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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.

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!

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!

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.