Teeth grinding and clenching is a serious parafunctional habit that can become a problem when you do it regularly (sometimes without noticing) and it begins to impact the health of your teeth and jaw. It can be extremely detrimental to your teeth and causes enamel wear and fracture. It can also cause irreversible damage to the TMJ. Clues that you may be clenching or grinding include jaw pain, muscle tension in the head and neck, chipped teeth, and headache/ migraine issues. The side effects from grinding and clenching can be hard to live with but treatment options such as bite splints and Botox treatments can give major relief to a lot of these issues. Botox® is an injectable treatment that can be used to alleviate grinding/clenching and lessen the damage to your jaw and enamel. Here’s what to know about this treatment for grinding and clenching in Midtown East and how it can help.

What is Bruxism/Clenching?

Bruxism is the medical term for teeth grinding. Clenching is similar to grinding except the jaws do not move but create excess force. Both can have a number of impacts on the health of your teeth and mouth, as well as your head and neck region. Common side effects are headaches, migraines, soreness and pain, tooth sensitivity, earaches, and bone loss.

How Does Botox Prevent Teeth Grinding?

Botox is a neurotoxin, meaning it can block chemical movement signals in muscles specifically, acetylcholine receptors. It has been in use as both a medical and cosmetic treatment for many decades, meaning it has a very high safety profile when administered by your dentist. It can be injected into the muscles of the jaw and provides relief from excess muscle force generation for up to six months. 

Traditionally, first-line treatments for bruxism included wearing a mouthguard at night to prevent the teeth from wearing and enamel loss. Botox is an exciting alternative or adjunct to traditional TMJ treatments.

Schedule an Appointment

Interested in learning more? Dr. Inna Chern is a leading Botox provider and can discuss your best options for bruxism treatment in Midtown East. To get started, contact our office by calling (212) 838-0842 or filling out our online form.

You are probably familiar with Botox to treat wrinkles and fine lines, but did you know that dentists use Botox injections as well? In Midtown East, Dr. Chern and the New York General Dentistry team use Botox to treat TMJ or temporomandibular joint disorder. If you suffer from frequent headaches, limited jaw movement, or jaw pain, continue reading to learn more about how Botox could help you find relief

How Does Botox for TMJ Pain Work?

TMJ or TMD (temporomandibular joint disorder) pain is caused by issues with the masseter and temporalis muscles of the jaw, which can include teeth grinding, constrained muscles, or muscle spasticity. Botox can be carefully injected into these muscles to relax them, relieving pain, inhibited jaw movement, headaches, or clicking caused by TMJ. The active ingredient in Botox is botulinum toxin, which is known as a neuromodulator. This works to block nerve receptors in the muscles, temporarily reducing their movement. Typically, Botox injections are recommended in conjunction with other TMJ treatments such as massage and nightguards.

What is the Botox for TMJ Procedure Like?

When you choose Botox for TMJ in Midtown East, Dr. Chern will first carefully evaluate the jaw area and do a full muscle and TMJ evaluation to access the best treatment and areas to administer the Botox  In most cases, a series of injections throughout the facial muscles, including the jaw, temple, and forehead, are used to ensure effective results. The needles used to complete Botox injections are very small, so anesthesia is not necessary. Immediately after your injections, you may have some slight swelling, redness, or soreness, which can be alleviated with an ice pack. Otherwise, you can return to your normal routine immediately but should take care to avoid strenuous activity like exercise for about 24 hours to prevent bruising. It is also important to avoid rubbing or putting pressure on your face to prevent the Botox from migrating to unintended areas. Botox results are usually noticeable about 5-7 days after your treatment with maximum result at 30 days.How Long Does Botox for TMJ Last?

Botox is not permanent, because the muscles will regenerate nerve receptors and regain full, natural movement over time. Typically, your Botox for TMJ results will last about 4-6 months. After this time has passed, you can return to New York General Dentistry for maintenance Botox injections. Dr. Chern will make a recommendation for how frequently you should receive repeated injections for your TMJ. Typically, patients find that their results last longer as they continue to receive maintenance Botox injections.

Choosing Your TMJ Dentist in Midtown East

While Botox for TMJ is becoming more widespread, not all dentists will offer this procedure. Achieving the intended results without causing complications requires training and experience with Botox that not all dentists have. Dr. Chern has the experience necessary to understand when Botox is your best option for finding relief from TMJ. Midtown East TMJ patients can put their trust in Dr. Chern’s expertise when it comes to treating their symptoms using Botox.

Schedule a Consultation for Botox for TMJ in Midtown East

To learn more about Botox for TMJ, schedule a consultation at New York General Dentistry in Midtown East. Call our office at (212) 838-0842 or contact us online to set up your first appointment.

If you’re frustrated with visible white spots on your teeth (especially after having braces removed), you’re not alone. White spots have a variety of causes, but it likely feels as tho your white spots are the first thing people see when you smile. Up until recently, the best way to get rid of white spots was through drilling and removing the affected tooth structure. Now, there’s a groundbreaking alternative that means you don’t have to worry about uncomfortable drilling or numbing. Here’s what to know about your options for white spot removal in Midtown East and how my team can help.

What Are White Spots on the Teeth?

White spots on the teeth are areas where the enamel has weakened for a variety of reasons. Although one of the most common reasons is orthodontic devices like braces (and the bacteria buildup that can occur under or around the brackets), they can also be caused by factors like your diet or certain conditions like enamel hypoplasia or fluorosis. Most times, white spots are not dangerous to your health. But, if they’re caused by an underlying bad habit or health concern, it’s worth a trip to your general dentist.

How Do I Get Rid of White Spots on My Teeth?

You’ll likely find advice online about how to remove white spots at home, but these can be ineffective at best. It’s always best to see your dentist about cosmetic dental procedures since they can make sure your smile stays safe (and you don’t waste your money!)

For many patients, their first thought is teeth whitening to remove white spots – or at least make them less visible. Unfortunately, whitening can work against you and make white spots more obvious. That’s why it’s important to see your dentist about targeted treatment to only those affected areas.

Although preventing them from forming in the first place is an effective way to do away with white spots, that may not always be an option. Fortunately, at New York General Dentistry, I offer ICON White Spot Removal, which is a professional-grade treatment that removes white spots without pain or drilling.

What Can I Expect with ICON White Spot Removal?

In the past, white spots were removed by methods such as abrading the white spot, drilling out and replacing it with tooth-colored resin or putting a veneer over the tooth. ICON White Spot Removal is a resin infiltration treatment that “fills in” the white spots, or de-calcified areas of the teeth. During treatment, a specialized etching solution is placed on the teeth and removed until the white area is minimized, and then a resin infiltrant is placed and cured. There’s no need for numbing or drilling, and it’s completed within a one-hour appointment.

We haven’t been this excited about a minimally invasive procedure with impressive results in a long time. ICON uses micro-invasive technology to smooth the tooth surface and treat proximal cavities. I recently used it on my office manager’s white spots on her two front upper teeth – with impressive results. The whole procedure took less than 45 minutes with no pain, no downtime, and most importantly… NO drilling.

Meet with My Manhattan Team

My team and I are excited to offer this new solution to white spots at our Midtown East practice. Feel free to call for more information or to schedule your appointment online or call us at (212) 838-0842 to get started!

Having braces as an adult can present some unique challenges. Not only can it be difficult to adjust your diet, but it can feel like braces are the only thing people see. Achieving a healthy, straight and radiant smile can be its own reward so it’s important to know that Invisalign can help! Here’s what to know about Invisalign in Midtown East and how you can transform your smile without the discomfort of traditional braces.

Can Adults Get Invisalign?

Yes! Invisalign is just as effective for adults as it is for teens. Most adult patients see Invisalign results within six months to one year, with additional time wearing a retainer to maintain results. Invisalign is drastically more comfortable than traditional braces and after completion, you’ll have a healthier mouth and feel more confident in all aspects of life.

Is Invisalign Effective for Adults?

Many adults are drawn to Invisalign because the aligners are discreet and virtually unnoticeable in social situations. There are no wires, brackets, or metal involved! Additionally, your aligners can be easily removed when needed and don’t require maintenance outside of keeping them clean and stain-free. Finally, there’s no discomfort as is associated with traditional braces – this means no headaches, sores, or pain after tightening appointments! Invisalign for adults gradually shifts the teeth with minimal adjustments as you change trays. This means you can enjoy a noticeably improved smile without the hassle of traditional braces.

Invisalign for Adults Cost

Invisalign is a great investment for your dental and overall health. Fees vary depending on the duration of treatment and often are partially covered by dental insurance providers. Company HSA or FSA accounts can also be used to supplement Invisalign treatment. Additionally, we can work with you to create a financing plan that works best with your budget. Our goal is to get you the healthy and beautiful smile you have dreamed of and deserve.

Schedule an Appointment

During a personalized appointment we will scan your mouth and Dr. Chern will discuss your smile goals and ways Invisalign can improve your function. Learn more about Invisalign in Midtown East. To get started, we invite you to contact our office by calling (212) 838-0842 or filling out our online form.

If you’ve realized that your teeth look dim and stained in photos next to people with seemingly perfect pearly whites, you’re not alone. Common, harmless habits such as drinking coffee or red wine on a regular basis can stain teeth gradually without your awareness until you’re faced with an uncomfortable truth.

Fortunately, Dr. Inna Chern can help turn back the clock on tooth discoloration with several teeth whitening options for patients in Manhattan, New York.

Why Do Teeth Turn Yellow?

Teeth change color when substances get into the tooth enamel and build up over time. Different compounds can change teeth different colors, such as gray, brown, and yellow. They can be surface stains, such as those caused by food and drink, as well as internal factors like tooth decay.

What Causes the Discoloration?

There are multiple substances and habits that can lead to tooth discoloration. As mentioned, common culprits are drinks and foods with certain compounds that stain the enamel of teeth, like coffee, soda, and tea. Another top cause of teeth yellowing is smoking, as both the nicotine and tar in cigarettes stick to the teeth and cause discoloration. In addition, more rare causes of discoloration are certain illnesses, tooth decay, and simply not brushing your teeth enough.

Can Discoloration Be Reversed?

In some cases, treating the underlying cause of discoloration with corrective dentistry procedures can help restore a bright appearance to teeth. However, most people benefit from teeth whitening procedures, whether performed in our office or at home, which can erase years of gradual staining and help you get a white smile once again. 

How Can My Dentist Help?

Dr. Chern offers Zoom teeth whitening treatments in her NYC office, as well as custom whitening trays to be used at home. These treatments are much more effective than the commercially available whitening strips because they contain a greater amount of hydrogen peroxide, which is the active ingredient that removes stains.

During an appointment, Dr. Chern will examine your teeth and determine the cause of your tooth discoloration and then recommend a treatment to help. In-office teeth bleaching appointments can take about an hour to perform, during which time you can read, watch TV, or listen to music while the whitening gel does its work.

What Are My Next Steps?

The best place to start for any New York City teeth whitening procedure is a consultation with New York dentist Dr. Inna Chern. During an examination, Dr. Chern can recommend a whitening plan that works best for your schedule and budget and will provide expectations for what a professional whitening treatment can do.

Your best smile is just an appointment away! Contact New York General Dentistry by calling or scheduling online today.

No one wants to experience the negative side effects of poor oral health, like tooth pain, sensitivity, or even tooth decay, which makes regular dental checkups and good hygiene a key part of any New Yorker’s routine. And although it may not seem like much at the moment, a few minutes per day spent taking care of your teeth can have many benefits in the long run beyond simply avoiding adverse issues.

What is Preventative Dentistry?

Preventative dentistry is a system of dental care that aims to keep patients’ mouths healthy through routine maintenance. It involves both professional dental treatments as well as individual, at-home care. With good preventative dental habits, people can avoid costly procedures to fight infection or disease, while keeping their smile beautiful and their teeth white.

At-Home Preventative Dental Care

The foundation of preventative dentistry is what you do at home every day to clean and protect your mouth. Brushing for two minutes twice a day with fluoride toothpaste is a critical way to kill harmful bacteria and protect your tooth enamel. In addition, flossing is just as important to reach the tight gaps between teeth that a brush can’t reach.

At your next checkup, ask Dr. Inna Chern or her staff for a demonstration of the best flossing and brushing technique. If you’re flossing or brushing wrong, your at-home preventative care may not be as effective as it can be, increasing your risk for complications like cavities and gum disease.

You can build on this basic dental routine by using a mouthwash with fluoride to further fight bacteria in all corners of your mouth, or buying a good electric toothbrush to help more effectively clean teeth.

What Preventative Dentistry treatments are offered at NYGD?

The second half of preventative care is getting a regular checkup from a dentist. Every six months, you should have your mouth examined by a professional to check for cancer, infections, jaw issues and cavities to create a treatment plan accordingly.

Perhaps the most important aspect of regular checkups is that brushing and flossing alone can’t get rid of all the harmful bacteria that build up in hard-to-reach places or along the gum line. At New York General Dentistry, we provide routine cleanings that go beyond what you can achieve at home, even with the best toothbrush and flossing technique. We can also offer preventative treatments like sealants and medical-grade fluoride rinses when needed.

What is Restorative Dentistry?

When preventative care isn’t enough to fight complications like cavities or infection, you’ll need restorative dental care. Restorative dentistry is any procedure that aims to repair teeth and restore ideal function. Common restorative procedures are fillings, inlays/onlays, veneers, and crowns.

What Restorative Dentistry treatments are available at NYGD?

New York General Dentistry is ready to handle any and all restorative needs, from filling cavities to more severe dental trauma. Most cavities can be filled with a composite material, but others may need an inlay/onlay or a crown to restore the tooth to a working state. More serious restorative procedures include root canals and oral surgery, for which we use the latest technology and techniques to ensure your comfort throughout the procedure.

Schedule Your Next Appointment Today

A good preventative care routine means you’ll ultimately spend less time in the dentist’s chair, more time smiling, and less time in pain. And an essential part of good oral hygiene is having regular cleanings and checkups at New York General Dentistry. Even if it’s been a while since you’ve seen Dr. Chern, there’s no time to wait when it comes to dental health. Call us at (212) 838-0842 or schedule an appointment online today!

Perhaps not well known to those not in the dental profession, dental inlays and onlays are used to restore broken, cracked, or decayed teeth. They are made by taking an impression or scan of the damaged tooth and creating a durable mold or image of the damaged area, which is then placed in the mouth. In this regard, they are similar to other restorative dental procedures, such as installing crowns or filling cavities.

What is the Difference Between Dental Onlays and Inlays?

Dental onlays and inlays differ only slightly, depending on the size of the amount of tooth being restored. An inlay fills in cavities but between the cusps of the tooth. On the other hand, an onlay can fill in a cavity but also corrects for a larger area beyond the cusps. Both inlays and onlays are made of the same material, which means the only difference is how that material is used.

How Do Dental Onlays and Inlays compare to Crowns and Fillings?

Crowns, fillings, and inlays, and onlays are all part of a dentist’s toolkit for restoring cavities and other tooth damage. Both fillings and inlays can correct for cavities and missing aspects of the tooth structure, but fillings are weaker and don’t last as long as inlays. 

The difference between an onlay and a crown is that an onlay by definition doesn’t cover the entire tooth, whereas a crown does. A crown is also used by dentists when the tooth damage is too severe to be solved with an onlay. Crowns cover the entirety of the tooth structure and provide the highest level of support. Onlays are a more conservative restoration made of similar ceramics and only cover what is missing thus no additional tooth structure is removed.

All of these restorative dental procedures are effective and long-lasting solutions that your dentist will consider as part of your personalized treatment.

What are the Benefits of Dental Onlays and Inlays?

The main benefit of onlays and inlays is that they can fill larger cavities than fillings and provide extra strength to the affected tooth, sometimes even increasing bite force tolerance. Because they are modeled precisely on the original look of the tooth and are made from very strong materials designed to look exactly like your own tooth.

How long is a Dental Onlay or/and Inlay Procedure?

Getting a dental inlay or onlay in New York takes two visits to the dentist. At the first, the damaged tooth is examined, an impression or scan is made and sent to our world-class lab for fabrication by a master ceramist. During the 5-10 days till the restoration returns from the lab, a temporary inlay or onlay is placed to fill the void of the missing tooth structure. During the second appointment, the permanent onlay or inlay is cemented into place and full function is restored to the tooth.

Onlays and Inlays in New York City

For complete dental care, including durable and long-lasting onlays and inlays, trust the dental professionals at New York General Dentistry. Led by Dr. Inna Chern, we’re here to serve Midtown East with comprehensive and individualized treatment plans. Whether you’re looking for cosmetic solutions or simply need a regular checkup, please get in touch with us by calling (212) 838-0842 or scheduling your appointment online.

Botox, an injectable produced using botulinum toxin, has many uses, both cosmetic and medical, that may surprise some patients. In the past several years, dentists have also started using Botox to improve their patients’ health in addition to cosmetic dentistry purposes. Here are some of the basics of how board-certified dentists like Dr. Chern use Botox.

When did Botox Become a Dental Procedure?

While most people are more familiar with Botox’s use in cosmetic settings, the product was actually developed for medical purposes first. Dentists first began using Botox in the 2010s after noting its effectiveness in treating oral health conditions as well as improving the appearance of the oral area and smile. With advanced knowledge of facial and oral anatomy, dentists like Dr. Chern make excellent providers of Botox injections.

What Can Botox be Used to Treat at the Dentist?

Within dental practices, Botox can be used to treat a variety of conditions.


TMJ (temporomandibular joint dysfunction) disorder causes patients to grind or clench their teeth, resulting in clicking when chewing or talking, headaches, and potential damage to the teeth. TMJ can be treated with Botox by injecting the product into the jaw muscles so patients are unable to clench their jaws subconsciously. In addition to relieving pain and discomfort, many patients also note a slimmer, narrower, or softer appearance in the jawline as a result of Botox injections for TMJ.


Similar to TMJ treatment, Botox can be used for bruxism, or unconsciously clenching the teeth when asleep or awake. The injection point for bruxism may differ slightly than for TMJ, but the results are more or less the same.


Many patients may experience headaches as a result of clenching the jaw or due to chronic migraines. Botox can be strategically injected through the face, head, and neck to reduce the frequency or intensity of chronic headaches.

Gummy smile

A gummy smile, or a smile that shows a significant amount of gum tissue, can be changed with Botox injections. To correct a gummy smile, Dr. Chern will inject Botox into the lip muscles, reducing the distance that the upper lip lifts, therefore reducing the amount of gum tissue that is revealed.

How Often Are Botox Injections Needed?

Botox treatment is not permanent, as the product is naturally metabolized by the body. The longevity of Botox’s effects varies from patient-to-patient and treatment area. Typically, dental patients who receive Botox treatment will have maintenance injections every six months.

How Long is Recovery After Botox from the Dentist?

Botox injections require no downtime. After receiving Botox from your dentist, you may experience some redness and minimal soreness at the injection site, which will quickly dissipate.

 Schedule an Appointment

To learn more about dental Botox treatment, schedule an appointment with Dr. Chern at New York General Dentistry. Call our Midtown East Manhattan dentists office at (212) 838-0842 or request an appointment online by requesting an appointment through our online scheduling system.

If you have diabetes, you already know that the disease affects the body in numerous ways. The gums and teeth are no different. For some patients, your dentist may even be the first to notice diabetes symptoms. Here are a few things you should know about the connection between diabetes and your dental health.

What is Diabetes?

Diabetes is a disease in which the blood sugar, or blood glucose, is too high. This is because the body does not produce sufficient insulin or because the body is unable to utilize insulin properly.

Patients with type 1 diabetes are typically diagnosed as children or young adults. For these patients, the immune system attacks the cells within the pancreas that produce insulin, so the body is not able to produce sufficient insulin.

Type 2 diabetes can occur in patients of any age and is caused by the body failing to produce or use insulin well.

How Does Diabetes Affect Dental Health?

There are a few ways that diabetes can affect the teeth and gums. Diabetes is associated with gum disease, which is also known as periodontal disease. This is an inflammatory process of the gums which causes the gums and jawbone to pull away from the teeth and lose attachment. Those with diabetes are at a higher risk because of a decreased ability to fight infection and heal properly.

Diabetic patients are also at a higher risk for tooth decay, or cavities. Due to high blood sugar levels, increased acids can erode the surfaces of the teeth, including enamel and dentin. This issue also causes gingivitis, a precursor to periodontal disease.

Thrush is also a concern for patients with diabetes. Thrush is a fungal infection that is caused by the yeast Candida albicans. Symptoms of thrush include white or red patches within the mouth which are painful. Diabetic patients should be especially careful with their dental hygiene routines to avoid thrush.

Finally, patients with diabetes often experience dry mouth due to a lack of sufficient saliva. Also known as xerostomia, dry mouth can lead to other dental problems including tooth decay, gum disease, or thrush, as the lack of saliva decreases your natural ability to cleanse the teeth throughout the day.

Symptoms to Look Out For

Symptoms of diabetes include excessive thirst, frequent urination, weight loss, and fatigue. In terms of dental symptoms, you may also experience dry mouth, inflammation or bleeding of the gums, difficulty tasting food, or poor wound healing within the mouth. Children with diabetes may also have teeth that erupt at an earlier age than average.

Dental Treatment Options for Diabetes

It’s key for patients to carefully manage their blood sugar levels to best avoid dental complications related to diabetes. Dr. Chern will also recommend that you have regular dental check-ups and cleanings. Maintaining good oral hygiene is an important way for diabetic patients to avoid issues including gum disease, cavities, and thrush, which they are at a higher risk for. Dr. Chern can also advise the best ways for you to maintain your oral hygiene through your regular, at-home routine. These include brushing your teeth at least twice a day, flossing at least once a day, and avoiding smoking.

How Often Should Diabetic Patients Visit the Dentist?

Patients with diabetes should visit the dentist at least twice a year for professional cleanings and check-ups. If you notice any symptoms such as inflammation of the gums, bleeding, or teeth becoming loose, schedule an appointment as soon as possible.

Schedule an Appointment

To schedule an appointment with Dr. Chern in Manhattan, New York, call (212) 838-0842 or request your appointment online.

Whether you’re a teenager or an adult, it’s a huge benefit to your confidence and dental health to have straight teeth. However, not everyone wants to go through the inconvenience and pain of traditional braces. For those looking to find an effective method of straightening their teeth without metal, Invisalign aligners are your go-to product. 

What Is Invisalign?

Invisalign is a treatment that slowly straightens teeth using clear aligners that are worn throughout the day. It is great for those looking to avoid the look and feel of traditional metal braces. Invisalign aligners are easily removable for your convenience, meaning you can still eat and drink all your favorite foods and beverages.

How Do Invisalign Aligners Work?

Each set of aligners has micromovements embedded into them. The aligners are fitted to your teeth with small attachments to improve tooth movement. Every 4-6 weeks you will check in with your doctor to make sure your progress is on track. Depending on your specific misalignments and structure, you will receive a new set of aligners when necessary. In order for the treatment to be the most effective, each aligner should be worn for 7-10 days for a total of 20-22 hours. Treatment times vary depending on the degree of misalignment.

Invisalign Aligners vs Metal Braces

There are many benefits to both Invisalign aligners and traditional metal braces. However, for some, Invisalign treatment may be a better treatment option. The success of aligner therapy is equal to or sometimes better for certain alignment issues.

Some of the downsides to metal braces include being painful or uncomfortable, their inability to be removed during treatment, and their obvious visibility. In comparison, Invisalign aligners are invisible, can easily be taken out when necessary, and adjust your teeth in a way that provides a less painful process. Plus, Invisalign aligners fit perfectly to your own teeth, allowing for a more predictable and effective treatment. Traditional braces often take over a year to straighten your teeth, while Invisalign treatment can give you results in as little as six months. 

What Is the Process to Get Fit for Invisalign Aligners?

To get fitted for your Invisalign aligners, a scanner will create a 3D digital rendering of your teeth and create a virtual model of your final smile design. Your dentist will take photographs of your smile and alignment to complete the treatment planning process. You will also need a dental examination to make sure your teeth are healthy and cavity-free before starting the process. X-rays will be taken to ensure that your teeth will react well to the Invisalign treatment. 

How long Will I Need to Wear Invisalign Aligners?

With Invisalign aligners, you will start to see results in a matter of weeks. Depending on your specific issue, it can take as little as six months to a year to complete your treatment. Teenagers may need around 12 to 16 months to complete due to jaw growth. Ultimately, your dentist will be able to explain the final treatment timelines. 

Schedule a Consultation

If you’re looking for convenient and effective teeth straightening treatment, Invisalign aligners may be your solution. To learn more about the Invisalign treatment process, we invite you to meet with our Manhattan team by calling (212) 838-0842 or filling out our online form.