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You've seen ads for “Teeth in One Day” that promise immediate implant placement at the same time you have the problem tooth removed. But this presumes the gums and underlying bone are healthy and able to support and protect the implant. If that's not the case, it may be ill-advised to place an implant on the same day.

Even with immediate placement, there will be a small degree of bone and gum opening or space around the implant after it's placed into the socket. This can often be remedied by placing a bone graft and sometimes a gum graft when we install the implant. It's also possible for natural healing to gradually fill in the space, but we'll need to monitor the site carefully for several weeks.

On the other hand, if we detect significant bone loss (or strongly suspect it will occur), immediate placement may not be an option — there's not enough bone or it's too weak to support an implant. In this case, it's necessary to wait on placement and focus on improving the bone health and quantity, beginning when we remove the old tooth and place a bone graft.

After completing the extraction, we typically place a bone graft in the empty socket. The graft will become a “scaffold” for new bone cells to grow upon. We may then allow about two to four months for new bone to partially replenish the area and then place the implant. The bone will continue to regenerate as it grows and attaches to the titanium implant to create a solid attachment.

If the site, however, still appears fragile even after partial bone growth, we may opt to wait another two to four months before attempting placement. From a long-term perspective, this is the best scenario for ensuring a durable foundation for the implant. It also allows for a socket severely compromised by disease to heal more thoroughly.

To determine which of these placement scenarios is best for you, we'll first need to conduct a thorough dental examination. From there we'll be in a better position to discuss the right implant timeline for your situation. Our main goal is to ensure we can securely place your implant in just the right position to achieve the most successful and attractive result.

If you would like more information on 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 “Implant Timelines for Replacing Missing Teeth.”


It's no secret that many of Hollywood's brightest stars didn't start out with perfectly aligned, pearly-white teeth. And these days, plenty of celebs are willing to share their stories, showing how dentists help those megawatt smiles shine. In a recent interview with W magazine, Emma Stone, the stunning 28-year-old star of critically-acclaimed films like La La Land and Birdman, explained how orthodontic appliances helped her overcome problems caused by a harmful habit: persistent thumb sucking in childhood.

“I sucked my thumb until I was 11 years old,” she admitted, mischievously adding “It's still so soothing to do it.” Although it may have been comforting, the habit spelled trouble for her bite. “The roof of my mouth is so high-pitched that I had this huge overbite,” she said. “I got this gate when I was in second grade… I had braces, and then they put a gate.”

While her technical terminology isn't quite accurate, Stone is referring to a type of appliance worn in the mouth which dentists call a “tongue crib” or “thumb/finger appliance.” The purpose of these devices is to stop children from engaging in “parafunctional habits” — that is, behaviors like thumb sucking or tongue thrusting, which are unrelated to the normal function of the mouth and can cause serious bite problems. (Other parafunctional habits include nail biting, pencil chewing and teeth grinding.)

When kids develop the habit of regularly pushing the tongue against the front teeth (tongue thrusting) or sucking on an object placed inside the mouth (thumb sucking), the behavior can cause the front teeth to be pushed out of alignment. When the top teeth move forward, the condition is commonly referred to as an overbite. In some cases a more serious situation called an “open bite” may develop, which can be difficult to correct. Here, the top and bottom front teeth do not meet or overlap when the mouth is closed; instead, a vertical gap is left in between.

Orthodontic appliances are often recommended to stop harmful oral habits from causing further misalignment. Most appliances are designed with a block (or gate) that prevents the tongue or finger from pushing on the teeth; this is what the actress mentioned. Normally, when the appliance is worn for a period of months it can be expected to modify the child's behavior. Once the habit has been broken, other appliances like traditional braces or clear aligners can be used to bring the teeth into better alignment.

But in Stone's case, things didn't go so smoothly. “I'd take the gate down and suck my thumb underneath the mouth appliance,” she admitted, “because I was totally ignoring the rule to not suck your thumb while you're trying to straighten out your teeth.” That rule-breaking ended up costing the aspiring star lots of time: she spent a total of 7 years wearing braces.

Fortunately, things worked out for the best for Emma Stone: She now has a brilliant smile and a stellar career — plus a shiny new Golden Globe award! Does your child have a thumb sucking problem or another harmful oral habit? For more information about how to correct it, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “How Thumb Sucking Affects the Bite.”


You’ve decided to obtain dental implants for your missing teeth. It’s a good choice — they provide the closest restoration to the function and appearance of natural teeth. You will, however, need to undergo a surgical procedure to imbed the implants’ threaded titanium posts into supporting bone.

It’s understandable if you’re a little apprehensive about undergoing surgery. We’re here, though, to set your mind at ease: implantation is a relatively minor procedure carefully planned in advance. Most patients experience no discomfort during the procedure and very little afterward.

We begin by completely numbing the surgical site with a local anesthetic. If you have a high level of anxiety, we can also administer a sedative or similar medication to help you relax. We then access the underlying bone through a series of incisions that create a flap in the gum tissue that we’ll later suture closed.

It’s quite common to have prepared a surgical guide or template beforehand. The template placed in the mouth marks the exact site for a small channel (or hole) we create in the bone. We then incrementally increase the size of the hole by drilling until it matches precisely the implant’s size and shape. This takes time to avoid overheating and damaging the bone.

We then remove the implant from its sterile packaging and insert it into the opening. We’ll also take x-rays to ensure correct positioning, which is critical for achieving an attractive result. We then suture the gum flap in place using stitches that will eventually dissolve. The implant will then integrate with the bone for a few weeks to create a strong, durable hold before we continue with the restoration.

Most patients can manage any post-surgical discomfort with mild anti-inflammatory pain relievers like aspirin or ibuprofen, although we can prescribe something stronger if you need it. We may also prescribe a mouthrinse with an anti-bacterial agent like chlorhexidine for you to use while the gums are healing to reduce the risk of infection.

Implant surgery is part of a long process that will eventually result in regaining the function of your lost teeth. What’s more, undergoing this minor procedure will also help you regain something just as important — a beautiful smile.

If you would like more information on dental implant restoration, 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 Transcendental, LLC
February 15, 2018
Category: Dental Procedures
Tags: root canal  

Tooth-saving root canals help you keep your smile intact. Clifton, NJ, dentist Dr. Toan Bui describes the root canal process and shares aroot canal few signs and symptoms that may occur if you need root canal therapy.

Getting to the root of the problem

Root canals are necessary when your tooth pulp becomes inflamed or infected. The pulp forms the soft core of a tooth and is made up of nerves, blood vessels and connective tissue. Living with an inflamed or infected tooth can be very uncomfortable. If the pulp isn't removed during root canal therapy, pain will intensify, and you may be more likely to develop an abscess, a serious bacterial infection. Eventually, there may be no other choice but to remove the tooth.

Fortunately, root canals can help you avoid tooth loss. Root canal therapy involves removing the pulp and thoroughly cleaning the inside of the tooth and the narrow canals that extend into your roots. A durable, rubber-based filling seals and protects the tooth. In many cases, you'll also need a crown after your treatment, as your treated tooth will be a little more fragile.

Common signs and symptoms that may mean you need a root canal

A root canal may be necessary if you experience chronic pain in a tooth. Because tooth pain may have several causes, it's important to schedule an appointment with your dentist in our Clifton, NJ, office when you first experience a toothache. An inflammation or infection in your pulp can cause increased sensitivity in teeth. Chewing can be particularly painful, and you may soon avoid chewing on the affected side of your mouth. Indulging in a sugary, hot or cold food or beverage is a bad idea when you need a root canal. Even a small sip or bite can cause pain that lasts up to a half-hour.

Your infection or inflammation can cause a few obvious symptoms. If you take a look in your mouth, you may notice that the gum around the tooth is red or swollen. In some cases, a tooth that needs a root canal may darken.

Swelling on one side of your jaw isn't uncommon if you develop an abscess. In addition to a swollen face, you may also experience a fever, swollen lymph nodes, pus around your tooth and severe, throbbing pain. Let us know immediately if you notice any of these symptoms. An abscess is a dental emergency and must be treated as soon as possible to prevent the spread of the infection.

Do you have any of these symptoms? Call Clifton, NJ, dentist Dr. Toan Bui at (973) 458-9899 to schedule an appointment.

By Transcendental, LLC
February 01, 2018
Category: Dental Procedures
Tags: cosmetic dentistry  

Our main focus as your dentist is to keep your teeth and gums healthy and functional. But there’s another important aspect of care — your teeth’s appearance. It’s not just a superficial concern: your smile can have a profound effect on your self-image, as well as your personal and professional relationships.

This is the realm of cosmetic dentistry: served by both specialists and general dentists, it focuses on altering your teeth’s appearance with treatments as basic as teeth whitening or as comprehensive as dental implants. The goal, however, is the same: a new, more attractive smile.

In a way, cosmetic dentistry begins with you and oral hygiene. The twin tasks of brushing and flossing to remove dental plaque not only lowers your risk for tooth decay or periodontal (gum) disease, they also improve the appearance of the tooth surface. There are, however, circumstances where otherwise healthy or repaired teeth may need extra cosmetic attention due to chipping, misshape or staining. In these cases, a truly cosmetic approach may be necessary.

One approach is to cover a tooth’s blemishes. Veneers, for example, are thin, layered pieces of dental porcelain shaped and colored like natural teeth that are bonded to the outside of an unattractive tooth. In other cases, a tooth may require a life-like porcelain crown that completely covers it to gain the same effect.

Missing teeth, of course, pose a different challenge, but here there are a wide range of solutions: dental implants, fixed bridgework or removable full or partial dentures. Advancements in dental materials and techniques can produce new teeth that are so life-like and natural that they’re imperceptible from the real thing.

 These and other measures like orthodontics can all be used to turn a smile you find embarrassing into one you’re confident to share with the world. It begins, though, with both you and us taking a good, close look at your current smile — a smile analysis, if you will.

After assessing both your current needs and your expectations for change, we can develop an appropriate treatment plan. It might be quite simple or with multiple treatment stages, but it will be the best plan for you. Through cosmetic dentistry we have the means to help you achieve a new, more confident smile.

If you would like more information on the many ways to transform your smile, 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 “Cosmetic Dentistry: A Time for Change.”

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