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Endodontics is a specialty branch of dentistry dedicated to the treatment of conditions affecting the soft inner tissues of the teeth. Endodontists, like Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants, routinely perform root canals, root canal retreatment, and endodontic surgeries to treat infected pulp and damaged root surfaces. Unlike a general dentist, who may only perform a few root canals each month, endodontists are specialists in these procedures, making them the go-to authority on endodontic treatment.

Education

Endodontists have the same education that general dentists do. However, endodontists also pursue additional specialized training in endodontics after graduating dental school. The average endodontist will have at least two years of dedicated training in root canals, retreatment, and other types of endodontic surgery. This specialty training is in addition to a traditional dental education – something a general dentist does not have.

Technology and Efficiency

Because an endodontic practice is finely honed for specific types of dental treatment, the technology to perform such treatments is typically of high caliber and often far more advanced than that which is found in a general dentist’s office. State-of-the-art technology, such as operating microscopes and ultrasonic instrumentation, make it possible for endodontists to carry out complex procedures with simplicity and accuracy. This translates into highly effective treatment rapid pain relief, and a speedy recovery for many patients.

Who should visit an endodontist?

A general dentist is a wonderful resource for maintaining a lifetime of dental health. However, anyone in need of root canal treatment or treatment for a previous failed root canal may benefit from visiting an endodontist. An endodontist is the most qualified person to perform a root canal and preserve a damaged or decayed tooth. Furthermore, treatment from a specialist is typically no less comfortable than getting a filling. A patient may request root canal treatment from an endodontist, or a general dentist may make the decision to refer a patient to a specialist – especially patients who are elderly, have complex treatment needs, or have significant anxiety about endodontic treatment.

To learn more about endodontic treatment at our Worcester office, give us a call!

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

• Dry mouth
• Diminished sense of taste
• Root decay
• Gum disease
• Uneven jawbone caused by tooth loss
• Denture-induced tissue inflammation
• Overgrowth of fungus in the mouth
• Attrition (loss of teeth structure by mechanical forces)
• Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

• Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
• Clean between your teeth once a day with floss or another interdental cleaner.
• If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
• Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
• Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
• Visit Central New England Endodontics and Implantology regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

When most patients ask Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Worcester office a call and we’d be happy to help!

You’ve got endodontic surgery at our Worcester office coming up on your calendar and you’re prepared. The freezer is stocked with frozen yogurt, the fridge is filled with pudding and applesauce, the cupboard has boxes of gelatin dessert just waiting to be mixed and chilled.

Good for you! Eating a soft, smooth diet is the best way to treat delicate tissue after surgery. Now, let’s look at a few ways to make that diet not only soothing, but healing.

• Protein

Proteins are essential for all of our vital bodily functions. The protein in our diet is broken down into amino acids, which then combine with other amino acids to create the new protein building blocks our cells need to replace and repair damaged tissue. These proteins provide structure for cells in the skin, bone, and blood vessels as they recover. When you are healing, your body requires more protein than usual to help the process along.

Of course, right after endodontic surgery, you won’t be eating your regular protein sources of meats, seafood, beans, and nuts. But dairy foods such as yogurt and milk products are also rich in protein—and delicious in milkshakes and smoothies. You can also add a protein supplement if you will be eating soft foods for a while. Just remember, no straws!

• Vitamin A

Vitamin A helps stimulate cell reproduction and the immune system, both important factors for quicker, safer healing. It also helps our bodies form and maintain bone tissue, mucous membranes, and soft tissue, all of which are involved in bone and gum recovery after surgery.

If you are wondering where to get more vitamin A, think green and orange. Spinach, kale, leaf lettuce and other leafy greens, mild peppers, carrots, cantaloupe, mango—all these foods keep you supplied with vitamin A. How to get those solid foods into your soft diet? Think smoothies. Adding some fresh ingredients to your blender will give you this important vitamin in an easy-to-drink form.

• Vitamin C

Vitamin C is vital for wound healing because it is essential in forming the protein collagen. Collagen provides both structure and support to our tissues, especially important as tissues heal.  

We usually associate vitamin C with citrus fruits such as oranges, lemons, and limes. But if you’re avoiding acidic foods because they might irritate delicate tissue, you can also find plenty of vitamin C in green vegetables such as broccoli, cabbage, and kale, or in fruits like strawberries, mangos, and papayas. Here’s where that blender comes in handy again!

• Zinc

Zinc has been found to improve healing by promoting membrane repair, blood clotting, and skin cell recovery, and by helping to boost immunity. Too little zinc in the diet has been associated with slower wound healing, especially in the skin—and because our bodies don’t store zinc, it should be part of everyone’s regular diet.

Foods high in zinc include red meat and seafood, but since steak is off the menu for a while, where can you find another good source of zinc? Dairy products, again! Let your milkshake do double duty.

Of course, there is no one magic diet that brings instant recovery. But if you follow Drs. Manzoli, Russo, Pauk, Desrosiers, Sahakyants and our team’s advice, eat foods designed to soothe rather than irritate your recuperating tissue, and take advantage of the nutrients that encourage healing, you will be doing all you can to make your recovery speedy and healthy. Good for you!