Bone Grafting

Dental implants are an excellent option to replace a missing tooth. In some cases, before you can have an implant, you may need to have bone grafting surgery. At our New York, NY dental practice, we offer our patients the latest advances in bone grafting.

 

Bone grafting may be needed in order to build up the jawbone before an implant is placed. There are two types of bone grafting surgery, which may be performed depending on the extent of grafting needed. For example, in some cases, large changes to the dental ridge may be needed. In other instances, bone grafting may be needed to ensure there is enough bone to cover the sides of the implant.

 

In many cases, bone fragments are taken from another area of the body and transplanted onto the existing jawbone. Bone from a tissue bank or mineral bone substitutes can also be used. Bone grafting makes the jawbone better able to support an implant, which increases the success of the procedure.

 

For more information on bone grafting please visit www.ninakianidds.com or call our office at 212-279-8770 to schedule an appointment with Dr. Nina Kiani. 

Veneers vs. Crown

Veneers and crowns are both reliable restorative solutions that protect the structure of a tooth while refinishing its surface to create a strong, reliable and beautiful smile esthetic. However, veneers and crowns have many differences with regard to their purpose, placement and function.

 

Veneers: Veneers are most frequently used as a cosmetic smile solution. They can be used use refinish the surface of a tooth and correct teeth that are too narrow or short, and cover-up stains, small chips and cracks. While a single veneer can be used to refinish an individual tooth, multiple veneers are most often used to refinish the most visible teeth and provide a smile makeover that’s fully customized and idealized. Like crowns, veneers are comprised of a thin porcelain shells that are fabricated from an impression of the existing tooth site. Veneers are usually much thinner than crowns, but the existing tooth structure will need to be slightly modified for permanent bonding and placement.

 

Crowns: Crowns may be used for cosmetic purposes, but they’re most frequently used to restore the surface of a tooth due to a fracture, severe chip, deep cavity, or following a root canal or other procedure that calls for the modification of the tooth.  Like veneers, crowns are custom fabricated to perfectly restore the appearance of a tooth, in addition to protecting its structure.  Crowns are frequently created from porcelain or ceramic, but they may also be formed from gold, porcelain fused to metal or other material.

 

To learn more about these or any other procedures performed by Dr. Nina Kiani at her New York, NY dental practice visit www.ninakianidds.com or call 212-279-8770 to schedule an appointment! 

Digital X-Rays

Digital radiography is one of the most technologically advanced products available to the medical field today. While traditional systems are effective, there are many features of digital X-ray machines that help create a better overall image of your mouth. Not many dentists have taken advantage of this technology and are still utilizing traditional radiography technology.  Dr. Nina Kiani has implemented this technology into our New York, NY dental practice in order to provide a better level of care to our patients.

 

Traditional X-ray systems are being surpassed by digital radiography technology. While this old technology was very effective for a number of years, it is slowly becoming nonexistent in the medical field. Digital X-Ray technology has many benefits:

 

• Safety – this technology is much safer for patients because they emit roughly 80 percent less radiation than traditional systems
• “Going Green” – instant imaging removes the need for harmful chemicals that are used to develop images
• High Quality – the images Dr. Kiani receives from this technology are much higher quality, allowing him diagnose previously unseen issues
• Less Waiting Room Time - since Dr. Kiani doesn’t have to take time to develop images, your procedure time is considerably shorter

 

In addition, thanks to the improved, higher quality images provided by digital X-rays, Dr. Kiani is able to diagnose patients more effectively. Early detection is the best way for you to avoid potentially invasive, costly dental procedures that wouldn’t have been necessary if the symptoms were found earlier. 

Dentures

If you have missing teeth, you know how it can impact your life. Missing teeth can change the way you chew and interfere with your speech. Having missing teeth can also make you feel self-conscious about smiling. Dentures are one option for replacing missing teeth.

 

At our New York, NY practice, we are happy to offer you options when it comes to dentures. We offer conventional and immediate full dentures, as well as partial dentures.

 

Conventional Dentures: Depending on your situation, conventional dentures may be a great option to restore your smile and the function of your teeth. After your remaining teeth are extracted, the gums are given time to heal. When an allotted healing time has passed, your dentures will be placed.

Immediate Dentures: In some cases, you may not need to wait for your dentures to be placed after extraction. Immediately after your teeth are extracted, your dentures are placed while your gums heal. Our dentists will determine if you are a good candidate for this type of denture.

Partial Dentures: If you still have some natural teeth, which don’t require extraction, you may be a good candidate for partial dentures.

 

Our experienced dentist Dr. Nina Kiani along with our skilled staff offer a variety of dental care, such as cosmetic services including veneers, teeth whitening and bonding. Our services also include bone grafting, crowns, bridges, braces and periodontal care. We believe in providing our patients with individualized treatment plans and outstanding customer service.

For more information on dentures or any of our other services, please visit us at www.ninakianidds.com or call 212-279-8770 to schedule an appointment! 

Root Canal

While the thought of having a root canal procedure usually fills patients with dread, the procedure is a necessary one for those whose teeth become infected in the nerves. Besides causing pain, infections, if left untreated, can become abscesses, which are much more serious and result in a loss of bone mass in the jawbone. Dr. Nina Kiani can relieve your pain with root canal procedures in New York, NY

Although root canals may not sound pleasant to you, they are well worth it to stop your pain and improve your oral health. While there is some soreness after the procedure, it is only temporary and usually nothing that over-the-counter painkillers cannot take care of.

During a root canal, Dr. Kiani will remove the infection by applying a local anesthetic to the area and drilling into the tooth to create an opening in the canal. Then she is able to remove the infected tissue and clean the area. Once the infection has been removed, your tooth will be filled with a sealant and then fitted with a crown to protect it from infection in the future. The crown also helps improve the appearance and strength of the tooth. Once the procedure is complete and soreness subsides, you will be able to eat without experiencing pain and sensitivity to heat, cold and pressure.

If you’re in pain, you don’t need to suffer. Schedule an appointment at our office by calling (212) 279-8770. For more information, visit www.ninakianidds.com.  

Intraoral Camera

Dental technology has greatly improved the diagnosis of dental issues over the years, making early treatment of decay, infection and disease possible. With advancements such as intraoral cameras, dentists can view patients’ teeth easier and more accurately. This helps them diagnose dental issues earlier and treat them with less invasive methods. At our office in New York, NY, our patients’ oral health is important to us, so we use intraoral cameras and other top-of-the-line technology to keep them smiling.

The intraoral camera is an effective tool for viewing patients’ teeth and mouth from different angles, allowing Dr. Nina Kiani to see the mouth from angles that were not available even a couple years ago. The camera connects to a monitor that lets the dentist see the structures of the patient’s teeth more closely and with better accuracy than traditional methods. These digital images also allow the patient and insurance companies to see what the doctor has seen, which lets you understand your oral health better and gain procedure acceptance from your insurance company more easily. In addition, by using digital intraoral cameras and digital X-rays instead of traditional dental X-rays, your dentist can limit your exposure to radiation.

To schedule an appointment at our office, call (212) 279-8770. For more information, visit www.ninakianidds.com.

Crown Lengthening

A dentist’s first goal is always to save your teeth, which means that they have developed many dental procedures that help prevent tooth extraction. In cases where cavities have decimated a tooth to a point where there is not enough tooth structure left upon which to fix a crown, our office will perform a crown lengthening.

If a tooth has broken below the gum line or if decay has developed underneath an existing crown or filling, crown lengthening allows a new crown to be placed rather than extracting the tooth.

While called crown lengthening, this common surgical procedure does not actually lengthen the crown. It actually lowers the gum line, and it does this by removing gum tissue, bone or both to expose more of the tooth and provide a foundation for the crown.

The procedure is performed with a local anesthesia to numb the area. When the area is fully numb, Dr. Nina Kiani will make cuts to pull the gums away from the teeth and expose the roots and surrounding bone. In some cases removing a little of the gum tissue will expose enough of the tooth for placing a crown. However, it is more likely that some bone will also have to be removed from around the roots of the teeth. After removing the necessary amount of tissue and bone, the area will be washed and the gums stitched.

Our office works hard to always protect your teeth and to provide the best quality of dental care available. For more information about Dr. Nina Kiani and her services, visit www.ninakianidds.com. Call 714-879-7943 to schedule an appointment in New York, NY.

Bonding

Of all cosmetic and restorative procedures in dentistry, bonding is one of the easiest and most affordable ways to enhance your smile. Called bonding because tooth-colored resin is bonded to your teeth, the procedure is used to repair teeth that are discolored, unevenly shaped or chipped. At our office, we can even use bonding as an alternative to amalgam fillings if only a small filling is required.

Bonding is achieved by applying incredibly strong resin to the tooth in need of restoration. The procedure can usually be accomplished in one visit and allows you to keep most of your tooth’s original enamel, which makes bonding preferable to veneers in many cases. Once the right color resin has been chosen for your smile, Dr. Nina Kiani will slightly abrade your teeth to roughen the surface. Then a conditioning liquid is applied to help the resin adhere. The putty-like resin is then applied to your tooth and molded and smoothed until it is in the proper shape. It is hardened with an LED light. After the bonding material has hardened, Dr. Kiani will trim and shape it even more and then polish it until shines like a tooth. Altogether, the procedure usually takes between 30 minutes to an hour for one tooth.

If you’re unhappy with your teeth but unwilling to go as far as veneers, bonding can be used to improve your smile quickly and effectively. To schedule an appointment with our office in New York, NY, call us at (212) 279-8770. For more information, visit www.ninakianidds.com. 

Home Fluoride Treatment

Fluoride is a mineral that occurs naturally in many foods and water and it helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. Every day, minerals are added to and lost from your teeth’s enamel layer through demineralization and remineralization. Minerals like fluoride, calcium and phosphate are redeposited to the enamel layer from the foods and waters consumed. Fluoride is important for infants and children between the ages of 6 months and 16 years. However, adults benefit from fluoride, too.  

While there is fluoride in our foods and water, it can also be directly applied through fluorinated toothpastes and mouth rinses. In most cases, fluoride is administered by the dentist during your appointment. During your appointment, the doctor will apply the fluoride to the teeth in gel, foam or varnish form that contain much higher levels of fluoride than the amount in mouth washes or toothpaste. Because it’s been difficult to find effective, affordable fluoride treatment at a drug store, Dr. Nina Kiani has decided to offer take-home fluoride treatments.

 

This take-home fluoride treatment provides complete coverage and helps protect your teeth from harmful plaque bacteria. When you get your home fluoride treatment, it is quite simple to use:

• Brush your teeth thoroughly.
• Place the fluoride gel in the tray. 
• Place the tray completely over your teeth and gently press the tray to move into place.
• Leave trays in your mouth for 5 minutes.
• Use the tray with the fluoride gel in your mouth at least twice a day.
• Once after breakfast and once before bedtime.
• Do not rinse your mouth after each use. Expectorate the gel residue completely. Do not eat or drink for 30 minutes.
• Do not eat or drink with your tray in place.
• Do not use any chemicals or hot water to clean your tray. Use antibacterial soap on a toothbrush to clean your tray and rinse it out.

If you are interested in take-home fluoride treatments, set up a consultation with Dr. Nina Kiani at our New York, NY office!

Dental Implants

When it comes to replacing missing teeth, patients have a lot of options. None of those options, however, are permanent like dental implants. Implants are widely considered the modern-day solution to missing teeth because they provide an aesthetically pleasing, permanent answer to a serious problem. We provide dental implant procedures to help our patients restore their smile and fix their bite after implant surgery.

 

When a patient loses a tooth, it is important to act quickly to fill the space. Apart from the cosmetic issues, patients who have missing teeth will often suffer from compromised chewing efficiency and tooth drifting. The space left behind from a missing tooth causes the other teeth to drift into that space which can lead to misaligned teeth. When teeth become misaligned, they become more difficult to clean, leaving unreachable pockets in the teeth that will collect bacteria. This will almost certainly lead to periodontal issues that will eventually lead to additional tooth loss if left untreated.

 

Receiving a dental implant is a surgical procedure and patients are put under a general anesthetic. A dental surgeon will make an incision into the patients gum line where they will insert the implant. The implant will be secured into the jawbone where it will need to sit for three to six months so the bone can grow around it, this process is called osseointegration. After the surgery, patients will visit us to receive a crown over the implant. This is done so the patient’s teeth do not drift and they can eat normally. Once the implant is secured, your dentist will place an abutment on top of the exposed implant that will support a permanent crown.  Dental implants are the only completely permanent solution to missing teeth.

 

Dental implants are a great way to fix a common problem, permanently. If you would like to have a consultation regarding dental implants, give us a call at 212-279-8770 or visit us at www.ninikianidds.com. 

Scaling and Root Planing

If your teeth are sensitive or your gums bleed when you floss or brush, you might be suffering from gingivitis or gum disease. Patients who come in for regular cleanings are much less likely to suffer from periodontal disease.  If you’re not taking care of your oral hygiene, the bacteria and plaque can advance to gum disease and it becomes more difficult to treat. While gum disease sounds like a scary thing, the good news is that there are treatment options available.

 

Gum disease is the leading cause of tooth loss in the United States. There are many different forms of periodontal disease but all of them can cause serious damage to the mouth. The mildest form of periodontal disease is gingivitis. Gingivitis causes the gums to become red, swollen and bleed easily. The biggest cause of gingivitis is lack of a regular oral hygiene regimen. Preventative measures, such as regular brushing and flossing, go a long way when it comes to preventing periodontal disease. Gingivitis is reversible with professional treatment and good oral health practices at home.

 

We offer a non-surgical, non-invasive option known as scaling and root planning for those who have gum disease. This deep cleaning procedure is a great alternative to surgical options. Scaling involves removing built-up plaque below the gum line using either manual scraping instruments or an ultrasonic tool. When we do your root planing, we essentially gently sand your teeth, removing rough spots on the tooth surfaces and roots, which tend to harbor bacteria.

 

If you fear that you might be suffering from gingivitis or gum disease, set up an appointment with one of our skilled dentists at our New York, NY dental practice so we can go over treatment options.

Digital X-Rays

We believe that early detection is the best way to treat our patients. With that being said, we have adopted digital X-ray technology into our practice. Digital radiography will better allow us to diagnose and treat patients the right way, the first time around.

 

Digital X-ray technology offers many benefits over traditional X-rays. The biggest difference is the amount of radiation it emits, about 80 percent less than traditional machines. While the radiation in traditional X-rays is not necessarily harmful, it’s never a good idea to expose someone to any type of radiation.

 

Another great benefit of digital radiography is the immediacy of it. You don’t have to wait for the image to develop anymore. Right after the image is taken it is immediately displayed on a bedside monitor. This greatly cuts down on patient chair-time. The instant imaging software is a great way for us to “Go Green” because there’s no harmful chemicals used to develop the images and the image itself is not printed so there is no waster there. The image is displayed on an environmentally friendly monitor that files it away with your personal records for future use without printing.

 

In many cases, digital X-rays are able to detect early stages of tooth decay where traditional X-rays would not. The image we get is far more detailed than other imaging software. Catching decay early can prevent cavities, gum disease and other periodontal issues. By getting to these symptoms earlier, our staff is better equipped to stop it now and even prevent it in the future.

 

Schedule an appointment with one of our skilled dentists at our New York, NY office today to get your digital X-rays taken!

Veneers

Dental veneers are perfect for patients hoping to redesign and reshape their smile with a simple, non-invasive procedure. Those with misaligned, chipped or broken teeth are great candidates for this procedure. We provide our patients with the opportunity to repair their smile with dental veneers.

 

There are many types of veneers available. At our practice, we utilize ceramic veneers. Ceramic veneers cover the existing tooth structure. The process by which veneers are installed takes two to three visits. In the first visit, Dr. Kiani will consult with you to determine if you are a candidate for veneers. Once approved, Dr. Kiani will give you a set of options such as what size, shape and color the veneers will be. The molding process will then begin. This process consists of removing half a millimeter of the enamel from your tooth surface so the veneers are flush with the gum line. We will then take a mold of the teeth and have veneers structured at a dental lab. Creation of the veneers takes approximately 10-14 days.

 

Once the veneers are ready, they will be fitted into the patient’s mouth to see if the shade is correct and to gauge the size. The veneers will then be trimmed to assure a permanent fit. We will then thoroughly clean the area and etch the teeth before applying the bonding agent. Once the bonding agent is applied, the veneer will be placed in the mouth and the bonding agent will be activated by a UV light source. The final step in the process involves a thorough inspection of the area Dr. Kiani will examine your bite, remove any excess cement and make any final adjustments.

If you are interested in restoring your smile with dental veneers, give us a call at 212-279-8770 today!

Teeth Whitening Options

With hundreds of teeth whitening options available, it can be difficult to determine which method will work best for your exact needs. Your smile is often the first thing people notice about you, so ask yourself, are you making a good first impression with your smile? It doesn’t matter whether you choose to go with over-the-counter products or come into our office for a whitening procedure, we’re happy to help because we want you to do it the right way.

 

When you come in for a consultation, we want to first determine if your teeth are intrinsically or extrinsically stained. Intrinsic stains are on the surface, having barely penetrated the enamel. They are caused by coffee, smoking and aging. These stains are reversible through bleaching.  Extrinsic stains develop from the inside of the teeth and are often caused by different antibiotics and other permanent staining agents. The teeth are darkened as a result of bacteria buildup and cannot be reversed by whitening alone. In this case, we would suggest veneers as a way to improve your smile.

 

For those whose teeth are intrinsically stained, we are happy to provide insight into which whitening treatment would work best for you. At our New York, NY dental office, we offer an in-office whitening procedure that can improve your smile up to 10 shades in less than an hour. This professionally applied whitening solution is a powerful concentration of peroxide that can only be administered by a professional. We also offer custom take-home tray whitening. We will take a mold of your teeth and fit you with custom-made tray system that is worn while you sleep. You will see gradual improvement, whitening at your own pace. We will also offer advice regarding over-the-counter whitening products. This ranges from toothpaste all the way to surface strips. While these options take more time, it allows you to whiten whenever you want.

 

If you would like to schedule a consultation with one of our skilled dentists, visit www.ninakianidds.com or call us at 212-279-8770!

Restorative Options

While most dental practices offer a very narrow scope of procedures, we have established a full-service dental practice that specializes in preventative, restorative and cosmetic dental procedures. If you are hoping to restore your smile after an accident, you should be aware of the many options we have available to fix their smile.

 

With restorative dentistry, we are able to replace or restore missing teeth or missing parts of the tooth structure. Tooth structure can be damaged due to decay, deterioration of a previously placed restoration or the tooth could fracture. We offer the following restorative dental procedures at our New York, NY office:

• Bonding
• Bridges
• Crowns
• Dentures
• Inlays and Onlays

The goal of restorative dentistry is to preserve your natural teeth as much as possible. Procedures like inlays and onlays, partial dentures, bridges and bonding all utilize your existing teeth to assist in the restoration. We will always do the best we can to preserve your natural teeth. In cases where we cannot, full dentures might be necessary.

 

Most people do not know that a missing tooth can cause serious damage to your mouth. When a tooth a missing, the rest of your teeth will begin to shift, causing them to become misaligned. When teeth become misaligned, they become more difficult to clean. When you can't properly clean your teeth, they become decayed, putting you at a high risk for periodontal disease. Missing teeth also put extra stress on your remaining natural teeth because you don't have as much surface area to chew with.

 

If you are missing any teeth, consider restorative treatments with Dr. Nina Kiani. She will get your teeth back to proper working order, allowing you to have a happy and healthy mouth for years to come.

Sinus Augmentation

If you are thinking about a dental implant but the surgeon says that you have low quality bone or not enough bone in the area, you might be a candidate for a sinus augmentation procedure. Implants have to be inserted into quality bone in order to be permanent and for those who have lost teeth or have had periodontal disease, the bone is often damaged. The upper back jaw is usually the most difficult area to successfully place a dental implant because there is often a lack of bone quantity and quality. With a sinus augmentation procedure, Dr. Nina Kiani is able to help you gain the bone structure needed to place a dental implant.

 

In some cases, you will be able to undergo a procedure that will reposition the sinus floor that will create enough space for an implant. Grafting material will be utilized to encourage your bone to grow around the area quickly. This newly grafted material will help stabilize the implant.

 

In other instances, patients might have to undergo sinus “lift” procedure. This procedure uses the remaining bone under the sinus floor to and it is gently “pushed up” to lift the floor of the “dropped” sinus. Bone replacement materials are then placed beneath the lifted bone. The bone will grow around these materials in order to stabilize the area.

 

After undergoing sinus augmentation, patients typically need 6-10 months to recover before the implant can be placed. Sinus augmentation has been shown to greatly increase your chances for successful implants that can last forever. Many patients experience minimal discomfort during this procedure and it has been proven to be the perfect solution for those seeking dental implants.

 

To learn more about sinus augmentation with Dr. Kiani, visitwww.ninakianidds.com or give us a call at 212-279-8770 to schedule your appointment!

Periodontal Disease Treatments

The mildest form of periodontal disease is gingivitis. Gingivitis causes the gums to become red, swollen and bleed easily. The biggest cause of gingivitis is lack of a regular oral hygiene regimen. Preventative measures, such as regular brushing and flossing, go a long way when it comes to preventing periodontal disease. Gingivitis is reversible with professional treatment and good oral health practices at home.

Untreated gingivitis can lead to periodontitis. At this stage, plaque will spread and grow below the gum line. Toxins produced by the bacteria will irritate the gums, causing an inflammatory response. This inflammation leads to the breakdown of tissues and bone that support the teeth. Periodontitis also causes the gums to separate from the teeth, forming pockets that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Eventually the teeth become loose and have to be removed.

 

Through a number of procedures, Dr. Kiani is able to treat periodontal disease. We perform the following procedures to treat periodontal disease:

• Crown lengthening
• Scaling and root planning
• Soft tissue grafting
• Arestin
• Bone grafting
• Gum grafting
• Osseous surgery

These procedures are performed once the disease has advanced past gingivitis. Gingivitis is treatable during regular cleanings and checkups. Aside from regular brushing and flossing, regular cleanings are the best preventative measure that can be taken. Catching gingivitis before it becomes periodontitis could be the difference in getting your teeth cleaned or undergoing an invasive procedure.

 

If you are looking for a treatment option for your periodontal disease, call us at 212-279-8770 to schedule an appointment with Dr. Nina Kiani. 

Website/About Us

We have designed our website to specifically meet the needs of you, our patients. Through careful work and attention to detail, we have created an interactive site that gives you the information that you need. Not only did we put all of our services on the site, but we also made new patient forms available so you can save time during your first appointment.

 

If you visit our website before your appointment, you can download and print your new patient registration forms. With the technological advances of the day, such as social media, doctors are starting to realize the potential of offering a service like ours. Cutting down on wait times and having a reliable staff with smiles on their faces is a huge benefit. We view our patients as family and strive to make them feel as such. You can even connect with us on Facebook and Twitter to receive updates and get news about any specials we might be running! 

 

We offer many services at our practice; these services include (but are not limited to):

• Teeth whitening
• Dental implants
• Veneers
• Bonding/white fillings
• Dentures
• Crowns
• Tooth Extractions

We believe that the patient comes first. Dr. Kiani has proudly served her New York, NY patients for many years. Those who have been treated in her capable hands know that she consistently seeks to offer the best treatments that dentistry has available.

Crowns

If you have broken or chipped teeth, you know how difficult it is to eat and speak properly. Patients experiencing these issues have a lot more options than they would have in the past. One of the best options available is dental crowns.

 

A dental crown is essentially a “cap” that covers the damaged tooth. Unlike removable devices such as dentures, crowns can be used to improve appearance, shape or alignment of teeth. Crowns are cemented onto existing teeth or implants and can only be removed by the dentist. Dental crowns are used in many applications. Mostly, they are used to protect a weak tooth from a fracture or to restore a fractured tooth. Crowns are also used during the dental implant process to cover the abutment while the jaw bone grows around the implant. Having a crown will help you maintain proper chewing and speaking efficiency during the implant process.

 

Receiving a dental crown is a simple and non-invasive procedure that usually takes 2-3 visits. First, we take an impression of your tooth with a putty-like substance. Dr. Kiani will then create a temporary crown is made from a resin or acrylic material using the mold of your original tooth. We will also fit you with a temporary crown while the permanent crown is being created. Once we receive the permanent crown, we will remove the temporary crown and insert the permanent one. Dr. Kiani will secure the crown with cement.

 

If you are in need of a dental crown, visit our website www.ninakianidds.comor call 212-279-8770 to schedule an appointment. 

Endodontic Retreatment

Endodontics is a dentistry specialty that involves issues of the nerves and roots of the teeth. Most commonly, it consists of a root canal treatment. During a root canal, the nerves, roots, and other infected tissue of a tooth is removed, which helps rid it of an infection and saves the tooth.

 

After a root canal, a long-lasting crown is usually placed to save the tooth. Unfortunately, at times some teeth need an additional treatment called endodontic retreatment, which is offered by our New York, NY dentist Dr. Nina Kiani.

 

Endodontic retreatment is necessary following a root canal if the tooth does not heal or the infection is not completely eliminated. If the patient keeps having sensitivity to hot and cold temperatures after a root canal, then it was not successful and needs an additional treatment. Common reasons our patients need the treatment to be performed a second time, include:

 

1. Continuing to have a tooth infection after treatment.

2. Narrow tooth canals that could not be treated properly during the first root canal.

3. A crown placement that was delayed after the endodontic treatment.

 

If you think that you need endodontic retreatment, call our dental office at 212-279-8770 to schedule a consultation.

Extractions

There are two main categories of extractions performed in our office: simple extractions and those performed as oral surgery procedures. The simple extractions are done on teeth that are not impacted or deeply hidden beneath the gums. The gums do not need to be cut open to reveal the tooth, and a simple loosening of the tooth from its roots pulls it free.

 

Other teeth, including wisdom teeth, need to be surgically removed which requires anesthesia and a longer recovery time. In both cases, it is a routine procedure done for a variety of reason: the tooth is infected or impacted, a wisdom tooth is pushing against other teeth or causing jaw pain, the tooth needs removed prior to an orthodontic treatment.

 

We provide our patients with the following recommendations after having extractions performed:

• Have liquids or soft foods for the first few days after the tooth has been extracted.
• Do not smoke cigarettes or drink alcohol as it affects the healing time.
• Avoid using a sucking motion, such as through a straw, because it can dislodge the blood clot and cause a dry socket.
• Take all prescribed medications as directed, including antibiotics and painkillers.

Our dentist Dr. Nina Kiani is currently accepting new patients for extractions in our New York, NY dental office.

Orthodontic appliances offered here in our New York, NY practice include night guards, which provide an essential purpose. Patients that wake up frequently with ear pain, headaches, or jaw pain are often struggling with grinding or clenching their teeth at night. It is a habit that is automatic and almost impossible to stop.

 

A great way to prevent damage and pain caused by teeth grinding, also called bruxism, is with night guards. These are custom guards made to create a barrier between the upper and lower teeth while sleeping, that last about ten years on average.

 

Patients who grind or clench their teeth at night not only experience pain, but it can be noisy and disrupt their spouse’s sleep, wear down the teeth, and damage their tooth enamel.

 

Our dentist Dr. Nina Kiani first takes impressions of the patient’s teeth and sends them to a local dental lab. In about two weeks, the night guard arrives ready for the patient. It fits perfectly in their mouth for a comfortable fit that doesn’t disrupt their sleep. Patients are encouraged to wear the night guards every time they sleep.

 

Visit our dental office to talk to Dr. Nina Kiani about getting a custom night guard.

Bone Grafting

Bone grafting is a necessary procedure provided right here in our New York, NY dental office when a patient needs a restoration and does not have a proper amount of jawbone. Jawbone needs to be thick, dense and deep enough in order to support implanted devices, particularly a dental implant. If a patient has had a missing tooth for a while, chances are he or she don’t have a proper amount of jawbone. With the bone grafting procedure, we can take bone from another area of the mouth or use cadaver bone fragments.

 

Prior to completing a dental implant procedure, we take a series of digital x-rays to determine how much jawbone is available. If it is enough, we proceed with implanting the titanium metal post where the missing tooth is located.

 

If there isn’t sufficient jawbone, we need to perform a bone grafting procedure first to allow new bone to grow before implanting the post. This helps the new bone support the weight and density of the titanium post so it doesn’t reject it. If you are looking to get dental implants, but wonder if you need a bone grafting procedure first, call our dentist Dr. Nina Kiani at 212-279-8770.

Inlays/Onlays

Inlays/Onlays

Inlays and onlays are a type of restorative dental procedure that helps to protect the tooth from further decay or damage. It is also known as a partial crown, because the process is very similar to a crown. However, it is more conservative than a crown and involves less removal of healthy tooth structure.

Here at our West 34th Street New York dental practice, we perform inlays and onlays to help strengthen a tooth susceptible to breaking, prevent permanent damage that would need an implant or bridge, and restore its shape as well. The inlay is placed inside the tooth, while the onlay is more extensive and goes on the outside of the tooth.

 

Like with dental crowns, inlays and onlays performed in our office take about 2-3 weeks in total. Here is a summary of the procedure:

 

1. The patient visits our office and has a local anesthetic to numb the area of the tooth. This makes it so the patient is comfortable and does not experience any pain during the procedure.

2. A drill is used to remove the damaged portion of the tooth; this is where the inlay or onlay will go.

3. With the tooth prepared, impressions are made for the inlays or onlays and sent to the lab.

4. The patient returns in about two weeks to have the inlay or onlay bonded to their tooth. This is similar to a crown, though it is not covering the entire tooth.

 

For inlays or onlays as a restorative dental procedure, visit Dr. Nina Kiani in New York, NY.

Wisdom Teeth

Wisdom Teeth

Not everyone gets their wisdom teeth, but many of our patients do see them emerge. Wisdom teeth come in after the last set of molars, near the back of the mouth. They typically appear when patients are in their late teens or early to mid-twenties.

 

In some cases, wisdom teeth don’t cause a problem, but others need to have them removed. Because wisdom teeth are so far in the back, they are harder to clean and prone to more severe tooth decay. This can lead to infection and other problems. They might also grow in crooked, pushing against the other teeth.

 

If the wisdom teeth are pushing against the other teeth causing shifting or pain, or they become impacted, we recommend getting them extracted. This is done under anesthesia so the patient does not feel any pain. It is a routine procedure, but one that needs an experienced dentist and oral surgeon, such as our Dr. Nina Kiani.

 

If you have wisdom teeth, call our office in New York at (212) 279-8770 for x-rays and to determine if they need to be extracted. We are welcoming new patients for wisdom tooth extractions and other dental services.

Dental Bridges

Bridges

Dental bridges are one of many dental procedures performed here in our Nina Kiani, DDS, PC dental office. Bridges help to replace missing teeth by using an abutment where the missing tooth is, as well as crowns over the adjacent natural teeth to create a tether for the bridge and provide more stability.

 

Among the options for missing teeth, bridges are one of the more popular choices because they are less expensive and take less time to complete than dental implants. We encourage everyone with missing teeth to replace them with bridges or another option.

Here are some of the main benefits to getting bridges for missing teeth:

• Less expensive than dental implants.
• Restore the patient’s smile.
• Allow our patients to speak and chew normally.
• Prevent potential bone loss and shifting of the teeth.
• Maintain the shape of our patient’s face.

Dental bridges take about 2-3 weeks to complete, starting with impressions of the natural teeth for the missing tooth, and preparing the adjacent teeth for fitting crowns over them. The bridge takes two weeks to be fabricated in the lab, and a temporary can be worn during this time.

 

Call Dr. Nina Kiani at 212-279-8770 to schedule an appointment for your dental bridge.

Apicoectomy

Apicoectomy

Root canals are commonly performed in our dental office, but occasionally, the treatment does not completely get rid of an infection. If this happens, an apicoectomy is performed by Dr. Nina Kiani in our West 34th NY dental office in order to complete the dental treatment.

Since there are so many nerves underneath a tooth, it is possible that not all of the infected tissue is removed during a root canal. If a patient still experiences pain or sensitivity to hot and cold after a root canal, there are still nerves present that need to be removed during the apicoectomy.

An apicoectomy is performed by numbing the area, then making an incision in the gum to reveal the root of the tooth. Infected tissue is removed to clean the area of the gum and the gums are then sutured back up. It is more extensive than a root canal, but only a very small area is treated, so it has a relatively short healing time. Like with root canals, we urge our patients to be careful and not chew on that side of the mouth for a few days until it heals.

If learn more about an apicoectomy, call us at 212-279-8770.

 

 

Dental Bridges

Dental bridges are an excellent way to replace missing teeth, and offered here in our Penn Plaza New York city practice. A dental bridge is made up on abutments where the missing teeth are and crowns on the adjacent teeth to provide the tether to the bridge. They are completed in about 2-3 visits and give our patients the opportunity to chew and talk normally, regardless of where their missing teeth are located.

The process of getting dental bridges here by Dr. Nina Kiani, DMD is as follows:

1. The patient visits our office for a check-up and exam, and to get impressions made of the adjacent teeth.

2. These teeth may need to be prepped prior to taking impressions, such as filing them down to make room for the crowns.

3. After two weeks when the bridge is fabricated, patients return to our office to have it fitted in their mouth with strong cement.

As long as our patients have adjacent teeth on either side of the missing teeth that can withstand crowns, we are happy to provide them with bridges for their teeth that have been pulled.

If you have missing teeth are considering getting a dental bridge in New York, NY visit our clinic to discuss your options.