My Blog
By Central New Jersey Prosthodontics
March 21, 2019
Category: Dental Procedures
Tags: impacted teeth  
YourChildsImpactedFrontTeethcanbeSaved-butDontWaittooLong

Children's permanent teeth normally erupt over several years after first forming below the gum line. All their permanent teeth should come in by the time they reach early adolescence.

Unfortunately, this process doesn't always happen as it should. If the erupting teeth become crowded due to a poor bite (malocclusion), teeth still to come in may not have enough room to fully erupt. They become impacted, a condition in which the visible crown remains partially or completely submerged below the gum line.

Impacted teeth create consequences for other teeth and dental health overall. They more readily cause abscesses (a localized infection within the gum tissue) and can damage the roots of nearby teeth. Impacted front canine (eye) teeth can interfere with bite function and their visual absence mars an otherwise attractive smile.

If your child's canine teeth have failed to erupt properly, there is a way to help them fully come in if you act before their mouth structure fully matures. The first step is an orthodontic evaluation of their entire bite. This will determine if there's enough space to move other teeth to make room for the impacted canines.

If so, we would then find the exact position of the impacted teeth using x-rays and possibly cone beam CT scanning for a detailed three-dimensional image. The teeth could be in a variety of positions, such as angled toward the roof of the mouth or cheek or buried high in the jawbone. If the teeth are too far out of position the best course of action may be to remove them and replace them later with a dental implant.

If the impacted teeth, though, are in a feasible position for retrieval, we first expose each tooth through the gums with a minor surgical procedure and bond a small bracket to it. We then attach a small gold chain to the bracket that loops over an orthodontic appliance attached to other teeth. The appliance will exert pressure over several months to pull the tooth into proper position.

If successful, your child will gain the use of these important teeth and a more attractive appearance. But don't delay — this desired outcome will become much harder if not impossible to attain as their teeth and jaws continue to develop.

If you would like more information on treating impacted teeth, 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 “Exposing Impacted Canines.”

By Central New Jersey Prosthodontics
March 11, 2019
Category: Dental Procedures
OrthodonticsCouldbetheSmileTransformerYouveBeenLookingFor

When designing your new smile, we have a lot of options for changing how individual teeth look: from whitening discolored teeth to replacing missing teeth with life-like dental implants. But the problem may not be how your teeth look — in fact, individually they may look perfect. If they’re not straight, though, your smile won’t be as attractive as it could be.

We can address a poor bite (malocclusion) through the dental specialty of orthodontics. By moving misaligned teeth we may be able to transform your smile without any other dental work, or it could serve as a more solid foundation for other cosmetic enhancements. To find out if orthodontics can make a difference for you, you should begin with an initial visit to your general dentist. A thorough dental examination will enable them to tell you if correcting your bite could be a good option for you. If it is, they’ll most likely refer you to an orthodontist, a specialist in treating malocclusions.

The orthodontist will also perform an evaluation and get as complete a picture as possible of your particular bite problems. This examination will also include checking jaw growth and development in younger patients, how the affected teeth align with other teeth, and if your current bite is having any effect on the jaw joints. This will provide a good overview of not only the malocclusion but how it affects the rest of your mouth.

With this detailed analysis, they can then advise you on the best course of treatment. Most malocclusions can be corrected with braces or, increasingly, clear aligner trays. In certain situations, though, more specialized approaches may be needed, such as isolating only certain teeth for movement.

While orthodontic treatment takes time and can be expensive, the end result can be amazing: an improved bite that not only enhances your appearance but improves function and long-term health. Along with other cosmetic enhancements to your teeth and gums, orthodontics can give you a new sense of confidence in your smile.

If you would like more information on improving your smile with orthodontic treatment, 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 “The Magic of Orthodontics.”

By Central New Jersey Prosthodontics
March 01, 2019
Category: Oral Health
SteelyDanFoundersDeathHighlightsImportanceofEarlyCancerDetection

Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.

As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.

Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.

Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.

Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome. If you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”

By Central New Jersey Prosthodontics
February 26, 2019
Category: Dental Procedures

Dental CrownsMillions of American adults are living with full or partial tooth loss. Even the loss of a single tooth can have an effect on your self esteem, nutrition, and your personal and professional life as well. Dental crowns and bridges are one of the least invasive and effective options available to restore missing teeth, restore tooth surface lost to trauma or decay, or improve the cosmetic appearance of damaged teeth. Dr. Nainesh Desai, a prosthodontist in East Brunswick, NJ, offers a range of general and cosmetic dentistry services for a healthier, more attractive smile.

Get a New and Improved Smile and Better Oral Health with Crowns and Bridges in East Brunswick, NJ

Q: What are crowns and bridges and how do they work?

A: Crowns are custom designed restorations that cover a broken, fractured, or severely decayed tooth to restore function and aesthetics. Dental crowns can also replace missing teeth with a bridge, which consists of abutment crowns on either side to anchor it in place.

Q: How does the procedure work?

A: The dentist will take an impression which is used to design the crown for a custom fit. Most crowns are made of porcelain and a combination of materials like ceramic, composite resin, and in some cases metal.

Q: Will I have to take time off of school or work while my crowns are being made?

A: No. The process will require a few short appointments to take the impression and prepare the tooth for the crown, but the procedure is minimally invasive and the dentist can place a temporary crown until the permanent crown is ready.

Q: How long do crowns and bridges last?

A: It varies, but the average life span of a dental crown ranges from five to ten years, but often longer. Practicing good oral hygiene and regular visits to the dentist (the American Dental Association recommends every six months for most people) is very important.

Find a Dentist in East Brunswick, NJ

For more information about crowns and bridges or other restorative and cosmetic dentistry options for you, contact Central New Jersey Prosthodontics today by calling (732) 254-2550 to schedule an appointment with Dr. Desai.

By Central New Jersey Prosthodontics
February 19, 2019
Category: Dental Procedures
Tags: orthodontics  
CoaxingImpactedTeethtotheRightPositioncanImproveYourSmile

What makes an attractive smile? Of course, shiny, straight and defect-free teeth are a big factor. But there’s another equally important element: all your teeth have come in.

Sometimes, though, they don’t: one or more teeth may remain up in the gums, a condition known as impaction. And if they’re in the front like the upper canines (the pointed teeth on either side of the front four incisors) your smile’s natural balance and symmetry can suffer.

Impaction usually happens due to lack of space on a small jaw. Previously erupted teeth crowd into the space of teeth yet to come in, preventing them from doing so. As a result the latter remain hidden within the gums.

While impaction can interfere with the smile appearance, it can cause health problems too. Impacted teeth are at higher risk for abscesses (localized areas of infection) and can damage the roots of other teeth they may be pressing against. That’s why it’s desirable for both form and function to treat them.

We begin first with an orthodontic examination to fully assess the situation. At some point we’ll want to pinpoint the impacted teeth’s precise location and position. While x-rays are useful for locating impacted teeth, many specialists use cone beam CT (CBCT) technology that produces highly detailed three-dimensional images viewable from different vantage points.

If the tooth is in too extreme a position, it might be best to remove it and later replace it with a dental impact or similar restoration once we’ve completed other necessary orthodontic treatment. But if the tooth is in a reasonable position, we might be able to “move” the tooth into its proper place in the jaw in coordination with these other tooth-movement efforts to make room for it.

To begin this process, an oral surgeon or periodontist surgically exposes the tooth crown (the normally visible portion) through the gums. They then bond a small bracket to the crown and attach a small gold chain. An orthodontist will attach the other end to orthodontic hardware that will exert downward pressure on the tooth to gradually bring it into normal position.

Dealing with impacted teeth of this nature is often part of a comprehensive effort to correct the bite. If we’re successful, it could permanently transform both the smile and overall dental health.

If you would like more information on treating impacted teeth, 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 “Exposing Impacted Canines.”





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.

Office Hours
Monday: Closed
Tuesday: Closed
Wednesday: 09:00 AM - 07:00 PM
Thursday: 09:00 AM - 05:00 PM
Friday: Closed
Saturday:
   
09:00 AM - 01:00 PM
(Once a Month)
Sunday: Closed

Contact Us