Crowns and Bridges When Problems Arise

Crowns and Bridges: When Problems Arise

When you have a tooth or multiple teeth with extensive damage, your dentist may recommend a crown or bridge to restore your smile. Most of the time these restorations provide complete and successful results, but occasionally problems arise.

Tooth decay:
Good hygiene is imperative after a crown or bridge because plaque can build up in the area where the tooth and crown meet. Your crown can’t decay, but your tooth still can. Follow your dentist’s instructions for proper brushing, flossing, and fluoride use.

Gum disease:
Plaque buildup around a crown can cause gum disease called gingivitis, and if untreated advance to periodontitis.

Chipping or breaking:
Crowns and bridges are susceptible to damage like fracturing or chipping. Many crowns are made of porcelain, which can chip or completely fail. Heavy wear or stress such as teeth grinding can cause this type of damage, as well as an accident like hitting your restoration. Small chips may be repaired with composite filling, but larger damage can mean total replacement.

Incorrect color:
When having your crown or bridge made, you can choose from a selection of colors. However, the whitest shade is not advised because it likely won’t match the rest of your smile or it can look fake. Make sure you consider the color carefully or else you’ll be faced with redoing the restoration if you dislike it.

Falling out:
Several problems can cause your crown to fall out. The core may fail so that the interior portion of your crown is unable to provide a strong base for the restoration. Less likely, the cement can fail so that the crown simply needs stronger adhesion. Or, the post crown can dislodge so that you’ll see a large post sticking out of your crown. If your crown falls out, be sure to save it for your dentist in case it can be reinserted.

In most circumstances, these problems with your crown or bridge do not occur and you can enjoy a long lifespan with your restoration. If you do notice any of these issues, schedule an appointment with your dentist to ensure optimum oral health.

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Root Canal Therapy Myths

Have you been told that you may need a root canal treatment? Are you worried because of things you’ve heard in the media about how “awful” a root canal is? Don’t worry about what you’ve heard; endodontic therapy isn’t at all what you’d think. Let’s debunk some myths!

  • Myth #1: Root canal treatment is very painful. This isn’t true! In fact, a root canal treatment is performed specifically to relieve a patient’s pain, not to cause more. After a root canal treatment, you might feel some tenderness, but the pain you felt when the damaged tissue and infection was still inside the tooth will be completely gone. Once the swelling from the procedure has gone down, you will be able to use your new tooth exactly the way you could use your natural tooth when it was completely healthy.
  • Myth #2: Root canal therapy or other endodontic work can lead to disease elsewhere in the body. Another falsehood! Root canal treatments don’t spread disease to the rest of the body, rather, they remove infected tissue and bacteria from the body, preventing the affected tooth from becoming re-infected.
  • Myth #3: Extraction is better than root canal treatment. Extraction is not preferred to root canal treatment! Whenever possible, it’s preferred to keep your natural tooth. Your natural tooth’s roots stimulate and preserve the bone of your jaw, as well as providing adequate support to the surrounding teeth. Dental implants or dental bridges can be problematic, both in function and in dietary restrictions. In fact, an extraction can lead to several prolonged appointments to perform replacement procedures, treatments that are far more involved than a root canal treatment.

Endodontic treatment is an extremely common dental procedure that can provide durable, long-lasting restorations that will function as your natural tooth did. If you believe you may need a root canal treatment, talk to your endodontist or dentist today to see how this successfully proven treatment can help you and your smile needs.


We treat patients from Clinton NJ and the surrounding area

Making Dental Hygiene Fun for Kids

In many households, the bedtime routine is no fun. One of the trickiest parts for some parents is getting their kids to brush their teeth. However, it’s not a part of your child’s routine that should be skipped. To help make taking care of their teeth fun for children, here are some ideas for parents.

Toothbrushes

Provide your kids with fun toothbrushes! By choosing a brush decorated with their favorite character or color, your children will think of their toothbrush more like a toy than a dental tool. Consider getting more than one toothbrush, so each night they can choose the one they want to “play” with at the time.

Toothpaste

Children are picky about their toothpaste flavors just like their foods. Select toothpaste that you know your kids will like. Some of the flavor options include bubble gum and fruits, as well as the standby mint.

Floss

If they start flossing at a young age, your kids will likely view it as part of their oral hygiene routine all of their life. Try using some of the fun flossing tools on the market today, because they may help get your child interested in flossing. There are many colors and shapes to choose from, so keep trying until you find one that motivates your child.

Rewards

Enticing your children with rewards is often an easy way to encourage them to perform a task without arguing. Consider making a rewards chart and giving them a sticker each time they brush and floss. By the end of a week filled with good dental hygiene, a special reward will await them!

Schedule your appointment at our Clinton NJ dental office

Dental Problems Treated by Oral Surgery

Your family, general, or pediatric dentist or orthodontist may refer you to an oral and maxillofacial surgeon for some dental treatments that require oral surgery. An oral surgeon is a specialist who has graduated from an accredited dental school and also completed additional education and residency related to surgical procedures needed to treat various oral diseases and conditions. An oral surgeon is trained in treating the following conditions:

  • Removal of diseased or impacted teeth
  • Placement of dental implants
  • Treatment of facial trauma involving gums, jaws, nasal cavities, cheekbones, eye sockets, and forehead
  • Evaluation of pathologic conditions such as cysts and tumors of the mouth and face or acute infections of the oral cavity, salivary glands, neck, and jaws
  • Treatment of facial pain including those caused by temporomandibular (TMJ) problems
  • Cosmetic or reconstructive surgery to correct jaw, facial bone, and facial soft tissue problems
  • Corrective jaw surgery
  • Cleft lip and cleft palate repair
  • Surgical treatment for sleep apnea

There are many different techniques that oral surgeons use to accomplish your treatment goals. The choice of techniques may vary between surgeons and should be discussed between you and your surgeon prior to the procedure.

Many oral surgery procedures can be completed in an outpatient setting. Often you are only in the office for a few hours and can return to your regular routine in a matter of days. A good oral surgeon will be able to perform these procedures with little chance of complications, and will be able to provide you with the information you need to understand the recovery process. Your oral surgeon will often collaborate with other specialists, such as an orthodontist or cosmetic dentist, to achieve your ultimate treatment goals.


If you live in the Clinton NJ area contact us today

Treating Sleep Apnea With Oral Surgery

Obstructive sleep apnea is a condition created when a portion of the upper airway is blocked, causing breathing interruptions during sleep and low blood oxygen levels. As many as 20% of adults are affected by mild obstructive sleep apnea, while one in fifteen suffers from more severe apnea.

Symptoms of obstructive sleep apnea include snoring, extreme daytime drowsiness, restless sleep, high blood pressure, depression, problems with mental function, as well as a host of other mental and physical concerns. Left untreated, obstructive sleep apnea can lead to a long list of serious medical conditions, including hypertension, heart attack and stroke.

If you have been diagnosed with obstructive sleep apnea, your doctor may initially treat the condition with a CPAP device that you wear while sleeping. While a CPAP machine will reduce the obstruction to the airway, it is not a cure and will only be effective during use. Other non-surgical treatment recommendations may include the wearing of mouthguards to reposition the jaw, sleep position changes, or weight loss.

Tongue muscle advancement involves moving the bony attachment of the tongue muscles, and can be combined with palatal surgery to reduce excess tissues. This therapy may also include removing enlarged tonsils and nasal surgery. These treatments are most often used for milder cases of obstructive sleep apnea.

However, if these treatments do not work or for more severe cases of obstructive sleep apnea, oral surgery offers solutions to correct apnea. Maxillomandibular Advancement is a procedure that repositions the upper and lower jaw and chin to open the airway. This treatment is highly successful and offers the greatest chance of permanent correction in moderate to severe cases of obstructive sleep apnea.

For more information about how surgical therapies and treatments can be utilized to address your obstructive sleep apnea, consult with a qualified oral and maxillofacial surgeon.


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Tips about Receding Gums

Tips about Receding Gums

Receding gums not only look unattractive, they can harm your health. If you notice that your gums are receding, ask your dentist for help so that you can reverse the problem instead of allowing it to worsen. The goal is to catch gum recession early and get it under control before it turns into periodontal disease.

What exactly is gum recession?  It’s the condition in which the outer tissue on a tooth begins to wear away toward the root, leading to exposure of your tooth enamel and eventually your tooth’s root. If untreated, receding gums lead to periodontal disease. The best way to avoid this problem is to prevent it from starting in the first place. This is easily done by performing good oral hygiene techniques. Brush twice a day with a soft toothbrush using a circular motion and mild pressure. Also, floss your teeth every day.

If you see that your gums are starting to recede, it’s likely that practicing better dental hygiene will restore your gum health over time. A deep cleaning by your dentist will help kick-start your hygiene routine at home. In some cases, an even deeper cleaning called root planing may be necessary.

For more advanced cases of gum recession, your dentist may need to take tissue from other areas and use it to cover exposed roots. This can boost your gum tissue and make it healthy again. If you experience pain and increased sensitivity due to exposed roots, your dentist may prescribe medications to help.

The main thing to remember about receding gums is that quick action is important. Good dental care is key in both preventing it and in correcting the problem after it has begun. If you notice that your gums are pulling away from your teeth or experience sensitivity, start the healing process as soon as possible by asking your dentist for treatment advice.

We look forward to seeing you in our Clinton NJ dental office

FAQ about Dental Veneers

Porcelain veneers can transform your smile from one that embarrasses you to one that you’re proud to show off. A thin shell of porcelain is bonded onto the fronts of your teeth to improve the shape and color. If you’re looking to close gaps between your teeth, reshape your teeth, or brighten stained teeth, porcelain veneers may be your answer. Here are the answers to some frequently asked questions about veneers.

How do veneers work?:
Made from durable and natural-looking porcelain, veneers are customized to fit your teeth. Your face shape, skin tone, eyes, height, and even your personality are considered when designing your dental veneers. They are bonded securely to your teeth to give you the smile you always wanted.

Is it a long process to get them?:
The process for getting veneers usually takes about four to six weeks. At your first appointment, your teeth will be shaped and their surface will be slightly roughened. Impressions will be taken to create models of your mouth so that the veneers can be personalized for you. At the next appointment, your teeth will be cleaned and polished before a special adhesive is used to bond the veneers to your teeth. A high-intensity light is used to set the adhesive.

What will my teeth look like while I’m waiting for veneers?:
After your teeth have been prepared for veneers, usually you will be fitted with specialized temporary veneers. These interim veneers look better than your original teeth, so you won’t feel self-conscious during the waiting period.

How long do veneers last?:
Porcelain veneers typically last from ten to twenty years. Porcelain is very strong and durable, and resistant to stains and wear.

What are the advantages to veneers?:
Since the bond to your original teeth is strong, porcelain veneers can be treated just like your own teeth. They appear very natural because the porcelain looks similar to your tooth enamel. Veneers can also protect your teeth from further damage if they are chipped or worn down, so they not only cover your teeth with a layer of protection but also create a beautiful bright smile.

Our dental office is located in Clinton NJ

Dealing With Pain Following Root Canal Therapy

Root canal treatments are specifically designed to relieve the tooth pain associated with an infected tooth root. Patients come in with pain, and often leave the procedure with less discomfort than before. However, if you’ve recently had a root canal treatment on one or more of your teeth, you might be experiencing discomfort following the procedure. Fortunately, there are things you can do at home to take care of it.

Are your gums sore, tender or swollen surrounding the affected tooth? This is likely the result of the tiny metal clips that affix a rubber dam around the tooth, protecting it and protecting your mouth. The clips are attached along the gum line, and can leave tiny bruises or sometimes small cuts in the soft gum tissue. This pain should alleviate within two days of the treatment.

Is the tooth itself sore? This is a common occurrence and is typically the result of an inflammation of the mouth tissues that encase the tooth root. The tools used by the endodontist to perform the procedure can irritate the tissues.

Both of these types of pain can be dealt with by several over-the-counter analgesics. The ones that are most recommended to treat dental pain are those that possess anti-inflammatory agents: naproxen sodium, ibuprofen or aspirin, etc. If you are also taking narcotics prescribed by your dentist, do not take any further medication, over-the-counter or prescription, until you have checked with your dentist. Dangerous reactions can occur.

If you have been prescribed antibiotics, do not stop until you have completed each recommended dose. This ensures that your tooth remains free of infection and can heal thoroughly.

Ask your endodontist if you have other concerns about treating your post-root canal treatment pain.


We treat patients from Clinton NJ and the surrounding area

Make Your Big Day Special With Teeth Whitening

While life can be full of moments that are wonderful, there are days that just naturally stand out: your wedding, your graduation, a very special anniversary or birthday, or a big job interview you’ve always wanted. Many of these events are photographed, and when you look back at those photos in years to come, you naturally want to look your very best. Will you look back on your photos and wonder, could my teeth have looked better? The answer could be yes if your teeth aren’t the best and the brightest they can be.

Teeth are covered in enamel, a strong white coating on top of the internal structures of your tooth. As we age, enamel naturally wears away. Because it cannot be replaced naturally, the enamel thins, and the yellow layer of dentin beneath is exposed. This leads to smiles that are discolored and yellowed, appearing dingy and dim.

The foods we eat affect the brightness of our teeth, and some can begin to stain long-term. Beets, blueberries and blackberries can leave stains, as can tea, coffee, dark soda and red wine. Even soy sauce and balsamic vinegar can discolor your smile. If you have any crown, bridges or veneers, those structures aren’t affected by long-term stains, and can begin to stand out in unattractive contrast to your natural, darkening teeth.

Begin the process for your important day by scheduling an appointment with your dentist. Have your teeth examined and cleaned, and learn what teeth whitening procedures would best benefit your particular smile needs. Don’t wait until the last minute, as some whitening procedures take time to reach optimal effects. Some whitening methods increase the sensitivity of your teeth or surrounding gums. Planning ahead can allow your teeth some time to recover prior to your special event.

After your professional teeth whitening, you’ll be surprised at your self-confidence. Your mood will improve as you face those around you with your best and brightest smile, and everyone you meet will sense it. Love the photos you’ll be taking for years to come, and talk to your dentist today.

Schedule your appointment at our Clinton NJ dental office

Dental Veneers and Discolored Teeth

There are a number of reasons people choose to get dental veneers, which are able to hide all kinds of tooth problems. These thin porcelain shells are bonded to the front surfaces of your teeth and can transform an embarrassing smile into one to fill you with pride. One of the most common reasons that many patients opt for veneers is to hide discolored teeth.

No matter what the cause for it, teeth can lose their bright white shine over time. It can be from consuming foods and drinks that tend to stain teeth, such as red wine, coffee, berries, sodas, and other culprits. Or it can be side effects from medications, including the antibiotic tetracycline which can cause severe tooth discoloration if taken during a child’s formative years. Poor oral hygiene can also contribute to yellowed teeth, as well as tobacco use. Aging in general tends to discolor teeth too.

If your teeth show the effects of staining or yellowing, and you’d like to get that healthy youthful glow back, porcelain veneers are a good option. They provide a unique advantage of never staining, so they look like new the entire time you have them. With proper care, your veneers should last for decades or even a lifetime. That means a bright, white smile that won’t deteriorate!

Another great benefit about veneers is that they provide an instant improvement to your smile. As soon as they are placed, your smile will be transformed. If you have concerns about what they will look like, many dentists are able to use computerized photo imaging technology to give you an accurate idea of what to expect. This may alleviate any hesitations about veneers being the right solution to hide your discolored teeth. Ask your dentist today about the possibility of getting veneers to improve your smile.

Our dental office is located in Clinton NJ