Posts for: September, 2013

It really is possible to feel great in the dental chair! No matter how you instinctively respond when you consider upcoming dental treatment (and patient reactions range from unconcerned to considering skipping town), there are ways to relieve anxiety and get comfortable with the thought of time in the dental chair. While there are steps Dr. Scotto and our staff will take to help you feel at ease when in our office, there are also things you can do at home prior to your appointment. By getting more familiar with what will actually go on during your treatment, you’ll be able to anticipate different steps and may even enjoy following along with the procedure! We hope that by following a few of these tips, you will be surprised to find yourself looking forward to your next appointment.

Steps You Can Take to Reduce Dental Fear

  1. Research the procedure. Chances are, the actual steps involved in your procedure are less scary than what you’re anticipating (our imaginations are often worse than reality!). Whether you’re getting a cavity filled or receiving a dental implant, research the steps involved beforehand to understand exactly what will be going on inside your mouth.
  2. Learn your sedation options. Dental sedation will calm you when you’re in the dental chair. Nitrous oxide and oral sedation both deliver anti-anxiety drugs to your brain so that you feel relaxed and ready for treatment. Accompanied with dental anesthesia, sedation will keep you from feeling nervous or uncomfortable.
  3. Visit the office. If you’re new to our practice, visit the office before your procedure to have a look around and get acquainted with the space. This will make the big day less stressful.
  4. Communicate with your dentist before treatment. If you have any questions or concerns, simply give us a call to talk to our staff. We want you feeling your best before treatment.

Feeling Great During Dental Treatment

With some research, dental sedation, and communication, your next appointment will be a breeze. Schedule today!


Is there a space between your two front teeth? Maybe you were born with that gap, or maybe it has appeared gradually, as you aged. No matter the cause, you should consider seeking answers. While repairing gap teeth is not always medically necessary, the aesthetics of a gap-toothed smile can keep us from revealing our teeth to the world. Plus, understanding why the gap appeared could clue you in to potential dental problems that need to be addressed. This week’s post will discuss a few of the most common causes for gap, and offer up the simplest treatment option for closing that gap: dental bonding.

Diastema and Dental Problems

In case that last heading threw you, a diastema is a space between two teeth. While these spaces can be benign, they may also indicate other dental issues, including

  • Need for orthodontic treatment – Teeth shifting in your jaw will lead to an incorrectly-aligned bite, or malocclusion. Long-term bite problems can cause TMJ disorder, general discomfort, and premature tooth wear.
  • Periodontal disease – Gum disease causes gum recession and tissue loss, and can pull your gums away from your teeth, creating spaces at the gum line.
  • Harmful habits – Some patients thrust their tongue against their front teeth when they swallow, causing their teeth to eventually separate.

Dental Bonding and your Tooth Gaps

Gaps between teeth are simple to solve. With dental bonding, Dr. Scotto is able to add material to your natural teeth to fill spaces. Bonding can be completed in a single appointment, and often without anesthesia being necessary. It is dental work at its quickest! You’ll be back to regular life with a gap-free smile in no time.

If spaces between your teeth have been plaguing you, learn more about the cause of the gaps and pursue treatment by contacting us at (518) 374-9770.


As we age, our teeth wear in ways we don’t appreciate. Enamel thins and yellows, teeth become more sensitive, and our gums recede. There are solutions for different types of dental aging, with gum grafts stepping in to reestablish the support your teeth may have lost. Whether your gum recession was caused by bruxism, periodontal disease, or simply the passage of time, a simple gum graft will restore tissue to the area and stimulate new growth. Read on to learn more about the procedure and when a gum graft is the right plan.

Why do I need a gum graft? | Schenectady

Gum grafts may be performed for both aesthetic and health reasons. Significant gum recession will make a smile look less than perfect, and prematurely age your appearance. Recession also exposes tooth roots, which are sensitive and prone to decay. A gum graft will prevent that decay and the onset of periodontal disease, by covering an area where a periodontal pocket could develop. Gum grafts also provide extra support for teeth, preserve bone density, and reduce tooth sensitivity. And we think that’s a winning combination!

Schenectady Gum Graft Procedure

In order to receive a gum graft, that portion of soft tissue must be taken from elsewhere in your mouth. There are different types of gum grafts, with the most common taking tissue from the roof of your mouth. A flap may also be cut in the gums below the area of recession and flipped up to cover the exposed tooth root. You will be anesthetized during the procedure, and will not feel the tissue being removed or the graft placed.

Gum grafts prevent future disease and repair smiles. If you think a gum graft could be the right treatment for you, simply call our office to schedule a consultation. Great gum health and a happy smile are in your future.


Wisdom teeth don't need to weigh on your mind. Sure, they'll likely need to be extracted at some point, but those extractions can be viewed as a positive step. As wisdom teeth typically cause more harm than good in our mouths, they can significantly affect our oral health. This week's post lays out the reasons your wisdom teeth may need to go. Get familiar with how nefarious wisdom teeth can be to get excited to have those puppies pulled!

Reasons Wisdom Teeth Cause Problems

Your wisdom teeth will need to be removed if

  • They are impacted. It’s easy for wisdom teeth to cause damage to neighboring teeth. They often erupt improperly, at angles that will negatively affect your bite or cause them to push against neighboring teeth. This is the most common reason for wisdom tooth removal, as the teeth are rarely properly aligned.
  • They become infected. Wisdom teeth are a breeding ground for bacteria. Their surfaces are riddled with fissures that trap bacteria inside and promote decay.
  • They give rise to periodontal disease. Because of their uneven surfaces and bacteria entrapment, gum disease can arise around the wisdom teeth.
  • There are cysts present. The wisdom tooth forms within a sac. This sac can become filled with fluid, which may damage nearby teeth, bone, and nerves. In this case, the wisdom tooth must be extracted.

When Should My Wisdom Teeth Be Extracted?

It’s simpler to have your wisdom teeth removed at a younger age, before the teeth have caused damage to your bite, and before your tooth roots are fully developed. It’s commonly recommended to have the teeth removed around 17 years of age, but extractions later in life are also possible. Schedule a consultation with Dr. Robert Scotto to get a better understanding of the state of your wisdom teeth.




Robert M. Scotto, D.D.S.
615 Union St.
Schenectady, NY 12305
518-374-9770

  

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