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What are the alternatives to endodontic treatment?

August 5th, 2020

You have been recommended to Central New England Endodontics and Implantology for an endodontic treatment — commonly known as a root canal — and now you may be wondering if there are any alternatives to this procedure? Before discussing other options, it’s important to understand exactly what this common procedure accomplishes.

What is the purpose of an endodontic treatment?

Endodontic treatment is done when a tooth’s pulp — the inside of the tooth that houses the nerves and blood vessels — becomes infected or inflamed. In order to eliminate any pain and save the tooth, the damaged pulp is removed, the area is cleaned, and the tooth is sealed.

What are my other options?

According the American Association of Endodontics (AAE), the alternative to endodontic treatment is usually the complete removal the damaged tooth. If you have a tooth extracted, the AAE recommends replacing it with a dental implant, a bridge, or a removable partial denture. Failure to replace the extracted tooth could result in problems with chewing and biting, shifts in your remaining teeth, and self-consciousness.

Here are more details on the most common types of tooth replacements:

  • Dental implants – According to the American Dental Association, dental implants are effective and common options for replacing teeth. The implant is made from materials that are compatible with the human mouth and the device includes an artificial tooth. The placement of the implant and artificial tooth can be completed in one day, although some patients may need to wait up to several months before an artificial tooth can be added to the implant.
  • Bridges – Bridges do exactly what their name suggests: they bridge the space left by one or two missing teeth. Your dentist will bond the bridge to your remaining, natural teeth in order to keep it in place. Bridges can only be removed or put in place by a dentist.
  • Removable partial denture – Much like bridges, removable partial dentures are made up of replacement teeth that attach to your natural teeth. These, however, may be removed and replaced by the patient on a daily basis.

The AAE notes that dental implants have the same success rates as endodontic treatments. Even so, nothing can fully replace the look, capabilities, or the feel of your own teeth, which is why endodontic treatment (preserving the natural tooth) with Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants is an important decision!

Don't hesitate to contact our Worcester office if you have further questions!

How to Handle an Unexpected Dental Emergency

July 29th, 2020

Regardless of the type of dental emergency you experience, it is important that you visit Central New England Endodontics and Implantology for emergency dental care as soon as possible. A chipped or cracked tooth requires professional attention, as bacteria may gather in these areas, potentially causing infection that could require a root canal. Remember, you may be capable of managing pain, bleeding, and swelling at home, but by visiting our office for immediate treatment, you can fight infections and minimize lasting damage to your mouth, teeth, and gums under the expert care of our emergency dentist.

24/7 Emergency Dental Care

Central New England Endodontics and Implantology is proud to offer emergency dental care around the clock, seven days a week. Dental emergencies do not wait for regular business hours, and if you experience a serious dental emergency, you need immediate treatment. Whether you have a broken tooth or if you have bitten through your tongue, do not hesitate to visit us day or night. Until you arrive at our office, however, there are some helpful steps you can take if you encounter a serious dental dilemma.

Managing Your Dental Emergency

If a toothache is causing problems, you can probably keep the discomfort under control until our emergency doctor can treat you. Start by checking the gums that surround the affected tooth for inflammation, bleeding, or foreign objects. There may be food lodged in the gum that could be removed by flossing. You can control pain by placing a cold compress against your mouth, or by using an over-the-counter oral numbing agent.

More serious situations may be extremely time sensitive, and require immediate emergency attention. For example, if a tooth is completely knocked out, carefully clean it with water. Try to place the tooth back into its socket or briefly store it in a cup of milk if it will not fit back into the gum. Never pick up a tooth by the root or force it into the socket. Come straight to our office, as your tooth will need to be replaced within a short amount of time. Similarly, if you have bitten through your lip or tongue, the American Dental Association recommends carefully cleaning the area before coming as quickly as you can to our emergency dental office for treatment.

Remember, there is no reason you should live with discomfort. By visiting our Worcester office immediately in an emergency, you can take control of your oral health comfortably and safely.

Endodontists Can Save Teeth

July 22nd, 2020

An endodontist is a dental specialist who concentrates on root canals, or procedures involving the soft inner tissues of the teeth, otherwise known as the pulp. This type of doctor has gone through extensive training and extra years of schooling to be able to complete these procedures effectively.

You will be referred to an endodontist such as Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants if you’re in need of a root canal, or other specific procedures necessitated by a problem tooth. Nowadays, endodontists have the ability to avoid extraction altogether and save your natural tooth by restoring it to a healthy state.

Getting a root canal may not be on the top of your list of fun things to do, but it can make it possible for your endodontist to save a problem tooth if the pulp has become infected with bacteria. During this surgery, Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants will remove the infection from the root of the tooth, clean and fill the area, then seal it so bacteria can no longer get inside. Finally, a crown is placed on top of the tooth to prevent damage from occurring down the road.

Sometimes, additional treatment is necessary after a root canal, if you continue to experience pain in the area where the root canal took place. Inflammation and pain that persists after an initial root canal may mean the infection has spread to the bony area that surrounds the tooth.

This can occur if the tooth has experienced trauma, decay, or the crown has been cracked since the surgery. A root-end resection will fix these issues by opening the irritated gum tissues, then removing the infection and filling in the space. It’s unlikely that you will experience more problems following a root-end resection.

Endodontists such as Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants have the ability to save and restore problem teeth. When it comes to your oral health, being able to avoid a tooth extraction can be extremely relieving. If you think you may need a root canal, or notice recurring pain in your mouth, don’t hesitate to schedule an appointment at our Worcester office.

Endodontic Surgery: Is There a Dress Code?

July 15th, 2020

If you’re scheduled for endodontic surgery at our Worcester office in the near future, you probably have a lot of very important questions:

  • Will it help? An endodontist has the skill and experience to diagnose and treat conditions affecting your inner tooth, the pulp of the tooth, and the tissues surrounding the root. Endodontists are the experts in this specialty, so you are in good hands!
  • Will it hurt? Your endodontist will offer you options for anesthesia, so you can choose the sedation experience which will make you most comfortable.
  • What should I do after surgery? Don’t worry! Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants will give you clear instructions on caring for the surgical site, selecting soothing diet options, cleaning your mouth, and all of the other practices that will enable a speedy and smooth recovery.
  • What should I wear? Wait—fashion questions?

Yes! Part of being prepared for your surgery is being as comfortable as you can be during and after the procedure. Happily, there is no strict dress code for endodontic surgery. It’s more a basic list of recommendations for what not to wear.

  • Don’t wear something you’re not comfortable in. Generally, loose fitting clothing is best.
  • Don’t wear clothing that might be difficult to clean. While you and your clothing will be well protected, blood, irrigation, and other staining hazards are all occasionally part of the surgical process.
  • Don’t wear something that will be difficult to remove after surgery. No one wants to struggle out of a tight turtleneck even at the best of times!
  • Don’t wear jewelry. And, by the way, this includes tongue and facial piercings.
  • Don’t be afraid to layer. While the office staff will try to make sure you are as warm or as cool as you would like to be, it’s a good idea to bring a jacket or sweater for extra warmth.
  • Don’t wear tight sleeves. Short sleeves or sleeves that can be rolled up easily allow access to your arm if you are having IV sedation or blood pressure monitoring.
  • Don’t wear contact lenses, especially if you are planning on IV sedation or a general anesthetic, because your eyes might be closed throughout the procedure.

If you have any questions in advance of your endodontic surgery, give our Worcester office a call. Planning ahead is always in fashion!

Meet Dr. Kaplan

July 14th, 2020

Central New England Endodontics and Implantology is excited to announce that we have a new doctor joining our team! Let us introduce you to Dr. Kaplan, specializing in Root Canal Therapy.

Dr. Kaplan has been practicing in Rhode Island and Massachusetts for over 22 years. He has had the honor of being selected as America’s top dentist in the field of endodontics for the past 16 years in a row. Dr. Kaplan also served as a clinical instructor and professor at Tufts University and Boston University School of Dental Medicine where he taught post-graduate residents. Currently, he runs the endodontics department and teaches the AEDG residents at U. Mass Memorial Hospital.

We can’t wait for you to meet Dr. Kaplan!

Our Latest Office Updates

July 13th, 2020

Happy July from Central New England Endodontics and Implantology. We hope everyone is having a safe and wonderful start to the summer. If you weren’t already aware our office reopened on May 18, 2020, so we are ready to see you.

Before you arrive at your appointment there are a few new health implementations to be aware of. If you are a new patient, you can access the new patient forms on our website and fill them out prior to coming in. We ask all patients to bring and wear a face covering. Additionally, standard COVID questions will be asked when scheduling an appointment and again upon checking in. Your temperature will be taken upon arrival.

We ask that patients come alone and if that is not possible, we kindly ask that any accompanying people present wait in their car or come back to pick up the patient after the appointment. This helps us limit the number of people in the office and stick to social distancing measures. We thank each and every one of you for your cooperation during this time!

So far, with the new health implementations, we have received positive feedback from patients regarding visits and our new procedures to keep everyone safe and healthy. We do everything in our power to make sure your time with us is safe and comfortable so that you leave our office feeling satisfied.

If you are experiencing tooth discomfort or have questions about our procedures please give us a call to learn how we can help you. We hope to see you soon!

Proper Brushing Techniques

July 8th, 2020

Brushing your teeth properly removes the food particles and bacteria that can lead to tooth decay and gum disease. However, you do not want to scrub your teeth or gums heavily. A heavy hand can lead to tooth and gum erosion, as Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants and our staff see all too often.

You should also use a soft bristle toothbrush to avoid damaging the surface of your teeth. Make sure the head of the brush fits in your mouth, because if it is too large you will not be able to reach all tooth surfaces. Follow these steps to ensure you are brushing properly.

  1. Use a small amount of toothpaste on your brush. The recommendation is a pea-sized amount or thin strip on the bristles.
  2. Hold your toothbrush at a 45-degree angle to the surface of your teeth, angling towards your gums. Use a circular motion on all exterior tooth surfaces, and avoid back-and-forth “scrub” brushing.
  3. Once you have cleaned the outer surfaces, hold the brush vertically and clean the inner teeth surfaces — the side of your teeth that face your tongue. Do not forget the inner surfaces of your front teeth.
  4. Finally, finish by cleaning all the chewing surfaces of your teeth. You need to maintain a gentle touch, but make sure you get into the full depth of your molars. The entire process should take about two minutes.

Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants and our staff recommend changing your toothbrush every three to four months for best results. Do not forget to clean your tongue, which helps remove excess bacteria from your mouth. Special brushes are available just for cleaning your tongue, and they are easy to use.

Proper care of your teeth also requires flossing on a regular basis. Flossing can be performed before or after you brush. Following up with a quality mouthwash will provide you with even more protection. Do not be afraid to ask the Central New England Endodontics and Implantology team for tips on proper brushing and flossing.

Welcome to Our Blog!

June 25th, 2020

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about orthodontics and the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!