Implants & Periodontics

Periodontist Mahwah, NJ

Advance Dental Care is able to provide more services to our patients 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 Mahwah, NJ periodontist provides the following services right here in our office: 

  •  Dental implants to replace missing teeth
  • Reduction of teeth sensitivity
  • Cosmetic treatments to cover worn away gums 
  • Advanced gum disease treatments
  • Biopsy
  • Wisdom teeth extractions

What we hope to accomplish with our Periodontal Program:

  • Gums that do not bleed. Healthy gums do not bleed!
  • Fresher breath and taste
  • Gums that are not red, swollen, or tender
  • 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 visits

Replace Missing Teeth With Dental Implants Mahwah, NJ

replacing teeth with dental implants Mahwah, NJ periodontist

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 smile. 
  • For people with good overall health and healthy gums and bone, implants can be an attractive alternative to a denture or bridge.

 Call Advance Dental Care to schedule a consultation with our Oral Surgeon and Prosthodontist right here in our Mahwah, NJ dental 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 Oral Surgeon and Prosthodontist places the implant root while our general Mahwah dentist places the crown. With dental 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?

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 is 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. 

Periodontal Exam at Advance Dental Care

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. 

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 oral health.

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 surface. 

Controlling Gum Disease

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 months. 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 periodontist to best manage your oral health.


We highly recommend Rota-dent® Periodontal Instrument to control Periodontal Disease. We have incorporated it into 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

illustration of mouth with bacteria on tongue causing bad breath, periodontist Mahwah, NJ

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 health issues. 

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 mouth rinse 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.

Arestin™ For Gum Disease

Arestin product packaging for gum disease treatment Mahwah, NJ

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 in seconds.

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