Mac Arthur-Ridge Plaza, 330 Ridge Rd, Mahwah, NJ 07430 (201) 818-4500
We are able to provide more services to our patient's with
the addition of a periodontist to our team. You no longer
have to be referred out of our office to see a gum specialist!
Our Periodontist provides the following services right
here in our office:
- Implants to replace missing
- Reduction of teeth sensitivity
- Cosmetic treatments to cover
worn away gums
- Advanced gum disease treatments
- Wisdom teeth extractions
What do we hope to accomplish
with Periodontal Program:
- Gums that do not bleed. Healthy
gums do not bleed!
- Fresher breath and taste
- Gums that are not red, swollen,
- Knowing how to effectively
maintain good oral hygiene
- Reduced pocket depths
- Control of Periodontal Disease
What do we need from YOU, the
patient, to make this treatment a success:
- Completion of the periodontal
therapy prescribed by your Mahwah dentist
- Thoroughly cleaning all tooth
surfaces two times a day by brushing and flossing
- Maintenance of regular recare
Implants: Replace Missing Teeth
Teeth that are lost to gum disease, cavities, or trauma
from an accident can be permanently replaced by dental implants.
Interestingly, implants are considered by many dentists
to be a more conservative intervention than traditional
bridges or fixed partial dentures. It has two parts, a titanium
root and a custom made crown which is attached to it - there
is no need to harm adjacent teeth. Bone loss will always
follow the loss of a tooth. And if bone is lost even from
only one tooth, the surrounding teeth will shift. This can
affect your appearance, speech, ability to enjoy food, and
your self-esteem. Like any other cosmetic restoration, we'll
take into account your health, where the implant is needed,
the best implant design, and it suitability for your lifestyle.
How Can Implants Help?
- Implants really do look and feel
just like real teeth.
- Implants help to keep gums looking
healthy and young.
- Placing dental implants soon after
tooth loss can save bone, teeth, and the look of your
- For people with good overall health
and healthy gums and bone, implants can be an attractive
alternative to a denture or bridge.
Call us for a complimentary consultation
with our Periodontist (gum specialist) right here in our
office. For your convenience and comfort, we do your entire
treatment from start to finish. You work directly with our
team so that everyone knows exactly what stage you are in
with your treatment. Our periodontist places the implant
root while our general mahwah dentist places the crown. With implants,
your friends won't know how you're looking so good - but
you'll feel so great, you might just want to tell them!
WHAT IS PERIODONTAL DISEASE?
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Because we follow the highest standard of care,
we do a full periodontal evaluation at your initial and future hygiene
visits. Periodontal evaluation is the assessment of supporting structures
namely, bones and gums holding teeth in place. There is a space between
gums and each tooth, called periodontal pocket. This pocket is above
where gums are attached to root surfaces. In a healthy patient, the
Pocket is 1 to 3 millimeters deep.
In a patient with gingivitis/periodontitis (periodontal
disease), pockets get deeper, so the measurement are 4 millimeters or
more. The first level of periodontal disease is called gingivitis. When
gingivitis is left untreated, the pockets become deeper and lead to
moderate and advance periodontal disease. There may be bleeding, tenderness,
and swelling present. Gums are no longer pink and firm, they look puffy
and bluish/red in color. There are hard yellow tartar and soft white
plaque present by the gum line and in between the teeth.
Periodontal disease is an infectious and inflammatory
disease which destroys the periodontal tissues. It affects 3 out of
4 adults, and it is the greatest cause of adult tooth loss. There are
evidence now linking gum disease to a variety of health concerns including
Heart Disease, Stroke, Diabetes and other degenerative diseases that
are life threatening. In the early stages of periodontal disease there
is little, if any, pain; therefore you may not notice the gradual onset
of puffiness and occasional bleeding.
Without thorough removal, toxins from plaque
cause the disease process to continue. Periodontal disease left untreated
may result in extensive bone destruction and possible tooth loss. If
detected in the early stages, periodontal disease can be treated and
controlled. During our clinical examination, x-rays are taken to evaluate
the bone levels in relation to the teeth.
In addition, we use a periodontal probe "ruler"
to measure the depth of periodontal pockets. We choose an ideal treatment
plan to eliminate infection of the gums and root surfaces with you.
We make recommendations to help you more effectively clean your teeth
daily, and guide you through our efforts to achieve and maintain good
What is Root Planing?
Root planing is the treatment of the diseased
root surfaces below the gumline (in pockets greater than 4 mm). A routine
prophy (cleaning) emphasizes cleaning the teeth above the gumline in
a generally healthy mouth (pockets 3 mm or less). Root planing focuses
on eliminating tartar and plaque below the gum and detoxifying the root
surfaces where the disease occurs. Obtaining smooth roots and flushing
out the pockets allows for healthy reattachment of the gums to the root
Your Periodontal Program is a non-surgical approach to control periodontal
disease. There is NO CURE for periodontal disease; it can only be managed
or controlled. The bacteria that causes periodontal disease re-establishes
in 3 months after treatment A 3-month RECARE visit is critically timed
to disrupt this bacteria in pockets greater than four millimeters in
order to disable the destructive process at its critical stage. This
critical stage is when the bacteria and their poisons do the most harm
to the supporting structures
Healthy patients require cleanings once every 6 month. For patients
with adult periodontitis, supportive 3-month recare is not an option-but
a requirement for successful therapy. * Waiting longer than three months
for recare may result in advanced inflammation and may require anesthesia
to eliminate discomfort when treating. Your recare interval will be
determined by your mahwah hygienist and dentist to best manage your oral health.
We highly recommend Rota-dent® Periodontal Instrument
to control Periodontal Disease. We have incorporated it in our Non-Surgical
Periodontal Program, because the Rota-dent® has patented microfilament
brush tips designed to reach underneath the gum line and in-between
the teeth. It has clinically been proven to reduce harmful bacteria
beyond the brush tip in Periodontal Pockets. It rotates 12 times per
second, and mimics the prophy instrument used at dental offices to remove
plaque and stain. It keeps teeth polished and white.
*American Dental Association
Controlling Bad Breath
People with high blood pressure often don't
know about it. The same can be said of periodontal (gum) disease,
a near-painless condition that has been linked to heart and stroke
disease, diabetes, osteoarthritis, cancer, pregnancy, and other
It has been estimated that three quarters
of adults over age 35 have some degree of gum disease. Called
gingivitis in its early stages, the warning signs are swollen
and tender gums, bad breath, gums that may bleed when you floss,
and gums that are red, not pink.
Bacteria and debris in the gum area will
cause a buildup of plaque and tartar that can lead to inflammation
and chronic infection if not removed by proper and regular cleaning
and flossing. If allowed to spread and grow below the gumline,
this buildup will create pockets of bacteria that can destroy
your gums and the bones that support your teeth.
Bad breath or halitosis is something that
most of us have experienced. For many people chronic bad breath
is a problem that can be psychologically damaging, and even affect
a personal relationship or job. This can happen despite a regular
regimen of home oral care.
In our mouths, the decay of food debris
and naturally occurring bacteria produces odor-causing molecules
known as volatile sulphur compounds (VSCs). These have been shown
to facilitate periodontal (gum) disease, which has in turn been
linked to systemic diseases like heart attack, stroke, diabetes,
and cancer. Other causes of chronic bad breath include tobacco
use, dry mouth, or certain medical disorders or infections.
Treating gum disease and BreathRx.are
excellent ways for controlling bad breath. BreathRx produces special
brushes, tongue scrapers, toothpaste, antibacterial tongue gel,
spray, and even mouthrinses that are specially formulated to combat
bad breath. Each unique BreathRx product contains Zytex,
an exclusive ingredient containing zinc, eucalyptus oil, and thymol
which neutralizes volatile sulfur compounds. The active ingredient,
cetylpyridinium chloride, kills bacteria on contact. BreathRx
mouthrinse is the only antibacterial mouth rinse that's 100% alcohol-free!
The best prevention against periodontal disease is check up and
cleanings and thorough daily brushing and flossing. We screen
for periodontal disease every time you visit the office. You can
stop infection before this silent disease has a chance to sneak
up on your smile.
Reserve a complimentary consultation to find out more about treating
gum disease. We will be happy to provide you with any extra information
that you may require.
Arresting Gum Disease
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Gum disease, or periodontitis, is the most serious
oral health problem our country faces. Over fifty million North
Americans suffer from it.
Conventional treatment includes a combination
of treatment here in our office, and a strict regimen of home
oral care. We get rid of the bacteria-producing plaque on your
teeth and gums with cleaning. You then follow up with brushing
and flossing morning and night, and eating nutritiously.
Now there is a product called Arestin,
a tetracycline-derived antibiotic applied in powder form. Arestin
is placed at the site of the infection to reduce the disease-causing
bacteria over a period of about two weeks - painlessly. Clinical
tests have shown a remarkable reduction in the pockets caused
by tissue decay.
The antibiotic is usually used during or after
deep cleaning treatment, but can also be applied at your routine
cleaning appointment if needed. Its best use is in arresting or
reversing moderate periodontal disease, before the problem gets
to a critical stage. We can re-apply the antibiotic if necessary.
Often the use of Arestin means we may be able to avoid more serious
procedures such as periodontal surgery.
Periodontal disease is chronic and must be maintained
with regular dental cleanings and good home care. Please come
and see us about this new treatment if you have, or suspect you
might have, periodontal disease. We have in-office and take home
fluoride to reduce teeth sensitivity. With Pro-Select cleaning
tool, we can burnish your teeth with anti-sensitivity medication