Do I Need to See an Endodontist? | Tyngsboro Dentist

There’s nothing to argue about – toothaches are horrible, even worse when they get infected. Because if left untreated, you may need a root canal. The best dental professional for root canals? An endodontist, and here are five reasons why:

Anesthesia options. Root canal treatments are very painful and sometimes, the typical anesthesia just won’t be enough. Endodontists have more sedation options and are also much better trained in numbing up specific areas, such as those with severe infections.

Comfort. Endodontists have access to better tools and have gone through specialized training to make sure that the process goes smoothly with little pain involved.

Tooth preservation. Because of their expertise and training, endodontists can save even the most corrupted of teeth. This helps keep your smile look natural. While extraction is almost always an option, an endodontist will do everything possible to make sure that the corrupted teeth are saved.

Better emergency care. Not only do you get better quality care, but the endodontist can also see take care of your emergency much faster. This means you’ll rarely have to book an appointment many days prior and have your dental problem solved as soon as possible.

Specialized training and experience. Endodontists receive additional training to make sure that they can handle the complexities of root canals and re-treatments.

Given just how painful root canal treatments are, there’s just no way anyone would want to go through the same horrific experience again and again, so make sure the next time you need a root canal, see a specialist as soon as possible.


How Do Dental Implants Work? | Implant Dentist Tyngsboro

Contrary to popular belief, the dental implants actually aren’t the tooth or teeth themselves, rather, they’re the posts or frames placed into the jawbones, just right beneath your gums.  

It is to these posts or frames that either an individual tooth, implant-supported bridge or dentures are mounted on.  

How Do They Work? 

While expensive, dental implants make up for the premium cost by providing the most stable support for your artificial teeth. This means that, regardless of whether it’s a denture, a dental bridge, or an artificial tooth, you can be sure that it won’t slip or shift in any way inside your mouth.  

The secure fit is a welcome benefit that anyone who’s ever had a denture slip by accident knows is well worth the cost.  

More than saving yourself from an embarrassing situation, however, dental implants also help ensure that that the bridges or dentures placed on top feel more comfortable and natural. Also, being that not everyone can have ordinary bridges or dentures due to certain reasons, like sore sports or gagging, dental implants present a potential alternative.  

To receive implants, it is important to have healthy gums and the necessary bone to help support the implant. You also need to make sure that you’re willing to make the necessary sacrifices. 

Getting an implant means you’ll have to be very meticulous with your oral hygiene. Not only that, but regular dental visits are mandatory as well. If you don’t do that, there’s a huge chance your implants may fail, and you definitely don’t want that to happen.  

Implants are the most expensive method of tooth replacement so far. What’s even worse is that they’re not covered by most insurance companies. Even if they do, seldom is it that more than 10 percent of the cost covered. 

Benefits of Dental Implants 

  • Natural feel – As mentioned earlier, implants feel more like your natural teeth. This is because they are embedded directly into your bones, which makes them very stable.  
  • Comfort and Convenience – With implants, you no longer have to worry about using denture adhesives or your dentures slipping, clicking or even falling out whenever you speak or eat.  
  • Taste – It’s not uncommon for people with dentures to completely change their diet because they don’t fit perfectly. Also, upper dentures affect your sense of taste because they cover much of your upper palate. With implants, you don’t have to worry about all of that.  
  • Self-esteem – Because of their better and more stable fit, you don’t need to worry about your implants as much. This is huge for your self-esteem as you don’t have to think about people noticing that you have dentures or missing teeth anymore. Also, implants don’t affect your speech like dentures do, which should only make you feel much more confident when speaking.  

If you’re seriously considering implants, don’t forget that good oral health habits are key for it to be a success. Ideally, you’ll also want your dentist’s office to be just an hour’s drive away to make it easier for your regular checkups and cleaning.  

Call Tyngsboro Dentist Dr. James Yankowskas for a consultation at 978-649-7773. Also, visit our website at

How To Cure Bad Breath | Tyngsboro Dentist

bad breath

Nobody wants to get in an embarrassing situation where someone points out that they have bad breath. But, most of us will inevitably go through that at some point.

To understand how to prevent and cure bad breath, it’s important to understand what causes it first.

What Causes Bad Breath

Whenever we eat, food particles and debris often get trapped in between teeth and along the gum line. Brushing your teeth and flossing helps take care of this. But, if you don’t brush your teeth after a meal, the trapped food becomes a breeding ground for bacteria. This is what then causes bad breath.

The food you eat is also another common cause of bad breath. Garlic, onions, and alcohol are notorious for their strong odor. When you eat or drink either of the three, your body ends up absorbing them, eventually causing you to breathe the foul odor through your lungs.

In rare cases, bad breath can also be a symptom of a serious illness like liver failure, kidney disease, or even diabetes.

Curing Bad Breath

There are five things you can do to cure and prevent bad breath, and these are:

  • Brush and floss your teeth regularly. Dentists recommend brushing your teeth at least twice a day and flossing them at least once. However, if you can brush your teeth every after a big meal, then all the better. Regularly brushing and flossing your teeth should remove and take care of all the food and bacteria trapped in between your teeth and gum line.
  • Don’t forget to clean your cheeks and tongue. Your cheeks and tongue can also host bacteria and be the cause of your bad breath. Always use the tongue scraper on your toothbrush to clean them whenever you brush your teeth.
  • Drink lots and lots of water. Have you ever noticed how foul your breath smells in the morning when you wake up? “Morning breath” is actually the result of, among many other things, there not being enough saliva in your mouth. However, your mouth can dry up at any time of the day. And, without saliva, your mouth is unable to clean itself and wash away food particles, which causes bad breath. You can help prevent this by stimulating saliva production throughout the day by keeping yourself hydrated.
  • Be mindful of what you eat. Garlic, onions, and alcohol are just a few of the many types of food that causes bad breath. Your diet too can also cause your breath to smell. In particular, high protein and low carb diets have been known to cause bad breath.
  • Visit your dentist often. Don’t be one of those people who visit their dentist only when they’re having oral problems. Do your teeth and gums a favor and actually pay your dentist a visit every three to six months or so for regular checkups and cleanings. Doing so not only helps keep your mouth clean and healthy, but it also helps you stay on top of any oral complications you might have.

If someone points out you have bad breath, don’t worry. Instead, just smile, say thank you, and follow the tips above.  Remember, it’s just a bad breath, not a bad life!

If you feel your bad breath is caused from a larger issue such as gum disease or tooth decay or if it’s becoming a chronic problem, call Tyngsboro Dentist Dr. James Yankowskas at 978-649-7773. Also, visit our website at


Easily Prevent Periodontal Disease | Tyngsboro Dentist

Periodontal Disease can cause a significant amount of unwanted damage to your oral health and hygiene. These dental damages include swelling, bleeding gums, persistent bad breath, and permanent tooth loss. Avoid having to deal with these long-term damages and prevent periodontal disease with these simple steps:

  • Brush after Meals- Brushing after meals is highly effective when preventing periodontal disease because brushing allows you to remove food particles and plaque that accumulate in the mouth.
  • Flossing- Flossing is also extremely important when preventing periodontal disease because it removes any plaque buildup that cannot be removed from brushing alone.
  • Appointments- Only a professional can thorough examine your teeth to determine how well your oral health is. For this reason, schedule regular appointment to ensure you are steering clear of periodontal disease.

For more information about different preventable measures for periodontal disease call Tyngsboro Cosmetic Dentistry at 978-649-7773 or visit


Fixing a Broken or Chipped Tooth with Bonding

Do you have a broken or chipped tooth that’s making you feel conscious about your smile? Well, worry no more! Your dentist can easily fix these small imperfections and much more using dental bonding.

What Is Dental Bonding?

Dental bonding is an in-office procedure where dentists use and apply a tooth-colored resin material to the teeth to repair small imperfections. The dentist molds the material directly onto the tooth and uses adhesives and then a high intensity curing light to harden the resin and turn it into a durable extension of your damaged teeth. The cosmetic procedure typically lasts only for a few minutes but may take longer depending on the complexity and size of the problem area. Although the procedure very rarely, if at all, takes more than one visit to complete.

What To Expect During The Visit

The treatment starts by removing some of the surface enamel so the dentist can shape the composite resin properly to your tooth. Then, the dentist applies a bonding agent before adding the composite resin. The dentist then uses a special light to cure the composite resin to make sure that it’s properly bonded to your teeth. The dentist then finishes things off by polishing your teeth, which helps make the bonded tooth look better and more natural.

To ensure the best quality of service, make sure that you work with a dentist who actually specializes in cosmetic dentistry and has had extensive experience regarding the procedure.

Is Bonding For Everyone?

Bonding is for most people, but not exactly for everyone. Case in point, dental bonding is a very effective procedure for repairing small chips and cracks, as well as misshapen and discolored teeth. Bonding can also be used to help improve the length, width or shape and small overlaps or gaps in your smile. However, bonding is primarily only for those who want to improve the appearance of otherwise healthy teeth. This means that bonding can’t help treat or fix more extensive problems, such as crooked teeth that are the result of an over or under bite.

Aftercare Tips

The best thing about dental bonding is that it is durable and can last for as long as 10 years without requiring any visits to the dentist for upkeep and maintenance. However, this is only possible if you take proper care of your teeth. In particular, after dental bonding, you’ll want to avoid eating or chewing anything hard, such as hard candy and ice cubes. Remember, as durable as they are, the bonding material is not nearly as strong as your natural enamel, and chewing on anything hard, especially on a regular basis, can and will crack the material. Speaking of cracks, do talk to your dentist about getting a night guard if you grind your teeth when you sleep.

Say goodbye to cracked, chipped and discolored teeth! Dental bonding is a great and affordable option if you’re interested in improving the way you look when you smile. However, don’t forget to take care of your teeth and gums first so your natural smile is as healthy as it is on the inside as it is beautiful on the outside.

Call today for an appointment to fix your broken or chipped tooth at 978-649-7773. Visit the website to learn more about the practice at

Do I Need To Have My Wisdom Teeth Removed? | Dentist Tyngsboro

Wisdom teeth, otherwise known as the third molars, usually pop out and erupt by the time a person reaches between 17 and 24 years old. It’s quite common for people to hate it whenever their wisdom teeth starts to erupt. Not only is it always accompanied by pain, treatment requires an immediate trip to the dentist, which is another thing that a lot of people seem to dread.

That being said, it’s only fair for the average person to wonder if whether or not wisdom teeth always need to be removed.

Why Wisdom Teeth Need To Be Removed

Before we humans became civilized and learned to cook food, most of us were vegetarians and ate mostly plants, nuts, and seeds. Back then, humans were believed to have much larger jaws to accommodate the third molars, which were extremely useful back then. However, as our diets changed, our jaws evolved and began to shrink. And, these days, our jaws have much less room for the third molars. This often leads to the wisdom teeth growing up and erupting at an angle that prevents them from erupting properly.

When wisdom teeth are only partially emerged or come in crooked, also otherwise known as impacted, it can lead to painful crowding and misaligned teeth. Not only that but impacted wisdom teeth are also more prone to gum disease. Because of this, dental experts recommend that wisdom teeth be removed as soon as they erupt to prevent further complications. In fact, some even recommend having the wisdom teeth removed in advanced, well before any problems arise.

This does not mean, though, that all wisdom teeth are candidates for removal. Some people, for example, don’t really grow third molars at all, while others grow only one. And, for some reason, some people have no problems with their wisdom teeth crowding or impacting their teeth. In such cases, people are free to keep their wisdom teeth for as long as they want. Although extra care is recommended because they are pretty far back and are much more vulnerable to tooth decay as a result.

What To Expect From Wisdom Teeth Removal

Impacted wisdom teeth will have to be removed via surgery. What happens is that the oral surgeon cuts into the gums and removes the tooth or teeth in sections to help keep the amount of bone removed at a minimum. Afterward, ice packs and pain medications are prescribed to help ease the pain. Also, don’t worry, anesthesia is always used to make patients feel comfortable throughout the procedure.

Meanwhile, if the third molars erupt normally and not impacted, the surgeon will simply separate the gums from the tooth, lever the tooth around to loosen it from the socket, remove it and clean the area. It’s that simple.

To keep complications and pain at a minimum, many dentists and oral surgeons recommend that patients be evaluated for possible wisdom teeth removal as early as in their late teenage years.

If you still have your wisdom teeth make an appointment today for an evaluation with Dr. Yankowskas 978-649-7773. Visit the website at

How To Avoid Yellow, Stained Teeth

teeth whitening

Brushing twice a day and flossing almost always works to improve your yellow teeth. But, in the times that they don’t, it’s time to consider other options.

Yellow teeth occur due to both deep and surface-level stains on teeth, as well as other causes that are sometimes beyond our control. Regardless of the cause, however, there are plenty of ways to help you improve your teeth’s color, including using over-the-counter products and going to the dentist for treatment and professional advice.

What Causes Yellow Teeth?

Tooth enamel is the hard, white surface of your teeth, and below it is a pale brown substance known as the dentin. Naturally, the thick enamel looks white. But, having thin enamel makes the color of the dentin show more, making teeth look a bit more yellowish from the outside. Also, enamel becomes thinner as people age. Meanwhile, the acids from food, and drinks such as sodas and juices only thin the enamel even more by eroding its surface.

There are also many other possible causes behind yellow teeth. If the stains are blotched, and not yellow overall in tone, either taking antibiotics or excessive fluoride intake as a child can cause it. Sometimes, however, genetics is the main culprit.

Avoiding Yellow Teeth

Avoiding smoking will do wonders for your teeth, and health overall. So too will avoiding stain-causing beverages such as coffee and soda. Although, if it can’t be avoided, you can try to minimize the stains by drinking such beverages through a straw. Or, you can also try drinking milk or water after eating or drinking something acidic, so as to reduce the acid’s eroding effect on the teeth. Avoiding snacks in between meals also help give your saliva enough time to dilute the acids in your mouth.

Of course, brushing and flossing remain the two most important things you can do to prevent yellow teeth and to maintain oral health.

If you or your child suffer from dry mouth, or frequently have blocked nasal passages, you may want to consult your doctor or dentist for proper medical advice.

Whitening Yellow Teeth

OTC products, such as whitening toothpastes, whitening trays and even mouth rinses, can all help whiten teeth by removing some of the stain build-up and providing a mild bleaching effect. That is, if they are used properly.

In general, the most effective way to whiten teeth and get lasting results is to visit the dentist. Only they can give you the proper advice on how to achieve the sparkly, white smile you’ve always wanted. There are various ways dentists can help you achieve better-looking teeth. This may include using bleaching kits for you to use at home, or via in-office bleaching procedures. Of the two, the latter is considered the more effective option.

With so many ways to help avoid and treat yellow teeth, there really is no reason to settle with a less-than-ideal smile! Call Dr. James Yankowskas in Tyngsboro, MA for an appointment at 978-649-7773. For more information visit the website at

Dental Implants Vs Dental Bridge


When you’re missing a tooth, you can either opt for a dental implant or bridgework. Although dentures are technically an option, the removable appliance is reserved for those who’re missing more than just a few teeth.

Having said that, if you know or someone you know is deciding whether to get a dental implant or a dental bridge, below are a few factors to consider that may help.

The Difference Between Implants and Bridgework

With dental implants, dentists first place a small titanium cylinder in the jawbone at the site of the missing tooth. Over a few months, the cylinder bonds with the bone tissue, creating an artificial root. An abutment is then placed on top, and later on, the artificial tooth.

With dental bridges, crowns are first installed onto the natural teeth on either side of the gap. The said crowns are then used to create a bridge – hence the name – that will help hold the artificial tooth in place. While the procedure involves covering the gap, it’s worth taking note that the artificial tooth is not actually fixed to the jaw.

The Argument For Dental Implants

The best thing about dental implants is that the procedure allows the jaw bones to remain strong and healthy. This has a huge positive impact on both your oral health and the shape of your face. Aesthetically, dental implants are also considered a lot better looking and they’re able to mimic the feel and function of real teeth much better. Lastly, dental implants are made to last, having an average lifespan of 25 years.

The Case For Dental Bridgesimplant-diagram

Lots of people choose dental bridges because the procedure is relatively easy and safe. Although most cases require two visits, it’s not unusual for dentists to finish installing bridgework in a single visit. That’s a whole lot less compared to the three or more visits required for dental implants. Lastly, dental bridges are a lot cheaper compared to dental implants.

So, Which Is Which?

At first glance, dental implants certainly look like the more appealing option. But, it’s important to remember that they’re also much more expensive. Plus, the process requires multi-stage surgery and can sometimes cause complications. Healing takes much longer as well, which only increases the risk for further complications.

Meanwhile, bridgework can lead to the re-positioning of the bone tissue below the crown, creating instability and severely shortening its lifespan. As a result, most crowns need to be replaced after 7 to 10 years. Some are replaced even earlier. The process has also been shown to weaken the adjacent teeth, making them more vulnerable to tooth decay.

So, which one of the two procedures is better? It’s hard to say. Truth be told, it mainly depends on what your dentist recommends. Cost alone isn’t really that big of a deciding factor as well. Although, it’s worth mentioning that dental implants could end up being cheaper in the long run since they’re more durable and do not need replacement as often. Plus, most dentists offer flexible payment plans for implant treatment, making it easier for patients to shoulder the cost.

Regardless, it’s best that you discuss extensively with Dr. James Yankowskas the different pros and cons of each procedure to help you make a decision. Do it as soon as you can though, as leaving a missing tooth untreated for a long time can cause even worse damage to your teeth and gums.

Call Dr. Yankowskas in Tyngsboro, MA today at 978-649-7773 or visit his website at


What Are The Stages Of Periodontal Disease? | Tyngsboro, MA

periodntal disease

Periodontal disease, also known as gum disease, is an inflammation of the gums that can progress to affect the bone that surrounds and supports your natural teeth. It is very common but also fairly preventable. Periodontal is typically caused by poor oral hygiene. When you don’t brush and floss your teeth, plaque can build up and the bacteria not only can affect your teeth and gums, but can eventually affect the gum tissue and bone that supports your teeth.  Depending on which stage of periodontal disease you have, your teeth may become loose, fall out or have to be extracted. There are three stages of periodontal disease: gingivitis, periodontitis and advanced periodontitis. Periodontal disease often exhibits worsening symptom as time goes on.

  • Gingivitis- Gingivitis is the earliest and mildest stage of periodontal disease. It can typically be noticed by inflamed gums, red or swollen gums, which is mainly caused by plaque buildup. This stage of periodontal can also cause your gums to bleed, which you may notice when you brush or floss your teeth. This happens to be the only stage of periodontal that’s reversible with periodontal treatments.
  • Periodontitis- At this particular stage, the supporting bone and fibers that hold your teeth in place will be irreversibly damaged. Your gums will also start to separate from your teeth, then form pockets below the gum line which eventually become infected. With periodontal treatment and improved oral hygiene, you and your dentist can usually prevent it from progressing to the next stage.
  • Advanced Periodontitis- This is this very final stage of periodontal disease, the bone and fibers supporting your teeth are destroyed, which can cause your teeth to become loose. This can affect your bite, and if aggressive periodontal treatment can’t save them, your teeth may have to be removed.

How Do I Know If I Have Periodontal?

Periodontal does not discriminate, it can affect anyone at any age, but it is most common among adults. If it’s detected in its early stages, periodontal disease can be reversed. The signs and symptoms of periodontal include the following:

  • Red, puffy, swollen, or tender gums
  • Gums that bleed easily
  • Teeth appear to look longer because of gum recession
  • Changes in your bite
  • Pus between your gums and teeth
  • Persistent bad breath or bad taste in your mouth

If you suspect that you may be suffering from periodontal disease, contact Dr. James Yankowskas in Tyngsboro, MA at 978-649-7773 to schedule a consultation today or visit for additional information regarding periodontal.

Dr. James Yankowskas proudly serves Tyngsboro, Lowell, Nashua, Dracut, Chelmsford, Dunstable and all surrounding areas.


Do I Need a Root Canal? The Signs and Symptoms of a Damaged Pulp

Dental treatment

If there’s one thing that tooth decay, tooth pain and other oral health conditions have in common, it’s that they’re all caused by poor dental hygiene.

Not taking proper care of your teeth by not brushing and flossing regularly can cause plaque to develop and eventually, lead to cavities. If left untreated, the cavity can eventually spread to the pulp or the soft center of your teeth, causing damage to the nerves and blood vessels found inside. Even worse is that if the damage isn’t properly managed, you may just end up losing your teeth.

Symptoms of a Damaged Pulp

Depending on the severity of the damage to the pulp, the symptoms may vary, but they will typically include:

  • Tooth sensitivity and pain, especially when you eat something that’s hot, cold or very sweet
  • A sudden and unexplainable, sharp pain in your mouth
  • In worse cases, infection in your mouth may also occur

Root Canal Is Not The Only Treatment Option

When people hear the words “damaged pulp”, they’ll usually think that the only course of treatment is a root canal. However, that is not always the case.

For example, if you crack or break a tooth, it can lead to mild inflammation of the pulp. Although it can hurt – A  LOT – the dentist won’t recommend a root canal treatment just yet. Rather, the dentist will simply clean your teeth and mouth and ask you to start following a proper oral care routine from then on. Eventually, this will result into the inflammation reversing itself. Although, if necessary, the dentist may also choose to put a filling material inside the cracked or broken tooth just in case.

When Is A Root Canal Necessary?

There are still cases, however, where root canals are necessary, such as in the following scenarios:

  • If there’s severe inflammation of the pulp. Symptoms usually include sudden, sharp pain in the mouth. If left unchecked, the severe inflammation can infect the other ports of the mouth, namely the gums and other connective tissues. This is usually cured with a root canal procedure. However, if that doesn’t work, the dentist may have to remove the infected tooth to prevent further infection.
  • If dental pulp stones occur. Also known as dental pulp calcification, this is a condition where hardening of the pulp tissue occurs. This results in extreme pain and sensitivity due to the compression of the dental nerves. The hardened tissue can usually only be cleared away through a root canal treatment.
  • If the dental pulp becomes exposed. If there’s a cavity or a crack in the tooth, the pulp can be exposed to bacteria and other food This can result in pain and if not managed properly, can cause a mild infection that may eventually progress into a serious abscess. Although this can also be treated with a filling, most cases often require a root canal procedure, with some even requiring the removal of the infected tooth.

While injuries can certainly result into a damaged pulp, most cases are often the result of poor oral hygiene habits. If you just make it a point to take proper care of your teeth and gums and visit the dentist regularly, you won’t have to worry as much about damage to your pulp and other oral health conditions.

If you think you may be suffering from a damaged pulp and would benefit from a root canal, contact Dr. James Yankowskas, DDS with Tyngsboro Cosmetic Dentistry at 987-649-7773 to schedule a consultation today. Or visit for additional information regarding root canals.

Dr. James Yankowskas with Tyngsboro Cosmetic Dentistry proudly accepts patients from Lowell, Nashua, Dracut, Chelmsford, Dunstable and surrounding areas.