March 8th, 2016

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.
Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.
Three health problems linked to sleep apnea
Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.
- High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
- Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
- Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.
Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.
If you think you may be suffering from sleep apnea, or to schedule a visit with Dr. David Shipper and Dr. Howard Vogel at our convenient New York, NY office, please give us a call! Our entire team at Central Park West Dental look forward to giving you back a full night’s rest!
February 17th, 2016

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Dr. David Shipper and Dr. Howard Vogel see all too often.
Causes of Gum Recession
- Periodontal disease – a serious oral disease arising from poor oral habits
- Gingivitis – gum disease characterized by bleeding and swollen gums
- Aging
- Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
- Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
- Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
- Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health
Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.
Treatments for Gum Recession
Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.
If you’re worried about gum recession, visit our New York, NY office and talk to a member of our team.
February 10th, 2016

At Central Park West Dental, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.
So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.
Permanent hypersensitivity, however, may require treatment at Central Park West Dental. The first step is to determine the cause, and that begins with a visit to our New York, NY office.
The reasons your teeth may become sensitive vary, but possible causes include:
- Tooth decay (cavities) near the gum line
- Cracked or fractured teeth
- Fillings that are worn
- Gum (periodontal) disease, or recession of the gums
- Worn tooth enamel
- Brushing too hard
- Consuming acidic foods
Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. David Shipper and Dr. Howard Vogel may suggest one the following treatments:
- Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
- Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
- A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
- A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
- Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Dr. David Shipper and Dr. Howard Vogel may recommend you undergo a root canal to eliminate the problem.
If you are experiencing tooth sensitivity, give us a call today so that Dr. David Shipper and Dr. Howard Vogel can provide you with some much-needed relief!
February 3rd, 2016

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.
Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?
How Bad Breath Starts
There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.
- The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
- Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
- Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
- Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
- The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.
Tips for Busting Bad Breath
Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.
- Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
- Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
- Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
- Drink water to avoid dry mouth, which is a common cause of bad breath.
- Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
- Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
- Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
- Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
- Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
- Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.
And don't forget! Get regular dental checkups at Central Park West Dental.