numbed, the pulp is removed from the inside of the tooth, the area is thoroughly cleaned, and a temporary filling or crown is placed on the tooth to prevent bacteria and food from entering the site. A permanent crown will be fabricated and affixed to the tooth at a later visit.

Once your root canal is finished, recovery is usually only a matter of days. What can you to keep yourself as comfortable as possible during that time?

  • The area around the affected tooth might be somewhat sore or sensitive for a few days. Let us know, and we can talk about medication to reduce pain and inflammation. If you are prescribed antibiotics, be sure to take the entire course of medication as directed.
  • Taking an ibuprofen (if this is a pain reliever that is safe for you) before the anesthetic wears off will reduce the soreness in the hours immediately after the procedure.
  • Wait until the numbness is gone before eating to avoid biting down on a temporary filling (or your tongue). Hot drinks are also best avoided.
  • Avoid chewing on the side of the affected tooth until the restoration is complete. A soft diet is recommended for the first several days—chewy, sticky, and crunchy foods should wait.
  • Continue with regular brushing and flossing.
  • Call Dr. David Shipper and Dr. Howard Vogel immediately if you experience severe pain or visible swelling, if you have an allergic response to medication, if your bite feels uneven, or if you lose the temporary filling.

Follow the instructions we’ll give you carefully, and feel free to call us with any concerns. We want to ensure that your root canal is as pain-free and worry-free as possible.

Root Cavities

September 28th, 2022

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

  • Gum Disease

Receding gums caused by periodontitis can be treated by Dr. David Shipper and Dr. Howard Vogel. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our New York, NY office.

  • Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Dr. David Shipper and Dr. Howard Vogel about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

  • Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Dr. David Shipper and Dr. Howard Vogel can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our New York, NY office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.

Thumb Sucking

September 21st, 2022

Learning to suck their thumbs is one of the first physical skills babies acquire. In fact, ultrasound images have revealed babies sucking their thumbs in the womb! Babies have a natural sucking reflex, and this activity is a normal way for your baby to soothe herself.

If your toddler still turns to her thumb for comfort, no need to worry. Most children give up this habit as they grow, and generally stop completely between the ages of two and four. But what of the child who doesn’t? Should you encourage your child to stop? And when?

When Thumb Sucking Becomes a Problem

After your child turns five, and certainly when her permanent teeth start to arrive, aggressive thumb sucking is something to watch for. This type of vigorous sucking, which puts pressure on the teeth and gums, can lead to a number of problems.

  • Open Bite

Our bites are considered normal when the upper teeth slightly overlap the lower where they touch in the front of the mouth. But with aggressive thumb sucking, teeth are pushed out of alignment. Sometimes this results in a condition called “open bite,” where the upper and lower teeth don’t make contact at all. An open bite almost always requires orthodontic treatment.

  • Jaw Problems

Your child’s palate and jaw are still growing. Aggressive thumb sucking can actually change the shape of the palate and jaw, and even affect facial structure. Again, orthodontic treatment can help, but prevention is always the better option!

  • Speech Difficulties

Prolonged thumb sucking has been suggested as a risk factor for speech disorders such as lisping, the inability to pronounce certain letters, or tongue thrusting.

The consequences from aggressive thumb sucking can be prevented with early intervention. What to do if you are worried?

Talk to Us

First, let us reassure you that most children stop thumb sucking on their own, and with no negative dental effects at all. But if your child is still aggressively sucking her thumb once her permanent teeth have started erupting, or if we see changes in her baby teeth, let’s talk about solutions during an appointment at our New York, NY office. We can offer suggestions to help your child break the habit at home. There are also dental appliances available that can discourage thumb sucking if your child finds it especially hard to stop.

Work with your Child

  • Be Positive

Positive reinforcement is always best. Praise her when she remembers not to suck her thumb. Make a chart with stickers to reward every thumb-free day. Pick out a favorite book to read or activity you can share.

  • Identify Triggers

Children associate thumb sucking with comfort and security.  If your child turns to her thumb when she’s anxious, try to discover what is bothering her and how to reassure her. If she automatically sucks her thumb when she is bored, find an activity that will engage her. If she’s hungry, offer a healthy snack.

  • Talk about It!

Depending on her age, it might help your child to understand why stopping this habit is important. We are happy to explain, in a positive, age-appropriate way, just how breaking the thumb sucking habit will help her teeth and her smile.

Again, most children leave thumb sucking behind naturally and easily. But if what is a comfort for your child has become a concern for you, please give us a call. Dr. David Shipper and Dr. Howard Vogel will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.

 

Breaking Bad Oral Habits

September 14th, 2022

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

  • Brush your teeth after each meal or at least twice a day.
  • Visit a dentist every six months for an exam and a professional cleaning.
  • Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our New York, NY office and speak with Dr. David Shipper and Dr. Howard Vogel or a member of our team.

Lip Service

August 31st, 2022

When you think of Dr. David Shipper and Dr. Howard Vogel, you naturally think of your teeth. But your dental professional is concerned with more than the teeth, as important as they are. All aspects of your oral health—gums, bite, tongue, mouth—contribute to your well-being. So many elements go into creating your beautiful smile, and your lips? They’re front and center.

  • SPF—BFF

You already know that sunscreen is your best friend when it comes to protecting your skin. But don’t forget your lips when you’re slathering on the sunscreen! Delicate lip tissue is also susceptible to the sun’s damaging UV rays. Use a lip balm or lipstick with an appropriate SPF (Sun Protection Factor) for your skin type, and apply it liberally. Don’t forget to reapply every hour or two, after eating and drinking, and after going in the water. And if you’re protecting your children from the sun’s rays, check with your doctor about using sunscreen on young lips.

  • Healthy Hydrating

Dry, chapped lips are no one’s go-to look. And while moisturizers and balms can help dry lips recover, there’s a simple preventative measure you can take to avoid or reduce dryness.  You know how important water is for our bodies, and it’s essential for hydrating our lips as well. Make sure you drink the recommended amount of water each day for lips (and skin!) that are healthy and hydrated.

Not so healthy liquids? Alcohol. Alcohol is dehydrating, which undoes the benefits of that water you’ve been drinking. More than that, excessive alcohol consumption has been linked to oral cancer, especially when coupled with tobacco use.

  • Toss the Tobacco

All tobacco users have an increased risk for oral cancer. Pipe and cigar smokers are particularly at risk for lip cancers, and smokeless tobacco users have a greater risk of cancers on the inner lip surface. Need another reason to quit? Smoking leads to an increase in lip lines (wrinkles) and a decrease in lip volume.

  • Oral Exams

When you come to our New York, NY office for regular checkups, you can also get regular screenings for oral cancer and other oral conditions. While irregularities are often benign, lip cancer is one of the most common forms of oral cancer, and detecting cancerous or precancerous lesions as early as possible is important for treatment. If you have a sore or lump that doesn’t go away, a red or white patch of skin, bleeding or pain, or any other symptom that concerns you, talk to Dr. David Shipper and Dr. Howard Vogel.

Protect yourself from the sun, hydrate, use alcohol in moderation, give up tobacco if you are using it, and see your dentist regularly for examinations. These simple practices are beneficial not only for your expressive lips, but for your overall health and well-being. And feel free to spread the word—healthy habits and preventative care should be on everyone’s lips!

Is there a correlation between my dental and cardiovascular health?

August 24th, 2022

YES!  Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Cardiovascular disease remains American’s leading killer, claiming more lives than the rest of major causes of death, according to our friends at the American Heart Association. In fact, an estimated 80 percent of American adults currently have some form of gum disease, also known as periodontal disease.

Studies suggest that people with gum disease are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to our New York, NY office can help detect early warning signs of heart issues, prevent gum disease, or at the very least catch it at its early stage. We’d also like you to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

There are many benefits to visiting Central Park West Dental in addition to maintaining your dental health. If it has been a while since your last visit, please give us a call!

Why Is My Child Getting Cavities?

August 17th, 2022

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our New York, NY office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

  • Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

  • Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Dr. David Shipper and Dr. Howard Vogel might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

  • Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Dr. David Shipper and Dr. Howard Vogel can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

  • Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

  • Schedule Regular Dental Exams and Cleanings

Most children should be visiting Central Park West Dental twice a year, even during the baby teeth years. Dr. David Shipper and Dr. Howard Vogel will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Dr. David Shipper and Dr. Howard Vogel will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Post Oral Surgery: Signs of Infection

August 10th, 2022

Oral surgery can be intimidating, especially if you show any signs of an infection afterwards. Dr. David Shipper and Dr. Howard Vogel and our team want you to be informed about what to watch for after you’ve undergone surgery.

Oral surgery procedures are intended to reduce pain and prevent infection. Sometimes complications occur after your surgery, and if infection ensues, it will require swift medical attention.

People undergo oral surgery for many reasons, such as:

  • Impacted or infected teeth
  • Tooth loss, jaw problems
  • Facial injuries or infections
  • Birth defects
  • Sleep apnea

Symptoms of Infection

  • Pain that won’t go away with medication
  • Steadily swelling of gums, jaw, or face
  • Redness or oozing of pus from the area
  • Fever that doesn't subside
  • Difficulty opening the mouth or jaw
  • Excessive bleeding for 24 hours
  • Difficulty breathing or swallowing (emergency situation)

After the initial surgery, don’t become worried right away if you notice any of these symptoms. It’s normal to show some blood and swelling after surgery, but that should stop fairly soon with the help of gauze and medication.

You will most likely be numb from the procedure and we will advise you to avoid hard foods for the first day. Pain medication will be administered, and you should take it before you begin to notice pain. A cold compress can also help with swelling and initial pain.

You will be advised not to brush your teeth in the region where the surgery occurred. You may use a prescription mouth rinse, or you can gargle with warm salt water to reduce the swelling. If you follow these directions, you can speed the healing process for a quick recovery.

Don’t fret: a post-surgery infection is not a common development. It happens most often to people who have a compromised immune system or diabetes. Let Dr. David Shipper and Dr. Howard Vogel know beforehand if you have either of these and we may prescribe an antibiotic to help prevent the spread of infection in the areas of your mouth that get worked on.

If you think you may be experiencing complications after a surgery, please don’t hesitate to reach out to our New York, NY office for advice.  

I chipped a tooth. What can I do?

August 3rd, 2022

You just crunched down on a piece of hard food when you suddenly realize there is something hard still in your mouth. Your nightmare is confirmed when you retrieve a piece of your tooth from your mouth. You chipped your tooth; now what?

Obviously, the first thing you need to do is call our New York, NY office. While we make every effort to see emergent cases immediately, you may have to wait a day or so before you can see Dr. David Shipper and Dr. Howard Vogel. Luckily, it’s easy to take care of your chipped tooth while you wait.

How to Take Care of a Chipped

The last thing you want is for the tooth to become infected or break even more. Let’s look at a few things you can do:

  • If the chipped tooth is causing you pain take an over-the-counter pain medication, like Tylenol. Always follow the directions on the label.
  • You should also rinse your mouth with lukewarm saltwater, as this will help prevent an infection from setting in.
  • If your chipped tooth has a sharp edge, cover it up with a piece of wax to prevent it from cutting you cheek, tongue, or lip.
  • If you have to eat, make sure you eat soft foods and don’t bite down on the chipped or broken tooth.

Treatment Options for a Chipped Tooth

  • Dental Filling and Bonding – If you only have a small chip in your tooth, Dr. David Shipper and Dr. Howard Vogel will probably fix it with a filling. If it is a front tooth, we may bond the tooth using a tooth-colored compound.
  • Dental Crown or Cap – If you broke a large piece of your tooth, we may grind the remaining part of your tooth and put a crown or cap on it.
  • Dental Veneers – If you chipped or broke your front tooth then choosing a dental veneer may be your best choice. It will make your tooth look completely normal.
  • Root Canal – If you cracked your tooth and the center (pulp) of the tooth is exposed and infected, you will need a root canal. If the center of your tooth is exposed, it becomes vulnerable to bacteria that will cause your tooth to abscess.

Chipping or breaking your tooth is never a good thing, and you should always call our New York, NY office right away. The sooner you get your tooth repaired the less likely you are to have any problems with it.

Do You Have an Ageless Smile? Let Us Help You Keep It!

July 27th, 2022

In your golden years, you’ve become a pioneer in tooth care. Yours is probably the first generation in history that can expect to keep most of their natural teeth for a lifetime. You can probably guess the reasons: better oral care, advances in dentistry, improved nutrition, and a lower risk for diseases that could weaken teeth and gums.

As a pioneer, you’re learning with your dentists, and one thing we’ve found is that teeth change with age, just like the rest of the body. Even if your teeth can remain strong and white, here are a few things you may have to cope with:

Cavities: Tooth decay is not just for kids anymore. Seniors often develop cavities on the lower part of the tooth near the root. Thorough flossing and brushing along the gum line is the best preventive measure.

Sensitivity: Gums recede over time, and good dental habits only slow the process. Receding gums leave more of each tooth exposed, and the newly uncovered areas have less enamel. As a result, these teeth may be much more sensitive to hot and cold. If you find your teeth become more sensitive, try a toothpaste designed for sensitive teeth and be sure to tell Dr. David Shipper and Dr. Howard Vogel about it at your next checkup.

Difficulty brushing: If you have arthritis or limited motion you may have a hard time brushing your teeth. Consider switching to an electric toothbrush. There are also assistive devices available that make it easier to grip a manual toothbrush.

Other health problems: Diabetes, heart disease, and other chronic illnesses can cause symptoms in your mouth. Be sure to let us know if you have any health conditions, or if your condition changes. We can help treat symptoms that affect your teeth and recommend ways to maintain good oral health habits as part of your overall health program.

What are Sealants?

July 20th, 2022

Sealants offer many benefits, but the best is their ability to protect your molars. Molars are full of small caverns that can be the perfect breeding ground for tooth decay and plaque buildup.

Use of protective sealants prevents this buildup from happening. Although children often receive sealants for routine preventive care, they aren’t the only ones who can benefit from this treatment. Sealants can also help adults who have deep canyons or grooves in their teeth.

They are commonly placed on the rear molars that tend to suffer the most decay. Because your molars are used substantially as grinding surfaces, food is more likely to be trapped among them.

Sealant solution consists a composite material that contains bonding agents that seal the top of your teeth. The process is quick and painless, which makes it a great solution for both children and adults who have had trouble with cavities and tooth decay. Sealants also last for several years, and repair is a simple process that can be completed by Dr. David Shipper and Dr. Howard Vogel.

The process of putting sealants on teeth starts with the tooth getting cleaned. We clean it with a type of baking soda spray called sodium bicarbonate. Then acid is etched onto the teeth to rough up the surface.

We apply an alcohol-based liquid to dry the area where the sealant is supposed to go. After it completely covers the surface of the treated teeth, the sealant is cured with a light that makes it hard and long-lasting.

Getting sealants can prevent the possible restorative costs that come from cavities. Sealants help to protect your tooth’s enamel from harmful acids and prevent decay, which can be an investment in itself. The whole process is quick, so it should be easy to schedule an appointment at Central Park West Dental.

Feel free to call our New York, NY location and we can answer any questions you have about this service.

Make Brushing Teeth Fun!

July 13th, 2022

It’s understandable that kids would rather be playing outside or watching their favorite movie instead of doing a “boring” task like brushing their teeth. But there are ways to make brushing fun for your son or daughter, and encourage healthy oral hygiene habits early on! Dr. David Shipper and Dr. Howard Vogel and our team have a few tricks that may help.

Game time

What child doesn’t love a good game? Try to turn brushing time into a game, whether by playing hide-and-seek or singing your child’s favorite song while he or she brushes for two minutes.

Kids also love rewards, so awarding them stickers after a good brushing can encourage them to do a good job every time. You might even tell your child that five stickers will earn a special treat or fun activity at the end of the week.

Fun accessories

Lots of toothbrush options can add something exciting to your child’s daily brushing routine. Toothbrushes that light up tend to be a popular choice with young kids. The same goes for toothbrushes shaped like your child’s favorite animal or cartoon character.

Teaching your kids about how long they should brush each time can also be fun. Let them have the special responsibility of setting a timer for two minutes before they start to brush.

The Great Toothpaste Experiment

Lots of kids can be picky eaters and that can the case with toothpaste flavors. Set aside a time to sample several different flavors, the way they’ve probably tried various flavors at the ice cream shop! Just make sure to be very clear that they shouldn’t swallow the toothpaste.

With your help, your child can easily develop healthy brushing habits over time. If you can find ways to make it fun, it can be an enjoyable experience for both of you!

Call Dr. David Shipper and Dr. Howard Vogel at our New York, NY office for more fun tips or to make an appointment today!

Make Brushing Teeth Fun!

July 13th, 2022

It’s understandable that kids would rather be playing outside or watching their favorite movie instead of doing a “boring” task like brushing their teeth. But there are ways to make brushing fun for your son or daughter, and encourage healthy oral hygiene habits early on! Dr. David Shipper and Dr. Howard Vogel and our team have a few tricks that may help.

Game time

What child doesn’t love a good game? Try to turn brushing time into a game, whether by playing hide-and-seek or singing your child’s favorite song while he or she brushes for two minutes.

Kids also love rewards, so awarding them stickers after a good brushing can encourage them to do a good job every time. You might even tell your child that five stickers will earn a special treat or fun activity at the end of the week.

Fun accessories

Lots of toothbrush options can add something exciting to your child’s daily brushing routine. Toothbrushes that light up tend to be a popular choice with young kids. The same goes for toothbrushes shaped like your child’s favorite animal or cartoon character.

Teaching your kids about how long they should brush each time can also be fun. Let them have the special responsibility of setting a timer for two minutes before they start to brush.

The Great Toothpaste Experiment

Lots of kids can be picky eaters and that can the case with toothpaste flavors. Set aside a time to sample several different flavors, the way they’ve probably tried various flavors at the ice cream shop! Just make sure to be very clear that they shouldn’t swallow the toothpaste.

With your help, your child can easily develop healthy brushing habits over time. If you can find ways to make it fun, it can be an enjoyable experience for both of you!

Call Dr. David Shipper and Dr. Howard Vogel at our New York, NY office for more fun tips or to make an appointment today!

Summer Dental Health? Get into the Swim of It!

July 6th, 2022

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. David Shipper and Dr. Howard Vogel and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our New York, NY office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Summer Dental Health? Get into the Swim of It!

July 6th, 2022

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. David Shipper and Dr. Howard Vogel and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our New York, NY office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Summer Dental Health? Get into the Swim of It!

July 6th, 2022

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. David Shipper and Dr. Howard Vogel and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our New York, NY office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Summer Dental Health? Get into the Swim of It!

July 6th, 2022

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. David Shipper and Dr. Howard Vogel and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our New York, NY office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Summer Dental Health? Get into the Swim of It!

July 6th, 2022

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. David Shipper and Dr. Howard Vogel and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our New York, NY office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

Do We Outgrow Tooth Decay?

June 29th, 2022

Short answer: No. But, since an answer that short is hardly worth the time it took you to click on the link, allow us to explain further!

We tend to think of tooth decay as something we leave behind with childhood. And, while it’s true that youthful cavities are unfortunately common, older adults face unique challenges of their own which put them at risk for cavities.

Root Cavities

Gum tissue often recedes with age. And our roots, which were once completely covered and protected by gum tissue, become partially exposed to plaque, acidic foods, and the abrasive effects of heavy-handed brushing.

This is a problem. Instead of enamel, a substance called cementum covers and protects our roots. But cementum isn’t as strong as enamel, and so our roots are much more vulnerable to the cavity-causing bacteria in plaque, erosion from dietary acids, and damage caused by abrasive brushing. Root cavities also progress faster than crown cavities, which can mean a root canal procedure in your future, or, even worse, an extraction if a cavity isn’t treated promptly.

What can you do to avoid root cavities?

  • Do what you do to avoid any cavity—brush at least twice a day for two minutes, use floss to clean between the teeth and along the gumline, and use a fluoride toothpaste.
  • Fluoride treatments can be applied to the exposed root area for added protection. Ask your dentist about this option.
  • Take care of your gum health. See Dr. David Shipper and Dr. Howard Vogel regularly, and, if you have serious gum disease, a visit to your periodontist might be in order.
  • Always use a soft toothbrush. Even a brush with medium bristles can be too firm for teeth and gums.

Failing Fillings

As we age, our dental restorations age as well. Over time, fillings can become loose, erode, or crack, which can lead to cavities under or around these damaged restorations. Bacteria can reach beneath a loose filling—your toothbrush can’t.

What can you do to prevent cavities in these hidden spots?

  • Keep up with your dental checkups. Part of each dental exam is checking the condition of your dental restorations.
  • Visit Central Park West Dental if you notice any sign of tooth decay, including tooth pain, sensitivity, or discoloration.
  • If you discover a loose, cracked, or lost filling, even without any discomfort, call Dr. David Shipper and Dr. Howard Vogel right away. A timely replacement filling can prevent hidden decay from seriously damaging a tooth.

Dry Mouth

Dry mouth, or xerostomia, occurs when our bodies don’t produce their normal amount of saliva. Saliva, of course, is vital for healthy and comfortable eating—it helps us swallow, digest, and taste our food. And it also has dental benefits! Saliva helps neutralize the acidic foods we eat, washes away food particles and bacteria, and contains minerals like calcium and phosphorus which remineralize tooth enamel.

Many medical conditions (including diabetes and high blood pressure), medical treatments (such as chemotherapy and radiation), and medications (both prescribed and over the counter) can reduce normal saliva production.

What can you do to restore saliva production?

  • Drink fluids as recommended, especially water.
  • Chew gum. Sugarless gum encourages saliva. Sucking on sugar-free candies works as well.
  • Brush regularly with fluoride toothpaste, and ask about fluoride rinses.
  • Talk to Dr. David Shipper and Dr. Howard Vogel. There are medications available that can help.

Keeping up with our dental health is important at any age. Brushing and flossing, fluoride toothpaste, regular dental exams and cleanings at our New York, NY dental office—the basics of dental health don’t change over time, even if our dental challenges are a bit different as we get older. After all, do you ever outgrow an attractive, healthy smile? This answer is short and sweet: never.

Does smoking affect oral health?

June 22nd, 2022

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. David Shipper and Dr. Howard Vogel and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our New York, NY office to schedule an appointment with Dr. David Shipper and Dr. Howard Vogel.

Does smoking affect oral health?

June 22nd, 2022

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. David Shipper and Dr. Howard Vogel and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our New York, NY office to schedule an appointment with Dr. David Shipper and Dr. Howard Vogel.

Water Features

June 1st, 2022

Heading for the beach! Hiking to the lake! Keeping cool with a tall, frosty glass of ice water in a foreign bistro, or taking a refreshing gulp from the fountain in the park! Hot weather has arrived, and water is something we’re more conscious of now than most other times of the year. Even so, water as a dental feature? Glad you asked!

  • Recreation

Whether you want to bask in the heat or escape it, heading out for a day in or on the water works. And while you’re protecting your skin with sunscreen, think about protecting your teeth and mouth as well. With one small slip, any physical water sport—water skiing, water polo, surfing—can result in damage to your teeth or jaw. Bring—and use—the mouthguard you wear for sports like basketball or biking, and make sure you have a summer of smiles ahead of you.

  • Refreshment

Summer has a beverage menu all its own. Iced coffee and iced tea, a cooler full of sodas, fresh lemonade, fruity cocktails—so many refreshing ways to beat the heat! And we would never suggest that you turn down every frosty summer temptation. But do be mindful that dark beverages like tea, coffee, and sodas can stain teeth, sugary and acidic ones are damaging to your enamel, and alcoholic drinks can be dehydrating. Water, on the other hand, is always a healthy choice. It’s helpful for keeping your mouth and teeth clean, it often contains the fluoride that helps fight cavities, it’s hydrating—and, it has no calories! Be sure to make water a significant part of your summer beverage menu, and your body will thank you for it.

  • Rinse & Restore

Water’s importance to our bodies can’t be overstated! From major organs to individual cells, we need water. And one major benefit of proper hydration is healthy saliva production. Why is that important? Saliva plays a vital role in preventing cavities. It washes away the food particles that oral bacteria feed on, reducing their ability to produce the acids that lead to enamel erosion and cavities. Saliva even helps neutralize acids already in the mouth. Finally, saliva contains important calcium, phosphate and fluoride ions which actually help restore enamel strength after it has been exposed to oral acidity.

Summer goes by all too quickly. Protect your teeth during these warm, active months with a mouthguard. And whether you spend your free time outdoors, or visiting people and places, or keeping cool at home, be mindful of dental-friendly beverage options and always stay hydrated. You’ll be ready to greet fall with a beautiful smile and healthy teeth. “Water Features”? Perhaps a better title would be “Water Power”!

Teeth Grinding

May 25th, 2022

It might seem like you’ve gotten a great night’s sleep—but why aren’t you well rested? Worse, why are you waking up with:

  • A headache
  • Ringing in your ears or an earache
  • Pain in your jaw
  • Worn or sensitive teeth
  • Dry mouth or mouth and cheek injuries
  • An unhappy partner who’s been kept awake all night?

If you suffer from any or all of these symptoms, you might be one of the millions of people who have a sleep-related disorder called bruxism, better known as teeth grinding.

There are any number of causes that have been linked to bruxism. Stress and other negative emotions seem to trigger episodes, as can lifestyle habits such as smoking and drinking alcohol or caffeine. Sleep apnea can lead to grinding your teeth, or you could have bite or tooth alignment problems. Certain medications might set off this disorder, and some studies have shown a hereditary tendency in families. Whatever the reason you grind your teeth, there are many important reasons to stop as soon as you can.

As bad as the nagging headaches and earaches that can accompany bruxism can be, long-term damage to your teeth can develop over time. With continuing grinding pressure on the teeth, enamel is worn away prematurely. Teeth can crack or chip. They may loosen or develop sensitivity to heat, cold, and pressure. Gum tissue can recede or become inflamed. Dental restorations can be cracked or broken.

If you—or someone in your house—suspects that you are grinding your teeth at night, give our New York, NY office a call! We can recommend relaxation techniques, diet changes, or tips to help you relax your jaw. Dr. David Shipper and Dr. Howard Vogel might suggest a nightguard, a custom-fitted appliance worn while you sleep, to reduce the impact of grinding. There are options available. Let’s work together to make every night’s sleep a restful, healthy one.

Eco-Friendly Toothbrushes

May 18th, 2022

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

  • Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
  • Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
  • Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our New York, NY office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

Does Your Filling Need Replacing?

May 11th, 2022

No matter how wonderfully something works for us, there comes a day when a replacement might be necessary. This holds true whether it’s the latest and greatest smart phone, or your perfectly prescribed eyeglasses, or your discreet and comfortable dental filling.

Wait, dental filling?

It’s true! While most dental fillings will last for many trouble-free years, there might come a time when a replacement is in order. Here are some signs to look for:

  • Obvious Damage

Your teeth are under a lot of stress. The forces of biting and chewing place hundreds of pounds of pressure on teeth and jaws. And if you grind your teeth, your teeth are really getting a workout. What’s true for your teeth is true for your fillings. Over time, fillings can break down after years of this constant pressure.

If you notice a filling has become loose, or is cracked, or is pulling way from the edges of the tooth, give your dentist a call! A timely replacement can prevent decay from forming under the filling. Which leads us to . . .

  • Pain in a Filled Tooth

When a filling is damaged, it no longer protects the dentin and pulp inside the tooth as effectively.

Why? Because your toothbrush can’t reach beneath your filling—but cavity-causing bacteria can. This means that cavities can develop underneath a filling that’s loose or damaged. Hidden decay will eventually progress into the pulp area of the tooth, which could lead to infection, root canal treatment, or even extraction.

If you’re suffering from pain or sensitivity in or around a tooth, it’s important to see your dentist right away to rule out hidden decay or other serious conditions.

  • Cosmetic Concerns

Composite resin fillings are often used on front teeth because they can be carefully color-matched to our enamel for an almost invisible restoration. Over time, though, you might discover your composite filling has become quite a bit more visible.

Just like our enamel, composite fillings can become stained over time from foods like coffee and red wine, and from smoking. Does a discolored filling need replacement? If the filling is damaged, or if decay is present, yes. If the problem is surface cosmetic staining, Dr. David Shipper and Dr. Howard Vogel might be able to restore the original color of your filling with polishing. If you’re concerned about the color of your filling, talk to us about all of your options.

  • Your Dentist Recommends Replacement

Part of each dental examination includes checking the condition of your restorations. If we notice a loose or damaged filling, or find decay beneath a filling, it’s time for a replacement.

You have more options that ever before when it comes to dental fillings. Gold fillings and silver amalgam fillings last from ten to 15 years or even longer, and are capable of withstanding chewing pressure and filling larger cavities. Composite fillings, although they might not last quite as long, are almost unnoticeable and perfect for visible teeth. Your dentist will recommend the filling which is best suited for your needs.

If you wait to replace a cracked or compromised filling, you’re taking a chance with the health of your tooth. Dental fillings provide years of durable, comfortable wear—but if it’s time for a replacement, don’t hesitate to call our New York, NY dental office for an appointment.

Love your new smile? Tell us about it!

May 4th, 2022

At Central Park West Dental, we have been creating beautiful smiles for years. Whether you have visited Dr. David Shipper and Dr. Howard Vogel and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

What’s in Your Backpack?

April 27th, 2022

Hiking is a great way to appreciate the beauty of nature, to get away from the stresses of daily life, and, of course, to challenge yourself physically. While you’re packing away your sunscreen and your first aid kit, do your body another favor—take a minute to include some lightweight, dental-friendly items.

  • Snacks

When you’re exerting yourself, snacks that provide quick energy on the go are a must. Granola, trail mix, energy bars, candy, dried fruit—these are the foods we think of as trail food, and we generally get that quick energy boost from the sugars and starches they contain. As it happens, Dr. David Shipper and Dr. Howard Vogel and our team strongly recommend you pick snack options other than sugary and starchy foods. Why? Because many sugars and starches provide oral bacteria the food they need to produce acids. These acids weaken enamel and damage our teeth. And these common trail foods often have the added “bonus” of sticking to the teeth, leaving acids even more opportunity to attack. Don’t give up the energy boost you need for a safe hike, but do yourself and your teeth a favor and look for the healthiest granola, energy bars, and gorp out there.

Other suggestions for trail treats that are also a treat for teeth? If you need a chocolate pick-me-up, try dark chocolate. Dark chocolate has more caffeine that milk chocolate and less sugar. (It has other health benefits as well that you might want to look up after your hike.) If you like nuts and seeds, take softer nuts, or sliced nuts—a good source of energy and not likely to provide as much stress on your teeth when you’re in the field. (Shell them beforehand—don’t ever use your teeth as a nutcracker!) Similarly, if you take seeds, leave the shells at home. If you like crackers, try whole grains. Looking for protein? How about a tuna pouch instead of chewy beef jerky?

  • Hydrate

Water is always the go-to beverage. Pre-hydrate even before setting out, and have plenty on hand for your trek. Many hiking sources suggest two cups of fluids per hour of activity. (And in hot or humid weather or at high altitudes, you could need even more.) There are actually hiking water calculators online, which can give you a good estimate on how much you’ll need for your trip, taking into account your age, weight, level of activity, and other factors. Because water can get heavy, plan a lengthy hike around the availability of fountains or other clean water sources if necessary.

What if you feel the need for more than water? If you are getting a good workout, you’re probably losing electrolytes. Generally, sports drinks aren’t on the dental menu. They tend to be loaded with sugar and carbs—good for energy, bad for teeth. Sports drinks can be as acidic and hard on your enamel as sodas. But if you need those electrolytes on a long hike, don’t feel guilty. There are many options—choose the healthiest one for you and your workout level.

  • Be prepared!

While you are probably already packing a mini-first aid kit for long hikes, think about a lightweight dental emergency kit as well. These are readily available online and in outdoors stores, and usually contain supplies like cotton balls, dental floss, oral pain relievers, even temporary fillings, in a lightweight bag.

And once your hike is done? Rehydrate, and don’t forget to treat your teeth to a good brushing and flossing when you get home.

Got all that? Great! Now, go take a hike!

Caring for Your Night Guard

April 20th, 2022

You might have experienced painful morning headaches. Or have a partner or housemate who begged you to please keep those grinding noises down at night. Or perhaps you were unhappily surprised to find that your teeth had mysteriously become worn, loose, or cracked.

So you made an appointment at our New York, NY office. And you learned that you needed a night guard designed to protect your teeth from the damage done by night time bruxism—that grinding and clenching which is hard on enamel, bad for teeth, and painful for jaws. Good work!

Your night guard prevents your teeth from making contact, saving teeth and enamel from injury. It distributes the pressure placed on your teeth, muscles, and bones when your jaws clench through the night. Bonus: it can reduce nocturnal noises caused by grinding.

Guards are available over-the-counter in general sizes, or a custom night guard can be created for you by Dr. David Shipper and Dr. Howard Vogel. Custom guards are uniquely fitted to your teeth and jaw, and last longer than over-the-counter models. Whichever kind of appliance you choose, daily care is a must for a long and healthy partnership.

To make sure you get the best and longest use from your night guard, there are some easy steps to keep it in top shape when it’s off-duty.

  • Keep It Clean

Plaque and bacteria can build up on your night guard just as they can on your tooth enamel. Rinse your guard in the morning and brush it gently. Ask Dr. David Shipper and Dr. Howard Vogel about using toothpaste, because toothpastes, especially abrasive toothpastes, can scratch your appliance. And don’t forget to clean your case!

Every week, or as directed, your night guard will benefit from a more serious cleaning. Follow the instructions for your appliance, whether it’s using cleaning tablets, a soaking solution, or another recommended cleanser. Your dentist can suggest how, how long, and how often to treat your night guard to a deep cleaning, because using the wrong products or cleaning methods can damage it.

  • Keep It Dry

Putting a damp night guard into a closed case, even a ventilated one, provides an ideal setting for bacteria growth. Before you put your guard away, give it time to air-dry on a clean surface.

  • Keep It Safe

Once your guard is clean and dry, make sure it keeps its shape and stays intact by keeping it in its clean, dry case when you’re not using it. Night guards and their cases are no fans of sun, extreme heat, very hot water, or (gulp!) dishwashers. A misshapen, melted, or broken night guard should not be used. If your night guard is damaged, it’s time to call us.

Spending just a moment or two each day caring for your night guard will result in a long-lasting appliance and many hours of healthy and comfortable sleep. Your night guard is protecting you. Be sure to return the favor for a long and healthy dental partnership.

Five Reasons for Your Bad Breath

April 13th, 2022

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

  1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
  2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
  3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
  4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
  5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. David Shipper and Dr. Howard Vogel to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. David Shipper and Dr. Howard Vogel at our New York, NY office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

In the Pink

April 6th, 2022

Our gums cover and protect the sensitive roots of our teeth and the bone around them. While we often think of gum tissue as a rosy shade of pink, that’s not a hard and fast rule. Just as skin tones vary, gum color can vary from person to person.

Healthy gums can range from light pink to darker pink to hues of brown or black. Because your gums are a good indicator of your oral health, what’s important isn’t your normal gum color, it’s noticing any changes in your normal gum color. These changes could be symptomatic of several different dental and medical conditions.

Pale Gums

  • Anemia

If the overall appearance of your gums is paler than usual, anemia is a prime suspect. Anemia is a common condition caused by a low red blood cell count. Hemoglobin in red blood cells delivers the oxygen our tissues need to function properly, and without enough, we suffer symptoms like fatigue, weakness, pallor, faintness, and rapid heartbeat.

Anemia can be caused by an underlying medical condition, or can develop because of other issues, such as iron or vitamin deficiencies, pregnancy, ulcers, certain medications, or heavy menstrual periods. If you have any of the symptoms of anemia, seeing your doctor for a blood test is a good idea.

  • Teeth Whitening

Occasionally, gums can also lighten up after a tooth whitening procedure. This is due to tissue irritation caused by the bleaching chemicals. Usually this condition is very temporary.

Ask Dr. David Shipper and Dr. Howard Vogel for advice if you experience irritation after home treatments. Having your teeth whitened by a dental professional is one way to make sure your gums get the best protection possible during the process.

Red Gums

  • Inflammation

Red gums are a common symptom of gingivitis (early gum disease). Plaque and tartar irritate your gums, and gum tissue reacts to this irritation by becoming inflamed. Left untreated, gingivitis becomes periodontitis (serious gum disease), which can destroy the bone around the tooth and lead to tooth loss.

If you notice signs of gingivitis—redness, swelling, bleeding, bad breath—talk to Dr. David Shipper and Dr. Howard Vogel. Often, gingivitis is easily remedied in the early stages by better attention to dental hygiene. Brushing for two minutes at least twice each day and flossing at least once a day are a good base line for keeping gum disease at bay.

  • Infection

Redness can also be caused by infection. If you’re experiencing redness, pain, loose teeth, swelling, pus, or fever, it’s important to see Dr. David Shipper and Dr. Howard Vogel as soon as possible in case you have an abscess or infected dental cyst. Without treatment, infection can seriously damage gum tissue, teeth, and underlying bone.

  • Over-Vigorous Brushing

Brushing too hard or using the wrong brush can cause gum irritation. Do your gums (and teeth!) a favor by using proper brushing technique—massage, don’t scrub—and always use a soft-bristled brush.

Spots of Discoloration

Sometimes you notice a patch of lighter or darker tissue that you haven’t seen before. A spot that is different from the gum tissue around it can be harmless or need further attention.

Contact our New York, NY office if you have any recent discoloration, sores, pain, lumps, or any differences in appearance or sensation in your mouth. There are several types of oral cancer and prompt diagnosis and treatment is important to prevent the spread of cancerous cells.

You know your smile better than anyone. Any time you see a change in the usual appearance of your gums, it’s important to see Dr. David Shipper and Dr. Howard Vogel. Treating gum problems before they become serious is one of the best ways to keep yourself—and your smile—in the pink of health!

Is dairy crucial to my child's oral health?

March 30th, 2022

Healthy eating, combined with regular physical activity, plays a vital role in your child’s health and well-being. Dairy foods are naturally nutritious, packed with ten essential nutrients that help your child feel good for life. But did you know that dairy is also great for your child’s dental health? Our team at Central Park West Dental will tell you that, in addition to providing large amounts of much-needed calcium, dairy products also help fight cavities! Dairy products have a specific role to play in dental health as they contain a unique combination of special anti-decay nutrients such as calcium, phosphorus, and the protein, casein. Cheese is especially useful, as eating a small piece of cheese after consuming sugary foods or drinks can help protect teeth and reduce the risk of tooth decay.

If you’d like to know more about the importance of dairy products in your child’s diet, or about any aspect of your child’s dental health, feel free to ask Dr. David Shipper and Dr. Howard Vogel at your next appointment!

Xerostomia: Big Word, Common Problem

March 23rd, 2022

Xerostomia might sound like a serious and rare condition, but it’s more common than you think. If you’ve been feeling like your mouth is constantly dry, you may already be having your first encounter with it.

Xerostomia refers to when you have a dry mouth due to absent or reduced saliva flow. Now you might assume this is not a big deal, but a lack of saliva can threaten your dental health or worse, because it can be a sign of a bigger overall problem.

Some of the more common symptoms to watch for are a sore throat, difficulty swallowing, a burning sensation on the tongue, and of course, a significant lack of saliva. Because xerostomia entails a reduction in saliva, you have less of a buffer between your teeth and the food you eat, which makes you more vulnerable to cavities and tooth decay. It also means that food is more likely to get stuck in your mouth.

So what causes xerostomia? There can be many different culprits. One of the most common causes involves medication. If you’re taking antidepressants, muscle relaxers, anti-diarrhea medicine, anti-anxiety medicine, or antihistamines, this could be the reason for your xerostomia.

Dry mouth may also be a warning sign for other health issues. These can include lupus, diabetes, thyroid disease, arthritis, or hypertension. Patients that receive any kind of chemotherapy might also experience xerostomia as a side effect of their treatment.

If you’re experiencing symptoms of dry mouth, there are several things you can do:

  • This may seem obvious, but you should drink generous amounts of water. If you’re taking any of the medications known to cause xerostomia, a glass of water before and after administering the medication could be helpful.
  • Avoid heavily caffeinated drinks, since they will dehydrate you further.
  • Opt for a mouthwash that contains little to no alcohol.
  • Consume excessively sugary or acidic foods in moderation, if at all.
  • Try adding a humidifier to your room while you sleep, to add moisture to the air you’ll be breathing.

As always, stay on top of your brushing and flossing routines, and if you feel you might be suffering from xerostomia, please let Dr. David Shipper and Dr. Howard Vogel know during your next visit to our New York, NY office. We’re happy to recommend products we’ve found to be successful in treating xerostomia.

Suffer from tooth discoloration? Don’t panic!

March 16th, 2022

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

  • Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
  • Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
  • Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
  • Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
  • Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Dr. David Shipper and Dr. Howard Vogel can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our New York, NY office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.

Don’t Let Craze Lines Faze You

March 9th, 2022

You’re getting ready for a night out, or you’re checking to make sure you removed every bit of spinach after eating, or you’re practicing your best selfie smile . . . and suddenly, you see something alarming in the mirror—tiny cracks in your tooth enamel! Is this a dental emergency?

Almost always, the answer will be no.  Cracks like this are most likely “craze lines,” and craze lines are not serious cracks in your teeth. These diminutive flaws are shallow vertical cracks in the enamel which don’t go all the way through the tooth and don’t affect the tooth’s structural integrity. Like the crazing on a piece of glazed pottery, these tiny cracks are superficial, and the only reason for concern is cosmetic.

  • Cause for Crazing?

Time and normal wear on our enamel are the most common culprits. Years of biting and chewing are stressful.

But you can help prevent additional craze lines by avoiding bad habits which can put external stress on your teeth: nail biting, knocking on teeth with oral jewelry, crunching down on ice cubes, using your teeth to open bottle caps—in fact, using teeth for anything other than chewing food.

Grinding your teeth is also hard on your enamel. If you suffer with bruxism (the medical term for tooth grinding), ask Dr. David Shipper and Dr. Howard Vogel about a mouthguard or night guard. Eliminating the extra stress of unconscious grinding and clenching reduces the chances of craze lines. Even better, getting treated for bruxism can reduce the risk of serious pain and damage to your teeth and jaws.

  • Staining Can Make Craze Lines More Visible

Craze lines are often invisible unless the light is just right. However, you can make craze lines more noticeable if you drink coffee, tea, red wine, or dark sodas regularly. And if you need another reason to give up tobacco products, smoking, chewing, or any other use of tobacco can also darken craze lines.

Stains in craze lines don’t usually respond to brushing. You might be able to lighten stains with home or professional whitening. Ask Dr. David Shipper and Dr. Howard Vogel for the options which are best for your staining.

  • Repairing Craze Lines

Don’t let tiny flaws keep you from smiling! If you are unhappy with the appearance of your enamel, talk to us about possible treatments, including bonding and porcelain veneers.

  • When It’s More Than a Craze Line

While a craze line is generally nothing to be concerned about, a deep line, or a line which is getting bigger, might suggest a crack in the tooth. Cracks need to be assessed and treated to avoid damage not only to the exterior of the tooth, but to the pulp of the interior as well.

How can you tell the difference? Craze lines are not painful; a cracked tooth might be. Sensitivity to hot and cold foods, painful chewing, gums swollen around a tooth, pain when you bite down, a crack that is getting larger—any of these symptoms could be a sign that you have a cracked tooth. These are reasons to visit our New York, NY dental office ASAP.

Craze lines might be medically harmless, but if they impact your confidence, that’s a problem. Our team can help you change habits that are causing craze lines, remove staining, or repair cosmetic damage. If you’re not crazy about those craze lines, ask us for solutions that will bring back your confidant smile.

Make Your Smile Dazzling For Your Wedding!

March 2nd, 2022

Planning a wedding can be a highly stressful time. Dr. David Shipper and Dr. Howard Vogel and our team want to support you in this process by helping you achieve a beautiful, bright smile. Wedding days entail a lot of photographs that will last a lifetime. We know how crucial it can be that you have a smile that makes you feel confident throughout this memorable day.

Whether you’re the bride or groom, a member of the wedding party, or just a guest, a teeth-whitening treatment from Dr. David Shipper and Dr. Howard Vogel can give you extra confidence. Even when you’ve made the proper effort to keep up your oral health routine, staining still can appear on your teeth from foods and beverages over time. You can do several things to make sure your smile is in top shape before a wedding.

Our in-office whitening treatment is a good option if you’re looking for an investment that can last. If you’ve tried whitening kits on your own, you may have noticed they have to be used frequently to maintain the bright smile you desire.

Professional whitening treatments done by Central Park West Dental are quite comfortable and have long-lasting effects. You can also use whitening toothpaste and mouthwash to keep your teeth bright between in-office whitening treatments.

Our staff can also provide helpful advice on how to avoid staining between your whitening treatment and the big day. If you’re concerned that you may have to hold back your smile on your wedding day or some other pending event, contact our New York, NY office and ask about our whitening treatment options.

Let’s Talk About Fluoride

February 23rd, 2022

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Dr. David Shipper and Dr. Howard Vogel and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our New York, NY office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

Road Trip!

February 16th, 2022

The bags are packed, the trunk is loaded, the route is programmed into your GPS, the playlist is set, and your destination awaits! Sometimes there’s just nothing more appealing than a road trip. So, to make your trip even more enjoyable, here are some dental tips to help keep you feeling clean and fresh over the long haul.

  • Fuel Up

If you’re bringing some road snacks, be sure to include a few that will help clean teeth and freshen breath. Packing a supply of bottled water helps you stay hydrated, washes away food particles, and eliminates the bad breath caused by dehydration. Carrots and apples are not only nutritious and tasty, they apply a bit of gentle scrubbing action to your enamel as you chew. Traditional travel favorites like granola bars, beef jerky, and chips tend to stick to the teeth and provide cavity-causing bacteria a leisurely feast, so enjoy them in moderation. (If you’re driving, save the snacks for a rest stop—not only is eating while driving prohibited in some areas, it’s a distraction you don’t need on the highway.)

  • Roadside Diners

The occasional sticky, sweet, or chewy indulgence is fine at home, but when you have hours in the car ahead of you, you might want to turn down the pecan pie, the giant pretzels, and the roadside sea salt caramels. Again, cavity-causing bacteria love sugars and simple carbs, and food that finds its way into tooth crevices finds its way onto their menu. And, it goes without saying, passing up garlic, onions, and spicy foods will help your mouth feel fresher longer—and make your travel companions happier.

  • Car Wash

Bring a travel-sized toothbrush and tube of toothpaste with you for a quick cleaning when you stop for a break. A ventilated case will keep your brush dry (bacteria like damp conditions) and away from questionable surfaces. Disposable mini-travel brushes are available that come with a bead of cleaner pre-loaded and ready to use—you don’t even need water for a cleaner mouth and fresher breath. Food particles do not make good travel buddies so don’t forget dental picks or floss. And if you can’t brush right away, try a rinse with water or chew a piece of sugarless gum. Sugar free gum can help stimulate saliva production, which is a good way to wash away food particles and neutralize acids in the mouth.

  • Roadside Repair

Even with the best preparation, accidents can happen. That’s why you have a spare tire and a lug wrench in your trunk. It pays to be prepared for a dental emergency on the road as well. There are dental travel kits available in stores and online, or create one for yourself. Along with your first aid kit, pack dental picks, antimicrobial wipes, sterile gauze, a mirror, and any other supplies you think might come in handy. If you wear braces or a retainer, be sure to include dental wax in case of an uncooperative wire, and a case to protect and keep track of your retainer. And it’s a good idea to keep our New York, NY office’s number on hand in case of emergency.

It’s a big country, and cruising the streets and highways is a wonderful way to explore it! But if you’re having any dental problems, be sure to see your dentist before taking off—after all your preparation, you don’t need a dental emergency to ruin your trip. Then, pack your bags, load your trunk, set your GPS, pick a playlist with something for everyone, and get ready to enjoy happy travels and healthy smiles!

What is an Impacted Tooth?

February 2nd, 2022

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

You broke your tooth; now what?

January 19th, 2022

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. David Shipper and Dr. Howard Vogel after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Central Park West Dental will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

Tips for Lifelong Teeth Whitening

January 12th, 2022

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.

Get Regular Treatments

Regular treatments at Central Park West Dental are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.

The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.

In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:

  • Floss every day
  • Visit our New York, NY office every six months
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

 

Tooth Protection and Winter Sports

January 5th, 2022

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

  • Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

  • Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

  • Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

  • Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

  • Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
  • The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
  • Custom mouthguards can be fabricated just for you through our New York, NY office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

Resolving to Eat Better in the New Year

December 29th, 2021

It’s a new year, and a resolution found on many lists is learning to be more mindful about healthy food choices. You might have set some of these goals yourself. Gaining, losing, or maintaining your current weight. More fruits and veggies. Better proteins. Less sugar. Fewer carbs. You want to make this new year your healthiest year yet.

And while you’re making your new and improved shopping list, don’t forget your oral health! Because while brushing and flossing are extremely important, your diet can also have very real benefits for your teeth and gums.

Stronger Teeth and Jaws

We often talk about teeth and bones together, and that’s natural. Calcium and phosphorus, as well as other minerals, make them the strongest parts of our bodies. When teeth lose mineral strength, they are more vulnerable to cavities, and bone loss in the jaw can cause loose or even lost teeth.

Making sure you get the recommended daily amount of the minerals and vitamins you need will help sustain and repair both teeth and bones. A diet rich in calcium, phosphorus, and vitamin D helps build strong bones and promotes bone density. While your teeth can’t create new enamel, minerals that are eroded by acids from plaque and acidic foods can be restored, or remineralized, with the calcium and phosphates in saliva.

  • Calcium

Strong teeth and bones need calcium. More than 99% of the calcium in our bodies is located in our teeth and bones. How to make sure we get enough?

Dairy products are the traditional answer. Several servings of milk, cheese, or yogurt each day supply most of our needs. If you can’t eat dairy, though, calcium is also found in other foods, such as salmon, sardines, many dark leafy vegetables, and fortified juices, tofu, and cereals.

  • Phosphorus

Calcium gets most of the attention when it comes to creating strong teeth and bones, but it’s not a solo act. We need phosphorus to make full use of the calcium in our diets.

Proteins like meat, fish, and poultry are good sources of phosphorus, as are beans, nuts, whole grains and dairy.

  • Vitamin D

Vitamin D is a diet essential because it enables us to absorb the calcium and phosphorus that keep teeth and bones strong.

Most dairy and many other foods are fortified with vitamin D, such as cow’s milk, soymilk, orange juice, and cereals. Egg yolks and fatty fish, such as salmon, tuna, and herring, are also a rich natural source of the vitamin.

Healthy Gums

Gum disease is more than just a nuisance. Left untreated, gingivitis (early gum disease) can become periodontitis (serious gum disease). Periodontitis can cause infection, loose teeth, and tooth and bone loss.

Brushing and flossing promote gum health and help prevent gum disease, but your diet plays an important role, too.  

  • Vitamin A

Vitamin A is essential for the health and healing of mucous membranes, including gum tissue and the soft membranes in the mouth.

You can get this vitamin directly from animal products such as dairy foods and meats, or it can be formed in the body from beta-carotenes. Think orange when you hit the produce aisle, because foods such as carrots, peppers, pumpkin, squash, and sweet potatoes are a rich source of beta-carotenes.

  • Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are the nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is vital for healthy gums and soft tissue—in fact, one sign that your diet is deficient in vitamin C is inflamed and bleeding gums.

Citrus fruits, those oranges, lemons, limes, grapefruit, and all their cousins, are a wonderful source of vitamin C, but you have many other flavorful options. Fruits such as kiwis, mangos, papayas, and strawberries are rich in vitamin C. Step over to the vegetable aisle to load up on red peppers, kale, cauliflower, Brussels sprouts, and broccoli—all of which contain more vitamin C per serving than a medium orange!

Fewer Cavities

Plaque thrives on a diet of sugar. Oral bacteria in plaque use the sugars in our food to produce acids. These acids erode enamel and eventually lead to cavities. Limiting your sugar consumption and choosing complex carbohydrates over simple carbs are two ways to reduce your risk of cavities.

  • Sugars

The usual suspects—candies, desserts, pastries, sodas—are sugar-filled items you’re familiar with. What might surprise you is the amount of sugar in sports drinks, fruit juices, flavored yogurts, breakfast cereals, and other standard grocery purchases. Checking labels for sugar content is a great way to cut down on unexpected sweeteners.

  • Carbs

The refined starches in white bread, white rice, potato chips, and other simpler carbohydrates quickly break down into sugars. This is the kind of nutrition only plaque appreciates.

Instead, fill your cart with complex carbohydrates, which contain important vitamins, minerals, and fiber. Found in foods like whole-grain breads and cereals, legumes, and many vegetables, complex carbs break down slowly for longer-lasting energy.

Of course, these suggestions don’t cover everything on your healthy dental shopping list. We could add magnesium for bone density, vitamin B to prevent oral irritation and inflammation, vitamin K for bone strength, and more. To find out the best options for your healthiest smile, talk to Dr. David Shipper and Dr. Howard Vogel or a member of our New York, NY team about ideas for improving your daily diet.

Because besides leading to stronger teeth, healthier gums, and fewer cavities, a careful and conscious approach to your food choices has another wonderful benefit—a healthy dental diet is healthy for the rest of your body as well. Just something to be mindful of as we greet the new year!

Natural Ways to Soothe a Toothache

December 22nd, 2021

Toothaches can come in many different forms, but no matter which, they’re always uncomfortable. Dr. David Shipper and Dr. Howard Vogel and our team want you to know there are simple ways to cure this common problem.

Toothaches can be caused by infections, gum diseases, teeth grinding, trauma, or having an abnormal bite. Several symptoms may become noticeable when you start to experience a toothache. You might develop a fever, have trouble swallowing, notice an unpleasant discharge, and most often feel lasting pain when you bite down.

If you begin to notice any of these symptoms, try to manage the pain with the simple remedies below. If the pain continues, contact our New York, NY office and schedule an appointment, because a bigger issue might be involved.

  1. First, try rinsing your mouth out with warm salt water. This helps to disinfect your mouth and may soothe the region where the toothache is occurring. Hydrogen peroxide can also help if you swish it around in your mouth.
  2. Applying a cold compress or ice pack to your jaw in area that hurts can help with swelling.
  3. Make sure to floss your entire mouth thoroughly. The problem could be caused by food debris stuck between your teeth.
  4. Certain essential oils possess pain-relieving qualities, including clove, nutmeg, eucalyptus, or peppermint oil. Use a cotton swab and dilute one of these oils, then apply it to the problem tooth and/or gum area. Repeat the process as needed. This can also be done with apple cider vinegar.
  5. Similar to essential oils, peppermint tea can soothe and slightly numb the area. Swish it around in your mouth once it has cooled off for temporary relief.
  6. You may also soothe a toothache by eating Greek yogurt. You might be surprised to know that yogurt contains healthy bacteria that can help fight against pain.
  7. Crushed garlic can be rubbed on the aching area to help relieve pain. Garlic contains allicin, which slows bacterial activity. The application may burn at first but it has been known to help treat inflammation.

When it comes to preventing toothaches, you can take various measures. Always make sure you brush and floss every day, though. If you schedule regular oral examinations by Dr. David Shipper and Dr. Howard Vogel, you will decrease infections that may cause toothache from spreading.

If you’ve tried the methods listed above and your toothache hasn’t gone away, call our New York, NY office and we can schedule an appointment to figure out the cause of the problem and provide a solution.

Chipped Your Tooth? Now What?

December 15th, 2021

Accidents happen. Next time you’ll wear your mouthguard when you skateboard, never use your teeth to open anything, and carefully step away from your grandmother’s hard candy dish. But what to do now for your chipped tooth?

First of all, call Central Park West Dental. Dr. David Shipper and Dr. Howard Vogel and our team can offer tips on dealing with any pain and how to avoid injuring your tooth further. Make an appointment to see us as soon as possible, where one of the following options might be the best treatment for you:

  • Bonding

If the chip is small, you might be a good candidate for bonding. A tooth-colored resin is applied to the damaged area with adhesive, molded to shape, and then hardened with a curing light. It is then polished and, if necessary, further shaped to match your surrounding teeth.

  • Porcelain Veneer

A veneer is a thin shell of porcelain individually molded for your tooth. If the chip is too large for bonding, or if you would like a more translucent finish, a veneer might be appropriate. During your first appointment, some of the tooth structure will be gently removed to accommodate the size of the veneer. A mold will be taken and sent to a lab for the creation of the veneer, which will be bonded to your tooth on a later visit. Whether a veneer will be successful depends on several variables, such as the condition of the tooth and enamel, your bite, and whether you grind your teeth. We will take all these factors into consideration in discussing possible treatments.

  • Crown

A large chip or pain when eating or drinking might mean that you need a crown. This “cap” will protect your tooth from the pressures of chewing as well as restoring its appearance. On your first visit, some of the tooth structure will probably be removed to make room for the crown, impressions will be taken for the dental lab to make a permanent crown, and a temporary model will be fitted to your tooth. In a following visit the permanent crown will be adhered to your tooth.

If the crack has extended to the pulp of the tooth, you might need a root canal. If this is necessary, we will discuss the procedure during our exam.

No matter the size of the chip, it is important to contact our New York, NY office immediately to help avoid infection and prevent further damage. If your tooth is broken below the gumline or otherwise seriously compromised, more intensive care will be necessary. But when a minor accident happens, prompt treatment can quickly restore your smile to health.

What NOT to Eat after Wisdom Teeth Extraction

December 8th, 2021

Now that you’re having your wisdom teeth removed at our New York, NY office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

  • Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

  • Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

  • Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

  • Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

  • Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Dr. David Shipper and Dr. Howard Vogel about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

  • Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!

Is Charcoal Teeth Whitening Safe?

December 1st, 2021

Health and beauty trends surface on the web every day, and it can be difficult to tell which ones are worth your time, or even safe, for that matter. Perhaps one of the biggest dental trends recently on Facebook, YouTube, and Instagram has been teeth whitening through brushing with activated charcoal.

Unfortunately, charcoal whitening isn’t everything the Internet makes it out to be. Activated charcoal isn’t what you use to grill at a summer barbecue; it’s an oxidized substance made from peat, coal, wood, coconut shell or petroleum heated with a gas.

Toxins and surface stains can cling to charcoal due to its adhesive qualities, which is why some people declare it’s perfect for removing discoloration on teeth. Although it may show quick results initially, charcoal is nothing more than a temporary solution.

The abrasive texture may roughen up enamel, which will make it easier for future stains to stick to the surface of your teeth. They may show stains shortly after you use charcoal on them, and may become even more discolored than before.

It’s crucial to emphasize the results of damaged tooth enamel because it cannot replenish itself, which means any damage is permanent. People with receding gums or sensitive teeth especially should steer clear of charcoal because it can make brushing too harsh and worsen sensitivity.

Long-time use can deplete enamel, which over time exposes dentin: the soft, yellowish layer in the tooth. This puts you at a higher risk for cavities, tooth discoloration, and complicated dental problems such as periodontal disease in the future.

The American Dental Association does not approve of charcoal as a safe means for whitening teeth. If you do choose to use it, do so with caution.

Charcoal should be used once every other week at the most, even if your teeth feel fine. The only proven ways to whiten teeth safely are with ADA-approved whitening products or in-office bleaching treatments overseen by a dental professional.

Before you begin any whitening treatment at home, consult with Dr. David Shipper and Dr. Howard Vogel to make sure your teeth won’t be harmed in the process. If you are already experiencing sensitivity, stop charcoal use immediately and make an appointment with our office right away.

If you have questions about whitening or want to schedule an in-office whitening treatment, feel free to give our New York, NY office a call today!

Take Your Pick!

November 24th, 2021

Before electric toothbrushes, before dental floss, before fluoride rinses, in fact, before recorded history, people who cared about their dental health had one primary tool—the toothpick. Ancient bronze toothpicks, bejeweled Renaissance picks, and the more humble modern wooden picks have been instrumental in promoting dental hygiene for centuries.

And, while that clean, simple design is still a good one, modern technology has found a way to build an even better toothpick. Today’s interdental picks not only dislodge food particles effectively, but now gum stimulation, cleaner orthodontic appliances, and fresher breath are available literally at our fingertips. Most important, these picks are just as effective as floss for removing plaque.

  • Wood? Still Good!

Today’s softer wooden picks come in several shapes designed to fit comfortably and snugly between the teeth. Using a gentle in-and-out motion, you can clean between your teeth as you remove plaque from the tooth surface. But that’s not the only benefit! As you move the wide end of the pick up and down between teeth and gums, you are actually stimulating your gum tissue as well.  They even come with mint flavoring to refresh your mouth as you clean. And, of course, wood and bamboo picks are biodegradable.

  • Plastic? Fantastic!

If you’d like something a little more yielding than wooden dental picks, you have options. Soft dental picks are available that use rubber “bristles” on a plastic stem to gently ease their way between teeth. The heads are available in different diameters to accommodate tight or wide spacing between the teeth. Straight or curved stems provide the accessibility you need. If you have latex allergies, be sure to choose a rubber product that is latex-free.

  • Interproximal Brushes? Here’s What the Buzz Is

You might have missed these miniature brushes in the dental care aisle, but they are worth looking for. Interproximal brushes have small cone-shaped heads with nylon bristles for cleaning food particles and plaque from between the teeth. They are good for more than one use, and some are available with angled or bendable handles for hard-to-reach spots. They come in different diameters, from wide to extremely fine, to suit the spacing of your teeth. Interdental brushes are especially useful for braces wearers, who can use these clever tools to clean tight, tricky areas under wires and around brackets.

Even though bronze, bejeweled, or golden toothpicks aren’t available in the dental aisle of the local drugstore, increased efficiency and function are well worth the trade-off. If for any reason you have trouble flossing, or if you like the idea of massaging your gums as you clean your teeth, or if you wear braces, or if you want a burst of mint flavor—for any number of reasons today’s dental picks are worth a try. Talk to Dr. David Shipper and Dr. Howard Vogel at your next visit to our New York, NY office, and we’ll be happy to give you some recommendations. 

Building Blocks for a Healthy Grown-Up Smile

November 17th, 2021

Even before a baby is born, those tiny baby teeth are already forming. Expectant mothers can help ensure that their children’s baby teeth will be strong and healthy by getting the recommended amounts of proteins, vitamins, and minerals in their prenatal diets.

But a mother can’t “eat for two” to make sure her child’s adult teeth are healthy—children’s permanent teeth begin real growth and development only after birth. What can we do to encourage strong permanent teeth as our children grow and develop? Here are four important building blocks parents can use to lay a healthy foundation for their children’s grown-up smiles.

Serve a Tooth-Healthy Diet

The same vitamins and minerals that help create baby teeth are essential for creating healthy adult teeth. Tooth enamel, the hardest substance in the body, is almost completely made up of calcium phosphate minerals.  A diet which provides the recommended amounts of calcium and phosphorus helps your child’s body grow strong enamel. And don’t forget vitamin D, which our bodies need to absorb calcium and phosphorus.

A tooth-healthy diet should include several servings of foods which provide calcium, such as dairy products (milk, yogurt, cheese), dark leafy vegetables, and fortified juices, cereals and tofu. Phosphorus can be found in proteins like meat, fish, and poultry, as well as beans, nuts, dairy, and whole grains. Egg yolks and fatty fish are natural sources of vitamin D, and it’s easily available in fortified foods such as cow’s milk, soy milk, cereals, and orange juice.

Use the Right Amount of Fluoride

Fluoride is called “Nature’s cavity fighter” for a reason. Fluoride reduces the risk of cavities and helps strengthen tooth enamel. Dr. David Shipper and Dr. Howard Vogel can offer invaluable advice on when to start and how to use fluoride toothpaste to protect your child’s baby teeth and developing adult teeth.

Can there be too much of this good thing? While fluoride is a safe and effective way to protect teeth in normal, recommended amounts, too much fluoride can lead to fluorosis. This condition can cause cosmetic changes in the enamel of permanent teeth, from almost invisible lighter spots to darker spots and streaking.

How to make sure your child gets the right amount of fluoride?

For children under the age of three, use a dab of toothpaste no larger than a grain of rice. Ask Dr. David Shipper and Dr. Howard Vogel if fluoride toothpaste is recommended.

Young children can’t always understand the idea of spitting and rinsing after brushing, so children between the ages of three and six should use only a pea-sized dab of fluoride toothpaste, and need you there to make sure they spit and rinse afterward.

Ask us about local water fluoride levels if you have any concerns about using tap water for drinking or for mixing formula, keep fluoride toothpastes and other products out of the reach of children, monitor your children while they brush, and always check with us before giving your child a fluoride rinse or supplement.

Help Your Child Retire Harmful Thumb Sucking and Pacifier Habits

Your child might self-comfort with the help of a pacifier or thumb sucking, which can be a valuable soothing habit. But it’s important to talk to Dr. David Shipper and Dr. Howard Vogel to see just how long this soothing habit should last. Around the age of four, aggressive thumb or pacifier sucking can lead to problems for permanent teeth.

Vigorous sucking can cause protruding upper front teeth. Aggressive sucking can lead to changes in the shape of your child’s palate and jaw. Open bite malocclusions, where the upper and lower teeth are unable to meet, and overbites, where the upper teeth overlap the lower teeth more than they should, can also be the result of lengthy and forceful thumb sucking.

Take Care of Baby Teeth

Baby teeth are important! They bite and chew food, and they work with the tongue to help your child learn to pronounce words properly. And there’s one more important reason to make sure primary teeth stay healthy: they serve as the place holders which guide permanent teeth into their proper spots.

When a baby tooth is lost too early, due to decay or injury, the teeth on either side can drift into the empty space, preventing a permanent tooth from erupting where it needs to. Any misalignment or crowding which results may require orthodontic treatment in the future.

Call our New York, NY office if your child unexpectedly loses a baby tooth. There may be no cause for concern, or, if there’s a potential problem, an appliance called a “space maintainer,” which keeps the baby teeth from shifting out of place, can be fabricated especially for your child.

Your child’s adult teeth are being formed now. Work with us to make sure the building blocks of present and future dental health are in place. You’re giving your child the foundation for a lifetime of beautiful, grown-up smiles!

Brushing Tips for Kids

November 10th, 2021

You’re all set for your happy morning and nighttime ritual. You’ve provided your son with his favorite action hero toothbrush and your daughter with her favorite flavored toothpaste. You’ve gotten them into the healthy habit of two minutes of brushing twice each day. You’ve introduced them to flossing. You have favorite brushing songs! Stickers! Gold stars! And, best of all, you’re teaching great brushing techniques.

Kids need the same basic brushing tools and skills as adults. What makes for the best cleaning?

Find the right brush

No matter how cute—or heroic—the brush, it needs to have soft bristles to protect enamel and delicate gum tissue. The head should be a perfect fit for your child’s mouth. And if the handle is easy to grip and hold, you have a winner.

Find the right toothpaste

The bubblegum flavor might appeal to your child, but it’s the fluoride that helps to prevent cavities. Talk to us about the right time to start using fluoride toothpaste and the right amount for your child’s brush.

Teach your child the angles

If your child is too young to brush alone, start geometry lessons early. Holding the brush at a 45-degree angle toward the gums will clean bacteria and plaque from the tooth surface and the gum line. And don’t forget the chewing surfaces and the insides of the teeth. When your child begins brushing on her own, coach her as she learns the best way to clean all the surfaces of her teeth.

Easy does it

Teeth and gums should be massaged, not scrubbed. Brushing too hard can damage not only tender gum tissue, but even your child’s enamel.

Learn to let go

No matter how comfortable and appealing the brush, after three or four months, it’s time for a change. Frayed bristles don’t clean as effectively, and making up for it by brushing harder isn’t the answer (see above). Also, toothbrushes can build up quite a collection of bacteria over time (see below), so a fresh brush is a must!

Everything in its place

A toothbrush should dry thoroughly between uses without touching other brushes. Placing a brush in a plastic container doesn’t let it dry and encourages bacterial growth. And a toothbrush needs its own space—touching toothbrush heads means sharing toothbrush bacteria. The best way to keep toothbrushes as dry and as germ-free as possible is to store them upright, without touching other brushes, in a clean, well-ventilated area.

Rinse and repeat

Your child should rinse his toothbrush before and after using it, and be sure to rinse his mouth as well. That should get rid of any leftover food particles brushing has removed.

Finally, keep up the good work! As you teach your child proper brushing techniques, and make sure she uses them as she grows, you are preparing her for a lifetime of great checkups with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office. Give yourself a gold star—you’ve earned it!

Cold Comfort

November 3rd, 2021

The sounds of the season are filling the air—falling leaves rustling along the sidewalk, football cheers, holiday greetings—and the coughs and sneezes of your fellow sufferers. Yes, it’s cold and flu season, and you’re one of the unfortunate people who’s caught whatever it is that’s been going around. While you’re recuperating, here are some tips for looking after yourself and your dental health.

  • Keep Hydrated

Fevers, sweating, diarrhea, and vomiting can all lead to dehydration. You know how serious that can be for your overall health, but it also leads to problems for your oral health. Lowered saliva production puts you at an increased risk for cavities, since saliva washes away food particles and bacteria, neutralizes cavity-causing acids, and helps strengthen tooth enamel. In addition to the dehydration illness can cause, many over the counter medications leave your mouth dry as well. Be sure to drink fluids throughout your illness, and, as always, try to avoid sugary beverages and acidic drinks.

  • Keep Up Your Dental Hygiene

You may feel like you never want to get out of bed again, but it’s important to maintain your dental routine. Brushing and flossing are still necessary to protect your teeth and gums. And try gargling with warm saltwater or a mouth rinse. You’ll not only soothe a sore throat and help prevent the bad breath that sinus problems can cause, but you’ll also reduce oral bacteria and plaque.

  • Keep Away from Your Toothbrush after Vomiting

Even though cleaning your mouth and teeth might be the first thing you want do to after throwing up, wait at least half an hour before brushing your teeth. Cavities occur over time when tooth enamel is weakened by the acids oral bacteria produce. When you vomit, your teeth are exposed to much stronger stomach acids, and immediate brushing simply brushes these acids on to your enamel. One common recommendation is to mix a teaspoon of baking soda with a glass of water, swish it around your mouth, and spit it out. Or simply use a glass of plain water, and repeat if needed.

  • Keep Your Cough under Control

Here’s a tip your family, friends, co-workers, and fellow public transportation users will thank you for: If you are sick, stay home. If you do find yourself coughing while around others, cover your mouth. Cough into a tissue instead of your hands or the open air. If you don’t have a tissue available, cough into your upper sleeve.  And while you’re protecting others, protect your tooth enamel. Replace overly sweet cough syrups with tablets, and, if you are using cough drops, remember that sucking on a sugary cough drop is like sucking on candy. Look for the sugar-free variety and use only as directed.

  • Don’t Keep Your Toothbrush

Now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are low (unless you have a compromised immune system), but we often hang on to our toothbrushes long after their effective days are past. A toothbrush should only last around three to four months. If yours is older than that, this is a perfect opportunity to replace a brush that might be getting a bit long in the tooth with a fresh, germ-free model.

Above all, be good to yourself when you are ill. Drink healthy fluids, maintain your dental routine, and treat your teeth and your body with care. Here’s wishing you a speedy recovery, continuing dental health, and a season filled with beautiful smiles.

Cleaning Your Baby’s Teeth

October 27th, 2021

In the eyes of most parents, nothing is cuter than their baby’s smile. Did you know your little one’s smile (that is, his or her oral health) actually plays a huge role in determining the child’s overall well-being? In order to keep your youngster healthy and smiling, you need to know when and how to take care of those tiny teeth.

Baby teeth aren’t just temporaries that will fall out eventually. They help your baby chew and talk, and they reserve space in the jaw for permanent teeth later on. Since they’re so important, the right time to start dental care is only a few days after your infant is born.

Take a soft, wet washcloth or piece of gauze and gently wipe your baby’s gums. The earlier you begin, the more accustomed your child will become to a daily dental hygiene routine.

Babies that are put to bed with a bottle may be at greater risk for developing cavities. Milk, juice, and any other drinks that contain sugar instigate tooth decay while the child sleeps.

If your baby must go to bed with something, a bottle of water is the healthiest option. Remember to wipe your little one’s gums after each feeding, whether it’s formula from a bottle or breast milk.

As soon as your infant’s first tooth comes in, it’s time to start brushing! Twice a day, take a small amount of toothpaste (about the size of a grain of rice) and brush your son or daughter’s teeth gently in circular motions. As soon as your toddler has multiple teeth that touch one another, floss up and down the sides of the teeth to remove any plaque between them or below the gumline.

Babies’ teeth are prone to cavities and gingivitis, so you’ll want to be on the lookout for telltale signs. Check regularly for red, swollen gums, because this may be an indication of developing gum disease. Discoloration, white spots, or small pits in the teeth can signal a forming cavity.

As long as you follow these simple guidelines and schedule regular dental checkups with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office, you can help to ensure your baby has a healthy mouth. There is nothing more rewarding than seeing your happy baby’s healthy smile.

Fall’s in the Air? Think Fall Dental Care

October 6th, 2021

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Dr. David Shipper and Dr. Howard Vogel a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our New York, NY office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!

Dry Mouth and How to Treat It

September 29th, 2021

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

  • Avoid drinks that contain alcohol or caffeine
  • Avoid tobacco use, or lower your consumption of tobacco
  • Floss after every meal
  • Brush your teeth after every meal using a fluoride toothpaste
  • Avoid foods that have a high level of salt
  • Stay hydrated and drink water frequently
  • Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our New York, NY office a call or make sure to ask Dr. David Shipper and Dr. Howard Vogel during your next visit!

HPV and Oral Cancer

September 22nd, 2021

HPV, or human papillomavirus, is the most common sexually transmitted infection in the country. There are over 100 strains of HPV, and, while most of these infections leave our systems on their own with no long-term ill effects, some cancers have been linked to certain “high risk” strains of the virus. One of these strains, HPV16, increases the risk of oral cancer.

HPV-related oral cancer most often appears in the oropharynx. This area of the mouth includes:

  • The base, or back, of the tongue
  • The soft palate
  • The tonsils
  • The back and sides of the throat

While HPV-related oral cancers can appear in other parts of the oral cavity, they most typically occur at the back of the throat and tongue and near the folds of the tonsils. Because of this location, oropharyngeal cancer can be difficult to detect. This is one more important reason to maintain a regular schedule of dental exams. Our examination doesn’t focus only on your teeth and gums. We are trained to look for cancerous and pre-cancerous conditions in the mouth, head, and neck to make sure you have the earliest treatment options should they be needed.

If you discover any potential symptoms of oropharyngeal cancer, call us for a check-up. These symptoms can include:

  • Trouble moving the tongue
  • Trouble swallowing, speaking, or chewing
  • Trouble opening the mouth completely
  • A red or white patch on the tongue or the lining of the mouth
  • A lump in the throat, neck, or tongue
  • A persistent sore throat
  • Ear pain
  • Unexplained weight loss
  • Coughing up blood

Not every symptom is caused by cancer, but it is always best to be proactive. HPV-related oral cancer is rare, but it is on the increase. While HPV-positive oral cancers generally have a better prognosis than HPV-negative oral cancers, early diagnosis and treatment are still essential for the best possible outcome.

Finally, if you are a young adult or have an adolescent child, talk to Dr. David Shipper and Dr. Howard Vogel and to your doctor about the HPV vaccine, which is effective before exposure to the virus occurs. Most HPV vaccines, while not designed specifically to prevent oral cancer, prevent the HPV16 strain from infecting the body—the very same strain that causes the majority of HPV-related oral cancers.  Although no studies have shown definitive proof yet, there is strong feeling in the scientific community that these immunizations might protect against HPV-positive oral cancer as well as cervical, vaginal, and other cancers. It’s a discussion worth having at your next visit to our New York, NY office.

Is a Crown Necessary for My Child’s Baby Tooth?

September 15th, 2021

Part of the charm of your child’s smile is those delicate, diminutive baby teeth. We enjoy those smiles while we can, because soon enough, primary teeth make way for the adult teeth that will last your child a lifetime. So you might be surprised if Dr. David Shipper and Dr. Howard Vogel and our team recommend a crown for your child’s baby tooth. Is this procedure necessary when the tooth is going to fall out eventually anyway?

Yes, it really is. If a primary tooth is lost before its normal lifespan, several problems can arise.

  • Biting and chewing—a full set of baby teeth is best for proper chewing and digestion. And chewing also helps develop face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to replace it. If a primary tooth is lost too early, teeth may drift from their correct location and cause overcrowding or misalignment.

When is a Crown Necessary?

The enamel in a baby tooth is thinner than the enamel found in adult teeth, and a cavity can spread quickly throughout a tooth. Within a short period, the tooth’s structure might be too weak for a regular filling. Sometimes the pulp inside the tooth becomes injured or infected and an endodontic treatment is necessary to remove pulp tissue from inside the tooth. The interior will be filled, but the delicate enamel surrounding it will be fragile. Or an accident can leave a tooth fractured or broken, but still vital.

In each of these cases, a crown will protect the tooth from further decay or damage, and will allow the tooth to function normally until an adult tooth is ready to replace it.

What Types of Crowns are Available?

By far the most common choice for a primary tooth is a stainless steel crown. These crowns are prefabricated and can be fitted snugly to your child’s individual tooth. They are easy to place, less expensive than other crown alternatives, and will last until the tooth is ready to fall out in its proper time. If your child suffers from a metal allergy, or a more natural looking crown is necessary, talk to us about other possible options during your appointment at our New York, NY office.

Sure, preserving a baby tooth that was never designed to be permanent seems contradictory. But saving a tooth that helps your child develop proper eating habits, speech production, and correct adult tooth alignment? Those are benefits that will last a lifetime.

Your Options for Sedation Dentistry

September 8th, 2021

Fear of going to the dentist is more common than you may think. That’s why Dr. David Shipper and Dr. Howard Vogel and our team want to make your visit as relaxing as possible.

Your anxiety about pain or routine procedures doesn’t have to stop you from visiting our New York, NY office; we offer various types of sedation to remove the pain and stress from your dental procedure.

Nitrous Oxide Sedation

Nitrous oxide combined with local anesthetics ensures both pain relief and reduced anxiety for many patients. It’s useful because the dosage can be regulated during treatment, and patients are usually able to drive shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your treatment. Make sure someone will be available to drive you to your appointment, because you will not be able to drive yourself.

An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office to provide relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

For patients with higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide begins. This can also be effective for reducing anxiety about the injection of local anesthetics itself. A liquid medication followed by nitrous oxide is beneficial for children to produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure.

To reduce your anxiety, we can offer a pill or liquid medication before intravenous sedation starts. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Dr. David Shipper and Dr. Howard Vogel and our team are happy to go over your sedation or pain prevention options when you visit. We’re here to ensure all your questions are answered and your procedure is a relaxing one.

Football Season? Practice Dental Defense

September 1st, 2021

It’s finally football season, and whether you’re on the field, at the game, or watching at home with friends, it’s time to work on some defensive dental strategies.

Taking the Field

If you’re playing team football, you already know just how important your mouthguard is. So important, it’s actually part of every uniform. But if your gridiron is the local park or your backyard, you need protection, too! Amateur sports cause a significant percentage of dental injuries every year, and that’s a statistic you don’t want any part of. A store-bought or custom-fitted mouthguard from our New York, NY office will help protect your teeth and jaw in case of a fall or collision. If you have a player in braces, a mouthguard is especially important.

In the Stands

Cheering your team on with stadium food in hand is a time-honored game tradition. But some of those options are offensive players. How to hold the line? Cut back on foods that are loaded with sugars and simple carbs, as these are the preferred diet of cavity-causing bacteria. And if the food sticks to your teeth, that gives these bacteria extra time on the clock to produce enamel-damaging acids. Unfortunately, a lot of stadium food falls into these categories. Giant pretzels, soft drinks, chips, caramel corn—sticky, sugary, sticky, sugary, and sticky. But you don’t need to deprive yourself completely. Enjoy in moderation, and hydrate with water to increase saliva (which has many tooth-strengthening qualities) and to wash away food particles.

Home Field Advantage

For most of us, the best seats in the house are right in our living rooms—and our kitchens. Buffalo wings! Chips and salsa! Brats and sauerkraut! However tasty, these snack favorites have something else in common—acidity. Just as the acids produced by bacteria affect our enamel, so do the acids in our foods. Add sugars and simple carbs like sodas, chips, and fries to the party, and you have an enamel blitz attack. There are plenty of dental-healthy snack options available, such as vegetables with hummus dip, or cheese and whole wheat crackers, to add some variety to your menu. If you do eat acidic foods, don’t brush immediately after, since acids weaken tooth enamel, and brushing then can cause enamel erosion. Instead, rinse with water and brush after thirty minutes. You might miss part of the half-time show, but it will be well worth it.

Give some of these tips a try for a winning football season. On the field, at the snack counter, in your TV room, you can enjoy the game a little more by knowing that, when it comes to your dental health, you’re providing complete zone coverage.

Dental Veneers

August 25th, 2021

If you want to fix staining, large gaps, fillings, chipped teeth, or the overall shape of your teeth, this may be the perfect option for you. Many of our patients opted for veneers and have never been more confident in their smile!

Dental veneers are made from long-lasting porcelain materials which cover the front and biting ends of each tooth. At your appointment, you can choose the shade of veneers to brighten up your smile. They are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as in the back. Placing the veneers is easy, and the best part is: It requires only two appointments!

During the first appointment, we’ll take an impressions of your teeth. Then we send them to the lab to make your veneers. Veneers are fairly conservative in preparation because they require a small amount of space to be created on the front, bottom, and sides of each tooth for a natural appearance. You will leave the office with temporary veneers in place for a week or two while the permanent veneers are being made.

Your veneers will be placed during the second appointment, and you won’t believe the difference in your smile! If you’re interested in learning more, give Dr. David Shipper and Dr. Howard Vogel a call at our New York, NY office today!

Canker Sores and Stress

August 18th, 2021

Canker sores are painful lesions that form in the soft tissues of the mouth, usually along the inner lips, under the tongue, and along the cheek walls. They are usually small and round, and take on a white or yellow hue. Though most are generally harmless and tend to heal on their own within a week or two of appearing, canker sores can be very irritating.

Only about one in five people develop canker sores. Of those who do, many develop them recurrently as a result of external factors. Though canker sores have been connected to allergies and hormonal changes, many people who are prone to developing canker sores find that their outbreaks are stress-related.

A combination of emotional stress and fatigue can be a perfect storm for the development of mouth sores. Some people say they are not under stress when canker sores form, but the sores appear several days after a stressful event or situation instead. Managing stress, reducing anxiety, and getting plenty of sleep may help prevent canker sores from forming and ensure that existing ones heal more quickly.

What to do if you develop canker sores

Do not be alarmed if you develop a canker sore. They are not contagious and are not harmful to your health. Over-the-counter oral numbing products can be used to manage pain, as can ice chips. Canker sores may heal faster if you apply milk of magnesia to them daily and avoid spicy foods that could irritate them.

You should contact your doctor if you find that your canker sores are unusually large or persist without healing for several weeks. Our team at Central Park West Dental also recommends seeking out professional treatment if you experience extreme pain or a fever develops in association with a canker sore outbreak.

For more information about canker sores, or to schedule an appointment with Dr. David Shipper and Dr. Howard Vogel, please give us a call at our convenient New York, NY office!

Could a Night Guard Be the Answer to Your Dreams?

August 11th, 2021

Have you been having trouble getting a good night’s rest?

Sometimes the reason for a poor night’s sleep is obvious. A midnight horror movie. A bedtime espresso. That anchovy and pineapple pizza you had for dinner. Not much we can do about these problems.

Sometimes, though, the cause of your sleep difficulties is dental in origin, and that is something Dr. David Shipper and Dr. Howard Vogel can help with.

Teeth grinding, or bruxism, is a very common dental problem. When people with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect you might suffer from bruxism?

  • You wake with a sore jaw, or you hear pops or clicks when you move your jaw
  • You suffer from frequent headaches or facial pain
  • Your teeth are chipped, cracked, flattened, worn down, or sensitive
  • You wake up tired, because grinding affects the quality of your sleep
  • Partners, siblings, or roommates complain about nocturnal grinding noises affecting the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over hours of sleep. These forces can lead to:

  • Damaged teeth. Cracked, chipped, and worn down teeth can mean veneers, crowns, and root canals. Seriously compromised or broken teeth might need to be extracted.
  • Damaged dental work. Bruxism can lead to fractured veneers and damaged fillings and crowns. If the damage is too serious for repair, replacement might be necessary.
  • Damaged jaw joints. Severe cases of bruxism can lead to injury to the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

While these problems can be treated with restorations, or root canals, or implants, or surgical procedures, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

While over-the-counter products are available, it’s best to see Dr. David Shipper and Dr. Howard Vogel for the most effective night guard. A custom night guard is designed to fit your individual teeth and mouth perfectly. Impressions or 3D scans are taken in our New York, NY office, and a guard is fabricated with the precise shape, strength, and thickness you need to protect your teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, late night caffeinating, creative food combinations—not much we can do about those! But if you’re suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

Healthy Diet, Healthier Gums?

August 4th, 2021

Since gum disease is one of the most common adult diseases, it’s no wonder Dr. David Shipper and Dr. Howard Vogel and our team stress the importance of prevention. Effective brushing and flossing, regular dental appointments for exams and cleanings, and a prompt visit to our New York, NY dental office if you notice symptoms of gingivitis (early gum disease) are all important steps to prevent more serious periodontal disease from developing.

One more step you can add to keep your gums their healthiest? Add some gum-healthy foods to your shopping cart! To see how your diet can help prevent gum disease, let’s look at what can cause gum disease.

When plaque builds up between teeth and gums, the bacteria found in plaque cause our gum tissue to become inflamed, swollen, and painful. Left untreated, the gums pull away from the teeth, leaving pockets where bacteria collect and can cause infection.

Prolonged inflammation can lead to the destruction of gum tissue and the connective tissues which anchor our teeth to the alveolar bone in the jaw. Bone loss and even tooth loss can result from untreated gum disease.

Fortunately for us, there are foods that fight inflammation, help with healing, and strengthen and support gum tissue before problems develop. Let’s take a look at some of the valuable gum-healthy nutrients you can add to your diet with some tasty additions to your shopping list:

  • Vitamin A

This vitamin is essential for the health and healing of mucous membranes, including both our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed in the body from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

  • Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is needed to help our bodies produce collagen, the substance that provides support and structure to our tissues. It also helps us repair tissue, and is a powerful antioxidant. One of the obvious signs that your diet doesn’t contain enough vitamin C is inflamed and bleeding gums.

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange.

  • Vitamin D

Vitamin D, of course, is essential for dental health because it helps us absorb the calcium that keep teeth (and bones) strong. And there’s more! It helps the body fight infection and reduce inflammation, and studies have suggested a link between vitamin D and better gum health.

Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. It’s also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals. And while you’re getting the benefit of vitamin D from dairy, you’re also enjoying the proteins they contain, one of which helps neutralize acids in the mouth that can irritate gums. Bonus!

  • Iron

Iron deficiency can lead to a common form of anemia, where your body isn’t creating enough red blood cells to deliver the oxygen your tissues need. (In fact, one of the most noticeable symptoms of anemia is pale gums.) This condition can cause a number of problems, including an immune system that doesn’t work as well as it should. A strong immune system helps us fight infection, including gum disease and other oral infections.

A diet rich in iron can help prevent anemia. We absorb the most iron from foods such as meat, eggs, and fish, but iron is also present in beans, lentils, leafy greens, whole grains, nuts, and prunes if you’re looking for flavorful vegetarian options.

  • Omega-3s

Research has shown a possible relationship between getting the recommended dietary amounts of omega-3s and a lower occurrence of periodontitis. In other studies, omega-3s have shown promise in reducing the periodontal inflammation that can lead to severe gum disease.

Our bodies can’t produce omega-3 fatty acids on their own, but fatty fish such as salmon, tuna, herring, and sardines, a variety of high-fat seeds and nuts, and plant oils contain several different types of omega-3 fatty acids. Some foods are fortified with omega-3s, or your doctor might recommend fish oil (and algae oil for vegetarians) as a supplement.

Speaking of supplements, why not just add vitamin, mineral, and other nutritional supplements to our daily diet? Believe it or not, there can actually be too much of a good thing. Body chemistry requires balance, so talk to your doctor about whether or not supplements are necessary in your particular diet, and just what kinds and how much to take.

Whew! That’s a lot to think about for one shopping cart, but that’s just a small portion of the many foods—and the many vitamins and minerals—you can add to your menu to support oral health in a tasty, effective, and positive way.

After all, when we think about the “do’s and don’ts” of a dental-healthy diet, it’s all too often a collection of “don’ts.” Don’t eat a lot of sugar. Avoid acidic foods and beverages. Cut down on refined carbs. And all of those suggestions are important, because the early stages of gingivitis are often easy to miss.

But let’s not forget the things we can actually do to be proactive with our gum health. Besides good dental hygiene and regular checkups at our New York, NY office, eating a well-balanced diet helps keep your gums their healthiest—and while we can do a lot to treat gum disease, the very best treatment of all is prevention!  

Anatomy of a Smile Makeover

July 28th, 2021

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Dr. David Shipper and Dr. Howard Vogel may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Dr. David Shipper and Dr. Howard Vogel will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Dr. David Shipper and Dr. Howard Vogel may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our New York, NY office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Just What Is Plaque?

July 21st, 2021

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

  • It’s an unappealing film that sticks to your teeth
  • It causes cavities
  • It causes gum disease

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

  • It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

  • Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

  • A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

  • What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

  • The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

  • The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

  • Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

  • Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

  • Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

  • Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
  • Floss to remove plaque from between the teeth and near the gumline.
  • Visit our New York, NY office for a thorough professional cleaning.

Be proactive. If you have any questions, talk to Dr. David Shipper and Dr. Howard Vogel about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

Infant Teething Remedies: What Might Help—And What to Avoid

July 14th, 2021

Some lucky babies wake one morning displaying a brand new tooth to the complete surprise of their unsuspecting parents! But your happy baby is irritable and drooling. Or your hearty eater doesn’t feel like finishing her food. Perhaps she finds it hard to go to sleep when she’s usually nodded off before you finish the first lullaby. A small number of children suffer little or no discomfort teething, but for the majority of babies who do, here are some helpful ways to ease their teething pain.

  • Massage--Rubbing your baby’s gums with a clean finger or piece of gauze—gentle pressure is all you need. And do be careful of your fingers once those teeth start coming in!
  • Chewing—there are many colorful and easy to grasp teething toys available, including BPA-free models.
  • Cool Relief—Cool a solid teether in the refrigerator to help ease discomfort. Placing a teething ring in the freezer is not recommended, as extreme cold can be damaging to little mouths and gums.
  • Comfort Food—If your baby is eating solid foods, try cold applesauce or other purees.
  • Skin Care—Drooling is often part of the teething process, but try to keep your child’s face free from rash and chaffing by wiping with a clean cloth when necessary.

And while you are trying to keep your baby comfortable, also be sure to keep her safe!

  • Know what your baby is putting into her mouth. All teething items should be non-toxic and free of harmful chemicals. Teethers filled with fluids may break or leak, so a solid toy is best.
  • Make teething items size-appropriate. Avoid anything small or breakable that might present a choking hazard.
  • Over-the-counter gels and liquids containing benzocaine, meant to reduce pain in the gums and mouth, may on rare occasion lead to serious health conditions in small children. Always check with Dr. David Shipper and Dr. Howard Vogel or your pediatrician before buying an over-the-counter teething medication for your baby.

For many babies, teething can be a long and sometimes difficult process. If there is anything we can do to help you and your baby in this journey, please give our New York, NY office a call.

Summer Sports and Mouthguards

July 7th, 2021

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Dr. David Shipper and Dr. Howard Vogel about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our New York, NY office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

Pros and Cons of Veneers

July 1st, 2021

You might have a small chip in a tooth from an unfortunate encounter with peanut brittle, or even several chips from a touch football game that got a little out of hand. Perhaps you have a gap in your teeth that you’ve always wanted to address. Or it could be that you are not happy with the shape or color of your teeth, and are looking for a straighter, brighter smile. In all these cases, veneers may the perfect solution for you.

Veneers are one of the most dramatic ways to improve your smile:

  • Realistic Appearance: A dental veneer is a thin shell of porcelain that is bonded to your tooth. Because they are semi-translucent, much like actual enamel, veneers look like natural teeth.
  • Rapid Transformation: Normally, the application of veneers requires only a few visits. Your tooth will be shaped to accommodate the veneer for a smooth, flat appearance. A mold will be made to ensure an exact fit. On a subsequent visit, the new veneer will be bonded to the tooth permanently.
  • Whiteness that Lasts: Veneers are stain-resistant, so if you are looking for a long-lasting bright smile, they are a good option. (If you are getting only a few veneers, it is a good idea to have your natural teeth whitened to the shade you desire before the veneer color is selected. Veneer color is permanent.)

There are also some aspects to consider before going ahead with the procedure:

  • Be Sure About Your Decision: Veneers are a permanent choice. Some enamel might need to be removed for the veneer to fit and the surface of your tooth will be treated to allow the veneer to bond to it properly.
  • Check Your Overall Dental Health: You should have a check-up before starting the process to make sure your teeth and gums are healthy enough for veneers. If you have severe orthodontic issues, grind your teeth, or have a habit of clenching your jaw, your veneers will be put under pressure they were not designed to take. We can let you know if you are a good candidate for this procedure.
  • Expense: Veneers are more expensive than some other options, such as whitening and bonding, but can offer more benefits. Veneers will cover staining that whitening cannot eliminate. Their translucent quality makes them look more realistic than bonding, and they are also far more stain resistant. The cost of a crown might be comparable, and a crown is recommended if there is significant damage to the underlying tooth. If you are looking for cosmetic improvement only, veneers leave more of the tooth intact.
  • Longevity: Veneers do not last forever, and will need to be replaced eventually. However, they can have a life expectancy of ten to 15 years, and we can give you tips to keep your veneers looking and lasting their best.

If you decide veneers are right for you, give our New York, NY office a call. We will be happy to discuss the procedure with you and help you discover the best possible path to your best possible smile.

Pick the right electric toothbrush!

June 23rd, 2021

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office to decide which electric toothbrush is right for you!

How can I protect my child's teeth during sports?

June 16th, 2021

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. David Shipper and Dr. Howard Vogel can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our New York, NY office.

Symptoms That Could Mean You Need a Root Canal

June 9th, 2021

Every tooth packs a lot of layers in a very small area. The outer, visible part of our tooth, the crown, is covered in protective enamel, and the lower root area is protected by a similar substance called cementum. Inside these very hard layers is dentin, a hard but more porous tissue which surrounds the pulp. In this central pulp chamber, we have the blood vessels which nourish the tooth and the nerves which send our bodies signals from the tooth. And if one of those signals is persistent tooth pain, you may need a procedure called a root canal.

There are a number of reasons that a tooth may cause you pain, including:

  • Fracture—a cracked or broken tooth can allow bacteria to enter the pulp chamber and cause inflammation and infection
  • Cavity—an untreated cavity can leave an opening where bacteria can reach the pulp of the tooth, and again lead to infection
  • Gum Disease—bacteria can attack from the root area of the tooth if gum disease has become serious
  • Injury—an accident or injury to a tooth can damage the nerve or the blood supply which nourishes the pulp
  • Abscess—if infection is left untreated, an abscess may form under the root

While a damaged tooth may sometimes be symptom-free, usually there are signs that the pulp has been injured or infected. What symptoms should lead you to give Dr. David Shipper and Dr. Howard Vogel a call?

  • Persistent pain in the tooth
  • Long-lasting sensitivity to heat or cold
  • Gum tissue adjacent to the tooth that is sore, red or swollen
  • A cracked, broke, darkened or discolored tooth
  • A bump on your gums that persists or keeps recurring—this might indicate an abscess

A root canal is performed by a trained dentist or endodontist. After an anesthetic is used to numb the area, the damaged tissue, including pulp, blood vessels and nerves, is removed from the pulp chamber and each root. The inside of the tooth is then cleaned and shaped, and filled and sealed with a temporary filling. The tooth is filled again permanently, usually on a second visit, and might require a crown in order to protect it from further damage.

The most painful part of a root canal is far more often the time spent suffering before the procedure than the procedure itself. Delaying action when a root canal is necessary can lead to infection, abscess, and even tooth loss. If you experience any of the symptoms mentioned above, please give our New York, NY office a call!

 

Dental Tips for Your Summer Vacation

June 2nd, 2021

Summer’s here, and it’s time to enjoy a well-deserved break! But even though school’s out, please take a few minutes to learn some tips from Dr. David Shipper and Dr. Howard Vogel to keep your teeth and mouth healthy for a summer of great smiles.

Hydration

When you are active in warm weather, you need to keep hydrated. So choose your drinks wisely. Sodas and sports drinks can contain a lot of sugar, which encourages cavity-causing bacteria to grow. Water is always a healthy, sugar-free choice. If your tap water contains fluoride, you can even fight cavities while staying hydrated. One other benefit of hydration? It helps with saliva production, and saliva is a natural way to wash away food particles and bacteria while providing substances that help keep teeth strong.

Mouthguards

Biking, skateboarding, baseball, soccer—all great outdoor sports, but one fall or accidental contact can cause serious damage to teeth. If you have a mouthguard for school sports, don’t forget to wear it for summer activities as well. And, if you don’t have a mouthguard, now is a good time to think about getting one. You can use a ready-made guard, or we can custom-fit one especially for you. Talk to us about your favorite sports, and we’ll suggest ways to protect your teeth while you enjoy all the physical activities warm weather brings.

Vacation Plans

If you and your family are going to be traveling this summer, let us know! If you need any procedures at our New York, NY office, we can plan them around your time away. It’s best to get any necessary work done before you travel, and we will be happy to work with your family’s schedule. When you are away, be sure to carry our number with you in case a dental problem comes up, and it’s always a good idea to travel with a dental emergency kit.

Sticking To Your Dental Routine

Unfortunately, the bacteria that lead to increased plaque and cavities never take a vacation. Keep up with your regular schedule of two minutes of careful brushing at least twice a day, and make sure to floss. Come see us if it’s time for an exam or a cleaning, or if you have any dental problems or concerns.

However you spend your summer, we hope it is filled with happy—and healthy—smiles!

What did the first dentures look like?

May 26th, 2021

Remember hearing about George Washington and his wooden choppers? Not his tools for cutting down cherry trees, but his false teeth.

Actually, George’s teeth were made of ivory but were so stained that they appeared to be made out of wood. You might think those were the earliest dentures. In fact, the history of false teeth goes back centuries before President Washington.

Ancient Times

The earliest known dentures consisted of human or animal teeth tied together with wires. Examples of such dentures have been found in Egyptian and Mexican archeological sites. Other ancient peoples use carved stones and shells to replace lost teeth. These early dentures were probably made for cosmetic purposes. The materials they used were not likely to stand up to the pressure placed on teeth during eating.

The earliest surviving set of complete dentures were actually made out of wood (sorry, George). They were found in Japan and date back to the 16th century.

Human and animal teeth continued to be popular materials for dentures until the 20th century in some parts of the world. But the difficulty obtaining healthy teeth (and the risk of disease from unhealthy teeth) led dentists to search for other substances.

Modern Era

In the 18th century, dentists began using porcelain, ivory, gold, silver and even rubber as tooth substitutes. Dentures made with these substances could be used in eating. They were often ill-fitting, however, which may explain why George Washington looks puffy and glum in many portraits.

Porcelain and metals were the most popular denture materials until about 1950, when plastics and resins were developed. Tough and durable, these materials make up most of the dentures Dr. David Shipper and Dr. Howard Vogel and our team use today.

Still, what goes around comes around. Researchers at the University of Texas are looking at using human teeth for dentures once again. Only in this case, the researchers hope to use biotechnology to spur the growth of new sets of teeth to replace those lost over a lifetime.

Healthy Gums and Older Adults

May 19th, 2021

One of the most important parts of staying healthy as we grow older is being open to learning new ways of staying healthy! While worrying about braces or wisdom teeth might be a thing of the past, there are new dental concerns that come with mature years. Taking care of our gums is one way to maintain not only our dental health, but to look out for our overall health as well.

  • Periodontal disease is preventable for older adults

While gum disease is all-too-common among older adults, it isn’t really a result of the aging process itself. If you have been keeping a regular schedule of brushing and flossing (two minutes twice a day), and have been making routine visits to our office for exams and cleaning, you probably have avoided gum disease. But if you have been neglecting your dental care, gingivitis and periodontitis are conditions that only become more serious over time.

The first symptoms of gingivitis include puffy, swollen gums that may bleed easily. Persistent bad breath and changes in the bite or the fit of dentures are also indications of gum disease. As gum disease progresses it leads to periodontitis. The gum tissue pulls away from the teeth, leaving deep pockets of tissue where plaque can collect and infections can develop. Infection, left untreated, can lead to loose teeth and even bone and tooth loss.

The good news? It is never too late to treat gum disease. Most gingivitis is reversible, and modern periodontal treatment makes use of deep cleaning, antibiotics, and even gum surgery to restore gum health. Don’t let past neglect lead to future tooth loss. We are happy to see you any time to treat your gums and teeth and to let you know ways to protect them for a happy, healthy future.

What new concerns do we face as we age?

  • Our gums recede.

This natural recession can lead to the exposure of the root areas of the teeth, which are more vulnerable to cavities. It’s very important to keep up with brushing, flossing, and regular check-ups to catch potential small problems before they become big ones.

  • Old fillings and dental work can break down.

Call our New York, NY office any time you notice a problem with a filling, and keep up with exams, where we can pinpoint fillings that need replacement and detect cavities that can develop near the edges of old work.

  • Medications can cause side effects that affect our gums.

Some medications cause the growth of puffy gum tissue. Some can cause dry mouth, which can lead to gum disease. Always let us know about any health conditions you have or medications you may be taking. We can suggest a number of options to reduce or eliminate effects on your mouth and gums.

  • Gum health and our overall health—what’s the connection?

While no one has discovered an absolute relationship between gum disease and other health problems, there is growing evidence that higher rates of diabetes complications, heart disease, and stroke are linked to higher levels of gum disease. Make your medical and dental health a priority.

  • Smoking risks increase with age.

Studies have shown smokers have not only a greater risk of gum disease, but more severe gum disease as well. Your risk of developing oral cancer also increases with every year you smoke. It is never too late to quit! Talk to us about suggestions for breaking the habit once and for all, and be sure to keep up with regular checkups for early detection and treatment of any oral diseases caused by smoking.

Please let us know any changes that have taken place in your dental habits, medical condition, or medications. Talk to us about any periodontal concerns you may have, or the latest dental procedures we offer for gum care and treatment. We can let you know about products that can make brushing and flossing easier as you age.

It’s never too late or too early to think about taking care of yourself. We are happy to offer suggestions for maintaining or restoring your dental health that will serve you well in any chapter of your life.

Nutrition Tips for Healthy Kids’ Smiles

May 12th, 2021

The grown-ups in your life want you to have a healthy, happy smile. That’s why they help you brush and floss, and make sure you come see Dr. David Shipper and Dr. Howard Vogel for checkups and cleanings. Did you ever wonder if there are other ways you can help build a beautiful smile? There are! And one of them is eating food that makes our teeth and gums strong and healthy.

Friendly Foods

  • Enamel and Bone Builders

Calcium is a very important element that helps us grow strong bones and enamel, the hard covering on the outside of our teeth. Bacteria in our mouths can create acids that weaken enamel and lead to cavities, so we want to keep our enamel as strong as possible. Dairy products like milk, cheese, and yogurt are great sources of calcium, but you might be surprised to know dark green vegetables like kale, spinach and broccoli help build strong teeth as well, and strong teeth are less likely to get cavities!

  • Good for Our Gums

Many foods have important vitamins that help keep our gums and mouths healthy. Vitamin C helps protect our gums and make them stronger. When we think of Vitamin C, we usually think of citrus fruits like oranges and lemons, but there are many other fruits and vegetables that give us this important vitamin, including mangos, potatoes, and strawberries. Vitamin A also helps keep our gums healthy. We can increase our Vitamin A by adding fish, leafy green vegetables, or orange colored foods to our diet.

  • Natural Toothbrushes

Crunchy foods like apples, carrots, and celery can help keep our teeth clean. They act like gentle brushes to remove food and bacteria left on our teeth after eating. Chewing also increases saliva, which helps wash away food particles and bacteria. And, of course, drinking or rinsing with water after a snack helps clean our teeth when we can’t brush.

What Foods Aren’t Good for Our Teeth?

  • Bacteria Builders

Plaque is a film of bacteria that sticks to our teeth. These bacteria make acids that soften our enamel and cause cavities. And what do these bacteria use for food? Sugar is one of their favorites! We can’t stop eating everything with sugar, of course, and we all deserve a treat every now and then. But to keep our teeth their healthiest, it really helps to cut down on sugary foods and drinks, and to brush or rinse with water when we do enjoy dessert.

  • Acid Attacks

Bacteria can make acids that weaken our enamel, but we can also eat foods that damage our enamel and might lead to cavities. Drinks like sodas, citrus juices and even some sports drinks are acidic enough to make our enamel softer. Drinking with a straw or rinsing your mouth with water helps, but it’s a good idea to limit foods and drinks that make our enamel weaker over time.

  • Sticky Stuff

Any food that stays on or between your teeth gives bacteria more time to grow and produce the acids that cause cavities. We can guess that hard candy and caramel would be a bad idea, but even healthy foods such as dried fruit and trail mix can be a problem when they stick to your teeth. If you eat something sticky, be sure to rinse with water or brush and floss as soon as you can.

You already know that brushing and flossing are the best way to keep your teeth clean, and that visiting us for checkups and office cleanings helps your teeth and gums stay strong and healthy. Eating well is just one more thing you can do to help. The next time you visit our New York, NY office, talk to us about what you and your family can add to the menu for a lifetime of beautiful smiles!

There’s an App for That!

May 5th, 2021

We live in a tech-savvy world, and dental professionals take advantage of it! Digital imaging, convenient record storage and sharing, even more comfortable denture design—these are just some of the ways dentists can use modern technology to make our time in the office more efficient and more effective.

And since modern software developers have given us a program for just about everything, it’s no surprise that you can find apps to help make your home dental care more convenient and perhaps even more effective, too. What can an app do for you?

  • Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best is the care you take at home. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease.

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

And for the kids in the house? There are apps just for children that use music and games to help teach them how—and how long—to brush, for an enjoyable and even educational brushing experience.

  • Keep Track of Your Appointments

Your dentist is your partner in preventative care. Regular examinations and professional cleanings at our New York, NY office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your dental care on track with appointment reminders. This sounds pretty basic, but when you have work, school, volunteering, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that Dr. David Shipper and Dr. Howard Vogel should be seeing you for a checkup and a cleaning in the near future.

  • Mapping Out Your Dental Care

Have an electric toothbrush? There just might be an app available designed to work especially with your model. These handy apps can let you know if you’re brushing long enough. They can alert you if you’re brushing too hard, which is not good for your enamel. Some apps can provide a map that lets you know just where you’ve brushed, in case you tend to neglect a few spots.

If you or a family member are thinking about orthodontic treatment, you’re in luck!

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your choice of colors? No bands at all? Hardly visible aligners? Find the look that works for you.

There are apps which can keep track of the hours you wear your aligners, or alert you to put on or replace your elastic bands if you wear traditional braces. Some apps even let you track your progress with selfies or “countdown” features.

  • When Problems Happen

There are apps which can help you with basic dental questions. Apps can let you know that symptoms like a discolored tooth mean you should give your dentist a call, or provide instructions for taking care of simple problems, such as applying wax to an irritating bracket. Always remember, though, an app is not a dentist, and can’t diagnose or suggest treatment. If you have a problem or concern, call us immediately.

  • Dentist Approved

If you’ve checked out the dental apps available for your operating system, you know that there are a lot of options out there. To help you find the best app for you and your family, talk to Dr. David Shipper and Dr. Howard Vogel.

We might know just the app for your specific dental needs, whether you’re looking to brush up on brushing techniques, organize your time more efficiently, manage your dental care, or simply make your family’s dental activities a little more fun. It’s a tech-savvy world—take advantage of it!

Teeth, Bones—What’s the Difference?

April 28th, 2021

They’re often mentioned together, and that’s understandable. After all, they’re the strongest parts of the body, they’re made of many of the same elements, they both require a diet rich in vitamins and minerals to stay healthy, a pirate flag wouldn’t be the same without them–so, what makes teeth and bones different? Glad you asked!

It’s Elementary

Teeth and bones are so strong because of their mineral composition. They have the highest concentration of calcium and phosphorus in the body, and these minerals combine to create sturdy structures which support our bodies, protect our organs, and help break down and digest our food. And they work well together—healthy teeth maintain jawbone density, and healthy jaws hold our teeth firmly in place.

But there are important differences in the anatomy of teeth and bones as well. Bones contain living cells, blood vessels, and nerves. They grow larger as we grow. As we age, old bone tissue breaks down and is constantly replaced with new bone tissue. This process enables our bones to stay strong throughout our lives. And bones heal.

When you break a bone, your body begins working right away to protect and heal the damaged area. Blood cells help with clotting around the break. After a few days, collagen proteins work to replace the clotted cells and form a soft callus. Within weeks, calcium phosphate deposits strengthen the collagen framework. Over time, the bone hardens and reshapes.

And while tooth enamel is the hardest substance in our bodies—harder even than bone—it is not indestructible. Our enamel is basically composed of minerals rather than living tissue, so it can’t regenerate. The enamel covering our teeth doesn’t replace cells as they age, and it can’t create new tooth cells if a tooth is injured through damage or decay. This means that a cracked or broken tooth can’t knit itself together, and enamel lost to decay won’t grow back.

Dr. David Shipper and Dr. Howard Vogel can restore your smile with fillings, or crowns, or even implants if necessary, but preventing injury to your teeth is always best.

Protecting Teeth and Bones

You can make sure your teeth and bones are their safest and strongest by being proactive.

External bone injuries can be avoided with the use of proper safety equipment. Helmets, padding, work boots—if your work or play recommends protective gear, use it! Fortunately, there’s also protective gear for teeth.

  • Helmets

Helmets not only protect against brain injury and concussion, they are often designed to protect the face, mouth, and jaw as well.

  • Mouthguards

Mouthguards protect the teeth, lips, tongue, and jaw from damages caused by physical contact and falls. They’re available over-the-counter, or ask Dr. David Shipper and Dr. Howard Vogel to fabricate a custom guard for the most comfortable and secure fit. A custom guard is an excellent option for people with braces, bridgework, or other dental appliances.

  • Night Guards

Grinding and clenching the teeth at night can lead to loose and cracked teeth, headaches, jaw pain, and other unhappy consequences. Protect your teeth from the damage caused by bruxism (tooth grinding) by wearing a night guard.

Finally, one big difference between tooth and bone design: bones are safely hidden away inside the body, while our teeth are exposed to harmful plaque, bacteria, sugars, and acidic foods every day. Give your teeth the preventive care they deserve with twice-daily brushing, flossing, and regular visits to our New York, NY office. After all, your beautiful, healthy smile was never designed to be hidden!

Five Clues That It’s Time to Replace Your Toothbrush

April 21st, 2021

Your dashboard lights up when you need an oil change. Your smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model.

  • Fraying

Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth.

Are you prematurely fraying? You could be brushing too hard. Overbrushing can damage delicate gum tissue and cause wear and tear to tooth enamel. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush.

  • Odor

This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean?

Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush.

Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles!

  • Illness

A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model.

And if you share your toothbrush, or if you store it right next to a loved one’s or family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about.

  • Discomfort

Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect.

And harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this very reason.

There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask Dr. David Shipper and Dr. Howard Vogel for suggestions the next time you’re at our New York, NY office for a cleaning!

  • The “Best By” Date Has Passed

Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush.

Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you. 

Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!

Beneficial Beverage or Damaging Drink?

April 14th, 2021

Talking about a healthy diet usually means talking about food. After all, our teeth and gums need protein, vitamins, and minerals to stay strong and free from cavities and gum disease. But let’s not forget the part liquids play in our diets! What we drink can actually have a dramatic effect on our dental health.

Beneficial Beverages for Our Teeth and Gums

  • Water, water, water!

Water is always a healthy option. Besides being a nutrient in its own right, water washes away food particles as we eat, dilutes the acids in our mouth that can lead to cavities, and often provides the fluoride, which reduces our risk of tooth decay. Also, water helps with the production of saliva, which cleanses our mouth and helps neutralize the acids which cause cavities, gum disease, and bad breath.

  • Milk

Milk provides the calcium and vitamin D that are essential for bone and tooth health. If you are worried about the fat content in milk, low-fat options will still deliver the nutrients your body needs.

  • Vegetable juices

These juices provide important vitamins and minerals without the sugar levels of fruit juices. If that 100%-leafy-green smoothie is a bit bitter, add a small amount of fruit to the mix, but remember to avoid too many acidic, sugary additions.

Drinks that are Less than Ideal

  • Sugary beverages

Regular soft drinks, fruit juices, energy drinks, and sweetened tea and coffee provide bacteria with the sugar they use to produce acids. These acids, over time, weaken our enamel and lead to cavities.

  • Acidic drinks

Any acidic beverages, such as soft drinks, sports drinks, or citrus juices, provide their own acids that can erode tooth enamel.

  • Drinks that stain our teeth

Red wine, coffee, black tea, fruit juices, colas—even sports drinks!—can leave our enamel stained and discolored.

Should we give up all these problem drinks completely? Can’t we start our day with orange juice and a cup of coffee, or down an energy drink after a workout? The important takeaway here is to recognize which drinks can damage teeth and gums, and to minimize any harm they might cause. If you are going to drink something sugary or acidic, don’t sip it. Sipping lets the sugars and acids linger in the mouth. Drink with a meal. Chewing increases saliva production, which helps wash away harmful sugars and acids. Try using a straw for drinks that stain teeth. And it’s always best to rinse with water immediately after drinking anything sugary, acidic, or staining.

Best of all, try to include as many nourishing beverages as possible in your diet. Keep your mouth healthy with a steady routine of brushing and flossing for at least two minutes twice a day. Don’t forget to schedule regular checkups and cleanings at our New York, NY office so Dr. David Shipper and Dr. Howard Vogel can monitor your teeth and gums and remove plaque and stains if they develop. And if you have any questions about the healthiest beverages out there, let’s have a glass of water and discuss.

This April, Let’s Celebrate National Facial Protection Month!

April 7th, 2021

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit options, or you can have a guard custom made especially for you at our New York, NY office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. And if you wear braces or have fixed dental work such as a bridge, a custom mouthguard can protect your smile and your appliances. Talk to Dr. David Shipper and Dr. Howard Vogel about mouthguards for some great advice on how to protect your teeth and mouth.

As long as we’re discussing facial protection, let’s look at some other ways to keep safe as you keep active.

  • Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

  • Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

  • Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

We have the training and experience to help treat and restore injured teeth. But we will be the first to tell you, the very best treatment is prevention!

So here are a few suggestions for your calendar this month:

  • If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
  • If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
  • Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
  • If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
  • If you are a coach, make sure your athletes have the right protective gear—and wear it.
  • It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

How a High-Tech Office Helps Your Dental Treatment

March 31st, 2021

A dental office on the cutting edge of technology offers numerous benefits to its patients. Whether you are in need of a simple cleaning or extensive restorative work, these technologies will help you stay more comfortable and give you better results than the outdated tools used in many offices. Here are some of the technologies that you can expect to see in our modern dental office:

  • Digital radiography – Digital X-rays and imaging expose patients to far less radiation than traditional X-rays. Not only that, but these digital images provide a more detailed and easier-to-view snapshot of what is going on in and around your teeth. They make it easier for patients to see what's going on since we can show them right on the computer monitor. It's also better for the environment because there’s no need for the toxic chemicals used to develop traditional X-ray films.
  • Panoramic X-rays – This digital X-ray gives Dr. David Shipper and Dr. Howard Vogel a more in-depth understanding of the entire structure of your mouth and head than a regular X-ray. The panoramic X-ray machine rotates around your head and takes a 3D image of it, giving us a very complete picture that allows for more effective and timely treatment planning.
  • Bioceramic implants, prosthetic devices, and sealants – Advances in implants and prosthetic devices over the past several decades has led to the creation of bioceramic (nontoxic) materials ideal for crowns, veneers, and implants. These materials allow for more visually appealing dental work since there are no metals used with these high-tech ceramics.
  • Paperless bills and records – We all know the inconvenience of paper bills and receipts; they can create clutter and get lost. Our office has done away with this trouble by going paperless. This means you'll receive all your pertinent paperwork in your email inbox and records will be kept digitally at the office. No more wall full of patient records!

This is just an overview of the many advances that we’ve made to our New York, NY office to make it cleaner, quieter, more comfortable, and more efficient, helping you spend less time in the chair and more time smiling!

What exactly is biofilm?

March 24th, 2021

Biofilm is a protective home for bacteria that’s composed of microorganisms. Biofilm can be found in wet places such as ponds, sewers, and bathroom drains, and it also grows on metals and minerals.

But biofilm can also be found in your mouth, in either healthy or diseased form. Both are composed of the same compounds, but when they combine with certain amino acids or chemicals, diseased biofilm will begin to destroy your enamel. You might notice this as a slimy yellow buildup of dental plaque on the surface of your teeth.

Biofilm takes form when free-swimming bacterial cells land on a surface and attach in a cluster. The cells begin to multiply and form a micro-colony that promotes diverse bacterial species to grow. To prevent biofilm from settling in your mouth to begin with, make sure to keep up your daily oral routine.

Any mouth appliances you use should also be scrubbed or soaked in cleaner as often as possible. You should pick a toothpaste that has antibacterial ingredients, rinse with mouthwash, and floss daily.

There are many ways to treat diseased biofilm. One is to kill the microorganisms through the use of chlorhexidine, triclosan, and mineral agents that reduce the degree of plaque formed in your mouth.

Another way is to make sure to go to your regular cleanings every six months with Dr. David Shipper and Dr. Howard Vogel. During your cleaning, we remove excess biofilm that’s accumulated on your teeth over the past six months.

Don’t forget that it’s also essential to keep a healthy amount of biofilm in your mouth, though. This type of biofilm protects your body from disease and is replicated every twenty minutes. If you have a healthy amount of good biofilm, the chances of your mouth producing harmful bacteria decreases.

Ask about biofilm during your next appointment at our New York, NY office if you’ve noticed any irregular yellow-colored buildup on your teeth. Dr. David Shipper and Dr. Howard Vogel will make sure your mouth has a healthy balance of biofilm.

The best way to create a healthy environment in your mouth is to stay on track with your oral health regimen. Prevention is the best method when it comes to your dental hygiene and fighting diseased biofilm.

 

What kind of toothbrush and toothpaste should my child use?

March 10th, 2021

Dr. David Shipper and Dr. Howard Vogel and our team know that as a parent, you want your child to be as healthy as possible. By now, you probably know that your son or daughter’s oral health plays a huge role in overall health.

When there are so many toothpaste ads and different styles of brush to choose from, it can be difficult to know which will serve your child the best. We recommend you break down the decision process to make it simpler.

First, your child’s age and stage of development are vital to consider. Until about the age or 12, your youngster may not be prepared to brush or floss adequately alone, due to dexterity issues. If that’s the case, it can be easier to use a battery-powered toothbrush to improve the quality of brushing.

Next is to select the right size of toothbrush head to fit your child’s mouth. As a general rule, the head of the toothbrush should be a little larger than the upper portion of the child’s thumb.

Flossers are great for children and easy to use. They have handles and a horseshoe shape on one end with floss in between. Your child can choose a color he or she likes as well as the handle size, shape, etc.

Not only are there many brands of toothpaste to choose from, there are also many different ingredients that offer varying benefits. Kids are at high risk for developing cavities so you want to make sure the following ingredients are in your child’s toothpaste if you wish to avoid problems later on.

Sodium fluoride is the standard ingredient for cavity prevention, while stannous fluoride is anti-bacterial and anti-cavity. Anti-sensitivity toothpastes often contain potassium nitrate, and triclosan can be found in one particular brand for anti-bacterial action.

Fluoride should not be ingested, so if your child can’t spit yet, use a toothpaste that contains xylitol. This is a natural sweetener and should be the first ingredient listed on the tube.

Now comes the fun part: choosing a flavor! Your little one may sample different flavors and select the one he or she likes the best. A youngster is more likely to adopt good brushing habits if the flavor is appealing.

Don’t hesitate to speak with Dr. David Shipper and Dr. Howard Vogel if you need to make an appointment at our New York, NY office, or if you have any questions about toothpastes or toothbrushes.

Does chronic stress impact periodontal health?

March 3rd, 2021

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

  • Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
  • Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
  • Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. David Shipper and Dr. Howard Vogel at our New York, NY office.

Educational and Entertaining Enamel Experiments

February 24th, 2021

Let’s talk about the science of our teeth for a moment. Our enamel has a very high mineral content, making it extremely strong.  In fact, enamel just happens to be the hardest substance in our bodies.  But, unfortunately, it is not indestructible! Certain foods we eat can actually damage the surface of our teeth. Some simple and entertaining experiments can show children how our teeth can be affected by things we eat and drink, and how we can help protect them.

If you have a science-minded student at home, there are many activities you can do together, using educational websites, common household products and lots and lots of eggs. (Why eggs? Eggshells are a great substitute for teeth in these experiments. Not only are they various shades of white--like our own teeth, they are also calcium-rich—like our own teeth.) You can find any number of experiments using uncooked eggs, hardboiled eggs, whole shells with the contents blown out, or eggshells alone, so you can find just the right activity for whichever egg treatment works best for you.

Examine Enamel Erosion

One of the ways we protect our teeth is with healthy eating. The bacteria in plaque use the sugars and starches in our foods to produce acids. These acids are the substances that break down the minerals in our enamel and leave the enamel weaker. Weaker enamel is more easily attacked by bacteria and acids, which leads to cavities.

With eggs or eggshells and some carefully selected food products, you can see just how acidity affects teeth. Different websites suggest a variety of acidic liquids to dunk your eggs in, such as vinegar, soda, or citrus juices, so it’s easy to find an experiment that works with your pantry. Always use a plain water sample when you submerge eggs or shells to act as a control to measure differences against. How do the egg shells soaked in acidic liquids differ from those in plain water? It’s also fun to add simple sugar water as a test liquid to see what happens. Is it sugar or acid that causes more damage? And why might that be?

The Fluoride Fix

Fluoride is well known as a mineral that protects the structure of our teeth and helps prevent cavities. And there are actually experiments out there to test the protection fluoride provides using your egg stand-ins.

In some experiments, a hardboiled egg is coated with fluoride toothpaste or rinse for a specific amount of time and then dunked into vinegar. An untreated egg also gets a vinegar bath. You are asked to observe what is happening to each egg as it sits in its vinegar bath—are there bubbles on one egg and not the other? What do the bubbles mean? Other experiments require longer exposure to fluoride and then to vinegar—what happens to the shells of the treated and untreated eggs? What could this mean for our teeth?

Staining Studies

Our diet can do more than help create cavities. Enamel is very strong, but it is not stain-proof! Dark colored foods and drinks can make our teeth appear darker or more yellow. (And teeth that have suffered enamel erosion can pick up stains more easily.) How does food affect the brightness of our smiles?

If this question interests you, find experiments that use favorite beverages as a soak for your eggs. Choose liquids with a range of color, such as coffee, soda, and apple juice. Or choose an experiment that uses different varieties of soft drinks. Will foods the same color cause the same amount of discoloration in your egg volunteers? Do you want shorter or longer soaks in each liquid? Do you want to make use of a recycled toothbrush to see if brushing that discolored shell makes a difference? With toothpaste or without?

Even though these activities are designed for older children, they still require adult supervision. You can find detailed instructions for any of these experiments at many science and educational sites online. With some household supplies, plenty of extra cups, and a quantity of eggs, you and your child can demonstrate some of the basic effects our food choices have on the health and appearance of our teeth. It’s a wonderful way to promote healthy eating and brushing habits, scientific curiosity, and shared experiences!

Don’t forget to let Dr. David Shipper and Dr. Howard Vogel know how your experiments turned out the next time you visit our New York, NY office!

Electric Toothbrushes vs. Regular Toothbrushes

February 17th, 2021

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

  • Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

  • Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

  • Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Dr. David Shipper and Dr. Howard Vogel at our New York, NY office.

Mall Whitening: Why You Shouldn’t

February 10th, 2021

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Dr. David Shipper and Dr. Howard Vogel will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

  • No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
  • The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
  • Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our New York, NY office if you want the safest, most effective whitening.

Ways to Prevent Oral Cancer

February 3rd, 2021

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Dr. David Shipper and Dr. Howard Vogel and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

  • Good oral hygiene is the first step in oral cancer prevention.
  • Visit our New York, NY office every six months for a dental exam.
  • Quit smoking or using chewing tobacco, if you do.
  • Limit alcohol consumption.
  • Maintain a healthy, well-balanced diet.
  • Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
  • Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
  • Exercise regularly to maintain a healthy immune system.
  • Limit the amount of time you spend in the sun, and be sure to use sunscreen.
  • Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our New York, NY location right away and schedule an appointment with Dr. David Shipper and Dr. Howard Vogel.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.  

 

Latest update on COVID-19

March 18th, 2020

Dear patients,

Due to the current issues regarding the coronavrius pandemic, and based on an abundance of caution, we have made the decision to close our office for the next two weeks. We believe it is the responsible course of action to take, for you our patients, for our staff, and for our community as a whole.

At the present time, our front desk personnel, Heidi and Shari, will be in the office available by phone on weekdays between the hours of 9AM and 3PM. Be assured that in the case of an emergency, either Dr. Vogel or Dr. Shipper will be available. If an emergency occurs during other hours, you may call the office (212-877-0405) and leave a message. Someone will return your call in a short period of time. Furthermore, if you have an appointment scheduled in the upcoming two weeks, we will call you to make other arrangements.

As you are all well aware, things can change very rapidly. We will update information and notify you of any changes as quickly as possible.

Please stay safe and keep healthy.

Drs. Vogel and Shipper and the entire staff of CPW Dental

Drs Shipper & Vogel COVID-19 update

March 12th, 2020

Regarding the current situation, our office continues to adhere to the highest standards of cleanliness and sterility as directed in guidelines set forth by the ADA, OSHA and the CDC. Every instrument we use is sterilized before and after each use. If an item cannot be sterilized, it is disposed of. Every surface is regularly wiped down with a disinfectant, including our common areas (reception area, bathroom, door handles, etc.) We will continue to monitor the situation daily and properly manage the care of our patients and staff throughout this crisis to the very best of our ability.

In an effort to further protect our patients and staff, we ask that you all are mindful of the following precautions:

 If you are sick, please stay home. If you have had contact with someone or may be at risk, please call to cancel your appointment. We will surely re-schedule when you are feeling better. We will waive any last- minute broken appointment fees.
 If you are sick and have an emergency – please call us so we can help you manage the situation at home, or we will help come up with a different solution.

Please remember, having a healthy mouth and healthy dental hygiene is essential to maintaining a healthy body. The office remains open for all your dental needs, including emergencies.

Yours in Health,

Drs Shipper, Vogel & Team

What are the benefits of visiting a dentist regularly?

March 4th, 2020

Your regularly scheduled dental checkups with Dr. David Shipper and Dr. Howard Vogel are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Dr. David Shipper and Dr. Howard Vogel every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Central Park West Dental, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Dr. David Shipper and Dr. Howard Vogel and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our New York, NY office!

When Snoring Becomes More Than Just Annoying

February 26th, 2020

Snoring occurs when the tissues in the throat relax enough to block part of our airways, or physical conditions such as enlarged tonsils or a deviated septum prevent air from flowing freely. This obstruction causes the tissues around the airway to vibrate, producing that familiar, unpleasant sound. But sometimes, loud, constant snoring is a sign of a condition called Obstructive Sleep Apnea (OSA). With OSA, the sleeper actually stops breathing for a few seconds at a time, or, in some cases, even longer. The body wakes to breathe again properly, so we move from the deep sleep we need to keep ourselves healthy mentally and physically to a lighter state of sleep or wakefulness—and this disruption of the sleep cycle can happen dozens of times an hour.

The potential problems caused by sleep apnea are many. You could suffer from daily morning headaches, sore throats, and dry mouth (which can lead to tooth and gum problems). You might find yourself moody, depressed or forgetful. Irritability and loss of libido are common consequences of sleep apnea. Any or all of these problems can make getting through each day a struggle.

Even worse, sleep apnea can lead to very dangerous situations. You could fall asleep while working, watching your children, or even driving. Sleep apnea has been linked to very serious conditions such as high blood pressure, heart disease, and stroke. And for those who suffer from this disorder, general anesthesia or pain medication can lead to severe or even fatal consequences.

You should be examined for sleep apnea if you or a loved one notice any of the following symptoms:

  • Snoring loudly enough to disturb your sleep or the sleep of others
  • Waking up gasping for air
  • Pauses between normal breathing during sleep
  • Continual drowsiness during the day
  • Waking up with headaches, sore throats or dry mouth regularly
  • Personality changes

If you are diagnosed with sleep apnea, talk to Dr. David Shipper and Dr. Howard Vogel at our New York, NY office. We can point you in the right direction for treatment, including the possibility of crafting an orthodontic oral appliance to maintain open airways as you sleep. But whatever treatment you and your doctors decide on, the important part is following through. Don’t let an annoying situation become a dangerous, and even life-threatening, one.

Taking Charge of Your Dental Health

February 19th, 2020

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

  • Gum Health

Part of adolescence is adapting to all the changes your body is going through. But an increased chance of gingivitis, perhaps caused by hormonal changes, is not something you want to adapt to. You might suspect you have gingivitis, or early gum disease, if your gums are swollen, red, bleeding, or easily irritated. Let us know about your concerns. With proper dental care (brushing, flossing, cutting down on sugars and carbs), your gums will be healthy again in no time.

  • Wisdom Teeth

Your teen years might be the time that your wisdom teeth make their appearance. We could discover them at one of your visits, or you may suddenly notice new teeth emerging behind your molars. If there’s room for your wisdom teeth and they are erupting (coming in) without problems, you might be good to go. But if there’s no room, or if you have pain or infection, or if they are causing damage to the teeth next to them, extraction might be necessary. Talk to us about all your options.

  • Tobacco

You’re making decisions now that will affect the rest of your life. Don’t start using tobacco products, or if you’ve started, stop before it becomes even more addicting. Quitting tobacco is one of the best decisions you will make for your health—and this includes your dental health. Studies have shown that smokers and other tobacco users suffer much higher rates of oral cancer, serious gum disease, and early tooth loss. Set yourself up for decades of better health!

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our New York, NY office a call! We’re here to work with you for a lifetime of beautiful smiles.

Team Dark Chocolate

February 12th, 2020

Valentine’s Day is the holiday to celebrate all the treasured relationships in your life. It’s a time to honor love in all shapes and forms with cards, social gatherings, and sometimes even binge eating of sweets.

It's hard to look the other way when grocery stores and pharmacies are invaded with goodies connected to the Valentine’s Day theme, and especially if you’re on the receiving end of some of these sweets. We get it. In fact, we’re all for it!

However, we also support a cavity-free smile. So in the interest of your dental and general health, and because we think it’s genuinely tasty, Dr. David Shipper and Dr. Howard Vogel recommends an alternative to the Valentine treats you may be accustomed to: dark chocolate. 

Yes, Healthy Chocolate Exists

Studies have shown that dark chocolate is high in flavonoids, an ingredient found in the cocoa beans used to make chocolate. Flavonoids can help protect the body against toxins, reduce blood pressure, and improve blood flow to the heart and brain.

By opting for dark chocolate rather than milk chocolate, you get to reap these benefits! Pretty sweet, right? Just make sure to stick to high-quality dark chocolates that have undergone minimal processing.

Dark Chocolate, AKA Protector of Teeth

Not only does dark chocolate provide some nice benefits for your overall health, it also helps protect your teeth against cavities! According to the Texas A&M Health Science Center, dark chocolate contains high amounts of tannins, another ingredient present in cocoa beans.

Tannins can actually help prevent cavities by interfering with the bacteria that causes them. Think of them as scarecrows for bacteria. They don’t always prevail, but isn’t it nice to have them there?

Smooth Never Sticky

Unlike many popular candies, dark chocolate is less likely to stick in the crevices of your teeth. Chewy, gooey sweets are more likely to hang around in your mouth for longer periods of time, which means they raise the odds of your harboring cavity-creating bacteria.

While some dark chocolates have additives like caramel or marshmallow, it’s best to opt for the plain varieties, which are just as delicious. If you’re feeling festive, though, a dark chocolate with caramel is still better than a milk chocolate with caramel, so that’s the way to go!

While dark chocolate has some pretty sweet benefits, the most important thing to remember (whether you go the dark chocolate route or not), is that moderation is key. That being said, we hope you have fun satisfying your sweet tooth and shopping for treats for your friends and loved ones. Happy Valentine’s Day from all of us at Central Park West Dental!

Four Oral Health Issues Seniors Face

February 5th, 2020

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. David Shipper and Dr. Howard Vogel and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. David Shipper and Dr. Howard Vogel is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. David Shipper and Dr. Howard Vogel during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. David Shipper and Dr. Howard Vogel about modifying a handle for easier use or switching to a battery-powered toothbrush.

Post-Procedure Care

January 29th, 2020

As with any surgery, post-procedure care is of utmost importance after getting periodontal surgery. Bleeding, pain, swelling, and other sensations are common and should be expected to a degree. This can manifest as small amounts of blood in your saliva, pain after anesthesia wears off, and swelling around the lips and cheeks. However, these symptoms should start improving after a several days.

Below you'll find recommendations from Dr. David Shipper and Dr. Howard Vogel on what you should do to make your post-procedure experience as quick and painless as possible:

Don't smoke - After your surgery you should definitely not smoke. Smoking will inhibit your body's ability to heal the surgical site.

Don't drink alcohol - If you are taking prescription or over-the-counter pain relievers, don't drink alcohol. And it is a good idea in general to avoid alcohol after surgery, since excess alcohol consumption suppresses immune system function and slows the healing process.

Take pain medication as prescribed or an alternative - Pain is to be expected for at least the first week after your procedure. If you choose to take the prescription medication that is prescribed to you, do so as directed. However some patients have found over-the-counter pain medication works for them. You may also consider natural herbs instead of pharmacological solutions. Try turmeric, arnica, or white willow bark (which is what aspirin is derived from, so the same warnings for aspirin apply to white willow bark.)

Eating with your surgical site in mind - It is best to chew on the other side of your mouth for the first several days so as not to irritate the surgical site. Avoid overly cold or hot foods as well. Softer foods like mashed potatoes, oatmeal, and fruit will be more comfortable to chew.

Avoid brushing the surgical site - You can start brushing and flossing your teeth the day after the procedure but avoid the surgical site.

Don't rinse for the first 24 hours - After the first day has passed you can rinse with a mild mouthwash to keep your mouth, dressing, and surgical site clean.

We're here to answer any questions you have after your procedure and will help you as best we can. Pay special attention to any excessive bleeding or discomfort. Contact our New York, NY office immediately if you have tried addressing the issue on your own but are still having trouble.

Why Professional Cleanings are Important

January 22nd, 2020

Regular dental cleanings and checkups at our New York, NY office are an excellent way to ensure everything is A-OK in your mouth. There’s a reason the American Dental Association recommends a professional cleaning every six months!

Here’s what you can usually expect during your visit with Dr. David Shipper and Dr. Howard Vogel:

  • Head and neck examination: The dentist or dental hygienist will look for anything out of the ordinary. He or she will check your lymph nodes and lower jaw joints (also known as TMJs).
  • Dental examination: The dentist or hygienist will check for any signs of gum disease, tooth decay, loose or broken teeth, or damaged fillings. We’ll also check your bite, the contact between your upper and lower teeth, and the condition of any dental appliances you’re wearing. Sometimes we’ll also take a set of X-rays.
  • Dental cleaning: Plaque and tartar will be removed and the dentist or hygienist will polish your teeth. Your teeth and gums will be flossed, and we’ll also make recommendations about proper brushing and flossing technique if we think you need them.

When you visit our New York, NY office regularly, we’ll be able to compare the status of your teeth and gums from one appointment to another. That ensures we will be able to tell where you’re doing great in taking care of your teeth, and if needed, where you’re doing not so well.

If you’re in need of serious help, we might recommend more frequent visits. But remember, the most important factor in your oral health is how you take care of your teeth and gums at home between appointments.

We strive to help our patients achieve and maintain radiant, healthy smiles! If you'd like to know more about exams and cleanings at our New York, NY office, or what you need to do at home to maintain an effective oral health routine, please let us know.

Women's Hormones and Oral Health

January 15th, 2020

At Central Park West Dental, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. David Shipper and Dr. Howard Vogel and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. David Shipper and Dr. Howard Vogel may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

  • Brushing your teeth at least twice a day with a toothpaste containing fluoride
  • Flossing at least once a day
  • Eating a well-balanced diet
  • Avoiding sugary or starchy snacks

Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental encourage you to visit our New York, NY office and practice good oral health habits at home.

Why Are My Child’s Baby Teeth So White?

January 8th, 2020

One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Dr. David Shipper and Dr. Howard Vogel more closely.

  • Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
  • Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our New York, NY office. This is the simplest prescription for a charming, white, and healthy smile at any age.

Healthy Resolutions for Healthy Teeth

January 1st, 2020

Every January 1st, you have your resolutions ready. No more nail biting. Lose ten pounds. Stop smoking. None of us are happy about those annoying bad habits we’ve picked up over the years. But if nothing else has helped you keep your resolutions, maybe seeing how they can improve your oral health will give you some extra willpower.

  • No More Nail Biting

You can easily see how nail biting affects your fingernails, but its effects are more than cosmetic. The pressure this habit puts on tooth enamel can lead to cracks, chips, and enamel erosion. Nail biters have a greater risk of bruxism, or teeth grinding. (More on that below.) And the transfer of germs from fingers to mouth and mouth to fingers is a vicious circle that can lead to illnesses and infections in both fingers and mouth.

  • Cut Down on Junk Food

Sugars and carbs help pack on the pounds, no doubt. Did you know that they can also help create cavities? Sugar is a favorite food for oral bacteria, which allows them to produce acids which attack and weaken tooth enamel. And carbs? They convert easily to simple sugars. Choose nutritious snacks and beverages, and you will keep those teeth healthy. You might even lose a few pounds!

  • Lower the Volume

If your partner complains about sleepless nights thanks to your nocturnal teeth grinding, or your friends ask you to quit chewing on that cup of ice while they’re trying to watch a movie with you, listen to them! (If you can hear them over the grinding and chewing.) Bruxism can fracture teeth, cause headaches and jaw problems, and might even lead to loose teeth. Chewing hard foods can have the very same effects. Too much pressure from any source can damage your teeth. Grinding, chewing ice, crunching down on hard candies—any habit that’s loud enough to annoy others could be a warning to be more careful of your teeth.

  • Don’t Put That in Your Mouth!

Helping you eat and chew nutritious foods—of course. Smiling—absolutely. Ripping off a piece of duct tape, tearing open a potato chip bag, holding your dog’s leash while you look for your keys, opening a tight bottle cap—no, no, no, and really no. Fractures and chips are common injuries when you use your teeth as tools. Your teeth have a crucial job to do, but that job description never includes “scissors” or “nutcracker” or “bottle opener.” Take that extra minute and find the tool you need!

  • Drink in Moderation

Along with all the other consequences of over-indulging, too much alcohol in your diet can be bad for your oral health. Alcohol, especially paired with sugary drinks, helps create that acidic environment that leads to weakened enamel. More than that, it’s dehydrating. Without sufficient hydration, we don’t have the optimal saliva production we need to fight cavities. After all, saliva helps wash away food particles and bacteria, neutralizes acids, and strengthens enamel through remineralization. Ring in the New Year—moderately!

  • It’s Time to Quit

Cigarettes, pipes, cigars, chewing tobacco—there is no tobacco product that is healthy for your body or your teeth! We’re all familiar with the discoloration tobacco can cause, but it also has serious oral health consequences. Oral cancer, gum disease, early tooth loss—all these conditions have been linked to tobacco use. Today there are more methods than ever before to help you quit. Make this your year!

You don’t have to wait for the New Year to start working on healthier habits. If you’d like to tackle teeth grinding, banish nail biting, stop smoking, or work on any other habits that can damage your health and your teeth, talk to Dr. David Shipper and Dr. Howard Vogel at your next visit to our New York, NY office. And, don’t forget—resolving to see us twice a year for a checkup and a cleaning is a resolution that’s extremely easy to keep!

Common Causes of Gum Disease

December 25th, 2019

Your gums are responsible for a large part of your overall oral health. So keeping them healthy and knowing how to detect gum disease is extremely important.

Since it’s often painless, gum disease may go unnoticed and can progress when left untreated. Understanding the causes of gum disease will give you the ability to keep your oral health in great shape:

  • Bacteria and Plaque. Good hygiene helps remove bacteria and plaque from teeth. When plaque is not removed, it turns into a rock-like substance called tartar, which can only be removed by a dentist.
  • Smoking and Tobacco. Smokers and tobacco users put themselves at a higher risk of developing gum disease. Tobacco use can also stain your teeth, give you bad breath, and increase the risk of oral cancer. It’s best to avoid using tobacco altogether.
  • Certain Medications. Ironically, certain medications for other health conditions can increase your risk of developing gum disease. Talk with Dr. David Shipper and Dr. Howard Vogel if you have concerns about a medication you are taking. Steroids, anti-epilepsy drugs, certain cancer therapy medications, and oral contraceptives can be among the culprits.
  • Medical Conditions. Certain medical conditions can also affect your gum health. Diabetics can have an increased risk of gum disease due to the inflammatory chemicals in their bodies. Talk to our team about your health condition so we can take that into account when treating you.

Luckily, there are actions you can take to prevent gum disease. You should make regular visits to our New York, NY office for regular cleanings. It’s also worthwhile to maintain good hygiene habits at home, such as flossing and brushing at least two times every day.

Good oral hygiene practice and visits to our New York, NY office can help you eliminate or reduce the risks of developing gum disease!

When to Begin Dental Care for Your Child

December 18th, 2019

Children’s oral health differs from that of adults in a variety of ways. Dr. David Shipper and Dr. Howard Vogel and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our New York, NY office between the ages of one and two. Dr. David Shipper and Dr. Howard Vogel will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

  • Look for signs of decay or other tooth or gum problems
  • Make sure your youngster doesn’t have gum disease or cavities
  • Examine your child’s bite, and check for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your son or daughter is old enough
  • Talk to you about proper oral health care for your
  • Give you some tips for brushing and flossing your child’s teeth
  • Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our New York, NY location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

Gum Disease Prevention

December 11th, 2019

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our New York, NY office.

 Healthy Habits at Home

  • Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

  • If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

  • Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

  • We recommend a visit to our New York, NY office every six months for a checkup. Dr. David Shipper and Dr. Howard Vogel can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
  • Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Dr. David Shipper and Dr. Howard Vogel regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

Ask Us about These Dental Treatments

December 4th, 2019

There are a few dental treatments that Dr. David Shipper and Dr. Howard Vogel and our team recommend for all patients to get if they wish to protect their oral health. Sometimes it’s hard for patients to decide which treatment plan would be best for their teeth. Learn about these three must-have treatments and how they can help protect your teeth in various ways.

Professional Cleanings

First, get a professional dental cleaning every six months. Regular cleanings can protect you from potential gum disease because they enable us to catch it early.

Cleanings also will get rid of plaque and tartar that have collected on your teeth over time. Oral health has been linked to your body’s overall health. We recommend scheduling your appointments in advance: Feel free to contact our practice’s New York, NY location if you forget when you scheduled your next visit. Our staff will be happy to assist you.

Periodontal Exams

We also recommend that all our patients at Central Park West Dental receive a complete periodontal exam each year. You can ask about this during your regular, scheduled cleanings.

It’s a quick and painless procedure in which our hygienist probes each tooth to make sure the bone and soft tissue are healthy. If there’s a sign of infection, we will be able to treat it effectively before painful symptoms kick in.

Many adult patients are unaware that they have periodontal disease, and they may suffer the loss of a tooth if it goes untreated. Make sure you schedule a periodontal exam each year and save yourself a lot of time and pain.

Sealants

We also recommend dental sealants, particularly to protect your molars. Many people assume this treatment is just for kids to prevent cavities, but it can be used for adults too!

Sealants provide a protective barrier on your teeth that can help block against the buildup of plaque in those hard-to-reach areas in the back of your mouth. If you received sealants as a child, chances are they’ve worn off over time.

So if you want to save dental costs over the long haul, we recommend getting sealants again for cavity protection.

Dr. David Shipper and Dr. Howard Vogel and our team hope you take our advice when it comes to your oral hygiene and schedule regular appointments for your dental cleanings. We look forward to seeing you at your next appointment!

The Many Types of Sedation Dentistry

November 27th, 2019

There are many reasons to choose sedation dentistry. Perhaps anxiety is an issue, or your teeth are extremely sensitive. You may have a low pain threshold, an easily triggered gag reflex, or need a lot of work done in one visit. If you think sedation dentistry might be right for you, this procedure is something we are happy to discuss before your appointment at our New York, NY office.

Because your concerns and condition are unique, we will tailor your sedation to fit your specific needs. We will take a careful health history to make sure whatever medication is used is safe for you, and will not interact with your other medications or affect any medical conditions. The three most common methods of sedation include:

Our experience and training allow us to recommend a method that is specifically designed for your needs. If you would like to remain completely aware, but feel less anxious, if you would like deep sedation through the entire procedure, or if you want something in between, talk to us about your options. Whatever the reason you choose sedation dentistry, Dr. David Shipper and Dr. Howard Vogel and our team are here to provide you with a skilled and safe sedation experience.

A Variety of Dentures to Meet Your Needs

October 30th, 2019

With advancements in prosthetic dentistry, patients are now able to wear dentures that are comfortable, natural looking, and long lasting. There are different options to choose from that will meet your individual needs, whether you have a few teeth missing or have lost all of your teeth. Dr. David Shipper and Dr. Howard Vogel will be able to help you decide which denture option is best for you.

Partial Dentures

Patients who receive partial dentures have some of their original teeth still in place and therefore only need a partial to replace the missing teeth and keep their existing teeth from moving. It also makes sense that patients need them to be able to eat comfortably. All dentures are made from porcelain or plastic and are made with comfort in mind.

Complete Dentures

If you have suffered from complete tooth loss, you would typically receive complete dentures. Immediately after you have your teeth extracted you will leave the dentist office with a set of temporary dentures. These will be worn for a few months while your mouth heals. After this initial wait time, your conventional or permanent dentures will be ready to be fitted.

Implant-Supported Dentures

Implant-supported dentures involve a more invasive procedure, but are also permanent. A select number of implants are placed into the jaw. The denture is then attached to the implant posts. You will be able to chew normally and maintain normal dental hygiene, like brushing and flossing.

Dr. David Shipper and Dr. Howard Vogel will be able to advise on which kind of denture would be the best based on your individual needs. Contact our New York, NY office to schedule an appointment!

Quit Smoking to Save Your Smile

October 23rd, 2019

You have probably counted a hundred reasons to stop smoking. It’s unhealthy. It’s expensive. It annoys the people around you. You have to schedule your day around the next cigarette. But here’s reason number 101: Did you know that one of the many side effects of smoking is the damage it does to your smile?

Your Appearance

One of the most obvious results of smoking is the constant yellowing and discoloration of your teeth. Tobacco stains can take longer to remove with home brushing and whitening. And, while a professional cleaning and whitening will make a world of difference, all that good work is undone once you start smoking again.

More important, no smile looks its best with periodontal disease and tooth loss. Smoking has been linked to the presence of more harmful oral bacteria and higher occurrences of cavities and gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers. Tooth loss is also much more likely.

Healing after Dental Surgery

Smoking slows the healing process. It has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.  And because of the harmful effect of smoking on bone tissue, there is a higher failure rate for dental implants among smokers. Bone density can be so compromised that an implant is not even an option.

Healing after Extractions

If you have a tooth extracted, the formation of a blood clot at the site of the removal is essential to avoid a condition called dry socket. Dry socket can lead to pain, serious infection, and other complications. Luckily, this clot is resilient and pretty hard to dislodge—unless you apply suction such as sipping through a straw or drawing smoke from a cigarette.

Oral Cancer

Research has shown that smoking is the single most serious risk factor for oral cancer. The good news is that this risk is cut dramatically if you quit!

Let Dr. David Shipper and Dr. Howard Vogel help you maintain your smile. We can offer many more reasons to give up the smoking habit, and we are happy to offer suggestions for quitting during your next visit to our New York, NY office. We want to protect your smile and your health as well. It doesn’t really matter which number on the list finally leads you to quit—every number on that list is your lucky number!

How can veneers improve my smile?

October 16th, 2019

Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental believe everyone’s smile should be a something they can be proud of. Most of us aren’t born with naturally perfect teeth, though, so it’s fortunate that cosmetic dentistry and veneers make it possible to achieve the smile of your dreams!

Dental veneers are a great option to improve your smile and are highly accessible to patients around the world. They’re made of porcelain and will be customized to fit the surface of your teeth perfectly. Our team will note your tooth size, color, and shape so your veneers will look completely natural.

Benefits of dental veneers

Appearance: Dental veneers can be undetectable to others because they look so natural. One of the best perks is that they are resistant to stains, so you don’t have to worry about discoloration over time.

Improvements: Not only will your smile look better, but many minor imperfections can be improved with dental veneers as well. Chipped teeth, discoloration, and gaps will be covered by your veneers.

Durability: Veneers are made from long-lasting porcelain materials, which means they are resistant to scratches and chipping. If you take care of them properly, they can look as good as new for years!

Flexibility: Patients have the option of choosing single veneers to repair chips or cracks in teeth or go for multiple teeth to create a completely new smile.

Considerations

Just because dental veneers can cover imperfections, that doesn’t mean your oral hygiene is any less vital. Your teeth and gums should be healthy and disease-free in order to be eligible for veneers.

Set up an initial consultation at our New York, NY office today, and we can address any underlying issues you may have. Your perfect smile could be just a phone call away!

 

How safe are dental X-rays?

October 9th, 2019

Dr. David Shipper and Dr. Howard Vogel and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. David Shipper and Dr. Howard Vogel and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. David Shipper and Dr. Howard Vogel.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

Dental Visits Are Not So Bad

October 2nd, 2019

Many people dread going to the dentist. Dental visits have the reputation of being painful and uncomfortable, and it is common for people to compare unfortunate situations such as having a root canal or feeling the dentist’s drill. However, at Central Park West Dental, dental visits are not that bad.

Your regular cleaning and checkup are noninvasive. They require no drilling, Novocain, or needles, and you go home with refreshingly clean teeth. When your hygienist cleans your teeth, you are literally receiving individualized care from a professional as you sit back and relax.

In the days before the use of Novocain or other anesthetics, dental work could be painful. Thankfully, those days are gone! Now you are unlikely to feel a thing, even during the most extensive procedures. In addition, most dental work such as fillings, root canals, and crowns can be performed in one to two visits, so you do not need to keep returning to Central Park West Dental.

An incentive for getting over your fear and coming to the dentist is that getting your dental work done can dramatically improve your quality of life. Dr. David Shipper and Dr. Howard Vogel can address tooth problems that have caused toothaches or prevented you from eating the foods you like. As a bonus, regular visits with Dr. David Shipper and Dr. Howard Vogel and our staff allow us to identify condit