Fillings, Fillings, Fillings

You have a cavity and you need to restore your tooth to health.  What are your alternatives?

Your teeth are pretty tough.   Their outside is covered with a layer of enamel which is so hard that we need industrial diamonds on a high speed turbine to cut through it.  Think of a jet engine with a diamond attached to it and spinning around and that is what is needed to get into your tooth.

Bacteria are tenacious and they thrive in a dark, warm environment without air and a source of food.

Your mouth is dark and under the gums and between your teeth there is little air present.  Since you eat there is plenty of food and it is quite warm, approximately 100 degrees.

The bacteria look for little defects within your teeth to deposit themselves and then drill into the interior of your tooth.  Once inside you are unable to remove them with a toothbrush or floss.  At this point you need a dentist to get inside of your tooth and remove the decay.

Once removed the hole created needs to be filled.  There are several options.  The gold standard is gold.  Gold has the same expansion and contraction as your tooth and wears evenly with the opposing tooth.  However, today most people will not tolerate gold due to its yellow color.  On the other hand gold fillings last longer than any other procedure we can perform on you.

Back in the day when there was only gold or silver if you were in the limo you were choosing gold but if you were in the bus or subway then silver was for you.   The advantage of silver is it is also a metal and very strong.  Most people who have silver fillings have had them for decades.  The fillings rarely ever break but after decades the teeth holding them usually break.  At that point a crown is necessary.  Once again most people will not tolerate silver due to the silver color.

Today we now have white fillings made of a composite plastic type material.  The advantage is that after being placed no one will know that you have a filling.  The down side is since the filling is made of plastic it is not as strong as gold or silver but esthetically there is no comparison.  As time goes on this will be the standard of care since dental schools are no longer teaching dental students how to do gold or silver fillings.

If your filling is large and you want a white filling then as an alternative we can have a white lab processed filling.  This is made of porcelain and is stronger than a white composite filling but takes two appointments to fabricate and is more expensive.  The filling will also be invisible when you smile.

Sometimes there is no cavity but just a discoloration of your tooth.  If whitening cannot correct the situation then we can make a cosmetic veneer to cover the discoloration.  Since this is a cosmetic procedure your dental insurance will not cover it.  However the final result achieved can be dramatic making your smile much more attractive.

Here at the Dental Practice of Glenn Reit DDS conveniently located on the Upper East Side of Manhattan we have the ability to restore your teeth with the material of your choice.  If you find yourself in Yorkville or the adjoining zip codes of 10028, 10128, 10075 or 10021 come on down we will be happy to meet with you.   We are conveniently located within a three minute walk from the 4, 5, 6 and Q subway lines.

If you experience an emergency, as in breaking a tooth, give us a call at 212 517 9000 and we will see you and treat your emergency.  We have evening and Saturday hours available.  At our practice, making you smile again is our goal.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Nobody wants Cavities

Everyone wants to be healthy.  Luckily today concerning your teeth with fluoride in the drinking water the amount of tooth decay is way down, especially if you make the effort to brush and floss your teeth.

How do cavities occur?  Sometimes you can be predisposed to decay due to your genetics but most of the time it is due to eating sugary, sticky foods and not removing the remaining residue by not cleaning your teeth.

The outside of your tooth is made up of enamel which is a very hard substance.  The inner part of your tooth is made up of dentin which is technically millions of little straws pressed close together.  For decay to inhabit your tooth it has to break through the enamel layer.  Think of decay as looking like an upside down or right side up pyramid depending if you are on your upper or lower teeth.

The top point is the entry point into your inner tooth.  Most people have grooves and lines on the surface of their teeth so if food remains there it disintegrates giving off acids which attack the surface of your teeth.

Once the decay forms that little hole into the interior of your tooth it now has an ideal environment to cause mayhem.  For decay to grow it is looking for a dark, warm area without oxygen and a continual source of food.  Inside your mouth it is dark, approximately 100 degrees and once the decay is inside your tooth there is no oxygen.  As you continually eat there is a constant source of food.

Since the decay is within your tooth you are unable to remove or clean it with your toothbrush and it continues to grow.  The only way to remove it is to see your dentist who will excavate it out and replace the missing tooth structure to restore your tooth to health.  You can also get decay between your teeth by not flossing to remove any impacted food remaining there after eating.

Here at Dr Glenn Reit’s dental practice we do not want you to have decay.  If you do we will remove it and restore your tooth to health. So if you are looking for a dentist on the Upper East Side of Manhattan or you are visiting the Yorkville, New York City area give us a call.

We are happy to meet with you and restore your health.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Porcelain Veneers - Achieving the Hollywood Smile

Do you want that Hollywood look?

Maybe you do and maybe you don’t. But there is a process to get your teeth super white. The procedure is porcelain veneers. If you have tried whitening and you are still not happy. We can transform your teeth into pearly whites.

The procedure is expensive and permanently changes your teeth. So for most people you have to really want the change. If so we remove approximately 1mm of the outside of the teeth and then bond a small cosmetic chip of porcelain to the front of the tooth. The porcelain can be modified to achieve the color you are looking for.

The advantage is now your front teeth are the color you desired. The disadvantage is that you have permanently changed your teeth. No treatment we do in dentistry lasts a lifetime and the procedure will eventually need to be redone to return to the original change you desired.

 Sometimes people have very dark teeth which can be due to heredity. For these individuals the placement of veneers can be a life changer. Others have anterior teeth which are out of alignment and do not want to have braces. Braces are generally the first choice to reposition out of align teeth with clear aligners or wires. Some will not want to go through orthodontic treatment and want the result achieved quicker. Porcelain veneers can accomplish this.

If this is something you are interested in give us a call and we can determine with you, if you are a candidate for this type of procedure.   There are no right or wrong answers here.  This is a cosmetic decision which can help you achieve the look you desire as long as your dentition can support the veneers.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Make every day a happy day but when you have a toothache your day will be challenging

What do you do when your tooth is biting?  For most the best answer is to find and call a dentist.

Fortunately today we have procedures to quickly get you more comfortable.  Sometimes trauma happens and you just have to respond.  Previous dentistry will eventually fail and need to be remedied.  Some fail to brush or floss and develop new areas of decay and finally others have had bad dental experiences earlier in their lives so they avoid the dentist until an emergency happens.

What causes tooth pain?  A trauma to the jaw like falling down or being hit or new dental decay which progresses around or under a previous dental restoration.   When the decay or trauma reaches your tooth’s nerve the only response a tooth can give is pain.

Oil of cloves, ice and a pain Rx can help to temporarily relieve the pain but ultimately dental treatment is necessary to resolve the situation.   When a patient’s tooth is hurting first we need to determine the cause of the pain.  

If it is simple decay we will remove the decay and replace the damaged tooth structure.  If the decay has entered the nerve then a root canal treatment where the nerve is removed from the tooth is needed or the tooth needs to be removed.   If the tooth due to trauma has cracked sometimes we can repair the crack while other times the tooth will need to be removed.  If the gums are swollen then a thorough cleaning and medicinal rinses may be necessary.  In the worst cases we will look to see if a systemic disease is causing the problem.

The intelligent person establishes a relationship with a dentist and is a known patient.  The dentist will already have a relationship with the person and x-rays on file.  Then if an emergency situation occurs the preexisting conditions in their mouth are already known.  In addition a patient having a relationship with an office will less likely experience an emergency unless it is due to trauma.

At our office we want to keep you healthy and help prevent you from ever experiencing dental pain.  Call today to schedule your appointment for a check-up and cleaning.   We look forward to meeting you.

Looking for a Emergency Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Do Your Gums Bleed When You Brush Your Teeth?

Bleeding gums can be a sign of periodontal disease or the degradation of the tissue which holds your teeth in your jaws.  When you brush your teeth you should see no bleeding in a healthy mouth.  How do you obtain a healthy mouth?  Some people are lucky. Their genetics lead to a condition where it is hard to develop tooth decay or gum disease.

However, for most of us this is not the case.  For this group going to the dentist for routine cleanings and restoration of diseased teeth is the answer.  When you brush your teeth you bring air into your mouth.  The air has 20% oxygen and oxygen causes bacteria to break down.  The bacteria in your mouth are anaerobic meaning living without oxygen.  This bacteria desires warm, dark places without air.  Your mouth is a perfect environment for this

It is warm around 98.6 degrees, it is dark inside – no light here and there is limited oxygen around the teeth.   When you brush your teeth you bring air and oxygen into your mouth.  You can brush the top, front and back of your teeth but you cannot get in between your teeth.  Dental floss that thin waxed string has the ability to move between your teeth and bring oxygen into this area.  More importantly there is a cuff around each tooth.  In a healthy situation this cuff is one to three mm in depth.  You can therefore wrap the floss around each tooth and move into this cuff or sulcus to aerate the area and remove any food residing there.

When you eat, food begins to break down in your mouth and produce acids.  If you do not remove these acids on a regular basis it will lead to tooth decay and gum breakdown or gum disease.  You notice the beginning of the breakdown when you brush or floss your teeth and you begin to bleed.  

If your gums are not 100% healthy they are ulcerated so when touched they open up and bleed.  You can ignore this situation since it usually does not hurt but it will progress into a worse situation where you begin to lose bone called periodontitis.

By coming in for regular exams and cleaning we can check your mouth for decay and if found restore your tooth to health.  If your gums are bleeding we can do a thorough cleaning and resolve the issue.  If your gum condition has already progressed to a direr situation we have procedures to resolve that.

Your gums, teeth and breath will thank you.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Trends in Dentistry

Over the decades dentistry has changed.  When I first started practicing there was more dental decay present in every patient.  The main culprit was the lack of fluoride in the public water system.  It was routine to see patients with cavities in almost every posterior tooth.  At that time the choices were silver or gold.   For most patients gold was too prohibitive in cost so silver was the only option.

Many other patients had severe periodontal disease necessitating the removal of their teeth and the placement of full or partial denture or plastic teeth to restore the missing spaces.  Alternatively fixed bridges or connected crowns or caps could be made to replace missing teeth.

Today things have changed.  Due to the presence of fluoride in the drinking water and better hygiene by the general public the level of decay has decreased.  Also advancements in dentistry have led to the creation of more esthetic alternatives to fix your teeth.  White fillings have replaced silver or metal fillings and implants can restore a missing tooth without damaging the adjacent teeth.

Periodontal procedures can be applied to strengthen the gums holding your teeth into your jaws.  Whitening and cosmetic procedures can enhance your appearance.  The saying you lead with your smile is readily apparent.  If you are not happy with your smile you will probably not smile.  Smiling helps to improve your outlook and positivity.

With many of us now online due to video conferencing people can really get a good look at your teeth.  A pleasing smile is appreciated, one that is not is definitely seen and commented upon even if unconsciously.  If you are concerned about your smile or you just want your teeth cleaned please give us a call to schedule an appointment.  Your teeth will thank you.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Root Canal Treatment vs. Placement of a Dental Implant

My belief is that although we try to duplicate nature, nature always wins.  The science and art of dentistry can help to restore or replace defects to your teeth.  Your own natural teeth with no dentistry are the best solution but life happens and decay and tooth loss occur.

If a tooth becomes traumatized or decay spreads too far the nerve of the tooth can become infected.  At this point either the nerve has to be removed from the tooth or the tooth has to be removed from your jaw.  Root canal therapy is the process whereby the dentist is able to retain the tooth in your mouth.  One of the problems with root canal therapy is that the salvaged tooth is not as strong as a tooth which has not been treated with a root canal.  The tooth is still in your head but is now non vital and starts to dry out.  A root canal treated tooth needs a crown or cap to serve as a girdle to hold the tooth together.

In the past root canal therapy was the preferred alternative vs removing or extracting the tooth.  Now there is an additional option.  The tooth can be removed and an implant which is a piece of titanium can be inserted into your jaw which simulates the root of the tooth.  Then a crown can be made to resemble your original tooth.

For a time, the swing to extracting and placing implants vs root canal therapy was becoming the norm.  Now the pendulum is swinging the other way where root canal therapy if it can be performed is the treatment of choice to save your tooth.  The cost of a root canal is much less than the cost of an implant.

A root canal is done on your own tooth so technically your own tooth is still in your head.  The time to do a root canal and then restore the tooth can take up to three weeks while an implant can take more than six months to achieve a similar result.

A problem with implants is not the implant nor the crown but the abutment which replaced the lost tooth structure in your mouth.  The problem is that the abutment is attached to the implant with a screw.  All screws desire to unscrew and this is a problem with implants.  If the screw becomes loose additional treatment is necessary to save the implant and crown.

At our practice we will always give you the advantages, disadvantages, risks and alternatives for all treatments we perform before beginning along with the costs involved.  This way you can make an intelligent choice on the treatment we provide you.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Is It Dentistry or Is It Art Work?

Dentistry is a science.  In restoring teeth you need to follow biologic guidelines for your teeth are part of your body.  You use your teeth in chewing food and they in turn support the bone structure of your jaws. Sometimes nature can be cruel.  You may not like the look of your smile or the shape of your teeth.  You may want to change your appearance and teeth play a big part.

A truly good sculptor can look at a block of marble and see the sculpture inside.  For the artist it already exists and needs only to remove the excess pieces.  Dentistry can also be artistic.  Following the science and being artistically creative a dentist can transform the unacceptable to a work of art within your mouth.

Today dentistry has the materials and techniques to transform your mouth into something beautiful and functional.  If you are not happy with your smile give us a call and see what cosmetic dentistry can do for you.  Remember you lead with your smile.

Looking for a Cosmetic Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Bleeding Gums Not Good For You

Do you ever notice after brushing your teeth, a red tinge in your sink on spitting out?  If you do and look into the mirror you will see bleeding from your gums.  This is the beginning of gum disease.  Your gums are inflamed and the act of brushing or flossing causes them to bleed.  Since your gums probably do not hurt this condition will worsen and eventually bite you.

Your gums support your teeth.  Strong gums lead to healthy teeth and a healthy mouth which contributes to a healthy body.  How can gum deterioration or gum disease happen?

When you eat most of the time food remains in your mouth.  If you do not remove the food it starts to break down releasing bacteria into your mouth.  Bacteria like warm dark places with a food supply.  Your mouth is at 98.6 degrees, is dark and as you continue to eat there is always a source of food.  As the bacteria increase they produce acids which attack your gums.

All teeth have a cuff or pocket around them.  The bacteria like to reside in these pockets.  In the first phase of gum disease the pockets become ulcerated and when you brush or floss the action of the floss or toothbrush causes your gums to bleed.

Failure to floss or brush on a continual basis allows the bacteria to continue to increase and if left long enough can lead to actual destruction of the bone that supports your teeth.  In the final phase this can lead to tooth loss.

Coming in to see us on a regular basis will prevent this scenario from occurring.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Today Everyone Wants to Look Younger

People dye their hair, get Botox, and lose weight to appear more youthful.  Some people even undergo optional plastic surgery to turn back time.  Another way to melt away the years is to rehabilitate your smile.  Dentistry can give you a more youthful appearance.

Time wears on all of us.  Your teeth are under a lot of pressure and challenges.  Chewing foods and drinking liquids can discolor and wear down your teeth.  Your gums can recede leading to the phrase long in the tooth.

Not to worry dentistry has evolved and we now have several ways to make you appear younger.

The quickest and least invasive is to whiten your teeth.  Products are now available to safely whiten your teeth which immediately will improve your looks.  The cost for these procedures has come down over the years so that everyone can afford to whiten their teeth.

Many older individuals have silver fillings which should be left alone.  This is one dental restoration that can last for decades.  However if the dark color is objectionable they can be replace with white fillings.

If your teeth have a shape that you find annoying they can be readily changed sometimes by just a quick adjustment which can be done without anesthesia.

More substantial changes can be done with dental restorations such as cosmetic veneers which are placed on the front of your anterior teeth to quickly change the color and shape of your teeth.  We are also able to realign the position of your teeth with clear aligner therapy commonly known as Invisalign where no one will be aware of the treatment while it progresses.

In today’s world where everyone has a camera and you’re online doing zoom conferences, looking young is a passion and every help you can get is a plus.  Cosmetic dentistry is a plus and we can offer it to you.  If this is something you are interested in then give us a call and we can show and tell you what we can do for you to achieve the smile and look you desire.

When you look good, you feel good and when you feel good life’s problems become more solvable.

Looking for a Cosmetic Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.

Pain is Pain

No one wants to experience any pain and tooth pain can be quite challenging.  When you feel pain your body is telling you something is happening.  When it comes to teeth the pain can range from mild to severe.  One thing is sure when your teeth are aching you need to see a dentist.  Mouth pain rarely subsides and progressively becomes more bothersome.

The mouth is a perfect breeding ground for bacteria.  Bacteria like warm, dark places without air and a source of food.  Meaning you mouth is a perfect environment for bacteria to thrive.  Maintaining regular oral hygiene and trips to the dentist is a good way to prevent the bacteria from taking over.

What causes tooth pain?  It could be from stress in which you grind or clench your teeth.  It could come from a cold as in when your sinuses fill with liquid and put downward pressure on your upper teeth.  Most of the time pain is due to trauma or decay.  A sharp bite on a cherry pit, of piece of bone can crack your tooth.  A cavity can develop from inadequate oral hygiene and if left untreated can lead to dental pain.  If left alone long enough the bacteria can enter your tooth’s nerve giving you the classic tooth ache. 

Your gums hold your teeth into your head.  It is important to maintain healthy gums to prevent pain and increase the longevity of your teeth.  This can be easily accomplished by daily brushing and flossing of your teeth.

Looking for a Dentist in the Upper East Side?

If you are or even if you are not experiencing any dental pain we are here to help you maintain a healthy mouth.  Call today 212 517 9000 we are always happy to meet with you and help you achieve dental health.

How Long Can A Dental Crown Last?

Dental crowns or sometimes called caps by the general public are used to restore teeth with large decay or larger broken fillings.  The crown helps to strengthen the damaged tooth and allow it to return to normal function.  Crowns are also used after a tooth has a root canal procedure wherein the nerve of the tooth has been removed due to infection leaving the tooth vulnerable to fracture.  The crown helps to keep the pieces of the tooth together.  If an individual loses a tooth and undergoes an implant which is a way of totally replacing a missing tooth the crown restores the part of the tooth you see in your mouth. Crowns can also be used for cosmetic reasons such as to replace the color of yellowed or stained teeth or teeth which are too small or misshapen.

Dental crowns are made of different materials.  In the past crowns would be made of gold.  Gold is very biocompatible with the mouth and wears the most similar to your actual teeth.  This prevents the tooth opposing the crown from wearing evenly over time.  Today most individuals will not accept the yellow color of gold so most crowns now contain porcelain which can be matched to the color of the patient’s teeth. Porcelain fused to metal gives the esthetics of porcelain with a metal substructure to support the tooth.  This is especially useful in teeth which have undergone root canal therapy and need additional support.  Today there are also crowns that have porcelain on the outside but instead of metal core a ceramic one is used to support the porcelain.  The advantage of this combination is that the crown can be even more esthetic and is a good choice for patients who have metal allergies.

Crown treatments require two appointments.  The first is when the actual tooth is put back together and an impression is taken to send to the lab which makes your final crown restoration.  On the second appointment your new crown is bonded onto the prepared tooth structure remaining in your mouth.  During the period between the two appointments which is generally several weeks a temporary restoration is placed in your mouth that allows you to continue to function normally.

So how long does a dental crown actually last?  Most crowns will last for many years.  A gold crown could last a lifetime.  The problem with crowns versus your own tooth is that your own tooth is a complete structure while the crown is like a hat on your head.   There is a crown margin all around your tooth where the crown ends and your tooth begins.  This area over time can develop decay causing the crown to fail.  Your part in this scenario is to brush and floss your teeth twice a day every day.

You need to keep this crown margin clean.  Also since porcelain is glass and you will apply a tremendous pressure to it when chewing there is the possibility of the porcelain breaking.  A crown prep is a large restoration on your tooth and sometimes the nerve within the tooth will die or become infected.  If this happens a root canal will be needed which can reduce the longevity of your tooth.

Insurance companies which do not want to pay for re-treatments believe if a crown lasts five years it is a success.  However crowns can last anywhere from 15 to 20 years.   At this point the crown may still be successful but from an esthetic standpoint the patient may want to replace it.

Looking for a Dentist Who Does Crowns in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment.  Please contact us today at 212 517 9000 for this or any other of your dental needs.  We look forward to seeing and taking care of you.

What Are Cavities

Sometimes even with the best intentions cavities still occur. You can brush and floss till the cows come home and yet a cavity still occurs.  Cavities or tooth decay happens when bacteria get into the inside of your teeth.  One way to cosmetically restore your tooth to health is with a white filling consisting of a plastic glass mixture of material which replaces lost tooth structure caused by the decay.  We can also use this material for cosmetic improvements of your smile such as fixing chips or gaps in your teeth.

Need Cavity Treatment in the Upper East Side?

Call us today (212) 517-9000 to schedule your next dental appointment where we can help you to achieve a healthier and brighter smile.