Posts for category: Dental Procedures

By Jeffrey Mason, DMD
May 07, 2019
Category: Dental Procedures
Tags: crowns  
NewCrownsGiveBothDurabilityandBeautytoProblemTeeth

Repairing a decayed tooth may be as simple as removing the damaged tooth material and filling the void. Many filling materials can now match the color of a tooth, so the dental work is hardly noticeable.

Sometimes, though, the decay is too extensive or we've treated the tooth several times and it won't support another filling. If the tooth is still viable, we may be able to cover it with a custom crown.

Also known as a cap, a crown fits over and is securely affixed to the tooth with bonding material or cement. Crowns have been used for decades to restore teeth, but the materials they're made of have changed with time.

The original crowns were made of metal, usually gold or silver. They were strong and could hold up well to the daily forces produced by chewing or biting. They did, however, visually stand out and came to be regarded as unattractive. There were porcelain materials available that could closely mimic the life-likeness of teeth, but they could be weak and brittle.

Dentists came up with a hybrid crown that could supply strength as well as an attractive appearance. These were composed of two parts: an inner metal frame for strength overlaid with porcelain for appearance. These fused crowns were the most popular until the mid-2000s.

About that time, newer forms of porcelain came on the market that were not only attractive, but also durable. Although caution should still be taken when biting something hard, they've proven to stand up well to biting forces. Fused porcelain to metal is still in use, but usually for back teeth where biting forces are higher and the crown won't be as noticeable as on front teeth.

Crowns can also address cosmetic issues with chipped, fractured or excessively worn teeth. But with any crown you should be aware that much of the original tooth material must be removed to accommodate the fit. The altered tooth will require a crown or other restoration from then on. Crowns must also be custom-made by a dental technician in a process that can take weeks.

Still, the process can be well worth it. With proper care and maintenance, a crown could serve you and your smile well for many years to come.

If you would like more information on crowns and other restoration options, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Crowns & Bridgework.”

By Jeffrey Mason, DMD
April 27, 2019
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces).┬áSome people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”

By Jeffrey Mason, DMD
March 06, 2019
Category: Dental Procedures
Tags: teeth whitening  

People notice your smile before any other physical attribute. Research from the American Academy of Cosmetic Dentistry proves it. If youTeeth Whitening have a yellowed, dull, dingy smile and wish to improve it safely and quickly, professional teeth whitening could be your best option. At Mason Dental Associates in Hasbrouck Heights, NJ, Dr. Jeffrey Mason and Dr. Seth Perlmutter often recommend in-office or at-home whitening processes to brighten teeth beautifully.

Your refreshed smile

Time combined with what you put in your mouth can rob you of your best smile aesthetics. Tobacco, dark beverages and foods, wear and tear, and the aging process dull and darken tooth enamel and can make people too ashamed to smile.

However, if your teeth are healthy, you likely are a great candidate for professional teeth whitening from Mason Dental Associates in Hasbrouck Heights. Performed in the office or at-home, teeth whitening treatments remove stubborn stains using a powerful hydrogen peroxide gel. Professionally supervised, this very popular treatment leaves teeth up to eight shades brighter, and your budget will find it very cost-sparing.

Here's how it works

Come to Mason Dental Associates for a personalized cosmetic dentistry consultation. Your dentist will examine your teeth and gums, and if you're healthy, you can begin right away.

The in-office treatment takes about an hour as your dentist carefully applies concentrated hydrogen peroxide gel. After the gel does its work, it is rinsed off, and you're ready to go! If you opt for the at-home version, your dentist will fit you with customized application trays. You'll use the trays daily to apply your gel. In about a week, you'll have similar, stunning results.

You can keep your smile white

While results vary a bit, whitened smiles stay bright indefinitely. Just brush twice daily and floss carefully. Get your six-month cleanings and exams with Dr. Mason or Dr. Perlmutter. If you need whitening touch-ups, you may get them from time to time, too.

Additionally, try to restrict tobacco use, and if you consume dark foods, such as coffee and curry, rinse your mouth with water, and brush when you can. Some people drink their coffee, tea and colas with a straw to keep staining liquids off their teeth.

A great look

It can be yours with professional teeth whitening done right. Call Mason Dental Associates in Hasbrouck Heights, NJ, for a consultation. Phone (201) 288-4447, and speak to a team member.

By Jeffrey Mason, DMD
February 26, 2019
Category: Dental Procedures

Teeth Whitening ResultsDrs. Jeffrey Mason and Seth Perlmutter offer teeth whitening in his Hasbrouck Heights, NJ, office, or provides you with a take-home-kit.

What the difference between an in-office procedure and home-kit?

The take-home-kit is custom designed for your teeth and needs by your Hasbrouck Heights dentist. The results take longer to show themselves than when using an in-office procedure, but this is better than over-the-counter teeth-whitening kits you get at your local store, and it's convenient for busy individuals. Your doctor gets an impression of your teeth and creates a mold so that two thin, flexible plastic mouth trays, one for your upper teeth and the other for your bottom teeth, are made for you. All you need to do is fill each tray with whitening gel provided by your dentist, position each tray over the upper and bottom teeth, then wait for about an hour. You may need to repeat the process to see the results you want.

An in office procedure is done at your doctor's office of course. They place a device designed to keep your cheeks and lips open is placed your mouth. This device ensures soft tissue in your mouth don't come in contact with hydrogen peroxide gel and other high-concentration bleaching gels used by your doctor to whiten your teeth. The doctor will then apply gel on the surface of your teeth and leave it for a few minutes. The procedure takes about one-hour. If your dental stains are severe, you may need more than one session.

The reasons for discolored teeth may be one of the following, or a combination:

  • Drinking too much tea and coffee and eating too many berries can also stain your teeth.
  • Not maintaining a healthy oral and dental regiment may contribute to plaque and tartar buildup.
  • Chewing tobacco and smoking can cause the accumulation of stains on teeth.
  • Aging does play a factor because the dentin under the tooth enamel is yellow and is exposed over time.
  • Not eating healthy foods like apples scrapes away plaque and drinking enough water can help remove food debris from teeth.
  • Medications like certain antibiotics can stain teeth.

To ensure teeth remain white and for proper oral health care in general, do the following:

  • Receiving fluoride treatment and using fluoride-containing products like toothpaste and mouthwash, or drinking fluoride-containing water, to prevent issues like gum disease and tooth decay and help repair teeth
  • Flossing at least once before bed will remove food debris
  • Avoiding tobacco, smoking, and drinking too much coffee and tea
  • Getting professional dental cleanings and checkups every six months to remove hardened plaque that's accumulated on teeth and around gums over time
  • Brushing your teeth for at least two minutes twice a day, at least, while holding the brush at a 40-degree angle to clean hard-to-reach areas

Drs. Jeffrey Mason and Seth Perlmutter offer teeth whitening in his Hasbrouck Heights, NJ, office. Call for an appointment at (201) 288-4447!

By Jeffrey Mason, DMD
February 26, 2019
Category: Dental Procedures
Tags: toothache  
YourToothacheisTellingyouSomethingsWronginYourMouth

A toothache might mean you have tooth decay—or maybe not. It could also be a sign of other problems that will take a dental exam to uncover. But we can get some initial clues about the underlying cause from how much it hurts, when and for how long it hurts and where you feel the pain most.

Let's say, for instance, you have a sharp pain while consuming something cold or hot, but only for a second or two. This could indicate isolated tooth decay or a loose filling. But it could also mean your gums have receded and exposed some of the tooth's hypersensitive root surface.

While over-aggressive brushing can be the culprit, gum recession is most often caused by periodontal (gum) disease. Untreated, this bacterial infection triggered by accumulated dental plaque could eventually cause tooth and bone loss, so the sooner it's attended to the better.

On the other hand, if the pain seems to linger after encountering hot or cold foods and liquids, or you have a continuous throbbing pain, you could have advanced tooth decay that's entered the inner pulp where infected tooth nerves are reacting painfully. If so, you may need a root canal treatment to remove the diseased pulp tissue and fill the empty pulp and root canals to prevent further infection.

If you have this kind of pain, see a dentist as soon as possible, even if the pain stops. Cessation of pain may only mean the nerves have died and can no longer transmit pain; the infection, on the other hand, is still active and will continue to advance to the roots and bone.

Tooth pain could also indicate other situations: a cracked tooth, an abscess or even a sinus problem where you're feeling the pain radiating through the teeth. So whatever kind of pain you're feeling, it's your body's alarm signal that something's wrong. Promptly seeing your dentist is the best course of action for preserving your health.

If you would like more information on treating tooth pain, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Pain? Don't Wait!