Tag Archives: Midtown Manhattan Oral Surgeon

Midtown Manhattan Oral Surgeon

Midtown Manhattan Oral Surgeon

Root canal infections can be a painful ordeal fort anyone to undergo, requiring us to seek root canal therapy as soon as possible to relieve our symptoms and rid our mouths of the infection deep inside our tooth. However, sometimes this infection is more stubborn than you or your doctor realize, causing some of us in rare cases to undergo the same symptoms as before of the infection moving inside your smile once again. Fortunately, as uncommon as these events are, when it happens to you, you can be sure to find the care you need at your local Midtown Manhattan oral surgeon of Elliott Ostro DMD, whose advanced care techniques will insure that your root canal infection is gone for good.

Midtown Manhattan Apicoectomy

Midtown Manhattan Apicoectomy

Root canals can become complicated for a variety of reasons, often differing upon the individual treatments and issues of each patient. If it has been a long time since your treatment, and you are only now experiencing symptoms of a root canal in the exact same place, this is usually the cause of dental sealant, used often at the end of a procedure to quickly mend a dental injury, breaking down over time. Microscopic cracks can often become missed if your doctor is using non-digital x-rays, which do not often pick up on tiny intricacies, and as such the tiny crack becomes a big pain, allowing infection to take root in your tooth once more. For this reason, you should take your root canal complications to the treatment of a specialized Midtown Manhattan oral surgeon for professional care of your root canal problems.

In the case of root canal complications, often the best form of treatment is through root end surgery, also known as apicoectomies. These modes of treatment involve going to the source of trouble, often an infected root end of your tooth where in the infection has taken hold, and removing it entirely. Once removed, your Midtown Manhattan oral surgeon can then clean out any remaining infection strongholds with medication, and utilizing a calcium silicate based filling to create an artificial root tip for your tooth. Your doctor will use this microscope based treatment to insure that every last trace of your infection is completely removed in an efficient and gentle manner.

Infected root canals are a source of great pain, but at our Midtown Manhattan oral surgeon practice root end surgeries do not have to be. Dr. Elliot Ostro DMD is fully licensed, certified, and highly experienced in utilizing many forms of anesthesia, including IV and other sedatives to keep you comfortable throughout the course of your treatment. Our welcoming and knowledgeable staff can answer all of your questions about apicoectomies to insure that you receive the right treatment to give you a healthy smile.

Endodontic Surgery Midtown Manhattan
30 Central Park South, Suite 12B
New York, NY 10019
(646) 862-7077

Oral Surgery Midtown Manhattan

Oral Surgery Midtown Manhattan

Dr. Ostro is a board certified Oral Surgeon and our practice is limited to oral and maxillofacial surgery and implant dentistry.  At our  Midtown Manhattan oral surgery practice, Dr. Ostro is dedicated to delivering the most comfortable and successful results and providing the professional care that you deserve.  Our NYC oral surgery services include dental implants, periodontal surgery, bone grafting, tooth extractions, wisdom tooth removal, oral surgery and apicoectomies.

NYC Best Oral Surgeon

30 Central Park South, Suite 12B
New York, NY 10019
(646) 862-7077

Central Park Manhattan Oral Surgery

Central Park Manhattan Oral Surgery

Get Your Wisdom Teeth Removed with NYC Oral Surgeon Dr. Elliott Ostro

Wisdom teeth are technically known as 3rd molars.  Third molars usually begin forming around 8-10 years of age.  Most people will develop 4 third molars, however, some people may develop less. Wisdom teeth, if present, may not erupt into the mouth.  When they do not erupt they are considered impacted.  Wisdom teeth which are not impacted typically erupt between 17-21 years old. Often the process of tooth eruption is painful and has associated complications, therefore, we recommend a consultation with your Midtown Manhattan oral surgeon Dr. Elliott Ostro at 15-17 years old prior to eruption.  A consultation at this age is important as most will not have adequate space in their jaw for eruption of their wisdom teeth.

Are wisdom teeth required for normal chewing function?  No, in fact if a person does have adequate space for the eruption of wisdom teeth these teeth only provide very limited chewing function.  Furthermore, wisdom teeth often have short roots and can not adequately support bridges or partials. Wisdom teeth are considered vestigial organs, considered to be an imperfectly formed organ that has little to no utility.

Though most people do not experience pain with their wisdom teeth, that does not mean complications won’t arise. Most problems with wisdom teeth progress slowly and by the time a problem does become evident, damage may have already occurred. Below are some listed problems and concerns about your wisdom teeth, some of which are more common than others. Remember, each person is different, therefore your individual situation can only be determined through a thorough oral examination and evaluation with Midtown Manhattan oral surgeon Dr. Elliott Ostro.

Why Do I Need My Wisdom Teeth Surgically Removed?

Pain – Of the problems wisdom teeth cause, the most common complaint associated with impacted wisdom teeth is pain.  A person may have soreness or pain in the back part of the jaw, ear ache, sore throat or pain in the side of the face.  The impacted wisdom tooth itself may be the source of the pain or there may be an associated infection.

Impacted – It often happens that there is not enough space in the mouth for wisdom teeth to erupt. In such cases they may try to erupt in an abnormal direction, or may be locked into the jaw. This is known as an impaction.  Impacted teeth remain buried in soft tissue or bone.  Impactions may occur in the upper/lower jaw or both.  See below for Types Of Impactions.

Decay – The same types of bacteria that are responsible for infections can also cause tooth decay or cavities in the impacted wisdom tooth and/or the root of the adjacent tooth. A wisdom tooth may decay unnoticed, as they are the most difficult teeth to keep clean, being so far back into the mouth.

Crowding – Impacted or erupting wisdom teeth can push on adjacent teeth causing movement (particulary front teeth).  Current information shows that wisdom teeth do not alone cause teeth to become crowded and crooked, but they certainly can exacerbate existing crowding. Constant pressure from the impacted wisdom tooth can also lead to destruction of the tooth next to it, this occurs because impacted wisdom teeth are often malpositioned.  If they adjacent tooth has decay of the root system it can not be saved.

Interfere With Bite – If wisdom teeth erupt into the mouth, their position frequently interferes with the harmonious movement of teeth.  Over decades this destructive impact affects the wisdom tooth itself, but more importantly it puts stress and strain on the jaw joints and muscles of the jaw.  This bite discrepancy can lead to headaches, muscle spasms and jaw joint problems.

What Happens During a Wisdom Tooth Extraction?

The relative ease at which your local oral surgeon in Midtown Manhattan can extract your wisdom teeth depends on the position of the impacted teeth. A pre-extraction examination at our dental offices on Central Park South will give us a better idea of what you should expect during extraction. A wisdom tooth that is fully erupted through the gum can be extracted as easily as any other tooth. However, a wisdom tooth that is underneath the gums and embedded in the jawbone, requires an incision into the gums and then removal of the portion of bone that lies over the tooth. Oftentimes, the tooth will be extracted in small sections rather than removed in one piece to minimize the amount of bone that needs to be removed to get the tooth out.

If you are experiencing any gum pain or crowding in your mouth, we invite you to visit our Midtown Manhattan oral surgery offices for a consultation to see if wisdom teeth extraction is your next step. Call us at (646) 862-7077.

Easy & Painless NYC Oral Surgery
30 Central Park South, Suite 12B
New York, NY 10019
(646) 862-7077

Gum Disease | NYC Manhattan Oral Surgery

Gum Disease | NYC Manhattan Oral Surgery

Periodontal disease, also known as gum disease, is an infection of the tissues that support the teeth. Your teeth are supported by gum tissue, connective fibers that anchor the tooth root into its socket, and bone. These serious infections, when left untreated, can lead to tooth loss. The Manhattan NYC Oral Surgeons in the office of Dr. Elliott Ostro can help patients restore these tissues in order for you to keep your smile for a lifetime.

If periodontal disease is diagnosed at your annual check-up, our New York City oral surgeons provide several types of treatments, depending on the type of disease and how far the condition has progressed. Treatment is key to preventing periodontitis, an inflammation that can erode the ligament and bone beneath the gums and result in tooth loss.

Gum Disease Causes

The main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. Brushing and flossing help get rid of plaque.  Plaque that is not removed can harden and form “tartar” that brushing doesn’t clean.  Only a professional cleaning by a dentist or dental hygienist can remove tartar. There are other factors that lead to gum disease:

Smoking/Tobacco Use

As you probably already know, tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. What you may not know is that tobacco users also are at increased risk for periodontal disease. In fact, recent studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease. Additionally, smoking can lower the chances for successful treatment.


Despite aggressive oral care habits, research suggests that up to 30% of the population is genetically susceptible to gum disease. These people may be six times more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early interventive treatment may help them keep their teeth for a lifetime.

Puberty, Pregnancy and Menopause in Women

There are certain times in a woman’s life when extra oral care is necessary, specifically when you mature and change during puberty or menopause, and times when you have special health needs, such as menstruation or pregnancy. During these particular times, a woman’s body experiences hormonal changes that can affect many of the tissues in your body, including the gums. Your gums can become sensitive, and at times react strongly to the hormonal fluctuations, thus making you more susceptible to disease.


As you probably already know, stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. What you may not know is that stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.


Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health by reducing the flow of saliva, which has protective effects on the mouth. Without enough saliva, the mouth becomes vulnerable to infections.

Clenching or Grinding Your Teeth

Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.


If you are diabetic, you are at higher risk for developing infections, including periodontal diseases. These infections can impair the ability to process and/or utilize insulin, which may cause your diabetes to be more difficult to control and your infection to be more severe than a non-diabetic.

Other Systemic Diseases

Diseases that interfere with the body’s immune system may worsen the condition of the gums.

Poor Nutrition and Obesity

As you may already know, a diet low in important nutrients can compromise the body’s immune system and make it harder for the body to fight off infection. Because periodontal disease is a serious infection, poor nutrition can worsen the condition of your gums.

Types of Gum Disease


Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.


Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. The toxins produced by the bacteraia stimulate a chronic inflammatory response which breaks down and destroys the tissues and bone that support the teeth. Gums separate from the teeth, forming “pockets” (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.

Symptoms of Gum Disease

Periodontal disease is often silent, meaning symptoms may not appear until an advanced stage of the disease. However, warning signs of periodontal disease include the following:

  • Red, swollen or tender gums or other pain in your mouth
  • Bleeding while brushing, flossing, or eating hard food
  • Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
  • Loose or separating teeth
  • Pus between your gums and teeth
  • Sores in your mouth
  • Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures

If you find yourself experiencing any of these symptoms, do not hesitate to contact our offices and schedule an appointment with Dr. Ostro and his associates. Call (646) 862-7077 to protect your healthy smile.