Colony Square Dental Associates

Hope You Had a Tooth-Healthy Halloween | Your Sweet Tooth – And the truth about candy

We hope you had a Happy Halloween, a time to give in a bit to our sweet tooth. Between Trick-or-Treating and Halloween parties, sweets abound. Though processed sugars are full of dietary pitfalls, it doesn’t mean that, every now and then, we can’t indulge in a treat. Good home healthcare, which includes brushing twice a day as well as flossing, helps protect us from damage if we, on occasion, splurge.  That said it’s still important to know that all sugar-laden treats are not created equal when it comes to our teeth.

You’ve heard for years that processed sugar is linked to tooth decay. But, how and why? Dr. Hochberg and Dr. Diora tell us that the reason is that when the bacteria, ever-present in the oral cavity, interacts with sugar, cavity-causing acid is produced. Over time these acids can become a strong contributor to dental decay – cavities.  But, what is less known is that when we indulge in those treats determines how well our bodies are able to remove the sugar, lessening the teeth’s exposure to potential harm. When eating a meal more saliva is produced. Saliva is our body’s natural oral cavity ‘bath’, washing away not only the small bits of food that are not immediately swallowed, but also the acids produced by bacteria present in the oral cavity. So, it makes sense that if a sweet is ingested as part of the meal, or immediately following the meal, the saliva present during mealtimes helps. Those who snack on sugary sweets throughout the day, causing the teeth to remain in a ‘sugar bath’ are at a greater risk of dental decay.

 

What about those yummy gummies and small hard candies?

Unless they are sugar free, gummies, or any sticky candy, leave residue that sticks to the teeth, which cannot be rinsed off by saliva. And hard candy, again, unless sugar-free, may appear to be lower in calories, but, nonetheless, the sugar present in the hard candy mixes with the salvia and sits in your mouth longer than a piece of chocolate. And don’t be surprised to learn that even those ‘sourballs’, that are not sweet in taste, can be even more harmful; sour candies have a tendency to be higher in acidic content attacking the health of the enamel. Drs. Hochberg & Diora have seen countless patients present with teeth that have been compromised by the habit of sucking on hard candy throughout the day or making the mistake of biting down on the candy and fracturing a tooth.

Choose chocolate!

Did you know that this is the best choice? The nature of chocolate, just a plain old-fashioned chocolate bar, makes it a more tooth-friendly treat. It is not as sticky and washes off of our teeth more quickly than other choices. And, if you choose a dark chocolate, which has lower sugar content, it’s even a better choice and has some health benefits as well.

 

Keep your teeth health during Halloween and throughout the year by:

  • Eat treats immediately following a meal
  • Choose treats that are quickly washed away; avoid hard or sticky candies that remain in the mouth
  • Chew ADA approved gum that is sugar-free after eating; it helps to maintain the increased saliva flow, removing more residue
  • Flush out the sugar residue and small food particles by increasing water intake
  • BRUSH & FLOSS

 

We hope you continue to enjoy those Halloween goodies as well as treats throughout the upcoming holidays!

CSDA visits Dallas, Texas

It is always a privilege to travel with Dr. David G. Hochberg. Our annual team trips have become somewhat of a tradition to say the least. This year, however, was even more special. We had the opportunity to travel to Dallas, Texas for the annual conference of the American Academy of Implant Dentistry (AAID.) With Dr. Hochberg finishing up his year as president for the 2017-2018 term, we proudly attended his farewell speech at the Gala hosted in the ballroom of the stunning Hyatt Regency Hotel. We of course had a few continuing educational classes while we were there, but had some free time to visit the Stockyards and The Texas State Fair as well. To enjoy our complete album, please visit our Facebook page www.facebook.com/ColonySquareDental.

Dental Implant Awareness Month | Why CBCT Scanning, Bone Grafting, and other related procedures are necessary

The American Academy of Implant Dentistry (AAID) has designated the month of September as Dental Implant Month. This organization has provided educational opportunities for thousands of dentists desiring to learn and become credentialed in implant dentistry. The training provided enables dentists in this country, and worldwide, to gain expertise in this field. The quality of life for countless patients such as, improving their ability to eat in comfort, speak naturally, and smile with confidence, has been enhanced. Whether a patient is missing one tooth, or many, dental implants have become the treatment of choice.

And the dentists at Colony Square Dental Associates are especially familiar with all aspects of implant dentistry. After years of continued education and rigorous examination, Dr. David G. Hochberg became a Fellow of the American Academy of Implant Dentistry (AAID) and a Diplomate of the American Board of Oral Implantology (ABOI). He has also served as an examiner for other dentists seeking advanced credentials. This past year, Dr. Hochberg was honored to serve as the 66th president of the AAID.

Inasmuch as dental implants have become the standard-of-care, and are frequently advertised on television, many are familiar with the basic concept of dental implants. However, less known are other services, and the terminology, that oftentimes are provided to maximize the potential for success.

Cone beam computed tomography (CBCT)

One of the tools made available by today’s advancements in digital dentistry, is a CBCT scan. This is a 3-dimensional image of the jaw. Why is this a useful diagnostic tool? Seeing the entire jaw and interrelationship between the bone, the teeth, the nerves and the sinus cavity provides the dentist with a unique window in order to optimize the plan of care. The scan helps to answer questions such as:

  • Is the bone volume adequate to support a dental implant?
  • Has the bone resorbed causing the sinus cavity to drop – potentially being too close to the area where the implant will be placed?
  • Is the location of the sinus membrane in close proximity to the implant site?
  • What size implant is appropriate?
  • What is the appropriate angle to anchor the implant?

BONE GRAFTING

When all is healthy – the teeth, the gums and the supporting bone, the tooth’s root is firmly held in place. And like other cells and tissue in our bodies, the bone in our jaw is always continuously repairing itself – replacing damaged cells with new ones. However, the following are some oral health concerns that can negatively impact the body’s ability to heal itself.

  • Periodontal (gum) disease is a major cause for tooth loss. Left untreated, infected gum tissue pulls away from the bone, the bone is damaged, and the weakened bone no longer can support the tooth’s root. If the bone was not adequate to support the natural tooth, it cannot support an implant.
  • The body continues both the formation of new cells and the replacement of damaged cells throughout our bodies as needed. In the jaw, it is the root of the tooth stimulating the bone tissue when we chew that signals the body that it is viable tissue that needs to remain strong and healthy. However, when a tooth, or teeth were lost some time ago, whether they have had replacement teeth fabricated or have not, the root of the tooth is no longer there. The signal is lost. New cells and replacement cells do not keep the bone healthy and the bone resorbs. More often than not, the tissue atrophies.
  • When a tooth requires removal, be it due to trauma or dental disease, the extraction site is at risk. There is no longer a root in place; there is a void. And there is no longer a root to stimulate bone growth.

 

To maintain bone, to prevent atrophy, to minimize the risk for bone resorption, to augment sites without adequate bone volumes – bone grafting can be the difference between bone that can or cannot support an implant. It provides an extra measure of insurance to help increase the predictability of a positive outcome.

Bone grafts, which are comprised of different materials, are selected based upon the patient’s needs. Once in place, the stage is set to stimulate new bone growth. And once in place new tissue grows around the dental implant and bonds to it in a process called osseous integration. The newly formed bone becomes the solid foundation to support the implant.

SINUS LIFT

Everyone has heard of the sinus cavity. After all, who hasn’t had a cold? But you may wonder why they are of importance in dentistry. The sinuses sit right above the jaw; and the dental implant, like the tooth’s root, is placed in the jaw. When our adult teeth form within the natural structure of the jaw; the root has adequate space to fit and the sinus cavity is not of concern. But whether due to trauma or disease, if a tooth or teeth are lost, factors may preclude the replacement of the tooth’s root with a dental implant without consideration of the sinus cavity. Over time, the jaw atrophies when the roots of the teeth are no longer present. The maxillary sinus drops down reducing the bone height necessary to place an implant; a sinus lift is indicated. This procedure, sometimes called a sinus augmentation, involves moving the sinus membrane upwards to provide space for the placement of additional bone between the maxillary sinuses and the jaw.

A FOLLOW UP Periapical (PA)

A PA (digital image/x-ray) is taken to examine the root of a tooth; similarly, it is taken to examine the dental implant. Drs. Hochberg and Diora are able to evaluate the implant placement within the bone. It’s a quick and cost-effective measure to ensure that there are no abscesses or infection noted and that the bone tissue has sufficiently matured around the dental implant. A PA is taken routinely during the treatment phases and then is recommended annually.

Dental implants offer patients excellent alternatives to bridges and dentures. As in all areas of healthcare, technology, techniques, and materials are improving daily, giving the clinicians at Colony Square Dental Associates the tools to provide optimal patient care. And as with all advancements, there are new words for new treatment options. These are but a few. Ask Drs. Hochberg and Diora to explain all the details and all the terminology. They would be happy to answer all your questions.

The Tooth Fairy

The history behind the myth and today’s more modern traditions.

 

The Tooth Fairy is often a fond memory of one’s childhood, similar to the way we remember Santa Clause, or the Easter Bunny. But where did this mythical creature originate, and how can Drs. Hochberg and Diora use the Tooth Fairy as a tool to encourage dental health in young children?

There are many traditions around the world commemorating the loss of a child’s tooth. In Italy, the Tooth Fairy is thought to be a mouse, named Topolino. In fact, many countries, portray the Tooth Fairy character as a mouse.  In Asian countries, tradition has been to have the child throw his or her tooth onto the rooftop of their house. And in Japan, the lost tooth is often thrown straight down to the ground if an upper tooth and straight into the air if it is a lower tooth, symbolizing that the teeth are to grow in straight.

The Tooth Fairy legend as we know it to be, a tiny fairy in a tutu with fairy wings, is believed to have originated in the United States. And although it began in the early part of the 1900’s, the custom has remained popular even today. The folklore states that when children lose one of their baby teeth, it should be placed under their pillow. Once they are fast asleep, the Tooth Fairy will visit and replace the tooth with a small payment.

According to a survey conducted by VISA INC., an American child will receive $3.70 per tooth on average. However, in recent years with influences like mommy blogs and Pinterest, many parents choose to get a bit more creative when rewarding their child for losing a tooth. With ideas like hand written notes from the Tooth Fairy, dental fairy dust (glitter) sprinkled on a pillow or bedding, or even incentives like eluding that a perfect tooth receives a greater reward than a decayed one, the possibilities are endless.

In the event a baby tooth may need a little extra help by the dentist to “wiggle” it out, the Tooth Fairy can oftentimes be the voice to praise the child for their bravery. A colorful note accompanied by a small treat, encourages the child at his or her level of understanding.

By the time all 32 permanent teeth have come in, your child will have lost a total of 20 primary teeth. The expectations of each lost tooth vary from family to family, but the goal is to encourage your child to brush, floss, and keep their teeth healthy for a lifetime. The Tooth Fairy is always watching.

Dental Temporaries

While you are “Under Construction”

At Colony Square Dental Associates we are quite familiar with the term “Under Construction”, especially as Colony Square undergoes a transformation. However, we are appreciably more knowledgeable about dental reconstruction. Whether the patient’s goal is to enhance the esthetics of their smile with porcelain dental veneers or ceramic dental crowns, or a tooth or teeth are damaged due to an accidental injury or dental disease, Drs. Hochberg and Diora and their treatment team are on hand to guide patients throughout the process.

Oftentimes, constructing or reconstructing teeth entails treatment over a period of time. There may be decayed or fractured teeth that require the fabrication of one or more crowns, onlays, or inlays. In other cases the teeth are non-restorable and must be removed; dental implants or a bridge are necessary to replace the missing teeth. Most often there is a healing period after extraction or dental implant placement; an ‘in-between’ time prior to the final restoration. Even root canal therapy can present conditions when our dentists want to ensure that the tooth has settled down prior to permanently sealing the tooth’s canal; the tooth is temporized. Irrespective of the plan of care, it is essential that patients leave Colony Square Dental Associates able to chew in comfort and with their smiles intact. To achieve this end, the patient will leave with an interim filling, crown, partial, or denture – ‘in temps’.

 

The type of interim solution, until the permanent restoration can be placed, is dependent upon the treatment planned. Will there be porcelain veneers on the upper anterior teeth to enhance a smile? A crown on a posterior molar? An anterior bridge? One or more dental implants to support a new tooth or teeth. Or a partial or fully implant-supported denture? Either Dr. Hochberg or Dr. Diora will discuss the temporary or provisional interim measures designed to carry you through from the initiation of care to the final restoration.

While oftentimes the terms temporary or provisional are used interchangeably, there is a difference. The treatment planned, the number of teeth involved, the location of the teeth (in the front or the back of your mouth) will dictate the nature and purpose of the interim that is fabricated. For example, when treatment entails the esthetics of anterior teeth or there are a series of teeth that will be replaced with dental implants, a waxup is fabricated by the laboratory from which the interim is designed. This detailed measure provides the patient with the opportunity to have a glimpse of the shape and size of the final restoration(s). Modifications can be made before the final prosthesis is fabricated. In other instances the patient’s occlusion (bite) will benefit from modification; a provisional interim allows the patient to speak and eat for a period of time to determine that they are comfortable with the changes. If there are not anterior esthetic concerns or a change in occlusion – perhaps it’s a single crown or a 3-tooth bridge in the posterior area – these type of restorations typically do not require a waxup and an in-office fabricated temporary to protect the tooth or teeth pending the cementation of the permanent crown(s) is sufficient. However, there are commonalities between the terms for the interims. Temporary or provisional restorations serve to:

  • Minimize the tooth’s sensitivity.
  • Approximate the final restoration. A provisional interim offers a glimpse at the final result.
  • Maintain the space that was occupied by the full sized tooth or teeth, ensuring that the adjacent teeth do not shift and the opposing tooth above or below the temp does not drift downward or upward.
  • Cover and protect the exposed dentin, which is the softer material and via the tubules could allow bacteria to enter once a tooth has been reshaped.
  • Keep the gum in its original position.

We hope that you bear with us during the modernization of the Colony Square complex; and we will to do our utmost to work with you during the reconstruction of your smile. And just like any construction project, there is a period of time during which we await the desired end result and abide a bit of inconvenience … on a temporary basis!

Teeth Whitening | How to determine which shade of white is right for you!

The number one requested service in most dental offices is tooth whitening. Perhaps this is driven by the fact that wherever we look, be it the movies or magazines, we see models and movie stars with whiter than white teeth. Whether they are young … or in their mature years … oftentimes their smile is not only the first thing you see, but sometimes it’s the main thing you see. Why? With today’s over-the-counter products and the advanced technology and skilled ceramists, dentists are able to offer designer smiles. But, actors and models may have goals that are different from yours. As the patient, it’s important to communicate your preferences. Before you decide whether a Hollywood neon smile is what you want, take some time to think and discuss options with your dentist. Answer the question – What’s right for me? Then talk with Drs. Hochberg and Diora as to determine the best way to meet those expectations.

 

Of course, we all agree that an attractive smile boosts self-confidence. We want to smile proudly, without embarrassment, and share our good feelings with others. If you are displeased with the esthetics of your smile, the first step is to identify what it is that you don’t like. Is it discoloration? Coffee, tea, wine, and many foods can contribute to surface discoloration. Or yellowing and darkening can occur from smoking. Maybe your home health dental hygiene regime is a bit underwhelming. Remember that the outer portion of the tooth, the enamel, can be damaged or thinned due to many factors, revealing the yellower dentin, which is underneath this layer.

 

If tooth color is the only concern, after a professional cleaning by a dental hygienist and once any areas of active decay are treated, in-office procedures, such as Zoom! Tooth Whitening, can lighten natural teeth shades whiter. There are also trays that can be fabricated and worn at home as well as over-the-counter products. However, how many shades whiter these treatment options can take your teeth is dependent on the thickness of the natural tooth’s enamel and the darkness of the dentin that is showing through. Expectations must be realistic. And excessive use of OTC whitening products can actually cause damage to the teeth – the teeth develop an excessive translucency at the edges and appear to be see through and appear unnatural.

 

When topical applications will not meet the desired results or modification of the size and shape of the teeth is also indicated, porcelain veneers are often the answer. Many of the Hollywood stars’ smiles are the result of cosmetic dentistry and the fabrication of veneers or dental crowns. They can be any shade that you want. They can be ‘whiter than white’. Or the shade selected can be more natural. This is a your decision, one that needs to be discussed prior to selecting a shade for your veneers or crowns, as you will be sporting your new smile for quite some time. While it’s tempting to ask for teeth that are as white as possible, before you choose the brightest white, as they say ‘similar to our porcelain toilet’, consider the full picture. When tooth color becomes excessively white the teeth can actually appear fake – similar to the dentures from years ago that were Chiclet white; they were obviously false teeth. And when teeth are too white, they become the sole focal point of your face, diminishing the rest of your facial features and taking away the warmth that comes from your eyes. Balancing the decision between an unnaturally white smile and ‘wow’ than can comes from a bright, white smile that is a bit more natural will let your personality shine through. For years, the typical rule of thumb was that your teeth should approximate the shade of white in your eyes. Of course, tooth shade is not the only factor that contributes to a natural smile. The size, shaping, and translucency of the veneers and crowns help to make your smile unique to you. A combination of the artistic skills of your dentist and the ceramist are the tools to create a smile designed just for you.

 

The wonderful news is that with in-office or at-home whitening or with porcelain veneers and ceramic crowns, we at Colony Square Dental Associates can work with you to evaluate the numerous treatment options available. Today’s cosmetic dentistry and tooth whitening products enhance the smiles of countless patients. Just remember, take the time to discuss with your dentist your specific expectations and goals and answer this question for yourself, “How white is white enough”? We are here to help you look your fantastic best!

Fun Dental Facts for 4th of July

As many of you prepare for summer cookouts, time with family, and festive events for this 4th of July holiday, we wanted to share some fun and interesting dental facts that date all the way back to the year of independence, 1776.

  • 1768-1770 The infamous, Paul Revere, placed advertisements in a local newspaper offering his services as a dentist. A few years later, Revere verifies the death of his friend by identifying a bridge he constructed for him. This was the first known case of post-mortem dental forensics.
  • 1789 A Frenchman by the name of Nicolas Dubois de Chemant received the first patent for porcelain teeth.
  • 1790 An American dentist, Josiah Flagg, constructed the first chair made for a dental patient complete with an adjustable headrest and an arm extension to hold dental instruments.
  • 1825 Porcelain teeth began to be manufactured commercially.
  • 1832 The first luxury reclining dental chair was invented by James Snell.
  • 1833-1850 Two brothers from France, the Crawcours’, introduced amalgam filling material for cavities to the United States.
  • 1846 A dentist named William Morton conducted the first successful public demonstration of the use of anesthesia for surgery.
  • 1859 The American Dental Association (ADA) was formed by twenty-six dentists that met at Niagara Falls.
  • 1866 The first women to earn a dental degree was Lucy Beaman Hobbs. She graduated in 1866.
  • 1871 The first patent for an electrical dental engine (self-contained motor and hand piece) was given to George F. Green.
  • 1890 After a dentist, Willoughby Miller, wrote a book on micro-organisms of the mouth, it sparked an interest in oral hygiene and started a movement to promote regular brushing and flossing world-wide.
  • 1895 The first dental x-ray of a living person was taken in the US by a prominent dentist in New Orleans, C. Edmond Kells.
  • 1917 The first dental hygiene license was received in Connecticut by Irene Newman.
  • 1937 The first dental screw implant was placed.
  • 1938 The first toothbrush made with synthetic bristles (nylon) appeared on the market for purchase.
  • 1945 Cities in New York and Michigan began water fluoridation by adding sodium fluoride to their public water systems.
  • 1950 The first toothpaste containing fluoride was placed on the market.
  • 1960 Lasers were developed, produced, and approved for soft tissue work such as when treating periodontal disease.
  • 1990 New restorative materials were introduced beginning an era of cosmetic/esthetic dentistry. These tooth colored materials increased use of crowns, veneers, etc.

 

We hope you enjoyed these fun facts dating back to when our country found its independence. We wish all of our patients, visitors, and staff a great and healthy holiday! HAPPY 4th!

Do Wisdom Teeth need to be removed?

But they aren’t bothering me! And for many patients their third molars, typically called wisdom teeth, can remain in place for their lifetimes. However, that is not always the case. The last teeth to erupt, and the furthest back in our mouth, Drs. Hochberg and Diora tell us that many times these teeth present problems that can impact adjacent teeth and even your overall oral health.

This set of molars, which are usually seen when patients are in their late teens or early twenties, don’t always come through the gumline fully, can erupt in a crooked manner, or they may even remain buried under the gumline. While this may not cause you discomfort at the moment, there is the potential for the development of problems down the road, causing the need for removal when it’s a more complicated and difficult procedure for the patient. The reason? As we age, the bone that surrounds the newly formed teeth becomes denser and hardens. And the roots are well formed, making them more challenging to remove.

When our wisdom teeth come in straight, upper and lower teeth are in good alignment, and the jaw has adequate room, our third molars serve to help in chewing. But these strong teeth also make us work a bit harder. While it’s said that they are called wisdom teeth due to the age at which they form, maybe part of their name is due to the fact that we need to be wise to properly care for them. Why? They are difficult to reach and clean properly when brushing and flossing. This is why so many patients who retain their wisdom teeth need fillings or crowns down the road in order to maintain them. And when the tooth is partially impacted (not completely erupted through the gum) there is often a space between the tooth and gums giving bacteria an open door policy that sets the site for infection. When the tooth is fully impacted (completely embedded in the bone) it often rests on the roots of adjacent teeth. The impacted tooth pushes on the root and can cause the healthy tooth next to the wisdom tooth to shift or can cause it to decay. When teeth shift and your occlusion, bite, is impacted, TMJ (temporomandibular – jaw) discomfort can develop. Also, impacted teeth must be regularly monitored if not removed.  Cysts can develop, and until the problem is advanced, is only detectable through x-ray. This creates voids in the surrounding bone and can also damage the roots of the adjacent tooth.

So, when you visit your hygienist at Colony Square Dental Associates, it is important that Dr. Hochberg or Dr. Diora take an x-ray to monitor your wisdom teeth. They can evaluate the growth and positioning of the teeth as they mature and continue to observe them. If they recommend removal of the teeth they will explain the reasons for their concern. Whether the tooth is fully erupted, partially impacted, or fully impacted, will help determine whether our doctors can provide for your care in the office. If not a referral to an oral surgeon will be made. In this case we will advise the surgeon’s office of our concerns, and when available, a current x-ray will be sent to their office. Either our doctors or the oral surgeon will explain the details of the procedure and what to expect. As each patient’s needs, due to the location and position of the tooth, varies, each patient will respond differently to treatment. And, age matters. Younger patients have less bone density and the roots are not fully developed – oftentimes a consideration in choosing to remove wisdom teeth when young when it’s apparent that positioning will cause problems down the road.

Be diligent about your teeth – all your teeth. It’s the wise thing to do. After all, oral health is part of overall wellbeing. Have regular dental cleanings and examinations so your wisdom teeth don’t outsmart you!

CSDA Visits the Big Apple

Traveling with our staff each year is something we don’t take for granted. Although most of our trips are planned to attend continuing education courses, occasionally we have an opportunity to vacation together in a more relaxed and team building environment. Last month we were privileged to experience the great city of New York. The sight-seeing, food, broadways, and shopping were second to none. We are delighted to share our memories with you.

Upon arrival, we were met by a luxury shuttle bus at the airport. Our driver, Paul, was incredibly informative and gave us a small history lesson on the way to the hotel. Who knew we would be staying at the stunning Intercontinental located directly on Times Square? After checking into our rooms we met in the lobby for a planned outing with the whole group. We arrived at a museum called “Gulliver’s Gate.” It is one of the most technologically advanced museums of miniatures out there. The intricate detail and master craftsmanship is astonishing. From a fully functioning mini-airport and a digital Niagara Falls, to hidden details and interactive moving parts, it was an absolute must-see. After touring the multiple floors, and observing the artists crafting in the workshops windows, we worked up quite an appetite and were ready for a delicious Italian dinner at the infamous Carmine’s.

The next day we were treated to a delectable brunch at a stunning historical restaurant called Tavern on the Green. Originally a sheep fold in the 1800’s, it was transformed into a public restaurant in 1934. Many people find the scenery recognizable as this was the backdrop of the popular movie, Breakfast at Tiffany’s. After we had our fill, we took a casual stroll to 220 Central Park South. There we were met by three coachmen of the Central Park Carriage Tours. We each hopped into a horse drawn buggy, and enjoyed the history and breathtaking views Central Park has to offer. Not to mention, the stunning Strawberry Fields, a 2.5 acre landscaped section of the park, which was dedicated to the memory of the formal Beatle, John Lennon. We were lucky enough to have experienced a local street performer strumming a soft tune of “Strawberry Fields Forever” nearby.

After a long stroll back to the hotel by way of window shopping on 5th Avenue, we prepared for dinner and the much anticipated Hamilton on Broadway. Bond 45 did not disappoint.This Italian kitchen and bar is known for their seasonal market vegetables and features an extravagant menu including house made pasta, thin crust pizza, and breakfast served all day long. Luckily, for our ladies that wore heels, the Richard Rogers Theatre was directly across the street.

 

Hamilton on Broadway was absolutely incredible. Words fail to describe the talent presented on one stage. Our seats were directly behind the live orchestra in the center section. (Leave it to Dr. Hochberg to spoil us with the very best.) The emotion, the soundtrack, and the performances were an experience of a lifetime and definitely the favorite highlight of our trip for all. The excitement continued well after the curtain closed and one lucky lady in our group reached out to a lead cast member on social media and received a response back! This was truly an encounter that will be remembered for many years to come.

The following day, Friday, we ventured out on the popular New York Subway to visit the National September 11th Memorial & Museum. Complete with a private tour, we reflected on the tragedy that affected so many Americans and their families. Although a somber experience, we learned so much about the events of the day, the individuals, and the unique perspective of what has shaped New York to become beauty from ashes again. The twin reflecting pools located on the plaza was a nice ending to always remember the lives lost. In fact, the names of each individual are inscribed into the bronze panels edging the pools. It is a powerful and constant reminder of the largest loss of life from a foreign attack in American history, of both general public and rescue personnel. A special thank you to our tour guide, Victor, for the attention to detail and impactful impression you left us with.

To complete our experience, we walked to the One World Trade Center, the main building of the rebuilt World Trade Center complex. It is the tallest building in the Western Hemisphere, and the sixth-tallest in the world. The elevator ride to the observatory deck had a floor to ceiling digital screen playing CGI animation of the development of Lower Manhattan, New York City in the last 500 years. There are no windows, but these elevators are high speed and oftentimes can make a riders slightly dizzy. It travels at 23 mph and transport passengers from the lobby to the observatory deck in a mere 47 seconds. Following a quick group photo, our staff was seated to lunch with an amazing view at ONE Dine, a restaurant located at the top of the tower with views of Midtown Manhattan, the East River, and The Hudson. The local chef inspired menu had great choices for everyone, from appetizers to finishing with dessert. After a quick descend back down, we were then on our way to The Hudson to see things a bit more at ground level.

We met at the docks of The Hudson River. A nice tour cruise boat awaited us and we enjoyed indoor seating in the VIP section, of course. The announcer gave detailed history on the bridges and buildings as we passed by. The most beautiful was that of Lady Liberty. Although it was a cloudy day, she stood tall and was seen for the first time by a handful of our team members. It was a bucket list item we were all happy to check off!

Finally the dreaded day arrived, Saturday. It would be our last full day in the Big Apple. Most of our staff made plans to enjoy the city on their own. Ezel was bit adventurous and took the Subway to Brooklyn. Angela and Dr. Diora met with friends. Kayla went to the spa and later met Karren to go shopping. Cheryl, Karen, and Sharon took Uber’s to visit the beautiful Met Museum. Although a bit scattered, we all were thankful for time to enjoy individual excursions on this trip. Ending the day, we met for a group dinner at La Masseria. (Italian is our go-to favorite, if you can’t tell.) Complete with homemade gelato, we finished our meal and prepared for a final Broadway show, The Lion King. “The movie come to life” is an understatement. The cast, the costumes, and the choreography was incredible. It was another late night, but well worth it.

Sunday morning we met in the lobby bright and early for checkout and to head to the airport. Dr. Hochberg was busy passing out Schmackary’s cookies to everyone as a little treat for the plane ride home. Some of us watched movies, others caught up on sleep, but all of us reminisced on what a wonderful trip it was. We are so grateful to be a part of a team that feels more like family. New York was the trip of a lifetime, and we cannot wait until Dallas!

To view our complete NYC photo album, please visit our Facebook page.

Preparing to Travel Out of the Country

Dental Tips & Information You Should Know Prior to Packing Your Luggage

Like many of you, the team here at CSDA is busy making travel plans for the summer. Our practice will be departing for New York City next week in fact, for our annual trip! However, not everyone has the convenience of bringing their dentist along with them. And for those of you who are traveling out of the country, it is especially important that you are prepped with the proper information needed should a dental emergency arise.

There are a few things to consider when you find yourself in need of dental care outside of the U.S.

  • How will you locate an experienced dentist with proper qualifications in a foreign country?
  • Do they accept U.S. currency, and if not, what is their method and/or fee to process your credit card payment?
  • Does your dental benefits cover treatments performed outside of the United States? And if so, to what extent?
  • If your procedure has a complication during or after, are you prepared to travel back to the out of country doctor who treated you? What are your legal rights?
  • Are the doctors treating you practicing safe infection control procedures? (The dentist should wear clean examination gloves and a mask. Also, the dental instruments used should always be properly sterilized.)

Before packing your luggage for your getaway destination, you might consider scheduling a precautionary appointment with Dr. Hochberg or Dr. Diora. It may decrease the need for an emergency based visit elsewhere. If there are any areas of concern, the doctors may be able to catch it quickly prior to your departure. And will then be able to prepare you with aftercare instructions and how to best monitor that area while you are away.

Enjoy your travels with a smile and worry less. We will be sharing all of our own adventures in NYC with you all very soon!