Dental Conditions & Problems | Blue Dental NYC (Upper East Side, Manhattan)
Our Approach
Precise, prevention-first dentistry with clear explanations and zero pressure. We identify the cause of each problem—then fix it conservatively for results that last.
Symptom-to-Solution Quick Guide
- Tooth pain to cold/sweets: early tooth decay or exposed dentin → fluoride/desensitizers, bonding, or filling.
- Sharp pain on bite/release: cracked tooth or high contact → onlay/crown; bite adjustment; root canal if nerve involved.
- Lingering hot/cold pain, night ache: inflamed/infected pulp → root canal + protective crown.
- Zings to air/cold at gumline: recession/abfraction → desensitizers, bonding, grafting (periodontist).
- Jaw tightness, morning headaches, worn teeth: bruxism → custom night guard; bite tuning; muscle care.
- Swollen, bleeding gums: gingivitis/periodontitis → professional cleaning or deep cleaning + home-care plan.
- Dark/yellow teeth or spots: extrinsic stain/erosion or intrinsic discoloration → cleaning/whitening, micro-bonding, veneers (case-by-case).
- Crooked bite, spacing, front teeth not touching: crowding/gaps/open bite/crossbite/underbite → clear aligners or braces ± TADs; retainers.
Tooth Structure Problems
Cavities (Tooth Decay)
Bacteria + sugars dissolve enamel/dentin. Early lesions can remineralize; deeper ones need tooth-colored fillings or onlays/crowns.
Chipped or Broken Tooth
From trauma or hard foods. Options: polish, bonding, veneer, or onlay/crown depending on size and location.
Cracked Tooth
Pain on bite/release is common. Stabilize with onlay/crown; root canal only if the nerve is affected.
Tooth Erosion & Wear
Acid wear (diet/reflux) and/or grinding. Start with remineralization + habit changes; restore with bonding/onlays if structure is lost.
Nerve & Infection
Tooth Sensitivity
Often due to exposed dentin, recession, or early decay. Fluoride/desensitizers, bonding, and bite adjustment provide relief.
Root Canal Infection
Lingering pain, swelling, or abscess. Root canal therapy removes infection and preserves your tooth; usually followed by a crown.
Gums & Bone (Periodontal)
Gingivitis / Periodontitis
Bleeding, puffy gums or bone loss. Professional cleanings or scaling & root planing, plus tailored home care.
Receding Gums (Gum Recession)
Sensitivity, “long” teeth, notches. Desensitizers/bonding, night guard, bite tuning; gum grafting when coverage/thickness is needed.
Peri-Implant Issues
Bleeding or bone loss around implants. Maintenance cleanings, targeted home care; coordinate treatment if advanced.
Bite, Alignment & TMJ
Crowded Teeth / Gaps / “Bunny Teeth”
Clear aligners or braces; IPR/expansion as needed; retainers to protect results.
Open Bite / Crossbite / Underbite
Aligners/braces ± elastics/TADs; orthognathic surgery for severe skeletal cases (coordinated with our surgeons).
Tooth Grinding (Bruxism) & TMJ Strain
Custom night guard, bite equilibration, habit and muscle care; protect teeth and restorations.
Esthetics
Discolored Teeth
Cleaning & whitening first; spot treatments (microabrasion/infiltration), bonding, or porcelain veneers for resistant discoloration.
Black Triangles, Uneven Edges
Additive bonding to soften triangles; edge recontouring/veneers for symmetry after alignment.
Kids & Teens (Family Care)
- Sealants on deep grooves, fluoride, eruption guidance.
- Early ortho screens for crossbite, protrusion, spacing/crowding.
- Sports mouthguards for contact activities.
When It’s an Emergency
- Severe swelling, fever, spreading infection, trauma → urgent care/ER if airway risk; call us for same-day guidance.
- Knocked-out tooth: place in milk or saline, don’t scrub the root, call immediately.
What to Expect Here
- Comprehensive exam & photos (low-dose X-rays/CBCT only when indicated).
- Clear options (pros/cons, costs, insurance estimates).
- Conservative treatment with rubber-dam isolation and BPA-free materials.
- Prevention plan so problems don’t return.
