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Emergency Dentist Upper East Side


Conveniently located at 121 East 60th Street, Suite 6D, New York, NY 10022 — easily accessible from across the Upper East Side and Midtown Manhattan

Safe, effective, and fast relief using advanced emergency dental systems and same-day treatment protocols

Expert care delivered by Dr. Marc Lazare, a leading NYC cosmetic and restorative dentist with decades of experience

Flexible and same-day appointment times — because dental emergencies don’t wait


What Is a Dental Emergency?


A dental emergency is any situation involving the teeth, gums, or mouth that requires immediate professional attention to relieve pain, prevent infection, or save a tooth. Left untreated even for a few hours, many dental emergencies can escalate quickly — a localized infection can spread, a saveable tooth can be lost, and moderate discomfort can become severe.


Common situations that qualify as a dental emergency include:

Severe or persistent toothache — throbbing pain that doesn’t subside with over-the-counter medication

Knocked-out (avulsed) tooth — time is critical; re-implantation is most successful within 30–60 minutes

Broken, chipped, or cracked teeth — especially when sharp edges cause lacerations or the nerve is exposed

Dental abscess or infection — a potentially life-threatening condition requiring urgent drainage and antibiotic treatment

Lost crown or filling — leaves the underlying tooth vulnerable to sensitivity, damage, and bacteria

Bleeding or severely swollen gums — particularly following trauma or as a sign of acute infection

Facial or jaw trauma — injuries that may involve fractured bones or deep lacerations

 

If you’re experiencing any of the above, don’t wait. Call our office immediately — we prioritize emergency patients and will guide you on the right steps to take before you arrive.

Frequently Asked Questions About Emergency Dentistry on the Upper East Side

How can I prevent future dental emergencies?

While not all emergencies are preventable, there are meaningful steps you can take to significantly reduce your risk:


  • Attend regular check-ups and cleanings every six months so problems are caught early

  • Wear a custom mouthguard during contact sports or recreational activities

  • Avoid using your teeth as tools — don’t bite nails, open packaging, or chew ice

  • Address teeth grinding (bruxism) with a custom night guard before it leads to cracks or fractures

  • Replace old, worn fillings and crowns proactively before they fail unexpectedly

  • Maintain excellent oral hygiene at home: brush twice daily, floss daily, and use an antibacterial rinse


If dental anxiety has kept you from attending regular care, we can help. Read our guide on ways to combat dental fears, anxieties, and phobias — our team is trained to make every visit as calm and comfortable as possible.

Can you help with dental emergencies after hours?

We understand that dental emergencies rarely happen at convenient times. Our office offers extended hours and we make every effort to accommodate same-day emergency calls during regular business hours. For guidance outside of office hours, our voicemail provides instructions and we do our best to return urgent calls promptly. If you are experiencing a severe medical emergency — such as difficulty breathing or swallowing due to swelling — please call 911 or go to your nearest emergency room immediately.

Do you accept insurance or offer payment plans?

We work with many dental insurance plans and will do our best to verify your coverage before treatment begins. For procedures not covered by insurance, or for patients without coverage, we offer flexible financing options to ensure that cost is never a barrier to receiving urgent care. Please call our office and we’ll discuss your specific situation in detail.

Does insurance cover it?

In most cases this treatment is not covered by dental insurance. Dr. Lazare's team can discuss flexible payment options during your consultation.

How many treatments will I need?

Most patients begin with a single treatment and return every 3 to 6 months. Over time, the frequency of treatment often decreases as the muscle responds.

Is it safe?

Yes. Botox® has been used in medical and dental settings for decades. When administered by a qualified clinician with knowledge of facial anatomy, it has an excellent safety profile.

Will it change the appearance of my face?

In patients with significantly enlarged masseter muscles, the treatment can create a subtle slimming of the lower face over time. For most patients the change is minimal and natural-looking.

How quickly will I feel relief?

Most patients begin noticing reduced jaw tension and fewer headaches within 3 to 7 days. Full results are visible within two weeks.

Is Masseter Botox® painful?

Most patients report minimal discomfort. The injections are quick and precise, and no anesthesia is required. Any mild soreness at the injection site typically resolves within 24 hours.

Is EMFACE® painful, and what is the recovery like?

EMFACE® is designed to be a comfortable, relaxing experience. Patients typically describe a warm, soothing sensation during the radiofrequency phase and a gentle pulsing feeling during the HIFES™ muscle activation. There is no pain, no needles, and no downtime whatsoever. You can return directly to work, meetings, or social engagements immediately after your session. Many patients notice an immediate sense of facial relaxation and lightness following treatment, with more visible lifting and toning developing progressively over the course of the treatment series. It is an ideal option for busy professionals in New York City who want meaningful results without disruption to their schedule.

How does EMFACE® complement cosmetic dental treatments like veneers or Invisalign®?

Facial muscle balance plays a significant role in the outcome and longevity of cosmetic dental work. When the muscles of the face and jaw are overactive, asymmetrical, or under chronic tension, they can affect bite alignment, facial symmetry, and the way a smile is framed. At our Upper East Side practice, EMFACE® is frequently recommended as a complement to Biomimetic Smile Makeovers™, porcelain veneers, Invisalign®, and full-mouth rehabilitations. By improving muscle harmony and reducing jaw tension before or alongside dental treatment, EMFACE® helps create a more balanced foundation — enhancing both the function and the aesthetic outcome of your smile.

Can EMFACE® help with TMJ pain and jaw tension?

Yes. At Lazare Biomimetic Dentistry & Smile Design, EMFACE® is offered not only as an aesthetic treatment but as a clinically thoughtful option for patients experiencing TMJ-related muscle discomfort. TMJ disorders often involve chronic overactivity of the masseter, temporalis, and surrounding jaw muscles — leading to jaw pain, teeth grinding (bruxism), clenching, tension headaches, and limited jaw mobility. EMFACE®'s synchronized radiofrequency and muscle stimulation work to improve local circulation, release chronic muscle tension, and support more balanced jaw muscle function. It is a needle-free, comfortable alternative that integrates naturally into a comprehensive TMJ care plan alongside custom nightguards, bite therapy, or infrared light treatments.

What is EMFACE® and how does it work?

EMFACE® is the first non-invasive facial treatment to simultaneously combine radiofrequency (RF) energy with HIFES™ high-intensity facial electromagnetic stimulation. The RF component gently warms the skin's deeper layers to support collagen production and circulation, while HIFES™ technology activates and tones the underlying facial muscles — lifting and defining the face without needles, incisions, or downtime. Each session lasts approximately 20 minutes, and most patients complete a series of 4–6 treatments for optimal, progressive results.

How long does orthodontic treatment take?

Treatment duration depends on the complexity of your case. Simple alignment corrections with Invisalign® can be completed in as little as six months. Moderate cases typically take twelve to eighteen months. More complex bite corrections, whether with aligners or traditional braces, may take longer. At your consultation, we use digital simulation to map your treatment and give you a precise, realistic timeline before you begin.

What age is best to start orthodontic treatment?

There is no single best age for orthodontic treatment — it depends on the individual. Children can benefit from early assessment, typically around age seven, which allows us to identify developing issues and intervene before they become more complex. Teens are the most common orthodontic patients, and Invisalign® Teen is specifically designed for active younger patients. Adults represent a growing proportion of orthodontic patients, and Invisalign® is particularly well suited for adult lifestyles. At our Manhattan practice, we treat patients of all ages and tailor every plan to the person in front of us.

Is Invisalign® effective for fixing bite problems, or is it only for straightening teeth?

Invisalign® has evolved considerably and is now an effective option for treating a range of bite issues, including overbites, underbites, crossbites, and open bites, in addition to crowding and spacing. That said, the suitability of Invisalign® for a specific bite problem depends on its severity and underlying cause. At our Manhattan practice, Dr. Lazare evaluates each case carefully — and where Invisalign® alone is not sufficient, we maintain relationships with trusted orthodontic specialists in New York City to ensure you receive the most appropriate care.

How long does Invisalign® treatment take for adults in Manhattan?

Treatment duration depends on the complexity of the case. Minor alignment corrections can often be completed in as little as six months, while more involved cases — including significant crowding, spacing, or bite correction — typically take between twelve and eighteen months. At Lazare Biomimetic Dentistry and Smile Design, we use advanced digital scanning and treatment simulation to give you a precise estimate at your initial consultation, so you have a clear picture of your timeline before committing to treatment.

What is the difference between seeing a general dentist for Invisalign® and seeing an orthodontist in Manhattan?

Both general dentists and orthodontists can provide Invisalign® treatment, but the level of experience and the breadth of care surrounding that treatment varies significantly. Dr. Marc Lazare brings decades of cosmetic and restorative dental expertise to every Invisalign® case — meaning your alignment treatment is always considered in the context of your overall bite, jaw health, and smile aesthetics, not in isolation. For patients in Manhattan who want Invisalign® integrated with a comprehensive approach to their oral health and appearance, our Upper East Side practice offers a level of coordination that a standalone orthodontic office may not.

Can bad breath be permanently cured, or does it always come back?

When bad breath has a treatable dental cause — such as gum disease, decay, or a leaking restoration — addressing that cause directly can produce lasting results. Patients who commit to the home-care protocols and regular professional cleanings recommended by Dr. Lazare typically maintain significant, long-term improvement. Some contributing factors, such as dry mouth related to medication or certain systemic conditions, require ongoing management rather than a single cure. Our goal is always to give you the most durable outcome possible and to equip you with the knowledge to sustain it.

How many visits does it take to treat bad breath at your Manhattan dental office?

For most patients, meaningful improvement begins after the first or second visit, which typically includes a professional cleaning and a detailed diagnostic evaluation. The total number of visits depends on the underlying cause — patients with gum disease or multiple failing restorations may require additional treatment over several appointments, while those with simpler causes often see results quickly. Dr. Lazare will outline a clear, realistic treatment timeline at your consultation so you know exactly what to expect and when.

Is bad breath always a dental problem, or can it come from somewhere else in the body?

While the majority of halitosis cases originate in the mouth — from gum disease, decay, dry mouth, or bacterial buildup on the tongue — a meaningful percentage are linked to non-dental causes such as sinus or tonsil infections, acid reflux, and gastrointestinal conditions. At our Manhattan practice, we conduct a thorough evaluation to determine whether the source is oral or systemic. If we identify signs that the cause lies beyond our scope, we collaborate with the appropriate medical specialist to ensure you receive complete, coordinated care.

What causes chronic bad breath and how is it treated at a NYC dental office?

Chronic bad breath — clinically known as halitosis — is most commonly caused by bacteria accumulating on the tongue, around the gum line, and in periodontal pockets, though failing dental restorations, dry mouth, sinus conditions, and gastrointestinal issues can also play a role. At Lazare Biomimetic Dentistry and Smile Design on Manhattan's Upper East Side, Dr. Marc Lazare performs a comprehensive oral examination to identify the specific source before recommending treatment. Depending on the cause, care may include professional deep cleaning, periodontal therapy, cavity repair, tongue-cleaning protocols, or dry mouth management — all designed to eliminate odor at its source rather than mask it temporarily.

What is the difference between a dentist and a cosmetic dentist?

A general dentist focuses primarily on the health and function of your teeth — diagnosing and treating conditions such as cavities, gum disease, infections, and bite problems. Their training covers the full spectrum of oral health care, from routine cleanings and fillings to extractions and root canals. A cosmetic dentist, by contrast, focuses on the appearance of the smile — the shape, color, symmetry, and proportion of teeth as they relate to the face as a whole. It is worth noting that cosmetic dentistry is not a formally recognized specialty by the American Dental Association; rather, it describes a set of skills, an aesthetic sensibility, and a depth of training that certain general dentists pursue beyond their foundational education. Not every dentist who offers teeth whitening or veneers has the same level of expertise, artistry, or commitment to cosmetic outcomes — which is why choosing the right provider matters enormously. At Lazare Biomimetic Dentistry and Smile Design, Dr. Marc Lazare and Dr. Terese Fay practice at the intersection of both disciplines — combining rigorous attention to oral health with a sophisticated understanding of smile aesthetics. Dr. Lazare holds the Master designation from the Academy of General Dentistry, achieved by fewer than one percent of dentists in the United States, and has spent decades refining his approach to cosmetic care through continuing education, international lecturing, and the development of the Biomimetic Smile Makeover™. This means that when you come to us for veneers, teeth whitening, Invisalign®, or a full smile transformation, your results are never purely cosmetic — they are built on a foundation of optimal dental health, preserved tooth structure, and restorations designed to last. For patients in Manhattan and the surrounding areas of New York City, that combination of health-focused and aesthetics-driven care is what sets our practice apart. Call us at +1 (212) 861-2599 or book a consultation online at drmarclazare.com.

What is the difference between a dentist and a cosmetic dentist?

A general dentist focuses on oral health, while a cosmetic dentist specializes in the appearance and aesthetics of your teeth and smile.

Why Do Teeth Turn Yellow?

Teeth can turn yellow for a variety of reasons, including:– Aging (years of cumulative stain and the wear of the outer, white enamel layer of the teeth over time)– Heavy consumption foods and beverages that are more likely to stain (including: red wine, dark teas, coffee, vegetable juices, hot chocolate, soy sauce, etc.)– Smoking– Poor oral hygiene (which creates a thick coat of a yellowing plaque or tartar)– Heavy Grinding (which can wear away the enamel to reveal the yellower layer of tooth structure beneath)Please note that the most common cause of this yellowing is due to poor brushing, which builds up this plaque and tartar, which is more likely to hold the stain than the tooth’s enamel. Once the teeth are cleaned, the yellow often disappears. Whitening is only effective for brightening the enamel itself, and will not do anything for teeth that are not properly cleaned.

Can Antibiotics Cause Tooth Discoloration?

Yes. Stained teeth because of antibiotic use (tetracycline-stained teeth) may take longer to be whitened, typically between 1-2 months. Still, Dr. Lazare has experienced success in these patients. Single darkened teeth will lighten over time, and a custom-made night guard for a single tooth to be treated can be made, or if it was a tooth previously treated with root canal therapy, then internal bleaching is suggested with the external bleaching.

Teeth Whitening Cost

The average cost of a teeth whitening treatment in NYC range from $650 to a $1,000 or more, depending on the area in where you live and on the product being applied. Some other treatments, such a laser tooth whitening can be more expensive. Teeth whitening cost can also be financed through several flexible payment plans.

Will White Spots on the Teeth Be Removed Through the Bleaching Process?

No, but they will blend in with the surrounding tooth color to become less noticeable. In certain cases, the white spots may be buffed out through enamel microabrasion techniques or troughed out and restored with a composite material to help blend.

Why Won’t Certain Dental Work Be Lightened by Teeth Whitening?

The majority of the materials used in dental care (including porcelain and composite bonding) will not be affected by the peroxide used to whiten the teeth. Bonding can always be modified to blend with the whitening results and porcelain work may need to be remade to adequately blend. Additionally, teeth with root canals may not be lightened by traditional methods and will require additional intervention treatments, such as internal bleaching.

Can TMJ Disorder Be Cured?

Most cases of TMJ disorders can be treated conservatively and successfully. Only a small number of cases require surgical correction, usually with those individuals who have suffered a traumatic injury. The first step is to eliminate the pain and muscle spasms. In mild cases, this can be done with moist heat packs, a non-chewy diet, and muscle relaxants (if necessary). It is also important not to try to test the degree of pain by opening and closing, but rather try to rest the TMJ and give it time to heal. The next step would be to try and become aware of the potential sources of stress and tension that could lead to clenching and grinding. A conservative therapeutic device that may work well for you is a corrective bite plate (made by your dentist), that will help to relax the muscles, thus preventing headaches, pain and spasm.Selective filing of an uneven bite to correct the “high” spots is a final attempt to treat TMJ conservatively, because the removal of tooth structure is an irreversible process.

What Is the Main Cause of TMJ?

Stress is the most common factor behind TMD, and should be treated alongside the physical symptoms of the joint issues. Mental stress can manifest as physical symptoms, even if we are not conscious of it. Some people enduring a stressful event may notice short term TMJ disorder, while those with issues like anxiety or chronic stress may find that problems like bruxism are ongoing.A common consequence of stress are clenching and grinding, which can tire and strain the chewing muscles, causing them to go into spasm and cause pain. An improper bite can also result in TMJ dysfunction. Among the symptoms are: headaches (usually upon awakening), tenderness or fatigue of the jaw muscles, earaches, and pain or difficulty when chewing, yawning or opening wide. Clicking or popping sounds are very common signs, and in some extreme cases, the jaw can actually get stuck in the open or closed position.

Is My Headache Related to a TMJ Disorder?

It is difficult to pinpoint the exact cause of one’s TMJ syndrome, although it is often related to stress. It also may be the result of a traumatic accident or a disease such as arthritis.

Why Is a Night Guard the First Method of Treating TMJ Disorder?

While there are more invasive methods available, Dr. Lazare typically suggests beginning TMD treatments conservatively with the use of a night guard. The guard can provide clues as to the patient’s nighttime jaw movements, and will alleviate pain associated with the hard pressure placed on the teeth by acting as a buffer. In many cases, the use of a night guard is sufficient in treating TMD. The added benefit is that a night guard made of a hard material will also keep the teeth in proper alignment, serving as a nighttime retainer.

Is TMJ Disorder a Condition That Will Last Forever?

While Dr. Lazare can successfully manage TMJ disorders, he must first diagnose the cause of joint issues. In cases of situational stress, tooth grinding and jaw clenching may subside when the stressful event ends, or the patient is able to manage difficulties in their life. When a connective tissue disease or arthritis causes dysfunction in the joint of the lower jaw, the condition may be chronic until the disease is controlled. Most patients will not experience TMJ disorder (or at least its negative effects) long term.

What Should You Do if Your Jaw Starts Making a Popping Sound When You Open It?

If you are among the millions of people who have been diagnosed with TMJ syndrome, these may be among the symptoms. The TMJ (temporomandibular joint) is a joint that attaches the lower jaw to your skull. The symptoms described may be a result of the TMJ not functioning properly, due to one or more of the following having been adversely affected: your chewing muscles, joints, ligaments or surrounding bones.

What Are Common Tongue Cancer Symptoms?

Patients may notice one or more sores on the tongue that persist over a period of weeks. Other visible signs are patches of red or white tissue on the tongue that do not go away over time. Tongue cancer can also cause pain or conversely, numbness of the tongue or other parts of the mouth.

How Is Gum Cancer Diagnosed?

The patient or dentist may notice a sore, lumps, or thickened areas of the gums in oral cancer that is present in the gums. Discoloration of the area can include red and white patches, and the lesion or area may bleed.Gum cancer can be identified by oral cancer testing performed in NYC at Dr. Lazare’s dental office and can be confirmed through additional medical tests.

What Is the Typical Oral Cancer Survival Rate?

Per the American Cancer Society, when diagnosed early with oral cancer, the 5-year survival rate is approximately 84%, while the 5-year survival rate overall for those with mouth or throat cancer is 65%. Those who developed cancer as a result of HPV have higher survival rates.Cancer patients with disease that has spread to surrounding tissue have a 5-year survival of 65%, while those with distant spread have a 5-year survival rate of 39%.

Where Can Oral Cancer Occur?

Oral or mouth cancer can affect the following parts of the mouth:• Outer and inner lips• Hard and soft palate (roof of the mouth)• Cheeks• Gums• Tongue• The floor of the mouthOropharynx Oral cancer is a type of head and neck cancer.

What Types of Cancers Are Found in the Mouth and Oropharynx?

The majority of oral cancers – over 90% – are squamous cell carcinomas that begin in the lining of the mouth and throat. The cancerous cells begin in the epithelium, or uppermost layer of tissue and grow deeper over time. Cancerous tissue can be discovered at an earlier stage.Fewer than 5% of oral cancer cases are caused by verrucous carcinoma. This type of cancer grows slowly and deeper into local tissue, but rarely spreads to different areas of the body. When left untreated, squamous cell cancer can grow inside verrucous carcinomas which can spread in the body. Lesions of verrucous carcinoma require more significant removal with large borders to help prevent this from occurring.Oral cancers can also include different types of minor salivary gland carcinomas, lymphomas that occur in lymphoid tissue, and cancer of the nasopharynx and the larynx.

How Does Dr. Lazare Conduct an Oral Cancer Testing?

Each year, Dr. Lazare will conduct an oral cancer screening test of a patient’s head, neck and oral cavity – the face, lips (outer and inner), cheeks, gums, tongue, the roof of the mouth, and the floor of the mouth.He uses methods that include visual inspection, using a special dye and light to detect irregular cell growth, palpating or physically assessing these areas, and will ask pertinent questions. Dr. Lazare also takes the time to educate his patients and can inform them of what to look for while brushing and flossing.

How Will My Gums Feel and Look After the Surgery?

You will be able to see some results immediately after the surgery. Minor swelling will recede, and your gums and teeth will heal and tighten over the next few days. Some people may experience hot or cold sensitivity for a short time after the surgery. You will see Dr. Lazare in the office one to two weeks after the laser surgery to ensure your gums are healthy as expected.

Can a Gummy Smile Go Untreated?

Gummy smile correction is an elective treatment. A gummy smile does not pose any health threats, but it does cause some people to feel self-conscious and unattractive. Tooth decay below the gum line can become more evident for gummy smile patients. Dr. Lazare provides each patient with the pros and cons of elective gummy smile laser treatment. Patients experience outstanding, permanent results that transform their smiles and increase their confidence.

When Can I Return to Work After Laser Gummy Smile Correction?

Many patients resume their regular schedule immediately after the laser treatment. But you will need to change your diet slightly and take some over-the-counter pain medication and possibly put an ice pack on your face to ensure comfort during the first 24 hours. Most patients confidently return to work 24 hours after their laser gummy correction treatment. Dr. Lazare will discuss your treatment with you during your consultation.

How Do You Care For Your Dentures?

Just like natural teeth, dentures should be properly cared for and cleaned after meals. There are brushes that are specifically designed for dentures, but a regular toothbrush may also be used, as long as the bristles are not hard. Ultrasonic cleaners may be used, along with special denture cleaning solutions. Don’t let your dentures dry out, or they can lose their shape (use cool to tepid water, as hot water could cause them to warp). Avoid dropping them… they can break! And remember to keep them away from curious children and pets.

Who Places the Dental Implants and Who Restores Them?

Dr. Lazare works with very talented Oral Surgeons and Periodontists who perform the surgical aspects of the procedure, including the extractions of failing teeth, bone grafting, and the placement of the implant(s). Once everything is healed and ready to be restored, Dr. Lazare will then take the necessary records in order to create beautiful and natural looking crown(s) to then fit over the implant(s). Dr. Lazare is the quarterback for this team approach and will work to make everything seamless from start to finish.

Is the Placement of Dental Implants Painful?

The doctor will perform dental implant surgery under local anesthesia, and with some patients, the addition of intravenous sedation. If medically necessary, general anesthesia may prove to be the better option, depending on a patient’s medical history. Patients may experience some postoperative swelling and residual discomfort, which can be reduced with pain medications. Dr. Lazare and the specialists he refers to take every step to ensure great dental experiences for his patients.

Why Are Dental Implants a Good Option for Missing Teeth?

Dental implants New York City can promote the regeneration of lost bone while restoring a healthy bite and a full set of teeth in patients who are lacking one or more of these vital attributes. Dental implants can attribute to healthy wear of the gums, while also improving a person’s looks. For these reasons, dental implants are highly recommended following tooth loss.

Is the Dental Implant Process Time-Consuming?

Candidates for implant dentistry, whether approved for immediate placement after extraction or not, should understand that replacing missing teeth can be a lengthy process. Dr. Lazare is careful to take all the necessary steps to ensure patient health and happiness with the final outcome. Because treatment plans can vary greatly from one patient to the next, the best way to learn more about an individual case is to schedule a consultation with Dr. Lazare at his New York City office.

What Should I Do if My Child’s Baby Tooth Gets Knocked Out (Dental Avulsion of Primary Tooth)?

The first thing you should do is contact your child’s dentist as soon as possible. The baby tooth should not be replanted because it may cause subsequent damage to the developing permanent tooth. Usually this type of injury happens between 7-9 years of age, when the bone surrounding the tooth is softer and more resilient. This means there is less of a chance of a bone fracture around the tooth. Your dentist should then see your child to check and verify that everything else is fine.

What Should I Do if My Child’s Adult Tooth Gets Knocked Out (Dental Avulsion of Secondary Tooth)?

The first thing you should do is try to find the tooth and put it in a cup or baggie with either your own saliva, milk or saline (to keep it hydrated) and bring it immediately to your dentist (Do Not Touch the root of the tooth, handle it by its crown). Time is of the essence. With each minute that passes the chance of reattachment becomes less and less. DO NOT SCRUB the tooth. If you do it will wipe away its outer ligament and prevent its reattachment within your empty tooth socket. If you are in a place where dental care is not accessible, then gently rinse in cool water (no scrubbing or using soap) only if there is dirt on it (otherwise leave it alone), and slowly replace the tooth within the socket immediately and hold it there with gauze. Remember, the faster you act, the better your chances of saving the tooth. Almost all replanted teeth will show some signs of root resorption and ankylosis (where the root fuses with the surrounding bone). It is possible that this may affect one’s bite later on.

What Should You Do When a Tooth Fractures or Gets Chipped?

If a tooth sustains a fracture or chip from a traumatic accident, you should contact your dentist immediately for an x-ray and evaluation. Keep the mouth clean and if there was any trauma to the lip you should apply cold compresses to reduce swelling. If you can’t find any broken tooth fragment, check the lips to make sure the fragment didn’t get imbedded in that area. Simple chips can be smoothed or repaired with tooth colored bonding. A more serious fracture may require root canal therapy (if the nerve is involved) or extraction (if the fracture happens along certain areas of the root surface. Moderate fractures may be bonded for now, and later restored with crowns, veneers or onlays. For children you should try to hold off on these more advanced restorations until your child has completed their growth.

What Causes a Toothache?

A toothache occurs when the nerve within the tooth gets damaged or inflamed. This is usually caused by bacteria from tooth decay communicating with the nerve of the tooth. Cavities (tooth decay) are usually brought about by a combination of poor oral hygiene coupled with eating a lot of sticky, sugary and starchy foods. This bacteria feeds on the sugars and starch left over from poor brushing and flossing. As a result acids are produced that will slowly eat away at the good tooth structure until the nerve becomes damaged, causing the toothache. Another way the nerve can get damaged is from dental trauma (i.e. sports injury, rough play or fights, severe teeth grinding, or extensive dental work on hypersensitive teeth).

What Should I Do if My Child’s Tooth Get Displaced Outward, Inward or to the Side (Luxation), Pushed Up (Intruded) Or Pushed Dow

After assessing the injury, making sure your child is conscious and breathing well, contact your child’s dentist for immediate evaluation. For toddlers, the most common type of tooth displacement is a luxation, because the bone around the baby teeth is very soft, and teeth can move more easily within the socket. When this happens, there is usually a lot of bleeding from the surrounding gums. During a fall, a child’s tooth is usually pushed inward, towards the palate. This is less damaging to the developing tooth bud because as the crown portion of the tooth moves inward, the roots are pushed away from the developing tooth. The most damaging type of displacement is intrusion (when the tooth is pushed upward), because the root of the baby tooth can be forced into the developing tooth bud, causing possible developmental issues and color changes with the developing adult tooth. If the baby tooth is pushed up less than 3mm, it has an excellent prognosis and chance of re-erupting on its own. Allow the baby tooth to spontaneously erupt over a 2 to 3 month period – as long as the developing adult tooth bud is not injured. If re-eruption does not begin within 2 months, the baby tooth will need to be removed. If the baby tooth is pushed up more than 6mm, the tooth is hopeless. If the baby tooth is displaced into the developing adult tooth, it should be extracted to prevent further damage to the adult tooth bud. It is very important to take an x-ray to see if the tooth is present, because a severely intruded tooth may be pushed all the way inside and appear to have been knocked out. If an adult tooth gets displaced, gently try to reposition the tooth back into the right place if possible and hold the tooth in place and seek immediate dental care. If a tooth gets displaced less than 5mm, there is a 50% chance that the nerve won’t be damaged. These teeth may reposition themselves, but may also require orthodontic repositioning. It is possible that there could be a fracture of the bone surrounding the tooth during these luxations. If the tooth is very loose, and can be moved more than 2mm, a flexible wire and composite splint may be placed for 7-10 days to help stabilize it.

What Should Be Done for a Laceration (Cut) Inside the Mouth?

All lacerations (cuts) within the mouth must be cleaned well and checked for any foreign bodies. A tongue laceration usually requires stitches if the edges of the tissue does not line up cleanly. Any tears to the frenum (muscle attachments) will usually heal well, without any long-term complications. Use icepack to minimize swelling, and give the appropriate pain medication if necessary.

What Does It Mean When a Tooth Turns Dark or Discolored?

Discoloration or the darkening of a tooth usually results from a tooth that has been traumatized from an injury and caused damage to the nerve. This discoloration usually happens 2-3 weeks after the accident. If the tooth turns dark after an injury, it is because the blood supply got damaged. Baby teeth usually do get lighter over time (about 6 months on average), and if the tooth doesn’t bother him/her you can leave it alone. Usually the color change bothers the child’s parents more because of the esthetics. Adult teeth are handled differently. If an adult tooth changes color, that implies that the nerve inside is dying, and root canal therapy will be indicated. An adult tooth that shows no signs of color change after an accident may still turn color in the near or distant future. Your child’s dentist should keep monitoring the tooth for change and any signs of any infection. A pink tooth indicates either internal resorption (where the internal aspects of the tooth start to resorb), or the presence of blood pigments within the tooth. The pink tooth needs to be monitored closely.

Is infrared light therapy safe for TMJ treatment?

Yes, infrared light therapy is a safe and painless treatment for TMJ disorders. It’s a non-invasive option with no downtime, making it suitable for patients looking for an alternative to medication or surgery.

What are the benefits of infrared light therapy for TMJ?

Infrared light therapy provides non-invasive pain relief, reduces stiffness and inflammation, and enhances the joint's natural healing process. It’s a safe and effective option for improving jaw mobility and alleviating chronic TMJ discomfort.

How does infrared light TMJ therapy work?

Infrared light TMJ therapy uses targeted light waves to penetrate deep into the tissues of the temporomandibular joint (TMJ). This stimulates blood circulation, reduces inflammation, and promotes cellular repair, leading to pain relief and improved joint function.

How long do biomimetic fillings and reconstructions last?

When properly cared for, biomimetic fillings and reconstructions can last many years. The materials used are highly durable and designed to bond seamlessly with your tooth, reducing wear and tear over time. Maintaining good oral hygiene and attending regular dental checkups will help extend the lifespan of your restorations.

Are biomimetic reconstructions suitable for everyone?

Yes, biomimetic reconstructions are ideal for most patients with cavities, cracks, or minor tooth damage. They are particularly beneficial for individuals who want to preserve their natural tooth structure and avoid invasive procedures like crowns or root canals. However, your dentist will evaluate your specific dental needs to ensure this technique is the best option for you.

What makes biomimetic fillings different from traditional dental fillings?

Biomimetic fillings are designed to mimic the natural properties of your teeth, including their flexibility and strength. Unlike traditional fillings that may require removing more tooth structure, biomimetic techniques focus on preserving as much of the healthy tooth as possible. This approach results in more durable, natural-looking restorations and reduces the risk of future fractures or complications.

Who is a good candidate for a Biomimetic Smile Makeover™?

Anyone looking to enhance their smile while preserving their natural teeth is a good candidate for a Biomimetic Smile Makeover™. It is particularly ideal for patients with cracked, worn, or damaged teeth, those wanting to avoid crowns or root canals, or anyone seeking a more conservative and durable approach to smile enhancement.

How does a Biomimetic Smile Makeover™ differ from traditional dental restorations?

Unlike traditional restorations that often require significant removal of healthy tooth structure, a Biomimetic Smile Makeover™ focuses on conserving natural teeth. Techniques such as stress-reduced bonding, fiber reinforcement, and precise layering of materials are used to create restorations that look and feel like natural teeth while minimizing the need for crowns or root canals.

What is a Biomimetic Smile Makeover™?

A Biomimetic Smile Makeover™ is a minimally invasive dental procedure designed to restore and enhance your smile while preserving as much natural tooth structure as possible. It uses advanced techniques and materials to mimic the natural properties of teeth, ensuring durability, aesthetics, and long-term health.

Are Dental Crowns Similar to Veneers?

While both alterations can be composed of porcelain or resin, they are intended for different purposes. Crowns replace the full surrounding portion of the tooth, while veneers are applied to the front surface of the teeth to improve dental aesthetics. Veneers don’t offer the strength or support provided with crowns. Additionally, crowns support different dental procedures while veneers are typically performed as a standalone cosmetic treatment without medical necessity.

Is It Painful to Undergo Crown Placement?

Dr. Lazare will administer numbing injections when necessary, and the local anesthetic will block the patient from feeling any discomfort during the preparation for the crown or its placement. After either dental visit, there may be some residual discomfort and swelling that can be controlled with over-the-counter pain medications and a temporary adjustment to chewing and biting.

Do Crowns Look Realistic?

Crowns are created by dental laboratory experts to look like real teeth. They will be similar in color, shape, and size to the natural tooth. Dr. Lazare’s goal is to enhance a patient’s smile, not detract from it with artificial-looking tooth replacements.

How Are Dental Crowns Installed?

During two separate appointments, patients will visit Dr. Lazare’s NYC office to undergo preparations for the crown, and then have the fixture permanently cemented into place. First, the tooth is prepared, a process that involves the removal of some of the natural tooth structure to prepare for the dental cap. A temporary crown is secured over the shaped tooth until the next appointment, about two weeks later. At this second visit, a custom-created crown is fit and adhered to the prepared tooth.

Is the Dental Bridge Procedure Painful?

Prior to a dental bridge procedure, Dr. Lazare will numb the area with a very strong numbing gel (topical anesthetic) and then administer the local anesthetic once the patient is already starting to feel numb from the gel so they are very comfortable. Dr. Lazare will test the area to make certain the patient is very numb and comfortable before starting any procedure.

Will I Have a Hard Time Eating With a Dental Bridge?

Believe it or not, a dental bridge can make eating easier because it will allow you to chew without any issues. Dr. Lazare encourages dental bridge patients to eat softer foods first and they eat as they feel comfortable so they can gradually transition into eating like normal with their bridge.

Are Dental Bridges Costly?

As with any custom dental care, bridges can be relatively expensive. However, their benefits typically outweigh the costs for most patients. If you are concerned about paying for a dental bridge, know that our team will work with you to design a payment plan that comfortably aligns with your budget and lifestyle needs. Regardless of whether or not you have dental insurance, we’ll work with you to ensure this procedure is affordable. We believe that finances shouldn’t prevent you from finding a solution for your missing teeth.

What Is Restorative Dentistry?

You may hear us use the term “restorative dentistry” often. Restorative dentistry is a phrase that professionals in the dental world use when they explain how they replace teeth, or parts or teeth, that are damaged or missing. While bridges are one of the more common restorative procedures, there are also fillings, crowns, implants, porcelain veneers, dentures and the ultra conservative Biomimetic dental techniques that Dr. Lazare has mastered.

Why Choose Dr. Lazare for a Dental Bridge Procedure

If you’re searching for an experienced, compassionate cosmetic dentist to place a dental bridge, look no further. Dr. Lazare has been featured in many dental journals and become know as dentists to NYC’s VIPs and celebrities, having supplied a variety of cosmetic and restorative dental treatments to celebrities such as Cindy Adams, Neil Sedaka, Jill Zarin, and Liza Minnelli. When you visit Dr. Lazare for a dental bridge consultation, you can expect him to take the time to thoroughly evaluate your mouth and determine what type of bridge is ideal for your situation. He will be there for you to answer any questions or address any concerns before, during, or after the procedure.

Can Cold Sore Laser Treatment Prevent Future Outbreaks?

Yes, laser treatment can help reduce the frequency and severity of future outbreaks. By targeting the virus at its source, the treatment may prevent the cold sore from reoccurring in the same spot.

Is Cold Sore Laser Treatment Painful?

No, the procedure is generally painless. Most patients experience a warm sensation in the treated area, but it is not uncomfortable. The treatment is quick and minimally invasive.

How Does Cold Sore Laser Treatment Work?

Laser treatment works by targeting the affected area with pulsed light energy, which breaks down the cells containing the herpes virus. This accelerates healing, reduces discomfort, and can even prevent future outbreaks in the treated area.

How Often Should I Have by Teeth Cleaned?

It would help if you had your teeth cleaned and had a checkup completed bi-yearly to prevent and detect any problems before they can become a crisis. Many people think they are saving money by avoiding the dentist, but it costs them much more in the long run.Many dental problems do not have symptoms until they have reached advanced stages. For example, tooth decay is often silent until a cavity gets close to the nerve. The dentist can detect a cavity three to four years before the patient experiences symptoms. Early detection can help you prevent the need for a tooth extraction or a root canal treatment.

Why Should I Floss and Brush My Teeth?

Millions of microscopic germs live off the food particles left on your teeth. The bacteria hiding in the tiny spaces between your teeth can only be reached with floss. If you permit plaque and bacteria to remain between your teeth, it will harden into tartar. While plaque is removed when you brush and floss, tartar must be scraped off by the dentist.Brushing and flossing will reduce the amount of decay-causing bacteria in your mouth. Dr. Lazare believes in preventing unnecessary drilling and tooth repairs, and prevention is the first step towards experiencing a beautiful, long-lasting smile.

Are Dental X-Rays Safe?

One of the biggest concerns that patients have when visiting a traditional dental office for routine exams is the potential negative effects of radiation through x-rays. Dr. Lazare believes in giving patients the best care possible and minimizing unnecessary risks, so he uses digital x-ray technology. This digital technology provides various benefits and requires 90% less radiation when compared to traditional x-rays

What Are the Signs of Periodontal Disease?

Periodontal disease often develops progressively and unknowingly due to the absence of pain, but in other cases it can develop rapidly. Unless a patient sees his or her dentist for regular checkups, s/he may not recognize the development of periodontal disease until the gums and bone have been damaged to the point of tooth loss. In other cases, there may be obvious changes to a person’s oral health that can signal an issue such as the following: • Red, painful gums that are sensitive to brushing and flossing or hard foods • Gum recession that creates the illusion of longer teeth • Pus and sores • Bad breath • Loose teeth or a change in the fit of partial dentures or regular bite Periodontal disease can occur at any age, and over half of all people over age 18 show signs of at least the early stages of some form of periodontal disease.

What Are the Different Forms of Periodontitis?

There are many different inflammatory bacterial diseases of the gums, but the most commonly found conditions include acute periodontitis, chronic periodontitis, periodontitis as the result of systemic diseases, and necrotizing periodontal disease. • Acute periodontitis occurs in healthy patients who exhibit the rapid loss of tooth to gum attachment, and subsequently experience the destruction of related bone. • Chronic periodontitis causes inflammation in the surrounding structures of the teeth that provide support, compromising the condition of attachment, teeth, and bone, albeit progressively. This form of periodontitis is most common and specifically produces recession of the gums and pockets that form between the gums and teeth. Chronic periodontitis is more common in adults. Gum disease that occurs as the result of a systemic disease can present early in a person’s life. As previously mentioned, common conditions linked to periodontal disease include heart disease, respiratory disease, and diabetes. Lesions of necrotic tissue are characteristic of necrotizing periodontal disease. The infection causes tissue death in the gums, alveolar bone, and periodontal ligament. This form of periodontitis can be seen in patients with immunosuppression or those with compromised immune systems due to HIV or malnutrition.

Can Periodontal Disease Be Hereditary?

Yes, gum health can be affected by a person’s genetics, and studies have proven that about one-third of the population is predisposed to periodontal conditions. Even with good brushing and flossing habits, people with inherited oral health issues can be up to six times more susceptible to periodontal disease. Genetic tests can prove this link and heighten the awareness of disease, which can then be proactively prevented.

Can Vitamins and Minerals Really Help to Prevent Periodontal Disease?

Absolutely. A lack of certain nutrients can become a factor in periodontal disease by making it more difficult for the mouth to resist infection. Periodontal disease is a condition where the infected gums gradually pull away from the teeth, deepening the surrounding pockets, allowing the infection to destroy the supporting bone. This results in the loosening of the teeth and their eventual loss if left untreated. Vitamins and minerals play a crucial part in helping the body combat bleeding and swollen gums, loosening of teeth, decay and bad breath. More specifically, vitamins and minerals help to form antibodies, help fight bacteria and infection and aid in the response of the immune system. So what recommendations should a dentist make to his or her patients regarding diet and nutrition? The first suggestion should be to eat a well balanced diet and take the necessary nutritional supplements. Keep in mind that food storage, food processing, freezing and thawing, and cooking depletes the majority of nutrients from foods that were originally nutritious. There are many other factors that affect the way vitamins and minerals are absorbed into our system. Stress, smoking, alcohol, drugs (pharmaceutical and recreational), pollution and various medical conditions can act to prevent one from receiving the benefits of a well-balanced meal. Remember that disease tends to occur less frequently in a healthy, well-balanced body.

What Are Dental Sealants?

Dental sealants are tooth-colored or clear shaded resin (plastic) material that gets applied and bonds to the chewing surfaces of the back teeth to fill in the pits and grooves of the teeth making them easier to clean (by making the grooves more shallow and smooth) and creates a barrier that makes them less likely to develop tooth decay.

Who Are Ideal Candidates for Dental Sealants?

Both Children and Adults are candidates for dental sealants. Since children don’t lose their baby molars until the age of twelve, it is important to protect these teeth from developing cavities and problems that can affect the developing adult teeth. Adolescents are very prone to developing cavities due to their dietary habits and poor home care, and the sealants can help to prevent decay in the grooves of the teeth that usually get passed over during a quick brushing. Any adult can benefit from sealants as well, making it easier for cleaning out the food and plaque, and giving them an extra line of defense in the battle against tooth decay.

How Are Dental Sealants Applied?

Each sealant only takes a few minutes to place. First, the teeth are cleaned well and checked to make sure that no decay is present. If there are any signs of decay in those grooves, then they must be cleaned out and filled with the sealant material or a filling material if deeper. Once the chewing surfaces are cleaned, they are roughened up with an etchant (weak acid solution), and a primer and adhesive to enable the sealant material to bond to the tooth enamel. The sealant material is hardened by a light source, operating at a certain wavelength, to set the material and make it solid.

How Long Do Sealants Last For?

Depending on what type of material was applied, what types of food are being eaten (harder, crunchier foods can wear them down faster), and how good the home care is, sealants can last several years before they may need to be reapplied.

How Much Does It Cost to Have Your Teeth Sealed?

On average, a dental sealant procedure without insurance can cost between $35-$60 per tooth needing sealant. Cleaning the teeth may not be lumped in with the total price, the process costing between $50-$135 without insurance. There are different payment options available, however, and sealants are considered an overall affordable measure for oral hygiene.

What Other Options Do I Have Instead of Tooth Extractions?

Patients may lose a tooth if they don’t take proper care of their teeth while there are still options. That’s the role that Dr. Lazare plays in dental care. As an accomplished biomimetic dentist, Dr. Lazare focuses on preserving the tooth’s natural healing properties, and he avoids extraction and root canal whenever possible. If a tooth extraction is needed, Dr. Lazare is a cosmetic dental expert who specializes in smile makeovers, bridges, and implants to preserve your smile.

Do I Need to Have My Wisdom Teeth Extracted?

Wisdom teeth should not be extracted unless they are causing issues or pain. Dr. Lazare will examine your wisdom teeth to determine if they are impacted or causing problems with your nearby teeth. You should probably maintain and clean your wisdom teeth so they can remain healthy and viable.

Can Dental Sealants Prevent Tooth Loss?

Sealants take a few minutes to complete. The treatment can be applied to spotless teeth without decay. If there are any signs of decay in the teeth’ groves, it is removed before the sealant is applied. Any adult can benefit from sealants because it makes cleaning food and plaque easier and provides an extra defense line against tooth decay. A sealant is a tool used to prevent tooth decay.

Can Biomimetic dentistry save my tooth?

Biomimetic dentistry utilizes conservative approaches that restore the tooth’s natural function and strength. In many instances, root canals and tooth extraction can be avoided with the use of biomimetic dentistry. Biomimetic dentistry only removes the damaged tooth and decay. Though, if the decay is too extensive, the tooth must be extracted.

How Long Should I Wait to Get a Dental Implant?

You probably want to have your tooth replaced as soon as possible for aesthetic reasons, but you will typically need to wait a minimum of 10 weeks before getting an implant. Exceptions depend on your oral health. Dental implants are designed to last a lifetime and have over 95% success rate. Jaw bone typically shrinks when there is a missing tooth, but an implant mimics the natural root and stimulates the jaw bone for optimum health. Dental implants provide a foundation for a natural-looking crown.

How Many People Are Born With Extra Teeth?

Extra teeth (referred to as supernumerary teeth), occur approximately 2% of the time in the adult set of teeth, and less than 1% in the child’s first set of teeth. Most of these extra teeth (about 90%) will occur in the upper arch of teeth (maxilla). Supernumerary teeth may also be referred to as polydontia or hyperdontia, with the most common type being the mesiodens (an extra tooth that tends to form between and just inside of the upper two front teeth. Most of the time, these extra teeth don’t even come through the gums, and they are discovered when taking an x-ray in that area. Other types of supernumerary teeth include the rare fourth molar (also referred to as paramolar or distomolar). Multiple supernumerary teeth are very rare in people that don’t have any syndrome or disease associated with it. It is more common to be missing certain teeth, than to develop extra teeth.

How Should I Take Care of My Retainer?

Most retainers are removable, meaning that you take them out when eating, brushing and flossing. For this reason, they are easy to misplace. Many people wrap their retainers in a napkin when eating, then forget about them afterwards and have to spend hundreds of dollars on a new retainer. A good solution is to always carry your retainer case with you and to use it whenever you’re not wearing your retainer. For added protection, never leave the case on a table or a bench — always put it immediately in your backpack, purse or pocket.Your dentist can give you information on how to clean and care for your specific type of retainer. Regardless of the type, you need to make sure you don’t sit on, step on or otherwise damage this delicate and expensive piece of equipment.

What Should I Do to Fix My Braces if a Bracket or Band Comes Lose or a Wire Breaks or Sticks Out?

Braces, bands or the wires that are affixed to each tooth occasionally will break or fall off completely, but usually what happens is that one of the parts will loosen, which may cause minor discomfort. Here are a few problems that can occur: • Loose bracket — Brackets are the metal or ceramic pieces that are bonded (glued) to the teeth. If the bond weakens or breaks, which can happen after you chew something hard or sticky, the bracket can dislodge and may poke at the gum tissue or other soft tissues in the mouth, such as your tongue or cheek. You can temporarily reattach loose brackets with a small piece of orthodontic wax, or place wax over the bracket to provide a cushion so it doesn’t poke you. This should provide some comfort until you can see your orthodontist. • Loose band — Orthodontic bands are the metal rings cemented with dental bonding agents or cement around back teeth. If an orthodontic band becomes loose, call for an appointment to have it re-cemented or replaced. If the band comes off the tooth or the wire completely, do not replace it yourself. Save the band and call to schedule an appointment for repair. • Protruding or broken wire — This is a common problem. If a wire sticks out of the bracket or band or breaks, it may poke or damage your cheek, tongue or gum. The easiest solution is to use the eraser end of a pencil to push the wire into a less bothersome position. If you can’t bend it out of the way, put a small piece of orthodontic wax over the end that is sticking out. You should not cut the orthodontic wire. A cut wire can be accidentally swallowed or inhaled into your lungs. If the damaged wire has caused a painful sore, rinse your mouth with warm salt water or an antiseptic rinse. This will keep the area clean and help reduce the discomfort. You can also apply an over-the-counter dental anesthetic (pain reliever), which will temporarily numb the area. If the pain doesn’t get better or the sore seems to be getting worse, call your orthodontist. • Loose spacer — Spacers or separators are rubber circular pieces that are put between your teeth. They are left in place for a brief period of time, usually for several days. They open a small space between your teeth so that the orthodontic band will slip into place easily. Sometimes, they can slip out of position or fall out entirely. If this happens you should make an appointment with your orthodontist to have them replaced.

Do I Need to Spend More Time Caring for My Teeth When Wearing Braces?

Yes, a lot of extra care is needed during orthodontics. The brackets and wires have many nooks and crannies that can trap food and plaque. This means your risk of tooth decay and gum problems may be higher while you are wearing braces. You need to pay special attention to cleaning your teeth everyday and to your diet (try to avoid acidic foods and beverages like soda). Permanent damage to tooth enamel can occur if the teeth and brackets are not kept clean, such as unsightly white spots due to the enamel becoming demineralized. Most of us are well aware that sugary foods and drinks can lead to tooth decay, but starchy foods, such as potato chips, and foods like nuts and raisins can also stick to teeth for long periods of time and cause tooth decay. Avoid hard foods such as nuts and hard cookies. There are foods that can loosen, break or bend wires and bands when you are wearing braces. Foods such as apples and carrots should be chopped into small pieces before eating to reduce the stress on your braces. Avoid sticky foods such as caramels, toffees, or fruit bars. No chewing gum! No chewing ice! Drink plenty of water, and use fluoride tooth pastes and rinses as recommended by your orthodontist. Additionally, try to avoid giving in to bad habits such as nail biting, unnatural tongue thrusting, pencil chewing and picking at your wires, which can also break your braces. Consider using special electric brush tips or orthodontic brushes, along with a water pik and floss threaders to clean more efficiently. While you are having orthodontic treatment, you need to continue to have regular check-ups with your dental professional to ensure little problems don’t become big ones.

Is There Any Way to Prevent the Need for Braces?

If your mouth is destined to become crowded, or to develop large gaps or rotations, then braces are most likely in your future. However, there are ways to limit the duration of the treatment, or make it less involved. If you are seen early enough to do some interceptive orthodontics to correct conditions such as a constricted palate or cross bite, the treatment when you are older would be less complicated and much less time consuming. Additionally, wearing your retainers will prevent the need for braces again in the future. Some individuals, who are candidates, may also choose to wear Invisalign trays (clear, plastic orthodontic trays) to straighten teeth instead of opting for the bracket, band and wire option of traditional braces.

If the Appearance of My Teeth Doesn’t Bother Me, Is There a Point in Getting Braces or Invisalign?

Whether or not one should seek orthodontic care at an older age is an individual decision. Many people live with crowding, overbites or other types of alignment problems without the motivation to seek orthodontic treatment. However, many people feel more comfortable and self-confident with properly aligned, attractive teeth. Unlike strictly cosmetic procedures, orthodontic care can also benefit your long-term dental health. Straight, properly aligned teeth are easier to maintain with proper oral hygiene, such as flossing and brushing. This can help reduce the risk of cavities as well as gum disease, which occurs more readily as it becomes increasingly more difficult to clean around crowded and rotated teeth. In addition, people with bad bites may chew less efficiently. In severe cases (particularly when the jaws are not aligned correctly), this can result in nutritional deficiencies. Correcting bite irregularities can make it easier to chew and digest foods. Improperly coordinated upper and lower front teeth also can create speech difficulties, which can be corrected through orthodontic treatment.Finally, orthodontic treatment can help to prevent premature wear of back tooth surfaces. As you bite down, your teeth withstand a tremendous amount of force. If your front teeth don’t meet properly, it can cause your back teeth to wear more.

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If you're in pain, have a broken tooth, or suspect an infection, every hour counts. Dr. Marc Lazare and his team are ready to see you today — call now for same-day relief or book your emergency appointment online. We're located in the heart of the Upper East Side and will guide you through the next steps the moment you call.

Our Office in New York City

Common Dental Emergencies We Treat


Dr. Lazare’s Upper East Side practice is equipped to handle a wide range of urgent dental situations with speed, skill, and compassion. Here are the most common emergencies we treat:


Severe Tooth Pain or Toothache

Intense, persistent tooth pain is one of the most common reasons patients seek emergency dental care. It can signal an infection, a cracked tooth, an exposed nerve, or advanced decay. Prompt diagnosis is essential — pain that seems manageable can indicate a serious underlying condition that worsens rapidly without treatment.


Broken, Chipped, or Cracked Teeth

Whether caused by a sports injury, biting down on something hard, or an accident, a broken or cracked tooth needs immediate attention. Fractures can compromise the structural integrity of the tooth and, if the nerve is exposed, cause significant pain. Depending on severity, treatment may involve dental bonding, a crown, or other restorative options.


Knocked-Out (Avulsed) Tooth

A knocked-out tooth is a true dental emergency — and one where minutes matter. The sooner the tooth is reimplanted and stabilized, the better the chances of saving it. If you lose a tooth, handle it by the crown (not the root), rinse it gently without scrubbing, and either place it back in the socket or keep it moist in milk or saliva while you call us immediately.


Lost Crowns or Fillings

When a crown or filling falls out, it leaves the underlying tooth structure exposed and vulnerable to bacteria, temperature sensitivity, and further damage. While not always immediately painful, it should be treated as urgent — especially if the area is sensitive or if the crown itself can be temporarily re-seated to protect the tooth during transit to our office.


Dental Abscess or Infection

A dental abscess is a pocket of infection that forms in the tooth root or surrounding gum tissue. Symptoms include throbbing pain, facial swelling, fever, and a foul taste in the mouth. This is a serious condition — oral infections can spread to the jaw, neck, and beyond if not treated urgently. Same-day care is critical.


Bleeding or Swollen Gums

While minor gum bleeding during brushing can be common, heavy or unexplained bleeding — especially after trauma — requires prompt evaluation. Severe gum swelling may indicate an acute periodontal infection or abscess that needs immediate drainage and treatment to prevent spread.


Trauma to the Mouth or Jaw

Any significant trauma to the mouth, teeth, or jaw — from a fall, sports injury, or accident — should be evaluated as soon as possible. Even if nothing appears broken, internal damage to teeth roots, surrounding bone, or soft tissue may not be immediately visible. We use digital imaging to assess injuries thoroughly and quickly.

 

What to Do in a Dental Emergency

The actions you take in the first minutes of a dental emergency can significantly affect the outcome of treatment. Here’s a practical guide for the most common situations — and remember, your first call should always be to our office for real-time guidance specific to your situation.


Knocked-Out Tooth

  1. Pick up the tooth by the crown, not the root

  2. If dirty, rinse gently with water — do not scrub or use soap

  3. If possible, carefully reinsert it into the socket and bite down gently on a clean cloth to hold it in place

  4. If reinsertion isn’t possible, keep the tooth moist: store it in a small container of milk, saline, or between your cheek and gum

  5. Call us immediately and come in within 30 minutes if at all possible


Broken or Chipped Tooth

  1. Rinse your mouth with warm water to clean the area

  2. If there is bleeding, apply gentle pressure with a clean gauze or cloth

  3. Apply a cold compress to the outside of the face to reduce swelling

  4. Save any large tooth fragments — bring them to your appointment

  5. Avoid chewing on that side until you’ve been seen


Toothache or Suspected Abscess

  • Rinse with warm salt water to reduce bacteria and soothe inflammation

  • Take an over-the-counter pain reliever (ibuprofen is preferable for dental pain as it reduces inflammation)

  • Do not place aspirin directly on the tooth or gum — this can cause chemical burns to soft tissue

  • Do not attempt to drain a swelling yourself — call us immediately if you have facial swelling or fever


Lost Crown or Filling

  • If you have the crown, try to place it back over the tooth using a tiny amount of dental adhesive (available at pharmacies) or even a dab of toothpaste as a temporary measure

  • Do not use super glue

  • Avoid very hot, cold, or hard foods on that side

  • Call our office to arrange a same-day or next-day appointment


Bleeding Gums or Soft Tissue Injury

  • Apply firm, gentle pressure with a clean gauze or cloth for 10–15 minutes

  • Rinse with cold water

  • If bleeding does not stop within 15–20 minutes, or if the injury is severe, seek emergency care or go to the nearest emergency room while calling us

 

Whatever the situation, don’t hesitate — call our office at (212) 861-2599 for immediate guidance. Our team will walk you through the right steps and get you in as quickly as possible.

Our Emergency Dental Care Process

When you call or walk into our Upper East Side practice with a dental emergency, our priority is simple: relieve your pain, stabilize the situation, and give you a clear path forward. Here’s exactly what to expect:


Step 1: Emergency Evaluation & Diagnosis

From the moment you arrive, our team moves quickly. Dr. Lazare conducts a thorough clinical examination of the affected area, asking targeted questions to understand your symptoms, history, and the nature of the emergency. You’ll be made comfortable immediately — pain relief is always the first priority.


Step 2: Digital X-Rays & Imaging

Where needed, we take fast, high-resolution digital X-rays or CBCT imaging to see what’s happening beneath the surface. This allows Dr. Lazare to quickly identify infections, fractures, bone involvement, or other issues not visible to the naked eye — ensuring nothing is missed and treatment is precisely targeted.


Step 3: Personalized Treatment Plan

Once the diagnosis is clear, Dr. Lazare will explain your situation in plain terms and walk you through your treatment options. Depending on the emergency, same-day treatment may include:

  • Composite bonding or a temporary crown for broken teeth

  • Emergency root canal therapy to save an infected or severely painful tooth

  • Abscess drainage and antibiotic prescription

  • Re-cementing of a lost crown or filling

  • Extraction as a last resort, with discussion of replacement options


Step 4: Pain Relief & Infection Management

Managing your comfort is not an afterthought — it’s woven into every step. Local anesthesia, sedation options, and appropriate medications are used to ensure you feel as comfortable as possible throughout your visit. If infection is present, we address it comprehensively to prevent spread and accelerate healing.


Step 5: Follow-Up Care & Prevention

Before you leave, you’ll receive clear aftercare instructions and, where appropriate, a prescription for any necessary medication. Dr. Lazare’s team will schedule any required follow-up appointments and discuss long-term solutions to restore the tooth fully and prevent the issue from recurring. We don’t just fix the immediate problem — we set you up for lasting oral health.

 

We offer same-day emergency appointments and do our best to accommodate walk-in patients experiencing acute pain or trauma. Learn more about how to get your oral health back on track after a dental emergency, and explore the 5 most common dental procedures we perform to restore healthy, beautiful smiles.

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