Larchmont Office

(914) 834-9534
2039 Palmer Ave. Suite #101
Larchmont, NY 10538-2483

NYC Office

(212) 986-2287 
20 E. 46th St. Suite 1300
New York City, NY 10017

Basic Care

According to Cosmetic Dentist Joel F. Levy DDS, people of all ages recognize the importance of plenty of water, rest and regular exercise and the importance of routine checkups and eating of a balanced diet. Maintaining a healthy mouth is also an important step to a healthier life. Regular preventive care is the best way to keep your mouth healthy and comfortable and to avoid dental and medical treatment.

Many people think having cavities is just a part of life, but it doesn’t have to be. New research and new products offer the possibility of a future without tooth decay. We have a strong commitment to prevention. Teeth are meant to last a lifetime and we help our patients achieve this. It is a systematic approach designed to recognize individual susceptibility, reduce bacteria and control other factors that cause dental caries. Learning correct skills in everyday hygiene can be highly effective to minimize the risk of developing caries for our higher risk patients and has been successful in teaching other patients not at a high risk how to stay that way.

Restorations

Most of the decay we see in adults is a result of the breakdown of old fillings. But it is possible to break the cycle of patch and repair. And, because the area around a restored portion of a tooth is a good breeding ground for bacteria, it is important these areas are kept especially clean and be made from the proper materials that facilitate the cleaning of this area. In this practice we will always recommend to you the best material to restore the tooth and prevent further breakdown.

We are committed to reducing future dental breakdown and the protection of teeth from more aggressive forms of treatment with the use of Sealants and Preventive Resin Restorations. All pits and fissures (grooves in teeth) can harbor bacteria that may promote infection or reinfection. We seal them with a thin plastic film painted on the chewing surfaces of molars and premolars as a physical barrier to decay. Studies show that when properly placed sealants are 100% effective. Today we can use sealants that even contain fluoride. Once intended only for use in children, we now find them to be highly effective in our adult patients.

Fluoride

Fluoride is easily absorbed into tooth enamel making the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the danger is even visible. Fluoride reaches our teeth systemically through public and private water supplies and topically through products containing strong concentrations of fluoride to fight tooth decay.

Home Care

Daily home care is especially important before bedtime. We help teach our patients what is best for their particular situation. We want to help you develop a way of cleaning your teeth that it’s with the way you live your life. There are a number of effective brushing techniques. We determine which one is best for you since tooth position and gum conditions vary.

In general a toothbrush head should be small, 1″ x ½” for easy access with soft nylon bristles with round ends. Some brushes are too abrasive and wear down teeth. It is more important to brush 2x a day for 3-4 minutes than 5x a day for 1 minute. We recommend brushing at work- keeping a brush at your desk. If you brush with fluoride toothpaste in the morning and before going to bed, you don’t need to use toothpaste at work- you can just brush with water and rinse before heading back to your desk. If you don’t have a toothbrush, rinsing with fluoridated water for 30 seconds-1 minute after lunch is also helpful. Getting the debris off teeth right away is important in stopping sugar snacks and starchy foods from turning into cavity causing sugars and acids. We will make a recommendation on which type of toothbrush, manual or ultrasonic is best for you and let you know how often they should be replaced given the condition of your mouth.

Flossing and irrigation removes plaque and debris between teeth. Dental floss comes in many forms, which all clean and remove plaque about the same. Waxed floss or ribbon floss (tape) might be easier to slide between tight teeth or tight restorations. However the unwaxed floss makes a squeaking sound to let you know your teeth are clean. We will review which floss method is best for your mouth, including floss holders, threaders and how often. There are many types of irrigators on the market. We will review which type ids best for your particular situation, including benefit, value and cost.

Each year over 30,000 people in the United States are diagnosed with oral cancer. The disease kills more than 8000 Americans annually. As with many other types of cancer, oral lesions that are detected early offer a better chance for successful treatment, making oral cancer detection one more reason to visit your dentist regularly. We take the time to carefully evaluate the oral conditions present in your mouth and throat as well as your neck to screen for any abnormalities. We are able to take biopsies if necessary or to refer you to the appropriate specialist when needed.

The #1 reason why people lose their teeth is undiagnosed periodontal disease. But, we know that 90% of all adults have periodontal (gum) disease of various levels. The disease begins without warning, and in early stages causes gums to become sore, bleed easily and contribute to bad breath. As it progresses, teeth loosen and separate; your bite changes and teeth are eventually lost. For this reason, we incorporate a careful regimen of gum evaluation into each visit. Our goal is to diagnose the progression of this disease and offer an opportunity for you to minimize bone loss and preserve your smile for a lifetime through our Periodontal Maintenance Program (PMP). The PMP is designed to create a custom regimen for your condition that will include treatment at the office as well as specific home care. This program is highly effective in the treatment as well as the prevention of periodontal disease.

Periodontal Eamination and Classification

We incorporate a thorough gum and periodontal evaluation into each visit. This includes:

  • Pocket depth measurement of the space between your gums and teeth; smaller is better.
  • Evaluation of bone loss.
  • Determination of tooth mobility.
  • Measurement of gum recession or overgrowth.
  • Determine amount of inflammation present.

This data is recorded into our computer charting system. At a glance, we can review data that shows the changes that have occurred between visits; maintained health, disease progression over time, and improvements in periodontal health as a result of treatment. One of the main benefits of the computer charting system is that it quickly and accurately gives us the information we need to tailor our treatment approach.