98 James Street Suite 306Edison, NJ 08820(732) 548-8600

Dentist Blog

Posts for: January, 2017

By Frechtman Family Dental of Edison
January 21, 2017
Category: Dental Procedures
Tags: dental implants  

Unlike other tooth replacement options, dental implants require a surgical procedure. But don't let your imagination run wild — the procedure is relatively minor and easy for most people to undergo.

Implants are unique among restorations because they replace a tooth's root. A metal titanium post, substituting for the root, must be surgically placed into the jawbone. While the procedure itself is simple and no more involved than a tooth extraction, it does require careful attention to detail before, during and afterward.

Our first step is to examine the target site with x-rays (often CT scanning) to pinpoint the best location for placement. This is critical because where we place the implant will have a huge bearing on how attractive and natural the implant finally appears. From this evaluation we frequently create a surgical guide.

Surgery begins with a local anesthesia to completely numb the site. You will feel no pain during the procedure and only minimal discomfort for a few days afterward. We then make small incisions in the gums to access the bone and create a small channel or hole.

Using the surgical guide, we then initiate a drilling sequence that gradually increases the size of the channel until it's the size and shape of the implant post. One thing we must do at this point is take our time: we use gentle pressure and water-cooling to avoid overheating and damaging the bone.

Once we're finished with drilling we remove the implant from its sterile packaging and imbed it directly into the prepared channel. It's then a matter of verifying the location with x-rays and then closing the gum tissue with self-absorbing sutures if necessary.

Most patients only need mild pain medication like aspirin or ibuprofen to manage discomfort afterwards. You won't even notice it in a week or less. After several weeks in which the bone grows and adheres to the implant (a process called osseointegration), you'll be ready for the final step, attaching the life-like porcelain crown to the implant.

Although the process can take several weeks to months, your discomfort should be minimal at any stage. In the end, your patience will be rewarded with a new, more attractive smile.

If you would like more information on the process of obtaining dental implants, 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 “Dental Implant Surgery.”

By Frechtman Family Dental of Edison
January 19, 2017
Category: Dental Procedures

If you have missing teeth, dental implants can drastically change your smile. While the only option used to be dentures or dental bridges, dental implantsimplants are the result of great strides in modern dentistry and are the most permanent and effective form of tooth replacement. Learn more about dental implants with Frechtman Family Dental in Edison, NJ.

The Types of Dental Implants

  • Implant-Supported Dentures: Implant-supported dentures use a full arch of dentures to replace your missing teeth. However, rather than using suction or gravity to stay in place, permanent metal dental implants hold them in your mouth. The denture simply clicks into the implants, which provide a sturdy and stable foundation. Implant-supported dentures can be either permanent and non-removable or removable.
  • Single Tooth Replacing Implants: Replacing a single tooth requires only one implant. The implant permanently holds a porcelain prosthetic tooth in place.
  • Multiple Tooth Replacing Implants: Replacing multiple teeth requires the help of a porcelain dental bridge. Two implants on either side of the gap in question holds the bridge in place. This method allows your surrounding healthy natural teeth to remain intact and does not require their support to hold the bridge in place.

Dental Implants in Edison
Dental implants grow into the jawbone beneath your gums. Due to their unique placement, implants require that patients have minimal bone atrophy. Atrophy is the degradation of the bone due to lack of stimulation. When a patient has significant bone atrophy, they may require a bone graft to rebuild the bone before placing dental implants. Additionally, patients should be in good general and dental health and able to undergo general anesthesia if necessary. Your dentist can help you determine if you are a good candidate for dental implants at an in-office consultation.

For more information on dental implants, please contact Dr. Saul Frechtman and Dr. David Frechtmanat at Frechtman Family Dental in Edison, NJ. Call (732) 548-8600 to schedule your appointment with your dentist today!

By Frechtman Family Dental of Edison
January 06, 2017
Category: Oral Health

For anyone else, having a tooth accidentally knocked out while practicing a dance routine would be a very big deal. But not for Dancing With The Stars contestant Noah Galloway. Galloway, an Iraq War veteran and a double amputee, took a kick to the face from his partner during a recent practice session, which knocked out a front tooth. As his horrified partner looked on, Galloway picked the missing tooth up from the floor, rinsed out his mouth, and quickly assessed his injury. “No big deal,” he told a cameraman capturing the scene.

Of course, not everyone would have the training — or the presence of mind — to do what Galloway did in that situation. But if you’re facing a serious dental trauma, such as a knocked out tooth, minutes count. Would you know what to do under those circumstances? Here’s a basic guide.

If a permanent tooth is completely knocked out of its socket, you need to act quickly. Once the injured person is stable, recover the tooth and gently clean it with water — but avoid grasping it by its roots! Next, if possible, place the tooth back in its socket in the jaw, making sure it is facing the correct way. Hold it in place with a damp cloth or gauze, and rush to the dental office, or to the emergency room if it’s after hours or if there appear to be other injuries.

If it isn’t possible to put the tooth back, you can place it between the cheek and gum, or in a plastic bag with the patient’s saliva, or in the special tooth-preserving liquid found in some first-aid kits. Either way, the sooner medical attention is received, the better the chances that the tooth can be saved.

When a tooth is loosened or displaced but not knocked out, you should receive dental attention within six hours of the accident. In the meantime, you can rinse the mouth with water and take over-the-counter anti-inflammatory medication (such as ibuprofen) to ease pain. A cold pack temporarily applied to the outside of the face can also help relieve discomfort.

When teeth are broken or chipped, you have up to 12 hours to get dental treatment. Follow the guidelines above for pain relief, but don’t forget to come in to the office even if the pain isn’t severe. Of course, if you experience bleeding that can’t be controlled after five minutes, dizziness, loss of consciousness or intense pain, seek emergency medical help right away.

And as for Noah Galloway:  In an interview a few days later, he showed off his new smile, with the temporary bridge his dentist provided… and he even continued to dance with the same partner!

If you would like more information about dental trauma, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Trauma & Nerve Damage to Teeth” and “The Field-Side Guide to Dental Injuries.”