Nadler Dentistry

Wisdom Teeth Misconceptions

Nadler Dentistry — Thu, 12 Dec 2019 19:52:58 +0000

Factors Feeding the Wisdom Teeth Removal Decision

Does everyone need to have their wisdom teeth out? The answer is “of course not.” Still, these are the adult teeth that often cause the most problems.

How do you know if you should have wisdom teeth removed? Only x-rays or a ct scan can tell you for sure. Wisdom teeth are usually the teeth furthest in the back of your mouth, so when considering whether they should be left alone or removed, many factors must be considered.

Age of the patient

Are the teeth still erupting into place?

Do the wisdom teeth put any of the other teeth in the mouth at risk by leaving them in place or by removal?

Orientation of the teeth in relation to the teeth in front of them and the opposing teeth on the upper or lower jaw.

Pathology

Are there signs of infection or discomfort associated with the teeth?

Cleanability

Can the teeth be properly maintained with good oral hygiene?

Can they be removed safely

Where are they in relation to the nerve, sinus, adjacent teeth?

So if the question is “should I have my wisdom teeth taken out?” The answer can only be “Please ask your dentist for his or her opinion. A decision has to be made on individual bases using facts gathered from xrays and CT scans.

If you have questions about wisdom tooth removal don’t hesitate to call Dr. Matthew Nadler’s convenient Midtown Manhattan dental practice at 212-757-3745 to ask your questions or arrange an appointment.

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Handling Tooth Sensitivity-OUCH!

Nadler Dentistry — Thu, 12 Dec 2019 19:42:40 +0000

Although tooth sensitivity may not be a glamorous topic, it does affect millions of people. In fact there are studies that show that one in every three adults suffers from tooth sensitivity.

Dental sensitivity can come from a multitude of causes. Gum recession exposes exposed root surfaces, leading to sensitivity. Cavities, fractured teeth, teeth grinding, cracked teeth, and worn teeth exposing the underlying dentin all lead to tooth sensitivity. Finally, a difference in the osmotic gradient (differences in concentration of particles, in this case within the tooth and outside the tooth), can create pressure on the nerve and lead to sensitivity or pain.

Treatments for Tooth Sensitivity

Topical treatments

Treatments for tooth sensitivity vary and are determined on a case by case bases. Desensitizing toothpastes such as sensodyne are often the first line of treatment due to the minimal invasiveness and ease of implementation. Sensodyne toothpastes work in one of two ways. Those containing potassium nitrate as the active ingredient work by numbing the nerve endings within the tooth to decrease the nerve transmission. The second way Sensodyne toothpastes work are by physically blocking the dentinal tubules and therefore reducing the transmission of outside stimulus to the nerve of the tooth with the use of stannous fluoride. If toothpastes are not effective then the use of a topical desensitizer such as Gluma by Heraeuous Kulzer can be applied by a dental professional. Gluma works by creating protein layers within the dentinal tubules, therefore blocking the transmission of pressure to the nerve of the tooth.

Prosthetic treatments

If these conservative treatments are not effective, prosthetic options can cover the exposed tooth structure. Prosthetics include bonded restoration, crown, or porcelain laminate. There are periodontal treatments as well, which can be successful. These procedures treat the exposed root surface by surgically covering the exposed root surfaces with a gingival (gum) graft. An endodontic approach to treating sensitivity or pain would be to physically remove the nerve of the tooth with root canal therapy. And the most definitive approach, but not recommended, would be to remove the tooth altogether surgically.

It is important to determine the cause of the sensitivity prior to determining the correct course of treatment. The most conservative treatment possible should always be the first course of treatment. If you have sensitivity please don’t hesitate to call Dr. Matthew Nadler’s convenient Midtown Manhattan dental practice at 212-757-3745 to ask your questions or arrange an appointment.

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That Hollywood Smile!! Can you Make it Yours?

Nadler Dentistry — Thu, 12 Dec 2019 19:28:54 +0000

How do these celebs have such beautiful teeth? Is it whitening or is it something else? Often people ask me to whiten their teeth and they reference celebrities with smiles that they love. They think that these celebs have access to a miracle whitening formula that can magically give them perfect teeth.

Most know that the Crest White Strips available in the grocery store aren’t going to get them Scarlett Johansson’s glittering grin. So, yes, celebrities do take advantage of the top-most drawer of tooth enhancement.

Veneers, also known as laminates or “contact lenses” depending on what part of the world you are from, can transform your smile as they have for many celebrity actors and actresses. They are thin slivers of porcelain, which change both the color and shape of your teeth.

Handcrafted porcelain veneers planned and executed correctly can be absolutely stunning. The shape and contours of the teeth can be designed in harmony with your lips, eyes and other facial features to create a lovely and lasting smile. You might just find yourself smiling more and more. Confidence in the way you look and feel can transfer to other parts of your life. A beautiful smile can also change the way others look at you, further boosting your self-esteem.

For people who already have beautifully shaped teeth and a pleasing smile but stained or yellow teeth, cosmetic whitening combined with selective bonded restorations, porcelain or composite will suffice.

Many factors are involved in designing your dream smile. Each patient is different. Gums, speech, occlusion, and health of the teeth are just some of these factors. It is important to understand that there is no one correct treatment. Each dental enhancement plan must spring from individual issues and desires.

If you’d like to know your options for getting a 1,000-watt smile, please contact Dr. Matthew Nadler’s convenient Midtown Manhattan dental practice at 212-757-3745 to ask your questions or arrange an appointment.

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Welcome!

Nadler Dentistry — Wed, 07 Aug 2019 20:25:43 +0000

We’re excited to announce the launch of our new website! Drs. Matthew and Sheldon Nadler are excited to share their new website with current and future patients in the Midtown Manhattan area. Please browse a few of our favorite pages:

We look forward to seeing you soon! Feel free to contact us with any questions or to schedule your next visit.

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