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.
January 27th, 2016

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.
How cavities form
Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.
Cavity prevention for adults
Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.
- Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
- Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
- Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
- Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.
One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.
For more information about avoiding cavities, 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!
January 20th, 2016

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.
About Dental X-rays
Intraoral X-rays are the most common, and include bitewing X-rays. These allow Dr. David Shipper and Dr. Howard Vogel and our team at Central Park West Dental to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.
X-ray Safety
A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.
Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.
No matter what type of X-ray you are having, it is extremely important to tell Dr. David Shipper and Dr. Howard Vogel or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient New York, NY office and talk to us about your concerns.
January 13th, 2016

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.
A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:
- Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
- Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
- When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
- We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
- After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
- You should not need pain medication for more than the first few days.
Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our New York, NY office and speak with Dr. David Shipper and Dr. Howard Vogel.