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.