Thank you for your interest in Dr. Jacobs, the Scarsdale Endodontist. Dr. Arielle Chassen Jacobs,
specializes exclusively in the diagnosis and treatment of endodontic infections. Dr. Jacobs and her
expert team are committed to providing patients with standard-of-excellence care that is personal,
respectful, and clinically uncompromising. We look forward to being of service to you and hope to
exceed your expectations. We provide the following services in our Modern, State-of-the-Art
Facilities:
Root Canal Therapy
Endodontic Retreatment
Apicoectomy
Treatment of Traumatic Injuries
Internal Bleaching
We hope that the information provided here answers many of your questions about endodontic
treatment. If you would like additional information, please don’t hesitate to contact Dr. Jacobs,
the Scarsdale Endodontist at; 914-713-5113.
Born in New York, Arielle Chassen Jacobs, D.M.D. attended college at Emory University in Atlanta, Georgia. She then traveled to Philadelphia to begin her dental studies at the University of Pennsylvania where she was awarded the American Association of Endodontic Award of Excellence. Next Arielle Chassen Jacobs, D.M.D. attended Tufts University Dental School in Boston, Massachusetts where she completed specialty training in endodontics.
After graduation, Arielle Chassen Jacobs, D.M.D. returned home to New York to practice endodontics in Manhattan. She has passed all three portions of the board exam and is now a Diplomate of the American Board of Endodontics. To keep knowledgeable about best care practices and current technology, she participates with local and national, general dental and endodontic associations including the American Dental Association, New York State Dental Association and the American Association of Women Dentists.
Arielle Chassen Jacobs, D.M.D. currently lives in Scarsdale, N.Y. with her husband Dan, her daughters Zoe and Alana with their dog Lola. She enjoys the theater, trying new restaurants and spending time with her family.
Dr. Veena Ramesh graduated from Boston University’s Doctor of Dental Medicine (DMD) program in 2009, where she was placed in the Dean’s List for achieving academic excellence. Shortly after completing a one-year General Practice Residency at the Bronx Lebanon Hospital Center in New York, she moved to Fairfield County in Connecticut where she practiced as a general dentist for four years. Her decision to further her education brought her to the New York University (NYU) College of Dentistry, where she completed her Advanced Education Program in Endodontics. The rigorous two-year training enhanced her passion for the field. She has extensive knowledge in all aspects of non-surgical and microsurgical endodontics and embraces the use of current advancements and technology. During her time at NYU, Dr. Ramesh actively participated in research on Regenerative Endodontics and was awarded for her presentation at the annual American Association of Endodontists meeting (2016). Prior to her education and work experience in the United States, she received her Bachelors in Dental Surgery degree in India.
Dr. Ramesh believes that patient comfort and satisfaction is of paramount importance and is committed to providing exceptional, endodontic care as a part of the Scarsdale Endo team. She is an affiliate of the American Association of Endodontics and the American Dental Association. Outside of work, she enjoys spending time with her family and loves to dance, travel and cook.
Products And Services
ROOT CANAL THERAPY
Root canal therapy is a way to save your natural teeth and prevent the need for dental implants or bridges.
At the center of your tooth is the pulp. Pulp is a collection of connective tissue, blood vessels and nerves that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma, deep decay, fractures, or repeated dental procedures. Symptoms of the infection can be identified as a visible injury, swelling, sensitivity to temperature, or discomfort in the tooth and gums.
If you experience any of these symptoms, your dentist will most likely recommend endodontic treatment to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required.
With the appropriate care, your teeth that have had endodontic treatment will last as long as other natural teeth. Yet, a tooth that has received treatment may fail to heal or discomfort may continue to exist. Sometimes, the discomfort may occur months or years after treatment. If so, endodontic retreatment may be needed.
Improper healing may be caused by:
Curved or narrow canals that were not treated during the initial treatment.
Complicated canals went undetected during the initial treatment.
The crown or restoration was not placed within the appropriate amount of time following the procedure.
The crown or restoration did not prevent saliva from contaminating the inside of the tooth.
In some cases, new problems can influence a tooth that was successfully treated:
New decay can expose a root canal filling material, causing infection.
A cracked or loose filling or crown can expose the tooth to new infection.
Once retreatment has been selected as a solution to your problem, the doctor will reopen your tooth to gain access to the root canal filling material. This restorative material will be removed to enable access to the root canal. The doctor will now clean your canals and carefully examine the inside of the problematic tooth. Once cleaned, the doctors will fill and seal the canals and place a temporary filling in the tooth.
At this point, you will need to return to your dentist as soon as possible in order to have a new crown or restoration placed on the tooth to restore full functionality.
Generally, a root canal is all that is needed to save teeth with an injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth and your endodontist will recommend surgery. Endodontic surgery can be used to locate fractures or hidden canals that do not appear on x-rays but still manifest discomfort in the tooth. Damaged root surfaces or the surrounding bone may also be treated with this procedure. The most common surgery used to save damaged teeth is an apicoectomy or root-end resection.An incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function. Microsurgical techniques allow us to make a minimal incision and access to the root apex. The surgical operating microscope, providing both illumination and magnification, plays a central role in today’s success of apical surgery.
Traumatic dental injuries can occur in children or adults. Whether the dental injury is a result of an auto-accident, a bad fall or sports related incident, it’s important to get care as soon as possible. Timely treatment is particularly important with dislodged or avulsed teeth.
Types of dental injuries include:
chipped teeth
fractured teeth
cracked teeth
dislodged teeth
avulsed teeth
root fractures
Internal bleaching is a technique that is used to whiten the appearance of endodontically treated teeth. The process for an internal bleaching involves the insertion of a bleaching agent into the tooth, which is left for up to two weeks, and then replaced until the tooth achieves the level of whiteness desired. Not everyone is a candidate for internal bleaching. The doctor will evaluate the degree of staining and discoloration that is present.