Dr. Irene Bokser, at her Bayside, Queens NY Practice, provides the following services:
Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone which hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red. In later stages, the supporting bone is destroyed and your teeth will shift, loosen, or fall out. These changes not only affect your ability to chew and speak; they also spoil your smile.
Scaling and root planing (deep cleaning)
Scaling, root planing, deep cleaning by Dr. Irene Bokser
What is Deep Cleaning (Deep Scaling & Root Planing)?
If plaque and tartar is left on the teeth, as we mentioned before, it provides the right conditions for bacteria to thrive. The bacteria irritate the gums, which means that they bleed more easily. You may notice this if you are brushing your teeth, or eating, and sometimes your gums may bleed a bit. This is the early stage of gum disease called gingivitis. If you have gingivitis, your dentist or hygienist will clean your teeth by scaling and polishing them. They may also recommend an antiseptic mouthwash containing chlorhexidine, and show you how to brush and floss your teeth effectively. Most adults have some degree of gum disease.
Osseous Surgery by Dr. Irene Bokser
Periodontal plastic surgery
Periodontal Plastic Surgery by Dr. Irene Bokser
These procedures are a predictable way to cover unsightly, sensitive or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures.
Dental Implant Therapy by Dr. Irene Bokser
Why Dental Implants?
Nothing can take the place of a healthy set of teeth, but when disease or an accident ends in tooth loss, it’s good to know that there are options for restoring your smile. If you are self-conscious because you have missing teeth or you wear dentures, there is an alternative: dental implants.
Sinus Augmentation by Dr. Irene Bokser
What Is It?
A sinus lift, sometimes called a sinus augmentation, is surgery that adds bone to your upper jaw in the area of your molars and premolars to make it taller. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or “lifted.” A sinus lift usually is done by an oral and maxillofacial surgeon or a periodontist.
Extractions and site development (bone grafts)
Extractions and site development, bone grafts by Dr. Irene Bokser
BONE GRAFTING MATERIALS
The bone grafting material performs the important functions of assisting the barrier membrane in holding space and providing a biocompatible matrix for bone formation. The materials that have been used are primarily osseoconductive, providing a scaffold for bone formation. One material, demineralized freeze-dried bone allograft (DFDBA), is also somewhat osseoinductive, interacting with host cells to induce bone formation. The materials commonly used are autogenous bone, anorganic bovine bone, freeze-dried bone allograft, and beta tricalcium phosphate (bTCP), which all are osseoconductive, as well as DFDBA, which is osseoinductive.12
Exposure of impacted teeth (for orthodontics)
Exposure of impacted teeth for orthodontics by Dr. Irene Bokser
Exposure and Bracketing of an Impacted Tooth
An impacted tooth simply means that it is “stuck” and can not erupt into function. Patients frequently develop problems with impacted third molar (wisdom) teeth. These teeth get “stuck” in the back of the jaw and can develop painful infections among a host of other problems (see “wisdom teeth” under Procedures). Since there is rarely a functional need for wisdom teeth, they are usually extracted if they develop problems. The maxillary cuspid (upper eye tooth) is the second most common tooth to become impacted. The cuspid tooth is a critical tooth in the dental arch and plays an important role in your “bite”. The cuspid teeth are very strong biting teeth which have the longest roots of any human teeth. They are designed to be the first teeth that touch when your jaws close together so they guide the rest of the teeth into the proper bite.
Treatment of sensitive teeth
What Causes Tooth Sensitivity?
What Is It?
Tooth sensitivity is something that affects a number of people. It is often caused by eating or drinking something hot, cold, sweet or acidic. Under normal conditions, the underlying dentin of the tooth (the layer that immediately surrounds the nerve) is covered by the enamel in the tooth crown, and the gums that surround the tooth. Over time, the enamel covering can get thinner, thus providing less protection. The gums can also recede over time, exposing the underlying root surface dentin.
The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When the dentin is exposed, these tubes can be stimulated by changes in temperature or certain foods. Here is an image of what the dentin tubes look like under the microscope:
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Gummy smile correction
Gummy Smile Correction by Dr. Irene Bokser
In the perfect smile, the upper lip sits just above the top of the teeth. But for people with a high lip line, too much of their upper gum is revealed, creating what’s commonly referred to as a “gummy smile.” The unflattering appearance of highly visible gums causes many people with a high lip line to avoid smiling or place their hand over their mouth when they smile, laugh or train their facial muscles to limit their smile.
There is no need to be self conscious or to hide your emotions. Patients have a better option when they choose gum contouring and gummy smile correction from Dr. Irenepe Bokser, a periodontist surgeon in Queens, NY.
Crown lengthening by Dr. Irene Bokser
Crown Lengthening Procedures
Have you experienced the frustration of wanting to save a tooth but having no clinical crown with which to work? A good example of this situation was seen recently. In the lower arch a three unit bridge replacing a second bicuspid had experienced recurrent caries at the gingival margin of the first bicuspid. Caries had destroyed the tooth structure at the apical base of the crown. An explorer would move from the mesial to the distal beneath the crown. To the practitioner it was obvious that, following endodontics, there would be inadequate tooth structure to prepare a finishing margin and still obtain a workable model for the bridge construction. And yet, the remaining root in bone was adequate to support a fixed bridge. All to frequently, attempts to save these teeth are rewarded with deep subgingival margins which cannot be impressioned well due to the gingival hemorrhage from periodontal inflammation developed during the time the tooth structure was carious. Retraction of the gingiva around these teeth is extremely difficult. Since there is little root length as a guide, the laboratory has difficulty creating adequate crown contours. Such a situation may be dealt with best through the use of crown lengthening procedures. This newsletter provides information about the indications, rationale and advantages of crown lengthening procedures.