August Newsletter


Armstrong Dental Studio News

August 2019

In this Issue

Root Canal Treatment Saves Teeth

A root canal is one of the most feared of all dental procedures. Although a competent dentist can usually perform a root canal with minimal discomfort and with a high degree of success, problems may occur. When a tooth becomes infected, the treatment options include either root canal therapy or having the tooth removed. In most cases a root canal is the preferable choice, because it is the only way to save the tooth. A root canal consists of the dentist making a small hole and then removing the tiny nerves and blood vessels within the root(s). The roots are then shaped, disinfected and filled with an inert material. The procedure is usually successful about ninety percent of the time when properly performed.

When a tooth with a root canal is successful, a person will have no pain or other signs of infection. A root canal that is failing will usually continue to cause pain or discomfort, especially when biting down. A root canal can fail if some of the infected nerves and blood vessels are left inside the root, the inert filling does not completely seal off the roots from bacteria, the tooth is damaged during the procedure (perforation), or the tooth fractures between or within the roots. A root canal is most likely to fail if a permanent filling or crown (cap) is not placed to protect the tooth. This may occur within days, weeks, months, or even many years after the procedure has been completed.

Even if a root canal fails, there are options available. In many cases, the root canal can be retreated. If this is not possible, a procedure called an apicoectomy can be performed. An apicoectomy involves having the tip of the root surgically removed, and then placing a filling over the severed root tip. If these measures fail, the tooth may have to be removed.

The success of root canals is highly dependent on the skill, experience and technique of the dentist performing it. Some dentists may elect to send their patients to a root canal specialist (an Endodontist) for treatment. Root canal therapy is both safe and effective and new techniques may prove to build upon the already high success rate.

Sinusitis Got You Down?

During the winter months – in fact, any time when the air is very dry – it’s important to keep your nasal passages moist. A simple home remedy is to sniff salt solution into both nostrils 2-4 times a day.

To prepare an effective homemade solution, add ½ teaspoon of table salt and ½ a teaspoon if baking soda into one cup of distillated water. If using tap water, make sure to sterilize it through boiling and then allow it to cool. Stir the cool water until the salt and baking soda dissolves completely.

To apply, fill a squeeze bottle with the saline solution. Direct the saline solution stream toward the back of your head (not toward the top). The saline wash should go through the nose and out the mouth or other nostril. Repeat the process several times a day for best results.

Alternatively, you can buy ready-prepared nasal saline products – such as Ocean®, Simply Saline® or generic equivalents – from a drug store. As with the home solution, these products wash away mucus from the membranous lining of nasal passages.

They also help by shrinking any swollen parts of the nasal passage. If this is not done, mucus and the swollen membranes may block openings of the sinuses into the nasal passages. Sinusitis often ensues when nasal bacteria infect the mucus, which can no longer drain from the blocked sinus. Treatment of sinusitis (rather than prevention) often requires the use of antibiotics.

Some doctors are not enthusiastic about nasal saline irrigation since researchers found it does not significantly reduce the incidence of colds. However, do not confuse the common cold with sinusitis. Viruses cause colds, while sinusitis is a bacterial-induced complication of some colds.

Irrigation of the nasal passages with saline cannot kill viruses or bacteria. However, it does help to reduce the incidence of sinusitis in people with a tendency to develop this common complication.

Armstrong Dental Studio
30 E. 60th St., Suite 2001
Upper East Side

New York, NY 10022
Phone: 212-537-6028
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