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Sedation Dentistry: Relaxation is Possible in the Dental Chair

November 4, 2019

Woman in dental clinic wearing a nose mask

Dental anxiety can be rough.  It paralyzes patients from seeing the dentist, taking care of dental problems or prevent them from doing esthetic dentistry to improve their smiles.  At the Drs. Boyd in midtown Manhattan, we work with patients to help manage their anxiety but many times patients need something extra for relaxation.  This is why we offer our patients the benefit of sedation dentistry.

What is Sedation Dentistry?

Sedation dentistry involves taking a medication to help patients relax during dental treatment.  Not all forms of sedation are the same.  There are a varying degrees of sedation including mild, moderate, deep and general anesthesia.  Depending on the level of treatment and the needs of the patient, we tailor the level of sedation.

Who is a Candidate for Sedation Dentistry?

Many patients require some form of sedation for dental procedures.  Some reasons for dental sedation include fear of the dentist that does not allow any treatment, severe gag reflex, a very low pain threshold, extremely sensitive teeth or an extensive amount of dental work needed.  We need to complete a thorough review of your medical history and current medications to determine what form of dental sedation is possible and safe.

Nitrous Oxide Sedation

One of the most common dental sedatives is nitrous oxide also known as laughing gas.  A patient wears a nasal mask and breaths in a mixture of oxygen and nitrous oxide to achieve a mild relaxion.  One of the best aspects of laughing gas is that it works really fast and wears off really fast.  This means that you will not have a recovery after the procedure and you will be able to leave on your own.  Many patients use nitrous oxide with cleanings and other minor and major dental procedures.

Oral Sedation

This type of sedation can vary from mild to moderate depending on the dosage of the drug used.  The drugs most commonly used for this type of sedation are Valium, Ativan or Xanax.  Taking one of these pills will make you relaxed and a little drowsy.  We generally have patients take one pill the night before to ensure a good sleep and one the next day an hour before their scheduled appointment.  These drugs are the most commonly recognized methods of sedation dentistry.  We recommend that someone is available to escort you home after your appointment.

IV Sedation

When a patient requires a deeper and more profound form of sedation, we opt for IV sedation.  We work with a dental anesthesiologist that administers IV drugs to achieve deep relaxation in a safe environment for our patients.  We can administer drugs that will range from moderate to deep sedation.  Patients will need a period of recovery after the drugs wear off or are reversed.  For IV sedation, we require an escort home from your appointment.

Regardless of the severity of your dental phobias, the Drs. Boyd have a solution for you.  We can discuss the best form of treatment for your needs so that you have a great dental experience.  Contact us at (212) 755-9055 to find out more information on sedation dentistry.

7 Myths of Teeth Whitening

September 26, 2019

There are SO many “tips and tricks” for teeth whitening.  I am here to remove some of the myths about bleaching your teeth.

Photo of woman smiling.

Whitening Toothpaste Whitens Teeth

The reason why there is no clear recommended whitening toothpaste from dentists is that none of them really work.  At least for what patients are looking for.  Toothpaste in general contains an abrasive that serves to help microscopically scrape away plaque and tartar.  Whitening toothpastes have additives that can remove some minor surface staining but to get at the yellow core of the tooth you need something that will absorb deeply into the tooth. 

Bleaching Your Teeth is Bad for Them

This is a common misconception.  Whitening your teeth is not dangerous for your teeth when done in a controlled way with your doctor at Drs. Boyd.  Unfortunately, there are some side effects which include tooth sensitivity and gum irritation.  Tooth sensitivity is difficult to predict from patient to patient.  Generally it can be minimized with careful protection of the sensitive root areas and exposed dentin.  Gum irritation can occur with poorly fitting whitening trays or over the counter whitening strips.  When the whitening gel sits on the gum tissue for a prolonged period it burns the tissue and is painful.

Rinsing with Hydrogen Peroxide Whitens and Cleans Teeth

This is simply false.  Rinsing with hydrogen peroxide is not beneficial and is actually damaging to your gum tissue.  Hydrogen peroxide is good at initially cleaning our cuts that we get outside of our mouth.  We should not be rinsing with it.

Charcoal Toothpaste Whitens and is Good for Your Teeth

Activated charcoal has many health benefits! Unfortunately, they aren’t found by putting them in a toothpaste.  According to a study in the British Dental Journal, the charcoal added in the toothpaste is nothing more than a marketing gimmick.  None of the products are actually shown to be of any benefit for what they say they can do.  It doesn’t whiten teeth.  It may remove surface stain but so does regular toothpaste and at a fraction of the cost.

In Office Whitening is Better than Professional At-Home Whitening

This is actually false.  Single visit in office whitening is just as effective as at home whitening.  The main difference is the concentration of the whitening gel that is used.  The benefit is that you can have whiter teeth in one quick visit in about an hour and a half.  We use Philips Zoom whitening because we have had a the best whitening results with that system.  For patients that have had sensitivity with the higher concentration gel, we can use a very comfortable low concentration gel for a longer duration. 

You Can Whiten Your Existing Crowns and Veneers

Unfortunately this is not true.  Whitening gel cannot whiten existing restorations of any kind.  If you have existing crowns and want a whiter smile we can replace them using state of the art ceramic veneers and crowns that look like white natural teeth.

You Can’t Whiten Your Teeth in a Day

You can professionally whiten your teeth in as little as an hour and a half.  Using Philips Zoom whitening, we can lighten teeth up to 8 shades.  So if you have a big social event and want a fast bright smile, this is the way to go.

There is no bad time to get a whiter smile.  If you have additional questions or would like to schedule a consultation for your whitening procedure, please call our office at 212-755-9055.  You may also reach us by email at office@drsboyd.com

Top 5 Questions from Patients on Bleaching Teeth

September 4, 2019

Before and after images of whitened teeth

People want whiter and brighter smiles these days.  We are all being bombarded with every facet of teeth whitening product from over the counter whitening strips to activated charcoal.  Drs. Boyd wants to clear up the confusion on bleaching teeth and answer our most common questions from patients.

Why are my teeth yellow?

Nobody likes yellow looking teeth.  Also, the more coffee, tea, red wine and other highly pigmented foods we consume, the more yellow and dark they get.  So, what is in our teeth that makes them dark?  Teeth have color producing molecules called “chromophores”.  These molecules give the dark stains to our teeth. The more dark foods and beverages we consume the darker these chromophores become.

How do teeth get whiter?

Whitening occurs when the chromophores in our teeth are broken down by diffusion of a whitening gel into the tooth.  The gel oxidizes the chromophores and removes their color.  The oxidation of the chromophores leave us with a white and bright tooth.

So how can I actually get my teeth whiter?

The best way to bleach our teeth is with professional teeth whitening at Drs. Boyd.  We use a combination of in-office Zoom whitening and at-home whitening to establish a long lasting white smile.  At your whitening appointment we use a high strength, light activate peroxide gel on your teeth.  The whole process takes about an hour and a half.  After your visit, you will follow special protocol at home using your custom made trays.  This combination of procedures leads to a long lasting whiter smile.

Am I a candidate for whitening?

Most people with otherwise healthy teeth are candidates for whitening their teeth as long as they are over the age of 15.  Whitening becomes difficult when patients have many tooth colored fillings on the front teeth or crowns and bridges as these types of restorations do not change color.

Are there any side effects?

The most common side effect is temporary tooth sensitivity.  The sensitivity usually subsides after 24-48 hours of whitening and is not a permanent issue.  Although it can be annoying, it is not an indication that something is wrong.  We help prevent this sensitivity by having our patients use Sensodyne toothpaste 1 week prior and apply a sensitivity preventing gel in your custom trays after your in-office whitening procedure.

There is no bad time to get a whiter smile.  If you have additional questions or would like to schedule a consultation for your whitening procedure, please call our office at (212) 755-9055.  You may also reach us by email at office@drsboyd.com.

The Cosmetic Dentists New York Prefers – Drs. Boyd

September 10, 2015

Young woman with a picture-perfect smile from the cosmetic dentist new york trusts Drs. BoydNot everyone is born with a flawless smile. In fact, almost no one is. Luckily for Midtown Manhattan residents, the Drs. Boyd can help patients enhance their natural smiles, and create beautiful results they’ve only dreamed of. A picture-perfect smile is no longer a luxury for celebrities, but an obtainable goal for any patient. At Drs. Boyd, our team examines and discusses your current smile, recommends possible treatments, and develops a personalized cosmetic care plan to give you the smile of your dreams. Call to schedule an appointment with your Madison Avenue dentists, the Drs. Boyd, today.
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Welcome to the Blog of Drs. Boyd, Dentists in New York City

September 1, 2015

The Drs Boyd the Dentist in New York CityWhen it comes to Midtown Manhattan businesses, it doesn’t seem like anything stands the test of time in the fast-paced New York landscape, but Drs. Boyd dental practice has provided outstanding dental care to Madison Avenue patients since 1930. Without a doubt, our dental practice is one of the most respected in New York City, and all of New York State. The atmosphere at Drs. Boyd is different than any other dentistry office. Our office is truly a family affair as we have multiple generations of the Boyd family working under one roof. We welcome your entire family to visit us for outstanding dental care, and we hope you’ll truly feel like a part of our dental family before you leave. If you’re looking for exceptional dentistry in Midtown Manhattan, look no further than the Drs. Boyd. Call to schedule an appointment today.
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