Dr. Ian Jay Langer D.M.D.
Endodontist | Endodontics
140 Saint Paul Street Westfield NJ, 07090About
Dr. Ian Langer is an endodonist practicing in Westfield, NJ. Dr. Langer is a specialist dentist, focusing on tooth pain, root canals and other issues related to the interior part of the tooth. Endodonists can diagnose problems and perform procedures to fix them. Treatment from an endodonist can often save a diseased tooth. Root canal treatment is one of the most common procedures performed by an endodonist.
Education and Training
Fairleigh Dickinson University School of Dental Medicine DMD 1983
Board Certification
Internal MedicineAmerican Board of Internal MedicineABIM
Provider Details
Dr. Ian Jay Langer D.M.D.'s Expert Contributions
Will my root canal be canceled next month?
Ask your dentist or endodontist. No one knows for sure when restrictions will be lifted. You can be seen now if it is an emergency - pain or swelling. Many or most endodontists are seeing emergencies. It is possible that you will be able to be seen Monday...with proper precautions. Good luck. READ MORE
Is a surgical root canal painful?
If you are numbed up, there should be no pain during surgery. Afterward, usually OTC anti-inflammatories such as ibuprofen or naproxen sodium are sufficient. Of course, my normal recommendation would be to have your endodontist (root canal specialist) retreat the root canal first and avoid the surgery completely. Retreatment usually has a higher success rate. Speak to your endodontist for specifics to your case. Good luck. READ MORE
Do you need antibiotics after a root canal?
Usually, antibiotics are not required for root canal treatment. If the root canal can be properly cleaned out and sterilized, then no need for antibiotics. If it is being treated in more than one visit, your endodontist would put medication inside the tooth. If you have medicine in the tooth, why put it in your stomach? Pain meds are often recommended - OTC - Advil, Aleve, etc. (Anti-inflammatories are best, with or without Tylenol.) READ MORE
Why do you rinse with salt water after a root canal?
Usually, you don't have to rinse. It would be advisable to rinse if you had surgery or the gums lanced to drain pus. It will also help to bring the infection to a head. It will help the gums heal if they were damaged, but not always required. READ MORE
What can I eat 3 days after a tooth extraction?
Anything usually. Just don't lose the blood clot or irritate it or get food stuck in it. Your dentist should have advised you specifically. READ MORE
How to take care of your mouth after a root canal?
The tooth usually gets a crown afterward. Other than that, the usual care - brushing and flossing should work. No biting anything hard until it gets crowned. READ MORE
How do you clean your mouth after a root canal?
Normal brushing and flossing. Get the crown after the root canal is completed. READ MORE
How long after a root canal can I get braces?
Once the bone has healed and inflammation is gone. Your endodontist can advise you. READ MORE
Can you get teeth implants after a root canal?
Why? Root canal saves the tooth, implants replace a missing tooth. Generally, if the root candled tooth is lost, the site can have an implant. Whoever is doing the implant will have to determine the bone quality. READ MORE
What happens to teeth after a root canal?
After the root canal treatment, the tooth is weaker from the decay, so in most instances, it will require a crown. Until then, you must be careful not to fracture the tooth. Do brush and floss. READ MORE
What type of anesthesia is used for a root canal?
Typically, it would be the same analgesic as for a filling. READ MORE
How long does it take for amoxicillin to work for a tooth infection?
Antibiotics usually take 2 days to start working to control the infection, not cure it. If the tooth has an infected root canal, it will not be cured until the root canal is done. Best to see your endodontist as soon as possible for the root canal treatment. If the cause of the infection isn't removed, the infection can return. If antibiotics cured the root canal infection, there would be no need for root canal treatment. READ MORE
How do I know if my tooth abscess is spreading?
Any infection will spread if left untreated. You should see your dentist or endodontist (root canal specialist) as soon as possible to evaluate the abscess and treat the infection and save the tooth. Good luck. READ MORE
How should you recover from a root canal?
This varies from individual to individual. Some people go golfing or fishing, others go shopping. Some stay home with a glass of wine and tell the spouse and kids to get their own dinner. Some want to be left alone in front of the TV and play up the suffering. Most just go right back to work, or whatever they do. Since root canal is generally painless and recovery not bad, just 2 ibuprofen before the anesthetic can wear off, and they are fine. Yes, some people do have issues, most commonly if the bite if off, in which case, a quick call to your dentist for 5 minutes to adjust the bite will take care of it. It really should not be worse than a filling. Of course, if treatment has been delayed and you have a bad infection (what is a good infection?) it may be more sore, and sometimes the body will overreact with severe pain or swelling. This is why we have phones. Call your dentist and they will help you. Don't sit around and suffer, and don't wait around for the pain to start! You may never have any pain. Your endodontist can tell you more accurately what to expect. GOOD LUCK. READ MORE
Is it ok to get a crown without a root canal?
Generally speaking, you do not always need a root canal before a crown, but you almost always need the crown after root canal treatment. It depends on how close to the nerve you are, how healthy the nerve is, and perhaps location of the tooth, how much tooth is left (enough to support a crown?), if the nerve is damaged, or if there is not much good tooth present, then the root canal would be advisable. If the nerves are unhealthy or dead, you should have the root canal. If it is close to the nerve, do you risk pain and root canal after the crown is placed? Talk to your dentist or an endodontist (root canal specialist) get an exam and evaluation for peace of mind. Good luck. READ MORE
Do you have pain after a root canal?
There should be minimal discomfort under most circumstances. If you come in with a severe infection that has been brewing for a while, there can be significant pain. If the bite is off, there can be significant pain. If canals are not fully cleaned out or are missed, there can be pain. Most often, patients just need a little ibuprofen (over-the-counter) for discomfort. Your endodontist will determine the amount of pain to be expected. Quite often there is no pain. Good luck. READ MORE
Why are root canals so painful?
Most root canals are painless. You are numbed up like for a filling and usually feel no pain while being treated. Afterward, it can be sore or tender, but that usually settles down. Yes, some people do have pain for a variety of reasons including: waiting for the infection to be so severe that it won't get perfectly numb, so inflamed it won't get numb (hot tooth), the bite off from inflammation afterward, looking for sympathy from friends and family, looking to avoid work, waiting to start until they haven't slept in days (or nights), not taking or being able to take anti-inflammatories or other prescriptions. Also, not finding all the canals, not getting down all the canals, complicated teeth, not following through on appointments, listening to horror stories from friends and imagining the worst, listening to friends rather than their endodontist (root canal specialist), not following directions. Being that every case is different, don't assume the worst beforehand. Perhaps see an endodontist instead of your general dentist if it is a difficult tooth or if you are more nervous that it will be painful or a problem. If pain develops, DON'T WAIT to call, it is easier to deal with the pain earlier rather than waiting for it to increase. READ MORE
How long does a root canal take?
The time is quite variable, depending on many factors including: which tooth, how many canals, ease of access, how long can you keep your mouth open, how tight are the canals, can all canals be found, is this a retreatment (redo) of an old root canaled tooth, how bad is the infection, does it require surgery too, treated by a general dentist or an endodontist (specialist), etc. I have heard of single rooted teeth being treated in 15 minutes (usually those are the ones being redone) and others may be treated in multiple visits of 1 hour duration over a period of months. Bottom line, it should take as long as necessary to do it right, and not sacrifice quality for speed. Do it right the first time, you don't have to do it over. Better to come back for a second, scheduled appointment rather than come back for an emergency. Your endodontist will be able to give you more specifics after he examines you. Good Luck. READ MORE
Do I need a root canal before a bridge?
If the tooth already needs a root canal (pain or infection), then the root canal should be done first. If there is no pain or infection, but you have deep decay going into the nerve, do the root canal first. If it is a clean tooth, no decay or fillings, then you probably don't need the root canal, but it should be evaluated 1st to be sure (make sure the nerves are alive and healthy and responding normally). The tough question is, if there is no pain or infection but the tooth is being prepared (cut down) for the crown/bridge and it is close to the nerve, tests very weak responses, is calcifying in, do you do the root canal first? I would suggest an evaluation by an endodontist (root canal specialist) to determine the likelihood of a problem developing. If there is a good chance that it will end up with problems, then you do the root canal first, prophylacticly before it becomes a problem. It is easier to do the root canal before you put a crown/bridge on it...easier to see, no suffering or pain or abscess and you don't damage the new crown putting a hole in it which, if it is all porcelain, may shatter and require a new bridge. If you have the attitude that the dentist wants to do an unnecessary root canal just to pay for a new car, then by all means, don't do it. But ask yourself, do you feel lucky? Do you go to AC or Vegas and win? (I tend to lose). Can you risk the pain and abscess and getting a new bridge after just getting this one? Call it an ounce of prevention. Get the consultation from your endodontist and confirm it. READ MORE
How long is the recovery after a root canal?
If treated by an endodontist (root canal specialist), there should be no "recovery time" though I might recommend taking off from work and going shopping to take your mind off the treatment. An alternative is to tell your S.O. to deal with the kids/dog while you recover curled up with a glass of wine and a good book. You get no sympathy if you admit to feeling fine and going right back to your daily routine (which is what most people will do). Sorry for the sarcasm. Seriously, it usually is no different than a filling. Don't worry about it. Good luck. READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- Clinical Assistant Professor of Endodontics University of Pennsylvania Dental School 1985 - 1987
- Clinical Assistant Professor of Endodontics Fairleigh Dickinson University School of Dental Medicine 1985 - 1990
- Dental Assisting Consultant - Adviser - Resource Linden (NJ) High School Vo-Tech 1986 - 1993
Professional Memberships
- American Association of Endodontists
- New Jersey Association of Endodontists
- American Dental Association
- New Jersey Dental Association
- Union County Dental Society
- Garden State Dental Study Club
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