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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.

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.

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.

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!